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I am 45 yrs old,54 Kg having Haemoglobin 7.4. Doctor prescribed me C Pink tablet. After taking the tablet there was tremendous uneasyiness,vomitting,gastritis problem.Gastritis and antivomitting tablet could not work.Now the doctor has prescribed tablet Haemgrow one tablet daily. one of my relative took this medicine thrice daily.Should I also take haemgrow thrice daily? Howmany days I have to take this Irin tablet?Thanking YouBina Nandi,Midnapore, W.B
Dear friend, GREETINGS from Chat Doctor... I appreciate your concern ... your hemoglobin levels are very, very low ... you please get evaluated completely ... you have anemia please check for the reasons for it ... it could be due to piles/hook worm infestations / bleeding peptic ulcer ... if all these causes are ruled out then it could be nutritional deficiency ....please take iron tablets daily 2-3 times before food . Iron tablets cause irritation and vomiting sensations ... please go for iron injections if you are not tolerating ... iron tablets are best taken with vitamin C tablets ... iron is better absorbed in empty stomach before food .you take more of meat, fish, egg, green leafy vegetables, fruits etc. To increase your iron levels ...please do contact us for more queries ... thank you
If you are a doctor, please answer the medical questions based on the patient's description.
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Hello! So I have had throat stones appear in my tonsils but they have been appearing more so recently. Also, just since yesterday, I don t see any of the throat stones in the back of my throat but I am still having the bad breath smell symptom from them. And in the back of my tonsils, if I press my finger against the crypts, a whitish/yellowish colored substance oozes out of the crypt. Also, I have had these bumps on the very back of my throat for a few days and just passed it off as an irritation due to an allergy. I am beginning to worry that something is wrong with my tonsils. Do you have any advice or suggestions as to what may be going on? Or what I should do?
Thanks for your query, I have gone through your query. The yellow discharge could be a pus from the infected tonsil. It can be secondary to the tonsillitis or peritonsillar abscess. Consult a ENT surgeon and get it treated. Meanwhile you can take a course of antibiotics like amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic). Do saline gargling. The halitosis is because of this problem only. Once you get the tonsils treated everything will return to normal. I hope my answer will help you, take care.
If you are a doctor, please answer the medical questions based on the patient's description.
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hi i am a 45 yr old female with copd emphesema arthritis and numerous complaints however i have an extra heartbeat but since before christmas i have been suffering occassional chest pain so severe that it leaves me breathless i was told i have inverted t waves and recommended to go to cardiologist to have angina test why ?
Hello dear, warm welcome to Chat Doctor.come have evaluated your query thoroughly.* There are different possible conditions which can give rise to chest pain in your condition as - coronary insufficiency - lungs expansion or respiratory Chat Doctor. Hope this will help you. Wishing you fine recovery. Regards.
If you are a doctor, please answer the medical questions based on the patient's description.
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Dear Doctor my age 28 yearsheight 6 fitweight 58 kg i have TB in my past Presently iam healthy seminal report is quantity 20mlcolour milky whiteconsistency thick liquidreaction alkalnePH 70 total cout of sperms 10 million Dear Doctor my age 28 years,height-6 fit,weight 58 kg, i have TB in my past Presently iam healthy seminal report is quantity 2.0ml,colour-milky white,consistency-thick liquid,reaction-alkalne,P.H-7.0, total cout of sperms 10 million/ml of semen Motality after 1/2 hours total motile-10% active motile-10%,moderatelymotile-10%,sluggeshly motile-20% ,non motile-60% after 1hour total motile-8% active motile-5%,moderatelymotile-10%,sluggeshly motile-25% ,non motile-60% after 4hour total motile-2% active motile-00%,moderatelymotile-5%,sluggeshly motile-15% ,non motile-80% micro scopic morphology-10 to15% immature forms 08 to 10% tail less-02 to 04 %,pin head 01 to02%,W.B.C-4-6/hpf,R.B.C-no found, epithelial cell-not found,trichmonous-not found so pls tell sir i can be a fatheror not if not treatments are avilable for me. and duration as per abnomality which shows in my report.
Dear Her, Welcome to Chat Doctor. Your count is low and motility is also less, so you will need to get a Color Doppler study of Scrotum done, to rule out or confirm varicocele which could be the cause for this. For this you will have to consult a Urologist who will advise you. You can certainly become a father after proper treatment. Do not lose hope, have a positive attitude. Wish you all the Best.
If you are a doctor, please answer the medical questions based on the patient's description.
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Hi , i am 33 year old male and have been diagnosed with OSMF , although I didnt abstain from chewing pan masala immediately after the diagnose , and kept eating until 3 months back .I have now completely quit chewing the Panmasala.My mouth opening is about two fingers I.e 25 mm with very moderate tounge coming out of the mouth10 mm the serious issues revolves around my third molar which is coming out and the doctor is unable to get to the impact area of extraction due to mouth opening issues , I have been going through this for the past 2 years , and the pain is there occasionally , but now I have finally decided to get it extracted , but the doctors are unable to do so , the pain when happens is unbearable and I am unable to eat during the peak pain period , it happens usually once in a couple of months ( the pain wasnt that bad when I used to eat pan masala).I have consulted a lot of oral maxilofacial surgeons , and they arent sure of how to go about it , some suggest general anesthesia , until I saw a laser treatment for the same , where in they will do the laser treatment for OSMF and once th mouth opening is achieved the third moral can be extracted easily ( they say 10 days total and post treatment pysiotherapy)My doctor in the interim has not given any injection but a medicine SM FIBRO 2 tab daily ( multi vitamin).Is this the correct course , and will it help achieve the desired mouth opening to get the third molar extracted any time soon .Please advice .ThanksAtul
Thanks for your query, I have gone through your query. The OSF can be treated with Erbium Chromium Yttrium Scandium Gallium Garnet (Err:YEGG) laser which shows promising results. Consult a good oral maxillofacial surgeon and get it treated. The SM FI BRO is an Antonio, the dose you are taking is fine. You can take this for 15 days to a month. Once the mouth opening is achieved you can get the wisdom tooth removed. Even under general anesthesia, your mouth opening will be this much only so you can't get it removed till you improve the mouth opening. I hope my answer will help you, take care.
If you are a doctor, please answer the medical questions based on the patient's description.
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My 4 year old has had a fever for 3 days, ranging between 99 and 102.9. She complains of a tummy ache and she is coughing. Is lethargic but is more talkative and playful in day 3. She has ate little in the past 3 days, withe the third day the most shes eaten. Takes in some fluid. Complains she doesnt feel well.
Hi... Thank you for consulting in Chat Doctor. It is quite common for it to pain after severe cough. Do not worry. It seems to be a viral illness. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (Maximum ceiling dose 500 mg per dose) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards -
If you are a doctor, please answer the medical questions based on the patient's description.
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i have a cyst on the base of my penis shaft... the doctor said it was not threatening and to just leave it alone... i cant very well leave it alone when trying to have intercourse... there was no pain originally but now has started being sore to movement and to the touch cant tell if its getting bigger or about to rupture. should i get it removed?
HelloThanks for query. You have what is called as Sebaceous Cyst over base of the penis. The skin in genital area is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation and further treatment. If needed it may need to get excised in Toto (Completely along with the sac) Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
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Hello. My sister is 23 years old and is suffering from very low HB that is 3.5. Two years back she had severe bleeding due to fibroids and after that she s on medication. Her bleeding has become better but her HB has fallen down a lot. I am really worried what to do. Should we go for a blood transfusion.
Dear patient. Greetings from Chat Doctor !!! I am Chat Doctor and shall be answering your question. I can understand your reservations about blood transfusion and when it should be done. Furthermore, I will try my best to answer your question and guide you through the problem. Your sister has an HE of 3.5gm/DL. The normal HE for her is 12gm/DL. Her anemia can be multifactorial, blood loss due to fibroid, nutritional, menstrual loss. HE of 3.5gm/DL is a very low hemoglobin. The body goes into a state of high output cardiac failure and blood is not able to deliver enough oxygen to the tissues. Oxygen is a basic requirement of the cells. Hypoxia leads to accumulation of acids in the blood and the patient feels tired and breathless. Hence, I would recommend your sister be transfused with a total of 3 to 4 packed cells to get the HE till 7gm/DL. She can then be treated for the cause. She can then be given hepatitis, intravenous iron and treated for fibroid if any. Current day transfusions are safe and the risk of acquiring diseases is minimal. Hence, you shouldn't worry about that, I hope this helps you out. If you have any more questions, please do not hesitate to write back to me. Yours sincerely, ChatDoctor.
If you are a doctor, please answer the medical questions based on the patient's description.
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Hi, my husband has had a some sort of cold for about a week. Along with all the regular cold symptoms he has this awful cough that he gets at night that just sounds awful. He gets coughing so hard that he will often throws up and sometimes there is even blood. This cough seems to come everytime he gets a cold. What could be wrong?
HIIT might happen to vomit after an excessive cough due to the reflexes, nothing to worry about Regards Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
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i used MTPILL kit one week ago,but in ultrasound there is small products inside.so,doctor suggested to take another course of misoprostrol,which i have taken till now 2 doses.But nothing came out yet.Can u suggest some precautions to expell the product?
Hello;welcome to ChatDoctorMTPill kit is prescribed for abortion, and it works but in very few cases there can be failure to expel all the products of conception and in such cases D & C is required. So please consult your Gynecologist and follow her advice and if the products are not expelled even after another course then you will have to go for a curettage. Thanks
If you are a doctor, please answer the medical questions based on the patient's description.
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Why does my breathing feel limited now? Ive only had one panic attack . But I mean that was weeks ago, and now my breathing feels really limited, also when standing up for a while I start to breathe a lil harder. My heart rate is fine now that I have learned to sort of keep calm but now my breathing feels limited & in the middle of my chest and inder my left breast feels a little sore, should I be worried?? Btw im 18.
Hi and thank you for asking. Usually it is normal that during or after a panic attack the person might feel breathlessness. You explain that after you now have learned to sort of keep calm your breathing feels really limited. To rule out lungs problem you can do a blood count test, a chest X-ray and a Spirometry test. If they come normal I do not think you need other tests to do further. Thank you Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
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hey my aunt fell last week no one knows how. took her to the er and they just gave her pain meds. she do not have use of her rightside of her body. It looks like she has had a stroke. took her back to the er yesterday and her bp was 218/151. they got it down to 181/105 and let her go home. What should I do?
Hello, Thanks for posting your query on Chat Doctor ...* Brief Answer: she should be on regular medications for hypertension. Short information about progress of weakness.*Explanation: My opinion is that high blood pressure on many occasions is an indication for control. That happens on many levels. First, be sure that high blood pressure is not secondary to any other diseases as Cushing or renal failure. Then, Diet with low salt and less fat content is crucial. Exercise and other healthy activities are also a mean to control blood pressure. If all that does not help, medications are a must. That is usually decided by your doctor according to your condition and comorbidities. Some Chat Doctor. Regular blood pressure monitoring is as important as starting treatment so that we could assess efficacy of the medication we started. Weakness or neurological deficit in a hypertensive patient is a dangerous sign and need to be managed as soon as possible to avoid brain hemorrhage suggest my patients the following : lower blood pressure to a reasonable level, follow up conscious level and weakness. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about other comorbidities like diabetes, hyperlipidemia etc., also you didn't mention the fate of weakness or investigations done.*Conclusion: I suggest you consult your physician about your aunt antihypertensive medications. If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish your aunt good health.
If you are a doctor, please answer the medical questions based on the patient's description.
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My son was hit in the head three years ago with a tree limb causing his first seizure. Now at age 38 he doesn t use but can his right hand. He just recently went to the doctor an they diagnosed him with having MS. However then sent him to a neurologist an he diagnosed him with Corticobasal ganglion degeneration I feel like he had a stroke an it went undiagnosed.
I read your question and I understand your concern. To be honest I am very puzzled by your story, especially the corticobasal ganglion degeneration (CBG) part. CBG typically presents around the age of 60. The youngest ever documented case has manifested at the age of 34 (I rechecked before answering just to be sure). So if your son had that disease at 38 with manifestations starting at 35, he would be an almost unique case in the history of the disease, I would be really careful in taking that diagnosis. As for the distinction between MS and stroke related to the head trauma it should generally be easy with an MRI if history and examination do not already make that distinction. Without knowing more about the signs and MRI report it's hard for me to say something more because these diseases can have many presentations. The seizure would direct more towards the head trauma rather than MS, as would the fact that the deficit has remained constant in time since the hit, without new signs, as you seem to suggest, but as I said MRI and more details are needed. I hope things work out for the best.
If you are a doctor, please answer the medical questions based on the patient's description.
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hi i had an open myomectomy 8 months after delivery and i was advice to wait for a year before trying. it looks like i am preg five months after . will my stomach explode or burst open?. i am so worried but really want the baby because i am 39 and a half . please help i had 3 subserus fib remove that weigh 600gs. this was done in germany.but i am fine no pains or scars except that i had a nerve punctured and my lap was not responsive for almost 4 months but is ok now but for few itching.
Hi, there is increased chance of uterine rupture After mastectomy if you become pregnant soon. So, to heal the scar, 6 months to one year gap is recommended. But as you have got pregnant, be a little aware that after 8 months starting, you should be cautious of any pain in abdomen. Visit a doctor immediately if pain is there. Baby will require delivery by cesarean in most of the cases. Hope I have answered your question. Regards Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
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Hello i got poison ivy exactly a week ago and the rash seems to be at its ugliest stage now. Unfortunately I have it all over and around my buttocks due to peeing in the woods instead of the porter potties at a concert. But now the rash feels like a bruise and there are purple blotches within the hives that have leaked out pus for the last three days. Please help! Ive used zanfel and my doctor prescribed me a strong steroid cortisone but now my groin area lymph nodes are also swollen and hurt so I think it might be infected. :/
Hello, Thanks for the query. Zanfel is some herbal product. I cannot exactly say how effective it will be. You need treatment with, oral steroidsAnti histamines are also must. Please meet a dermatologist and discuss regarding this. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ Chat Doctor. Thank you
If you are a doctor, please answer the medical questions based on the patient's description.
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My girlfriend is running a 111 heart rate. She is a diabetic and has a doctor appointment for the 17th and an appointment with cardio on the 19th. Should we be concerned about her waiting for the appointments with her heart rate running so high? Also has had a few chest pains on occasion but they go away.
Hello, I have gone through your question. Thanks for using Chat Doctor. As such I need more information on symptoms of your girlfriend. But if she has chest pain and heart rate of 111,you should get her ECG as early as possible, because in diabetics, heart disease may be deceptive and may have milder symptoms with high heart rate. So I suggest you to go for early check up, however it may turn out to be minor condition, but first we must rule out heart disease. My best wishes. Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
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Hi Doctor,We have been trying to conceive from the past 8 months but in vain.The tests resulted good for my wife but disappointed me with my sperm count being 11 million with 50% motility .On consulting the Urologist , I have been prescribed Paternia and Fertile M.Can I expect any betterment on using the above tablets.Can you please help me
HAI, Both the Chat Doctor. As you got 50 % motility, chance are more to conceive with this profile. With the above
If you are a doctor, please answer the medical questions based on the patient's description.
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I HAVE NARCOLEPSY AND MAJOR DEPRESSIVE DISORDER.PROVIGIL DOESNT WORK FOR ME BUT NUVIGIL HAS HELPED A GREAT DEAL. I CAN DRIVE WITHOUT DROWSINESS WHICH IS HUGE BUT I DO TAKE EFFEDRINE AND B12 DRINK SHOTS [1] A DAY TO KEEP GOING,MY DR. DOESNT LIKE ME TO TAKE EFFEDRINE BUT WOULDNT IT BE WORTH A TRY TO ADD ADDERAL XL AND DROP THE EFFEDRINE.OR AT LEAST TRY THAT COMBO SO I CAN REACH MY ENERGY POTENTIAL SO I CAN FEEL LIKE MOST 53 YEAR OLD FEEL NORMALLY SO I CAN GET MY HOUSE IN ORDER?
HIT hanks for using Chat Doctor Adderall is a psycho-stimulant and its therapeutic doses improve performance on working memory tests in normal functioning individuals, and it is effective in both narcolepsy and major depressive disorder. At doses much higher than those medically prescribed, stimulants can interfere with working memory and cognitive control. Try to control its dose to avoid abuse potential. Thanks
If you are a doctor, please answer the medical questions based on the patient's description.
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sir, my uncles age is 80 years. sufferring with prostite problem and doctor kept separate pipe for urinating. from that day he is not taking any food and taking only juices and surviving on glucosebottles only.at present he is sufferring with loose motions.please suggest any medicine for fast relief please.
Hello, As I see the history it looks like the aging factor and also some infection in the body. Since he is having loose motions this is due to the heat in the body. Which is good to allow it to pass on. Of course, there will be a fluid loss but too much heat in the body may not be good for the physiology to function. As prostate cancer does not lead to multiple troubles unless and until the grades are higher. This can be helped with medication and if required surgery. Also, you need to monitor the heart rate, blood pressure, oxygen saturation levels. Giving external oxygen supply through the oxygen saturation machine will be of benefit to help further. Control of blood pressure and blood glucose levels is also advised. Make sure he doesn't develop any respiratory issues as that may make him weaker. Giving a good diet which is kind of Grace will be easy for absorption and also giving electrolytes will be good to have some strength. In bed, do some passive physiotherapy to help the muscular system to be active. As this plays a good role in be Chat Doctor. Also, see to that the catheter is removed after 2-3 weeks of time as this may not be good for the physiology to continue for a longer duration. Chances are heavy on the side of infection. Take the medication as prescribed by the doctor. Hope I have answered your query. Let me know if I can assist you further. Jay In
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MY HUSBAND AGE IS 31.HE IS HAVING SEISURE DISORDER IT WAS STARTED AT 27 YRS.6MONTH INTERVAL PERIOD ONLY FITS CAME . HE IS TAKING TAB.FRIZUM 10 MG AND TAB. EPILEX CHRONO MY QESTION. LIFE LONG CONTINU FOR THIS TAB! .WHAT CAN I DO FOR STOP THE FITS PROBLEM!
Hello, I cannot answer your question because I don't have sufficient information about his specific epileptic disorder. You must speak to the doctor about the REASON he is having such problems. Sometimes it is possible to retire the medications if he has been seizure-free for a period of at least 2-3 years. It doesn't sound like this is happening. Stopping the fits means your doctor should be able to tell you EITHER the underlying cause to his episodes OR the doctor needs to find another combination or another DOSING regimen of medications that can control his episodes. Also, you can help your husband by making sure he is well HY Chat Doctor. You should also make sure with the pharmacist that your husband is not taking any other medications or EATING certain foods or beverages that can NEGATE the effects of his medications to control the seizures. Hope I have answered your query. Let me know if I can assist you further. Take care
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I have recently noticed a twitch in my face just up from the corner of my mouth . Once in a while I have a twitch on my face just out side the corner of my eye . What is causing this?
Dear Friend, Your Description suggest that you have the initial episodes of hyper-sensitive facial nerve. This can be a precursor of hemi-facial spams. You are required to take diets rich in multivitamins especially that contains It B-12. Consult a neurologist if the condition persists for longer duration.
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I have been suffering from an abssess tooth going on 2 1/2 weeks. I am scheduled to see a specialist on Thursday for a root canal; however I have developed a blister the size of a penny on the roof of my mouth. Is it okay if I burst this blister? Its is causing a lot of pain.
Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint the blister that has caused to you is due to pus formation below the root tips of the infected tooth which at times perforates the bone and appears as a blister below the soft tissues. It is a painful condition, but you should not prick or burst the blister as it will be further painful. You should take antibiotics like Augmenting 625 mg three times a day and Tramadol 5Omg thrice a day and Pantoprazole 4Omg empty stomach once in morning.... You can apply numbing gel over the blister for local relief. You should continue with the medicine for 5 days and by then get the root canal started so that the pus finds a way to discharge, and the condition will relieve. Hope this information helps. Thanks and regards. Chat Doctor. .
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i have a problem in my stomach,veins of stomach are stereching so the result is pain in lower stomach.if i put some heavy thing then pain increases.weins are stimbring automaticaly and eyes are also stimbring ,i felt lots of fatigue and mentaly stress as wel.so i am not able to concentrate on things.after that acidity also started in my stomach i am sufring from this problem for last six months.pls tel me the solution to this problem. Regards Davender Arora
Hi Defender, For the discomfort that you are having in the abdomen, you must consult a doctor and get a detailed examination done, including ultrasound scan and if indicated gastro-duodenoscopy to diagnose the cause of your abdominal discomfort. Once the cause is established correct treatment can be instituted. Twitching in the abdominal muscle and eyes may be due to calcium deficiency. If that is the case you will require calcium supplement. Wishing you all the best.
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Hi, I am trying for conceive my doctor ahs advised me ovacreforte but since I have started I am getting blood discharge which is sometime high sometime low. I am scared what it is and why? I have checked over internet buit coudnt find much significance info so though of posting here. please help me in this regards. khushboo
Hi. The bleeding is purely coincidental in my opinion as ova care forte is a nutritional supplement which will help provide all the nutrients your fetus needs to develop and grow in a healthy and safe manner. Schedule an appointment with your doctor to find the cause for the bleeding. Best wishes.
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I woke up about yesterday feeling dizzy but the night before i felt fine . I puked like 4 /75 times & it gasnt gotten better. everytimr i move the room start spinning but only with the light a bit on .. like tinted a bit or even if its comppetelty on. i havs Alot if pressure in my head & i cant even walk without throwing up or feeling really dizzy .. what do i do??
Hello! Thank you for asking on Chat Doctor! Your symptoms seem to be related to an inner ear disorder. What is your age? Do you have any cardio-vascular risk factors (diabetes, hypertension, etc.)? I would recommend consulting with an ENT specialist for a careful physical check up and performing labyrinthine tests. A brain MRI may be needed, especially if you have known cardio-vascular risk factors. Meanwhile, I would recommend having some rest and take plenty of fluids to remain well HY Chat Doctor. Linearizing or betahistine may be helpful. Hope you will find this answer helpful! Best wishes,
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My 3 yr old had a tummy ache last night, i assume she was cramping, and when going to the bathroom, she all of a sudden wanted to go in a diaper and there was a pinkish color in her mushy stool. is that pointing to an irritable bowel? She is acting normal and seems to have slept really good.
She might have acute bacillary dysentery. She has to be given definite or other antibiotic for that. Give her lot of fluids. If her stomach pain is severe and continuing, u have to do ultrasound abdomen for intessusceptipn...
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Hi, I had been using a Zen Physio Deep Tissue Massaging Machine for the past 3 days which I believe has done more harm than it has good. I have a lot of pain in the lower lumber region and around my extensor muscles which go into spasm If I stand or elevate my legs. I cannot apply any pressure, so I can not stand and pain seems to be relieved when I lie down flat. Could you advise me on what would be the best thing to do?
U could have either a vertebral disc problem or your deep vein pathology .it requires further assessment and history which is incomplete here. Consult neurosurgeon.
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i hav a very thin hair bt density was fine earlier .bt since last 3 years its density is decreasing ...i m applyin coconut oil with methi and neem once a week and dove shampoo..bt aftr applyin oil n when i comb my hair i get a lot of hair loss..please suggest me some remedies n how to control my hair loss and maintain my hair density gud enough
Hello, Thank you for posting on Chat Doctor. I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions, Chat Doctor. Since you have not mentioned relevant history and description like sex, pattern of hair loss(patchy/diffuse), family history etc., It's difficult to put a definitive diagnosis. Still, it seems you are suffering from either An
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Dear Sir,I have seen some kind of pimples under my mouth without any pus inside and not going.Initially it was painful now there is no pain.But a big spreaded mark is left and embarrassing me a lot.I must tell you that I used skin lite creme over it.I it a correct cream.Please suggest me a correct cream.Now my doctor told me to use T-Bact.I am planning to buy it now.Please suggest me.Thank You.
When you get pimples in your mouth you have allergies with certain foods. Ask a doctor, sometimes when your pimples start to hurt you can get an affection from it. Ask your local pharmacist, if they can,, they will give you an illegal pill.
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Like the 20 year old guy below, I also have a small, hard bump more than a lump on my collarbone. It is more like below the skin and I can grab it. It does not hurt. Im curious because I found another similar small bump on my right shin. Im 51 and very healthy. What are these hard bumps?
Hi. My opinion is that any lump should be investigated. It could be a lipoma, but these are usually soft and benign, but we need to exclude other aggressive tumors. A biopsy will give a definite diagnosis. I suggest you see a doctor who can assess and advise further. I wish you good health.
If you are a doctor, please answer the medical questions based on the patient's description.
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I havent had a period on 6 mths. Prior to the 6mths my dr gav me medroxyprogesterone after day 10 of that pill i got my pd. Since then nothing yet. Im ttc and its hard i dnt get my pd. Im 26 i have a 3 yrvold n i had no trouble getting pregnant with her. I recently started taking vitex. What can i do to make my pds normal again. I want another baby so bad but i need my pd 1st.plz help me
Hiiii, Welcome to Chat Doctor. You are suffering from Secondary Amenorrhea for last 6 months.Also, you are trying to conceive, and you got last period 6 m ago after taking MPA. There are several causes. First exclude possible pregnancy by doing blood test for Chat Doctor. Other causes are POD (more common), thyroid dysfunction, over wt or under wt, psychological problems, eating disorder, certain Chat Doctor. So do some primary investigations to evaluate underlying pathology. Those are USG lower abdomen, LH/FSH, blood estrogen & Progesterone level, PPBS, blood prolactin, thyroid & lipid profile. After all investigations, consult with your doctor, and you will be treated accordingly. One thing you should be concerned that MPA can cause irregular/delayed menstrual cycle or long time infertility after discontinuation. Besides, you control your body wt by regular exercise, take healthy diet with avoidance of fatty food, avoid stress, take proper sleep along with vitae & nutrient supplements. Be well.
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i have herniated discs in my neck as a result im used to my arms and hands going numb no feeling and dropping things at times. But the other day which this has happened a few times my left fore arm locked up while washing my hair it hurt and also was numb my concern is could this be a sign of a heart attack or stroke?
Hi dear, When a herniated disc occurs, it can release pressure on nearby spinal nerves and the spinal cord, causing unpleasant painful symptoms, very common ones are neck pain, radiating arm pain, shoulder pain, and numbness or tingling in the arm or hand. Pain by patients are general explained as dull, aching, and difficult to localize to sharp, burning, and easy to pinpoint. Pain in your arms as well as in your neck is usually the first sign that your nerve roots are irritated by a problem in your neck. Symptoms such as numbness, tingling, and especially weakness in the muscles of your arms, are warning signs that your problem may be more serious. Weakness in your arms is a definite sign that you should see a doctor about your neck pain. So i don't think it's a heart attack sign neither a stroke. Not all patients with herniated disc require surgery. Patient can find symptomatic relief through non-surgical therapies such as exercise, medication, physiotherapy. I will really advise you to meet your consulting doctor for further management and proper treatment.I may also feel from your questing that this problem has limited your life/daily work to some degree, I can give you my honest opinion that in my clinical practice I have seen attest 95 % patient getting relief from physiotherapy and conservative management.I hope you will carry on with the treatment .TAKE CARE.
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I know of a 14 year old girl who is frequebtly urinating in school and bed wetting. It is causing social problems for her. She has been evaluated by a urologist, but no cause was found. I suspect abuse or neglect by the parents. Is this a likely explanation?
Hi... Thank you for consulting in Chat Doctor. I have few questions for you -1. Has this kid stopped bed-wetting at certain age and again started having it2. If so at what age she stopped and when did it started she had never stopped bed-wetting form birth...you can try some behavioral changes which I can elaborate after proper history and interaction with you, but the effect will not be immediate, but it will be permanent. If it's a recurrence after attaining nighttime control, I suggest you see your pediatrician to rule out pathological causes like urinary infections or Voiding dysfunction. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
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hey, i had a virus a couple of weeks ago and recovered ok. Now am worried that i have another virus or something else- i havent really slept for two nights, feel quite hot and shaky at times, have constant headaches and feel very dizzy, i also vomited last night. I do worry about things a lot and whenever i get ill i always worry and stress about it, im not sure if this is making it worse?help!
Hello, Thank you for posting in Chat Doctor. Post a viral infection, the convalescence period can be very long. I would advise you to record your temperature using a thermometer when you feel warm or shaky and check if you are running a fever. If you have a fever take T. paracetamol 500 mg. You can repeat this every 4-6hourly. This will control the fever. Keep your self well HY Chat Doctor.
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Dear Physician,Currently Im taking Phenytoin Sodium EX capsules and Keppra capsules for Grand Mal seizures. Is there any special diet or anything I need to avoid daily other than the well known things (alcohol, ect.)? Im curious about some of my side effect that I seem to have sometimes, and wonder if I may be ingesting something accidentally that may be increasing side effects (household items) unknowingly? However, Diabetes run in my family history.It seems sometimes as if Im taking a lot of this seizure medication. After researching them individually I noticed they all seem to have similar side effects. Changes of : blood sugar, pressure, diet, appetite, sleep, ect. Simply, all of the negative battles that a typical diabetic may struggle with. Please, can you give me (57 ft and 155 LB ) some advise on taking : 2- Keppra 500mg tabs and 4- Phenytoin EX 100mg capsules daily.
Hi, Thank you for posting your query. I agree with you that anti-epileptic Chat Doctor. Common among them are
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l have osttreoarthritis of the right knee was told when the pain kept me awake at night l should go back to the hospital for a knee replacement im only 46 and very worried about this as l was told that it only last 10 years and the 2nd knee replacement is not success full
Dear sir /madam I would suggest if you are able to do your daily activities or household activities or can use public transport you can wait for replacement, and go for knee physio, do qua Chat Doctor.
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Sharp pains in lower left side and lower left back radiating to the pelvic area. Drinking lots of water but nothing seems to ease the pain which is not constant but lasts from 15 mins to an hour. Cannot find a comfortable position when the pain comes on. I recently completed a 40 day ChatDoctor diet.
You could be having a colic and I suggest you get a few basic tests done. These include an ultrasound scan, a urinalysis, serum creatinine estimation for kidney function. A X-ray may also be required preferably early in the morning. You can take tab. Hosting for acute colic episode for pain relief. Once the test reports are available we will be in a better position to advise you. Regards.
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I am facing from quite wierd problems, i am blank all the time , i tend to forget things just like 30 - 40- secs after it , while studying , i just keep copying thin gs from blackboard , and camnt even ermeber what was the nlast line i wrote , even if i study constantly for 6 hrs or do a heavy workout , i neither feelk fresh or tired , its the same black and dizzy mind , i have lost my identity , i dont know how to respond to phone calls, i mean what to speak , when i go to shops , i am always confused what to buy , i am feeling sleepy whole day and cant think of anything , this has effected my personal as well as social life very negitively , is this fatique or nanxiety disorder or what ?
Hi dear, what ever you described is suggestive of depression or negative schizophrenia, but actual diagnosis is not possible without detail history and mental status examination. Hows your mood and your interest regarding your work?sleep and appetite habit?is there any fear or auspiciousness in your behavior ? Consult psychiatrist for detail history and treatment. There are many medications which is helpful and so not to worry about it. Thank you
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MY BP is averaging 183 / 130 since the beginning of the new year. I have resumed taking meds as there seemed to be no gain or lowering over several months. Have read about the dire consequences of such high BP and am at odds to find a way of bringing it down. The only area of which I am guilty is in the area of worry and stress. which I feel is made worse as we are no longer intimate ...for more than 3 years; and even before sex averaged 6 times a year. Any advice?
Hello thanks for posting here. You seem to have got resistant hypertension because your BP is not under control despite being on medications. So we must look out if there are any treatable causes of this resistant high blood pressure. A block in both the arteries supplying the kidneys is on the causes of resistant hypertension. So please do a renal artery Doppler to see whether you have kidney artery disease. Another reason is a condition Called pheochromocytoma. It is a being tumor of the Chat Doctor. To detect that a CT abdomen can be done. So my advice is first to do a renal artery Doppler and if it is normal then a CT abdomen. Meanwhile, your BP medications should be added and changed. Wishing you good health regards
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Hiii.....I want to ask abt my grand mum....she is 73 years old and is suffering from CKD....her creatinine is 3.2 mg/DL urea 85 uric acid 7.04 bun 38 mg/DL .her weight is 65 KGS.I want to known her stage of CKD......she is anaemic too......taking erythopotein injection once a week.
Hello, I have gone through your query and understand your concerns. Based upon the values you have mentioned your grandma is in stage 5 kidney disease and her GFR IS 14. If she is having symptoms then she needs dialysis at this stage but if she has no symptoms then management with medicines is needed. Please check calcium, phosphorus, PTH and renal function test monthly and take treatment accordingly. Chat Doctor.
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I get restless muscles after long distance endurance exercise such as a 50 mi bike ride with significant climbing. I am healthy, workout at least 7 hrs/week (includes aerobics, weights and walking) and eat well. It affects my sleep which is not good. Ideas? thank you ej
Hi, I think that you need to replenish mineral and micronutrients in your body after heavy exercises to keep the muscles healthy. I suggest you take regular health Chat Doctor. And take adequate rest also. Hope I have answered your query. Let me know if I can assist you further.
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my brother has had fever since saturday and on monday we took him to the doctor and they gave him amoxicilina because the throught scrape was positive but his feveer hasnt gone away and yesterday thursday we once again took him to the doctor but now since wed at night he had some pain in his right side of his stomach and yesterday the pain was around his belly button and the doct said that probably it was an appendix && Just incase it kept on hurting to take him to the hospital and now his temp is 99.9 and the pain in his stomach hurting still but now he doesnt want to eat what do you recommen to take his to the hosp. already or to wait to have another doct. appoinment??
Howell come to ChatDoctorThis is the case of Pyrex of unknown origin and this demands lot of investigations to rule out the possible etiology, here first is typhoid this need to be first taken into consideration and investigation need to be done in this direction, with the right diagnosis and right choice of line of treatment this comes around very well, take care have a nice day.
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hello sir....my sons age is 9 months..he is affected with grade-II GERD....doctor prescribed junior lanzol 15 for 6 weeks...but of no use...is this curable?what should we feed to him?he is poor in weight 5.5kg v r very much worried about him he will vomit often.my email is YYYY@YYYY
Hi HERD -II CAN BE MANAGED WITH MEDICATIONS.PLEASE CONTINUE MANHOLE AS ADVISED BY YOUR DOCTOR YOU CAN ALSO START HIM ON KINETICS - ON DISCUSSION WITH YOUR DOCTOR, THE MOST IMPORTANT THING IS TO KEEP THE CHILD IN PROPPED UP SITTING POSITION WHILE FEEDING AND TO GIVE THICKENED FEEDS-SEMISOLID IN NATURE.MOSTLY, IT WILL COME DOWN AS HE GROWS UP.HOPE IT ANSWERS YOUR QUERY.
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Hi I am a 17 year old male who does weightlifting 4 times a week. I have a sore right knee and it clicks everytime I bend Down and feels better when it does. Its uncomfortable and I saw my gp about it he said nothings wrong but it doesnt seem normal. Please HELP ! THANKS
Hello, Clicking can be a sign of damage to the cartilage or tendons of the knee. It would be best for you to see an orthopedic specialist for an exam. Regards
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hi doctor now a days one of my friends mom is a patcient of Septicemia with multi orgen failiure. hence i am also in touch with the relative.. since yesterday i am also suffered cold,fever and coufgh. i have already taken paracitamol+nimosulite and anti alargic. may i take some antibiotic like seftum 250mg twice per day??
Welcome to Chat Doctor. I understand your concern. You might be suffering from viral infection.I would adv you to do a blood test mammogram to see the total leukocyte count. If it is raised >10000/CMM then it is a bacterial infection and would need antibiotic like septum.Otherwise, viral cold infection resolves on its own. Adv-1. Steam inhalation2. Adequate rest.3. Plenty of oral fluids4. Salt water gargles.5. Medications like minaret and Monte LC can help. In case of worsening of symptoms refer to a general physician immediately, as swine flu has to be ruled out. Take care.
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I have a 21 month old who is constantly teething and congested. Ped says hes normal. Tonight I heard a slight wheeze when he woke up. Hes been waking overnight at least 4-5 times crying. I have a humidifier in his room on now. Does this seem to be allergy symptoms or pneumonia/bronchiolitis?
Hi, If you got him checked by the PED recently, and if he did not mention pneumonia/bronchiolitis, then, this is excluded. However, I highly suggest getting him physically examined by the PED for further evaluation. Usually, when having common cold/viral infection, the upper airways are congested and become narrowing. This is associated with difficulty in breathing. I advise to: - do aerosol-therapy with saline-keep his nose/airways cleared/opened-give him plenty of water/fluids to avoid deny Chat Doctor.
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Hi I am 21 years old and i just started having sex a last month. I have used post pill five times and now a Dr. has given me MICROGYNON oral contraceptives 4 cylce to help with my period(which is a bit unstable(timing)) but i am worried about its side effects and i am willing to pay more if there is a better pill for girl my age. i am worried about its level of protection because i dont want to get pregnant since i am in college and also i am worried about its side effects......please help
Microgynon is a low dose oral contraceptive with minimum possible side effects. In my opinion, these should not be more than those of any other low dose oral contraceptive. Pregnancy rate with all low dose oral contraceptives is only 0.1% which is the lowest possible rate. So, in my opinion, it can be a good choice.
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My husband and I stay in different places for work. We get to meet once in 2months and are ttc from 5 months. Intercourse is possible for 10-15 days every time we meet. We tried for conception in march, June and July. Used OPKs in June and July. Will this help while TTtc? Anything we need to be careful about???
Hi I think OPK will help you in getting pregnant. Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chance of pregnancy. Hope it helps.
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My husband has a very bad cough,last year had pneumonia.He is81 years old.went to an urgent care clinic,they prescribed the following AZITHROMYCIN TABLETS OF 250mg to be taken for 7days They gave him 2 daYs in a row an injection of ROCEPHIN They want him to go back to the clinic tomorrow for another injection of ROCEPHIN Could you please tell me if this is correct,and if he shoul continue takin more injection
Hello dear thanks for your question on Chat Doctor. No, this is not the correct way to treat. Old age patient, with bad cough with history of previous pneumonia should be investigated to rule out pneumonia. As pneumonia in old age patient, if not treated early can lead to poor outcome. So I advise you to consult pulmonologist and get done1. Chest x-ray.2. Sputum culture and sensitivity to guide antibiotics.3. Bronchoscopy and BAD (Bronchoalveolar lavage) analysis if sputum is not available It is better to start antibiotics according to sensitivity report to achieve the greatest effect and fasten recovery. So avoid Rocephin injection further and consult pulmonologist and start treatment according to guidelines.
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I have a dull pain in my left groin area to the side of and above my genital area about the size of my palm. Hurts every night when I lay down for about the past 6 months. Doesn t bother me enough to complain during the day. Any ideas? I m not working and don t have insurance so I haven t seen a doctor.
Hello, It could be a muscular pain or due to conditions like a hernia. As a first line management, you can take analgesics like Paracetamol or Diclofenac for pain relief. If symptoms persist better to consult a general surgeon and plan for an ultrasound scan. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
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Hello, I received the depo shot on August 27th. Shortly after receiving the shot I found out I was pregnant. I believe I got pregnant right before receiving the shot. I decided to terminate the pregnancy and did so on October 4th. My question is because I terminated the pregnancy should I get another depo shot right away. My next shot isnt schedule until November but I wasnt sure if the abortion effected the depo shot I already received in August. I appreciate any help on this topic. Thanks.
Hi and thanks for the query, I suggest you get a review from a doctor. Getting a shot of your demo at this point in time is the best idea. It is important to know how your system reacts to the demo. You might discuss other contraception options with your doctor. Wishing you the best of health. Kind regards. Feel free asking further questions through this medium. Chat Doctor.
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I had a HT and did not get seen until 1 year post my fall. I was unconscious, do not know how long. My brain felt as if it were slashing against my skull. I had a test and nothing showed up. I still have dizziness, and dont feel well. my ear now drains. Is that possible spinal fluid??? I have Ins. now and will be contacting Dr. ASAP. I had all the sighns of a concusion. my ears do not ring but itch
Hi, it is possible that CSF can Chat Doctor. It occurs in temporal bone fractures and is called CSF pyorrhea. Advised to consult neurosurgeon.
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I am being treated for lichen scelorsis at the moment. I was told to take a bath everyday. Since starting this my psoriasis has flaired up worse than ever. Its terrible. Im using dobovate cream on it at the moment. do you think the baths might be the cause problem. Is there anything else you would recommend?
Hi, As you said you suffer from psoriasis and that is worsened after treatment of lichen sclerosis. You also have doubt that daily bathing is responsible. I would like to say about few lines for psoriasis.... Psoriasis is a chronic relapsing and autoimmune disease. There may be scaly plaques on various parts of the body, scaly lesions on the scalp and sometimes joint pain may be there due to politic arthritis. Exact cause is not known. Genetic tendency, autoimmunitity, stress, Chat Doctor. .etc. may be responsible for precipitation and exacerbation of the disease. You did not say what treatment you took for lichen sclerosis. If your doctor has given oral steroids or steroid injections for lichen sclerosis.that would have worsened the psoriasis. I do not believe that daily bath is responsible. I usually recommend cap accretion 10 mg twice a day along with methotrexate 15 mg weekly in three decided doses 12 hourly. This may be taken for long time till good response. Blood tests may be done to monitor the treatment. Apply mild steroid cream or calcitriol point on the lesions. For scalp psoriasis, tar shampoo may be done. You may apply moisturizer to improve the skin texture. Avoid soap bath for few weeks. Avoid stress and worries as that might worsen psoriasis. I hope you got my answer. Thanks.
If you are a doctor, please answer the medical questions based on the patient's description.
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I have a sharp pain in the middle of the spine. I had a c section 2 years ago and have gained 25 kgs during my pregnancy at it was high risk and I was n bed rest. Though I have lost 20 kgs after that but the back pain lower and recently in the middle of the spine is unbearable. I also haVe neck ans shoulder pain for quite sometime now. I am a working women and most of my work involve working on the computer.i have the pain the middle of the spine at around the spot where I was give an injection for my c section. Pls advise
Hi, I believe that a good physical workup should be performed to discover the most likely cause of the localized back pain. It seems that you've lost nearly all the weight you gained during the pregnancy, so mechanical causes of back pain are probably less likely. Still a good examination to distinguish different types of back pain including the possibility of chronic pain following the c-section is worthwhile and can help identify even other causes of chronic low back. Psychological stressors causing back, shoulder, and neck pain are very common and even physical stressors such as working on computers without proper back/neck support or not taking frequent enough breaks, or being tensed in the shoulders and arms while typing constantly can play into the picture. In short, a number of potential causes can be in play. A good physical examination by a good physician with proper imaging studies and other workup will do a lot of elucidate the root of your problem. 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 lower back pain on my right side. It is very hard to stand in one place for more than a few minutes and bend and pick things up. Last week I had an episode where I couldnt move it at all without screaming in pain. That was an extreme but this has happened now about three times in the last two years. The pain standing and bending happens all of the time. I have RA and I am not interested in steroids or pain meds I just want this to stop. I am only 42 and I can no longer excersize like I used to. I have Florida Blue do I need a referral to see a back doctor?
Hello, Thanks for your query. It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis. The main treatment of such pain is bed rest along with painkillers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get the appropriate Chat Doctor. Meanwhile, you can follow these measures:- If the pain is severe, you need bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments.- While resting, keep a pillow under your knees if it doesn't bother you.- Avoid lifting heavy objects.- Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist.- Avoid exercises in times of pain. - Improvise your posture while sitting.- Using an LS contour belt of appropriate size might be helpful in providing support to back muscles. Also, maintain a proper posture while working, sitting and standing. Keep your back straight. Physiotherapy plays a major role in treating such conditions. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care
If you are a doctor, please answer the medical questions based on the patient's description.
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Hello! my daughter is 3+ yrs old. she is good on all activities but she is thin. she can not eat all at one go, she eats on regular interval. She is thin and her wweight is also less, currently her weight is 11kgs.. So I like to know how can I increase her weight and immune system well.Thank you,Bhavesh Vora
Hi Read your questioner daughter is under weight According to u your daughter eat at regular interval For weight gain u have to give her all types of food And also pulses and cereals U have to give her chelcerol sachet (one sachet on every week for 10 weeks)Also give her protein powder if not taking pulses in food Give food regular intervals but healthy food not biscuits or refers and other junk food Give daily morning Paley(spinach) soup which contains iron Also give her weather fruits and vegetable. If not gaining at properly then consult pediatrician and ask him/her for diary chart for your daughter
If you are a doctor, please answer the medical questions based on the patient's description.
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i am in pain with h&h and its so painful. i am on that on medication that starts with an A. i have always been depressed but its gotten to the point where i dont care about the depression and i just want this gone!!!! it its the wrost pain ever. if we are being honest i will tell you i truely want to die. its sad but true life isnt worth living when you are in pain every day. people can say they accomplish everything when you are disablied but truely its not true. i hate this sh and i am sick of being in pain. my doctor has no clue what to do
Degree understand your concerns went through your details. Clinical depression is usually treated with a combination of psychiatric medicines, psychotherapy, lifestyle changes, meditation and exercise. I hope you are undergoing psychiatric treatment, otherwise, please approach a psychiatrist. The pain you are mentioning here is due to your obsession with the pain. You should engage yourself in creative activities and agile games. Rest will be taken care by the medicines. Don't be obsessive and panic. 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.
If you are a doctor, please answer the medical questions based on the patient's description.
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My 10 month old daughter woke up with deep circles under her eyes and eye discharge so thick she had trouble opening her eyes. Her eyes are swollen but the whites of her eyes are not pink. She also has dark colored mucus draining out of her nose. If I go to the urgent care, will they give me Rx for her or send me home and say its just a cold?
Hello, Yes, it is just cold with secondary bacterial infections with purulent eye discharge suggestive of conjunctivitis. Start antibiotic Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
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I fell of my bike knees first my rt leg is healing but my left knee is not doing so well my bottom leg is still numb in some areas and i elevate my leg and take pain meds and the pain is 4/10 but once i step on my leg pain can be 8/10 with heat on the numb area please advise
That paid is due to nerve ending injury due to trauma.u can go for ultrasonic physiotherapy treatment and oral methylcobalamine500 tablets daily once 4 one month
If you are a doctor, please answer the medical questions based on the patient's description.
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Hi Doctor, Nice you have given us a chance to clarify doubts via online! Ah im Ahamed from Sri Lanka, so hope you know what our skin colour is. Actually I wanted to become fairer because I wanted to attract my girlfriend as well as to have a change in life... So the only person can help me is YOU!!! My skin type: oilyAge: 16Ah so please let me know a good fairness cream which will turn me fair within a month, please DoctorThank you...
Hello and welcome to Chat Doctor. Skin color I genetically determined. Asian skin is type IV skin which contains fair amount of melanin and is prone to tan quickly as compared to Caucasians/ people in the west who have very less melanin. Skin type cannot be changed but regular use of a broad spectrum sunscreen gel, which offers protection against both UVB and UVA, can be used to prevent sun induced tanning. A cream containing one or more of the following ingredients e.g. comic acid, glycolic acid, abuts, magnesium absorbed phosphate etc. can be use once daily at night to lighten up the tan and impart even tone to the complexion. Hope this helps you regards
If you are a doctor, please answer the medical questions based on the patient's description.
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Hi I have pain on the right side of my back upper right hand quadrant like dull and stuff but certain movements make it more sore. After having cream put on it this evening there seems to be likely swelling just below the shoulder blade to the right hand side just below and back from the armpit
Hi, as you mentioned your symptoms it looks more of the pain towards the shoulder blade, and it is due to inflammation. You can under therapeutic ultrasound therapy and TENS therapy for reducing the inflammation and pain. Also performing Myofascial release will help the muscle fibers relaxed. Seems like, it is trapezius muscle spasm pain which can be latter helped by performing Strengthening exercises. A physical therapist will help you further is needed any deep understanding. Usually patients recover within a week of time under the physical therapist guidance. With the grace of God I wish you a speedy recovery. RegardsJay In Chat Doctor.
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i am 30 and have no erection provlems but about 10 years ago i tried to masturbate over a pillow and while making to and fro motion over pillow i felt that i hurt someting in my penis but feeling was not so strong.since then i have provlems of less stiffened penis though no erection provlems.during musterbation i am not able toget full pleasure.please advice me what i should do sir
Dear user, Thanks for writing to Chat Doctor. I have gone through your question and understand your concerns. According to your description, there is almost nil possibility to have traumatic injury causing erectile dysfunction in your case. Let me know whether you achieve and maintain an erection in sleep, in the early morning or during masturbation then there is no need to be worried about. It is likely due to performance anxiety. For continuous erection, there must be constant erotic/romantic thoughts, feelings, and sensations in your mind. If your mind is diverted to concern about erection, you will lose erection or have delayed or no erection. This failure causes you worried more during next time and again makes you focusing on your erection rather than enjoying erotic feelings. You may read Senate focus on internet. I suggest psychological counseling with psychiatrist. Wish you good health.
If you are a doctor, please answer the medical questions based on the patient's description.
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My five year old son just complained of a lump on his gum. the lump is soft and when he pressed blood came out. the lump look a bit dark (perhaps from the blood) It is near his bottom teeth that are coming in crooked. What signs of infection should I look for.
Hi. Thanks for your query and an elucidated history. The lump which is bleeding is itself is an indication of an infection. Get him to be seen by the Dentist and get a proper treatment ...
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Hello... I have been feeling very depressed for ages, I forgot how long, all I know is that my depression is always somewhere, sometimes, I feel no emotion, empty, hopeless, angry, lonely, depressed, sad, isolated, grief, and very guilty for no reasons. Almost every single symtom for depression and major/severe despression fits me, except maybe one or two. I think this was caused from 8 months or more of loneliness and isolation at school, having no friends. I also have social phobia, an eating disorder, sleeping disorder, crossed-eyes, and more weird and strange diseases. D:
Hi, Thanks for using Chat Doctor. I have gone through your available history. It is very common to have depression as a comorbid condition with phobia and eating disorder. You must consult psychiatrist for detailed evaluation and management. There are very good Chat Doctor. Doctor may prescribe antidepressants like paroxetine or fluoxetine. Meanwhile, you can also do stress management and relaxation therapy like breathing exercise and yoga. I hope you will be fine soon. Thanks.
If you are a doctor, please answer the medical questions based on the patient's description.
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Recently, I had a tooth that had previously been treated with a root canal to abcess. The dentist discovered the problem with the abcess when a new crown was going to be placed, where the original tooth and crown broke off recently. The dentist put me on a antibotic for one week. I have a extremly sore neck and right shoulder blade for the past 2-3 weeks, I read that this could be due to the lymph nodes in my shoulder processing the infection from the abcessed tooth. It is the holidays and my regular doctor is not available. Should I wait another week to see if the swelling goes down?
Hi. This isn't from your infection or your lymph nodes may have a pulled neck muscle, but you may also have a disk problem in your neck, so you need to have this evaluated to see if you need an MRI scan of your neck
If you are a doctor, please answer the medical questions based on the patient's description.
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Hi I fell at work, hit my face and fell on my left side and left knee, which bruised my nose which has now healed and my knee was black and blue, but it s starting to really hurt when I walk, I strapped it up and it seemed to help, however today I got home and my leg has doubled in size my leg aches, and my ankles have disappeared! Very swollen! Do I go to the doctors? Keep putting ice on it? In need of advice-leanne
Hi, Thanks for your query. From description, it seems to be soft tissue injury. You need an x-ray to rule out any bony injury. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance. Beside icing and elevating it, you can take anti-inflammatory Chat Doctor. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care
If you are a doctor, please answer the medical questions based on the patient's description.
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Hi, the left side of my lower abdomen just above my pubic area feels bruised when I press it. I am not pregnant, and I just started feeling this yesterday evening. My period is 14 days away and I do not remember bumping into something but it might be a possibility that I did. I have no trouble using the toilet, and no pain unless I press against my lower abdomen. I hope you can help! Thanks
Hi, Thanks for the query. Pain in the abdomen can be due to various reasons. During the menstrual cycle, ovulation (release of eggs from ovary) takes place around 14 days prior to the start of menstrual periods. Occasionally some people feel pain in the abdomen during that time. Other than that, if you have any other symptoms relating to your bowel movements or urination, those also could be a cause. You can wait for 2-3 days to see if the pain is subsiding by itself. If it does not subside, then it is better to get examined by your family physician. You can also get an ultrasonography of the abdomen done to see if any abnormalities is happening there. Hope I have cleared your concern. Please let me know if I can be of any further assistance to you. Thank you. Regards
If you are a doctor, please answer the medical questions based on the patient's description.
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Hi Doctor,Im 22 year old and I have been having minor depression for the past 6 months.About 4 months ago I passed out at work due to the pain in period, my doctor suggested me taking birth control pills. Im getting worse with my depression and Im worrying the birth control pills not helping with my depression although they helped my period problem. Im feeling hopeless, please help!Hopeless
Degree understand your concerns went through your details. I can understand. Birth control pills do have these problems. Have you got diagnosed your mild depression from a psychiatrist / psychologist? You cannot diagnose depression yourself. There are certain criteria and need to diagnosed deferentially. You could just be disappointed and irritated. In such a condition also symptoms that resemble depression manifest, but are short-lived. 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.
If you are a doctor, please answer the medical questions based on the patient's description.
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I have two dry patches on the palm of both hands and have had it for over a year now. It itches from time to time but not always. I continually keep moisterizers on it. I am a nurse and wash my hands alot but have not changed soaps or skin moiturizer since it started. I have never had any allergies to anything and am 61yo. what could it be?
Hi, Welcome to Chat Doctor, You could be having a type of eczema which is known as pompholyx where one gets multiple tiny Chat Doctor. These are usually seasonal and occurs over palm and also on soles and side of fingers. You can apply a steroidal cream like mometasone and a good moisturizing cream. However, the correct diagnosis can only be made after careful inspection of your skin of palm by skin specialist. Hope this answer will help you.
If you are a doctor, please answer the medical questions based on the patient's description.
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hi i can you tell me what my blood test results mean Hematology WBC H 16.2 4.0 - 11.0 10*9/L RBC H 5.97 4.30 - 5.90 10*12/L Hemoglobin 168 135 - 180 g/L Hematocrit 0.50 0.41 - 0.52 L/L MCV 83 80 - 100 fL MCH 28.1 27.0 - 34.0 pg MCHC 339 323 - 365 g/L Platelet Count 324 150 - 400 10*9/L Differential Neutrophils H 8.7 2.0 - 8.0 10*9/L Lymphocytes H 5.9 1.0 - 4.0 10*9/L Monocytes H 1.2 0.9 10*9/L Eosinophils 0.3 0.8 10*9/L Basophils 0.0 0.3 10*9/L Granulocytes Immature 0.1 0.2 10*9/L RBC Morphology RBC Morphology Normal
Hello, Welcome to Chat Doctor, I am Chat Doctor Look, the blood report indicates high WBC counts with high absolute neutrophil count. It indicates presence of bacterial infection. Other parameters are not problematic. Consult with your treating doctor for the broad spectrum antibiotic. Regards.
If you are a doctor, please answer the medical questions based on the patient's description.
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i have a small lump (approx 2.5cm) on the medial aspect of my lower leg, just at the medial side of the musculotendinous junction of the gastroc muscle.. i have previous history of Medial Tibial Stress Syndrome (no problems with this recently as i ve not been running) and hypermobility.. pain weight bearing today prompted me to massage the area and i have found this lump and so discontinued massage. 24 year old female, 170kg
Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* This lump is indicative of soft tissue lesion in form of sebaceous cyst, lipoma, neurofibroma or else. Hope this will help you for sure . Wishing you fine recovery. Welcome for any further guidance. Regards .
If you are a doctor, please answer the medical questions based on the patient's description.
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My 10 month old daughter has been sick for the last month now. I have taken her to her pedi 3 times now, and I still don t feel she has gotten any better. It started as a normal cold that seemed to have gotten better after about a week then about 2 days after that got worse in a matter of overnight, so I called the Dr. and they saw her and said it was probably just post nasal drip, again after a few days seemed to be a little better, and within a few days after that got worse again. I took her in again to find she had an ear infection. The Dr. put her on augmentin which she had a reaction to which gave her a terrible diaper rash so I called once again and they changed her med to azithromycin and probiotics. I still see no change in her cough..it is a frequent cough that at times gags her. I am very concerned that she should have gotten better by now. What should I do?
Hello and welcome to Chat Doctor . From your history I concluded that your baby has upper respiratory tract infection. Azithromycin is a good choice and complete a five-day course.Meanwhile, remedy for cough must be done. I suggest Cetirizine (rigid) a non-sedative anti-allergic. Ivy leaf extract ( Chat Doctor. & Syrup Terbutaline (Brittany). Hope you find this answer satisfactory. Good luck
If you are a doctor, please answer the medical questions based on the patient's description.
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Can this be throat cancer?i have been suffering with pain in and around my ear fire about two mos now I saw an ent who said no ear infection I even saw a neurologist who said no nerve damage, sometimes I feel tiredness in my face as well my dentist said I should be checked for tmj I m twenty four and a smoker please help
Hi, Why do you smoke when you are so worried about getting a cancer? You have visited an ENT specialist, a Neurologist and a Dentist; none of them have detected any cancer; hence cancer should be highly unlikely. Moreover, your Dentist seems to be suggesting that your ear pain could be due to TMJ arthritis; which could be true. In that case eat soft foods and do not chew on that side for couple of weeks. Nevertheless, you need to quit smoking; otherwise the cancer can catch up soon in any smoker, and you may not be an exception. Sreenivasan
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my dad is 74, his kidneys are functioning at 6%. He has enlarged prostrate glands but the doctors are not concerned of this at the moment. He is not on dialysis and is doing quite well for a person whos kidney function is at 6%. Can prostrate glands affect the kidney function and bring it down to this level of function?
Hello, Thanks for the query to Chat Doctor. Forum. Benign prostates' enlargement is most common among male around 60 years. This prostate will not make any impact over kidney, so need not worry. When retention of urine, if occurs than get treatment of prostate enlargement. Usually it is 18-20 gm, is mote than 30 gm get a treatment from a surgeon. Conservative treatment is sufficient, surgery not necessary. Good luck.
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Hi, my 16 month old daughter is having loose motion followed by watery motion.. She also having running nose. THE frequency of motion is 03 times approximately in a day. My baby is in general active and is showing no other issues. Kindly suggest can I giveher ofloxacin and omidazole suspension and in what Quantity?
Hi, Nothing to worry, an infant passing motions 3-4 times in a day is common. If it is more watery and good amount than she might require anti-diarrhoeal medicine. Give her enough water and ORS liquid. Ok and take care.
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I had started masturbation at the age of 20 and now i am 24..i used to masturbate daily..i have been facing problems of soft penis, premature ejaculation, soft erection, reduced interest in sex also no erection in the morning. I have stopped masturbTing from 10 to 15 days but with no improvements..I am very worried and dont know what to do Please help
Degree understand your concerns went through your details. The problems you are mentioning here like soft penis, premature ejaculation, soft erection, reduced interest in sex also no erection in the morning etc. are due to psychological problems rather than physiological problems. You should consult a psychologist or sexologist for counseling. 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 have a pricking and pushing, spasmodic pain in my lower abdomen since 2-3 weeks. An ultrasound of the abdomen and pelvis shows a normal study . I have acidity and gastric problem specially early in the morning and subsides after having breakfast. My pain worsens the moment I get stressed.
Hi and welcome to Chat Doctor, This can be treated with anti-spasmodic and gastric medicines along with antibiotics. Hope your doctor prescribed the same. Continue the same medicines as prescribed by your doctor. Chat Doctor. Do you have pain in left lower abdomen? In my opinion you can do barium meal 24 hour picture to rule out diverticulitis. Do you have fever, constipation or diarrhea? May be scope study will give clear picture. Also stool ova and cyst lab study will be useful to rule out meiosis. Wish you speedy recoveryThanks
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My 12 year old daughter suffered from tachycardia a couple of months ago. She is perfectly healthy, active. By the time she was brought into the ER by ambulance from school her heart rate was 205 bpm. She had an ultrasound and heart monitor all results were normal.We found a large amount of mold in her room behind her dresser and under it, could this episode be due to mold exposure?
Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. Mould never causes tachycardia. Mould can cause respiratory infection, superficial or subcutaneous infection. Mould has nothing to do with the heart, so it never causes tachycardia. But having large mold at home is serious issue and can cause other health issues. I suggest you to do some engineering method to remove those molds, or you can spray some fungicidal chemicals that can cause destruction of the mold. In long period it can cause allergic reaction to you and your child Chat Doctor. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/
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I was hospitalized a month ago for a 10 mm kidney stone stent was removed two weeks ago now. I had a preemployment physical today and was told higth level of ketones in urine. I noow have severe backpain dizziness and vomitting....should this all be a concern linked to a possible stone?
Ketone s in your urine suggest your blood sugar levels not in control, it's not related to stone, maintain God blood sugar levels will remove ketone s from your urine
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For about the last year I have had wheezing. And it sounds like its deep in my throat - not my chest. Recently I have developed a metallic taste when I cough or sneeze. I do not have a chronic cough just seasonal allergies. My doctor gave me Zegerid because I have heartburn pretty often. It helped the wheezing the first time I took it. But I just tried it again and it didnt help as much. I also have a Dulera inhaler that helps the wheezing. I am about 40 pounds overweight so I wonder if that contributes too. Im a little worried about this. Anything you can give me would be helpful. THANKS
Hello, You may have sleep apnea, which can be related with your overweight. Wheezing is due to obstruction of bronchial tree, for which you can take bronchodilators. As you are having metallic taste, there may be retropharyngeal infection. Hope I have answered your query. Let me know if I can assist you further.
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I am on Depo I got my shot a week late. Me and my Fiance had sex a week ago.That next morning I was spotting pink only when wiped.While I was at work 2 days after it was a little pink in my underwear once again I wiped and it was a small amount on the toilet paper. We have a 5 month old son and I am breastfeeding
Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. Chat Doctor. .(MBBS, MS,MCH)
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Hi, my boyfriend is experiencing some tummy problems with it rumbling and feeling generally uncomfortable. He also has quite a high fever and his skin is pretty sensitive. He had breakfast and lunch but is feeling too weak to eat anything now. He tried to vomit, but to no avail. Is this just because his system is run down due to stress and exhaustion or is it something more serious? He rrecently started taking vitamin b supplements, but im not sure whether or not he is still taking them. Any suggestions?
Hello, You are talking about a weakness, upset stomach, discomfort, high fever and sensitive skin. Vitamin B supplements may not have anything to do with his present conditions. Because he has high fever, it should not be taken lightly. Therefore, my advice would be to consult a doctor earlier. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. V. Anand, Psychologist
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ive been trying to get pregnant via iui.. ive been taking progynova 3 tablets 2mg daily.. ive been through the 2ww and on the 15th day i tested which was a negative.. i carried on taking the tablets as i did not want to believe i was not pregnant and re took the test 2 days later which was on the 2nd of jan.. i also stopped the tablets the same day as i got another negative.. but im yet to have a period.. could i possible be pregnant..
Welcome to Chat Doctor, As you have done the urine pregnancy test which had come negative, the chance of you being pregnant are rare. I recommend you to wait for your periods which should come within 1 week of the expected time. If you miss your periods only then repeat the urine pregnancy test to know your pregnancy status. Hope that answers your question. Chat Doctor.
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I am RAJE,Female,24 yrs..I had a polycystic ovaries and I have done follicular study for 2 times as well as HSG also and for my husband age -30-he has count -110 & motility as 25-28...so Doctor referred him for Scrotalscan with Doppler-In that report Left side Varcicole is mentioned......What to do for next step Thanking You Warm RegardsRAJE
Hello First about Varicocele:Operation for VARICOCELE is not indicated unless there is :(1)pain;(2)serious depression of spermatogenesis (oligospermia) . In your husband there is abnormality in count as well motility, so I advise you please get in surgery for varicocele for your husband. This will not only improve quality of sperm as well counts. Now about PCs (Poly Cystic Ovarian Syn Chat Doctor. Using birth control pills can sometimes help regulate hormone levels so that cysts can be taken care of. Your gone will likely want you to come back (after the use of oral pills) after you have been on the oral control pills (some doctor also advise cyproterone acetate for this purpose)to see if the cyst is gone. At that time doctor may suggest you stop using the medication or if indicated, you Amy need to continue it for a bit longer. So for you consult an INFERTILITY specialist and get his opinion and surgery for your husband. Hope this will help you.
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Yes. I m 63 yrs old. I missed the bottom step going out onto my patio about 8 weeks ago. At first I thought I had a sprain on my right ankle. I iced it for a day or so and it got a little better but he pain seems to have moved from the outside of my ankle to the front part. And I m still having pain when I have been sitting for a while or when I try to twist it. Help!
Hello, I would like to have more information from you regarding whether the ankle was black and blue. Usually, the ankle sprain should have been gone by now. I am afraid that you have some kind of fracture, and you missed it. So, I would suggest you to do ankle x-rays and consult an orthopedic surgeon. 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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A couple weeks ago, my cousin was injured in a car accident. Trauma to the head and other injuries. My aunt emailed this morning and said: The Emergency room doctor told us that his heart was beating but his brain was dead and all doctors in the room decided to stop to help him. I have two questions which I m seeking an opinion on: 1. If a brain is dead, can the heart continue to function for a long period of time? In this case, I think it had to be 20 minutes from the time of the accident to the time the ambulance arrived at the ER. 2. Wasn t termination of further medical assistance really up to the next-of-kin? I m just looking for a simple explanation or non-binding opinion. Any assistance on this matter that you could extend to me would be appreciated. I have to go visit my aunt on Tuesday and I d like to have these answers so that I go with some peace of mind before I see her and make her more upset than she already is. Thank you for your time and help.
Hi, I had gone through your question and understand your concerns. If your cousin is diagnosed with brain death (there are examinations that determine it, EEG, cerebral and brain stem reflexes absent, etc.) then his heart can beat for an indefinite time if there is medical support, if no heart will stop soon. The time that human brain resists without oxygen is 3 to 5 minutes, beyond this time (without blood and oxygen) happens brain death and if the diagnosis is correct there is nothing to do to help him. Sorry I have to say this. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
If you are a doctor, please answer the medical questions based on the patient's description.
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These are the symptoms I found in a patient: impaired cognition, dystonia, early onset, dementia, dysarthria, muscle plasticity, personality change, muscle twitch, loss of eye control And the disease was found to be recessively inherited via a DNA test. How do I know what the disease this patient has? (I am a student)
Considering symptomatology and AR inheritance following are the differential 1. Neuroacanyhocytosis2. Wilson disease3. Some varieties of NOPD e.g. PARK 15.4. NBIA5. If it is not AR then also consider SCA 3, Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
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Hi,All I do for the past 6 months is go to work, come home, drink scotch while watching tv. Over the weekends, I am on the couch drinking and watching tv. I dont answer calls and I dot call. I love the quiet and being alone. What is wrong with me? I used to be active in church, had many friends and used to go to the gym and to dance. I have since added 60 pounds.
Hi, The short history that you had given suggests" decreased social interaction".probable Cause of decreased social interaction- Dysthymia, Depression, stress(physical/psychological/financial .....) or it might be personality problem. I suggest you go for psychological evaluation to a psychologist/psychiatrist. You will definitely get help. Hope this helps and clarifies your concern. Wishing you good health. Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
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I am coughing a lot feel very weak when I eat, food doesn t go down easy. I do have asthma but this doesn t seem to be in my lungs, more in my chest, also out of breath alot. Can t seem to walk more than 5 feet with out losing all air. I m almost 67 and am 5ft.4in.tall and weigh 115 lbs.
Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having acute exacerbation (worsening) of asthma. This is the cause for your constant cough, weakness and breathlessness. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). PFT will tell you about severity of the disease and treatment of asthma is based on severity only. You will need inhaled bronchodilators (formoterol, albuterol) and inhaled corticosteroid (budesonide or fluticasone). Combination of antihistamine and anti-allergic Chat Doctor. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
If you are a doctor, please answer the medical questions based on the patient's description.
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I am a man 38yrs ild. Healthy and workout 3 times a weekI have developed small lumps around my both my nipples. I eel a light pain when i press them. They appear red from outside. I have taken pictures of the same that i can send. Please advise what they could be and that if I need to see my doctor in this refard.
Welcome. I have gone through your query. It is difficult to comment on it without examination, so I would either suggest you to see doctor for examination and for exact diagnosis or upload the pictures here, I'll go through them, and provide you with specific advice. Hope this helps. Take care
If you are a doctor, please answer the medical questions based on the patient's description.
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I recently started having a rash. Red, slight burn, not really a lot of itching. It comes and goes. On my chest, arms, legs, top of feet. Not eating or doing anything new. However, I have been suffering with sinus issues. Rash appeared before I took any medication.
Hi, I feel that you suffer from allergic urticaria. Consult the dermatologist for the perfect diagnosis and proper treatment. There may be some allergens responsible for the disease. Sinusitis is also due to allergy. Trial and error method may be done to find out allergen. Those may be some dietary factors like dairy products, seafood eggs, cows milk, soy protein, banana, fermented food or some contact ants like perfume, grass, pollen, wool, dust, soap, insects, etc. Tab. Fexofenadine thrice a day will alleviate your ailments. Apply soothing lotion like calamine lotion. If needed, the oral steroid in a tapering dose may be taken after visiting your doctor. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
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This is general question. what is laparoscopy? Why it is done? Any risks?
Laparoscopy is a surgery that uses a thin, lighted tube put through a cut in the belly to look at the abdominal organs or the female pelvic organ. Laparoscopy is used to find problems such as cysts, adhesions, fibroid and infection. Tissue samples can be taken for biopsy through the tube. In many cases laparoscopy can be done instead of laparotomy surgery that uses a larger incision in the belly. Laparoscopy can be less stressful and may have fewer problems and lower costs than laparotomy for minor surgeries. It can often be done without needing to stay overnight in the hospital. Laparoscopy is done to check for and possibly take out abnormal growths such as tumors in the belly or pelvis, check for and treat conditions such as endometriosis, ectopic pregnancy or pelvic inflammatory disease, find conditions that can make it hard for a woman to become pregnant, do a biopsy, to look whether cancer in another area of the body has spread to the belly, check for damage to internal organs, such as the spleen, after an injury or accident, do a tubal ligation, fix a hiatus hernia or an inguinal hernia, removal of organs, such as the uterus, spleen, gallbladder, ovaries and appendix. Partial removal of the colon can also can be done and also to find the cause of sudden or ongoing pelvic pain. Risks include bleeding from the incisions, infection and damage to an organ or blood vessel. This may cause more bleeding that needs another surgery to repair.
If you are a doctor, please answer the medical questions based on the patient's description.
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Hello . I have a family member that recently had a pelvic exenteration which removed the cancer but recently came back. It is now in the place where her bladder would have been. She has lost a tremendous amount of weight & is too weak for chemo. What other options does she have ?
Hi, Thanks for writing in. Cancer is a challenging condition but must be treated till the end. If your family member had a cancer near bladder mouth then she must have had locally infiltrate disease requiring exoneration. This is a surgical procedure by which most of the tumor and its adjacent structures are removed. Even after surgery, seeding of cancer cells might take place and has happened in her case. If there is recurrent growth of cancer then she must take combination treatment with chemotherapy and radiation. As you have mentioned that she is too weak for chemotherapy therefore focused radiation remains the most tolerable treatment at the moment, but this depends on the general condition and local recurrence of the disease. Please have a discussion with the cancer surgeon and radiation oncologist and proceed with treatment as per the outcome of discussion. Please do not worry.
If you are a doctor, please answer the medical questions based on the patient's description.
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My doctor has suggested me to take tablet ovnac plus after the process of IUI ( on 10th day of my period), I am feeling lazzy and weak kindly suggest me shall I continue with this tablet? and in which manner it will help me in my pregnancy, and what are the side effects of this tablet?
Hi I think you need some progesterone to support the implantation. Talk to your doctor regarding this. The tablet which you are taking can be an insulin sensitizer but I don't use it generally. Discuss with your doctor regarding the exact purpose for which it is being used in your case because you have not mentioned whether house have pod problem of not.
If you are a doctor, please answer the medical questions based on the patient's description.
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was diagonalized to be suffering from early stage of Parkinson disease . The only symptom was minor shaking of hands while at rest and few occasions while holding a cup . MRI scan is normal. I was told to take Parkin tablets in the mornings and afternoons and Promipex 3 times a day. Promipex made me sleep and act strangely and talk unrelated topics twice and i have stopped it. I am fine now and my Neurologist says I am close to normal
Hello, Probably the dose that you were given was too much for early Parkinson's disease. You had the side effects of these medications. If you are reasonably fine without medication then you need not start it now. In early Parkinson which is not interfering with your daily activities Chat Doctor. All the
If you are a doctor, please answer the medical questions based on the patient's description.
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I just woke up now and noticed a tiny ball-like swell on my upper lips, i have been experiencing this for some time but its been over 3 months since i last saw one. I pressed it and it dissolved with little pain. Also after morning brushing, i notice this white stuff like dead cells in my mouth, this has been going on for a while. Please can anybody explain what is going on? Thanks
Hello and welcome. Please mention do you have associated cough cold? Do you ever had any viral infections.? Do you find these lesions on lips only?have you experienced them before too? Please do not touch them with bare hands it might cause infection too. Requires clinical examination. Hope it helps. Thanks. Take care.
If you are a doctor, please answer the medical questions based on the patient's description.
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Lately, I have had an issue of having to urinate more often than usual. Until recently, I would go in the morning when I got up, at night before bed, and maybe once during the day. But now I feel the urge many times during the day. I don t have any problem when I go, no burning or pain, and always a strong, steady stream. But now, seemingly 15-20 minutes after I go, I feel like I need to go again. My bladder always feels full except for immediately after urinating. I have had a problem with kidney stones in the past, and have suspected that may be part of the problem. I m 62 (and I suspect THAT may also be part of the problem) and in fairly good health. I just want to make sure there is nothing more serious that needs to be addressed.
Hi, It is important to know your gender. In males, it is most likely due to enlarged prostate. 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 occasional feelings like an electric shock that run from my fingertips and up my arm towards my heart. It always happens at night while I am sleeping and I wake screaming and shaking, hitting my arm to make it stop, afraid that I am about to die (if it gets to my heart). This has been happening for about four years (every few months).Could this be related to B-12 deficiency? I am a Raw foodist and I have low B-12 and low iron and vitamin D. I did read something recently that said B-12 deficiency can cause nervous system problems (which this would appear to be), so I ate meat for the first time in many years, but I have stopped as i am not comfortable eating meat, and it seems b12 supplements have more b12 than meat anyway, but now this has happened again and very badly, so I am again uncertain...
Hello, Sharp shooting pain which travel fast and on and off, comes and goes are usually related to multivitamin deficiency. You should go for proper treatment- it D supplement: 60K/ week *4 weeks ; then calcium with it. D tablets daily for 4-6 months. For B12- injectable given I'm alternate days - six to eight injections suffice. You should also start proper iron folic acid with zinc tablets daily - for iron deficiency management Hope the reply is useful
If you are a doctor, please answer the medical questions based on the patient's description.
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About a year ago, I had a root canal on a tooth. Yesterday I went to my dentist because I thought the filling had fallen out. Turns out that the tooth was cracked and split in two. The dentist pulled the loose half out. He suggested a crown but said I had to wait until the area heals. Today, the material from the root canal fell out. I called my dental office and was told that as long as it doesn t hurt, I m okay. I don t know what to do.
Hello, thank you for consulting with Chat Doctor. Actually when a tooth is split in 2 halves then the treatment depends on two things, if the split is extended till the gums then you have to go for extraction of tooth, as there can be further infection. And if the doctor is asking you to wait this means that the split is superficial, but still if material has come out then you should go for re-restoration. Hope it will help you.
If you are a doctor, please answer the medical questions based on the patient's description.
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is mazetol and tegretol same for a boy of 11yrs and taking medicine for 8 yrs.earlier it was 200 mg twice daily and now tegretol 200mg morning and 300 mg in the evening.He is anemic now and affecting his studies.Whom should we show and what should we do?Please help.
Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Due to his growth, the dosage is increased in evening. However, both are same Chat Doctor. 2. Anemia is important and needs to be treated. Meet a pediatrician and get a complete hologram done to identify morphological type of anemia and treatment can be started based on it. Specific tests may be necessary, if reticulocyte count does not increase after 15 days of treatment.3. Diet can also be improved with eggs, fish, green leafy vegetables, red meat etc. It will help in improving anemia. Hope it helps. Any further queries, happy to help again.
If you are a doctor, please answer the medical questions based on the patient's description.
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