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hello, my name is cj. Ive been having a strange lump in my throat lately. It feels like Im having trouble digesting food, like there is something stuck in my throat. i recently noticed when i tuck my chin i have discomfort on the right side of my jaw, it feels like there is some bean shaped thing under there. Any idea what this could be?
Hello rearward welcome to Chat Doctor.come have evaluated your query thoroughly.* This is right sided adenoid enlargement.* Needs clinical examination with ENT surgeon and further management. Hope this clears your doubt . Wishing you fine recovery. Welcome for any further assistance. Regards dear take care.
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Two weeks ago I was having a ct with contrast. The rad. teck first stuck me in my right hand it blew and bled pretty good had a buise in hand until a few days ago . Pain from site has not continued up my arm and followed a line from wrist to bend in my arm around under top part of my arm to armpit the muscles in this area hurts feels like it is pulling. I had a sonogram done no bloodclot but np said to use heat. I am concerned about this!
Helloyour doctor is right, hot fomentation and application of thrombophob gel locally will help. In addition, take Advil tabs after meals for3daysthanks
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My 11 month old son has red balls no swoling just red and when I go to wipe them he crys and screams from the pain only his balls are red and it happened just within 7 hours im putting diaper rash cream for now any idea what this could be and should I take him to his dr
Hi...please take him to his pediatrician immediately. If he is crying by just touching them it can be testicular torsion or epidymoorchitis. Both need immediate medical attention. I do not think a simple fungal infection or skin infection of the scrotum can cause this. The other possibility is that it could be cellulitis of the skin of the scrotum. Regards -
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i mastrubates Regularly since last 5 to 6 yrs .. is it harmful to me....does it has any side effects. or does it effects on productivity of sperms ...i am 23 yrs old.. should i stop it or reduce it or enjoy it... plz help me ....
Hello and welcome to Chat Doctor. Masturbation is a healthy practice, and it has no harm to body, sexual life or fertility. Movement of penis that occurs in vagina during sex, same movement occurs in fist during masturbation.
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I had tooth #20 extracted on 8/22/14. I am noticing today white pusss forming around the extraction site and tenderness in the area. I received two stitches so l thought that didnt have worry about dry socket. But l noticed a blood clot and the area still has a dark spot but l am not sure if a blood clot there. Which means l may Have a dry socket on the way. I had one before. Please advise.
Hello, Thanks for consulting ChatDoctorRead your query, as you have undergone extraction now you feel pus in socket is due to infection in socket don't worry I will suggest you to consult your dentist and go for oral examination of socket and if needed go for investigations Iowa X-ray of unhealed socket and go for treatment irrigation of socket and zinc oxide eugenol pack. Hope this will help you.
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hi,I am 24 yrs old, i have got pimples on my face from past 14 years and is left behind holes on my face,and when i travel far i get small pimples all over my chin ..so can u pls help me out
Hi.dear Pramspramod., Thanks for choosing Chat Doctor., Pimples on face is common in young and adult persons., it is called ACNE VULGARISM....it is inflammatory process of., sebaceous unit of the skin....due to hyperactivity of Hormones.,1) Frequent washes with FAST bar...contains Triclosan...,2) Tab Isotretinoin 20 mg daily for 30 days.,3) Avoid fat and spicy food., take plenty of vegetables and fresh fruits.,4) Apply 1% clindamycin and nicotine acid cream.,2 times daily.,5) Tab... Azithromycin 250 mg daily for 5 days...nighttimes...ok...good luck.,
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I was diagnosed with a giant cerebral aneurysm and I was wondering what hypotensive therapy entails and if it might be an option. I went to the hospital for a severe headache, and the subsequent CT scans, MRA s, and MRI s revealed the aneurysm. They performed an angiogram , and after the angiogram they informed me that the Aneurysm had thrombosed . I was released directly from the ICU the following day and for the last 3 weeks have experienced headaches and tiredness everyday. Thank you in advance for any help or advice.
Hello, welcome to Chat Doctor, You have mentioned that you have a cerebral aneurysm(Thrombosed). You must consult a Euro Surgeon to see if there is a surgical remedy to correct this for a long term solution. Thanks
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i keep having tightening in my upper chest bottom throat say , it also makes me cough to almost clear it it only last seconds , sitting down can bring it on or exercise but very rare , but mostly its tight clothing i also get a rattling feeling in my tummy when i breath deeply , this has happen all week about 20 times a day and even though this has happen for years its only been now and again , have been feeling really breathless , lately 33 year old female no med non smoker
Thanks for your question on Chat Doctor. I can understand your concern. Chest tightness, cough, breathing difficulty etc. in young females (33 years) is mostly due to asthma. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).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.
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I took one shot of depo provera last october; but I didn t get the other scheduled shot (for january 20, 2012) The problem is, I took DP in order to stop my period, however I have been bleeding ever since I got the injection and I am still bleeding now, is there anything that I can do to stop this?
Hello, I think you may wait for some more days and the bleeding will stop. If you will still be bleeding visit a gynecologist to give you even progesterone pills. Hope I have answered your query. Let me know if I can assist you further. Take care
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I have a cavity on the right side in the back of my mouth so I have been chewing all food on the left side of my mouth. I am noticing large white raw patches on the left side of my mouth, feels like its on the whole inside of my left cheek. Any ideas, how long it will take to get rid of or things I can do to get rid of this? Things to avoid eating! Thanks a lot
Dear friend. Thanks for sharing your concern. The white patches could be due to many reasons like oral sub mucous fibrosis or leukoplakia.it is generally seen in habitual tobacco users and smokers. Please mention your habits if you have any?Also, please visit your dentist soon and get the tooth restored where there is cavity. Simultaneously get the current lesion examined.Meanwhile, use antiseptic mouth rinses. Hope it helps. Thanks. Take care.
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hi i have a bump under my tongue no pain i went to the doctor he said i had the flu i feel like im sleepy sore throat feels like its going away sneezing all the time and it looks like there was more then one
take a course of roxythromycin 150mg twice a day before food for 5 days and feelthe difference
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hello sir My husband is using asthalin inhaler minimum 3 times a day from last 20 years & he is now 43 years old. whether there is any side effects of using asthalin inhaler for thrice a day from last 20 years . my mail id is YYYY@YYYY . thank u with regards gayathri
Hello, If he is symptomatic he can use up to thrice or four times a day. It is a relatively safe Chat Doctor. He can consider newer
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i have 2 white spots in my mouth 1 is size of a small pin head(very small) other one is a thin small line at the bottom of my gum line.no pain.Im 48yrs old 5ft 3 and about 160lbs..Healthy except i get nigrines.I have been told by the dentist ive had gingivitis and i have receding gums..I deal with alot of stress daily
Hi I had gone through your problem. Already you had been told that you have gum problems i.e., gingivitis and receding gums. These problems will not cause white spots on the gums, which are painless. Second thing and important thing in your query is you deal with a lot of stress daily. Because of that stress some kind of white spots which are pain less, may form not only on the gums but also on the entire mucosa of the oral cavity. I strongly suspect that white spots may be because of that stress. Anyhow you kindly visit the dentist one more time. If those spots are same what I suspected, then the treatment is required apart from stress relieving methods. I think my answer would satisfy your query.
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hello my name is kevin and i smoked some incense with a few friends and i was stupid for doing it because all the bad things ive heard from it, so the fake pot stuff he had didnt seem right as another kinda a friend i know smokes and showed me before was more dry like and easy to light the stuff i took a couple hits of was hard to light and was damp . i felt fine after i smoked so i decided to do it 1 more time. it was hard to light an stay light so i tried to get a big hit to get alittle more smoke out of it and then went sat down at laptop and boom i got a big pressure on the lower back of my head and my body went fully numb it was hard to stay sitting up right and not fall over 5 mins later it died down alittle i have tis full body numbess but its not numb where i cant feel it its kinda like my brain forgot my arms,lesgs, ect was not there or they were fading away as i could barly feel them and when i cough it gives me alittle pressure on lower back of my head , my hands constantly sweat i have really hard time going to sleep and staying asleep and waking up coverd in cold sweats and this started yesterday and its still with me i want this feeling gone as i learned my lesson. please just give me some relief on my problem. thank you
Hello Kevin!My name is
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I am noticing swollen joints or bumps on my wrists and now on the back of my heal that makes it hurt when I use my wrists and to walk. It seams that I am getting these from nothing. I had an exray on my wrist said it was severe artitis however I have never had these hard lumps like.
Hello, The symptoms seem to be related to arthritis. I suggest to use anti-inflammatory medications such as Naproxen to relieve the inflammation. I also suggest using cold compresses for local application. Furthermore, I recommend gentle stretching exercises. If the symptoms continue, you should see a rheumatologist. Hope I have answered your question. 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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hi my name is maria,for the past 2 weeks everytime i touch my armpit and down my arm,i feel tightness n it also feels hard..it hurts alot ..i could see like a vein or nerve swollen,that is noticeable and puffy thru my skin,,it starts from my armpit to my forearm,,Is hard to explain,please give me a few ideas,what could it be
Hello, I have studied your case and I think that this can be an enlarged lymph node. It can be due to infection. I would also suggest you to show it to a breast expert, and he may advise you to get needle test or an ultrasound of the breast. It will give us final conclusion if you need any further treatment. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks
If you are a doctor, please answer the medical questions based on the patient's description.
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My 5 year old daughter has red blotchy irregular shaped and slightly raised rash concentrated in the folds of her body,even including her vaginal area and going far back between her buttocks.Her underarms are almost full of it.There are some spots on the rest of her.Its really scratchy.She has a bad cough accompanying it and sometimes watery eyes.I ve given her allergy medication.What could it be?
Hi, When you describe those symptoms it seems that your kid is allergic. And she is probable not treated. Try some allergy doctor and her life will have an important improvement.
If you are a doctor, please answer the medical questions based on the patient's description.
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I have a DVT factor 8, had this condition for 11 years. I have had pressure in my chest. I have a greenfeather filter. Today I went to the emergency room. They did test and stated after testing INR result was 0.97 low. No clots. They upped my coumadin after being on only 2.5 to 5.0. That was Wednesday. MY INR has not raised, I am worried about why it has not raised. I was sent home told to contact my doctor on Monday. Nothing was given to me to raise it. They did cat scan and testing and found nothing including a blood clot. I have been on 2.5 Mg. for a year. I have not had my INR checked until two weeks ago because the doctor I use to have said it was ok for six months to not have it checked. My new primary said that was not correct. Two week s ago I had a blood clot that the filter did catch. Was taken to Freeman Hospital where they did test, and even a echo of my heart, while doing a stress test. They said it was heart burn!!!! My primary said that was ridiculous that it sounded like I had passed a clot that the filter did catch. Never had this close of a call. Today the right side of my tongue swelled for no reason. The emergency doctor said it (the tongue swelling) was probably something due to an allergic reaction. I am not allergic to anything!!! They found nothing sent me home saying to talk to my primary. I am 42 years of age female never smoked, been in great health. Now these items are coming up. I am scared these doctors are not finding what is wrong even with my condition. Why would my right side of my tongue swell during this?
Hello, I can understand your concern. It seems that the swelling of tongue that you have developed has nothing to do with the DVT and pressure in chest you are having. I agree with your doctor that it seems to be an allergic reaction. I would advise you to take Antihistamine such as Levocetrizine 5 mg (Exocet) or Loratadine 10 mg (Forfeits) once a day for at least 5 days. If it was an allergic reaction, you should find immediate improvement in the swelling in 1-2 days. Otherwise, the cause is not allergic. The allergy could be due to anything that you have been exposed to through air, water or food. If the episodes are frequent, you should go for a blood test for allergy to find out what substance you are allergic to, and you can avoid exposure to that in the future. However, if the swelling does not decrease with the antihistamines or if it increases, then you should consult a dentist to examine the oral cavity and investigate further regarding the cause. I hope this information helps you. 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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My husband is having pain in his testicles. They are pulsating and he said he can actually see them moving. He was diagnosed with an infection in his pelvis/groin two weeks ago and took a course of antibiotics. Is this the same infection or is something more severe going on?
HIIT is not clear from your question about the infection he had. Had he recovered completely.? If he is feeling pulsations or a mass should consult a urologist and get it examined at the earliest to rule out infection again. Varicocele can be associated but will not cause pain in the majority of people. So a check-up is better. Hope my answer helps you. Regards
If you are a doctor, please answer the medical questions based on the patient's description.
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Kindly advise which course of chemotherapy to follow for the patient with following history: myomectomy-----2007 small rt. ovarian cyst was draind histopathalogical report-------no malignancy 6-7 months after surgery pt. felt rapidly growing mass in lower abdomen CT SCAN---CYST--10*9cm in diameter with 2-3cm irregular solid nodule inside mild hydronephrosis mild fatty liver CA125 62u/ml operated---cystectomy with Rt ovarotomy,cyst got ruptured during surgery Histopathological report--moderately differnciated adenocarcinoma of Rt ovary(grade II) Repeat histopathology report of same slide-----moderately differentiated adenocarcinoma of Rt ovary (gradeII)--at other institution CA125----decrease to 32 u/ml after surgery PET-CT---NO ABNORMALITY,nO PICK UP Scan---no abnormality Pt was reopened---oct.2009--Rt saphinggo-oopharotomy B/L PLND,supracolic omentectomy,RPLL,excision of node in sigmiod ,Bx from B/L dome of diaphram,peritonial washings were taken Histopathological report---moderately differentiated adenocarcinoma (grade 11)of rt ovary ramnent with sorroundig soft tissue involement omentum/nodes/nodules--- all free Chemotherapy----Received 3 courses of at 3 wkly interval with Paelitaxel 300 mg and carboplastin 400mg, last cycle on 19/12/2009 After 3 cycles--- Scan abdomen---lymphocele in rt side of abdomen.No other abnormality Scan lungs --Normal CA 125 ----88U/ml on 6/1/2010 CA 125----- 214U/ML------ 21 01 2010 USG Abd----solid nodule-2*3cm in lower rectus abdominus muscle No other abnormality FNAC---presence of malignant cells MRI Head and Neck-- insignificant 2010-22 jan.-----operated again panhysrtrectomy done and two nodules removed from anterior rectus muscle ,one on each side near incisiom. one node between uterus and rectum removed histopathological report----. Uterus---serosal deposits of 1.4 x1x0.4 cm deposits extends into myometrium Rt. rectus sheath node-- tumor deposits with tubuloglandular architechture.High grade nuclear cytology with focal mucinous differenciation.Tumour close to cut margin.cut margin is free Left rectus sheath nodule--- tumour deposits.Tumour abuts the cut margin Nodule on rectum----shows muscularis propria only CA 125 - 22.9 U/ mL Date 13.02.2010 (After Surgery) Please advise if we must follow the same chemotherapy or change the line? Thanks and regards,
Hi, As there the replace duration is more than six months, same chemotherapy is indicated. However, I am not sure from the details provided that she received only three cycles or after the response evaluation further three cycles were completed.
If you are a doctor, please answer the medical questions based on the patient's description.
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Is Eptoin safe to take even if u hav no history of epilepsy , as my husband had a seizure due to high viral fever, after wards all tests r ok i.e EEG , CT scan , he is normal back to work ,driving to office . But still prescribed Eptoin 100 mg - 2 tab in night/ 2 months as precautionary measure my question is is it safe to take it or will it make him dependant on these types of medications.
Hi, The medicine has been prescribed in order to prevent him from having another seizure. It would be best if the with Chat Doctor. Though Option can cause side effects and problems, if he has tolerated it well for so long, the remaining course would hopefully be uneventful., There is no risk of dependence to Option. Hope this helps
If you are a doctor, please answer the medical questions based on the patient's description.
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Had a tibea plateau surgery about five years ago. A few days ago I got a severe pain at the middle of the shin that permeates down to the ankle making it hard to walk. It has been coming and going gor about a week now and the pain is so bad I cant sleep.
Hi, The pain can be due to infection, muscle weakness, or surgery gone wrong. You can take hot packs to soothe pain and don't force your body to bear weight on the limb as this will deteriorate the condition further It would be good if you consult an orthopedic for a thorough examination. For the time being you can take over the counter medicines like Ibuprofen. Hope this helps you. 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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Hi Doctor My name is Devi I went to doctor today to get my period regularly as I had delay this time by 14 days and she suggested me Regestrone 5Mg will it get my Period I dont want to have a kid now so I am tensed is it the right drug for getting my period immediately?
Hi, Progesterone (Norethisterone) is a hormone used to regularize the period and abnormal vaginal bleeding in women due to hormonal imbalances. Yes, Progesterone is the right Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
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Good Evening Dr,I have my sister who have done abortion last year as baby was sufferrring from "Spina Bifada" and doctor has insisted for abortion, she was in her 6th month of pregnancy. Now after a year my sister and broher in law are trying for baby but are hardly getting any success. So far we have approached 2 doctors who have recommended for folical treatment, they have already had there 5-6 trails on the same. Since there is no success both of them are getting depression since this treatment is more mechnical and has no result. Kindly suggest your advise Sir.Regards,sarika
Hi, Your sister and her husband should have proper counselling and guidance before trying to conceive again. Also, I presume the doctors have investigated for any tubal blocks and TORCH titles. Treatment for infertility is most often time and patience consuming. I suggest that they see an experienced infertility specialist to have further management. Unnecessary medication and investigation make the process complicated and unfruitful. Take care.
If you are a doctor, please answer the medical questions based on the patient's description.
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Recently came across a girl of 11 years old in Colombia with immune deficiency and extremely severe fungal infection which has basically taken over 60% of her face. Is there any possibility that such a condition could be reversed? Email address is YYYY@YYYY
What is the cause of immunodeficiency is to be seen ...if it is HIV den the proper ART therapy for DAT have to be taken .
If you are a doctor, please answer the medical questions based on the patient's description.
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Hello Doctor I am 29 year old, going through the fertility treatment. All Hormone test, thyroid test, PCOS test, all seems to be normal. Semen analysis of my husband also shows all normal. Doctor prescribed me 100mg clomid from day 2 to 6 day. but the follicle size is not at all growing, till day 18. after 18th day the follicle size starts growing all of sudden 3-4 mm a day. And on day 21st follicle size became 24mm, My doctor then injected me with injection (I dont remember the name) , but that was for ovulation to occur then on 23rd day I ovulated(As per sonography reports, one follicle from my right ovary got ruptured). for continuous 3 days i had relation, but still I got my period on day 32 of my mensuration cycle. My doctor is now prescribing me to go for IUI. My concern are: 1. Why the follicle size is not growing when all my reports are normal? 2. why even after taking clomid the size follicle is not growing normally(1- 1.5mm a day) ? 3. Is my treatment is going on right direction? 4. Should I go for IUI? will it be helpful Please suggest Thanks
Hi, Thanks for your query. I read your query and I understand your concerns. Following is my reply:1) You might be having polycystic ovaries who generally ovulate late. This needs to be confirmed by scan from your doctor.2) Next time ask your doctor about using gonadotrophin injections which help in growing follicles.3) Your treatment seems to need upgrading. Please visit an infertility specialist.4) GUI has better success rate than trying naturally. Hence, you can consider it if there is difficulty to conceive naturally. I hope I answered your query. I will be available for any follow-up query you have.
If you are a doctor, please answer the medical questions based on the patient's description.
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hi, i have a daughter of 2yrs old.i did shirodkar stiches after 3months of my pregnancy. 5 months before i was pregnant i did an abortion and after that im having a lump inside my vagina and sometimes a pieces of flest come just to block the hole.i need to massage my belly to get it ok but the lump is still there and cant have sexual intercourse
Hi, Dear,Welcome to Chat Doctor. Based on the facts of your query, You seem to suffer from-Vaginal Cyst. Treatment -By Surgical Excision with Gone Surgeon. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. suggests Good Day!! Chat Doctor. S. Genl-CVTS
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I had surgery to repair 5 hernias and a scar repaired on July 21, all the skin on my incision died and I now have an open wound 6 in by 4 in 13 cm deep from the dead skin removal I have a kci wound vac the doc said it was from citrobacter, what is this and how did I get it
Hello, THX to contact us. If I am your treating doctor I would like to advice you that Enterobacter is one type of bacteria. This type of bacteria is usually found in OPEX wound. Multi Chat Doctor. You should require a sensitivity in hand to treat infection caused by such a bacterium. If you have anything else to ask please contact me. Than. Chat Doctor; Infectious Disease Specialist
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i have in the past had problems with my right hand/wrist hurting. This morning I woke up with my stomach being upset and my hand/wrist hurt so bad. As the day went on; the pain is worse...my hand is red....big and i know my blood prusser is up from the pain. When i do anything with it the pain is so bad i scream n start to cry. What should I do?
You can use hot back that will relieve your pain and increase blood pressure and help to Chat Doctor. And can also take physiotherapy wish you a good health
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Hi, so I have severe pain in my gums and they are a bright red. They bleed a little bit when brushed. No matter how many times I brush my teeth or how many breath mints I take my breath still isnt the best smelling and its not normal for me. Also I had a little lump under my chin which in 2 days turned into 3 and its very painfull. The inside of my mouth is a mix between a yellow-ish and a red and the inside of my throat hurts badly. Its been this way for about 5 days I thought it would go away on its own. Im scared now whats going on?
Hello thanks for quarry, bleeding gums caused by gingivitis-inflammation of gums, mouth ulcers could be due to traumatic or authors ulcers,also you may have tonsils inflamed, may be a case of tonsillitis, then whole throat region will be appearing red, kindly do salt water gargle thrice daily, get an oral prophylaxis done-scaling and polishing and do gum massage with the pulp of your fingers,apply topical anesthetics for reducing the pain of mouth ulcers, hy Chat Doctor.
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Hi Dr. I realised that i have certain psychiatric problem in 2005 and started with Feliz S 10, Mirtaz 7.5 and Clonotril 0.5. Was asked to take for 2 years and I was fine after that. But the symptoms came back in a worse manner just 6 months later. Again, I was put on Nexito 10mg and clonotril 0.5. Later, the medicine was changed to Fludac 20mg and then to Nexito 10 mg back again from last 1 month. I feel better for some time during medication , but if medication is off, then i return to same panic, depressed and anxiety disorders. What could be a long term solution? I am 31 and married. Thanks for your answers!
Hello Welcome to Chat Doctor The medicines Felix S 10 or Escitalopram, mirtazapine 7.5 and control 0.5 are given in Depressive episode mixed with anxiety. You were given these medicines for about 2 years, so I assume that you had episode of depression. When symptoms reoccurred you were given Next or Escitalopram 10 and then fluoxetine 20. Both are of same group SSRI. Long term solution of your problem? Depression is an episodic illness, it tends to occur in intervals or in episodes. So if you responded to medicines and then relapse of disease occurred there is no surprise. You have to continue the medicines for long at least 2 years and also go for Cognitive Therapy for early response. Once you achieve pre morbid level then maintain the condition by Cognitive Therapy. Don't afraid of medicines as they are very safe Chat Doctor. So visit a psychiatrist for opinion and continue medicines again. Thanks
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I fainted on my front lawn, mostly I because I did not eat this morning and got dizzy and fell. I have also got fibromyalsia and have fallen before. Under Dr. s care. I have insurance, but you may know the ER wait. So, I fell toward my side. Could not get up. Someone, a neighbor carried me in my house. I am icing it, along with my rt wrist. My husband came from work to take care of my wounds like icing. My question is, since I can t stand up and it hurts a lot to touch, could I still have a sprain, even though no swelling or discolorization?
Hello, The intense pain in the right wrist after a fall is suggestive of a bone injury-fracture. This needs an X-ray for a proper evaluation. Hope I have answered your query. Let me know if I can assist you further.
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Hi, may I answer your health queries right now ? Please type your query here...Happy new year sirs. I have a problem with actute sneezeing. I have been suffering from this illment for almost 3 years. And eachtime i sneeze i see pint of blood when i spit. I hope you can have a solution to my problem.
Cellophane you for contacting Chat Doctor. Sneezing mostly occurs because of allergic response. As you have chronic allergy problem, so there must be some allergic element which triggers sneezing. If I were your treating doctor then I would have advised levocetirizine for it. Also, I would have suggested montelukast once daily for one month. Blood spit occurs because of severe sneezing response. It damages the mucosal lining which in return results in blood spitting. I would also suggest you to visit an allergist for detailed examination of what is the causative allergen, and then he will prescribe immunotherapy which will resolve it, hopefully. Thank You
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okay, so i hit my tailbone really hard on the side of a chair the other day, i have a very stick-out tailbone , and even though the chair didn t make any direct contact with my skin, it is extremely soar and sort of bruised and it has a bump that almost looks like a blister... not sure what to do because it has been three days now and it is still painfull and brusied
HiT hanks for this Quertle pain and blister after hitting the tail bone or poor sitting position is common. Symptoms may subside even without medications.However, if pain is serious you take a pain Chat Doctor. You may apply ice packs if pain too serious to numb the pains. I will also recommend good hygiene to prevent infection. Hope my answer will help regards
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i recently got my wisdom teeth removed last wednesday, the 22nd. and the healing process has been going very smoothly, except for the right side of my mouth. i have seemed to develope a blister like bump on my gum where one of the teeth were removed, and it is a bit painful. withstandable, but still very concerning. i just want to make sure it is normal or if you have any thoughts?!
If you are experiencing pain, any localized infection should be ruled out. Kindly get yourself examined clinically to rule out any infection. Continue to painkillers as prescribed to alleviate pain.
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how can I find a doctor that knows about severe traumatic brain injury? I got hit 4 years ago - died on scene - went to a great trama hospital - Tampa General - but even they don t know what to do about living with TBI - seems now I ve learned more than a doctor has about it. I was on life support and in a coma for a couple of months - died 3 more times there too.... know I got sent back for a reason - maybe to help folks understand about this..... just need help finding a doctor that can help me
Hi, I am Chat Doctor. I have read your question with care and understand your concerns. Let me try to help you Question: Which doctor to consult for severe traumatic brain injury? Answer : You need to consult a Neurosurgeon Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care.
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I had a tumor removed from my face and it came back that there was some type of auto immune disease. The blood test showed none however 8 months later I have had a baby and my lips are swollen I went to the dentist and he asked did I have an auto immune diseas because it is showing in my gums. WHat could it be and will this swelling go down
Hi, Thanks for asking. Based on your query, my opinion is as follows.1. We are looking at a possible progress syn Chat Doctor. 2. Causes
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my relative had done MRI lumbar spine and the conclusion is L4 - L5 discs shows diffuse herniation narrowing spinal canal adn both nerual formaina and touching roots . L5 - S1 disc shows central - left para central protrusion compressing mainly left sided nerve root . what does it mean? she is adviced for surgery by doctor. is it necessary? now she is on normal pain killer tablet and calcium supplement. this medicine will be helpful for her pain or not .
Hi, Dear you have not given the age of your relative and complaints for which MRI was advised by doctor. Painkillers advised by the Doctor should be used and along with she needs some physiotherapy to receive the symptoms.it is advised to consult some neurophysician along with patient and her reports for expert opinion and follow-ups. Regards
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I had elevated triglycerides at a recent doctor visit. Doctor ordered an ultrasound and was told I had an inverted kidney during the test. What does this mean and what might cause elevated triglycerides?54 - W male - 200lbs - diabetic - triple bypass surgery
Hello and welcome to Chat Doctor. As a Urologist, i can understand your concern. An incidental finding of this malformation, is not of any worry. If the kidney is not atrophic(shrunken), it should be working well. If there are any other changes noted, you should've a CENT(contrast CT scan). Thatll show the function of the kidneys very clearly.You'll need to take statins for your high TGL.(triglycerides). If you've any doubts, you may send reports as a direct question, in my name. Chat Doctor. Manga.
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Hello Sir, I am 28 years old married guy and below are the particulars of my sperm test report. Please have a look into this and interpret the results to me.. I am concerned whether I am sexually normal or do I need to consult a doctor for a baby. Volume: 0.5 ml Viscosity: Thin Reaction: Alkaline Sperm Count: 65 million/ml Active Motile: 60% Sluggish: 10% Non Motile: 30% Epithelial Cells: NIL Pus Cells: 2-3/HPF Erythrocytes: 0-1/HPF Morphology Normal: 80% Abnormal: 20% Others: NIL I am waiting for a quick reply. Thanks in advance for your support.
Your sperm count morphology motility in all in normal range except for volume ... A low volume (less than 1 ml) is an uncommon problem, and is often due to incomplete ejaculation (which is not rare because of the stress of producing a sample in the lab !) or spillage. Other than this a low volume might indicate an obstruction....
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dear sir. my self mahesh i am 25y old male. i was suffer from vericocele since 7 year. i was done vericocele surgery before 4 year. but now i have slight pain on the scrotum, testis, & the surface of penis. also my penis size is 4 inch please tell me answer
Hi greetings. Usually varicocele will not cause pain in scrotum. Rarely long-standing can cause some pain which will disappear after lying down. So if you are having pain we should rule out some infection in epididymis and testis situated in scrotum. Coming to the size of the Penis it is very much normal and more than enough to satisfy a woman. So to confirm consult a urologist. Hope my answer helps you. Regards
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Hello ,My father now aged 72 yrs, weight 105 kg,admitted to hospital in 2004 and in 2011 ,in both occasion he was found deficiency of sodium and high potassium content,in 2004 he only gone through angiogram but doctor not strongly recommended for angioplasty ,but in 2011 we put two stunts in his heart now.He is feeling very less energetic since then,he was very active person earlier used to do physical activities now even he misses for going morning walk 2/3 times a week due to less energy level.His sugar level is moderate(more than normal) and bp is also not too high .He is continuing medicine prescribed by doctors for bp and diabetes. But he is feeling less energetic,will you recommend some food or medicine which will provide him more energy now ?Thanking you.Biswamitra
Hello there I understand your concerned need to give him It D and calcium supplements after discussing with your physician Co q will also recheck for depressive state and Electrolyte levels along with protein levels in the blood They could be a cause too Hope that helps
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my son is 2 years old now. when he was 3months old he developed reactive aiway disease and he was prescribed with budecort and asthalin inhaler. now since november he is having cough and cold with mild fever.once he was prescribed with antibiotics but with in 10 days again he had the same problem when he is on ast& bude inhalation doses.
HI, thanks for using Chat Doctor At his age, age 2, he is expected to experience up to 10 colds a year because his immune system is now developing. Most of these are viral and would not respond to antibiotics. When he gets a cold, there is an increased chance that he may wheeze, his doctor may suggest altering his medication at this point to prevent this. To help with his immunity, you can consider (1)making sure he uses a wide range of fruits and vegetables(2)the probiotics in yogurt may be helpful if he likes these(3) a multivitamins child Chat Doctor. I hope this helps
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I have been on 60mg of methadone a day and also 10 mg. of oxycodone for breakthrough pain for about 10 years for severe back pain and it has really helped my quality of life. I am a Vietnam veteran and also have severe neuropothy. The VA has been a tremendous help in my life! Just wanted to let folks know that these drugs can help if used correctly and not abused!! Thanks for your time. Michael!
Hi, SIR THANKS FOR SERVING OUR COUNTRY !, A salute from civilian. Lets, start with understand what do we mean by "POLYNEUROPATHY", NERVES are like electric wire conducting the information from one point/ part to the brain and back, now nerve like electric wires have an insulation, but due to various reason the insulation layer gets withered and so the nerves will have issue concealing the information with the secure track (like short circuit as in case of electric circuit), and the information will be misrepresented as pain instead of mild touch or in matter of fact even heat can be represented by damage nerve to brain as PAIN. This is major issue in polyneuropathy, It's not yet possible to entirely replace the lost insulation of the nerve. Now cause for polyneuropathy are various as well as the treatment varies with different cause, Following are the causes and available treatment,1) Diabetic polyneuropathy - treat diabetes and keep sugar in control and give pain medication for symptoms of pain.2) Alcoholic polyneuropathy- Stop alcohol consumption, pain medication for pain if needed.3) Familial amyloid polyneuropathy - Tatamis (only approved by European Union not by FDA yet)4) polyneuropathies due vitamin deficiency - vitamin replacement. + pain medication for pain if needed5) Autoimmune polyneuropathies - Immunosuppression therapy, + pain medication for pain if needed. *********************************************************************************YES so the METHADONE AND OXYCODONE will help if taken correctly, and thanks for the COMMENT.
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I haver asthma and just got over a devere cold. I havent been able to breathe and im coughing for over a week. I just started taking 20 mg prednisone 2x/day. I plan on taking it for 5 days. do i need to be weaned off after the 5 days? (I cant reach my dr)
HIF for acute treatment of 5 days then no need to wean the Chat Doctor. If prolonged for more than a week or if you use repeatedly then you need to wean the
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I am 36, 5 feet 4 inches, 55 KG, male and was diognosed with Multiple Myeloma in February 2011. Before treatment my ESR was 92mm and after six cycles of Chemo therephy (with Valcade), it came down to 4mm. That was three months back. I got a ESR test done yesterday and it is 13 mm. Please advice.
Hello, You should not worry at present. Your present ESR mark is under normal limit. If it continues to rise then you should be concerned. I will advise you to get it repeated after about 20 days. Hope I have answered your query. Let me know if I can assist you further. Take care
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Im recently experiencing a stomach ache, and my shit is watery. This has been happening for three days now. Im guessing this will stop eventually but Im just wondering if theres a way to make mayself feel more comfortable while experiencing this. Also, is there a proper way of saying watery shit
Hi, From history it seems that you might be having gastroenteritis giving this problem. Take antispasmodic medicine like Metal spas. Take Ofloxacilin, tinidazole combination medicine for 3 days. Take light diet like curd, rice, butter milk and apple, orange juices. Take plenty of water. Ok and take care.
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Hi, I m a 26 year old female, who has suffered with a number of health conditions in the past. Two years ago I had a large (20cm) benign schwannoma tumour removed surgically from a nerve behind my lung , and I also had blood clots across both lungs, which I was treated with warfarin for for 6 months. I have for the last 4 years been suffering from right lower sided abdominal pain , for which I still don t have a diagnosis. The pain varies from mild to occasionally very severe. My GP is of the belief I have endometriosis , but unfortunately I cannot have a laparoscopy as I am too overweight. I suffer from fatigue regularly, and regularly pick up chest infections and water infections. Just recently (one month ago) I had what my Doctor believed to be a kidney infection, and had a persistant high temperature on 3 different occasions. Following antibiotics and paracetamol it didn t bring down my temperature for 3 weeks. My GP now also considers that this wasn t a kidney infection, but I often have microscopic blood in my urine. The problem that I m having now is that my legs are aching horribly, and I have unexplained bruising on my arms and legs, as well as a chesty, wheezy cough. The pain in my legs is so bad that I cannot pull myself up off the bed/chair. I am suffering fatigue badly at the moment and I also have mild asthma which isn t helping the cough. My worry after having suffered from blood clots is that this may be a blood disorder. I also suffered from a nose bleed about 5 days ago, and it s very rare for me to have them, the last one must have been over 10 years ago. I do get a bit nervous when I am unwell, as when I was diagnosed with a tumour I spent about 4 weeks unable to breathe and with chest pain (and also had calf pain) which went unnoticed by doctors, who just thought it was a chest infection and gave me antibiotics. I m worried about something being missed again. Any advice you can give me would be greatly appreciated. Thank you.
DEAR VICKY DONOR BE NERVOUS AND Lose YOUR RATIFICATION WITH TREATMENT, YOU SHOULD GET ADMITTED IN A CLINIC AND A THOROUGH BLOOD INVESTIGATIONS, ULTRASOUND AND CT SCAN EXAMINATION OF ABDOMEN ADVISED FOR A FINAL DIAGNOSIS
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I have edema in my legs from a liver condition. I take diuretic (Lasix) and Aldactone to releve the swelling and rid of water retention. I am taking a 20 hour flight in a few days. Should I wear a sock during flight? I also have varicose veins. Should I take Venoruton? Thanks.
HI, How are you? My name is Chat Doctor. I am a Liver transplant surgeon and I hope to answer your question today. I am sorry to hear about your problem. Leg edema is a frequent complication of liver failure. It is due to low protein levels and combined with varicose veins, can be very troublesome. Since you are already on diuretic therapy, I would advise you to wear "compression stockings" which are usually available in any
If you are a doctor, please answer the medical questions based on the patient's description.
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Respected Sir, My father suffering from weist pain, leg pain. Doctor decited spinal cord operation must. Now operation completed but pain dont out. He is shouting for pain. doctor prescribed akt-4 tablet will be take quantiniue one year. now what we do?
Dear Patient, Since your father has been started on AKT4, it means that he is suffering from tuberculosis of the spine, the surgical treatment of decompression has already been done, as your history suggest, but the medical treatment to cure the disease takes 12 to 14 months to complete, if routine pain medication are not giving relief, I would recommend you to see a pain medicine specialist, and under his guidance control pain, let the ATT continue, but please see that the dosing given is weight controlled, as inadequate dose, and multiresistant bacteria is the main cause of treatment failure in TB. I hope this helps you, feel free to contact for any other informationThanks.
If you are a doctor, please answer the medical questions based on the patient's description.
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My mom slipped and did the splits on my back porch Friday.she said she heard something pop under her butt cheek. She has been to the Dr , they did a xray now she waiting for those results. Her Dr said it was more then likely just tissue damage bur she s an medical assistant and she thinks its more then what the Dr said
Hi, thank you for providing the brief history of your mother. As mentioned she has taken an x-ray for which she is uncomfortable I will recommend undergoing a CT scan of the skull. As certain times injuries to facial bones are not seen in x-ray and also soft tissue injuries don't make much sound. If any bony abnormalities are present due to injury a CT can detect and plan the next rehabilitation processRegardsJay In 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 dengue fever last month, I recovered from that, but now I am suffering from acute back pain. My MRI shows L5/S1 annular posterior tear and buldge at L4. MRI showed impression of myositis also. I did my blood test, it showed high TLC 16000. I am on cortisone (6mg) and antibiotic. Can you please suggest me what next should I do to get rid of this problem. It has been 8 days since I am completely on bed rest. (Everything I am doing on bed). I can send you my MRI report. Thank you. Rachana
Hello. Thanks for writing to us. Cortisone has a generalized anti-inflammatory effect, and it can decrease the inflammation caused by the myositis. A high TLC in blood can happen due to infection, allergy or inflammation. 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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My son-in-law has terminal alveolar soft part sarcoma that he ha been battling for two years.......his doctor told him that there is no more treatment to treat him, as he is neutropenic. He advised him to make end of life plans to to what he wants to do,,,,see who he wants to see etc. Well, his WBC and platelets have come up this past week and he is in Florida. If there a reason WBC would increase suddenly if death is unavoidable?
Good morning. Your son-in-law is suffering from terminal illness, and he is neutropenia. The reason for sudden increase in his WBC counts can be the growth factors given to him by the doctor to increase his WBC counts to prevent the development of infections. Sometimes the lab report may be spurious that is another reason. But in any case no need to worry. Regards
If you are a doctor, please answer the medical questions based on the patient's description.
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Hi. My husband has been under a lot of stress lately. Due to my health issues. I have recently in the last month been having seizures, these are new onset seizures. I have never had one before. He has never had blood pressure problems until now, and has never had a major anxiety disorder until now. Recent;y, his blood pressure hasnt been below 152/98 and the highest its been is 178/118. He has been started on a BP medication Atenelol, but has been experiencing numbness in his right hand on his ring finger and pinky finger. It is constant, and its starting to get to where its worrying me! Should we ask his Dr to change his med?
Degree understand your concerns went through your details. I can understand. High blood pressure could be due to the anxiety disorder associated with your health issues, as well as white collar syn Chat Doctor. Thinking about having his blood pressure checked might trigger high blood pressure. His anxiety also needed to be managed. You should talk to your doctor regarding this. After thorough check up, on finding nothing is wrong organically, you should request your husband to consult a psychologist for anxiety related behavior and cognitive therapy. He should be alright within months. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care.
If you are a doctor, please answer the medical questions based on the patient's description.
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Hello, Im 49 yrs. old and had a series of issues, this past year regarding my upper respitory, including pneumonia twice. Just recently, I feel im getting these symptoms all over again, however, I have heaviness in my legs along with this, which I never had before.Could this be something entirely different?
Respected user, Warm welcome to Chat Doctor.come have evaluated your query thoroughly.* Respiratory issues are in relation with lung infection either relapsing pneumonia or else.* Legs issue may be in association with lungs or not as - weakness induced cramps - other pathology as low hemoglobin, vitamins, minerals, anti oxidants - mobility related issues - perfusion related compromise - other systemic disorders.* Needs detailed case evaluation with series of necessary lab tests, x-ray of the chest with or without Doppler examination of the lower limb according to the clinician concern. Feel free to ask any further questions. Regards.
If you are a doctor, please answer the medical questions based on the patient's description.
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I am taking Praxidep CR and continuously for 1 year. I AM HAVING MUSCLE PAIN WHILE CAUGHING and also there is a countinuous bang noise which I hear while moving , and small uneasiness in hand and fingure while I change posture . Is it because of the medicine?
Hi. I can understand your concern. It could be related to the Chat Doctor. It would be advisable to consult your doctor for the same.Don't worry, you will be alright. Hope I have solved your query. 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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My left foot/toes are freezing it feels like there is no circulation and they have pins and needles ive been to my gp and have had an mri that came back clear we have no idea what it is i had a blood test today and am going to see a neurologist, i just want this solved i havent been able to walk or run properly for a week
Dear patient what is your age and what is the duration of your symptoms. This should be always mentioned. Tingling and numbness In left foot may be due to local pathology in foot or due to pathology in lower spine. Are u having back pain ? If yes possibility of disc prolapse is there. Common perineal nerve involvement at lateral aspect of knee may also lead to foot Chat Doctor. You said MRI is done but did not mention for which area it is done? I mean foot or spine? Your visit with neurologist is highly recommended. Meanwhile start tab regain x 75 at bedtime for relief.thanks.
If you are a doctor, please answer the medical questions based on the patient's description.
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Hi Doctor The last 2 days I have woken up absolutely exhausted even though I have had over 7 hours sleep both nights. I have a throbbing headache and today I have been sick several times and have lost my appetite. Now my legs, neck and arms are aching as well. Please could you tell me what this is? Thanks You
In my opinion you should do some tests, check your calcium, phosphorus, magnesium levels, do a simple urine test and check your TSH, T4 levels .tell me what you find also if you are a female are you on contraceptive pills ? Good luck
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my 4 year old has been complaining of a stomach ache for about 4 days now, she will be fine one minute and then will complain it hurts again. yesterday she puked and had runny bright green stool... now today she is crying her stomach hurts again and she just vomited, whats should i do?
Hi, Abdominal pain, loose stools and vomiting indicates acute gastroenteritis. If she don't have fever and stool does not contain mucus or blood, we need not worry. Give zinc syrup (20 mg / 5ml) 5ml once daily for 2 weeks and ondansetron syrup (2 mg / 5ml) 5ml 2-3 times a day for 2 days. Abdominal pain can respond paracetamol. Also give frequent sips of fluids like ORS solution after each stools to prevent deny Chat Doctor. She will be fine in 3-5 days. If she develops fever, stool becomes blood stained or becomes lethargic with poor feeding, kindly take her to doctor. Hope I have answered your question. Let me know if I can assist you further.
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Im 17 year old male, 6 foot, and 175 pounds. Im afraid the tube that semen moves through from my left testicle is clogged. I masterbated earlier while not purposfully pushing on my the top of my ballsack with my left hand. Now, it is very the tube is very swollen, thick, and lumpy. mY right testicle did not have this problem, it is normal. Is there anyways to unclog it without going to a doctors office? Thanks
Hi, thank you for quarry. As you mention that your left testicle tubes look like swollen and blocked there is a condition called varicocele in which laciniform venous plexus become prominent causing worm like swelling in 90% on left side due to its anatomy. Its cause male infertility with reduction in sperm count along with production and structural abnormalities of sperms. Sperm count along with Ultrasonogram required to confirm the diagnosis. If its confirmed no medical treatment only surgically its corrected. After surgery prognosis is good and improve semen bulk and fertility in males. Hope the answer will help you. Wish you a good health.
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hi my name is rohit i am frm india i am taking s proxyne and spasmo cool plus capsule before 3 month now from 1 week i am not taking capsule my stomach is paining and my potty is coming green i consult to a chemist they gave me aome medicine like r-loc 150 eldospas plus nflox-tz
Hi,The common side effects of sproxyne and spasmo cool plus include nausea, vomiting, ChatDoctor.
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Hi so I ve had a spinal fusion for scoliosis four years ago and I was fine until September when my back started to hurt when I had a cold and hasn t stopped. I feel something moving at the top of my spine and it s really freaking me out, not to mention there s a bump on my spine that s hard and tender and my shoulder blades are really painful and itchy. Now all of a sudden on the top of both my shoulders by my collarbones are these big hard bumps. What on earth could be wrong?
Hello, I have studied your case. I will advise you to do MRI spine and CT scan spine. There may be aggravation of deformity, If there is any neurological involvement then you may need surgical correction. For symptoms analgesic and neurotrophic medication can be started. You can consult neurologist and spine and physiotherapist for Hemphill time, avoid lifting weights, Sit with support to back. Continue your exercises. You can consult physiotherapist for help. For symptoms analgesic and neurotrophic medication can be started. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care
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I have recently noticed that i have a swollen lymph node on the bacl left side of my neck. you cant see it, i noticed it but palpating the area. it does not bother me other then the fact i know it is there. i have no other symptoms. my parents say they cant feel it however i can. it also kind of feels like a muscle. but there is not one on the other side
Hello, As your lymph node is asymptomatic please get its FNAC done to reach up to a proper diagnosis for treatment. Hope I have answered your query. Let me know if I can assist you further. Take care
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I have extreme apathy, a lack of mental energy, a lack of focus, a lack of drive and motivation, inhibited executive function, (I cant make long term plans and stick to them), poor short term memory, procrastination and indecisiveness, inability to concentrate sufficiently to read a book, very poor verbal fluency. no suicidal thoughts. I don t think i have depression i think it s something else. what do you think?
Hello thanks for asking can understand your concern. You have symptoms like extreme apathy, reduced energy, poor focus, reduced motivation and Chat Doctor. The mood is more or less not affected as you haven't mentioned this. If we consider the information you provided then two main possibilities can be there. One is depression, which you don't think you have. But even if you have normal mood and no disturbance in functioning even then reduced energy, lack of motivation, poor focus, apathy, indecisiveness etc. could be occurring due too mild to moderate depression. This should be evaluated by a psychiatrist. Other possibility is adult ADD. In adult ADD poor focus, procrastination, indecisiveness etc. are seen commonly and this could lead to other symptoms which you've mentioned. So please visit a psychiatrist for evaluation and diagnosis. Thanks and Take care
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I have developed a small cluster of acne like bumps on my face but only only the right cheek. They are very painful and sore to the touch. There are a total of six bumps in this cluster. They do not itch but it is slightly red and irritated and as mentioned earlier. Rather sore to the touch. At 43 Ive had acne before and I don t think this is. Although it does appear to be acne. (Even though nothing comes out when I squeeze them but white blood cells ). Ive never. Ever Never, ever, ever had six small acne bumps pop up at the exact same time in the exact same spot or area on my face. We re talking a small diameter of 1/4 inch. But boy have they caused my whole cheek to swell up! Nor have I ever met anyone that has either. Anybody know what this is at all? Oh yeah. I m also getting these periodic waves of sharp pain that appear to be coming from behind this spot, (like it s coming out of my cheek bone or something), it shoots up through my cheek...Through the back side of my right eye and into my head . Not excruciating but definitely annoying. And only where this cluster of pimple like bumps are. HELP!
Hi, John, Thanks for query, You have got infected acne. Go for antibiotic medicine like Amoxicillin, clavunic acid combination medicines and anti-inflammatory Chat Doctor. Apply triple cream. Wash your face frequently with plane water. Take green veges and more water. Ok and bye.
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Hi. My girlfriend is experiencing very bad gas build up. Its stuck in her abdomen and chest . Any recommendations would be greatly appreciated.
Welcome to Chat Doctor see to it that her bowel is moved regularly, and she is not constipated if constipated use sorbilin4tsf at bed time take plenty liquids and high roughage diet avoid all spicy food and fried food stake gr8 OD once daily genus mp stab /syrup may be helpful to consult doctor and get checked up hoping early recovery of your girlfriend
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Ive been trying for a baby for a year with my partner i have normal periods .. ive noticed my husbands semen is clear like water i went to the doctors he said i dont fall into the criteria for fertility tests im twenty and my husbands thirty please help me
Degree understand your concerns went through your details. Watery semen doe snot mean low in fertility. The water content in semen depends on so many aspects and the thickness varies. You need to conduct fertility tests to determine the fertility of the semen. You told you are trying to conceive. There are time periods where you should try to conceive. 10 days after your period and 10 days prior to the next period is ideal time period. You get almost 10 days. Try to conceive in these days. If this is not a success, you may approach an infertility specialist for fertility test. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck.
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I got my second ear lobe piercings done about 4 months ago. Its been taking a while for them to heal. Today I was changing and my ear got caught on my clothing and I pulled pretty hard. Now, its pussing clear liquid and is kind of throbbing and feels swollen and hot. Is it infected? I try to clean them regularly.
Hello, Infection of the ear-piercing can be due to wearing ear rings made of metals that are not inert in nature. Such metals decompose when exposed to air, water and can release decomposition products that can cause allergic reaction and infection. Some individuals with sensitive skin tend to get the reaction faster and can cause irritation, pain and fussing. So, first she should not wear earrings till the infection gets healed. Clean the ear-piercing site with Betadine solution and apply antiseptic ointment over it. Do cool compresses. Once it heals, she should wear earrings made of inert material like gold or plastic. Hope I have answered your query. Let me know if I can assist you further.
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I have the chills but no fever ,my temp is about 97.5 . sometimes the chills feels like they hurt , sometimes no matter how warm it is i m still cold , my doctor says he thinks it may be a virus.He said my liver enzymes were elevated . He drew quite a bit of blood and that s all he came up with.Someone said osteomylytis. but that person isn t a doctor, ive had this for about a month.
Hi. Your doctors' opinion should be regarded and not of a non doctor. In absence of blood report or details of elevated enzymes, it is not possible for any doctor to comment correctly. It would be alt if you send more details. Hope it is useful to you.
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Beginning yesterday my tongue and throat/esophagus started feeling swollen. It has continued today. No breathing problems yet, but Im worried this is going to get worse while I sleep. It feels like a lump in my lower throat. My tongue isnt super swollen but seems bigger that I notice it in my mouth, pressing against the front roof of my mouth. I also have been burping more than normal but do not have any burning sensation. Ive read several things but not sure what to make if it. I have a doctor appointment next week, but wondered if I need to see someone sooner. What are your thoughts
Hi, Welcome to Chat Doctor .com. I had gone through your question I can understand your concern about your tongue. As per your history, signs and symptoms it seems to me that you are suffering with allergic reaction to your tongue and throat, or it can even be the infection to the tongue too. You don't need to worry, in case there is any difficulties in breathing you need to visit the emergency room as soon as possible. Otherwise, there is no need, sometimes because of acid regurgitation there seems to be numbness in the tongue, and you feel it is swollen, but practically it is not like that. You can have pantoprazole in morning empty stomach once daily to reduce the burping and regulations. Also take antiallergic like. Levocitrizine to reduce any sort of allergy. If you feel any breathing difficulties please visit the emergency room. Hope my answer will help you and visit us back if you have any further questions. Regards Chat Doctor.
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my brother was diagonised to have jaundice and within 5 days he appeared to have swollen feet and stomach and was admitted in a ahospital where he undewent dialysis for more than 5 times saying that he had a high urea and creatine level ,for 8 days now that he is sent to home he still has a problem with the urea level being 100 and creatine llevel being 4 ,is it normal????his blood pressure and sodium level were controlled and is now normal what measure should we take to bring hisBUN and creatine level to normal,,is he suffering from any other disorder please let us know if it is urgent to react,,his age is 25 yrs!
Probably he might have acute hepatitis and later developed some renal failure. His high levels of BUN/Creatinine are probably from his metabolism. I would suggest he see a nephrologist urgently as this high number is very danger. Kind regardsSrinivas
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hi, i m 24 yrs old i have a jaunidice from 20 days, the jaudice is diagnose in early stage. after consulting the doctor they recommend to avoid oily, fatty & protiens diet & take carbohydrate diet, fresh fruits etc.after 20 days- my billurubin level at this time 10.5 from a long time but enzime is decreasingdr. allows protein diet, tea, little bit fat in foodbut i feel my appetite is decrease what the reason behind it plz give ur suggestion
Your body is recovering from an illness. It will take some time to return to normalcy. IN the meantime maintain the diet as it is important for a complete recovery.
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Hi, I have a child who is nearly two. His poo was very runny and smelly, sometimes almost like water. He constantly has nappy rash and is very tender to wipe. His sister has been diagnosed with ceoliac disease but even though he has been tested twice for this disease, his tests have come back negative. I feel there is something not right so I have taken him off wheat to see if there was any improvement (3 days ago) and now his poo is very chunky (but better formed and not as smelly) and undigested.
Although test is negative your child must be having celiac. Biopsy is confirmed test .but your child responded to gluten-free diet is very imp clue.
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During intercourse I have had fluid in my lungs 3 times and today I quit before it got bad. I e-mailed my doctor but no answer yet. I don t have this problem anyother time. I found out it sounds like pumonary edema. I know it is to be checked and I have a stres test on Friday. Advice?
Thanks for your question on Chat Doctor. In my opinion you should avoid heavy exertion and take rest at home. Get done TMT (Trade Mill Test) first to rule out cardiac cause. There are many causes for fluid in lungs but when it is due to cardiac cause, we call it as pulmonary edema. So we need to rule out cardiac causes first. I advise you to get done 2D Echo also for evaluation of heart function. As decreased heart function lead to pulmonary edema.
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I am having excessive hair loss from last 3 months. First i thought its due to monsoon, humidity and dandruff. but its happening now also when the monsoon is over. What should i do to save it. Also my friend suggested me to take Follyhair tablets. I want to know whether there are any side effects of these tablets like weight gain or something else or they are safe.
Hi.you can start these tablets for hair hall. They contain biotin which is required for hair regrowth. Along with these tablets also start iron and calcium supplements. You have to take this treatment at least for 6 months for full benefits.
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i went to exercise class for heart people and i had good bp reading 112/70 however my pulse rate was at first before exercise 112 after 121. i find also i have lost weight and got back my smell and taste. this has been transitory gone gor months then back.however i believe the senses may be tied to stress or sinus. this electric anxiety i have in dealing with problems may trigger senses. is there a connection. now i can taste and smell lately. i do however have anxiety tonight. thanks from cape breton
His had gone through your query. I understand your concerns. Anxiety is unconcerned fear with physical symptoms like heart beating sweating etc. It can be controlled by nature way improper sleep and diet.Stress-free activity pleasurable activity, music and hobbies. I have treat so many patients with mild dose of benzodiazepine and mild dose of SSRI, in SSRI mild dose of Escitalopram and paroxetine like Chat Doctor. Still have a query then feel free to ask. Thank you. Take care.
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Hi, I m expected to have my period in 2 days but I have been feeling some cramping pains like you would your period but it hasn t arrived yet...I don t usually get this pain without having a period a few hours later. I ve had this pain for 2 days now and it comes and goes, I also have some tiredness and heartburn . What should I do regarding these symptoms?
Dear Leana, abdominal cramps are, unfortunately, a usual symptom during and before the periods. Cramps are caused by prostaglandins which cause uterus contraction. The contracting muscles help push the blood out through a girls' vagina during her period. So these contractions can be mild or very unpleasant and can vary from month to month. Also, other hormonal disbalances due to menstruation cause nausea, vomiting, headache, fatigue and abdominal swelling. Girls who are younger when their periods start, who have longer periods or heavier blood flow and smoking are a risk factors for cramps. Heartburn can be related to this story, but also it can mean TAH you have some kind of gastric problems such as HERD, Ulcer/gastritis, so you should do gastrostomy to find the exactly what's going on. Use analgesics(nonsteroid) for pain relief because they decrease prostaglandin production in blood. To be sure that you're healthy do gynecology examination and pelvic ultrasound to check your uterus and ovaries and steroid hormone levels. Wish you good health,
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Hi, I am 18 years old, weighing 135-140lbs. I was born with a hole in my heart but it grew over before I was two. I have recently been to the hospital 3 times in the past two months for a reaccuring rash, medication for my ( what I think are impacted) wisdom teeth, and just today for a bladder infection. I have started drinking coffee for the first time around the start of may which is when I had medication for my teeth. I was wondering if it was the coffee or the medication, but Im having chest pains in the middle and left side of my chest. It feels like a fluttering then sharp shooting pain. If you can help it would be greatly appreciated.thanks Katie.
Dear Katie, Thanks for your query. If your hole was totally closed or not is an important consideration. Coffee intake can increase heart rate in susceptible individuals and may be responsible for certain causes of chest pain like HERD. It is best to avoid coffee till the issue is sorted out. Please take the help of your local cardiologist. SincerelySukhvinder
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I consider myself to be a healthy male,19, always active, but eveytime i drink a protein shake (jay robb protein, half a bannana, berries, almond milk) my chest hurts left lower pectorial and left upper ab. This has been going on for quite sometime now, over a year, no doctor that i have visited has given me a clear answer they just say "it may be this or it may be that" any help at all would be appreciated.
Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. IN the given situation, You seem to have suffered from-Banana -fructose/ or Milk shake-with lactose intolerance / or Whey protein in -Protein powder allergy, would be possible cause of Chest pain after Chat Doctor. Chest pain with left pectoralis muscle pain-is due to allergic gastritis and esophagitis is due to protein, milk and banana allergy. Food intolerance testing with biopsy of the small intestinal mucosa, would resolve the issues in diagnosis and would resolve treating it accordingly. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!!
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Hi. Iam 40 years old and attended the hospital for an ultrasound scan for a swelling under my right arm . The Radiographer told me to make an appointment to see my GP , to receive the results in ten days time. When I phoned the surgery , the receptionist said these things can take longer, and gave me 4 May to attend for the result. I am quite anxious, do these things usually take so long?
I am too late to post answer as I joined this forum recently. Hope you have got ultrasound done
If you are a doctor, please answer the medical questions based on the patient's description.
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Dear Sir I,m problem with Premature Ejaculation within 5-10 Sec I finished my activities because I,m failed So whats I will do I have Diabetics & I will take metformin 850 two times a daily.So please tell to me whats kinds of Indian medicine I will take or whats treatment I already taken before therapy in before also.
Degree understand your concerns went through your details. Most of the premature ejaculation problems are due to anxiety and apprehension, and they are purely psychological. Diabetic induces some tiredness into the system and more anxiety. Most of the people affected with diabetics do complain premature ejaculation in the early stage, and it becomes alright itself later. I suggest you to consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care.
If you are a doctor, please answer the medical questions based on the patient's description.
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my son s circumcision was almost 2 weeks ago and the swelling continues until now. His Doctor was not around when we get back for check up so its another Doctor who attended to our problem. According to him, it s normal, we only have to use cold water for cleaning, apply cold compress .How long can we expect that the swelling be removed after applying above?
It will take 2-3 weeks for the complete healing. Another week or so and he will be fine. No need to panic if there is no oozing or bleeding from the wound.
If you are a doctor, please answer the medical questions based on the patient's description.
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Hi, I have stuffy nose and congestion from past many days now and it does not seem to be common cold/flu as I was suspecting it. It seems like alergy to me which is common in Bangalore during this time. Last year my doctor prescribed Tab Montek LC (1 at Bed time for 3 days) and Tab Montek 10mg (1 at bedtime for 7 days). Along with this she also recommended Capsule Mucolite SR (three times a day for 3 days). And after three days, she asked me to continue the Montek LC for another 5 days. Unfortunately she is out of town now. Can I take the same medicine and dosage?
Hi there!I agree with you over the fact that allergy is common to Bangalore, however all attacks of cold/flu cannot be attributed to allergy. Morever indiscriminate use of anti allergic is not advisable. What I have seen in general is intensive steam inhalation using capsules of Karol plus along with tab ivory will bring you good relief. To confirm an allergic etiology to your cold you should check your serum IG e levels. If elevated they need to be monitored and specific antigen needs to be isolated for long term precautions and benefits.I would also recommend you getting yourself evaluated for chronic sinusitis as this also contributes to chronic cough and cold in many cases. Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
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I was exposed to fumes from several theatrical lighting instruments in an enclosed space a few weeks ago. After trying inhalers and steroid treatment my lungs look clear. However, I still have issues with feeling faint when I am at all active, a metallic taste in my mouth, coughing up metallic tasting watery stuff, and shortness of breath that comes with the faintness. What could this be and what tests could be done to figure out what it is?
Hello, According to the history, you provide better to discuss with a toxicologist specialist for probably further follow up. 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 cracked tooth, and yesterday, my dentist prescribed some vicodin. I have been taking 600 mb of Ibuprofen every 7 hours or so. Can I continue to take the Ibuprofen while taking the Vicodin? Also, if I don t take any Vicodin, how often can I take the Ibuprofen, and how many mg can I take each time?
You have to take either one of them they both are analgesics there is no use of taking two analgesics you can better take Vicodin and stop ibuprofen and also get your tooth checked properly and get an x-ray of the victim tooth if root of your tooth had not fractured than it can be saved by simply doing root canal treatment and giving you a ceramic crown which duplicates your teeth and maintain aesthetics.
If you are a doctor, please answer the medical questions based on the patient's description.
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My mother has metastatic breast cancer that has affected her bones and some part of her brain. Her liver sonograms looked ok but, her liver functions on her blood report are abnormal (besides her bile is in range). SHe had been vomiting and acid reflux frequently but, by reducing her medicine dosages have helped. I wanted to find out what is going on with her.
Hi, She has got metastatic breast cancer. Brain met scan be a cause of vomiting, Metastatic lesion in liver can be picked up by sonogram many a time, but there is a chance of missing it also. Anyway, there is treatment of metastatic breast cancer, at this condition, whole brain radiotherapy and hormonal therapy depending on receptor status can be beneficial, consult your oncologist.
If you are a doctor, please answer the medical questions based on the patient's description.
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I have PCOS. I have taken gluconorm 1000mg for 3 years. Now havent taken it in last 6 months as i was feeling nausea, fatigue all the time while i was on medication. So doctor suggested to stop taking it for few months. I am trying to get pregnant. I have missed my period.I have gastric problem also. After 20days of missed the period, m feeling very tired,pukish and drained all the time. My question is should i start medication again. Is it necessary to take medicine to get pregnant. I am overweight and trying to loose weight.
Hello, First, you need to rule out pregnancy by home pregnancy test as you are TTC and 20 days missed period. Treatment of PCs includes low carboy Chat Doctor. Gluconate must be taken to get pregnant as it helps to overcome insulin resistance and facilitate ovulation. Kindly, consult with your doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
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I have some redness / skin irritation around the head of my penis. My family Dr. said it wasn t herpes and instead prescribed some anti fungal cream. It has been two weeks and is better, but hasn t gone away. Should I see a dermatologist instead? Or just give the cream more time?
Hi, You might be having fungal infection or bacterial infection due to not cleaning Sega properly. Clean the Sega by averting fore skin daily while taking shower. Go for one oral antifungal medicine course like Fluconazole. Keep local hygiene clean, Chat Doctor. 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 father is 80 yrs old and he is totally normal. Today we do some blood test of him like kidney profil,lever profile and other blood count, every results are normal but his ESR is 34 however as per normal value it shoule be max, 10, what is it meanig.Raj
It is erythrocyte sedimentation rate which goes up in varied health problems. 34 is not a very alarming rise which needs attention. Mild common health problems can give rise to this much increase in ESR to which we do not give importance. Adequate HY Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
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I am having symptoms of a sore tongue and gums, like the skin in my mouth is tight. It is a dull ache most severe on the sides of my tongue and lower parts of the inside of my gums. My teeth are not sore and I really am healthy with no other symptoms. It is painful to eat, hence the concern. Anything you may be able to deduce from this? Thanks for your help! Gabe
Hi. Thanks for the query. It looks like you have inflammation inside mouth. Due to inflammation you are experiencing pain and soreness. Inflammation and soreness can be due to numerous causes, but common ones are allergy to certain foods or chemicals, deficiency of or vitamin B 12 or both, burning the inside of mouth while eating something very hot or irritation with any chemical substances or mouthwash etc. Fungal infection can be another cause. So first consult an Oral Physician and get the cause ruled out. Treatment of the same will help in relieving the oral symptoms too. For now symptoms can be managed with gargling with numbing mouthwash containing Lidocaine like Magic Mouthwash. Start taking vitamin B complex supplements daily. You can also do cool water rinses and suck ice as both of these can absorb heat and reduce inflammation. Avoid hot, acidic and spicy foods. Hope this helps. Regards.
If you are a doctor, please answer the medical questions based on the patient's description.
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Hi,<last week my 4yrs/Female kid was diagnosed with Jaundice, total bilirubin was 10.8 (8x + 2x), she has been talking medicine for 10 days now, a second blood report showed bilirubin total to be 32.x. Is it high? Is it serious? What count will be dangerous? our pediatrician said today jandice is high, it will increase before coming down something like that. After a week of taking medicine, jaundice getting higher doesnt not make sense to me. How is it possible? Can please some give some advise? Thanks.
Hi and welcome to Chat Doctor. Thank you for your query. Jaundice is usually sign of certain liver disease and high bilirubin value. Causes of jaundice vary from non-serious to more complicated- High bilirubin may be due to liver diseases such as cirrhosis or hepatitis, infections, medications, or blockage of the bile duct In the developed world the cause is more often blockage of the bile duct or medications. In children, common causes are Gilbert's disease or hepatitis viral. Medical imaging such as ultrasound is useful for detecting certain liver issues. Treatment of jaundice is typically determined by the underlying cause. If a bile duct blockage is present surgery is typically required, otherwise management is medical.[Medical management may involve treating infectious causes and stopping medication that could be contributing. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.
If you are a doctor, please answer the medical questions based on the patient's description.
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My domestic worker had a Chest Xray. What does the following mean: Cardiomegaly as well as air space infiltration in lower lung regions. Increased ground glass opifications in both lungs. Vascular prominence centrally. Appearance suggest active atypical infection. May be complicated cardiac decompensation and early air space oedema. She is a known hypertensive.
Hi there, As she is hypertensive cardiomegaly means a bigger heart in size is expected.Airspace infiltration meaning either it may be some sort of infection or pulmonary edema due to some degree of heart failure.
If you are a doctor, please answer the medical questions based on the patient's description.
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Hi! My 3 year old has had vomiting diarrhea for 5 days. Went to er on day 2 for dehydration. Today was the first day she ate and felt better. This evening we noticed swollen knees and hands and a rash on her elbows, knees, arm pits, hands. Benadryl has seemed to help. What could this be?
Hi...by what you say the same virus which has caused the diarrhea might have caused the swelling of joints and rash. It is common in viral illness. Another possibility is that it could be a reactive arthritis to the virus causing diarrhea. If the child is otherwise active, need not worry. Regards -
If you are a doctor, please answer the medical questions based on the patient's description.
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Hi I have a spot with two lumps in it well I think it does and it wont go away I have sqeezed it to the point where blood comes out at first a yellow sticky puss then blood please can you help as I dont like to waste doctors time its on the right cheek of my bum near the anus.
It can be two things first it can be perianal abscess and other possibility is it can be fistula in ANO... so if abscess is small it will reduce with antibiotic... but large abscess and fistula in ANO requires surgical intervention... so if you think, so please consult a surgeon nearby...
If you are a doctor, please answer the medical questions based on the patient's description.
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my 4 yr old has been complaining of stomach cramps and began running a fever she now is complaining of a sore throat and i noticed three red spots on her legs i am trying to figure out what is wrong with her as i took her to the er and they wernt sure what was wrong but said it could be possible she might be getting strep but said to give her advil for the fever and thats it.
Hi... by what you say I feel that your kid maybe having very early signs and symptoms of Enoch schooling purpura. This is a sort of systemic vasculitis which can cause red spots on the lower limbs along with tummy pain. If she is rolling over the bed in severe abdominal pain or red spots on her legs are increasingly palpable, then I suggest you get her back to the Emergency Room immediately. But skin conditions are usually diagnosed and treated at their best only after seeing them directly. So I suggest you upload an image on this website and then get back to us, so that we can guide 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 a close friend in Germany, he just turned 60, and about 2 years ago he was diagnosed with some sort of blood disease, I cannot remember the name, but it is causing his white cells to increase and red cells to decrease so they are both falling outside the normal limits. They have told him to come in once a year and get checked. And it sounds like there is not really any good treatment available. I would like to know the name of this condition so I can research it, and also any info about prognosis . Thanks in advance, Diana O.
Hello welcome to ChatDoctor, I am ChatDoctor. It ranges from leukemia to myelodysplatic syn
If you are a doctor, please answer the medical questions based on the patient's description.
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Yes, I was recently exposed for 7 hours to Professional Strength Goof Off (Xylene, Ethylbenzene, Butoxydiglycol, Acetone and Butane). I was diagnosed with Acute Chemical Bronchitis and treated with prednisone. Two weeks later had two pulmonary embolisms that I was hospitalized for 5 days. With no clinical reason for the PE s, could they be caused by the chemical or prednisone? I m a 64 year old male with pre-existing COPD. Thank you, Augie
I am suspecting that being a patient with COPD, your He would be in the higher side due to chronic hypoxia. That itself is a risk factor venous blood clotting. On top of that you must have been hypoxic due to the organic chemicals and the viscosity of your blood would have been increased both by the organic chemicals and the hypoxia and triggered off the pulmonary embolic.
If you are a doctor, please answer the medical questions based on the patient's description.
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My 9 year old son has had a reoccuring fever off and on every week and a half for the last month or so. The fever happens for a couple of days peaking around 105 along with headache and some stomach ache. He s fine in between these occurances. What could be causing this?
Hi, Having recurrent fever for long time requires some blood work to be carried out. Go for complete blood testing like TC, DC, platelet count, ESR, Report will give exact cause of having fever. After report your doctor will go for appropriate treatment. Give him light food. Ok and take care.
If you are a doctor, please answer the medical questions based on the patient's description.
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hello my daughter is going on 2 years old she has a belly that my family likes to call a buda belly because it looks like budas belly does but we know it is not fact we think there might be something wrong with her because the rest of her is skinny even if her back was faced to you you would know that she had a big belly what can i do to help her her doctor tells me that she is fine but they have only pushed on her belly i do not understand why she is like this someone plz help me put some clirty on this
Big belly in skinny child occurs because of hypotonia of abdominal musclesExclude protein energy malnutrition In case of huge ascites, same condition occurs
If you are a doctor, please answer the medical questions based on the patient's description.
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I have sharp, pin pricking pain on my upper back. It stings and radiates pain around my shoulder blade (8/10 on the pain scale). There is no visable bite, marking, or redness on the skin. It is quite distressing, as it is a significant pain with no apparent source.
Hi, I had gone through your question and understand your concernsWith such presentations in my clinic, I would firstly reassure my patient. Mostly this is Myositis or muscle spasm in the upper back muscles . I suggest also doing plain X-ray for cervical and thoracic vertebrae. I advise you to receive muscle relaxant and NSAID.
If you are a doctor, please answer the medical questions based on the patient's description.
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