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I have been in extreme pain from a brachial plexus nerve avulsion C 7,8 ,T1,2 and spi.since 2003. The meds Ive been taking 3600 mg.Gab, 100 mg. Methadone, 40 mg. Baclofen and 30 mg. Cymbalta cover about 50% of the pain. My Pain Specialist has been pressuring me for years for a scs implant for years and I finally agreed, however I then find out I have to wait 1 year to see the Neurosurgeon. This is suppose to be the best pain clinic in Ontario St. Josephs Hospital London Ontario. Problem is all or most of the info from people on online forms who have spinal cord stimulator implants are not as positive as the Doctors. Do any Doctors available have any direct knowledge on this subject ? | Hi, Thank you for posting your query. It is unfortunate that you have been suffering from neuropathic pain for more than 10 years, and various pain medications have only partially helped you. I did not see pregabalin (lyrics) in your list of medications used. If that is the case, you can give pregabalin a try, as many people improve with that. Regarding spinal cord stimulator, it is an excellent option for pain control, however, just like other pain relief measures, it succeeds only in a proportion of patients. In the best pain centers, ACS implant may succeed in only about 60-70% of people. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/ | If you are a doctor, please answer the medical questions based on the patient's description. | [
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How long can a person ge without knowing you have had genital warts . my husband and I have been together for 5 years and a year and a half ago my husband was told he has gernital warts. I have no sign of them. he told me that I must of gave it to him without knowing it. could that be true or did he cheat on me ? | Hi... HPV infection which is the cause for genital warts and the time of presentation of symptoms following infection varies among individuals. It can take a few months to years. If you do not have symptoms, you can get a PAP smear which can diagnose for the presence of infection. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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i was just diagnosed with cervical and lumbar disc injury. Im scheduled for Bilateral lumbar Fract injections next week. im concerned about my heart due to the fact that i have a slight murmur and inflammation of the chest wall(medical term starts with a c, dont know how to spell it sorry) My question is Should I be concerned? got to the page where theres a fee for the first question. will re-ask when i have money. off work right now | Hi, Thank you for posting your query. I feel there is no need to worry regarding your procedure-bilateral lumbar facet injections. Inflammation of the chest wall-do you mean cost Chen Chat Doctor. Again, it is a minor issue and there is no need to worry. You will feel much better after the procedure. Please get back if you require any additional information. Best wishes, | If you are a doctor, please answer the medical questions based on the patient's description. | [
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My husband had a ct of his chest and found there is calcified plaque within the thoracicaorta, proximal great vessels and coronary arteries, with ectasia of the ascending aorta to a diameter of 3.9 cm. Borderline enlarged mediastinal lymph nodes measure up to 11 mm short axis in the precarinal region. 10 mm short axis inferior the left mainstem bronchus and 11 mm posterior the right atrium. There is a lobulated masslike consolidation in the anterior right lung apex measuring up to 5.0X2.9X1.8 cm in maximal dimention. There is a 7mm subpleural lateral right middle lobe nodule and additional tiny subpleural nodule is present. Can you tell me what they are saying in laymen s terms? | Thanks for your question on Chat Doctor. I can understand your concern. I have gone through the CT report you have mentioned. This report suggests that your husband is having lung infection. He is having right upper zone consolidation (pneumonia). So give him antibiotics and get done repeat chest x-ray to rule see if this consolidation is improving or not. If it is improving then no need to worry. But if it is static or worsening then possibility of mass (cancerous) is more likely. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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have a hard pea size lump at the very top of my left leg on the very outside of my body, any ideas? Possibly cold have bumped it in the past, its close to tensor fascise latae. I can only feel it when i am lay on my rightt hand side. An issue seeing a doctor is, im travelling around laos, vietnnam and southeast asia til october when i return to england, but i do have a good travel insurance, they may charge me as i could have had it previous to march when i first started travelling. A big thankyou for taking the time tto read my email. | HI, Dear,Thanks for your query to Chat Doctor virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns about the cause of hard pea sized lump on upper left side of leg. Cause of the hard lump on left top of leg-The facts of your query indicates that you had ?hit in the past to left knee, and it is felt only when on right side-these two facts indicate it to be left outer meniscal tear, which becomes prominent on right sideways position. As many other causes need to be ruled out by Second opinion from ER Ortho-Surgeon and hence your doctors second opinion is suggested. Hope this reply would satisfy your query and would resolve the worry with it. If you feel satisfied with this reply, dont forget to hit thanks and write excellent review comments, which would improve my rating for new needy visitors to Chat Doctor. Welcome for any further query in this regard to Chat Doctor. Have a good day. With Chat Doctor. N.M.S. Genl-CVTS, Senior Surgical Specialist | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Sir my father got stroke a month back.His right side is paralysed,cant able to speak,having difficulty in understanding.From his behaviour we think there is loss in memory.Dr prescribed , Telday20,Avas 20,Diapride2mg,Clopitab75,meconerv plus.He is diabetic type2 . How can we improve his memory and speaking skill? | Hello! Welcome on Chat Doctor ! I understand your father clinical situation and agree with the medication prescribed by his doctor. Unfortunately there are not any specific Chat Doctor. But, I would recommend taking paracetamol or Catiline. Consulting with a logopedist for his speech disorder and performing a lot of physiotherapy for his limbs, is the main treatment in the next months, which will help improve his situation. Hope you will find this answer helpful! Best wishes, | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hi I have this weird feeling when I lay on my stomach like if theres a small ball right in the middle... it feels uncomfortable and if I do lay on it for a while when I turn over I feel abdominal pain what could it be.? I am 21 yrs old no medical problems never had surgery I have had 2 pregnancy everything ok... | Take betaine HY Chat Doctor. This will break down food. Try this for a week. You also need to help pancreas which gets stressed use protease purge back. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hello, My two year old son has had a circular, flat, rash whicChatDoctores and goes on his feet and legs. It is not scaly or itchy. It starts as a small red circle with white center and widens out. He has no fever at time of onset or prior. I have associated it with colds twice but not each time - unsure if releated to virus. Could you tell me what it might be | Hi...by what you quote I feel it's a dermatological manifestation of infection due to atypical organism as you are associating it with cough and cold. But skin conditions are best diagnosed and treated only after seeing them. So I suggest you upload a picture and I will be glad to help you scientifically. Regards - | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I have PCos and have not had a period since 04/11 but over the last couple of weeks have been having lower abdomen pains, sore nipples, headaches. I am gravida 1, para 1 but I really do not think it is possible to be pregnant without a period since 04/11. Any suggestions | Hi. PCs can cause all such hormonal disturbances as to cause sore nipples and headache . Increase in side of the ovary can cause abdominal pain. Get the ultrasonography done to see the exact position of the ovary and see other parts of the abdomen. Also go for hormonal estimation. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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My father just started having dialysis after his creatinine level reached 15.4. Since then he also found blood in his urine. The doctors did cystoscopy today and found a tumor present. They said that they had removed the tumor and sent for some examination. They also said that if everything goes well, he will not have to undergo dialysis. Is this possible??? Till today, he has got 5 dialysis done. | Hello and welcome to Chat Doctor, The need for dialysis depends on the clinical status of the patient and blood creatinine levels. Dialysis also depends on the underlying cause of raised creatinine levels. If the creatinine was high due to obstruction caused by bladder tumor, removal of tumor will reduce the creatinine levels. However, if the high creatinine level was due to primary kidney disease, the status of the kidneys has to be assessed to know the requirement of dialysis. Thanks and take care Chat Doctor. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Last Wednesday, a routine chest x-ray revealed what looked to be a 2 cm spot on upper left lung. I am a 40 year old female, non smoker who is asymptomatic. Had CT with contrast on Friday and it basically said the the image was nonspecific but i measured out to be 2.8 cm x 2 cm x 1.8 cm with opacity. It also said the lesion could be inflammation/infection but because I was asymptomatic, malignancy could not be excluded. What is the likelihood this is an infection or inflammation if I have no symptoms of chest cold, etc. Everyone in my home does have bronchitis right now though | No, a simple bronchitis cannot cause such a big lesion. However, as the size is 2.8 cm, It is very likely that it can be a cancer also. Get a biopsy done at the earliest and a PET CT scan if it turns out to be malignant. Secondly if it was an infection or inflammation, it would cause you some symptoms. Kindly vote thanks if the answer helped u | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I am a female of 49 years. Suddenly my front portion of throat have swollen with a lump (approx 15cm radius) and on one side of the neck. Doctor advised me certain blood and other tests to test forThyroid diseases. But reports came normal. This symtom has developed for the last three days. What could be the disease? I am on medicine for Arthritis for 10 years and have no major problems. Please help. | Hi! Good morning. I am Chat Doctor answering your query. Even though your thyroid blood reports are within normal limits, still the swelling could be related to thyroid apart from other swellings of the neck. However, it might not be possible to diagnose the lump without a clinical examination, and a confirmatory test like an FNAC/core biopsy along with an ultrasound of the lump. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hi, my brother has dengue and his platelets count went on 93K when he was admitted. Next day count raised to 1.6K but now it has come to 43K on third day. Do I have to worry as he is hospitalised and seems doctors are not taking it serious. Please advice. | Hi, Sorry to hear about your brother and also appreciate your concern. The number of platelet count in dengue is of prognostic value;it means that it tells us how the disease is progressing and if platelet count has come down to 43K from 1.6K in one day, it should be followed up keenly although in my opinion a retest is a must. If it goes down further, he may need platelet infusion. Please talk to the doctor and keep an eye over the platelet count and the overall condition of your brother. I hope this answers your question. Please feel free to ask another question if there is another query. Thanks, Chat Doctor. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hi there, I had an abscess drained about four weeks ago and my wound was packed. Have seen the nurse every few days and have been advised wound is fine and has healed. However since Saturday I have a hard lump attached to my scrotum and it is the same as previously had before drained. Can you advise what I should do? Is this normal for abscesses to come back so soon? | Thank you for your query. You are probably suffering from Sebaceous cyst of scrotum, which are getting secondarily infected, resulting in abscess formation. The infected ones are operated, as because they are multiple, and the symptomatic ones are left alone. Hot fomentation, local antibiotic ointment application and oral penicillin are the main stay of treatment. Please do also check your blood sugar levels, and ensure that you maintain personal hygiene. Take care and get well soon. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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im 41 had two ablations for afib been normal rate for almost two years.have had several test on gastro side normal with gerd they say but lately have pains in left arm and chest that comes and goes with head aches bad sometimes pains last mins to hours my heart rate at rest is 65 blood pressure 137/81 | Thanks for your question on Chat Doctor. I can understand your concern. Your blood pressure and heart rate are normal, but since you are having history of atrial fibrillation and ablation, better to first rule out coronary artery disease as a cause for your left arm and Chest pain. So first get done 2d echo, stress test (trade mill test) and coronary angiography (if required). If all these are normal then no need to worry about heart diseases. Musculoskeletal pain can also cause similar symptoms. So avoid heavyweight lifting and strenuous exercise. Take painkiller and muscle relaxant Chat Doctor. Apply warm water pad on affected areas. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hi, Why does my right wrist hurt so much. The pain started about 2 weeks ago. I am right handed very active still work, garden, exercise and do yoga and of course house work and yard work. I have being taking aspirin, it relieves the pain but then it returns, can t even open a water bottle. Help! | Hello, The symptoms seem to be related to overuse of the wrist due to activities. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the symptoms. I also suggest avoiding activities that overuse the wrist. Furthermore, I recommend using cold compresses for local application. Hope I have answered your query. Let me know if I can assist you further. Chat Doctor. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I am 58 year old, suffering from persistant cough for last three months, x ray shows a triangular opaque shadow in mid lung right side which is persistant for three months. Treatment taken,culture is negative, bronchoscopy normal tb tests normal advise further way | Thanks for your question on Chat Doctor. I can understand your concern. Persistent shadow on chest x-ray despite taking treatment suggest possibility of lung cancer. Bronchoscopy and culture are negative for infection like TB. So better to get done CENT thorax (CT scan with contrast). If this shows mass lesion then CT guided biopsy from the mass is needed forecourt diagnosis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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after a miscarriage hello I had a miscarriage at ten week the baby had stopped growing at 8 weeks I ends up having to have a dnc the 14th of November , really hoping to try again soon.... but still no aunt flow do u know.when I.should expect one ?? are there any pills my hubby and.I can take to increase our chances ?? Im young 25 I know but want a baby so so bad | You must wait for six months after abortion. As you are young, so you will conceive spontaneously. But start taking folic acid before getting pregnant | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hi there, my 5 year old daughter has a meiboman cyst on her lower eye lid. She has it 7 weeks and it s now looking like an infected wart, protruding outwards. It s extremely painful. She s has 2 sets of antibiotics which didn t do anything. She s also just finish a course of Azyter eye drops. These have changed the look of the cyst and it now looks more alive, angrier and bigger. The eye specialist that we saw last Monday, has booked my daughter in for surgery but this could take 2 months before a place comes up. We ve another appointment with him in 5 weeks. We are so so worried about her and really feel something needs to be done sooner. Please can you offer some advice. Many thanks, Fidelma. | Hi, It seems that she is having infected Albanian cyst giving this trouble. It requires excision and removal of cyst. Continue applying antibiotic cream after proper cleaning till you get appointment. If there is more infection, go for one more antibiotic medicine course. Ok and take care. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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My daughter is 5 years old, she has never had this issue before but for the last 4 days when she wakes up in the morning as she is eating breakfast she throws up. After she throws up she will continue eating and will be fine for the rest of the day until the next morning. I dont know why this is happening, she is not running a fever nor is she complaining of stomach pains. | Our stomach secretes acid which helps in digestion. It is secreted throughout the day. Throughout the night, the acid gets collected. This acid irritates the inner lining of the stomach. So, in the morning when your child takes in the food, the already irritated gastric wall revolts, and she vomits out the contents of her breakfast. But in the process of digesting the breakfast, the gastric acid becomes utilized and such a situation does not arise till next morning. Hence, she remains fine throughout the day. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I have been drinking several red bulls. Was recently told I had a heart murmor. Somtimes my eyes burn.also I have had very frequent uti since drinking them. Basicly I have realized I need to stop. Also having high blooid pressure. Will every thing return to normal if I do and the murmor I never had go away? I am 47 | Hi There After going through your query I Understand stand your concern. I would like to tell you that Red Bull contains Caffeine and excessive use of caffeine leads to high blood pressure and high Blood pressure can cause LV dilation or LV failure which results as a murmur.It's advisable to limit use of Caffeine n Caffeine containing products and personally consult a Cardiologist to evaluate the reason or Murmur. Get one ECG and an echocardiography done and see a cardiologist with reports for proper treatment of High BP and murmur. Hopefully this will answer your query. Kind Regards Chat Doctor. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hello Doctor, There are bubbles rising around my genital organ (M) Earlierly it was only one, and now there are around 6 to 7. The color is same as the one around the organ but bit shiny. They dont pain, neither secret any smelly fluid. But the no. is increasing.What is the reason for these and the cure? I am 24 yrs old, 5.9" tall, 57kgs. (I tried sex with a social worker 7 months back) | Hi, If you had unprotected sex - need to rule out sexually transmitted infection. If not it can be bacterial infection / fungal infection. Share a picture for conformation. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. R. Raveen | If you are a doctor, please answer the medical questions based on the patient's description. | [
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went to the ER with severe abdominal pain just below the sternum. Fells like theres something stuck there. They ran x-ray and ultrasound and found nothing. No gall baldder or ruptures. Im still in lot of pain as before and constantly feel like i need to use the bathroom for #2 but nothing. please help. | HI. Read the history carefully. There is a possibility of colitis and/ or enteritis. X-ray and ultrasound may not detect such problems at all. I would advise you to undergo upper GI endoscopy and colonoscopy if medical treatment does not help you. You may need an antibiotic and metronidazole and Sanitizing and supportive treatment to get a relief and cure. Use antispasmodic tablets to get a relief of pain | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I have a lump on my leg and the doctor just told me its was a gland with fluid in it and right above it was another gland and the gland that was bigger seems like its got smaller and the one above it seems like it has gotten bigger. Could the fluid just be draining up to the other glad or should I go back to the doctors?p.s. it sort of hurts | Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Varicose Veins with perforator Vein Lumps, which hurt a bit.or/ this could be Sebaceous Cysts caused due to the blocked sebaceous glands in the hair follicles. Other causes need to be ruled by Second opinion from a Surgeon or Dermatologists. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist | If you are a doctor, please answer the medical questions based on the patient's description. | [
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For the last year I have been having WBC with diff done every 3 months due to a high WBC of 19,000. This count has fluctuated throughout the year, but never been normal, also no illness to account for. I do have symptoms of fatigue, petechiae (hands, arms, and chest-occasionally), HTN, and some diarrhea. EKG from 5 years ago normal, LFT normal, CMP normal, Rheumatoid normal, kidneys normal. Been to an allergist and told I do have even more allergies, but would not account for the high WBC. Sed rate slightly elevated. Please advise. Jen | Hi and thanks for the question, Chronic elevation of the ABCs deserves a more critical evaluation. In your case especially, the association with increased ESR, fatigue and petechial suggest exclusion of a bone marrow malignancy, especially a leukemia. A bone marrow biopsy might be compelling. Secondly, I would to suggest carrying out Anti-nuclear antibodies, HLA27 and autism antibodies for your symptoms are also very compatible with systemic lupus erythematous, which is an autoimmune disease. The symptoms as I said are very suggestive of a leukemia. An appropriate diagnosis is critical, for the setting up of an appropriate treatment plan. Delayed diagnoses my make the prognosis more faint. I suggest you book an appointment with the hematologist, to rule out a leukemia or any possible blood malignancy, and possibly systemic lupus erythematous. Thanks for your question and hope this helps, Luchuo, MD. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I was born White(Wheatish brown).Now I have become brown in Complexion.This Happened for Lots of Reasons.How can i Get back Fairer as I was??.Suggest Home Remedies..Thank you!! | Welcome to Chat Doctor You need t apply sunscreen lotion of SPF 25 at least for protection from UV rays from sun. Try to avoid sun exposure. Use colored umbrellas for protection from sun. Eat fresh fruits and vegetables every day as they have antioxidants and vitamins that prevent damage to skin. Chat Doctor. Exercise every day for 40 minutes by brisk walking which is enough to improve blood circulation to skin and make it glow. If you have any pigmentation on your face that can be removed by many methods like bleaching creams, laser etc. Consult your Dermatologist to get further information. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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My dad is 86 with AF that is being managed with medication. He has had a recent blood test that shows poor kidney function. He has increasing symptoms of lethargy and is tired most of the time. In the last while his appetite has gone and in the last two days had an episode of diarrhea and vomiting with some stomach pain. Could he have kidney failure?. | HIT hank for asking to Chat Doctor I really appreciate your concern for your father the symptoms that you have stated here may be due to the infection and not the direct indication of kidney problem, but still in my opinion the infection part of urinary tract has to be ruled out, hope this information helps you have nice day. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I have two questions: I am 74 years old and am scheduled for rectacele surgery in January. My family doc was hesitant to recommend the surgery. After talking with my Urologist, he gave me the choice of surgery or living with the symptoms. I had bladder suspension surgery in 2009. Is there some danger here that I am not aware of? I have opted to have the surgery based on my age and knowing that if it gets worse, surgery later on might be compromised by age and other factors that may or may not be present it at that time.Also, I am scheduled for a colonoscopy next week. Would it be advisable to wait to have the colonoscopy until after the rectacele surgery has healed? | Hi, You very well understand the fact that any surgery at this stage is considered risky and that is the reason you have been counselled in detail by your doctor. Colonoscopy is usually done prior to the surgery, hence it will be preferable to get it done now. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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What are the natural ways to check hair loss and alopecia, specially in the initial level? Everyone does not have lots of money to spend. For example - I am 28 year old female; I am not under medication; I am suffering from sticky dandruff and oily scalp and split ends; there is more hair fall and less hair growth. Is there any natural remedy? | Hi I understand your concern . Yes there are natural ways u can prevent hair loss . First avoid excessive hair loss for oily scalp take regular bath apply less amount of shampoo and soap avoid hair straightening and other parlor measures nutrition is very important ... like having salads, green leafy vegetables and proteinaceous diet .thank you | If you are a doctor, please answer the medical questions based on the patient's description. | [
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i just found a lump in my groin area its very close to the inner leg joint so im not sure if it is a normal part of the body as i have another lump on the other side on the exact same spot but it is a little smaller. you have to push deep to find it and moves around freely esp when walking thankyou | Hi, Welcome. Based on the facts of your query-You seem to have normal lymph glands in the groin. And they become specially felt while walking. Hope this would help you to plan further treatment with your doctor. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVTS | If you are a doctor, please answer the medical questions based on the patient's description. | [
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My son fell and hit his forehead a month ago. Huge lump, both eyes black, and a lot of swelling. Wasn t knocked out but sinuses affected but had a cold previous. Now after weeks he has a pointed lump at the site where he hit the metal. Is this normal?. | Hi, It seems that there might be having big hematoma following injury producing swelling and black eye. Now gradually it is reduced, and some collected blood is encapsulated. Apply ice pack for few days.Sometimes if not absorbed then aspiration with wide bore needle might be required. Ok and take care. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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My wife had a left temporal bleed in May 2012, she was put on Levipil 500 mg BD, she discontinued it in August of 2013 - she got her first and only seizure on the 17th of october 2013. At that time we were traveling and could not get levipil but managed to get eptoin - she has been on 100 mg of eptoin 3 times a day for the last week. On seeing a neurologist I was advised to taper of the eptoin and start her on levipil as it is a safer drug. I cannot risk her having another seizure as she has suffered severe muscle damage in her back and legs from the seizure and is slowly recovering from it. Would it be ok to shift her to levipil? | Hi, as you describe your doctor has judged correctly, and he is tapering the dose of option, and slowly introduce the level running both the Chat Doctor. In addition, you also avoid | If you are a doctor, please answer the medical questions based on the patient's description. | [
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My name is Tamara. I am a 32 year old white female with class V membraneous lupus nephritis. I also have multiple comorbidities including compartment syndrome in my lower extremeties with gross edema. Recently, I have had boughts of severe swelling that results in massive water retention, to the extent of 40 pounds gained in less than a month. While kidney function is fine during this increase and I can eventually pull off the fluid with crazy diuretic therapy, after the output, it seems that all of my muscles from mid calf to ankle are now hardened and very tender to touch. I have waited several weeks in the hopes that the tissue would return to normal, but no avail. What could have caused this, what condition is this called, and is there any way to reverse this as it is very painful (I doubt there is in my experience *I am an RN whos specialty is Renal Transplant/Nephrology* ). Any information regarding this would be very much appreciated so that I can continue on this side. That you! Tamara. | Hi, Thank you for choosing Chat Doctor, Look mam you have pretty tough condition in the sense of medical ground, in my opinion such case needs team work, this could be chronic nephritis, I personally ask lots of investigations to come online of treatment and to know the prognosis, without this, it is not possible to come on any decision, you batter have words with your treating Doctor, meanwhile cut down the salt,take care of your self, Have nice day | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I am a 61 year old woman, and I am on blood pressure medication. 20 mgs of lisinopril, and 200 mgs a day of metoprolol. My blood pressure is high when I wake up in the morning always now. It runs 148/98, and remains high throughout the day. It only is normal a few times, but otherwise it stays high. Do you have any suggestions? | Hello, I suggest you monitor your blood pressure for a few days and then to go to the doctor, so if the values are high, he should give you other medications like Lercanidipine or/and HCTZ. Hope I have answered your query. Let me know if I can assist you further. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Dr. Mild pain started below neck on C6/C7 a week ago. While I applied some ointment or Motrin it is subsided, yet reappeared after a day or day. I feel pain when I touch on the upper exterior of C6/ C7. However, I have no shooting pains on my hands or elsewhere. My routine is not affected that includes my daily exercises and walking. I can turn my head/neck at all directions without any pain. Nevertheless, while I stretch my right hand in particular to pick things in front of me, I feel dull pain at the side of C6/C7area especially to its right . I am not diabetic, my BP is between 70/110 - 120/80 all through. My weight is 147 Pounds and height is 171 CMS. What is your advise doctor. Well, I may consult a orthopedic in this regard | Hi, Thanks for your query. The herniated discs compress spinal nerves or spinal cord. Symptoms are experienced along the area of distribution/path of that particular nerve. This has happened at level of C6-C7 in your case. Treatment includes 1. Use of cervical collar helps in immobilization and brings relief. 2. Medical Chat Doctor. 3. Methylcobalamin supplements are also recommended for nerve compression symptoms.4. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist. 5. Hot fomentation helps in relieving acute symptoms. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Dear Sir,I am 23. I am feeling pain in my stomach (left side) since last couple of days. Pain is not more but light. I would like to share hat days back around 2008 i had a pain in my stomach and i checked it and found Appendicitis. it was small in size around.2mm so doctor recommend me to take injection. I took that and felt relax. Now i am feeling same problem. so please recommend me that what to do now?i am quite afraid that whether i got that problem again?what is the probability of severity on this??I ll be grateful if you will give me some solution on that.Best RegardsDharmendra Tripathy | Hi Carmen Chat Doctor. It looks that you have got colitis. A proper history, clinical examination, investigations as per these findings alone can lead to a proper diagnosis. This is most important to lead to a proper management/ treatment. So visit a Doctor, preferably general surgeon. All you need is a 5-day course of antibiotic, metronidazole and supportive medicines, and you will be fine. Do not panic and do not think this as a serious problem. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Thanks. I have had knee pain for about 2 months now. No blood clots found and no broken bones. After about a month of the knee pain I noticed a lump on the top left of my knee (left knee). The lump is soft and does not hurt to touch. Please help. What is goin on with me? | Hi! Thanks for sharing your health problem with Chat Doctor! After going through your problem of knee pain with lump on the top, I would like to consider following possibilities AS PER MY ROUTINE CLINICAL EXPERIENCE:1. Benign cystic conditions like bursa, ganglion cyst etc. possibility 60% 2. Inflammatory like synovitis, synovial herniation, patellar dislocation, synovial effusion etc., possibility 20%3. Benign solid tumor or tumor-like conditions like giant cell tumor, lipoma, neurofibroma, dermatofibroma, cysts possibility 20%Therefore, it could be a cause for worries in the future!. And you must confirm the diagnosis by ultrasonography and needle biopsy as advised by your doctor and thereafter discuss with him the possible treatment options. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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hi my name is juliaI have 2.5 yrs old boy he had temperature at 7pm 101.4f. I gave him 4cc chilren tylenolthen I gave him another dose at 9.15pm 4cc his temperature droped to96.7f and last one at12 midnight and his temp now is 96.4 ist ok he had a case of ceasure at age 1 | You can safely use Tylenol in the prescribed dose 4-5 times a day for a child who is running fever. However, it seems that you are using it even when there is no fever. Stop using it by the clock, and use it only if there is fever above 99.5 degrees F. Why did the fever occur? Most likely a virus, but it is safer to go to his pediatrician in routine hours within a day if possible. Use sponging as a tool to reduce fever - as your child had a fit in the past, don't allow the fever to rise beyond 100 F. I hope that helps. Best wishes. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hello, my grandma is 71 turning 72 in July. She is basically in the end stages of liver failure. She had a tube that was drain excess fluid but she pulled it out because she was frustrated. Now she has a chest tube that is draining all the fluid because her lung collapsed. Her voice was going away for the past couple days but now it is completely gone. Is this associated with the liver failure or is there another explaination? | Welcome at Chat Doctor !! I have gone through your case and being your physician I completely understand. Your health concerns... Based upon the history you have provided it is rather difficult to pinpoint the diagnosis since your grandma has the variety of issues. End stage liver disease do presents with loss of speech that is called HEPATIC ENCEPHALOPATHY grade 4...... It is the most common cause of loss of speech in chronic liver disease. Second probability is hypoxia leading to carbon dioxide retention leading to acid base imbalance that too provokes hepatic encephalopathy and also one of cause of loss of speech. You better take her to hospital so that appropriate workup has been done, and proper management should be provided to her. May she get well soon, if u still have any query feel free to ask anytime regards Chat Doctor. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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sir, fifteen dayes back i felt pain above right testicle. on ultrasound found.my prostate is 24grms and post void urine is 140cc.feeling burning sensation in urinary passage. my age is 64years.whether i have to go for long treatment or for a short period.height-5ft-6inch,weight-79kg,diabetic-but controled by diet. | Hi thanks for contacting Chat Doctor. Here you are having high post Vidal residual urine... Here according to report it could be prostate enlargement with infection.... You have to consult surgeon for per rectal prostate palpation and subsequent investigation. Urine also should be examined which will mostly will show presence of pus cells ... For infection antibiotic given with more fruit juice and more water..... After controlling infection if prostatic enlargement there biopsy or PSA done to reveal nature of prostatmegaly... Then accordingly treated like with that of tamsulosin or prancing... Consult surgeon for proper examination and treatment. Take care .... | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I have sharp stabbing pain in my upper left abdomen. It started Sunday night, I was uncomfortable no matter how I laid in bed Sunday night but the best was to lay on left side on a heating pad. Yesterday during day the pain was not nearly as bad while I was working but started up again after I ate dinner and has not ceased since. | Hello dear , welcome to Chat Doctor.come have evaluated your query thoroughly.* There are different possibilities for this pain in left upper abdomen as @ Abdominal wall related as muscular. @ Intro abdominal left Hyperion Chat Doctor. @ Diaphragm related. @ Left lung lower lobe pathology as pneumonia, effusion or other. @ Referred from kidney as calculus or other. Hope this will help you for sure. Wishing you fine recovery. Regards dear take care. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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hi my name is ravi, i am 26 suffering from high SGPT since last four years, having treatment also, its ayurvedic treatment, but after having all sort of precautions also the results are unfavourable, as in am monitoring it for couple of weeks, the 1st week the result was 102, 2nd week it was 72 bbut the third week again it was 92.... i am very much worried as my job also depends on it, i am in merchant navy | Hi welcome to the Chat Doctor I need to know cause for elevated Sept level Don't try any self-medication for your condition Your following report should be done.... _USG abdomen _serum bilirubin estimation _Bag ELISA _CV ELISA _Serum cholesterol If you are having fatty liver or non-alcoholic steatohepatitis then Adílio can be prescribed, and low fat diet consumed So depending on because I can give further comment Hope your concern solved Take care | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hi! I have extremely dry skin where my two butt cheeks meet, like in the crack of my butt. It itches terribly, and often leaves a burn of flakey dry skin in my underwear. I know that I have psoriasis on my scalp. I was just wondering if it can affect my butt cheeks and also my genital area? I ve had vaginal itch since I was young. Yeast infection medicines dont work, rarely will an anti-itch cream work. It was localized on one side of my vagina for 10 years and had since spread to both sides. My family doctor just says to use anti-itch, but I think there s a bigger issue or a better answer. The left (original) side had turned a darker color and is thicker. What exactly could be the issue? | Hello and welcome to Chat Doctor Psoriasis is a likely possibility as it can very well involve the body folds. Psoriasis classically involves the extensors like scalp, elbows, knee, shins and lower back, but sites like maxilla, groin folds can also be involved either together with the extensors or solely, where it is classically known as inverse psoriasis would advise that you see a dermatologist for a confirmatory diagnosis. Psoriasis in the body folds responds very well to topical steroids as well as topical immunomodulators like tacrolimus/pimecrolimus ointment. An OTC antihistamine once daily e.g. cetirizine would help you symptomatically with the itch. Regards | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I have a slightly elevated liver enzymes, very low vitamin d. My thyroid checks out fine. im fatigued, hair loss, dry skin. I also had a vaginal biopsy and they found hyperplasia . Is the liver enzymes and low vitamin d related. the doctor said not to worry about the liver enzymes. she put me on 50,000 units of vitamin d. | Hi, Thanks for writing in. Liver enzymes might be elevated due to disease and this can lead to reduced synthesis of vitamin D. It will help to know by how much your liver enzymes are raised and then treat any condition that is causing it. Since the doctor has told not to worry therefore I think the liver enzymes are not very high to cause a concern. However, you might have vitamin D deficiency and this requires you to take supplement. The pap smear showing hyperplasia requires discussion with the pathologist. Hyperplasia itself does not indicate cancer but might be a precancerous stage. You might vitamin D for now. Please do not worry. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hi... for the past three months i have been getting this rash on my face cheeks. They are like pimples but they are not infected. It gets worse right after I take a shower or wet my face anytime. If i describe them they are like bumpy, pink, and scaly. What do u think this rash can be? Please answer:) | Hi, According to your complaints it could be either acne vulgarism or hemorrhoid dermatitis. I would recommend you to upload the pictures of the affected areas under the premium section of the site so that I can have a clearer picture of the condition and can guide you accordingly. Hope I have answered your query. Let me know if I can assist you further. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I have a sore lump (quarter size) on my lower, inside arm and I noticed it 4 days ago. It s getting no bigger but still sore. Should I wait a week after applying ice and taking anti-inflammatory to see if it goes away. It s mid way, between elbow and wrist on inside of arm. I may of hurt it but don t remember doing it. | Hi, dairy have gone through your question. I can understand your concern. You may have some benign cyst like Desmond cyst. Or you may have some soft tissue tumor like lipoma or neurofibroma. You should dot wait because it doesn't look like inflammatory lesion. You should go for fine needle aspiration cytology of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hi I am 30 yrs old and my husband is 33. We are planning for a baby since 2.5 yrs . In Oct 2010 we got to know that i am having a cyst which was constantly present for 8-9 mionths and our gyn said that it might be a chocolate cyst and endo. So we had laproscopy done in Sep 2011 and after that tried for iui for 5 months but unsuccessful. Then our gyn said to go for IVF wherein we still are thinking as it is very expensive. We went to another doctor in March 2012 and she prescribed Lupron depot inj for 3 mths and I got my mensus in Aug 2012..I want to know what are the chances to conceive with endo and should i wait for sometime and try iui or what else can be done..please help..Regards Neha | Hi, As you have already tried 5 cycles of GUI after laparoscopy, it's better to try for treatment which gives better pregnancy rate which is IVF. As you have already received In Lu pron Depot for 3 months, it would have been better to go for IVF immediately after 3rd dose of Lu pron as it increases chances of pregnancy in IVF. But still It's not too late. You can go for IVF straightforwards or can again take Lu pron depot for 1-2 months & then go for IVF. IVF is definitely the best treatment for you. Wish you good health. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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hi i think im about 8 weeks pregnant, need to know what will happen next, when will my scans be etc, how can the doctors determine how far gone i am and what will happen if i go to my gp to see if i am pregnant | His have gone through your complaints.it's good that you are pregnant. Go for scan at 11-12 was.It's important to look for nuptial translucency .it's also important to define regarding pregnancy like dating, no of fetuses, viability etc.next important to evaluate for anomaly scan at 18-22wks. Have proper diet. Take iron folic acid tablets. Take Carthage youRegardsVasundhara | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I am taking diclofenac 50 as a post oral surgery pain reliever. I am 4 hours from my next dose of two tablets (recommended by my dentist). Pain has returned with considerable intensity. Is the any reason I cannot take some aspirin until I am due for my next dose? | Thanks for your query, I have gone through your query.You can take ChatDoctor. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I have had a very bad cough of an on since Sept. It just recently got bad about a month ago. My Dr has been treating me for pnemonia and I have been on 5 rounds of antibiotics a shot of one and Im on my 3 rd round of steriods. I also got a shot of one in the office yesterday. My symptoms are getting worse and I started to have a sore throat n swelling of my face within the last 3 hours. Im wheezing really bad and my bp is 138/86 and pulse is 98 should I go to the er? I am very scared n shaking. I have had xray of chest and than yesterday a Cyst scan with contrast of my chest. I am very concerned and am just getting worse | Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-Steroid Induced Facial Swelling with Asthma. Remedy-Recheck with your Doctor and review the steroid doses. More info on antibiotics for Pneumonia is needed to suggest on your current health issue of sore throat/ swelling and wheezing. More info on Cyst Scan is required to know why steroids are used in Pneumonia with 5 rounds.And to your query on ER visit? Yes, you should visit ER and check up for various possible causes for such a complaint, witChatDoctorplicated illness over last 1 month. Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS | If you are a doctor, please answer the medical questions based on the patient's description. | [
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my mom s blood pressure over the last hour has been very low, mostly the bottom number. the last reading was 145 over 64 but was as low as 51 on the bottom number. her question is should she take her blood pressure medicine as normal. She s kinda worried it may make it drop in the night too low. | Hi Welcome to Chat Doctor. I understand your query and concern. Yes she certainly needs to continue her blood pressure medications. Low number of the denominator need not be worry at the moment. All she need is good HY Chat Doctor. Reduction of daily salt intake to less than 6 gm/day will help. Monitor the blood pressure daily over 2 weeks to adjust adequate dosage. I advise you to have a baseline 2D echo and ECG on semi-annual basis for better cardiac assessment. Consult an expert cardiologist for further help. Post your further queries if any. Thank you. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I have been experiencing cold rushes down my left leg from time to time. I do have five hyrneated discs in my lowerback for over forty years. When that happens my leg sometimes goes numb briefly, nothing has to be going on at the time that happens. I had hip surgery on my right hip three years ago with a replacement hip. The problem with my leg is with my left leg and started after the surgery. It causes no discomfort at this time but, Im just wandering if this is a precusor to what may be to come.I am a sixty- six year old woman, retired and in fairly good health. I am a make up of many cultures.and tat | Hi, thanks for writing to Chat Doctor. Your problem in the left leg is no way related to your Hip replacement surgery of the right hip. As per the description, all your symptoms suggest a degenerative disc disease of the lumbar spine witChatDoctorpression of the neural elements. The conservative management of degenerative disc disease is as follows -* avoid lifting heavy weights as it imparts more strain on your back* avoid forward bending activities as it will worsen the disc protrusion* Use a lumbosacral back support to augment your spinal muscles* Intermittent pelvic traction to cause a regression of disc* Maintain optimum body weight, if you are obese* Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.* Judicious use of analgesics and muscle relaxants. If all these measures fail to provide you relief, then surgical decompression may be an option. Hope this information is helpful. Good day | If you are a doctor, please answer the medical questions based on the patient's description. | [
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hi. i m 26. for past few days my mouth is notopening fully. i had pain in my gums n look like dey r swollen. may b wisdom tooth is formating. i dont consume tobacco or smoke . n it all started after i start dieting . i eat less than before. i also take herbal pills of active fibre. i just want to know what is wrong with me | Hello Welcome to Chat Doctor I went through your history & it suggests that you are suffering from Peritonitis i.e. inflammation of periodontal tissue before eruption of third molar. It occurs due to food lodgment & bacterial accumulation in that area. Its Symptoms are:- -pain -swelling -difficulty in mouth opening -fever -malaise -regional lymphadenopathy Get an IOP AR done & consult your dentist. If flap is interrupting in its path then go for flap removal i.e. operculumectomy. Otherwise, if sufficient space is not available then go for extraction since it is vestigial & has no role in mastication. For temporarily relief do warm saline rinses 3-4 times a day. Start with Tab Amclaid-625 twice a day along with Tab Aerosol -SP thrice a day for 5 days. In Case of gastric problem take rabeprazole-40 mg once daily. Your herbal pills won't be of much use. Do Betadine gargles twice a day. Take Care Regards Chat Doctor. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I have been a ocd sufferer for over a decade now i did not know of it for many years but later on underwent therpy for close to 2 yrs i was prescribed F-tin along with certain occupational therapies And it helped to certain extent but came a time when i realised that no pill is cut out for my specific forms of symptoms & i stopped Now the prolem is that though i am aware of my problems but can not help much Actually its hampering my studies by making my productivity low I have been trying a lot but pl tell what should i do as per your insight | Hi, I can understand your distress and concern, specifically since you are able to attain much benefit with treatment. OCD can be occasionally difficult to treat, but with right approach, can be dealt with effectively. Had I been your treating psychiatrist, I would have considered treatment with medications from selective serotonin reuptake inhibitors (SSRIs) like fluoxetine or sertraline together with behavior therapy in form of exposure and response prevention. Depending on the initial response to the 1st medicine tried, further course like adding clomipramine or an atypical antipsychotic like risperidone, etc. can be tried. You can discuss regarding these option with your psychiatrist. I am sure that with adequate treatment, you will respond well and get better. I do hope that I was able to answer your query. Best wishes for a speedy recovery. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hello Sir, My new born baby is 10 days old. He got operated for Colostomy, his anus was absent when he was born. So they operated and made gap in side stomach. We also tested his Kidneys and before operation. They his kidneys are working 80%. He has Cyst in his kidneys. Is that curable automatically ?. Is that something we need to do now or later stage.? Please explain about this. Thanks, Shyam. | Hi...this needs to be decided only on regular follow-up ultrasound scans.n In future he will need MCU and DMS scans. As of now if the urine output is normal - you need not worry. In future, he needs regular follow-up scans. Regards - | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hello... iv rashes on my face n neck almost 5 days now, and its really itchy. My eyes are swollen. I ve done blood for lft n blood for r/examination,all are normal.my doctor prescribe ursokem-plus n litina- a Bt still no improvement..so please help me what really is it | Hi, Are you applying any over the counter face cream? Steroid containing over the counter creams may cause redness and rashes on face. Allergic reaction to hair also may present with swollen eyes. Superficial bacterial infection of skin such as erysipelas can also cause similar rash. So, I request you consult your Dermatologist for arriving at a final diagnosis and for initiating the treatment. Hope I have answered your query. Let me know if I can assist you further. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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So my boyfriend and I were messing around. We had a condom on, and I was on top (Sorry for information ). However, he had already ejaculated... he still had that condom on while I was on top on of him. There was No penetration throughout everything . I was just like rubing the outside of my vagina on his penis ... now my period is late. Almost a week.... Could I be pregnant? Please help... | Hello dairy understand your concerned have non-penetrative sex and used condoms rubbing of the penis with condom on it does not cause pregnancy. To become pregnancy penetrative unprotected sexual intercourse in the fertile phase of the period is required. So there is no chance of the pregnancy. Your period can be delayed due to hormonal imbalance, ovarian dysfunction, excessive stress, change in lifestyle and dietary habitat for the period for next 4-6 days. If period will not come then consult the gynecologist and period can be induced by the progesterone pillMeanwhile avoid stress, take healthy diet, Chat Doctor. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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42 yr old, female, Wt= 57 kg, Ht= 5.18 ft no positive past medical history used to wear shirts tight in axilla for a while just a couple of years ago, I have got hyperpigmentation on anterior border of my axillae, I use alcohol free roll on or spray. How can I treat my Axillary hyperpigmentation? | Hi............. axillary hyperpigmentation can occur due to friction with tight clothing(as mentioned by you)Even the use of deodorants and antiperspirants can cause it waxing.shaving, or hair removal creams can cause IIT can be post inflammatory after a bacterial or a fungal infection To treat this peeling- TCA peels or glycol or mixed peels can be done apply segmenting creams like comic acid or glycolic acid or HY Chat Doctor. Deodourants and sprays should be avoided. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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My husband is 36 years old.he smokes 4, 5 times a day.his sperm count is 100 percent but his sperm motility rate is 50 percent only.is this motility rate okay?we have not been able to conceive for the last one year.my all reports are fine.Mona Sharma age-32 years | Hi, Normal sperm motility is considered to be greater than 50 percent. When the motility falls between 25-50 percent on a single ejaculate, this may not reflect a real problem. When the motility consistently falls below 25 percent, the chances of a problem are much higher. When the motility consistently falls below five to 10 percent, the chances that fertility is normal is highly unlikely. However, you should not worry as your husband has sperm motility of 50 percent which can be taken as normal. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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My father had right sided Brain hemorrhage and was operated for SDH and ICH because of fatal road accident. He is taking Leviteracetam since that accident and at present he is recovered well except some problems with memory. He is having some hallucinations and psychiatric behaviour, does leviteracetam causes such side effects?? In our last meeting with the neurologist, he had started Oxcarbamazepine. Current Medications : Leviteracetam 500 mg BID Oxacarbamazepine | Hello, I have gone through your query and understand your concern. It is very difficult to predict these symptoms like memory loss, hallucination and psychiatric behavior whether due to Hemorrhage or Levitaracetam.A few people who take Leviteracetam for any condition (may experience depression, suicidal thoughts/attempts, or other mental/mood problems. Brain hemorrhage also cause the similar symptoms even after recovery. In brain hemorrhage, the complete recovery is very rare, and the patient may have symptoms occasionally or regularly.Thus, to find the cause thorough neurological examination is vital. If the neurological examination is normal, then switch over to other Chat Doctor. Hope this helps. Please write back for further queries. Wishing you good health. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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CT scan chest and whole abdomen (non ionic)axial images were obtained after contract injection obtaining biphasis images in arterial and venous phases. Oral contract was also given.CT SCAN CHEST:There is evidence of diffuse areas of interstitial thickening in both lungs showing scattered distribution with pan lobular involvement. There is also interstitial nodularity and also discrete separate parenchymal nodules in both lungs measuring subcentimeter and less in size. Findings are consistent with lymphangitic carinomatosis and mestatic pulmonary nodules.No infiltrate, mass or consolidation seen in either lungNo evidence of pleural effusion.No evidence ofbilar. mediastinal or axillary lymphadenopathy.The vascular and bony structures are normal. | The report suggests that there is a disorder with involvement of the interstitial (supporting structures of the lung) along with a few polarities in the lung parenchymal (substance). The diagnosis of lymphangitis carcinoma to sis would suggest that its secondary to some malignancy. The primary malignancy needs to be found out. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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My 33 y.o. daughter woke with severe upper abdominal pain, frequent urination, burning in her stomach that radiates to the back and pain upon swallowing. I realize we need to see a physician but I was hoping for a little insight as to what this might be. At this time we have no transportation and young children that need tending. Would you please let me know what we could be facing? | Hello, The symptoms may be due to urinary tract infection. In this situation I would advise my patient for urinalysis and urine culture and sensitivity. If there is evidence of infection than a course of antibiotics will be prescribed. Antispasmodic alone will do to manage the pain if there is no infection. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hi, my blood Calcium has ranged from 10.1 to as high as 11.4 over the past 10 years. I have had PTH and Calcium drawn today with PTH of 17.2 and Ca of 10.3. Lab results for my recent physical support otherwise healthy. Endocrinologist insist that I have a cancer somewhere, my kidney doc tells me not to worry about it. Am I dying? Last creatinine was 1.4, wbc 7.5, rbc 4.88. I take blood pressure meds but have been taken off of any hydrochlorothiazides. Blood pressure is well under control. Help me! | Dear, there is very mild elevation of calcium, I can say negligible. Since you are hypertensive very mild changes have occurred in your kidney which lead to mild elevation of serum creatinine and possibly calcium. There is nothing to worry, and please do not think of cancer and enjoy. Truly, | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I have a painful lump on the right side on my buttocks just inside the crack. I ve had it once before and used iodine on it to help it go away. Surgery is not an option for me as I do not have insurance. What exactly can I do to get rid of it. I cannot function like this? | Hi, dairy have gone through your question. I can understand your concern. You may have some perianal abscess or fistula. You should go for examination. If abscess is there then go for incision and Chat Doctor. If fistula or piles are there then it needs surgery. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hello Doctor My child having 3years suffering from frequent fever from 15 days due to swollen glands on the neck .our doctor prescribed us delcon plus , new deletusP syrups and nutocef50 tablets ...is this a proper prescription even though he is getting fever for every six hours severely..please prescribe proper medicine. Thank-you Swaroopa. | Hi... Recurrent fever with swollen glands in the neck for the past 15 days could be ABV infection or otherwise called infectious mononucleosis. It is a self limiting prolonged viral illness. Rarely it can cause complications. I will suggest you how a viral illness behaves so that you will be more confident. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I am 34 years old I have a acidity problem for last 6 years I have used lot of medicine but stil in a same position I lost my weight also I did my ultrasound test report showing that my liver is little bit big and lot of gas in my stomach and lower part of the abdomen . When I use medicine I am feel better and when I stop to eat medicine it starts, kindly advise me medicine . | Dear .... Many thanks for the mail. A slightly big liver usually does not mean anything serious unless the liver function tests show some abnormal readings. So an LFT needs to be done. Like wise ultrasound evidence of gas in the stomach also does not mean anything. You will require an endoscopy test if not already done and I need to know the report. If you feel better while you take medicine denotes that you have some acidity problem. I suggest you continue the same medicine till you send me the reports I asked for. Taking these medicines for a long period of time will not cause any harm. Rgards | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hi, may I answer your health queries right now ? Please type your query here...hi doc, I m trying to get pregnant since 8 months. The doctor prescribed me complete blood picture and total scanning. Blood test including thyroid, hemoglobin,harmones etc came out to be completely normal. The scanning showed bilateral mild cyst. My periods r also irregular and I m overweight by 15 kgs. One more blood test during periods is prescribed , can u pls provide details of it | His have gone through your complaints. Overweight, irregular periods and bilateral mild cats indicate polycystic ovarian syn Chat Doctor. They might be thinking to assess FSH/LH levels. Try to reduce weight. Have Regular exercise .as you are saying you're all blood reports normal, hope your blood sugar also normal. If SOS is confirmed the best thing is | If you are a doctor, please answer the medical questions based on the patient's description. | [
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How is it that a medical expert could use the 1990 ACOR criteria for Fibromyalgia in July of 2009, when was the preliminary available? I don t have any money, I am now disabled and not working, I need help and some answers. Is this questionnaire set up to help or to make money? Sorry about the attitude but I am tired of trying to find the truth about my case and because I am unable to make the living that I once made because of the Fibro, I am left in the dark. | Hi, thank-you for providing the brief history of you. A thorough clinical Musculoskeletal assessment is advised.a little knowledge about the fibromyalgia is needed. Fibromyalgia is a condition where the pain is in the fibers of the muscle. Each muscle is composed of multiple muscle fibers and inflammation happening there will lead to the dysfunction in the circuiting of the muscle fibers to produce the contraction and relaxation. Also to understand here that the medication is a symptomatic relief and not a long term solution as the body is a medicine of its own and medication used acts as a supportive therapy to allow body to heal on its own. Also, in my clinical practice most Fibromyalgia cases we recommend physical therapy, meditation and breathing exercises. As physical therapy will help improve the muscle refunctioning and also improve the metabolism and immune system to reduce the inflammation. Also, Therapeutic ultrasound therapy and TENS therapy have been useful to reduce the pain, but importantly exercises are the choice. Meditation helps improve the control over the anxiety and leads to cooling of aggression. Breathing exercises helps to improve the oxygen carrying blood cells which acts as a fuel in the metabolism and reduce the metabolic waste as well. RegardsJay In Chat Doctor. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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My grandson has to have a liver transplant,he is having to have all his injections within the next 8 weeks because when he has the op he will not be able to have them, he is 9 months old and within the next 8 weeks he will be on the transplant list, my grandson and my son and partner were at kings college last week for three days digusing all that was going to happen, my son has put his self forward as well to be a donor for his son which is my grandson which is a scary for me to think about as i do worry about them both, is this operation safe for them both i know if ralph dosent have it he will not be here but just need to know as my son only tell me what he thinks i should knowCan you please answer these questions for me thankyou | -Hi and welcome to Chat Doctor. Thank you for your quarry. This is complex surgical procedure, very complex. But it is very safe for donor and less safe for baby. If your son is in good shape and health then he will recover very soon after transplantation. Transplantation is obviously the only possible treatment for your grandson, so I am sure that you can ignore all possible risks of surgical treatment and give your best. Hope I have answered your query. If you have any further questions I will be happy to help | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I have notice very slight traces of blood on the toilet paper after my 4 yr old son has a BM. It is not every time and it is slight. It has been inconsistent over the last month. Stool does appear pretty hard. No trace of blood in or on the stool. I plan to speak to our pediatrician next week when we are there for a flu shot. Should I be worried? | Thanks so much for consulting in Chat Doctor. Your son has usual problem because his stool is very solid, don't worry, but pay attention to his anus, it seems he has fissure there, it looks like as scratch in red color, you can give him call suppositories 1 CBPP before night per rectum 5 days for healing, also you can do oil enema- 10-15 ml usual sunflower or olive oil after bowel movement, but he should lay in the bed 15 min for resorption. Please start to give him boiled blended beet roots with a little salt, garlic or onion and sunflower or olive oil for laxative effect. In addition, you can give him carrot and beet roots, orange fresh juice, apples, more fiber food and raw vegetables-tomato, cucumber, he should Chat Doctor. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hi,Im a 30 year old woman, Ive always been healthy but I have this problem since my 20s. Whenever Im nervous, anxious, emotional, really unhappy about something or really happy about something, I start sweating, my chest and neck become very hot and red blotches appear mainly in my chest very rapidly. Is is very disturbing in social situations. What can I do to solve this problem? Thanks | Blushing is a common reaction. It may be a part of social anxiety disorder or social phobia. If blushing, sweating, along with possibly tremors or stuttering occur when you are in a social situation; you may seek the help of a psychiatrist. The other features of social phobia which you may be having are:1) Fear that people will evaluate you/ judge you negatively when you are in a social situation. Such fears are more likely in public speaking, talking to a crowd, or meeting many people at a party or social gathering.2) Many people have symptoms described in 1) above. But they should be severe enough to cause limitations in your functioning. Or you find the anxiety so severe that you avoid situations completely. This then leads to further social problems.3) You think this fear is excessive, but seem to have no control over it. There are medications as well as Cognitive Behavioral Therapies (CBT) for dealing with social anxiety. The disorder is sometimes almost a part of your personality, that it stays throughout life. However, medications or psychotherapy will help you deal effectively with the symptoms. Do seek a psychiatrists' opinion on it. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I have a metallic taste in my mouth that started 2 days ago, along with:abdominal bloating - 1 year constipation-1 year on and off joint pain (mainly in knees and ankles) - 6 months tingling in right arm - 6 months unable to loose weight - 2 months tired all the time - 1 yearI am a 34 year old female, 5 foot 7 inches, and weigh 205 pounds. I had all bloodwork done in February 2011, along with abdominla CT scan and echocardiogram, that all showed that I was fine. | Hi. Some tests are already done, and you say they are normal. Yet you have Metallic taste-this can be due to intestinal infection or medicines. The Bloating, Constipation Should be investigated by CT scan again to rule out Gastrointestinal Cancer or Tuberculosis. Joint pains and tingling in right arm have to be investigated by Thyroid tests and RA Factor and Calcium tests. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hey there I ve been having these slight heart burns for two weeks after taking mdma mixed with weed & a little bit of alcohol & I was wondering If I am gonna recover from this? Parts of the day I feel normal & then the heart burn creeps up on the random. I feel lost, no sense in reality, low energy, & I start to get quiet. Most of the say I feel like im dieing slowly. | Hello! Thank you for asking on Chat Doctor! Coming to this point (facing your actual complains and overall clinical scenario), I strongly recommend you to consult immediately the nearest ER service in your living area, as those cocktails (MDMA, weed, alcohol, etc.) are very dangerous for your health, especially for your heart. They may exacerbate form mild blood pressure fluctuations, to serious arrhythmias, sudden heart attack, and even cardiac arrest and death. So, do not lose any more time, but ask medical help, to undergo a careful physical exam, resting ECG, several lab tests (like complete blood count, CK-MB, troponin, AST & ALT, renal function tests, blood electrolytes, etc.), and rule out serious health conditions, as well as start an appropriate therapy for your health status. I strongly recommend you to avoid having such dangerous substances in the future, to protect your health and life. Hope to have been helpful! Greetings! | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I am experiencing a right side dull pain in my temple and at times sharp. My right side cheeks and face feels kinda tender when touched. I know I have been experiencing headaches and neck pains as well. Im just concerned due to a previous aneurysm on right side in back of my head lower to neck. | Hello, I can understand your concern. It is logical that you can assume it to be aneurysm again as you have had it before. However, if it was aneurysm, you should be feeling symptoms like pulsations, numbness over the area etc. What you are experiencing is a sharp and dull pain episodes in the cheek area which seems like pain from infection of the oral cavity or due to sinusitis. It could also be pain related to Trigeminal or Facial nerve. I would advise you to visit a dentist for examination of the oral cavity to look for presence of infection in the area. If dentist clears you for any loci of infection, an ENT specialist or physician can examine you for sinus or nerve related problems. By the time you see a doctor, you can take Ibuprofen 400 mg or Motorola 10 mg up to thrice day to have relief from pain. I hope this information helps. Thank you for choosing Chat Doctor. I wish you feel better soon. Best, | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hi, and thanks for checking up on me. I have not yet figured out why I cannot move in the daytime, but in the dark and at night I can. I considered hemochromatosis, but the symptoms don t really fit. I have started an herbal tea medicine to work on the bone marrow, and it seems to be very slowly improving. But I still can t explain why it happens in the first place. Thank you for your help. It is very appreciated. - elaine silverman | Hi Elaine, Thanks for asking. Based on your query, my opinion is as follows.1. No, hemochromatosis does not cause difficulty to walk. 2. I am not sure if it is anything related to hemochromatosis as you can walk at nights and not in day. Are you able to move your limbs during daytime? If you are able to move any of the limbs, then you will require psychological support and counseling.3. Routine hologram along with serum iron investigations will give a guide on hemochromatosis. Liver biopsy can confirm it. If more details are available regarding investigations and clinical history, I can be more helpful. Hope it helps. Any further queries, happy to help again. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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hi my name is Ashish and I am a student.I having some problem in my head. my mind is always go out of world thinking useless.I cant stop even if i want due to over thinking my head from back start paining.This always happen when I am not doing anything or when I am studying.If this is a kind of any disoder or dieases then let me know.I forgot to tell u that sometimes thingking in nights do not give me good sleep | Hi there! Mind is not vacuum, it cannot remain empty. Being young, you have a lot of energy, please channelize it in proper manner, please do at least 30 mins of any aerobic exercise, not only for physical fitness but also for mental peace, it releases happy hormones. Please form list of goals, short term and long term too. Keep the track of every hour may be at least 6-8 productive hours a day in Excel sheet, to know what you did in that hour. Have half glass of hot milk an hour prior to sleep, this will ensure good sleep and will boost generalized wellbeing in you. From the information what you have given i don't feel It's something serious to worry., but please consult a Psychiatrist/Counselor if you don't improve with above measures. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hi, may I answer your health queries right now ? Please type your query here... Yes, I have a 6 yr old daughter that has an irregular heart beat when she sleeps, is it normal. She seen a cardiologist when she was 2 yes old and was diagnosed with vasogeal syncopy. | Slight abnormal with respiration is normal, otherwise visit again to cardiologist, get ECG, 2d echo report, it may require treatment | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hi I have a question for you.I have hep B and am very Jaundice also Liver disease , yet not sure yet how for the liver is gone yet. I wanted to know what foods or drinks are healthy for these problems? I ve been eating alot of steamed vegetables,whole wheat,crackers,oatmeal,bananas, apples and lemons including the peel.Thank you in advance for any information you can provide me with.. | A liver disease diet for viral hepatitis includes:In viral hepatitis as such no special diet is required so do not follow restrictions by yourself. If doubt ask your Gastroenterologist. High carboy Chat Doctor. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Dear Doctors,I live in The Netherlands. A friend of mine has gangrene fingers and the doctors do not know what it is so they are not sure how to stop it spreading before they amputate his fingers. I am trying to find a gangrene specialist. Preferably in Europe but otherwise anywhere as my friend is willing to travel to see a doctor they has more expertise knowledge. I have not been able to find any specialised doctors through Google. I am approaching you to ask if you can recommend a doctor/specialist/surgeon.Kind regards,Sarah | Helloi appreciate your concern in my opinion it could be thromboangitis obliterensif he is smoking tell him ti quit smoking immediately advise him to take tab ibuprofen as anti-inflammatory Chat Doctor. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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hihiFrom last one and half year am trying to get conceive... but still got not any positive result ..Done every test likr HSG,Hysteroscopy,thyroid profile, also done husband test...that all tests are normal.... Last month once again done Prolactine level,thyroid profile and AMH Levels test done, In that prolactine levels and thyroid stimulating hormone are high so how to move further on this... Please advise me on this | Hi, The cause of your infertility is hormonal as is evidenced by the high levels of Prolactin. You should see an endocrinologist and get further management to attain normal hormonal status. Meanwhile, please maintain a healthy weight, healthy diet and regular exercise. Do not go for ovulation induction prior to achieving normal hormonal status as this may not be successful. You would need Chat Doctor. Hope you find this information helpful. Take care. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Every now and then...every other week or so....i have a knot that shows up right next to my spine and it itches....in my lower back....by the end of the day it is gone....what could it be? | HI, Dear,Thanks for the query to Chat Doctor. I understood your concerns about the shin lump. In my opinion its -Urticaria-CIU (Chronic Idiopathic Urticaria)Treatment-a-Take opinion from your ER physicianb-He would do Blood test for eosinophilic / Stool for the worms and amoeba. Hope this would resolve your worry. Hope this would help you to plan the treatment with Your family doctor. Wishing you early recovery. You are always Welcome for further query to Chat Doctor in this regard. Have a Good Day...!! | If you are a doctor, please answer the medical questions based on the patient's description. | [
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i am needing to take a deep breath yawn like breath every minute or two. its getting irritating and cant sleep that good. Im 21 years old and this has been happening for the past 4 days. I breathe ok but every minute i need or have the urge to breathe deep and cant seem to breathe deep sometimes. | Hello As you explain the history probably, a stress situation might be the cause. Regards | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I am 6 1/2 months pregnant. Woke up this morning having chest pain. I didnt pay mind to it and continued with my day. Afternoon I took two Tylenol thinking the pain would go away and it hasnt. The pain is my dead center chest, in between my breast. Feeling like I cant breath. Like my chest is Caving in and someone punched me there a few times. What is it????? | Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more likely. But better to rule out cardiac chest pain first. So get done blood pressure monitoring and ECG. If both these are normal then no need to worry about heart diseases. Apply warm water pad on affected areas. Avoid movements causing pain. Take painkiller and muscle relaxant Chat Doctor. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I have a swelling on my ankle above it a few inches up is a round circle about the size of a dime with a plus sign in it. It. Isn t painful but weird looking. I also have what one Dr. Believes is Baxters nerve in the same foot. Extremely painful and then goes away then comes back. | Swelling on ankle joint is quite common it depends on your lifestyle and working nature to rule out stressful bruises sometimes leading to swelling at ankles my advice for you is to do regular small work-outs between your work sitting for long hours can also cause ankle joint swellings I hope you will recover well Baxter nerve is just a medical condition don't worry about that | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hi.. i had my Hestroscopy 4 months back and my both the tubes were blocked but now they r opened. my doctor gave me lezra2.5mg tabelets which i took on 3rd day of my cycles and finished on 7 th day .. total 5 tablets and then 4 HMG 75massone injections for for days, injection each day and then a one day gap and on 11th day of mensus i had IVF-5000IU two injections. now are they hope for me to get pregnant ? I am 26 years old and my weight is 70kgs and my height is 5 feet and 8 inches | Hi, I think there is a good chance of pregnancy if you had got even one follicle. Injection must have been given to rupture the follicle. Be in contact with your husband for next 2 to 3 days. Take progesterone for next 2 weeks. Do a urine pregnancy test after that. Hope I have answered your question. If you have any other query I will be happy to help. Regards Chat Doctor. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Doppler Scan reports Report in the case of female aged 50 reads as follows.: 1)Liver enlarged in size (167mm) with diffuse increase in echotexture - No focal Alteration in echotexture. Intrahepatic biliary radicles appear normal. Common bile Duct is normal in calibre. Portal and hepatic veins appear normal. Request Your comments and advise. | Hi, Thanks for posting your query. I am Chat Doctor. K and I am pleased to assist you. Enlarged liver with diffuse increase in echo texture is due to fatty liver. This is a condition in which fat gets deposited in the liver. Check your blood glucose and cholesterol levels. Reduce weight if obese and avoid alcohol. Get a liver function test done. I hope that answers your query. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I have had severe right side pains that have been going off and on since yesterday, but tonight they have been pretty unbareable. I have taken Ibuprofen at 9:30 and again just now. I have no swelling and no fever, just pain...I am guessing in and around the 11th and 12th rib. Pain seems to be mainly in the back. I feel better when I stand up, however around 12:00 this morning I took a warm bath and followed up with a warm shower and pain was gone completely! I was able to sleep till now where pain is back, same place and is a dull stabbing pain. Looking at symptoms could this pain be kidney stones? | Hello, I read carefully your query and understand your concern. The symptoms can be related to kidney stone. I suggest doing an abdominal ultrasound for further evaluation. Meanwhile, I suggest using a plasmolytic such as Tuscan to relieve the pain. Warm compresses can also be helpful. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I have been told I have bilateral renal cysts. nothing has ever been done about them, but for the last moth or I have had pain all throw out body includeing to the tips of my fingers. this happens prior to voiding of which I have no control. could this be do to the cysts ? I also have very sharp pains off and on in the lower left back gem18@ | HelloMostly simple renal cysts are asymptomatic, and it is an incidental finding. It may cause symptoms if there is increase in size or infection inside the cyst. Pain may be due to many other reasons like urinary tract infection, musculoskeletal reasons etc. Your condition need proper clinical examination and further investigations. X-ray of L/S spine and urine RE/ME, C/S should be done. Treatment depend upon findings. Get well soon. Take Care Chat Doctor. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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My six year old daughter is complaining that when she looks at words or objects in the room that they are shaky and move around. Having some trouble reading. That is used to happen earlier in the week once in a while and now it s happening a lot. Should I take her to her pediatrician or eye doctor? | Hi... I suggest you take her to pediatrician first. It might be an initial manifestation of learning disability too. Once medical problems are ruled out, you can opt for ophthalmologist. Regards - | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I had mirena inserted a littles over 3 weeks ago. I ve had some minor on and off cramping which I know is normal. However, since Monday I have been experiencing severe sharp pains in my lower right abdomen . Usually in the morning shortly after getting up. I have an apoinment with my obgyn Monday to have the mirena checked. Is it okay to wait that long of should I seek immediate attention? | Hallow, I fully empathize your sufferings. Mirena is an intrauterine device. When with IRENA in you start getting severe pain in abdomen, the cause could be:1. The uterus cannot get adjusted with it and is trying to throw it out. This is more commonly observed in women without any previous pregnancy.2. There is infection in the uterus and the device.3. The device is trying to perforate through the uterus. You will have to report to the Gynecologist at the earliest. Ultrasonography/X-ray can reveal about the perforation aspect. Rest two will have to be evaluated by the Gynecologist by clinical examination. You may have to get the device out if it is not tolerated by you. If there is infection, you may require a course of antibiotics. I hope I have guided you with sufficient information. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hi, what is the name of the muscle/tendon/ligament/structure that is very thin on either side behind the knee. You can feel it. I have pain there and felt it pull a few weeks ago. Now I also have pain in front of the knee but this was the start of it so I m wondering what it is. | Welcome to Chat Doctor I have gone through your query and understand your concern. These structures are called hamstrings. These are semitendinosus and semimembranosus. For pain, you can take analgesic such as ibuprofen. Vitamin B and C help in recovery. For details about injury you can get MRI of knee joints. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I ve had a white coating on my tongue that tastes chalky when I scrape it off for 2 months at least. I ve been through all the tests and have been told that the culture result shows definitively no sign of yeast or strep bacteria, both respiratory and oral smear. I went it after noticing my breath was not good. I have a PDA so I have very strict oral health. I was on antibiotics for many years, 100mg Doxycycline 2x daily for acne. The initial thought was thrush. It is not the case. My boyfriend now has it, he developed it about 2 days after the bad breath. The white does scrape off and looks a bit like shaggy white carpet. | Thanks for your query, I have gone through your query. The white chalky coating on the tongue can be because of the food debris, or it can be because of hyperplasia of the papillae. Nothing to be panic consult an oral physician and get it evaluated to rule out hairy leukoplakia. The bad breath can be because of the gum infection secondary to deposits, or it can be because of the food lodgment secondary to decay, or it can also occur in respiratory or gastrointestinal tract diseases. Consult an oral physician and get all this thing ruled out, get your teeth cleaned and use mouth wash like chlorhexidine. Once the cause is found out consult respective physician and get it treated. I hope my answer will help you, take care. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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hello dr. iam 27 yrs old my height 5 4 , weight 44kgs my uterus size is normal, endometrium at the ruptured time i 8.5mm.right overy size 23.20.20 and left 18.17.17 can i get pregnency or there is any problem i married 2 years back.plz give me the answer. | Welcome to ChatDoctorRead your prob, your endometrium n ovarian size is normal. If you want to be pregnant then you should do intercourse at 12th to 18th day of period. As ovulation occur eat this period. If you success get blood test for gonadal n thyroid hormone, USG for follicular study for rule out the cause then consult with your doc n start proper treatment. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Okay so the past two months I have missed my first birth control pill, I finally got back on track this month and I am 10 days into the packet. I had intercourse last tuesday and have been feeling more than off. Nausea, fatigue, headaches, slightly sore breasts, cramping, a bittle bit of being emotional, dehydrated. Just all out deeling horrible. Ive taken pregnancy tests but I feel it could be too soon. And would I be feeling these pregnancy symptoms so soon after? Also, could it just be that I am finally back on my bc regimen? | Hello, Thanks for writing to us. Irregular intake of birth control pill & unprotected sex close to your fertile period or ovulation day (occurs 14 days prior to due date) are quite risky for being pregnant. In this case, I suggest you to undergo one home pregnancy test if you miss your next period. Above clinical features are quite relevant with possible pregnancy. Common symptoms of pregnancy:a) Missed period, nausea, vomiting, tender and swollen breast.b) Increased frequency of urination, fatigue, food craving.c) Slight vaginal spotting, cramping, mood swing, constipation etc. Hope, I have answered your query. Good luck and take care. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I am 62. A year and a half ago I had a bad virus...afterwords I had very painful stiff muscle pain. Doctor has given me pregabalin and co-codamol. My neck and right arm are very still and my right arm has pain. My left arm can get stiff but not as bad. I exercise every day and keep myself active. Also I am overweight. I now find myself slowing down and I am aware my muscles are not very strong. Why after all the medication am I not getting better? The overall muscle pain is better but the pain and stiffness in my right arm is getting worse. | Hello, The pains in the neck and left arm muscle that you are having is likely to be related to cervical spondylosis. This can be diagnosed after an MRI scan of the cervical spine. Regular neck isometric exercises can help. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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hello doctor..... my children , son age 7 yrs and daughter age 3.5 yrs....both cough all night, have mucus...during the day they are fine....but when ever they have some fizzy drink , candy, ice cream...etc...we have a terrible night..........they take seretide evohaler and aeroline inhaler with a spacer once in the morning and once at night.........i ve given them myteka many times for a few weeks but i feel it doesnt make any difference.....am i doing the right thing ?...are they actually asthmatic ?.....or is there an easier treatment?...please help i am very worried now | Hi... Thank you for consulting in Chat Doctor. Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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My 8 year old son suffers from allergies. He gets severe reddness under both eyes and across the bridge of his nose. His skin looks blistery in the red areas. The skin is bright red like the color of a sun burn. He says in only itches now and then. The rest of his face in normal colored. Please advise. | Hi... Thank you for consulting in Chat Doctor. By what you quote it should be an urticaria or a simple skin allergy. You can use HY Chat Doctor. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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I have high BP and recently prescribed a water pill, low dose hydrochlorizaide, I have been suffering from dizziness and think it may be low potassium, I feel better after I have eaten a banana and some electrolye drink, such as Gatorade or Vit Water. The dizziness only lasts till afternoon, so I think it must be dietry related? | Hi, first I want to know whether you are a diabetic or not. If you are a diabetic and on insulin or oral medicine then it may be due to hypoglycemia. The dizziness may be due to thiamine induced hypotension (excessive fall of BP). Low potassium and sodium can happen with thiamine intake, but less likely with lower doses. Next time please check your BP when you feel dizzy, and also get serum sodium and potassium level done. If the dizziness is due to excessive fall of BP then better take the medicine at bedtime. Thanks | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hi Im 31 years old and I had two mcs one in 2010 and the next on 2011. After the second I found that I have the v leiden factor and I m on baby aspirin since then. I also found that my AMH antimullerian hormone is at 1,76 that belongs to low fertility . My fsh was at 7.8 .I m ovulating in every cycle on the 13day. I tryed with menopur and pregnyl to conceive again for 5 cycles but with no result. My last try was on last December. Two months later my thyroid levelsf for tsh found increased at 3,64 they were dropped at 0.00 and now TSH is on 0.35. Do you believe it is unable to conceive on my own? Should I go on an ivf when my thyroid is regulated? It has been over a year that I havent conceive and that makes me worry. | Hello. Thanks for writing to us. Since you are having a normal ovulation on day 13 in every cycle, you can conceive normally once the thyroid levels have been normalized. Please do not worry. Conception is a time taking process and needs patience. I hope this information has been both informative and helpful for you. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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Hi, My mother is 72 years old. She have low back pain problem for last few years, but now she is getting too much pain while walking. If she gets pain while walking she stops/seats for while then she feels better and then she can walk again for another some distance. We have shown her case to orthopedic and neurologist. They said, for her condition two options are there one injection ( I dont know what kind of injection) and other is surgery. I am not sure (And I am not doctor also) , but it seems Neurogenic claudication. I am from Pune, India. what are the available treatments. I want to avoid surgery considering her age.If unavoidable, is there any risks in going for surgery. She is diabetic for past 11 years and also have BP.please help. | Hi, Welcome to Chat Doctor. After going through your query it seems to be Spinal stenosis leading to neurogenic claudication. Surgery has good result. RISK of surgery is neurologic defects included paralysis. Other risk is infection more so because she is diabetes. If you want to avoid surgery than Chat Doctor. I THINK THIS will be of use for you. | If you are a doctor, please answer the medical questions based on the patient's description. | [
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