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If you are a doctor, please answer the medical questions based on the patient's description. | my mothers age 58, jaundice problemcreatinine 4.88, sodium-125, potasium-4.6; chloride-85;bilirubin total-17.16;bilirubin direct-2.38;sgot-155;sgpt-160;alkaline phos-260;protein-7.54;albumin-3.4;urea-138 and BP 30nowplease help. what is status and in which stage she is? | Hi thanks for contacting Chat Doctor.... Your liver enzymes are high....with increased bilirubin. Your albumin level low ....so you are having chronic liver problem.... You might have cirrhosis or chronic hepatitis.... For grading liver biopsy needed... Your physical examination must be done for splenomegaly and ascites..... If portal hypertension present beta blocker needed... For jaundice fruits taken more.... Excess fatty diet avoided.... Sugar cane juice, apple juice taken more.... Avoid strenuous work.... Consult gastroenterologist for detail examination and further opinion... Take care.... Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | Whether heart disease can be cured by Homeopathic treatment. Heart if functioning upto 25 % and when medicine for heart beat improvement is taken then it affects Blood pressures and it gets low and when medicine for improving Blood pressure is teken then heart beat gets low. Twice patient was admitted to Kokilaben Ambani Hospital and he is under treatment of Dr. Jamshed Dalal in last one year. Please suggest whether this heart problem can be cured by taking Homeopathic treqtment. Also please suggest name address of any Doctor at Mumbai who can provide Homeopathic treatment for curing the above disease. | Hello Concerned Person, A chronic heart condition responds well to Homeopathy if the patients' vitality is good. Since you have not mentioned the age of the patient or the actual diagnosis your cardiologist has given, it would be wrong to give a definite idea about the scope of Homeopathy in this case. However, there are some wonderful remedies in Homeopathy for heart failure and arrhythmias. I would recommend you to submit a complete case record with reports and then a call can be taken about treatment. You can mail the reports at Chat Doctor. Com if you would like further guidance. All the best! |
If you are a doctor, please answer the medical questions based on the patient's description. | In March 2010 i had a cervical biopsy because my pap smear came back abnormal. Lately (about 2 months) I feel bloated and tired more than usual. My bloating looks like im 2-3 months pregnant. No changes in my eating habits. Could the bloating be related to ovarian cancer? or a cyst? No adominal or back pain. or abnormal bleeding. I am 29. I am now weighing in at 112 (104 previously) 5 feet 2. Thanks! | Hi, Thanks for writing in. Bloating is a non-specific symptom and might be seen in many conditions. Cysts in the ovary might cause bloating sensation and this requires clinical abdominal examination and ultrasound scan or CT scan. Any cyst in the ovary will be noted. It is also possible that there might be a condition in the uterus and this might be confirmed by clinical investigations. A pap smear is not connected to cyst in ovary. It tells about the cells in cervix. Please discuss your pap smear report with the doctor. If there is any cyst in the ovary then you might have to do additional test like CA 125 to know if there is any risk of cancer associated with the cyst. You might also get your thyroid function test done. Please do not worry. |
If you are a doctor, please answer the medical questions based on the patient's description. | I was prescribed Cefrin for an upper respiratory infection. How long after starting medicine should I see an improvement? It has been almost 4 days and I am getting worse. I have had a fever of at least 101.5 or higher without breaking, even while taking tylenol. Should I go back to my doctor? | Hi welcome to the Chat Doctor You have been prescribed antibiotic for your upper respiratory tract infection If no improvement than further work up needed like chest x-ray to look for any consolidation if present Is needed spirometry also done to assess severity like in bronchitis and guiding further treatment Sputum examination done along with culture if needed to choose proper medication Take care Consult pulmonologist for examination again and accordingly if needed above discussed investigation can be done Hope your concern solved |
If you are a doctor, please answer the medical questions based on the patient's description. | I also have had a severe dull pain in my neck and shoulder area. it has spread down my arms and i feel a throbbing in my elbow joints. My lungs feel raw and my breath is a bit labored. this has come and gone several times in the last couple of says and it is the worst yet as of right now. i just took some pain medication. | Hi thanks for queryThrobbing pain in body anywhere doctors tends to consider any infection and specifically access formation might have developed acute septic arthritis of elbow and other features like labored breathing etc. might be due to systemic side effect of this septic joint just considering a possibility please visit an orthopedic surgeon so that he can clinically and radiologically evaluate and give you appropriate treatment.Don't take it lightly and wish you luck. |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, my father is 80 ears old and complaining of stomach ache. He has been slightly constipated so last friday took him to doctor, and was told to use miralax. He was not eating how he normally eats, and even after doctor visit he feels better, but has not regained his full appetite. This morning he says his stomach hurts, and his urine looks like it has blood. He is 5ft11in, 220lb., and has had stroke, and heart attack. Also has pacemaker. | Hi. Thanks for your query. The history of Stroke, Heart attack and Pacemaker indicates that your Father must be taking some medicines for thinning blood. This may be the reason for blood in the urine. Immediately get the coagulation profile done and consult a Doctor to get the other investigations and treatment to be done. The stomach pains can be due to constipation itself. MiraLax should have helped. You can try enema, and if still has pains as he is already not taking anything orally, it is better to get an opinion of a Doctor to see and examine the abdomen. Get the following investigations:X-ray of the abdomen in standing position. Ultrasonography. Urine : routine, microscopy, culture and sensitivity - get whether there is a bleeding. |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi im wondering What can I clean my mouth out with everytime I finish a smoke I seem to b using my mouth wash to frequently I couldn t possibly live wife out no teeth I m only 21 (I have a gum infection my gums seem like thay are getting eating away it s constantly hertin any ideas that will make my mouth feel a lot better .. thankyou | Dear Amy Trotter, Smoking is bad or rather very, very bad for your gums in addition to your general health. It's advisable to stop at the earliest. Numerous dentists nowadays offer Smoking Cessation Tips if you are interested in kicking off the habit. For the gum infection please visit a dentist (preferably a Periodontist) to get your teeth cleaned (Scaling & Root Planing) once every 3 months depending upon how much you smoke. It's also important to clean your tongue with a tongue cleaner, or you can use the same brush & paste though gently. Which Toothpaste & Mouth wash do you use? |
If you are a doctor, please answer the medical questions based on the patient's description. | hi doc, we were planning to have a baby and my husband had a typhoid,antibiotics were given for 3 days fever subsided after 3 days & we had another blood test done, d report indicated he is still infected but he has no signs of fever how long should we wait to conceivethanks,Archana | Hello, Welcome to ChatDoctorI understand your concern. There is no such contraindication for getting pregnant when your husband is suffering from typhoid. But when your partner is suffering from infection, there will be fewer chances of you becoming pregnant because of medications and stress he is undergoing. So, i would advise you to wait till he gets completely cured and then only try for it. Hope you are happy with the answer. Thank you |
If you are a doctor, please answer the medical questions based on the patient's description. | My friend is in the Hospital and says Blood tests state she now has an Internal Bleed. She was diagnosed with CHF the other day and she is obese and has sores on her back calves. They ve put her on antibiotics etc, but she is on different medications for various reasons. Gravol, anti-depressants, Tylenol and seizure meds etc. Wondering if these meds have anything to do with her Internal Bleed. She seems very ill, will she pull through this, can they do anything for an Internal Bleed? | Hello and welcome to Chat Doctor, Congestive heart failure and medications prescribed to you are probably not the cause of internal bleed. Internal bleed can occur due to internal injury. Spontaneous internal bleeding can occur due to reduced platelet count or deficiency of coagulation factors. Thus, you need to consult your primary healthcare provider for clinical assessment and prescribe these investigations- complete hologram, platelet counts, bleeding time, clotting time and other coagulation tests- prothrombin time (PT) and activated partial thromboplastin time (apt). In case any of these investigations are abnormal, you need to consult your hematologist for further management. Thanks and take care Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | My mother did knee replacement and prostetis removal because of infection. After 3 month of treatment, she still has Proteus mirabilisin her knee. Please, help us. What we should do. Doctor put her on antibiotic again (levofloxacin) may be there is another remedy | Hello, Proteus may develop resistance to Chat Doctor. But sensitivity and culture test is useful to confirm the cause. The most appropriate treatment for P. Mirabilis may be aminoglycosides, carbapenems (except Eminem), and 3rd generation cephalosporins. Recent P. Mirabilis isolates were also mostly susceptible to augmenting, ampicillin-sulbactam, and piperacillin/tazobactam. So please get it done culture and sensitivity according to that get treated. Hope I have answered your query. Let me know if I can assist you further. Take care |
If you are a doctor, please answer the medical questions based on the patient's description. | wen i had my daughter i had a severely slow painful back labour as it was all in my back that was 4 yrs ago i still have alot of back trouble i am now pregnant again with my second child and my back is gettin worse day by day im worried if i give birth naturaly with this 1 i could seriously do some harm im only 26 and dont want to suffer as i get older pls help. | Welcome to Chat Doctor .1. Your history suggest a chronic back pain.2. But now you are saying that you are pregnant - so at this time we can't investigate much regarding your back pain. (neither x-ray, nor MRI-not harmful but why stress in pregnancy)3. So I would suggest taking some symptomatic painkillers suggested by your OBI specialist. 4. Try to have good bed rest and ask for few exercises during pregnancy - they might give relaxation.5. After pregnancy an active investigation and treatment can be done. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. |
If you are a doctor, please answer the medical questions based on the patient's description. | i have a question about my asthma medicine. i was taking advair for a few years. it was working great till my insurance change and couldnt use advair anymore and switched me to dulera, which is not controlling my asthma. when i was using advair never had to use my rescue inhaler now that im on dulera i have to use my rescue inhaler more often. what should i do? | Hi, I appreciate your concern. Actually Ruler contains formoterol & mometasone and Adverse contains fluticasone & albuterol. Though both contain anti-asthma Chat Doctor. In case your symptoms were well controlled with Ruler, it is better you continue taking it. In case your insurance company does not provide you Ruler, then you can try increasing the frequency of usage of Adverse, which might help. You can also try taking |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello sir,good after noon.i am a student of 19 years old.i am suffering from hair loss frm 2 years and it is almost leading to baldnes of my head.i am cryng daily by others comments on me.even i attempted suicide.i do handpractice once in a week.wil it cause hairloss? I would see a god in you if u could help me .plz plz help sir. | Howell come to ChatDoctorI really appreciate your concern, you have not mentioned your gender because it is highly matter of concern as long as your complaint is concern, if you are a male person then it could be male patron baldness, and it can be managed with "Minoxidil 5 % lotion" apply this on your scalp, and it needs to be continued for long time, hope this information helps, take care and have a nice day. |
If you are a doctor, please answer the medical questions based on the patient's description. | I got a soft and moveable knot on my forehead last wek it started on right side then went and made my eye swell doctor put me on infection meds took it all and last nite a knot came up on left side took allergy meds but I am concerned about it because I dont know what it is and how to get better I am scared too I just want answer on what it is. I havent fell or hurt my self and it is not a zit Please help me | It looks like pimple which is pus filled and is increasing due to heat and hotcake cap doxycycline 100 mg BD for 10 days this is the fastest pus clearer of skin take basting 10 mg night liquid antacid and warm water apply clindamycin gel sand calamine lotion on skin when you go outtake 3 wk avoid non-oily non greedy non-fatty and non-spicy food avoid toxic soaps shampoo oils and stop body application material applying on body |
If you are a doctor, please answer the medical questions based on the patient's description. | good afternoon doctor m rohan 22 years old i have allergy of smoke it causes cold and further asthma some breathing problem what precautionshould i take? i used inheler frequently is it effecy my immunitive power & how can i improve my immunive power by daily diet? | Hello Rohan, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. I would suggest you allergy testing for common air-borne allergens such as house dust mites, molds, pollen, insect proteins, pet dander, etc. This will help you identify the substances causing allergies to you as well as to know the measures to avoid them.2. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which will work on immune system to gradually improve allergy symptoms over a long period.3. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible.4. I would suggest you to use inhaler as suggested by your doctor. (There are two types of inhalers, some are to be taken regularly and some are to be taken for symptom relief on as-and-when-needed basis). Inhalers do not affect immunity unless a very large dose is used for long duration (a few years), so please do not worry about it. Of course, it is important to know that inhalers are very good to control the symptoms, but they are not helping immunity too. So other measures to improve immunity should be taken simultaneously.5. For improving immunity through diet, vitamins, minerals and antioxidants are very important. Usually we get them from fresh green vegetables, fresh fruits and some other sources. Packed foods that contain preservatives/colors/flavors etc. are not considered good, so as excess of fried foods, that do not have much of nutrition value.6. Some patients experience worsening of cold/asthma symptoms after taking cold foods like cold water, cold Chat Doctor. If it is true for you, I would suggest you to avoid them.7. Apart from diet, regular physical exercise, Yoga, breathing exercises including Panama and stress reduction including relaxation & meditation practices are very important to improve immunity. Yoga & Panama also help to improve lung capacity which helps asthma patients and may reduce requirements of inhalers with long term practice. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you 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. | Hello, I had a fall about two months ago and my knee has what looks like 3/4th of a golf ball bump on it. I have been putting ice on it. It doesn t hurt unless I put pressure on it. It is mostly squishy but has hard parts. I can walk normal. Is it some kind of cyst that formed from the fall? | Hi, dairy have gone through your question. I can understand your concern. You have history of trauma. You have high chance of having hematoma formation due to extravasation of blood. Furthermore, you should go for MRI knee once to rule out any meniscus or ligament injury or other soft tissue injury. Then you should take treatment accordingly. Rest, anti-inflammatory plus analgesic Chat Doctor. Consult your doctor 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. | Will valium become more effective over time? I know it is supposed to work instantly, yet I have been going up and down on doses for a few weeks now as I dont want to be on them. I do ok taking 5mg at night for a week, and then try to stop, or lower the dose, and end up a few days later needing 20mg just to stop a night time anxiety attack. Then I drop back to the 5mg for awhile do ok for a week, and again try to lower or stop...and the cycle continues. Is it better to just keep taking it at 5mg daily no matter what and leave it alone for awhile...husband and some web sites say that valium will become more effective if I take it daily to build up the same level in my body. | HI, thanks for using Chat Doctor. You have not mentioned why you are taking Valium. Valium is diazepam, benzodiazepine in nature. It is used for sleep mainly associated with primary Chat Doctor. For a short term it may be used for anxiety. Valium is having addictive properties. As you go on increasing, you require higher dose of it. Rather than doing self-medication, You should consult psychiatrist for detailed evaluation and treatment. Valium use should be restricted only as and when required basis only. Meanwhile you can try stress management and relaxation techniques like yoga and meditation for better sleep and relaxation. Thanks |
If you are a doctor, please answer the medical questions based on the patient's description. | my 8 yr old son is suffring from astma. When he gets attach we give him levoline and seroflow pump as per dr suggestion. Now dr suggests us to give him half telekast l tablet every day. I am affraid about the side effects. Generally he gets cold and cough in 2,3 months. He has suffred with astma attach for 3 -5 times in last 2 years. Pl suggest | Hellos you have mentioned your son is suffering from Intermittent asthma. Management of this condition is inhalation bronchodilator (leveling or Aeroflot) as and when required. Montelukast is actually used in treatment of persistent asthma (attack more than one time a wk), sometimes physicians prescribe it in intermittent attack also because it reduces bronchial reactivity. Side effects of montelukast are very few like restlessness, irritability etc. I hope this answers your query effectively. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Please accept my answer in case you do not have further queries. Wishing you good health. Regards |
If you are a doctor, please answer the medical questions based on the patient's description. | my problem is involuntary movements due to stomach upset. lots of gas coming out of my mouth. i mean burps | The conditions are called aerophobia. This is because of swallowing of air during food. This happens because of talking while eating or hastily eating the food. There is a chance of air to be swallowed. Hence, it is advised to eat slowly with good chewing of food. You may swallow air during gulping of water. Consider cutting on carbonated Chat Doctor. Sometimes milk and milk products cause burps because of lactose intolerance, cut their consumption. If you have any other symptoms like burning pain in the stomach or food or acid regurgitation into the mouth, that could be reflux esophagitis which needs lifestyle modification and certain medications. |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi...28 year old male...was bending over wheeling in my hose outside and all of a sudden had a sharp pain in my lower back on the left side. It hurt quite a bit, but the pain initially subsided. It s been 2-3 days and it still hurts a bit, and when I bend over it hurts a lot. The pain has also spread to my left testicle. | Hello, Thanks for your query. After going through your query I came to know that you are probably suffering from muscular pain back. Treatment of it is rest and analgesics (ibuprofen) for nearly 5 days. Second possibility is mild disc prolapse. It can be confirmed by MRI scan. Rest in position of relief (generally lateral position with both hip and knee bend), neurotopics such as mecobalamin and analgesics are of use. There are two treatment options. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care. |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi! I ve had my bottom wisdom teeth pulled a little less than a year ago. I have a lump right behind my left back tooth that seems like it could be popped but cannot. It s giving me a small sore throat and causing pain on the left side of my mouth. What can I do to get rid of this and make sure it doesn t happen again? The lump can be moved a bit. | Hello and welcome to Chat Doctor forum, i am glad you wrote in, first, I need to know that which side of wisdom tooth did you got extracted, was it left or right. The lump which is present may be due to infection and inflammation of the gingival flap. If the pain is present on the same side from where the wisdom tooth was removed, then may be a tooth remnant is present following extraction, but if not, then it is due to peritonitis, i.e. inflammation of the gingival flap that covers your erupting tooth(wisdom tooth).I would advise you to perform warm saline rinses(3-4 times/day), use an antibacterial mouth rinse(Betadine) twice/day, and kindly visit you dentist who will prescribe you medications after a thorough clinical check-up.I hope I answered your query, i wish you good health. |
If you are a doctor, please answer the medical questions based on the patient's description. | hey my boyfriend woke up this morning very cold even though his body felt very hot, with body aches. he has a cough and has vomited. he says he feels like he is going to die and he can not concentrate because his whole head is blocked up? how do i help him? | Hi, Welcome to Chat Doctor! He is possible suffering from a viral infection. There is nothing to be worried about. If I were you doctor, I'd advice -1. An antipyretic (Paracetamol) to get relief from fever and body pains.2. An anti-histaminic (cetirizine) to get relief from cold.3. Steam inhalation4. Tepid body sponging - wet a cloth with cold water and wipe his entire body with it whenever he develops fever. Being a viral infection, it will take 5-7 days to cure. HOwever, these medications I've mentioned above will decrease his symptoms.Also, please note that in case he gets chills with fever, I'd advice you to get a Malaria test done if you reside in an endemic area. |
If you are a doctor, please answer the medical questions based on the patient's description. | Sir..., i am 24 years old..my panis is not standing property i start masterbeating from very young age... Many time a day... Now i m facing problum my panis is not standing and spam count is also very less...and i took some creation for gym also... What should i eat to increase my spam please help me sir..... | Degree understand your concerns went through your details. I suggest you gain more knowledge about the given problems. Please read many articles about the sex and sex organs and masturbation. Your lack of knowledge is creating anxiety within you, and therefore you are unable to get proper erection. Masturbation is not unhealthy and is natural if done within moderation. 90% of world male population masturbate at their young ages. Semen volume is not associated with sperm count. Volume of semen is dependent on many factors like stress, anxiety, water intake, frequency of sex etc. I suggest you to consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care. |
If you are a doctor, please answer the medical questions based on the patient's description. | I m suffering from jaundice from 5 months, i took ayurvedic treatment but no use.I check up blood test (bilibruim total and direst ), i have 2.5 .. can u suugest me good solution please. | Hello. Welcome to Chat Doctor. You need to tell us the complete test reports-bilirubin - both direct and indirect, along with liver enzymes, hepatic viral markers, history of medicine/ Chat Doctor. With all these findings, probably a USG abdomen would also be needed. Depending on age, there can be many causes for jaundice and the final diagnosis requires minimum basic of the above-mentioned investigations. An accurate diagnosis is the only thing by which a treatment can be suggested. So get these tests and visit a physician, who will also examine you for enlargement of liver and other signs of liver malfunction. Take care. |
If you are a doctor, please answer the medical questions based on the patient's description. | My mother has bone cancer. Which has spread to her lung & liver. Chemo was stopped after 1 treatment & radiation after 5rounds. Is shaking & loss of ability to feed self normal? Bone cancer seems to be fast moving & extremely painful,is this normal as well? Any advice? | Thanks for your question on Chat Doctor. I can understand your situation and problem. It is not normal at all. It is common side effect after chemotherapy and radiotherapy especially in end stage cancer in old age patients. Furthermore, it is due to weakness from1. Disease itself2. Chemotherapy and radiotherapy3. Decrease oral Intake. So better to start nutritional support in the form of protein supplements, multivitamin containing zinc, folic acid and vitamin B 12. Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | My ct scan report says is a slightly thickened wall to the fundus of the stomach. This could simply be related to incomplete distention however an underlying inflammatory or neoplastic process could not be completely excluded. What does this actually mean? The ct was ordered for a consistent pain in my upper abdomen right of center at the rib. | HI. Read and understood your symptoms and findings. It is for sure that the slight thickening of the wall of the funds of the stomach can not cause pain in the upper abdomen right of the center at the rib. I would advise you to consult a General Surgeon for an actual Physical examination to exclude or diagnose the cause of pain like costo-chon Chat Doctor. Muscle spasm, epigastric small hernia as all these things are not diagnosed on CT scan at all. The thickening of the funds of uterus may not be a cancer-the cause being by this time the pains come at other spots the secondaries can be seen on any CT scan oft the abdomen. |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, My Aunty is suffering from Dengue for past 6 days. She is is being admitted to a hospital and was recovering well until yesterday. She is on saline water only for past two days and had not given any food or liquid. Her platelet count is now increasing and it is 100K as per yesterday night s test report. She has now developed swelling all along her body including on face. Her stomach is bloating for past 4 days. The attending doctor says, dengue fever effect is now reducing but she cannot comment on swelling and suggested for an ultra-sound for her stomach. Please suggest what could be the reason? shall we consult any other doctor or continue in same hospital? | HI, thanks for using Chat Doctor Yes, if you are not comfortable with the assessment and treatment then you can see another doctor for alternative management. The bloating is possibly due to her reduced oral intake/not eating as much. The use of medication like Pepcid or Santa along with increase food intake would probably help this. The swelling may be due to an allergic reaction to some agent or fluid retention. Fluid retention can occur in infections or if certain organs are not working as they should e.g. the liver, kidney or heart. Decreased protein levels in the body can also cause swelling. Bloods for liver function, kidney function and protein levels may help determine if any of these are present. I hope this helps |
If you are a doctor, please answer the medical questions based on the patient's description. | SIR, MY SELF ASHISH FROM INDIA . NOW A DAYS I M SUFFERING FROM WRITER CRAMP AS DOCTOR TOLD ME. I CANT WRITE SINL COMPLETE LINE IN A MANNER. IN PRESSURE OF WRITING I CAN WRITE A SINGLE WORD.. AT THE WRITING TIME I CAN HOLD THE PEN IN ONE POSITION. IT START FROM 3 MONTHS, BEFORE THAT THERE WAS SWELLING IN MY FINGER DUE PRESSURE AT THAT AREA AT WRITING TIME. MY AGE IS 28. MY WEIGHT IS 87 KG. HEIGHT IS 5.7 . I M MBA. NOW I M RUNNING MY OWN BUSINESS . | Hi, Writers cramp affects the fingers, hand or forearm. It is characterized by pain and discomfort while performing fine motor activity such as writing, sewing or playing musical instrument. Physical and occupational therapy including holding the pen differently, using a different position with paper and pen and using specially made splint can all cause reduce the discomfort. Relaxation techniques and certain anti-cholinergic Chat Doctor. Hope I have answered your question. Let me know if I can assist you further. |
If you are a doctor, please answer the medical questions based on the patient's description. | HI there I have been experiencing a strange feeling in my head like dizziness and feels like something is moving in my head. I have pain in my temples especially the right one and my face feels sore as well - this has been for 2 months now-I do not experience this when I am asleep, but when I wake up it starts and continues until I go to sleep. I went for a ct scan, it is not my sinus. I also feel pressure on my ears. | Hello! Thank you for your question on Chat Doctor! Regarding your concern I think your troubles are very suggesting for tension type headache. It is a common headache caused by contraction of the scalp muscles. Your normal CT scan is another argument in favor of this diagnosis. If I were your doctor I would recommend treatment with an antidepressant like amitriptyline. You must take it under medical prescription and a cardiologist consult as it can cause heart problems. Other Chat Doctor. I recommend you to take one of these |
If you are a doctor, please answer the medical questions based on the patient's description. | Please could you help with a possible explanation for a bruise on the side of a three week old baby s face. He was 5 weeks premature and had a traumatic delivery with forceps and was in special care for 2.4 weeks. Upon being discharged from SCBU, he was at home for 5 days when a bruise appeared. Could it be because he is prem? Could it be birth trauma? There is no question of parental neglect but we need to find an explanation. We would be grateful for any help you can give. Thank you. | Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. 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. | My husband has had an illeostomy and is due to see an oncologist on Nov3 for review as to Chemo as he has a positive in 3 of 9 Nodes. We have been doing the MMS protocol hoping to avoid Chemo or at least to lessen the treatment. Can he take the tea? He is a very healthy 72 but is not and never has been on anything other than Fish oil, Multivitamins and CoQ10 but has Cholestreol of 6.2 for wich he will possibly take medication after all this drama is over? Thankyou | Hi, It is good to know that your husband enjoyed 72 years if his life without any ailment. However now this diseases is here, which appear to be a bit advanced as nodes are involved. As MMS protocol is not a conventional medicine, so it will not be possible on our part to comment on its safety and interaction. These days many genetic test are available to be done on the tissue to know the aggressiveness of disease. Moreover, today's chemo are usually well tolerable, and the dose can be modified based on the tolerance. It will be my personal as well as scientific request to go ahead with chemo. The choice of chemo depend lot on his general condition. |
If you are a doctor, please answer the medical questions based on the patient's description. | i am 26 year old got married 2 years back and trying hard to get pregnant i am diagnosed with bilateral polycystic ovaries an year ago.. initially after my marrage my gynocologist treated me with birth control pills for 6 months because i had irregular period problem and due to personal reasons i could not visit her again then after one year i went to other fertility specialist and she advised to do IUI and we did 2 IUI S which was failed then doctor suggested me to go for laparoscopy but i did not do that. Then 4 months back i meet my family doctor the one who gave me birth control pills and she suggested me to take glycomet 500 tablet and its been since 4 months but still no result and i am gaining weight and i have irregular periods but last month at menstrual time i did not get the enough bleeding and it was same this month also , please help me how i can improve my firtility and get pregnancy soon and how i can get free from this bilateral polycystic ovaries | Hello thanks for your query.POD (polycystic ovarian disease) is one of the most common conditions affecting women in reproductive age group. It is characterized by multiple small follicles in the ovaries, of which none ovulate, and hence, pregnancy is a problemALongwith you may have other conditions like diabetes, insulin resistance, increased an Chat Doctor. Please follow an Infertility Specialist, and have your complete workup for POD done which includes FSH, LH, a |
If you are a doctor, please answer the medical questions based on the patient's description. | I had a gallbladder attack 9 weeks ago, I was treated with antibiotics an IV fluids for 4 days. The ultrasound shows 8mm stone and 2 more of 4mm. I am vegan and had not other attack since then. the only issue I have is slight pain under my rib cage. I wonder if that slight pain is going to go away. Doctor said that could be an internal bruise from the attack | Hi.noted history of gallstones associated with pain. Even if you're vegan now, the pain wouldn't go away if the underlying pathology (gallstones) is still there. Antibiotics will only decrease the inflammation of your gallbladder but will not dissolve the stones. It is best if you consult with a doctor with urgency, preferably a general surgeon and especially now that the symptom is persistent and bothersome, for physical examination and clinical evaluation. Diagnostics and management (medical and surgical) will be directed accordingly. Definitive treatment is cholecystectomy (surgical removal of the gallbladder), which could be done laparoscopically (gold standard) or through open technique. Hope this helps. Good day!!~ Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | For the past two week. I have been feeling very tired and drained. Dont have much of an appetite as well as my head feeling foggy. I tend to be slurring words a little. Sometimes i feel like i cant collect my thoughts. They come and go all the time. Its getting aggravating and also starting to worry me. Im usually very energetic and clear headed | Hello You have been feeling tired and Chat Doctor. You have also lost your appetite and also having headache. You are not able to concentrate on thoughts, and you are remaining worried due to these symptoms. There may be different causes of these symptoms, but frequently they may occur due to some nutritional deficiencies like Vitamin B12 deficiency. Low vitamin levels may be a reason behind tiredness and weakness. I would advise you to get your It B12 level checked. Other possibility that may occur is hypothyroid states. Low thyroid level may be a reason behind such symptoms. Thyroid function tests are advised in such cases. Other possibility that may be aggravated by low It B12 and thyroid levels is Depression. In milder forms of depression such symptoms may be seen. I would advise you to please visit a Psychiatrist for detailed evaluation of symptoms. Thanks |
If you are a doctor, please answer the medical questions based on the patient's description. | I have had some really severe stomach attachs for years. The pain starts at my belly button and goes to my stomach. I have no gallbladder and I have about 5 sec until Im hurting and bloated like Im 9 months pregnant. Alls I can do is walk and cry, sometimes I throw up and other times I get severe diarrhea. I feel like I m going to blow up and pop. It can last from 15 min to a hour or longer. I can not lay down I m in such pain, alls I can do is walk with my arms up and cry, I walk fast back and forth and move side to side. I have alot of problems with my bowels I have to take meds (Linzees 290) to use the bathroom and it is either watery or rabbit pellets. without the medicine I can go up to weeks with no bowel movement. I have had an upper and lower GI and all was good. They even did a biopsy of my stomach and colon and all was good. But I m still having the problem. It may hit once a week or more or only once a month. Any suggestion on what this can be please! I also have alot of gas no matter what I take. Read more at Buzzle: http://www.buzzle.com/articles/twisted-bowel-symptoms-and-causes-of-twisted-bowel-syndrome.html#comments Read more at Buzzle: http://www.buzzle.com/articles/twisted-bowel-symptoms-and-causes-of-twisted-bowel-syndrome.html#comments | Hi ! Good afternoon. I am Chat Doctor answering your query. If I were your doctor, I would advise you for some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food and also to avoid any alcoholic beverages and smoking if you do. Also, a regular routine exercises like morning walk depending on your medical fitness would also be helpful. In addition, I would also go for a CBC, serum amylase and lipase, and an LFT to rule out the chances of this being a chronic pancreatitis. An abdominal ultrasound would rule out the pathology in the liver, and a recurrent stone in the common bile duct (CBD). Till the reports of all these investigations along with the result of a clinical assessment are available, I would advise you for an anti-spasmodic and a proton pump inhibitor 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. | I have MS. I cannot use any of the three computers at home as the nerves in my body start to burn and buzz.Strange as it may seem, I can use my computer in work.Needless to say this doesnt make much sense. And it didnt to my consultant. Very embarrassing.Can you help? | That is very strange and interesting. I would start with the ergonomics of eacChatDoctorputer as ms symptoms are related to temperature and position. As I'm sure you've noticed cooler temperatures will help your symptoms. The other aspects to check would be the back support and height of the arm rests, monitor, and keyboard. Most ms symptoms come from the cervical spine which controls limb position so changes in body positions might affect you. Hope that helped |
If you are a doctor, please answer the medical questions based on the patient's description. | I had my gallbladder out several years ago. Have been back in the hospital several times having stones removed. Been 5 years since last eposide and had an attack yesterday. The medicine I take is Ursodiol 300mg. The doctors said there are people that have recurring stones for rest of their life. Question: Is there anything better than what I am taking also are there certain foods I should avoid. | You should probably have a repeat ultrasound with liver function test. If the operation was done more than 5 years ago and if it was done laparoscopic, there is a chance that a stone might form around the clip used for securing the cystic duct. The LFT will help narrow down the diagnosis too. Yeah, some patients do complain of symptoms similar to their pre-operative symptoms known as post cholecystectomy syn Chat Doctor. What you are taking now should help. Avoid oily food. Hope you get better. |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, may I answer your health queries right now ? Please type your query here... Hi, i have a question, I was just release from the hospital with a blood clot. It was located on my right leg in the upper thigh part. I had to take a long trip and while on my trip my right upper butt has knot and is warm to touch and hurts very badly. I was wondering if it could be a blood clot. It hurts to walk sleep and bascially anything I do. | Hi, Dear Good Evening, and thanks for the query to Chat Doctor. Cause of the painful lump in the buttocks-I studied your query and understood your health concerns. In my opinion the buttocks painful lump is due to the boil -infected hair follicle, post long trip stress to the right upper butt area.It's definitely not a blood clot-as its sore and painful to touch. To avoid any further septic complications from it -I would advise you to consult an ER Surgeon ASAP. Hope this would help in planning treatment with you Doctor. Welcome for any further query in this regard. Plz write a Good Review-without fail, as it would help other patients coming to Chat Doctor. With Regards. Chat Doctor. N. |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, My daughter is 5 years old. She has been suffering from haemophilus influenza vaginitis as well as strep in her vagina. She has been on 10 different antibiotics, including Keflex. She has been examined under anaesthetic. Nothing was found. Doctors dont now why she is not responding to the treatment. They want to keep her on Keflex and Bactroben. However, nothing is working. What shell I do? | Hi, dairy have gone through your question. I can understand your concern. She has vaginitis with HI influenza and strep. She has already used 10 different antibiotics and not responding to treatment. So the best thing is to go for sensitivity test. It will give you exact antibiotics effective against her infection. Then she 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. | My wife feels to urinate contineously from today evening. Is there anything wrong to undergo an urgent medical attention? Please advise me | Hello, Increased frequency of urination AMD dysuria are symptoms of UTI.However, the treatment modality depends on if this episode is first of its kind or a repeated episode. Recurrent UTI about 4-5 times yearly needs higher medical evaluation preferably by a urologist.However, if this is a first episode a visit to your family physician with a urinary examination and treatment accordingly should solve the problem. All the best... Tc |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I am 50 years old, 6 foot tall and weigh 94kg. I am on heart medication as I had a heart attack 6 years ago. I am also on thyroxine for an underactive thyroid. My recent semen analysis shows a motile sperm count of 1.9 million. This is based on: semen volume 2ml, ph 7.9, forward progressive sperm 40%, percentage abnormal sperm 89%, sperm count 21 million per ml and incomplete liquefaction after one hour. All my hormone levels were tested and were in the normal range. (FSH, LH, Prolactin & testosterone) A urologist examined my scrotum and prostate via a physical examination and both appeared normal. Can you offer any advice? I do not wish to proceed down the IVF route and Im particularly concerned about my percentage abnormal sperm and the incomplete liquefaction. | Hi, Welcome to Chat Doctor . According to your report your sperm motility is also less along with liquefaction delay and abnormal sperms are more. I suggest you to go for GUI. It is intrauterine ingestion of sperms. Here sperms are washed and processed, and healthy sperms are placed in uterus. So only good sperms are used. This increases chances of conception. You may go for 4 to 5 cycles of GUI before proceeding to IVF. Hope I have been helpful. Regards Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, my husband is on his way back from Asia, having spent the last week in Kuala Lumpur. Since Friday, he has been experiencing chest pain on his right side. He cannot take deep breaths, yawn, cough or laugh. He says that the pain comes back right side deep under his rib cage and the top left back. He had a massage on back to side (not sure what he means by that) and says that helped. He had the massage within the last 24 hours. He will be arriving home in about 2 1/2 hours and I am wondering whether to take him straight to the hospital considering he has had this pain for the last 48 hours. He has been taking Voltaren every six hours. | Thanks for your question on Chat Doctor. I can understand your concern. Since his pain is improving with massage, possibility of musculoskeletal pain is more. So don't take him directly to the hospital. First follow these steps for better symptomatic relief in musculoskeletal pain. 1. Ask him to avoid movements causing pain. 2. Ask him to avoid heavyweight lifting and strenuous exercise. 3. Ask him to avoid bad postures in sleep. 4. Ask him to sit with proper back and chest support. 5. Apply warm water pad on affected areas. Don't worry, he will mostly recover with all these in 2-3 days. If not improving then consult doctor and get done x-ray of spine. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks. |
If you are a doctor, please answer the medical questions based on the patient's description. | I randomly get a flutter in the middle of my chest. It almost feels like a fish flipped flopped inside me. The flutter is not accompanied by any pain, but I do feel it takes by breath away. I have had numerous EGKs done and they have are been normal. The flutter, could that be a muscle that is just spasaming? | Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about cardiac diseases because your multiple ECG s are normal. Possibility of involuntary muscular contractions is more in your case. Common causes for this are low calcium and magnesium level. So get done serum calcium and magnesium level. If deficiency than you need supplements. If both are normal than sometimes stress and anxiety can also cause fluttering sensation in chest. So avoid stress and tension. Be relax and calm. Don't worry, you will be alright. First rule out calcium and magnesium deficiency. 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. | hi doctor,i had anal sex with a woman but not more than one minute and after 2 days had protected sex with her after tht from last few days i am feeling itching in my penis and having severe headache for couple of days and feeling tired,what should i do | Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-? Balanoposthitis with Penile abrasions --causing - itching with Systemic Infection-postanal sex. The infecting bacteria have entered your blood to cause toxic systemic effects like headache and tiredness. Remedy-To do list for you is as follows--Check up with the Dermatologist for any STD possibilities-Apply Acyclovir Cream locally-Take Cap Roxy 100 MGM x 2 times a day x 10 days time to control any infection causing systemic complaints of tiredness/ severe headache.-Test for STD blood test with your dermatologist and treat it accordingly.-Tab Advil 400 mg 1 x 2 times a day x 5-7 days-Tab Metro 400 mg 1 x 2 times day x 5-7 days for anaerobic infection.-Betadine point locally -Detail sponging of the congenital area of both the partners as far as possible, if you are to risk further sex with that partner. Hope this would help you to reduce worry with your problem. Take care and wish you to recover fast and Live healthy. Hope this reply would help you to plan further treatment with your family and specialist doctors there. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS |
If you are a doctor, please answer the medical questions based on the patient's description. | i have been using hair 4 u solution for 1 month and i cant see any change in my hairloss...in fact it is the same as it used to be.........before that doctor has prescribed me mintop , tugain . i can see my scalp clearly after applyng lotion. a bunch of hair gets accumulated in my hands when i wash them . and the density is decreasing day by day. what should i do??? | Hi, I can understand your concern for severe hair loss. I think it may be an Chat Doctor. You may be having hair fall from frontal and occipital scalp. Hair shaft might become thin. And hair density might be reduced. I would like to advise you to consult dermatologist and have perfect treatment. I would suggest as follows.- tab finasteride 5 mg once a day for few months to few years-minoxidil 10% solution application twice a day-biotin 10 mg tab once a day-shampoo with ketoconazole lotionHave patience for the good result. Avoid worries and tension. I hope you got my answer. Thanks. |
If you are a doctor, please answer the medical questions based on the patient's description. | my mother is 70 she is suffering haemoglobin loose problem, she is also asthmatic patient and presently her haemoglobin is 8.9 which is now constant maximum low haemoglobin will be 8.5, doctor suggest to take injection renerve plus every alternet days and required 5 doses. How it is benefited? | Hi, dairy have gone through your question. I can understand your concern. Renerve plus injection contain vitamin B12. Your mother may have vitamin B12 deficiency anemia. So she should take injectable vitamin B12. It will help to increase hemoglobin. Consult your doctor and complete the course of vitamin B12 injection accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. 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. | Hi there, How long do you have to be taking Noriday contraceptive pill to be protected if you dont start taking it the first day of your period initially. I started taking it at another time in the month but took it for 7 days straight before I had unprotected sex, am I covered? Regards, Laura | Hello, and I hope I can help you today. Typically, women are advised to start birth control pills within seven days of their last menstrual period because it is unlikely that she would've already ovulated at that time. If you start the pill later in your cycle, the process initiates ovulation may have already begun and your body may produce an egg that is capable of being fertilized that cycle. However, even if you ovulated right when you started to take the pill, it is unlikely that the egg would still be viable to be fertilized after seven days. Therefore, waiting seven days before having unprotected intercourse most likely was enough time to ensure that you would not become pregnant. Modern pregnancy tests will become positive within 10 days to two weeks after conception, so if you do not have a menstrual period at the end of your pill pack, you should perform a urine pregnancy test to be safe. However, if you start your pill later than one week after the start of your period, you may not actually bleed the first month during the pill free week. I hope that I was able to adequately answer your question today, and that this information was reassuring. Best wishes, |
If you are a doctor, please answer the medical questions based on the patient's description. | hello sir....two days ago, i got a light nail scratch by a dog in my left hand, n little blood came out. I washed that place with water. n Dr. gave me Tetanus injection as well as RABIPUR injection. please suggest me sir....what shall be my other precautions...!!thanks..!!!! | Hello, Welcome to Chat Doctor, Rabies is a disease transmitted by dog bite which is 100% fatal, but it is 100% preventable by proper and adequate treatment. As you were nail scratched by a dog on your left hand which has led to bleeding from that site, and you have properly washed the wound with water and taken a shot of In TT, according to WHO it is categorized into Cat III which requires following treatment.1. Active immunization with antirabies vaccine on days 0,3,7,14 and 28.2. Passive immunization with Rigs around the wound.3. Oral antibiotic like Tab Augmenting, twice daily4. Topical Tract ointment. Thank you. |
If you are a doctor, please answer the medical questions based on the patient's description. | Not sure what to do, Im a 19 year old female who always been healthy till now, Im tired all the time even after 8 hours of sleep, I try working out to boost energy levels but I find myself too tired to do anything now, I also get headaches and feel lightheaded, I have fainted a few times when I get really light headed and hot and dizzy. Ive gotten blood tests done and the only thing that came up was a low white blood cell count. Please help for any solutions. | Hi, dairy have gone through your question. I can understand your concern. Low blood count is common in viral infection. Headache and dizziness can also be seen in viral infection. You should take treatment of that. Take plenty of fluid orally. Repeat complete blood count after a week. 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. | My brother, who is 61 yr old, recently became feeling very faigued at the end of the day and had developed a cough. He went to dr and had chest x-ray. It was noted that he had some enlargement of his heart on one side and he was referred for ECHO, cath, etc. It was found his main artery in his heart had 100% blockage and his heart was only operating at 15%..he had evidently had a massive heart attack some time and didn t even know it. His cardiologist did not feel he was a candidate for surgery, as the risk would be too great. He only offered a defibrillator and pacemaker and Plavix. Would you feel a second opinion at a thoracic surgeon would be in order? Would a no-pump by pass be possible? | Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Your cardiologist is right that any procedure would be more damaging to your brother as his heart is functioning at a very low level. As far as surgery is concerned his low EF already makes him a very high risk candidate for surgery. He has correctly advised you for an ICD as the major threat to his life is an arrhythmia that tends to occur more with weak hearts. This would be taken care of by ICD. He has also put him on anti platelets that would prevent any further heart attacks. You have to understand that your brother now requires utmost care and various lifestyle modifications including:1. Total fluid intake should not exceed 1.2 L per day.2. His urine output should be aerial to his fluid intake to prevent any fluid from collecting in the body.3. He should restrict his salt intake to less than 2300 mg per day.4. He should have a low fat low salt diet. Consult a dietician for a detailed diet plan.5. He should restrict his activity and avoid strenuous work. But that does not mean that he should be confined to bed. He can take regular walks and other light exercises. You may consult a CTVS surgeon and consult regarding the possibility of a surgery. |
If you are a doctor, please answer the medical questions based on the patient's description. | hi,a few months back i was under treatment for typhoid fever and on the 6th day i had a bloody stool...doctors adviced me to go for a colonoscopy and the byopsy reprt said that its non specific colitis...i am 25 years old. Now i am fine, my stool is perfectly normal. Was it due to the typhoid fever that i developed bloody dyssentry for 1 and a half days. | Hi thanks for asking question. You have bloody stool in the past. It may be due to amoebic or shell dysentery. You have diagnosed non-specific colitis, and now you have no problem. So nothing to worry about it. This bloody stool may be because of typhoid ulcer bleed or dysentery. So just now you just do your stool examination for further confirmation. Avoid excess spicy food for few days. Chat Doctor. So just now no worry. If symptoms appear again then we will decide about to whether start treatment or not. Thanks. I hope I have solved your query. |
If you are a doctor, please answer the medical questions based on the patient's description. | i went to statcare yesterday with what i was thinking was a uti. they did a test and found nothing in my urine. i am haveing lots of pressure making me feel like i have to pee and i also have some lower back pain and abdominal pain too. can u help me? i started a antibiotic yesterday for uti , even thought the test were neg. | Hi. Thanks for your query. You have not mentioned the tests which have been done. Since you have got a symptom of urge to urinate along with pain in the lower back and abdomen, this has to be taken as a case of UTI. I would advise you the following:Tests of the -Blood for CBC Urine to be sent for routine again and also for culture and sensitivity. Ultrasonography for evaluation of the urinary tract and also to see if there are stones and to rule out other problems in pelvis which can cause symptoms like UTI. Continue antibiotics for 3 weeks if UTI is found. Chat Doctor. Treatment of any associated problems. Urologists opinion and examination will enlighten on the more of a diagnosis. I hope you are not suffering from stress and anxiety as there can be urge, but there is no actual UTI. |
If you are a doctor, please answer the medical questions based on the patient's description. | Recently I have been tachycardic (120s-130s), shortness of breath, green stool today (with no ingestion of anything green in days. I had an echocardiogram yesterday and am having a stress test on Monday. I will speak to my cardiologist Monday afternoon for results of both tests. Any ideas? | Hello! Welcome on Chat Doctor! I carefully passed through your question and would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to this symptomatology: - a gastrointestinal hemorrhage, causing acute anemia. I would recommend performing a stool analysis for the presence of blood and a bacterial culture of your stool to test for possible infection- a lung X-ray study and respiratory function tests to exclude possible lung disorder. - some blood lab tests (complete blood count, PCR, sedimentation rate, kidney and liver function tests, blood electrolytes). - an abdominal ultrasound An ambulatory 24-48 hours ECG monitoring would help examine your heart rhythm trends for a prolonged time. I would be happy to review all your cardiac performed tests for another professional opinion. Hope to have been helpful! Kind regards, |
If you are a doctor, please answer the medical questions based on the patient's description. | I have a friend who is having a lot of health problems. She experiences stomach cramps, abdomen pain, and shivers. Right now, shes sitting in a bed, unable to move. She has been to doctors before about it but they all said it was stress. I think its something more. What do you think? | Hi, Thanks for writing to Chat Doctor. It can be either due to stress induced gastritis or pancreatitis or urinary tract infection or if all test results are normal then can be even due to irritable bowel syn Chat Doctor. Get an ultrasound abdomen, if not taken already, as it will help rule out many conditions, also get a complete blood count and a urine routine test to look for any infection. If they show something, then consult a physician. If normal, start on a high fiber diet with lots of fruits. |
If you are a doctor, please answer the medical questions based on the patient's description. | good morning doctor my father is a type 1 diabetic.....he was being diagnosed with liver abscess in 2003 which was later aspirated...now the probmle is ,hwe was complaining about abdominal pain...on USG it revealed that he is having fatty liver with prostatomegaly.....kindly advise | Hi thanks for asking question. With advancing age benign prostatic hyperplasia is common condition. It is due to effect of testosterone on prostate that lead to epithelial and Smith muscle proliferation. So clinical follow up needed in BPH with tamsulosin or other suitable Chat Doctor. Secondly fatty liver can be by many causes like .... Excess alcohol. Hypoxia... Protein energy malnutritionHyper cholesterolChemical injury etc.... For fatty liver take care regarding taking low fat diet. Green leafy veg more. Exercise regularly.... Both this condition treatable and clinical regular follow up needed. I hope my answer will helpful to you... Take care.... |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I am 33 yrs old I have sore breasts every month which I know is nomal along with some lumps but now my right breast is very sore and a tickling sensation as if there is liquid flowing through it and I got a brownish sticky discharge some out what is it should I worry, I do come from family of breast cancer, my both aunts. Thanks CJ | Hi, dairy have gone through your question. I can understand your concern. Symptoms of breast cancer are breast lump, pain, discharge from nipple etc. You should go for mammography and if needed then go for biopsy. You may have fibrotic disease or cancer. Consult your doctor and take treatment according to cause. 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. | Hello,I am a 21 yr old male. I have a semi soft lump about an inch or so in size. It is located on my lower back right above the point of my hip. My father has had a lipoma remvoed that was on his waist line. My lower back has also been subject to trauma from being a college wrestler. Any idea about what it is? | Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. A semi soft lump, which moves easily is possibly a lipoma.2. Get a Fine needle aspiration cytology of the lump done for confirmation.3. If It's lipoma, it's a slow growing lesion, and you can get it operated anytime. It will rule out other causes and give you peace of mind. 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. | My daughter tested with high liver enzymes 4months ago and then tested for causes such as hep. A B AND C. Wilsons ect. . . All negative. We retested her blood for liver enzymes and they have doubled in 4 months time.we have an appointment again with a specialist who gave her an ultrasound 4 months ago wich. Was showing her liver looking fine. What should i be doing or what could this be? | Well you didn't mention how old your daughter is. Elevated enzymes can be sign of any liver damage or bile duct disorder. If she doesn't have any symptoms then you shouldn't be worried. Usually when no cause is found then autoimmune hepatitis needs to be considered. Just often do examination and check enzymes levels, if any symptoms occur then further tests such as liver biopsy and CT must be done. Wish you good health |
If you are a doctor, please answer the medical questions based on the patient's description. | My mother past away February 10th. Its been the hardest thing I ve had to go threw! My father has been married to my mother Jeannine Russow for 34 years. She shot herself in the temple It went in the right side an came outa the middle of the front part of her head. I got the call at 4:30 am its killing me inside I don t no how to deal myself an my dads loosing his mind!!! I m the youngest of three girls. Even being the youngest I m the rock to the family everyone comes to me! Its a tough position an not sure how to keep that roll at this time!!! Please help me help my father? He won t go get help in any way no pills or anything! He watched her do it an he cought her in his arms she used a 44 an he replays it in his head over an over!!! | Hello I am sorry about your mother. She shot herself in last month and your father has witnessed it. It was a married life of 34 years. So It's natural to have such of grief reaction. Grief reaction like low mood, crying spells, not accepting incident, de realization etc. is considered as normal to some extent. But you have mentioned that he replays the incident in his head, he is losing his mind. This is not normal. Try to talk with him and explore if there is any suicidal intention. Closely watch him and give warm supportive care. It has been about 40 days of your mothers' death, so such levels of grief are not acceptable. He may develop Post Traumatic Stress Disorder. I advise you to take him to a Psychiatrist ASAP for immediate control of his symptoms. You have mentioned that you are also feeling low to some extent. But if this is not affecting your occupational and social life then its acceptable. Try to help your father, he needs help from you. Thanks |
If you are a doctor, please answer the medical questions based on the patient's description. | I was eating an apple recently and felt pain when I bit into the apple. I thought I had cut my gums on the bottom front. Now my gums in between my bottom front teeth are sort of loose looking, almost like they are not attached to the teeth and my teeth and gums are sore. | Hello, You may have some periodontal disease. Rinse with warm salt water. Make sure nothing is stuck under your gum. Practice good oral hygiene with brushing, rinsing and flossing. Gently massage gum area. You can cause strain to the periodontal ligament that holds the root onto the bone socket when you incise. Please avoid chewing and stress to this area. Take some anti-inflammatory medication for pain relief and to reduce any accompanying inflammation. Medications include Tylenol and Advil. Keep well HY Chat Doctor. Prescription rinses with chlorhexdine gluconate may be helpful to healing. Schedule a dental exam and cleaning. Can you see tartar buildup on your teeth? There may be sublingual tartar buildup. Your dentist will probe your gums and evaluate for periodontal disease. Gingivitis can have swollen gums with increased probings. Periodontal disease will include bone loss and additional treatment recommendations. Maintain routine dental visit at least two times a year. Thank you for your inquiry. I hope my suggestions are helpful and offer you some relief. |
If you are a doctor, please answer the medical questions based on the patient's description. | Dear Sir, I am a circumcised male in my 20s, I have refrained from sexual activity for more than 2 months and have experienced slight enlargement in the penis and the testis due to vaso-congestion. This has lead to the skin of my penis to become overstretched and during masturbation the frenulum was not torn but the part under the glans became red in general with white color in the middle and no bleeding occurred at any stage. Will the inflamed frenulum ever fully heal turning into non scar tissue and to go back to the original state? or will the scar tissue always remain? Would any of this reduce the penis size? What are signs of infection? | Thanks for asking in Chat Doctor forum In short: Temperature around it may cause increase and decrease in size of scrotum and penis. Explanation: Usually in winter as the muscles of scrotum contracts to put your scrotum attached to the body you may feel its size has decreased and opposite happens in summer. So, don't think about this. But, for your frenulum tear/injury don't masturbate that roughly to cause tear. Give rest to it and it will heal automatically. You can apply point tobramycin locally for time being. Visit a doctor to examine and diagnose your problem properly. Good luck |
If you are a doctor, please answer the medical questions based on the patient's description. | Can a wrist bone spur be treated with daily 500 mg calcium intake and 10 min daily sun exposure along with ice application on the spur and intake of turmeric and ginger over a period of say 6-10 months ?If not , if there any other natural removal solution other than the surgical procedures ? | Thanks for contacting ChatDoctorYour question resolves around a bone spur in your wrist and whether taking natural supplements can make the spur resolve. Bone spurs are natural growths of calcium along bone prominence areas. I see these spurs and I counsel my patient to try anti-inflammatories to reduce the pain. There are no medications or natural remedies that help dissolve the spur. Sometimes if the spur reduces the range of motion or cause significant pain then surgery to remove the spur is suggested. Hope this answers your question. Please contact us again with your questions. |
If you are a doctor, please answer the medical questions based on the patient's description. | I have a strong history of breast and uterine cancer on my paternal side and would like to get genetic testing done but my PCM says Im not at higher risk since its on my fathers side (my father died from colon cancer). I recently had an ultrasound done that showed a cyst on my left ovary but have been told thats normal. I am 53 years old, no menopause yet, never given birth. Should I be tested for BRCA 1 and 2? The paternal side: grandmother ovarian cancer and two aunts breast cancer all deceased. | Hello madam , Thanks for full details u mentioned to evaluate the problem u had. As your paternal side grandmother and aunt suffered with breast cancer and ovarian cancer indicates they are your second/third degree relatives. For BRA 1 & BRA 2 either maternal or paternal side your are under high risk for inheriting the gene. Thus go for BRA 1 & BRA 2 testing. As u not attended menopause and u had no children thus which increases your general risk of developing cancer apart from gene defect. Thus, i advice to go for yearly screening apart from BRA gene screening. |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, may I answer your health queries right now ? Please type your query here...Hello sir,My doctor has said that I have caries in my very last bottom teeth & also the teeth is little slant i.e the teeth is not straight like others & that teeth is laying down on adjacent teeth from top. Hence extraction is the only solution to this disease. Although i am not having severe pain : i feel cold only; no pain nothing is there. My doctor says it is beginning only & the infection has not reached to its bottom.I dont want to go for teeth extraction? What do you suggest???? | Thanks for your query, I have gone through your query. The decayed tooth might be a wisdom tooth, that is non-functional, If it is in a normal position then we can restore it and save it. If it is not in a normal position and if it is troubling the adjacent tooth, there is no meaning in keeping that tooth. It might get infected, or it can damage the adjacent tooth also. So it's better to get the tooth removed under local anesthesia. Consult an oral and maxillofacial surgeon and get it removed. 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 Dr Samuel - for the last number of years I ve had a number of short (once or twice a year) intense shooting pain in my left arm and left side of my head which lasts about a second. Over the last few months this has increased to a nearly daily occurrence. any ideas? | Hi, thank-you for providing the brief history of you. A thorough clinical examination is advised. As the shooting and shock appearance of the pain is more of a neuropathic and needs an attention. Since the history suggest about the one side limb pain and also the head pain, I will advise you to get a thorough neurological examination done and also an MRI later of either the brain or the cervical region. As post thorough neuromuscular examination and by understanding the MRI reports we can come to a conclusion. Also, we need to know if there is any motor functions compromise or not. As this will be a major area of concern. Regards Jay In Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | hello doctor, Can i use Monocef 50mg oonly for kid tablet for my daughter. she is 20 months old with 27pound. she is having bad dermatitis everywhere on her body except face. Her pediatric prescribed hydrocortisone butrate since last 4 months we are using same cream but of no use. Monocef is prescribed by family doctor from our country.we live outside.could you please respond to my question. Will be very much helpful. | HelloDermatitis can be allergic or infective in origin. HY Chat Doctor. Antibiotic is needed in infective dermatitis. Long term dermatitis is usually due to allergic or other causes not due to infection. For me, it does not appear to be infective dermatitis, so there is no need of antibiotic. Monomer contains ceftriaxone and it is an injectable antibiotic. It is not available in oral form. Monocef-o contains cefuroxime protein, and it is available in tab form. Even if antibiotic is needed Monocef-o is not a very good choice. Most of the skin infections occur due to infection of staphylococcus. Amoxicillin or amoxicillin with clavulanate is a better choice. Dose of monocef-o is 10-15 mg/kg/day in two divided dosage. I would suggest you to consult a skin specialist for reevaluation of the condition and management accordingly. |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello approximately 6 years ago i had my first bout of Cellulitus (sp?) and ended up being hospitalized for 2 months . since that time I have had a numbr of additional bouts and sometimes end up in the hospital for shortr amounts of time or am fortunate to catch it at in time to be prescribed antibiotics and am able to stay at home while recouperating. A friend of mine who has also recently revealed that she has experienced Cellulius as well and has been treated with Ichthammoll ointment and hot and cold revulsion compression therapy to be healed. Can you tell me more about this later option...the Ichthammol ointment with the revulsion compression? | Hi, Cold compression therapy is usually used to reduce pain, inflammation or after surgery. It works on the principal of rest & ice, compression & elevation to reduce pain. It reduces the temperature of the tissues thus reducing the metabolic rate. Cold therapy is a combination of cryotherapy & static compression. Tissue at lower temperature reduces pain, inflammation & protects tissues from damage. Adjustable elastic wraps & other wraps are available in protective layers so that ice is not directly applied. Application of hot & cold compression results in increased blood circulation & hence good health. Too much cold compression can lead to frostbite, so get connected with the PCP or physiotherapist. 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 3yr old had her preschool physical today and the doctor found bilirubin and traces of blood in her urine what does that mean? She also needed a hemoglobin test for school but when I got the discharge papers it also had lab requests for red and white blood count and I think plasma test? Is this something I should be worried about | Some Red blood cells are always found in urine. Less than 5 cells is normal. If persisting more than 5 RBC are found in urine child has to be evaluated for hematuria. Repeat urine routine after 10 days if the RBC in urine is more than 5 do a blood urea, creatinine and ultrasonography PUB. Also, urine 24 calcium excretion is required to be measured... If there is persisting hematuria in urine report its concerning. |
If you are a doctor, please answer the medical questions based on the patient's description. | Had a total hip replacement in 2008, right hip is fine. Had other hip done in 2010. I have noticed a dark like bruise on my mid thigh in the last month or so and it burns quiet a bit. should I call and make apt to see ortho surgeon. It can get very sore if on my feet to long | Hi, As per the history I do not think this should be anything major. But it is always advised to get it physically checked by an orthopedist so if any doubts are there taking to major issue can get removed. Usually bruises might occur post surgery but in the initial stages and not the latter stages. Also, the pain coming depends on how better the post hip replacement rehabilitation was performed. Sometimes due to muscle weakness some people develop some pain due to wasting of muscles and over strain of it. But again with a physical examination by the orthopedist and exercise things go well. 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 a fever, cant stop sweating but am cold all the time. I lay in bed and my lower back is killing me not allowing me to get more than 30 mins of sleep at a time. I have a painful cough, which is getting better and my poo is black. Do I have any reason to be concerned? | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have fever along with sweating and cold and myalgic which is mainly due to viral infection. You seem to have fever of high grade. Need not worry, it will take 5-7 days for fever to go away. Till then do tepid sponging on head and extremities. Avoid intake of any oily and fried food and cold carbonated liquids. Take combination of antibiotic such as Levofloxacin along with Ibuprofen/ Acetaminophen. You should take Levocetrizine as well. As you are having along with back pain, you should take cough expectorants along with warm saline gargles as well. Apply mist humidifiers in room. Take muscle relaxants as well. Visit general physician once and get it examined and go for blood and sputum tests and start treatment. Hope your concern has been resolved. Best Wishes, |
If you are a doctor, please answer the medical questions based on the patient's description. | anything that can be eaten to avoid acne fast.? | Hi .dear user..., Thanks for using Chat Doctor., There is no relation between diet and acne.but suggestion is avoided spicy, jenky and oil foods., Regular taking of fresh fruits, fresh vegetables will give good result., Plenty of oral fluids will eliminate the toxins in the liver.good for Acne., ACNE is due to hyperactivity of hormones that increases fatty synthesis .so avoid of acne is difficult ...good maintaining at the acne site (hygiene)with frequent. Washes with Triclosan soap.applying of clindamycin cream... 2 times daily ok. Good luck... |
If you are a doctor, please answer the medical questions based on the patient's description. | hi i would like to ask what are my chances that i could be pregnant i had clomid 25mg for 3 days last april 16 but didnt work and my fertility doc ask me to take another cycle started 6 may til 10 may..then i had blood test 13 may tested i ovulated over the weekend.we had sex 8 of may and 10,11 of may. what are my chances?thanks | Hi, Thanks for the query. As you had ovulation and had unprotected intercourse around that time ovulation, the possibility of pregnancy is there. If you had intercourse within 24 hours or before 24 hours of ovulation, the chance of pregnancy is more. Start taking folic acid prophylaxis from now onwards. And if you miss the expected date of periods, go for pregnancy test once. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | in sep 2012 i had undergone a root canal in my lower molar tooth..everything went well.. bt in march 2013 i noticed an abscess lump on the side of the root canal treated , (gum ) the pain was agonizing and then i conslted a dentist, he prescribed sme anti biotics, n pain killers ,, i had them for almost a week n now d pain is gone . the lump is also gone.. bt now i have a hard swelling right there on rct treated tooth,, the swelling feels in d bone n its is nt painful bt is tender,,, is it dangerous ...?? wt shud i do ?? am i d first one to experience this problm?? | Hi, Thanks for asking the query, Tooth pain along with swelling indicates infection of the tooth that had spread to the periapical tissues leading to formation of abscess. After successful root canal treatment the tooth is completely devitalized, so there are no chances of pain and infection. I would suggest you to visit to the concerned Dentist take an x-ray of the tooth, depending upon which the treatment will be extraction or reject. Start with tab Amoxiclav and tab Aerosol twice for three days. Take lukewarm saline gargles 3-4 times and antiseptic mouthwash gargles twice daily. Hope this helps out. Regards.... |
If you are a doctor, please answer the medical questions based on the patient's description. | sir,i have a female patient 45 yrs old, who presentd with altered mental status and generalized tonic clonic fits . her CT SCAN showed a hypodense area in rt parietal lobe . post contrast findings were similar to plain scan. Radiologist labelled that hypodense area as CSF GLIOSIS . plz explain what is this disase and what is its treatment. | Hi, First generalized tonic-clonic seizures and altered mental state is a medical emergency. She should be in intensive care unit for stabilization. Gloss is a proliferation of astrocytes (type of non-neural brain cells) in damaged areas of the central nervous system (CNS). It does not indicate cause of problem. For treatment, she should be stabilized, treated for seizures, monitored for sensorial, investigated for cause of lesion and treated according to cause. I hope this information has been both informative and helpful for you. Wish you Good Health. |
If you are a doctor, please answer the medical questions based on the patient's description. | I was wondering if you can help me I have been having a dizzy problem for 3 years and its not going away and I have had the dizziness since the victoria long weekend of last year and now I cant get rid of it like I feel it when I bend down for a long time and some stores can flare it up and I have had an MRI that came up clear and I have had an ENG and the guy who did it thought he might have something but my father thought our family doctor wouldnt want me to do the one test and the guy said I would need treatment and I was wondering do any of the doctors who are seeing this know what this problem is and what the treatment is for it. From Laura McIntyre | Hello Thanks for writing to ChatDoctorConstant dizziness may be due to many reasons like hypertension, cervical spondylosis, internal ear problem etc. You need clinical correlation and few investigations. You need investigations like routine hologram, random blood sugar, lipid profile, cervical spine X-ray AP/Lateral. Further investigations MRI (internal ear)can be done if needed. Proper treatment depend upon clinical findings and investigation reports. Hope I have answered your query. Get well soon. Take Care Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | I have been feeling weird, for a little bit now. Every time I try and go to sleep I lay down, then feel all of a sudden like I m getting liteheaded and like I m going to die. It doesn t feel like my usual panic attacks, and it happens very offten. I even start to get tunnel vision, and feel a sharp pain in my stomach. I want to be sure if I should got to the hospital for this and what it might be. | Hello Nicoletta, There is no doubt in my mind that you need to go to a hospital ASAP and get yourself assessed. Yes, it could be a panic attack; some of your symptoms are certainly suggestive of a panic attack. However, a panic disorder is diagnosed only after ruling out other medical causes of the symptoms. In your case, there could be an endocrine (hormonal) or cardiac cause of your symptoms, or it could be something else. It will require assessment by a medical specialist and some investigations before an organic cause can either be diagnosed or ruled out. Saiph |
If you are a doctor, please answer the medical questions based on the patient's description. | My friend sent me a list of the following symptoms that she has: fever shaking cause im cold hurts to move cause im frozen puking headache stuffed up nose throat hurts ribs hurt belly hurts i have electric shocks trough my body eyes hurt hurts everywhere. even my feetshe said she also has yellow saliva.Any idea what this is? | Hi thanks for asking question. Here mostly your friend suffering from acute infection. Mostly acute sore throat. Yellow saliva can be due to exhaled cough that might give yellow color. Here better to do investigation for CBC and X RAY CHEST first for preliminary work up. If in CBC total count high with necrophilia acute bacterial infection most likely, for that antibiotic has to be taken. It is better to start antibiotic prophylactically even though it comes viral infection by elevated lymphocytes in CBC. Possibilities of pneumonia less, but x-ray will rule out it whether any consolidation or pleural effusion present or not.Meanwhile, maintain your immunity with more water, fruits and healthy diet. I hope my suggestion will help you. If still problem then further investigation is done. |
If you are a doctor, please answer the medical questions based on the patient's description. | I am a heart transplant patient (8 yrs). I thought I had a heart attack about a month ago, called the paramedics, went to ER, spent overnight in hospital. I had 5 before transplant and this seemed very much like the previous ones except the paramedics gave me 4 aspirins in transit. However, since there was no significant change in cardiac enzymes, thjy said no. I am still very weak, feel fatigued, and it changed my vision to the point of needing new glasses. What should I do? | Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. Your symptoms DO NOT sound like that of anything related to heart problem, plus you underwent a complete checkup and no heart issues were detected so in my opinion you should not worry about heart anymore. Now coming to your active issues that is fatigue and change of vision. Yes heart issues can cause fatigue, but it CAN NOT cause change in vision, as we have already ruled out heart issues so this fatigue and change of vision is because of something else. After a transplant the patient does take high potency immune suppressant medication which keeps you protected from heart damage, these immune suppressants have multiple side effects fatigue and damage to eyes is very common among them, you are probably suffering from those side effects. I would advise you not to panic about the heart issues but visit your doctor to discuss possible causes of fatigue and eye site problems other than the heart. I hope this answered your question, If you have more queries I am happy to answer you. Regards. |
If you are a doctor, please answer the medical questions based on the patient's description. | i want to know the use of oligocare and fertyl M as i am prescribed by two urologist, one prescribed oligocare and another Dr. Prescribed Fertyl M along oligocare for the Low sperm count (40 million/ml, low motility (60%), low rapid progressive (10%)) Thanks for your suggestion. | Hello, The medicines you have mentioned are prescribed mainly for patients with low sperm count who are trying to conceive and are unable to because of low sperm count. I would suggest you to follow your doctors' advice on intake of the medicines as per the prescription for better results. As these medicines are prescribed after careful evaluation of the patient. If you have doubts then you can have a conversation with your doctor on your next appointment. Hope this helps. Feel free to contact for any further queries in the future. |
If you are a doctor, please answer the medical questions based on the patient's description. | my two year old daughter is coming down from a bad cold and just recently she started complaining about her mouth hurting so i looked and saw some white bumps on the inside of her lip and her gums look red and swolen. could this just be a side affect from the cold or somthing more serious? thank you. | Hi... Welcome to Chat Doctor ... I have gone through your query and can understand your concerns. As per your complaint you daughter seems to be suffering from Viral Infection causing the above described symptoms and the condition is known as HEPATIC GINGIVOSTOMATITIS in which there can be symptoms of cold and blisters in mouth and gums with swollen gums and there can also be fever. You should consult a physician and get him evaluated. In case if the Viral Infection is diagnosed you should give him Tylenol or Motrin for pain relief. Do cool compresses over gums for relief from Inflammation and reduction in swelling. In case of pain in the sores on tongue a numbing gel like Ora gel can be applied. In severe cases antiviral Oral and topical Medication like Acyclovir therapy is given to the patient to reduce the duration of illness... Give him cool and bland diet. Give him sufficient rest. Maintain a good Oral hygiene and brush his teeth twice a day using an ultra soft toothbrush. Hope this information helps. Thanks and regards. Chat Doctor. . |
If you are a doctor, please answer the medical questions based on the patient's description. | there is a knot right below my shoulderblades on the right side of my spine it feels like a hard ball a little smaller than a marble. I ve had back pain after i jarred my back about a year ago and its caused. pain near the said area. ever since. the jarring. what could it be | Hi, thank you for providing the brief history of you. A thorough clinical examination is advised. As you have pain under the shoulder blade, it looks more of a muscle spasm and posture correction. Due to abnormal posture there will be a possibility of inter scapular muscle spasm leading to knots. Treatment:Physical therapy in my clinical practice has been helpful to many of patients. Physical therapy includes - therapeutic ultrasound therapy, TENS therapy and exercises. Regards Jay In Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | ALT showed higher than normal in two previous analysis; the first was in June 2010 and it was 62. The second was around 10 days ago and it was 97. I went to another lab yesterday and had Bilirubin total (0.72), AST (25), ALT (49), Albumin (4.20), and LDH (199) which are all in normal ranges. Except GGT which was 128 and marked as high. After the second analysys of the ALT (10 days ago) the doctor prescribed a medicine called "Essential Forte" which contains phospholipids from soy beans (he said it was a fatty liver after seeing ALT scoring 97). Currently I am suffering from a bad cold, sore throught, had swallow and thick saliva in my mough as well as phlegm. I fee fatigue and always want to sleep. Could this be ChatDoctorV related or is it liver related? | Hi thanks for contacting Chat Doctor... You had elevated liver enzymes in the past. So it could be liver related problem. Like fatty liver or gall stone etc.... Or it could be by cytomegalovirus like infection.... Just now treat your flu like infection symptomatically.... More water. Steam inhalation useful... Take decongestant like oxymetazoline and cetirizine.... Humidifier can be used for cold climate. Take amoxyclav antibiotic... If after few days liver enzymes elevated then USG abdomen and viral marker study and LFT profile done for diagnosis liver pathology.... Take care Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | My 11 week old is very hard to wind (burp) whilst feeding. She is formula fed and I have noticed this problem only over last week or so. She is not really in any pain or crying but just refusing her bottle after taking small amounts. I have tried wind drops, but not much help. Around her mouth area is blue so I know it is a wind problem. | Dear parent, at times it's difficult for child to take out burp. You need to be patient. At times, it may take 20-30 minutes as well. After one burp if the child refuses to feed then put him in on stomach. That way it is easier for him to take out extra wind easily. Make sure that his bed is not too fluffy, it should be firm. Child will turn his head for breathing in the most comfortable position. If this does not help, please check with a pediatrician and change the formula. |
If you are a doctor, please answer the medical questions based on the patient's description. | i am a 27 yr old African american woman who was diagnosed with lichen planus about 4 years ago. it has been treated and i have not had a flare up (thank God)... but i am left with hyperpigmentaton that cover my entire body excluding my face. i have tired every bleaching product available, over the counter and prescribed. i have been tanning and nothing seems to really work. i do have fair skin so the marks are very noticeable. if there is something you can suggest to help or get rid of the hyperpigmentation please advise. Thank you! | Hi Clark, Thanks for writing in. You seem to have postinflammatory hyperpigmentation. For pigmentation as a general rule-Avoid sun exposure Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours Take antioxidant and vitamin C supplements. As the area of pigmentation is large some internal medication should be taken and external treatment would be of little use. Glutathione supplements are available as capsule and injections they can be very useful. You need to consult a dermatologist as dermatology being a visual field, the treatment required can only be suggested after proper skin examination. Some procedure can be helpful like dermabrasion. Take care. Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | My 11 year old woke up with hives on his torso and spread though out his body and today I took him to see his Dr and he has strept throat now his on medication Could his strep had cause his hives? Is just scary the way the hive just spread all over his body. | A strep throat is a bacterial infection of the throat (pharynx), tonsils or both caused by the bacteria group a streptococcus. Unfortunately common usage has deteriorated to mean sore throat in general. This is inaccurate. Many more viruses cause sore throats than streptococcal bacteria. Fever & sore throat for more than 2 days without cold symptoms suggests possible strep. A culture is the best diagnostic test. Hives (also called urticaria) are a common skin reaction in child Chat Doctor. The shape of these bumps can vary, and their size can range from about one-half inch to several inches in diameter. The larger wheals often have pale centers. In most cases, hives are caused by allergies. Foods like shellfish, milk, peanuts, or chocolate can trigger them. So can insect bites or |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi. Ive been on a low dose bc pill for a few months now after switching from the IUD. All periods have been normal until this month. No period. Its several days late now, I start my active pills again today. Ive had lots of cramping for the last two weeks and nausea off and on for the last 2-3 days. Home pregnancy test was negative...? I know there were a few days I took my pill later than usual by a few hours. Not sure what to think. | Hi, Thanks for sharing your health concern with us. Since you have switched over to oral contraception, you have to use additional protection during the initial couple of months to avoid failure due to breakthrough ovulation. Since you are a few months into the pill, your hormone milieu should have settled by now. A few hours delay in the pill intake should not affect much. This delayed period is hence, of significance. Your symptoms are also suggestive of a possible pregnancy. Home pregnancy tests read well when performed 3-7 days after the missed period with a fresh early morning sample of urine. Since you have to start the active pills now, it is better to exclude/confirm pregnancy through the blood test and plan further management. Hope this helps. |
If you are a doctor, please answer the medical questions based on the patient's description. | i have woken up today with quite severe knee pain. I was flying yesturday on a 7 hour flight and today am in quite a lot of pain in my right knee. I am struggling to walk or climb stairs and feel like my leg will collapse under me at any point. Can you help. I suffered with growing pains in my knees when i was a teenager. I exercise although not too much as if i run too much without at least a days break between then my knees also hurt. I sometimes hear a cracking noise from my knees when i stand after sitting down although this is not painful | Hi, Knee pain could be due to any ligament, tendon, meniscus injury or autoimmune / inflammatory condition like arthritis etc. But the one with cracking or popping sounds in or around the knee joints could be a sign of emerging osteoarthritis. With this feature, age, gender, weight should also be considered as it might increase the risk of arthritis. I advise you to:- Do X-ray both knees-Analgesics like Tab. Ibuprofen or Diclofenac + Ice pack + Regular exercises- Intra-articular glucocorticoids if pain and swelling persists even after using analgesics- Charon Chat Doctor. Hope I have answered your question. Let me know if I can assist you further. |
If you are a doctor, please answer the medical questions based on the patient's description. | heartburn Hi im 40 female.Im a smoker no other health problems.I get heartburn and i have mild pain underneath my right ribcage to the middle.I weeze when i sleep and sometimes I cough.I had a terrible burning pain my chest twice while i was drinking brandy and coke.Now i rather dont have any alcohol.What can this be | Thanks for your question on Chat Doctor. I can understand your concern. Your symptoms are characteristic of HERD (gastroesophageal reflux disease). Since you are smoker, HERD is likely and this is even worse by alcohol intake. Actually both (smoking and alcohol) cause laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause chest pain. So better to avoid smoking and alcohol as soon as possible. Take proton pump inhibitors and prokinetic Chat Doctor. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Avoid hot and spicy food. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
If you are a doctor, please answer the medical questions based on the patient's description. | I recently had a pap smear done and it came back with ASCUS. Since then, I now have a painful pea sized lump that moves with the skin on my right labia. I have alot of clear, sometimes bloody discharge and foul odor. I was also diagnosed with bacterial vaginosis which I took medication for and still have the symptoms. Could you tell me if the ASCUS and the bacterial infection have anything to so with the lump? | Hello and welcome to Chat Doctor, A lump on right labia could be due to lymph node enlargement or inflamed Catholics gland. A history of bacterial vaginosis can be the cause of lymph node enlargement. The presence of ASC US on Pap smear suggests presence of atypical squamous cells of undetermined significance. A repeat Pap smear or cervical biopsy may be required to rule out invasive malignancy. However, before repeating the pap test treatment for bacterial vaginosis needs to be done because atypical changes in squamous cells may be seen in case of infection. The presence of lump on labia is not related to ASC US. Thanks and take care Chat Doctor. |
If you are a doctor, please answer the medical questions based on the patient's description. | I have a degenerative neck condition, but recently, my head has an intense pressure-feeling, and I want to know if this is directly related or something else. I also have a swollen area behind my left ear, right at the bottom of my hairline, and that lymph node feels a little swollen as well. The head pressure makes me feel disconnected and disoriented, and makes my head hurt. Thank you. | Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion your symptoms are not probably due to your degenerated discs, but the swelling behind ear is definitively a thing to be concerned about, please visit an ENT surgeon in your area to see what that swelling is all about. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi my name is Renee I live in Stockton and have Thoracic injury from car accident in 2000. I m considering having an intrathecal pump inserted. I ve been seeing a pain management Dr. since 2003 . Want to find an expert to do the procedure and on this subject. Sincerely, Renee Rendon | Hello, You should look on the internet for physicians in your area who manage and insert these intrathecal pumps. It is almost certain that any ACADEMIC TEACHING HOSPITAL will have qualified surgeons for this type of procedure. It is considered a common and "garden variety" type of procedure. Another option might be to call a local hospital in your area and to ask the operator or NURSE ON CALL or NURSE HOTLINE service to give you a list of surgeons or neurosurgeons since these would be the people to insert such devices. 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. | Hi, my name is Sheila. I m 18 years old, 5 tall and weighing 52 kg. I have an asthma since I was highschool and just lately my cardiologist said I have an MVP. I had a sleeping disorder before and my doctor gave me a sleeping pill (i ll take it just as needed) and isoptin. I stopped taking the sleeping pill because I can already sleep at night. But just these few nights (roughly 3 consecutive nights), I had trouble sleeping and even right now I can t get myself to sleep. Is this because of the MVP or caused by another problem? Do I have to see another doctor for a second opinion on my case? Thank you so much. | Hello, No MVP is not a cause of insomnia, these two are unrelated problems. You need to see the psychiatrist for sleep problems. In general, avoid stimulant like tea, coffee, cola Chat Doctor. Avoid too heavy meals or exercises prior to sleep, light exercises like walking is encouraged. Also avoid TV or novels prior to sleep. 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. | In filitrate left upper lobe, this is the one of the point from my chest xray, i m going to dubai next month ... i didnt consult a doctor tillnow, help me is this the serious issue with my health and can i go to dubai , can i clear my medical exam for going to dubai or not | Thanks for your question on Chat Doctor. I can understand your concern. Infiltration on chest x-ray is suggestive of active infection like pneumonia or tuberculosis. Upper lobe infiltration is common with tuberculosis. So at this moment, you will not clear medical for Dubai. You need to consult pulmonologist and get done sputum examination for AFB (acid fast bacilli-bacteria causing tuberculosis) and culture and sensitivity. Sputum for AFB is needed for the diagnosis of tuberculosis. If this is positiver than you need at least 6-8 months of anti-tubercular treatment. Sputum culture and sensitivity report will be helpful in identifying causative bacteria for pneumonia. So you should consult pulmonologist and discuss all these. First treat this and then apply for medical again. 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. | What would or could cause a 54 yr old man with multiple mialoma,renal failure and heart valve damage to have sudden intense internal body heat? Like a female hot flash,soaking his clothes,feeling like he can t breathe but his oxygen level is fine and his heart rate is steady.He s got a cardiologist,nephrologist and an onocologist. | Hi, dairy have gone through your question. I can understand your concern. You have multiple myeloma. It is known to cause renal failure and your symptoms may be due to multiple myeloma itself or due to complications. Treatment depends on stage of disease. Realized and dexamethasone is the treatment of choice for newly detected cases. Bortezomib can be given along with dexamethasone in some cases. Consult your oncologist and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. 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 have ongoing chronic back pain, my MRI 2 years ago showed deg inl3/4 and L4/5 with a central to right paracentral disc protrusion at L4/5 which distorts the thecal sac and impinges the right L5 nerve root ni the lateral recess but no nerve compression.I have tried everything, osteopathy, physio and have been seeing a chiropractor for the last 6 months and cannot get anymore than a couple of days without pain. Should I be considering surgery, I am at my wits end! Thanks | Hi, If the pain has been getting worse, and you are not able to manage it in spite of all the therapies you have gone through, I think it would be worthwhile to consider surgery. You need to discuss with the physician and also get a thorough neurological examination done to accurately decide which nerve impingement is causing most problems and at what level a microdiscectomy would most help. If it is at multi levels, you will probably require fusion surgery. Your spinal surgeon is best equipped with making the decision based on his clinical findings and what the imaging shows. Microdiscectomy is the most oft done procedure and has a perfect rate of success of about 95%. Hope this helps you make a decision. |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello my husband is having prickly pains in on his upper right chest. It is not all the time. It s not when he is breathing. Just every now and then. He has had the pain for a couple of hours but for a few months he has had a dull ache under the right of his rib cage. Any ideas what this could be? | Thanks for your question on Chat Doctor. In my opinion it seems pain due to trapped nerve and muscular pull. So better to follow these steps for symptomatic improvement. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Avoid movement s causing pain. 4. Start good painkiller and muscle relaxant. 5. Apply warm water pad on affected site. 6. Get done vitamin B 12 level and if deficient than start replacement. As vitamin B 12 is necessary for nerve repair and function. |
If you are a doctor, please answer the medical questions based on the patient's description. | my husband is very disturbed emotionally.and behaviourly due to some bad experiences in past life of childhood getting upset getting agreesive shoting on little things. negative thinking arec some symptoms.i m very much disturbed so please suggest me good psychiatrist in mumbai preffered location will be andheri | Degree understand your concerns went through your details. I suggest you not to worry much. If the symptoms you gave here are correct, then I do suggest that your husband do not need a psychiatrist help, but needs the help of a psychologist. Anger and aggression and negative thinking due to past happenings and disappointment from those incidents are normal and happens with every one. Understanding life and its significance is the key. Logo therapy and simple behavioral therapy should do good for your husband. Please consult a psychologist soon. If you need more of my services, please post a direct question to me in this website. I am happy to serve your purpose. 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. | Hi Doctor I have a question please . My SGPT (ALT) 56* and SGOT (AST) is 42*. could you please tell me what does it mean ? Thanks HBsAg 1649.00 HBsAb HBe-Ag 257.00 HBe Ab 1.82 HBcAb(Total) 0.01 HBc Ab IGM 0.06 SGPT(ALT) 56* SGOT(AST) 42* | Hi and thank you so much for this query. I am so sorry to hear about this abnormal results. These results are suggestive of hepatitis B infection with increased liver enzymes. I will recommend you follow up with a gastroenterologist and get the follow-up care you would require following this diagnosis of hepatitis B. I hope this helps. Furthermore, I wish you well. Thank you so much for using our services and do feel free to ask for more information and clarifications if need be. |
If you are a doctor, please answer the medical questions based on the patient's description. | I m battling enormous amounts of stress for the past two years. My husband of 37 years ask for a divorce (had no clue that was coming) and 12 months later I found myself 58 years old, alone and will be divorced one year this August. I have been getting very concerned I was just not getting over this divorce and the sadness and crying seem to be getting worse not better. My doctor put me on Bupropion XL on March 13 and maybe it s helping or maybe it s mind over matter and I m telling myself I m better when I m actually not. I ve always been a very upbeat, happy, people say I m funny type of person, so all this sadness is concerning for me and I don t like it. I could never understood why anyone would commit suicide and nobody noticing how sad that person must have been, but to be honest, I can now. I would never do anything to myself, but I can sure understand some reason why. So, other than medicine, is there something else I can do to help myself? Sorry my explanation is so long. Thank you for your concern and help. | Degree understand your concerns went through your details. To be frank, I am very sorry for the unexpected events. But I will not sympathize with you because sympathy makes you more weak. You should be able to distinguish between disappointment and depression. Disappointment also brings on symptoms identical to depression, but they are short-lived. You are disappointed due to the sudden turn of events. Rather unexpected. That is common. Everybody is so. Now, as the dust settles, you should look into your future. You may not alter what happened, but can choose what should happen next. Analyze your options, take help from your friends and other well-wishers etc. You are 58, and now you need to beat your physique as well as your laziness. I suggest hobbies to keep you entertained at the same time provide you with some monetary gain. Hobbies like painting, mural works, sculpture etc. should work. Learn any of them and move forward. You will succeed, I am sure, because you have vast worldly experience behind you. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. |
If you are a doctor, please answer the medical questions based on the patient's description. | My son was standing and talking to someone outside. When he went to walk away his vision went black, he had trouble controlling his extremities and felt nauseated. When he got back inside he sat down and said he was sweating. After a few minutes he said he still feels sick and has a headache but his vision is better. What could have caused this and is there anything we can do besides wait? Thank you, Mike Howard | Hello! Thank you for your question on Chat Doctor! I understand your concern, and would like to explain that his symptoms may be related to different disorders like : 1- Low blood pressure. As his symptoms occurred while standing up, a low blood pressure or an orthostatic hypotension, may be the cause of his symptomatology. I recommend to closely monitor his blood pressure during sitting and standing up position. A head up tilt test may be necessary to exclude an orthostatic hypotension. 2. Low blood sugar: hypoglycemia could cause a similar clinical scenario. I recommend performing a routine blood test (to exclude chronic anemia) and blood glucose levels. 3. A seizure. A partial seizure may mimic these symptoms. If the above tests result normal, an EEG and a brain CT scan may be necessary to exclude a possible seizure and possible intracranial causes. Meanwhile, I recommend taking plenty of water and have some rest. Hope to have been of help! Best regards, |