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If you are a doctor, please answer the medical questions based on the patient's description. | Hello/ my name is Jesenia .I am very worried about my husband who has been ill for 2weeks fevers, a dry cough, loss of appetite, lost 10 lbs,sweats like crazy at night. we have been to a specialist for his lungs and he said everthing looked good.Dr. said he needed an inhailor to treat asthma which he dont have and gave him antibiotics. He is not getting better.Please help us. | Hi ! Loss of appetite with fever and loss of weight goes in favor of some kind of chronic infection. If you reside in a region where tuberculosis infection is not infrequent, you can discuss with your doctor to investigate your husband in the lines of possible tuberculosis and treat him accordingly. He already had some antibiotics and was not cured. Therefore, this possibility has to be considered.Wishing your husband an early recovery. |
If you are a doctor, please answer the medical questions based on the patient's description. | I have been feeling a uncomfortable feeling on right side chest to around the front of right chest but more prominent on side. ( feels more like a flutter or real dull pain ) it only last a short time few minutes sometime longer on and off all day. I get no other symptoms than that. Im in pretty good health and no problems at all. Im 43 and 190lbs | Hi thanks for contacting Chat Doctor. Noted here only dull chest pain present ... So here two causes can be there ....- musculoskeletal pain or -cardiac cause like arrhythmia as fluttering present .... Respiratory cause less likely as no other symptoms present... Here get your blood pressure measured and ECG or echo done to rule out cardiac cause. Causative treatment done... If no above cause present then muscular pain could be there. For that rest done.... Analgesic can be given.... Hot pad can be applied.... Avoid strenuous exercise..... Take care...... Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | My daughters blood test results seem really off. She is 8yrs old the following are high Monocytes% 9.74 ABS. Monocytes 1.07 Glucose 123 AST 48 Alkaline Phosphatase 344 She is low in the following, TCO2 19 Sodium 131 Albumin 2.8 Creatinine 0.5 RDW 11.5 Any advice? She has an appointment coming up at the children s hospital so, I d just like to be ready!! | There are 2 things that catch my attention in this report. One is glucose 123. Now was this a fasting or random sugar ?if it was random, then it is normal, but if it is fasting, you need to be doubly sure that the sample was given after 10 hrs of fasting. No 2 is sodium which is slightly low. Please get a Blood pressure done of your daughter, and if that too comes out to be low, then you need to increase sodium in her diet. Rest all parameters are not worrisome. |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I got a head cold about four days ago that I mostly assumed was from my allergies because it tends to happen every year. The issue is that around the same time I got intense lower back pain, which is horribly painful whenever I cough or bend. Is this a result of my cold? | Dear patientBack pain might be associated witChatDoctormon cols as its viral condition and leads to generalized body ache. You have backache which is getting worse with cough and bending and this indicates a different issue most likely disc prolapse. Kindly get yourself investigated for MRI of lumbosacral spine to rule out disc prolapse and helps in planning treatment. Take proper bed rest avoid forward bending and take diclofenac plus muscle relaxant twice a day and you we be fine. |
If you are a doctor, please answer the medical questions based on the patient's description. | I have been taking 20 mg of pravachol daily for 3 years. My alt and ast blood levels have always been in the 30 s. They are now AST 45 and ALT 77. I am 60 years old 6 feet tall and weigh 182 lbs. The balance of my bloodwork is normal. I reacently had an ultrasound and everything came back normal. No iron issues or hepatits A,B or C . My dr is no concerned and says we will recheck in 6 months unless I have any symptoms. Do you concur with thi approach. | HiT hanks for choosing Chat Doctor for your query. I really appreciate your concern for mildly elevated liver enzymes.Typically, the range for normal AST is between 10 and 40 units per liter and ALT between 7 and 56 units per liter. Pravachol which is used in the treatment of high cholesterol is known to cause injury to the liver which is reflected in the form of elevated liver enzymes. In view of the normal ultrasound, blood work, and normal hepatitis virus profile there is slight elevation which needs to be monitored and correlated with the signs and symptoms. Kindly visit your doctor for possible use of alternative Chat Doctor. I hope your doubts have been clarified. Kindly give your feedback if convinced. Take care. |
If you are a doctor, please answer the medical questions based on the patient's description. | When I get around weird people, my heart starts pounding like Im having a heart attack. My boyfriend has a lot of friends, and he tries to invite me to go with him, but I get so scared and nervous, I stay locked up in the house. What is wrong with me | Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms are not related to any cardiac disorder. Anxiety seems to be the main cause of all your complaints. You should know that the type of fear you have is also called agoraphobia. I would recommend consulting with a psychotherapist to help you manage anxiety. In my opinion, there is no need to perform any additional cardiac tests. Hope to have been helpful! Kind regards, |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I had sex with my wife and i was using a condom but unfortunately after my sperm came out it got licked from bottom of the condom..is there any chance of pregnancy..i guess the sperm would flow down instead of passing through fallopian tube..please advise.. | Hello, I understand your concern. There is chance of pregnancy as condom was torn and semen leak from the bottom. Semen may get enter into vagina as it leak form bottom. So there is always some chance of pregnancy in this type of act. I would suggest taking I pill with in 72 hours of sex to prevent unwanted pregnancy. If 72 hours has been crossed then wait for period. If period will delay by more than 7 day then go for urine pregnancy test and or blood Chat Doctor test to confirm pregnancy. If you will be pregnant then you can still terminate it by abortion pill under the guidance of gynecologist. Meanwhile, avoid stress, take healthy diet, Chat Doctor. Hope this may help you. Contact further if follow up needed. Best regards, |
If you are a doctor, please answer the medical questions based on the patient's description. | About three months ago I carried a heavy object upstairs and had lower abdominal pain following this. I recovered from this but find I have a localized pain in the left lower quadrant of the pelvic area that is painful when walking. I have been examined with no obvious hernia. | Hello, I have studied your case. Due to lifting of heavy weight there can be injury to vertebra or sacrum, you may need to do X-ray spine and MRI spine. Due to compression of this nerve root there is back pain and pain in pelvis. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Core stabilizing spine exercises will help. I will advise checking your it B12 and it D3 level. If not relieved ultrasound pelvis may be required. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care |
If you are a doctor, please answer the medical questions based on the patient's description. | good morningyesterday i got a itch on my little toe while outwhen i got home and looked i have like smallish white lumps inbetween my little toe which ic painful and very itchyive had athletes foot before but this dosent look the same and is ooseing a little | Hello! Thank you for the query. Between toes, there is a great environment for any infection development. It is warm and well moisturized area. This is excellent area for fungi grow. Such itchy lumps can be such infection symptom. Bacterial or viral infection should be also considered. I suggest you to consult dermatologist with it. Swab test should be done to determine the reason of infection. Hope this will help. Regards. |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, the gums by by 2nd molar tooth is swollen and i can see white and black spots on it, is it infected and will it pass in a few days? It doeant really hurt just bothersome and my wisdom tooth is partailly out and it leaves a gap where food can get in between my 2nd molar and the wisdom tooth but usually i clean this spot and remove any food but now my 2nd molar gums are swollen | Hello, Thanks for consulting Chat Doctor Read your query as you have swelling in gums due to infected 2nd molar and partially erupted wisdom tooth this condition is said as peritonitis. For this I will suggest you to consult oral surgeon for examination of oral cavity and Iowa x-ray of wisdom tooth. If it is impacted then go for extraction and treatment of 2nd molar. Inmeantime do warm saline rinses 2 - 3 times a day, do Betadine rinses that will give you relief in pain. Consult oral surgeon and go for curettage of gum around wisdom tooth. Hope this will help you. |
If you are a doctor, please answer the medical questions based on the patient's description. | I had my lft. ankle fused a yr. ago and ever since the outside edge of foot feels like there is nerve damage, constant pain all the time even with an orthopedic shoe....pain is very sharp and makes me cry out in pain.....can I have this nerve cut??........Brian c | Hi Brian Hope this message finds you in good health. I have gone through your complaints and understand your concern. You are right, u seem to have this neuritic pain, that usually occurs due to swelling and inflammation of a nerve. But cutting it is not the solution. U simply may take some local steroid injection that will reduce inflammation and pain. Also get a X-ray done to find out what's wrong. Nothing to worry about. I hope your question has been answered. If you have any follow-up queries, feel free to consult me anytime. Thanks, Take care, God bless. |
If you are a doctor, please answer the medical questions based on the patient's description. | Am worried about my upper stomach,iv just done IVF with 3 embryos transfered back in me, my upper stomach feel bloated than my lower stomach making me feel too full. Id like to know if this is normal. Am just 2 weeks pregnant and it feels like 2 months. What is wrong or is it normal with IVF? | Hi, Thanks for writing to Chat Doctor.Don't worry. Bloating is normal during infertility treatment. The reason is due to progesterone level in blood. This can be from progesterone supplement which is routinely prescribed after IVF. After you conceive your body also start secreting progesterone. Progesterone reduces motility of intestines and cause constipation and bloating. Bloating is common side effect of all Chat Doctor. No need to take any treatment for this. I would suggest you to have frequent meals 5 times a day as small divided amount and |
If you are a doctor, please answer the medical questions based on the patient's description. | My girlfriend recently had to start taking some painkillers for 2 pulled teeth, shes been on them for 2 - 3 weeks now. She tells me that shes afraind to close her eyes, something is telling her sleep is dangerous and feels if she falls asleep and wont wake up. Shes also been very depressed lately she says. And cant stop thinking about disturbing images like planes crashing, cancer, maggots and worms. Im very concerned and unaware what the heck is going on, do you know? | Degree understand your concerns went through your details. I suggest you not to worry much. These are delusions which are normal when we have deep-seated pain. Depression is also playing its role. But for the time being she needs expert treatment. Please consult a psychiatrist. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. 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. | My 13 month old stepped on a small piece of glass yesterday afternoon, my husband thought he removed it all and cleaned the wound.. But she has a fever, the wound is red and hot and swollen and she has a red streak ,oving away from the wound . What could it be and what should we do | Hi, Welcome to Chat Doctor! Brief answer: Your daughter has developed infection (cellulitis)Detailed answer: The problems listed in your question like fever, wound which is red, hot and swollen due to glass piece injury are suggestive of infection caused by the germs on the skin. She needs to take antibiotic like Cephalexin and for the control of fever Paracetamol syrup or suppository will be sufficient. The wound needs to be checked for the collection of pus. etc. and Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi doctor for past couple of month after having my bypass I encounter some trouble after it like I feel dizziness and started sweating up profously and feel like throwing up I have a bad case of sugar and bp as well and I being attack by parlyased too.Before any of this syptoms occur I do check my bp and sugar it show it under control then why do I encounter such problem? | Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that these symptoms could be related to different disorders: - low blood glucose-low blood pressure-low blood perfusion to the brain (cervical arteries' stenosis). I recommend consulting with your attending physician for a careful physical exam and some tests: - a resting ECG-Head up Tilt test for possible orthostatic hypotension- Doppler ultrasound of the cervical arteries-lab blood tests (complete blood count, fasting glucose, inflammation tests, blood electrolytes, thyroid hormone levels). You should discuss with your doctor on the above issues. Hope to have been helpful! Kind regards, |
If you are a doctor, please answer the medical questions based on the patient's description. | I am a 41 yr old male, 6 and 280 lbs. I found a lump in my abdomen today about 4 inches below my rib cage on the right side about as far right as my right breast. Touching it feels like touching the edge of a golf ball under the skin but is not causing me pain. I have done some searching on line for possible causes and have come up with a couple of likely candidates, one being some kind of hernia and the other an enlarged gallbladder. My question is not whether or not to see the Dr. but if there is any reason to rush. I would like to wait until January 1 when my insurance renews but dont really want to risk my life if Im in danger of for example something exploding inside me. Your thoughts please and thank you... | Hello! Your concern is very true. Yes, this can be hernia/lipoma. Very unlikely an enlarged gall-bladder. If there is impulse in swelling on coughing, its hernia. If disappears on lying down, reducible hernia. If it's not causing pain, there is no redness of local area & no vomiting/constipation/abdominal distension. i.e. symptoms of obstructed hernia, you can wait till Jan. If any of these appear, see your doctor. Hope this information is useful to you. Thanks. Regards. |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I am 30 year old male and non-alcoholic. I am on medication for Jaundice for the past 2 months. First blood test on 11th Feb 2013 showed my Total Bilirubin: 4.9mg, SGOT:499U, SGPT:430U and hepatitis B as negative. I was advised to take Liv52 DS and Limarin 140mg twice a day for 1 week. The next blood test on 16th Feb showed my Total Bilirubin: 8.6mg, SGOT:71U, SGPT:51U. With the same medication the next blood test on 22nd Feb showed my Total Bilirubin: 10.6mg, SGOT:30U, SGPT:92U.So I was advised to take further blood tests and USG (Abdomen) on 22nd Feb. The results were Alkaline Phospatase 52IU/L and HCV negative. In Scan my liver size was CBD: 3mm and PV: 11mm and Gall Bladder contracted. Then I was prescribed URSOCOL 150 mg along with Liv52 DS twice a day and was asked to do blood test every 2 weeks. The results with the date is given below9th Mar showed my Total Bilirubin: 3.4mg, Direct Bilirubin: 1.9mg, SGOT:59U, SGPT:92U23th Mar showed my Total Bilirubin: 2.0mg, Direct Bilirubin: 0.9mg, SGOT:75U, SGPT:128U6th Apr showed my Total Bilirubin: 1.6mg, Direct Bilirubin: 0.5mg, SGOT:99U, SGPT:137UNow I am advised to take only Liv52 DS twice a day but I am having a small pain on the left side near my lower rib. Please advise whether any diet should be taken or any medication is required. | Hello, sujith.Ramakrishna, I am glad that your Hepatitis B and C tested negative. I am also glad that you are not an alcoholic. Sonogram shows a contracted gallbladder which could be from chronic inflammation. No mention of stones. I am not sure if the doctors have ruled out autoimmune hepatitis by doing special blood tests such as ANA, Anti-DNA, Smooth muscle antibodies, Complement levels, Anti Kitchen Chat Doctor. These are important because the treatment is different. As for your current enzyme levels and bilirubin levels, they are improving. SGPT is somewhat slow to come down and so is Alkalinephosphatase. Your current medications USO and Liv52 seem to reworking. As for diet, I suggest you avoid fatty, greasy and fried foods. A healthy high protein diet with enough carboy |
If you are a doctor, please answer the medical questions based on the patient's description. | My son who is 30 has extremely swollen gums for several days and now he says that he has difficulty swallowing due to throat pain and his glands are also now swollen. He has an appointment tomorrow at 4:00. How serious is this condition? Would strep throat start this way | Hi. Thanks for the query. As per your complaint swollen gums and now having sore throat and swollen glands both seems to be due to different conditions and not one cause. Swollen gums can be due to most common cause that is gum infection and accumulation of excess of plaque and tartar on teeth and in the gum pockets leading to infection and swollen gums leading to Gingivitis. Other causes can be side effect of medication, if he takes any. You should therefore consult an Oral Physician or a Periodontist and get evaluated and a thorough scaling and curettage followed by a course of antibiotics like Metronidazole and anti-inflammatory painkillers like Ibuprofen can help. As far as sore throat and swollen glands is concerned, it can be due to bacterial or viral throat infection and for this you need to consult a Physician and get him evaluated, and a throat swab culture can be diagnostic. A course of antibiotics like Augmenting or Azithromycin, anti-inflammatory painkillers like Ibuprofen and warm saline gargles can help in improvement. Hope this helps. Regards. |
If you are a doctor, please answer the medical questions based on the patient's description. | hi there I have a sore hard lump on the side of my leg, I 1st felt it and expected a big bruise, but there was no mark on it all, it is slightly red, on the inside about 1/2 way between foot and knee, it feels hot to the touch, but there is no mark on it to suggest an insect bite. it is oval in shape, and around the size of a 10p | Hi! Whenever a patient visits my clinic with any kind of leg lump which is sore and red, I usually get following possibilities as per needle biopsy experience:1. An abscess 30%2. Infected inclusion cyst 30%3. Benign tumors like dermatofibroma, lipoma or neurofibroma 20%4. Benign tumors of the bone or tendon 10%5. Soft tissue infection like folliculitis, panniculitis etc.10%Therefore, it is time to see a surgeon for an opinion and please don't worry as this is infective only and never malignant!regards, |
If you are a doctor, please answer the medical questions based on the patient's description. | I had a corn removed from my toe last week. It must have been pretty deep bc now I have a large hole in my toe. I am using antibiotic cream and taking cephalexin for a week. How long should it take for the hole to close up, and will it really close up to normal skin? | Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that as your corn is very deep it requires a long time to heal may be 2 to 3 months. It will come back to normal skin having a mark of incision on it. But till that time continue with your medication. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you. |
If you are a doctor, please answer the medical questions based on the patient's description. | I have serve pain in the left part of my chest, ringing of my heart in my ears and bloodpresure of 164 over 45. I don t know if I should go to E.R. in our local hospital or wait and see my family doctor tomorrow. Would appreciate and suggestions. Marilyn A | Hello Marilyn, I have gone through your question. I would like to know from you whether you got chest pain for first time? Or you had similar pain in past, and it was evaluated?your blood pressure 0f 164/45 is abnormal especially difference between upper and lower pressure is significant, and it may point towards leaking aortic valve.However, final opinion can be given only after your clinical examination and investigations like ECG and echo. So better you go to ER and get yourself evaluated early, My best wishes Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | Dr,I have cough with phlegm for three weeks,and also on breast feeding,I saw the doctor he gave me antibiotics and Mucolyte tablet .I take this medicine for 12 days.My coughing is reduced But until i have mild cough.why this happen to me,Kindly advice | Thanks for your question cough with phlegm can be due to upper resp / lower resp tract infections if phlegm is yellow to green it means there was a bacterial infection if cough is relieved due to antibiotics no need to worry but if cough persists then you have to visit a pulmonologist who can get a chest X-ray and rule out other causes like tuberculosis/ pneumonia don't panicthanksfeel free to ask more questions may god bless you with good health |
If you are a doctor, please answer the medical questions based on the patient's description. | hi im 50yrs old lady ht 5.6cm wt 72 kg abit overweight . i have severe back ache and pain in both hips and legs like sciatica .MRI done showing disc desiccation in t4-t5 and surgeon advised me surgery as acccording to him no use of physiotherapy or medicines but im afraid as most people after surgery have the same problem .help me what to do and is walking ok in disc problem .Thanks | Back pain with pain radiating to limbs the first line of treatment is medications and physiotherapy, but if the pain persists, and it is due to disc herniation which is not subsided with physiotherapy and medication then surgery(disc removal) is required. If the disc herniation is left untreated you might later develop neurological defects like numbness of limbs and weakness of muscles. If the pain is due to disc herniation then post surgery pain will subside but recurrence of back pain due to disc herniation at different level is always a possibility. Now answer to your question-1)considering your age if you have not started on physiotherapy then start physiotherapy and painkiller, if pain subsides then continue physiotherapy. If pain persists then it is advisable to undergo surgery.2) walking is ok if you have only disc herniation without spinal instability, but not prolonged walking nor prolonged standing. |
If you are a doctor, please answer the medical questions based on the patient's description. | I am a 65 year old white woman with a few diseases, that make me question what is the life span I have left. I know my family doctor prefers not to have such questions asked by me b/c he worries about me going into depression. That is not the case with me. I have had 2 major heart attacks, and have been diagnosed with artery disease. I am a late stage diabetic on insulin, I have C.O.P.D., and now have been diagnosed with stage 3 kidney disease. I also have pseudocyst on my pancreas. What are my chances of another 10 years of life? | Hi, Welcome to Chat Doctor forum. Your living for 10 years more is depending upon your urge to live. C.O.P.D.after 2heart attacks is common to occur. If you see that the C.O.P.D is compensated, and maintained it is not a big matter. Kidney disease at stage 3, also to be taken care of by avoiding many foods, and Chat Doctor. I advise you not to think of your health, practice meditation, and some diversion procedures to prevent functional health problems. Wishing for a quick and complete recovery. Thank you. |
If you are a doctor, please answer the medical questions based on the patient's description. | hi, I had my bottom left & top left wisdom tooth extracted 3 days ago & i had it stitched with dissolvable sutures and now the inside of my left cheek feels swollen. I am taking my pain meds, anti-biotics, and rinsing my mouth with salt and water. I ve never had a tooth or teeth extracted and this is my first time. The lump in my cheek is soft & its not red its pink like the rest of my mouth. Its very painful and sore. I ve been hearing about dry sockets. Do you think its a dry socket or an infection ? Please help :( | Hello there....wisdom tooth/ teeth removal differs from that of your other tooth/teeth removal... The location, position and the morphology of the tooth would determine how the removal has to be carried out.... If it is surgically removed tooth, pain is very severe for the first 6 hours...pain for the initial 3-4 days after the removal is absolutely normal...it's because of the chemical mediators released in the body as a defense mechanism that triggers pain....we call this inflammatory phase.... Swelling occurs because of the inflammatory exudate that develops following surgical removal.this fluid with some amount of blood, gets collected beneath your mucosa and results in swelling... this swelling starts by the end of 1st day, increases in size and then gradually decreases by 4-5 TH day.... Continue with the same medication your doctor has prescribed....we usually don't advice resolvable (dissolving) sutures for the extracted sockets owing to the chances of infection...get your sutures removed by 7-8th day... If the same amount of swelling or pain persists even after the 6th day consult your doctor for further evaluation and management. |
If you are a doctor, please answer the medical questions based on the patient's description. | My major concern is that earlier, he experienced nose bleeding, chest pains and headache (lower left side of the back of his head) altogether. Hi, my boyfriend has a heart condition. He was born premature. He experienced frequent chest pains before during his high school days and then it went away for a year or so. Now, it s back. He experiences these chest pains about 3 times a week. Sometimes, the attacks come in 2 consecutive days or more. I also have a concern about him having nosebleeds every now and then for no reason at all. Recently he s experiencing headaches at the lower left side of the back of his head. He has lost his appetite and lost some weight. My major concern is that earlier, he experienced nose bleeding, chest pains and headache (lower left side) altogether. Kindly help me me please. I m really worried about him. -Joy | Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. You friend seems to suffer from -?CHD with Hypertension? Coarctation of Aorta. Other regular causes of Hypertension needs to be ruled out and treated if any. Nasal bleeding with chest pains and headache are due to Hypertension. With history of heart condition and premature birth with history of chest pains during school days, Coarctation of Aorta needs to be ruled out, with expert opinion from Cardiac Surgeon. Second opinion with CHD expert-Cardiac Surgeon is advisable in your case who would investigate properly and would plan further treatment for you. Hope this would help you to plan further care of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS |
If you are a doctor, please answer the medical questions based on the patient's description. | i am having seborreic dermatatis for the past four years ...i have lost almost all the hairs on my head...every doctor prescribes me almost same medicines which includes shampoos ,steroids which increased the itching and hairloss...i am tatally disappointed ...i feel like committing suicide at times..i think i need to see a psychiatrist ...i am almost convinced that there is no treatment forthis deadly disease...nothing works for me..! | Hi, Seborrheic dermatitis is a benign inflammatory skin disease characterized by greasy crusts and gradual hair loss. Exact cause is not known, but psychological upsets and depression might precipitate exacerbate the disease. You consult the dermatologist and psychiatrist as well. It is a controllable disease...so, continue treatment even after cure. It has tendency to relapse frequently. So, avoid worries and tension. Hope this helps. Thanks. Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | My mother had a tibial fracture at two places. She is being operated and rod is placec in her leg. I want to know how much time will it take to heal the fracture that are totally broken. When will she be able to walk. Any suggestion that what we shud take care off. | Dear patient thank you for your questions tibial shaft fractures heal within 4 months, yet many may take 6 months or longer to heal. Here are some things to take care of during the recovery:Pain ManagementPain after an injury or surgery is a natural part of the healing process. Your doctor and nurses will work to reduce your pain, which can help you recover faster. Your doctor may use a combination of NSAID, opiods and local anesthetics to improve pain relief, as well as minimize the need for opioids. Be aware that although opioids help relieve pain after surgery or an injury, they are a narcotic and can be addictiveEarly Motorman doctors encourage leg motion early in the recovery period. Physical TherapyWhile you are wearing your cast or splint, you will likely lose muscle strength in the injured area. Exercises during the healing process and after your cast is removed are important. They will help you restore normal muscle strength, joint motion, and flexibility. Weight BearingWhen you begin walking, you will most likely need to use crutches or a walker. It is very important to follow your doctors instructions for putting weight on your injured leg to avoid problems. Fracture pain usually stops long before the bone is solid enough to handle the stresses of everyday activities. If the bone is not healed, and you put weight on it too soon, it could fail to heal. If that occurs, you may need a secondary surgical procedure, such as bone grafting or revision fixation. I hope this helped |
If you are a doctor, please answer the medical questions based on the patient's description. | in my ultrasound abdomen result has come as hepatomegaly with grade ii fattyliver. also report says increase in size 168 mm and show increased echotexture. no focal lesions . kindly tell me whether it is serious. and also tell me its pros and cons. s. srikantam | Thank you for posting query.It's suggest Fatty Liver disease. Your also advice to do following test:1. Liver function test 2. Viral Serology (Bag, Head, anti HCV)3. Lipid Profile you should try to strictly AVOID alcohol and reduce weight (if your obese)further advice:advice:abstinence from "Alcohol and Chat Doctor. - use lemon juice (lemonade) once in a day-walk 30 to 40 minutes every day.- or swimming is alternative to walking-NO sports and NO jogging-"recheck liver enzymes after 6 to 8 weeks".wish you good health. Further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, |
If you are a doctor, please answer the medical questions based on the patient's description. | Have been taking 150mg propafenone hydrocloride twice a day for 18 months to control Atrial Fibrillation with good results however last three days AF has returned and the medication has not helped...I have had shoulder surgery 17days ago still in considerable pain could this be triggering it off despite my taking my pills...3 days ago took extra strength panadine (codeine and paracetamol) 8 tabs/24hrs..could this have interfered with my AF medication...my doctor is away this weekadvise will be greatly appreciated. Thank You, Buddy Lorenand | Yes, The pain activates the body sympathetic system 2hich pushes more a Chat Doctor. This would act as a trigger for precipitating atrial fibrillation. As long codeine can cause change in the absorption of propafenone and make it less effective. Codeine is available in different strengths, and so I am not able to deduce the total quantity you too in a day, 3p mg every 4 hours is maximum you may take and never more than 360 mg of codeine in a day (However this is maximum dose, and you may have side effects far early within the prescribed dose) . Do consult your orthopedic doctor as such severe pain so many days after the operation is a worry and any reversible cause should be sorted out rather than just popping pills. Regards |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello: I am a 69 year old female who attends weekly zumba classes. Last week after class my heart rate remained at 140 for 45 minutes after class ended. Is this something that should concern me? I have recently seen my cardiologist for an annual. No heart problems other than a murmur. | Hello, It is normal due to sympathetic stimulation while doing cardio. But an exertion and increased heart rate need increased blood and oxygen supply to the heart. In the elderly, the cardiorespiratory reserve is less, so it might be dangerous. Do it supervise and as per instructions of your cardiologist. 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. | My wife is Pregent for 12 weeks and find in TORCH: (A) Rubella IgG 76.59 (B) Cytomegalovirus IgG 10.60 Baby is OK in Ultrasound at 10th week. Dr. said this is a big problem, but i want to know which period this problem can be solve or minumam risk. Regards | Hello, I have gone through your query and understood the concern. Egg antibody presence indicates past exposure to the infection or vaccination, while IGM antibody presence signifies recent or current infection. In this scenario, the test may be repeated after 2-3 weeks and if there is a rise in the Egg antibody titles, recent infection must be suspected and further management planned accordingly. If there is no rise in tires, regular follow up is to be done with periodic sonograms to detect any anomalies early on. Vaccination should not be done during pregnancy. The baby is also tested at birth for evidence of infection and appropriate management done. Hope this helps. |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Dr. Planning to have Right Hip replacement surgery in January and 65 years old and good health at Bone & Joint Clinic of Baton Rouge LA. Would like to know the pro & con, success of surgery. Presently have bone to bone hip contact and taking pain medication. Appreciate your professional advise and would like get a website info showing the hip replacement surgery? Thank you so much and have a great week. Zoltan | Hello, Total hip replacement is needed for hip arthritis. With recent advances in implants and techniques, it has a long life. Pros: -Relief from pain.-Improved gait and mobility which is pain-free.-Correction of limb length discrepancy. -No need to use sticks. Cons:-Risk of infection.-Cannot sit on earth and lifelong need to use chair type toilet.-Risk of dislocation. Overall it is very rewarding surgery and most complications are preventable. 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. | My ALT is 48 and the range is supposed to be 5-33; my ast is 37 and the range is listed as less than 32. I injured my back last december, and have been taking tylenol ever since. My dr. said ad long as i stayed under 3000 mg per day i was fine. I hesitate to take ibuprofen or other nsaids, as i was in the hospital for 5 days in march with low sodium. My numbers were all over the place especially those for kidney function. They thought the ibuprofen i was also taking at the time had caused this and said to be careful about any nsaids. So should i be concerned about my alt and ast? | Hi dear thanks for asking question. Ast and alt values permissible up to 42. You have mild elevation of alt only.Here is no need of much worry. Yes by Chat Doctor. Ibuprofen you have taken can elevate it .so avoid haphazard use of analgesic... If needed then only taken... Estimate your cholesterol level and perform USG abdomen to rule out fatty liver. If jaundice present immediately consult doctor.... Take care.... |
If you are a doctor, please answer the medical questions based on the patient's description. | 3 weeks ago someone ran into my left calf very hard pushing a wheelchair. The area was swollen for 2 weeks in my leg and foot. There is still bruising covering an area the size of my palm, and a have a goose egg under the bruise. How long will it take to heal? Should I get it checked by a doctor? | Hello, I think you should meet up a physician and get it checked as its almost 3 weeks now and no signs of healing mentioned in the history. It must be surely just a muscular injury and will heal with hot water fermentation and use of stocking for the leg. But to keep yourself safer a physical examination and x-ray will be good to be done. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | hi. i have tiny blisters on roof of mouth which have now burst and are really painful.it looks like a large coldsore.i also get tiny blisters on feet and hands which dont respond to anti fungal treatment and was wondering if this is linked to my sore mouth. | Thanks for your query, I have gone through your query. The painful blisters could be because of the herpes virus infection(zoster). The blisters in the other areas could also be because of viral infection. Consult an oral physician and get it ruled out. If it is a viral infection then take a course of antiviral Chat Doctor. For the pain You can also take topical anesthetic and analgesics like Anabel gel. 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. | hi last night i went to emerg i heard the nurse tell my doctor i might have pnemonia he didnt even bother coming to see me and when i left upset and walked to his office he prescribed me meds that may react somehow with the meds im taking should i be concerned should find a new doctor is this common way to treat your patients? he was the doctor on call last night | Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely consult another doctor. Pneumonia is lung infection, and it should be treated promptly and correctly. And chest x-ray is must for the diagnosis of pneumonia. So better to consult another doctor and get done chest x-ray to rule out pneumonia. 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. | HELLO I HAVE HAD A KNEE REVISION 12 WEEKS AGO AND AM SUFFERING WITH IMMENSE PAIN. MY CONSULTANT SENT ME TO A PAIN MANAGEMENT SPECIALIST . ONE OF THE TABS HE PUT ME ON IS AMITRIPTYLINE 1OMG I AT NIGHT. THEY ARE MAKING ME SLEEPY AND HAVE CHANGED MY MANNER I.E VERY DROUSY AND IRRITABLE. I AM NOT GOING TO TAKE THIS NIGHT. WHAT DO YOU THINK. | Hello, Amytryptaline is a very good tablet for neurological pain. Also, pain is associated with depression, anxiety and lack of sleep. These things also improves with Amitriptyline. So I would suggest you to continue with it. You should take it 3 hours before going to sleep. If you want then you can decrease dose also. Start with 5 mg. If you are continuing feeling sedation then you need to check your other medicine also. As opioids Chat Doctor. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks |
If you are a doctor, please answer the medical questions based on the patient's description. | My Cardiogist had blood work done that included a liver/hepatic panel. My results were: AST-26, ALT-21, ALK-108, /ilirubin, total-.05, Bilirubin, Direct-.04, Albumin-4.0, Total Protein-6.7 and GGTP-177. He did not mention these results but I saw the lab marked the GGTP as being high. I do not drink and I was wondering if this is too high. I was also put on Pravastatin 40mg daily due to high cholesterol (241 total and 31 HDL; triglyceride was high at 262 down from 491). Thank you Brian Marsh | Hi, Thanks for using Chat Doctor, You are having high Lipid levels and taking statin(Pravastatin), your cholesterol and triglyceride are still high you should take care of diet and take your treatment regularly. Your GGPT level is high which is commonly high in damage due to alcohol, but this is not only one cause of high level of GGPT. The enzyme is present in liver and pancreas hence it can rise in hepatitis, cirrhosis, liver tumors, myocardial infarction, heavy or chronic alcohol use, pancreatic cancer and pancreatitis and viral infections such as Epstein-Barr, cytomegalovirus (CMV). There are few Chat Doctor. In fact Cholesterol lowering |
If you are a doctor, please answer the medical questions based on the patient's description. | hi i have had bad lower abdominal pain on n off 4 about a yr n half.. i urinate every 10 mins i also have lower back pain about 6 months ago i got diagnosed with clymidia i had a follow up check n was clear but i am in more pain than ever now and my periods r cripling me n loosing clots .i am waiting 4 a scan but am so worried i feel as though somthing is pressing down on my bladder n am soo bloated . do i have a ulcer,tumor cysts or cancer | Hello, There is very low chance of cancer. Your symptoms are suggestive of pelvic infection. Please undergo ultrasound scan abdomen and pelvis, to rule out uterine fibroid or mass in pelvic cavity. Also ask for urinalysis and microscopy to rule out urinary tract infection. Pelvic infection and fibroid are associated with low backache. Once you are diagnosed, you can plan talk to your doctor about further course of action. Maintain healthy lifestyle, be careful while using washroom outside of home as it is most common to get infected at public places. Hope I have answered your query. If you have any further questions I will be happy to hellish you good health. |
If you are a doctor, please answer the medical questions based on the patient's description. | I have a lump on my areola upper outer ring. I ve had these before. Before they were ingrowns that I had to squeeze out and tweeze it. This time I did the same thing and only pus came out. I ve been squeezing it BID with lots of pus & blood. It s painful. I seen a dark area that looked to maybe be the ingrown so I stabbed it with a sterile syringe to try to dig it out no help. I m embarrassed to ask my dr.... I ve been cleaning it daily in shower n after I squeeze the built up pressure I wipe it down with alcohol wipes. | Hi, dairy have gone through your question. I can understand your concern. You may have abscess forming acute mastitis or some cystic lesion with infection. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
If you are a doctor, please answer the medical questions based on the patient's description. | I m a 37 yo woman with early RA and I have genu valgum. Sometimes it causes me pain and has resulted in injury requiring surgery. Is there a way to correct without surgery? If not, do most insurances cover it? I don t want my knees to disintegrate later in life. Also, frankly, it s ugly. :/ | Hello, I have studied your case. RA with genus Valium may be associated with soft tissue injury. Your MRI may suggest soft meniscus injury. Meniscus injury can be managed by arthroscopic repair. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. Along with MRI we will also need weight-bearing knee X-ray. Due to old injury to knee there is early degeneration of knee joint. VISCOSUPPLEMENTATION: Hyaluronic acid injections given into the joint (especially large joints like knee joint) in prescribed dosages will give good short term pain relief in arthritic joints ranging from 1-2 years. You need to consult orthopedic surgeon for taking it. Yes surgery may have insurance cover. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care |
If you are a doctor, please answer the medical questions based on the patient's description. | Ive noticed a small tender lump on the outside of my wrist close to my bone on the outer ulna area? Ive had serious carpal tunnel since a cesarean section procedure in 2011 when I had my son. Ive had a history of graves disease that was said to have pooped out when I found I was pregnant then. Its been 3 years since any symptoms of my thyroid acting up. Anyways, whats scaring me is about 2 weeks ago I was in agony for serious lower abdominal pain that.radiated around my hip into lower back. Ct scan showed ovarian cyst about 4cm. But they weren t sure if it was my bladder sling or my ovary and was followed by an ultrasound. I was given antibiotics and muscle relaxers as.well as pain meds as my muscles around the area was spasming alot. Could there be any connection? Or is this just my carpal tunnel again? Its the size of a large grape, and just under the skin. It does move a little if I mess with it, then it starts to be painfull, otherwise I dont notice it unless it touches something. Please help! | Hello! Thank you for the query. Such lump in mentioned location is usually a ganglion cyst. Due to tendon small rupture a kind of hernia between the joint and the soft tissues appears. It is filled with clear fluid. Can be painful. Can grow day by day. I suggest you to consult general surgeon. The cyst can be removed. In case of any doubts, soft tissues' ultrasound can be done. Hope this will help. Regards. |
If you are a doctor, please answer the medical questions based on the patient's description. | Dear Sir, Four years have passed since we got married. I am 30, 5 feet 10 inch, 55 Kg. My wife is 23, 5 feet 8 inch, 65 Kg. Even after continuous attempt we have not been able to have children. We didn t use any contraceptives also. According to Diagnostic report, the quality of semen is poor, and my wife s Hemoglobin percentage is less and Thyroid percentage is more than necessary. Mine and my wifes Blood Group and RH Factor is AB +ve. What should we do to have children ? Please advice. | Hereford conception perfect health of both partners is a must. In addition to the reports mentioned kindly let me know if there is some menstrual abnormality also. Regarding poor quality of semen the things can not be perceived whether quantity is low or percentage of motile sperms is low. Have you taken any tests or medicine till now? In general I can advise that herbal medicines have very good results in all such cases. Your wife should start with cap. Ovarin forte 2 band you should start cap. Addyzoa 1 TDS. Send complete history with reports I will advise accordingly Chat Doctor. Co.in |
If you are a doctor, please answer the medical questions based on the patient's description. | Dear Dr. I have gotten married May 2012, but still i am not pregnant but madly wanna to get pregnant, for that we visited Physician, she referred for Pelvic analyse and semen test for my hubby, my pelvic analyse showed: Right ovary enlarged shows small peripherally arranged follicles with central echogenic stroma possibility of polycystic ovary need to evaluated with the hormonal assay. its size measured 3.7 x 1.9 cms and volume 7ml. No abnormal cyst or mass seen. Left ovary normal in size and no abnormal cyst or mass seen. Mild Free fluid seen in Cul De Sac. Semen Analyse report showed Rapid Linear Progression is 12% Then Physician Diagnosed me with PCOS and kept me on Meltiform ( Glucophage 500 mg) and no any treatment for RLP said it s not an issue with low. and also let me informed you that i have no any symptom of PCOS such as no extra hair growth, having regular periods and no any kind of other pain. so kindly guide me that what we will do. | Hi, You have couple infertility in the sense, impaired fertility is seen in both of your evaluations. POD responds very well to treatment. Please follow your doctors instructions with regular follow-ups. Maintain a healthy BMI and eat fresh fruits and vegetables. You may be assessed for ovulation induction if needed. There is no specific treatment to improve progressive motility and a repeat sample may be taken for conclusion. Natural conception chances may be influenced by this result and ART methods may be sought for if success rate through natural methods appears low. Hope this information is useful. Take care. |
If you are a doctor, please answer the medical questions based on the patient's description. | Why when Im laying in bed getting ready to go to sleep, usually laying on my right side, all of a sudden, no pain, just I feel my left chest area quivering and it becomes more pronounced enough that I almost feel as if my whole chest / rib area is quivering or like a shiver for what feels like a minute but is probably only 5 - 10 seconds give or take. It doesnt happen every night and I only seem to notice it when Im getting ready to go to sleep. Again no pain or anything to cause me to be scared just a strange strong quiver or shiver feeling. | Thanks for your question on Chat Doctor. I can understand your concern. Possibility of stress and anxiety related symptoms is more. But better to first rule out heart diseases like arrhythmia. Arrhythmia is rhythm disturbance in heart and this can cause shivering, fluttering, quivering feeling in left sided chest. So better to get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Stress and anxiety appear more likely cause. So avoid stress and tension, be relaxed and calm. Consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. But first rule out heart diseases like arrhythmia. Hope I have solved your query. Wish you good health. Thanks. |
If you are a doctor, please answer the medical questions based on the patient's description. | My very healthy seven year old son went to school this morning, started complaining of a sudden severe headache and then began to vomit. I brought him home where he hasnt vomited since, no fever but still has a mild headache and slight dizziness. He ate a great breakfast this morning and didnt have any complaints. He seems to be doing better now and is even saying he is hungry. I was concerned about the stomach bug but since he is feeling better so quickly, Im worried there might be something else going on. He never has headaches. | Hi... Thank you for consulting in Chat Doctor. Headache in kids need to be considered serious only when the below symptoms are there - 1. Vomiting continuously2. Seizures/ Fits3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. Without the above red flag symptoms, just feeling low energy levels points out towards Migraine and other sorts of tension headaches which are on the rise in current scenario due to excessive academic and peer stress the kids are experiencing. I have a few questions for you -1. How long has the headache been there, I mean previously?2. Does it always occur on forehead or keeps changing?3. Is it associated with blurring of eyes or double vision or giddiness?4. Is there any family history of migraine or single side headache?5. Is he very angry when he gets headache and does the ache get better after a good sleep?6. Does he vomit when there is headache? Kindly get back to me with the answers to above questions and also mention his weight so that I can suggest you the formulations which are good. But as of now - you can give oral Paracetamol in the dose of 15 mg/kg/dose(max ceiling dose 500 mg) every 4-6th hourly. You can approach me at the following link - www.ChatDoctor .com/doctors/ Chat Doctor. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. |
If you are a doctor, please answer the medical questions based on the patient's description. | I am diagnosed with fatty liver together with elevated SGOT and SGPT to 45 and 84 respectively, I am also hypertensive and taking atem 50 and hyperuresiamic with URIC ACID 8.8 , doctor prescribed me Ursocol-300 BD for one month kindly advice to recover quickly | Hi, How are you? My name is Chat Doctor. I am a Liver and pancreas specialist and I hope to answer your question today. Fatty liver can be caused by excessive alcohol intake (Alcoholic SEATO hepatitis, ASH) or due to excessive fatty food intake and sedentary lifestyle (Non-alcoholic SEATO hepatitis, NASH). ASH is usually the beginning stages of alcohol induced liver damage and is completely reversible if the patient refrains from alcohol. NASH is being much more commonly diagnosed currently owing to poor dietary habits and sedentary lifestyles of people. High caloric intake, high fatty food intake and poor exercise regimens lead to deposition of fat goblets in the liver tissue leading to fatty liver (which shows up as increased echo texture on USG). This is also completely reversible in the initial stages if caloric intake is limited and exercise regimens are adhered to. If left unchecked, patients usually become obese, diabetic and in final stages may lead to cirrhosis of the liver which will necessitate a liver transplant. I would suggest a healthy diet and exercise regimen. Although there is no time limit on when to get a repeat scan, I would suggest one, once you have succeeded in losing some weight. Hope this helped and hope you start to feel better. Please do not hesitate to contact me for further details. Have a great day. |
If you are a doctor, please answer the medical questions based on the patient's description. | I have had a panic attack every day this week, and wanted to know if there was anything I could do to stop or prevent them. Or even maybe what is causing them? I am headed to college in August, which seems to be the only stress factor I could think of, but I m not really all that worried about it. | Hi, I can understand your concerns regarding repeated panic attacks. A panic attack can occur as part of panic disorder or even other disorders like agoraphobia or depression. You might juts be suffering from panic disorder. The best way out is to initiate treatment for it. You should seek a psychiatric consultation for the same. Treatment with selective serotonin reuptake inhibitors like sertraline would be helpful. In addition, you can start exercising daily which will help you relax. You can also learn some relaxation exercises like deep breathing and progressive muscular relaxation which will be helpful. Hope that answers your query. Best wishes. |
If you are a doctor, please answer the medical questions based on the patient's description. | my husband s KUB ultrasound said he has a dilated pelvocalices at the left kidney and his impression is he has hydronephrosis and suggests a ct stonogram. the procedure is expensive for an average earner so im asking what can we do as an alternative treatment? | Hello, thanks for writing to Chat Doctor. Hy Chat Doctor. However, the ureter and cause of the blockage may not be always seen on an ultrasound due to shadowing by bowel gases. Other modalities available are a plain X-ray-though it may not always detect the stone. You can discuss with your doctor about your monetary concerns, and get the X-ray and also if he can recommend a trial of medication and fluids to flush it out. However, size and location of obstructing lesion are important in deciding treatment plan. Hope this is helpful. Take care. |
If you are a doctor, please answer the medical questions based on the patient's description. | I AM 39 YEARS OLD WOMAN & I AM SUFFERING FROM MARELGIA PARESTHETIC ON MY LEFT SIDE OF THIGH SINCE LAST THREE YEAR I HAVE CONSULTED WITH SO MANY DOCTORS BUT COULD NOT OVER COME FROM THE DESEASEKINDLY ADVISE ME WHAT TO DOI COULD NOT EVEN SLEAP BY THE LEFT SIDE OF MY THIGH | Thanks for the query. Meralgia parenthetical is a painful mononeuropathy of lateral femoral cutaneous nerve. It is due to the entrapment of nerve as it passes through inguinal ligament. It could be because of injury or tight clothing or obesity or weight gain or pregnancy. If any of the above-mentioned cause is involved. 1. Reduce weight2. Wear lose clothing3. Methylcobalamin 1500 mcg injections on alternate days for 1 month followed by capsules of 1500 mcg in multivitamin combination should provide good long-lasting relief. This treatment is for long term benefit4. In unresponsive nerve block surgical decompression required In your case if all the options of painkillers, local lidocaine or corticosteroid injections are given already for temporary relief and methylcobalamin also given then kindly go for surgical correction. |
If you are a doctor, please answer the medical questions based on the patient's description. | I developed a herniated disc November 29, 2013. I have been going to physical therapy and will see a Neuro Surgeon this Monday January 13, 2014. I have numbness in my lower left calf (in front) which has been there since the herniation. I woke up this morning with my ankle swollen on same side. Should I be concerned? Just wanted to say this incident was the worst pain I have ever experienced. | Hello! Welcome on Chat Doctor ! Your symptoms (swollen ankle) do not seem to be related to the herniated disk. It could be indicative of a deep vein thrombosis or arthritis. For this reason, I recommend going to the ER for a physical check up and some tests: - a Doppler ultrasound of the leg vessels- an X-ray of the ankle-complete blood count, PCR, sedimentation rate- D- Dimmer levels. Hope you will find this answer helpful! Kind regards, |
If you are a doctor, please answer the medical questions based on the patient's description. | hello...i want to achieve a pregnancy...i m 21 years old.my husband lives out of country...he is comeing back in next month....now.can i start to take a tablets of follic acid 5mg. i spent just 1 week with my husband and then he go back....and now after 6 month he is coming back....i m getting married in 24,09,2010 | Hi, Thanks for the query. I understand your concern Actually folic acid taken 3 months before conception helps in building good health of the couple as well as prevents fetal anomalies. So you both should have it according to your plans for conception. Another thing I would like to suggest is. He should visit around the date of ovulation .(. Which can be determined after observation for few months.) Mostly it is about 14 days prior to expected date of menstruation. Thanks. |
If you are a doctor, please answer the medical questions based on the patient's description. | my 9 year old daughter has got white blood cells in her urine the doc has done a urine test and it came back no infection , she had blood in her urine 1 year ago when we tested it and quite often complaines off pains in her lower stomach what could be the course we have 2 go back docs on thursday with another urine test | Hi, white blood cells in urine with pain abdomen in a 4-year-old child can occur due to urinary tract infection, renal stones, acute Glomerulonephritis. For urinary tract infection you have to do urine routine microscopy and culture test. An ultrasound abdomen should be done to look for renal stones. Blood pressure should also be checked. For the treatment will depend on the reports. Have a good day. |
If you are a doctor, please answer the medical questions based on the patient's description. | Im 19 years old and im 54 and I came across a herbal natural product used for height growth and I wanted to confirm with a doctor if the product is safe to use? Here is the following link for the product:http://herbalremediesindia.org/grow-taller.htmlIf you could please respond back to me as soon as you can it would be greatly appreciated.Thank you. | Hai, I have gone through the website. First time heard about this product. If a patient come to my clinic with this query I will give the following advise:!. If your parent are in the same height category you can't grow more than that. (more than 10 centimeters.)2. As you are already 19, no more growth expected in your bone (scientifically).3. I will not encourage any product which say it will increase your height. Thank you Hope I answered your query. |
If you are a doctor, please answer the medical questions based on the patient's description. | My daughter is actually 6yrs old. She has been complaining of stomach pain for almost 2 yrs now, lost alot of weight now weighing almost 36 lbs. and is 43 inches tall. We have seen several doctors and no answers, they told us possible IBS but we followed diet and pain was still there. She also got tested for appendix, etc. and nothing on the CT scan, they do upper GI and she had some inflammation but not bad. She is now on a pill that stops the stomach pain so she can eat. But lately its fever, pain, and loss of hair. What is going on with my kid?? The school is calling me 4 out 5 days. And none of this is social problems, she is a straight A student and tons of friends. She was born premature~could this have any effects on her at 6? | Hi. Thanks for your query and an elucidated history and want of finding the proper diagnosis. First - forget about pre-maturity and relation to the present problem; there may not be any relation at all. You say: CT scan was normal and is suffering for the last 2 years; and lately→ fever, pain, and loss of here hope Tidal test for Typhoid is negative. She has been treated for worms too, Tuberculosis has been ruled out. There are rare problems:: like abdominal epilepsy and so on- Gabapentin works- but you have to discuss this with a senior and well experienced Pediatrician / Pediatric Surgeon... Also go for enterocytes. CT alone is not sufficient in few cases. |
If you are a doctor, please answer the medical questions based on the patient's description. | Im 19. I have been struggling with (what I just discovered to be) HOCD for a while, and Ive been with my girlfriend even longer. The thing about it is, is that throughout this struggle, its been so hot and cold. It seems like it reverses every other week - one week its really bothering me, the next its like nothing ever changed and Im happy as can be with my girlfriend. Would seeing a therapist get me over the hump and back to normal for good? | Hi, thanks for the query. What do you mean by HOLD? Do you mean to suggest you have obsessive compulsive disorder with predominantly sexual or blasphemous obsessions? Some Psychologists tend to call this type of OCD as HOLD; though as per available literature; this is also OCD. Can I know the exact nature of your symptoms? OCD is a waxing & waning illness with origins usually in adolescence or early adulthood. Usual symptoms are obsessions which are recurrent intrusive anxiety provoking thoughts, impulses or images which are recognized as originating from ones own mind by the subject. Obsessions frequently lead to compulsions which are repetitive acts or rituals done to avert anxiety arising due to obsessions. Obsessions can be of dust, dirt, contamination, sexual, blasphemous etc. OCD is treated by Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | I am a 27 yr old female and have been diagnosed with tonsillitis. I have started a weeks supply of penicillin and my symptoms are a sore throat, enlarged and pus covered tonsils, swollen neck glands, fever and headaches. I am sweating a lot during the night. I had visited my doctor earlier last week complaining of fatigue but at that stage i did not have a sore throat. She sounded my chest and told me she could hear a heart murmur- this is the first time any doctor ever picked up on this. I am wondering could the 2 be correlated? Thanks | Hi! Thanks for sharing your concern with us. I read carefully what you said, and my answer is: Yes, the heart murmur your doctor heard could be due to the tonsillitis infection that you had. From your description that the tonsils were enlarged and covered by pus and with swollen neck lymph nodes, it is very likely that you had an infection from group A Streptococcus. This infection damages con also damage the valves of the heart, and this is the reason of the heart murmur heard. I would recommend you, that you finish all your treatment with penicillin until the end. Even though you might feel better and have no tonsillitis symptoms anymore, it is very important to complete the full treatment for preventing further complications (such might be the post-streptococcal glomerulonephritis). I wish you get better soon! Please do not hesitate to write me if you have further questions. Kind regards, |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi. I had unprotected sex with my boyfriend last january 29. And then, after having sex, he told me he cummed inside of me and then I went home and saw a blood spot on my under wear with a white color liquid. And then after 23 hours, I took a plan b...and then I also found out that last january 29 I was fertile. what are the chances of me getting pregnant? | Hi, You had unprotected sex during fertile period and within 24 hr took emergency Progestin only contraceptive pill, so the chances of pregnancy becomes least. So don't worry just wait till one week later to the expected date of menstruation. Your normal menstruation ll come(then no chance of pregnancy) if it doesn't then do a Urine pregnancy test to confirm status of pregnancy. Hope this ll help THANKS N REGARDS |
If you are a doctor, please answer the medical questions based on the patient's description. | i have some stomach pain from last 1 week . when i visited to near hospital they said i have " Acute Pelvic Inflammatory Disease". and they gave me medicine. 1. ornof 2. Pantop 3.Vizylac But still i have pain and i am filling uneasyness.please help me . | HIGREETINGSYour doctor has given proper medicine for acute pelvic inflammatory disease, and it will take minimum 2to 4 days to get some relief. If no relief after starting the treatment you will need an ultrasound scan to find out other causes of acute pain abdomen. Pelic inflammatory disease will include any infections of uterus tubes and ovaries. Even urinary infections can also be associated with it. Other common causes of acute pain could be torsion of the ovarian cyst, endometriosis, renal or ureteric stones and appendicitis if on right side.SO I suggest you to consult a gynecologist and take her opinion. I hope my answer helps you. Regards |
If you are a doctor, please answer the medical questions based on the patient's description. | i take thyronorm 125 every day ( hypothyroid ) i have 1 girl (first pregnency) 11 year old. she is hyper active and after 2 times miscarriage .when i am again pregnent during 1 and half month doctor recognize thyroid after born 1 boy he had cerebral pulsy he died in 1 and half year i need a child is it possible i am very tensed my husband need a child | Cellophane you for your query. Firstly, if your hypothyroidism is controlled on 125 thermoform, then do not worry. You need to rule out causes of previous 2 miscarriages as well as cerebral palsy in your child. Genetic causes, uterine malformations, infections in uteri, hormonal imbalances, autoimmune causes, traumatic delivery, intrauterine asphyxia - there are various causes for your earlier obstetric mishaps. Firstly go for a detailed evaluation of yourself and your husband, so that the cause is identified and prevented next time. Also, if it has been more than a year since you are trying to get pregnant, see a Fertility Specialist, who will assess various aspects for conception like ovulation, semen analysis, tubal patency, hormonal status etc. Take care. |
If you are a doctor, please answer the medical questions based on the patient's description. | I have had a fall after training and cracked a rib and fell on my arm at the same time. The arm is still extremely sore 5 weeks later. Even though rib is considerably better. I had an xray on the shoulder and the report is confusing. It says that there is a subtle irregularity in the bony margins of the bicep groove with the subtle cortical defects suggesting that there has been a fracture and the impaction of a fragment. Increasing density would be consistent with repair. The possibility of associated rotator cuff injury can not be excluded. Is this something that should severely be affecting range of motion 5 weeks later? | Hi Hope this message finds you in good health. I have gone through your query in detail and understand your concern. Yes, these findings do affect the range of movements to a large extent, even after months of treatment. Get a MRI done to get a detailed denoting to worry about, You should eventually get back to normal. Get back to me for any FOLLOW-UP QUERIES anytime. Kind Chat Doctor. .(MBBS, MS,MCH) |
If you are a doctor, please answer the medical questions based on the patient's description. | hiiiiiiiiiiiii..doctor.. i have face huge acidity problem for last 2months .i take omoprazoll 40 mg ..but nothing is improved..i feel a uneasyness near my throat ..like something is there..nd burping too much..i am very nervous..is it the symptoms of cancer?? plzz help me..what do i do??tab NEXPRO CAN HELP ME?? PLZZ SUGGEST.. | Hello Suburb, your symptoms remind me of Gastroesophageal Reflux disorder(HERD), a condition where the lower esophageal sphincter is incompetent leading to symptoms of acidity like heart-burn and chest discomfort. You should take twice a day dosage of any PPI along with risperidone (e.g. Rabbeted), which has a prokinetic effect, for at least 6 was under guidance of a doctor. If symptoms persist, an upper G.I. endoscopy to confirm diagnosis of any complication of HERD may be done to alleviate your fear and provide a possible surgical treatment. Please do keep me informed of your treatment proceedings, tk care. |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi My dad had prostate cancer a few years ago and had treatment. He saw the cancer specialist in Dec who told him he was in remission 4 years now. Last few months he has felt tired and looking pale. The dr has now said he is anemic and now last week she said to my mom she is worried about him and now today he had a call from the hospital to go for a anal camera monday. Do you think the cancer is back? He is 78 is in bad health with heart problems etc | Hi, dairy have gone through your question. I can understand your concern. He has history of prostate cancer, and he is in remission. He has anemia. Furthermore, he should search for cause of anemia. It may be due to iron deficiency, vitamin B12 deficiency or chronic blood loss. He should go for complete blood count with peripheral smear examination and anemia profile. He should also go for ultrasound abdomen to rule out any cause of bleeding. Search the cause and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
If you are a doctor, please answer the medical questions based on the patient's description. | Good evening Dr, I have just found out that I have pernicious ananiema. i have had b12 injections but my count has not passes 230, i have had blood checked and within 2months it has dropped to 127. i don t feel any difference from having these injections. I have pins and needles in my toes so badly that it worries me. i feel exhausted when i wake up in the morning and my mood could be described as depressive to say the least. what should i be doing or who should i speak to other than my gp as nobody seems to take my condition serious. thank you | Hello, thanks for using Chat Doctor. Pernicious anemia is a type of anemia that results from a deficiency in nutritional supply of vitamin B12 or from an autoimmune disease that leads to destruction of a factor in the stomach that aids in absorption of it B12. Autoimmune causes could be hereditary and in this case could occur in other members of the family. Diphyllobothrium datum a fish tape worm is also known to cause It B12 deficiency. It B12 deficiency usually presents with large red blood cells. However, It B12 deficiency is not the only cause of large red blood cells. Deficiency in folic acid also is a cause and if your diagnosis of pernicious anemia was made based upon your full blood count or blood smear results, then it is likely you have a folic acid deficiency. Folic acid is richly found in leafy vegetables, liver, kidney, egg yolk etc. and is also found as a supplement. You need to see a hematologist for a better evaluation and for further tests like bone marrow smear and autoantibodies if necessary. If you have more questions, please do not hesitate. Thanks. |
If you are a doctor, please answer the medical questions based on the patient's description. | I went to the ER with a feeling of chest heaviness and could not get a deep breath. Nuclear stress test was fine, cardiac echo was fine, VQ scan showed a low probility of PE, D-dimer was elevated at 250 and segs were elevated at 60.8. what do the elevated labs represent if anything | Hi thanks for contacting Chat Doctor ... Noted your D dimer level elevated.... It signifies coagulation abnormality like disseminated intravascular coagulation like condition or pulmonary embolism in which fibrin degraded product present in blood . Your symptoms highly suggestive pulmonary embolism.... Examination of your calf muscle done to look for deep vein thrombosis ... Here for confirmation of pulmonary embolism CT angiogram can be done.... If embolic seen heparin given..... So search for cause need to be done as otherwise d dimer not elevated Also investigate with PT, apt like test .... Consult good physician for detail examination and investigation ... Take care. Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi Im 34 y.o female, about 3 days ago Ive got bad pain in the upper part of my stomach that radiates to the middle of my back right to my spine. This pain feel like a straight shot. It gets worse when I take a deep breath. Can you tell me what can it be? Thanks. | Hi! Good evening. I am Chat Doctor answering your query. If I were your doctor, after examining you clinically, I would advise you for some routine blood test like a CBC, blood sugar, serum amylase/lipase, an LFT, and a routine ultrasound abdomen/CT scan abdomen, to rule out any possibility of inflammation of pancreas specially if you consume alcohol. Till that I would advise you for some kind of anti-spasmodic Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | My husband has been running a fever of about 101 degrees for two nights. Today he started hurting in his right flank area (from his abdomen towards his bladder) He went to the doctor today and they did a urinalysis which showed no red or white blood cells. They gave him an antibiotic and sent his home, but no answers. His fever is back up tonight and he is still hurting. Any ideas what might be the cause? | Hi. Thanks for your query and an elucidated history. The type of the pain you explained and fever can be due to right sided kidney infection and if there is an obstruction to the urinary outflow due to stone or so, the urinalysis can be negative as the infected urine will not reach the bladder. The best way is to go for ultrasonography to confirm or rule out certain problems. Continue the antibiotics as he has fever. Give paracetamol for the fever. At the same time the possibility of appendicitis, right sided colitis has to be kept in mind. Ultrasonography may help to an extent for this too. |
If you are a doctor, please answer the medical questions based on the patient's description. | i have my father here in kuwait, and he is suffering for kidney problem for how many years and today we got the updated result that 20 percent of his both kidney are only functioning. what can u suggest the best solution? do we require a kidney transplant or another alternative? Please all in family now is in shock and chaos.Please advice | Hithanks for posting in ChatDoctorI have understood your concern your father is in the situation of need for renal replacement therapy1.hemodialysis - done in the hospital2.peritoneal dialysis-can be done at home3. Renal transplant if his age is less than 65yrs and cardiac condition is good he can go for transplant whether cadaver or live .if he is not for transplant, be needs lifelong dialysis weekly twice or thrice depending on his symptoms. Hope this helps you any further questions please let me know thanks |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, may I answer your health queries? Please type your query here...My son is 7 and half years, his weight is approx. 28 kgs, and has been diagnosed with horseshoe kidney. I just want to know, what is it exactly, what will be its cause, treatment and what precautions should be taken. | Hi, Thanks for writing in. Horse shoe kidney is a condition by birth and occurs in a ratio of 1 in 500 child Chat Doctor. Here both the kidneys are joined instead of being two separate entities. In a child without symptoms, treatment may not be necessary. If your child has complications, they may require supportive treatment, which means their symptoms will be treated, but there is no cure for the condition. Should there be mechanical obstruction and vesicoureteral reflux which are very common in these patients, it may require surgical correction. |
If you are a doctor, please answer the medical questions based on the patient's description. | Two weeks ago I started suffering after exercise with extreme breathless episodes, which hasn t stopped. It happens every time I do physical exertion/exercise. I have more problem getting breath out rather than allowing breath to get in, and now I ve started coughing during the attacks too. It s also happened today while not physically exerting myself but around smoke. When it happens I feel like somethings irritating my airways and it feels really uncomfortable, almost like someones squeezing or tightening my chest/lungs. My doctor took pretty much one look at me and said it was anxiety and put it down to depression and placed me on 20mg Fluoxetine, but I really don t think it is, and think it s asthma or something else and I just need a second opinion. | Hi. I can understand your concern. It is mostly asthma. Asthma is most common allergic disease which is not a curable disease but definitely controllable, by controlling the same you can lead a symptom free life. Usually presents with cough, wheezing, difficulty breathing and chest tightness. If not treated appropriately can be life-threatening. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis. It will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. |
If you are a doctor, please answer the medical questions based on the patient's description. | i suffer from extreme paranio often think people are plotting against me, talkin about me etc. i sometimes think i am been watched by cameras n just get the feeling sometimes there is a big joke that i am not included in, i often suffer from long periods of low mood, all these problems have surfaced since the passing of my best friend although have suffered from paranio before but not to that extreme i also have trouble sleeping | Degree understand your concerns went through your details. I suggest you not to worry much. Paranoid personality disorder (PPD) is a mental disorder characterized by paranoia and a pervasive, long-standing auspiciousness and generalized mistrust of others. Individuals with this personality disorder may be hypersensitive, easily feel slighted, and habitually relate to the world by vigilant scanning of the environment for clues or suggestions that may validate their fears or biases. Paranoid individuals are eager observers. They think they are in danger and look for signs and threats of that danger, potentially not appreciating other evidence. As per the explanation goes, you know your problem. Because there is trust problem, treatment usually gets stuck. In your case, it has been just one year, and you are aware of everything, Could be cured if treated now. Please consult a psychiatrist soon for your better future. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. 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. | im a heart patient 45 yr old male two open hearts also had a valve replacemrnt and have been told ive got a aaa and recently been having pain and flutters in lower abdomen and also like when cutting grass or exercise I get very horrible pains in lower stomache what should I do | HI. The history of heart ailments apart. The type of flutter and pain in the lower abdomen is seen in enteritis. Get a clinical examination done by a Surgeon as infection not good in heart patients. Get blood, urine stool tests done and an ultrasonography to get a diagnosis and start on antibiotics and metronidazole and anti-spasmodic medicines to cure your problem. If IBS is suspected an opinion of a Gastroenterologist is a better idea. |
If you are a doctor, please answer the medical questions based on the patient's description. | In the last 24 hours, I have swelling at the top of the bridge of my nose/low forehead, starting to extend near the eye socket on one side, but I have not bumped my head, hit anything, etc. No pain-just unusual swelling making it look like I struck my head. No unusual food or other exposure that I can think of that would cause an allergic reaction. Possible causes? Course? Thanks | Hi, The possible causes are allergic reaction, any sweat gland or sebaceous gland infection or cyst, injury or others. These possibilities are based on your explanation. Course: If allergy antihistamines will help you. If due to infection in gland anti-inflammatory Chat Doctor. Sometimes antibiotics may be required. If cyst then excision can be done based on the swelling size, status.it will be better if you upload a good quality photo of it for better diagnosis and management. Regards |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I am 35 years old and my problem is that my Pennis head skin is very sensitive and as soon as I penetrate in the vagina I cannot hold myself and I pre-ejeculate. This problem is with me since beginning and I used to use some local anaesthetic sprays to reduce the sensitivity and then only I was able to satisfy my partner in the bed, but with the age this problem is increasing. I am not circumsised and I have the normal size of the pennies and I get the normal erection. Please suggest any ointment or cream to get rid of over sensitivity of my pennis head permanently. thanx | Hi, Thanks for writing in. This problem cannot be completely cured. You may need to control the pre ejaculation by other means. This can be by use of condoms and by application of desensitizing ointments local anesthetics like lidocaine/procaine and endocrine gels to the penis. Another way is by doing masturbation sometime just before having sexual intercourse. Some men use masturbation in the hours before anticipated intimacy as a means to improve ejaculatory control. |
If you are a doctor, please answer the medical questions based on the patient's description. | I have what I think is a spider bite on my thigh. It s a red ring, about 1.5 inches in diameter. It s raised and hard in the center with what looks like a white speck right in the middle. It s been there a couple of days and is painful to the touch and just a little sore. Should I ice this? Or is it too late? Thank you! | Hi, Welcome to Chat Doctor, I am Chat Doctor First of what was your symptoms ? Why did you go for urine and CT test? Normally, epithelial cells and bacteria may be found in urine. But, to stamp an infection the amount of bacteria is important which you did not mention. Coming to the CT finding it indicates you have a nodular mass in your kidney which is probably benign. I wonder why the Doctor who were present during scan advice for CT guided FNAC which would definitely confirm the diagnosis and decreases anxiety. So, go for CT guided FNAC. |
If you are a doctor, please answer the medical questions based on the patient's description. | I have high liver enzymes which showed up over the last yesr since my annual bld test, double normaln Also my thyroid tsh was high, so my doctor increase my levothyroxin to 75mcq Is the elevated liver enzymes caused by my hypothyroidism I am a moderate drinker 2 low cal beers a day and I slso am an oil painter | Thanks for posting your question on Chat Doctor! Liver enzymes are usually elevated in liver disease like hepatitis, cirrhosis, fatty liver and gall bladder disease. Other causes include Hypothyroidism, heart failure, obesity and muscular dystrophies. In your case the elevated liver enzymes could be due to alcohol alone or along with hypothyroidism. In presence of hypothyroidism the metabolism of alcohol gets slower and hence its toxicity increases more than compared to patients without hypothyroidism. Kindly refrain from taking alcohol. I hope your doubts have been clarified. |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi doctor i m 16year male old,height-511,weight-70kg...I masturbate some times....I got pimples but now they are completely gone & i dont get them even after masturbating...but these pimples HAVE LEFT BLACK SPOTS on my face!!!what to do now??????plzzzz help me........... I want to get rid of them THANK YOU!!!! | Hello and welcome to Chat Doctor You have post-inflammatory hyperpigmentation which is a common sequela of inflammatory acne. You could use a skin lightening cream containing one or more of the following ingredients like Aramaic acid, comic acid, HY Chat Doctor. An Oral It C once daily would help in hasten up the resolution of hyperpigmentation. Sun protection and using a gel based sunscreen would hasten the resolution as well as prevent further sun induced darkening regards |
If you are a doctor, please answer the medical questions based on the patient's description. | In the past few weeks I have woken up with swollen lips 3 times. I ve has helped and the swelling has gone down. Today they feel a little tingly And irritated. Swelling has gone down. I have not worn make up for 2 weeks and have only used vasoline or Ice for relief. Could this be a new food allergy?email YYYY@YYYY . My name is Rachel and I am a 30 year old female. | Hello Rachel, Food allergy with lip tingling and swelling (angioedema) is likely provided you get the feeling immediately after eating the offending food. Any foods can cause this, but has to be almost immediately or within the hour. Blood pressure pills such as enalapril, captopril, trandolapril, lisinopril etc., so please ensure your current medications are checked with your doctor if you are on any. If now food allergies are unlikely, then this is idiopathic angioedema, and you need to be on cetirizine 10 mg once daily for 1 month to see if this recurs. If it still recurs on antihistamine, please get complement proteins C3 C4 level checked. Best Wishes. |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, My son is 20 month old.Heis suffering from loose motions since 2 days(especially day time like 7 stools p.d ).I gave him pedialyte so that he doesn t dehydrate. But its not controlled. It seems like my child is getting some more teeth.can u pls help Thanks shwetha | Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | Sir my daughter aged 6 yrs suffering from fever cough n cold from last 3 days.the earlier in march 2014 she was suffering from maleria. Please guide us at present we r giving her T29 ,Droxile 250 mg n Fluecold syrup sir my daughter is not well since march please guide us what we do as every 20 days gets fever n cough. Dr told us that she was suffering from bronchitis. | Hello, Thank you for asking at Chat Doctor. I went through your daughters history and would make suggestions for her as follows:1. If she gets fever and cough-cold every 20 days, I would suspect one of the following:a. I would highly recommend you to measure fever by thermometer. If it is more than 101, then only I would think of infections, usually viral.b. If fever is in range of 99-100, cough-cold may not be because of infections, but because of allergic causes.c. I would like to know more about her like - whether she has any other symptoms, whether she has breathing difficulty anytime, whether she has headaches, any problems with urination or stomach, whether her appetite is good, whether her weight is ok or not, etc. These details would help me to think about more possible causes.2. Were I treating her, I would suggest her complete blood counts, ESR, CRP, serum total IGE levels, urine routine & microscopic examination. These are basic investigations which would give clues towards possible causes.3. At present, I would suggest her an antihistamine like levocetirizine and a cough syrup for 5 days, I would suggest you to complete course of the antibiotic (Chat Doctor. 4. I would also suggest her iron syrup and multivitamin supplements including folic acid, vitamin B12 and vitamin C to maintain hemoglobin around 13-14 go if it is not so. This will help her improve her immunity. Please consider iron and supplements only after her recovery and after her antibiotics are completed.5. I would suggest her good nutrition - adequate amounts of fluids, diet rich in vitamins & minerals (plenty of green leafy vegetables, fresh fruits and sprouts, etc.) which will also improve her immunity.6. In general, I would suggest her to avoid exposure to dusts, smokes and air pollution as much as possible. Hope above suggestions will be helpful to her. Should you have any further query, please feel free to ask at Chat Doctor. Wish your daughter the best of the health ahead. Thank you & Regards. |
If you are a doctor, please answer the medical questions based on the patient's description. | About a month ago I had a Breast augmentation and lift and I am starting to notice redness and puffyness around the incisions. One Breast even has a puss filled looking bump. Is this something normal to expect with foreign objects in my body? Or should I go see my doctor immediately? | Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No foreign, objects won't cause any allergy to the body because the material used is of inert quality. I suspect infection in you. I advise you to take definite tablet 200 mg three times a day for minimum of three days. Please take above medication under your doctors' guidance. You can take pantoprazole under your doctors' guidance for acidity. Please maintain good hygiene around the incision mark. Do regular Chat Doctor. This will equally help as taking antibiotics. Please wear cotton bra for the breast. Synthetic material can cause further reaction. I will be happy to answer your further concern on bit.ly/ |
If you are a doctor, please answer the medical questions based on the patient's description. | Doctor,My marriage was in Aug 2009. I am 30 years old and my wife is 28 years old. Both of us are bank officers. We stay separate due to our job locations. We used to meet once in a week or sometimes twice in a month. For a year, we take precautions. During last month, my wife took leave for 2 weeks (12 days after her periods) but failed to concieve. Her periods is not regular. she has undergone preliminary tests and the doctor has advised her she is perfectly ok. Whether I should have sperm analysis. please guide. | Hi, Thanks for using Chat Doctor. I understand your concern. Since how long have you been trying to conceive? It is called infertility if couples did not conceive after 1 yr of unprotected intercourse. You can get a semen analysis done. Since her ovulation is irregular the exact date of ovulation cannot be predicted. So like in normal cycle 14th day ovulation cannot be expected. In your case, once her census starts, she should visit a doctor from day11 for follicular study. May be study has to be repeated on day13 and15 to see the exact time of ovulation to have a timed intercourse. In case there is no ovulation then ovulation induction Chat Doctor. Chat Doctor in for follicle rupture and GUI is the next stage treatment. Hope I have answered your queries. Good day. |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I am a 31 year old female and have had chronic back pain now for 2 years, I had a Mri scan in november which gave the following results - consis L1 normal, dehydration of the two lower lumber discs is noted. disk protrusion L4/5 and L5/s1. central disc bulging noted L4/5 indenting the theca. loss of lordosis. Have had a course of physiotherapy and accupunture, gp thinks either spinal injections or surgery best way forward, though none of these findings have really been explained to myself | Surgical removal of disc (discectomy) and fusion are done if no response after epidural injections, physical therapy, radiation of pain limiting movement, bending and interfering with normal activity, not responding to medications. Subjectively, you may summarize your syptomsand its relation t following-- 1. Whether you can bend easily.2.does coughing/sneezing accelerates pain locally. 3. can you lift objects from ground?. 4.is the pain continuously there or comes on movement? 5. is your daily work, occupation hampered? If all these are positive then surgery is a solution. Some spine surgeons do laparoscopic removal of disc through a minute hole, while others do open surgery especially if fusion of adjacent vertebrae is necessary in view of foraminal pathology, nerve compression and rotatory spine movement bring on radiation of pain to lower limbs or to severity of back pain. Epidurals are tried for remission of pains if surgery is not yet possible/or indicated and normal daily activity is not Chat Doctor. I hope this solves your question |
If you are a doctor, please answer the medical questions based on the patient's description. | hi , i am having my sgot ,sgpt levels slightly raised in the range of 72,81 resp. my usg report shows mild hepatomegaly with fatty liver. no signs ans symptoms. m non alcoholic and non smoker.m 25 years old.i am also tested negative for hep B AND C. i was diagnosed to be having WEAK ANA.i am also tested negative for anti lkm,anti sma antibodies.my serum ferrtin levels are normal. my ceruloplasmin levels are 17mg/dl.i have normal apetite, no anorexia,no vomitting ,no tiredness.,no tremors. my vision is normal.kindly suggest me wat to do further | Hi welcome to the Chat Doctor Your liver enzymes are elevated and cause if fatty liver. Your cholesterol level Also should be checked. Your ANA positive for which anti DS DNA like confirmatory test done to rule out SHE if suspected For fatty liver Adílio tablet can be taken Take low fatty diet and fruits more Use less oil while cooking. Regular exercise continued... Cheese, burger, baked pastry, fried chicken like Trans fat diet avoidedTake care Consult physician for examination and further work up |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Doctor,My age is 38yrs, height-168, weight-60 kg.Through, my LFT it has emerge that my SGOT-114 IU , SGPT-60 IU, S Bilirubin-1.10 mg. I have been consuming alcohol regularly. Plz advise me to bring the mention level to normal through medication and diets to be followed. | HelloFindings indicate mildly increased SGPT level.GOT is non-specific, and it increases in many conditions. Increased SGPT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. It may be related to alcohol intake in your case. You should avoid it completely. You may need few more investigations like routine hologram, random blood sugar, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. You should avoid saturated fat and go for brisk walk regularly. Get well soon. Take Care Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | My sister was diagnosed 3 years ago with early onset Alzheimers disease.She is now 53 years old.Our family is concerned she might have been misdiagnosed.We have heard from other people it might be possible she has Lyme s disease, because it s symptoms are similar. She was tested for Lyme s disease and the results were negative..but there can be false negatives.Trying to sort this out and find a new doctor who would dig deeper, but I am having trouble doing so.Any advice would be appreciated.Thank you. | Hi, thanks for the query. I would like to know what are the symptoms in your sister & how the symptoms/deficits have progressed (gradual/rapid) to ascertain whether she has a dementia process. Later on we can dig deeper by means of various investigations like MRI Brain, Neuropsychological assessment, test for Vitamin B12, folate levels, thiamine deficiency; test for neurosyphilis etc. to name a few causes of dementia 9Since you have already tested & ruled out Lyme disease). If treatable; for example Vitamin B12 deficiency, neurosyphilis etc. we can use appropriate Chat Doctor. But the damage already occurred can not be reversed. Irrespective of all these causes; basic treatment modality of dementia is by |
If you are a doctor, please answer the medical questions based on the patient's description. | I have pain in my groins particular my left one and I am a hiker and I had a fall today and it s much worse , I also find a pain in each of my bum muscles sometimes after walking have you any idea why . I am normally a very healthy person who eats healthily 5.6 and weigh 9 and a half stone | The most common cause of groin pain is muscle, tendon or ligament strain. Groin pain may occur immediately after an injury, or pain may come on gradually over a period of weeks or even months. Groin pain may be worsened by continued use of the injured area. Less commonly, a bone injury or fracture, a hernia, or even kidney stones may cause groin pain. Although testicle pain and groin pain are different, a testicle condition can sometimes cause pain that spreads to the groin area. In your case I suggest visiting a doctor for proper examination and treatment. Here doctor may ask you for some test like x-ray or scan as per need. I suggest going ahead for it and later plan treatment as per the diagnosis. If there is a minor to moderate issue at soft tissue level then use of cold pack along with physiotherapy and rest will help to get cure. In case if anything major issue like hernia or ligamenta injury etc. As per the diagnosis surgical correction or repair also be needed. And after it again physiotherapy rehabilitation will help you. Here since I have not done physical examination. As per symptoms I have given you some guideline and I am sure it will be helpful if you follow it properly. Take care. |
If you are a doctor, please answer the medical questions based on the patient's description. | I have had a cough for 3 weeks started as really thickly all the time now more flemmy but not as often, I now have quite a bit of pain on my back half way up that I thought was muscular but It feels like I m kind of struggling to breath like being winded constantly? Should I see a doctor? | Hello welcome to ChatDoctoryou seems to be suffering from either of the following three conditions(1) CHRONIC BRONCHITIS(2) PNEUMONITIS(3) TUBERCULOSIS kindly get the following tests done(1) CH with ESR(2) MONTE TEST(3) SPUTUM FOR AFB(4) X-ray OF CHEST once you get these tests done you can either send me a scanned copy of your reports for evaluation or can consult your physician so that a precise diagnosis can be made, and appropriate treatment can be started take care Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | I have a 10 year old daughter who has trouble pooping. She eats very little and says shes not hungry. When she does have to go to bathroom she can and does hold it as long as she can without going. She has extremly smelly gas and I am sure there is some type of problem where do I start | Hi... Thank you for consulting in Chat Doctor. I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? You can get back with answers at the following link - www.ChatDoctor .com/doctors/ Chat Doctor. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. |
If you are a doctor, please answer the medical questions based on the patient's description. | I am 22 year old female, I have been using Nur isterate since from June 2011 till April 2014. I am healthy and have never had complications with my health, however I have experienced my first normal periods early this month, before they were a bit irregular. I want to find out how soon can I fall pregnant | Hi, How are you doing ? Nur State is Depot Progesterone. This is a medication which stays for long even if you stop the injection. I mean you may have periods, but ovulation may not occur don't worry, as you already had periods, it means your hormone level is wearing off. Just wait for few months & regularly try for pregnancy if you want to. But if the cycles are irregular of no periods at all, have a course of Combined Oral contraceptive pill (21 pills packet) from the first day of periods & get your periods. This will regularize your hormone levels. Hope I have clarified your query, do write back if anymore queries the best Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | I was given zivast 5 mg and ecosprin 75 mg fours back when my colastrol was 250 and platelets count were 250000 since then my colastrol remains 175 but platelets count has come down to 165000 so can I stop taking ecosprin 75 mg so that my platelets count can go up? Please advise. | Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Esprit does not reduce platelet count, same way, stopping esprit would not increase platelet count.2. Esprit only helps in reducing platelet clot formation.3. 165000 is good platelet count. Only if the platelet count is below 100000, then only need to worry. Platelet count is not affected by esprit.4. Nutritional diet along with moderate exercises should help in improving bone marrow response, which elevated platelet count. At present, platelet count within normal range, not to worry. 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. | hello, my daughter is 9 years old. She is being the target of a bully at her school. Lately she has had a recurrent middle ear infection which has resulted in her having several courses of anti biotics. Could this be stress related at all, due to what is happening at school. Thankyou | Dear parent, stress usually affects the immune system negatively and predispose to recurrent infections, but you should exclude other causes. Other causes of recurrent ear infection include enlarged adenoids, abnormalities of the Austrian tube and ineffective treatment. If the ear infection was not treated well it is very likely to recur. Make sure the dose of antibiotic is suitable for her weight and that you complete the course of antibiotics for a whole ten days. Use an antibiotic as doxycycline or cephalosporin 500 mg every 12 hours. If her adenoids are enlarged and not responding to antibiotic treatment you may consider surgical removal of adenoids. |
If you are a doctor, please answer the medical questions based on the patient's description. | Husband had an arteriograph on his carotids yesterday. Almost exactly 24 hrs later he began to have chills & low grade fever. Its now been 8 1/2 hrs since he started having chills. Fever runs 99.7 with asprin. Earlier, before asprin it was 100.3. Hes not having chills as he was earlier today but is still cold and has been covered with a blanket since I came in from work @ 6 hrs ago. Should we check with dr in the morning? I know there are all kinds of things out there to be exposed to, no matter where you have a procedure. | Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. Yes, this can occur after an invasive procedure due to infection of the local area where the procedure was done. I personally do following in such situations:1. Send Blood Culture2. Send Hemogram3. To start my patient on broad spectrum antibiotic like Augmentin4. To inspect the local area for any local infection. This is my best advice for you based on available details. If you have any further query please ask me. Stay Healthy. ChatDoctor, MD |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I m xxxx from Bd. In last 10 days I have suffering by erectile dysfunction. I m doing foreplay for 10-15 minutes & when my penis are strong enough for erection then i push into vagina. But after pushing 30-40 sec it becomes loose without any ejacul.ation. In last 10 days always have the same condition during intercourse. Please help to find out the problem & give me treatment | Hello dairy understand your concernTreatment of erectile dysfunction is depended on the cause of it. So first we have to find the causes behind that. Following are the causes of erectile dysfunction: Diabetes, Prostate Enlargement, psychological like Excessive stress and relationship issues, fatigue, alcohol & tobacco consumption (constriction of penile blood vessel), obesity, Problems in low back nerves, Hormone problem like Low testosterone levels. So first consult the best urologist and get the following test done:Blood tests:He, CBC, ESR, blood sugar, lipid profile, urea, creatinine, Vitamin B12, folic acid levels iron, etc. Hormones (total and free testosterone, corticosteroids, RHEAS, Thyroid hormone, seminal fluid analysis, Doppler USG of scrotum and penile area to find out the blood flow problem.Meanwhile, take following advice: Start exercising (60-80 minutes in morning with relaxation and yoga), losing weight, stopping smoking and alcohol, Healthy diet with proteins and vitamin A, C, E. Take anti oxidant like CO Q, More foreplay before sex will lead to more excitement, Do discussion with your partner that help in gaining psychological trust, use more than one condom. Following medicine can be provided by doctor: Tablet Viagra: about one hour before sexual activity, Testosterone Replacement Therapy, paroxetine 30-40 min before sex Hope this may help you Best regards |
If you are a doctor, please answer the medical questions based on the patient's description. | My daughter is 2.11yrs and she is suffering from fever from last couple of months. Earlier fever use to come once a month, than it changed to week and now the fever only goes till the medicine is effective i.e after ever 4 hrs the fever is coming. Her blood test report: Hemoglobin:- 10.2 against 11.5 - 15.0 PCV:- 30 against 34 - 45 RCB:- 3.4 against 3.8 - 5.0 Total WBC count:- 12,800 against 4000 - 11000 Neutrophils:- 86% against 40 - 70 Lymphocytes:- 10% against 20 - 40 CRP:- 12 against Less than 6mg/dl Need help to cure my daughter | Hi... Thank you for consulting in Chat Doctor. Looks like a viral illness. I will explain to you how a viral illness behaves. 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 of 500 mg) 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. | Hello , both sides of my jaws have been sore for the past 2-4 days I had a very slight cheat pain under my breast about 30 minutes ago. What does this mean? I also had a injury where my face was smashed into a tree about 7 years back and my face was worked on but many surgeon s immediately . Using many stitches in my mouth | Welcome to Chat Doctor I have gone through your query and understand your concern. Looking to your symptoms you should rule out cardiac(heart related pain) as these are symptoms of heart pain. Once ruling out heart pain you can consult dentist to see for temporomandibular joint pathology. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. |
If you are a doctor, please answer the medical questions based on the patient's description. | Currently on third day of a five day course of penicillin. Just getting worse, had conjunctivitis for four days, very swollen, red, blurred, giving me headaches. Now very sore throat, feels like its closing up on me. Chest tight and some back pain. General fatigue need to nap a lot and aches all over my body. Keep regurgitating green phelgm, stuck in my throat. Have anxiety disorder so know what that feels like, this is different. Am I just being a hypochondriac? Helen Stewart | Hello are on penicillin for conjunctivitis. You are also having headache, sore throat, chest pains and tightness. General fatigue you are having is most probably due to viral infection you are having. As you have history of anxiety disorder also so excessive fatigue in you is most likely due to somatic or Hyperion Chat Doctor. Wait for some days so that symptoms get resolved if no relief occur then visit a psychiatrist for expert opinion. Thanks |
If you are a doctor, please answer the medical questions based on the patient's description. | My husband is 33ys old. He is having moderate asthenospermia. 2% abnormality are shown for sperm head and neck 1% abnormality for tail. He is also having grade 1 vericocele in right side and grade2 in left side. I had two miscarriages at 20 weeks due to foetal defects. will icsi be helpful for us | HelloThanks for query. Your husbands' semen analysis has revealed Asthenospermia .CSI is advised in a situation when there is no effective pregnancy as a result of sperm abnormality either low count or less motility. Since you have conceived twice you do not need CSI to have pregnancy. The miscarriage that you had twice could be due to hormonal imbalance and needs to be checked and evaluated by Gynecologist once you are pregnant and can be treated with medications to prevent miscarriage. Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | Had a temp crown done June19th, then pain, then adjustment was made, but pain continued for another week, then antibiotic given for another week..after that no more pain. Is that normal? or could I need a root canal? The permanent crown is not on yet. | Hello thank you for your question at Chat Doctor. I require X-ray of the tooth and surrounding tissue to give any further diagnosis or advice. And secondly I would also like to test if tooth is vital or not by kilometer. By above two methods I can have better idea if root canal treatment is necessary or not. If there is some radiolucency around root or tooth or if pulp is irreversibly injured or if tooth is not vital then I would suggest going for act. Pain can also be due to inappropriate temporary crown. By checking occlusion we can get the idea. If everything is normal then you can go for permanent crown otherwise go for act first and then go for crown. As crown once made, are costly and not advisable to change later on within few months. You can ask for further advice after consulting nearby dentist and knowing exact problem. Thank you. |