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### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 38 year old female. My height is 5 feet and 9 inches, and I weigh 130 lbs. I am a professional dancer. I dislocated my left shoulder while dancing. I had to make a move that involved throwing the arms out and across the body to the right side sharply and quickly. It popped out for about two to three seconds and went right back in. It was sore for the first two days. Initially, I wore a swing and then began moving it gently through a full range of motion. I had slight pain when rotating it outwards with my arm at 90 degrees and lifting up with arm straight out to the side. It has since been 11 days since the injury and the pain has completely subsided. However, I am now experiencing periods of numbness along a line down the center of my shoulder toward my elbow. I am wondering if it might just be a nerve swelling because I went back to activity too soon or if I should be concerned that the shoulder went back in and is compressing a nerve. Or is it something else entirely? Should I give it more time to rest or get to a doctor to have it evaluated? Any opinion or advice would be great. ### Response: Hello. I recommend you rush to your local orthopaedician for a complete evaluation. Take care. For more information consult an internal medicine physician online Take care.
Hello doctor,I am a 38 year old female. My height is 5 feet and 9 inches, and I weigh 130 lbs. I am a professional dancer. I dislocated my left shoulder while dancing. I had to make a move that involved throwing the arms out and across the body to the right side sharply and quickly. It popped out for about two to three seconds and went right back in. It was sore for the first two days. Initially, I wore a swing and then began moving it gently through a full range of motion. I had slight pain when rotating it outwards with my arm at 90 degrees and lifting up with arm straight out to the side. It has since been 11 days since the injury and the pain has completely subsided. However, I am now experiencing periods of numbness along a line down the center of my shoulder toward my elbow. I am wondering if it might just be a nerve swelling because I went back to activity too soon or if I should be concerned that the shoulder went back in and is compressing a nerve. Or is it something else entirely? Should I give it more time to rest or get to a doctor to have it evaluated? Any opinion or advice would be great.
Hello. I recommend you rush to your local orthopaedician for a complete evaluation. Take care. For more information consult an internal medicine physician online Take care.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I am undergoing treatment for stomach TB for the last one year. I take Sompraz D 20 capsule on empty stomach and Libotryp at night. Due to overeating today, I am having diarrhea and indigestion. Can I take Enteroquinol and Eelectral powder? Or would you like to suggest me any other treatment? Also, now I do not feel like eating anything else. Please help. ### Response: Hello. Yes, you can take these medicines. There is no issue with these medications with your present treatment. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. The probable diagnosis is infectious diarrhea. In acute diarrhea cases, the most important is to take water in the form of ORS (oral rehy ChatDoctor. If you have mucus or blood in the stool or pain in the abdomen then only you should take antiparasitic medications. Otherwise not indicated because the most common diarrhea is caused by viruses. If you suspect food poisoning then we should take specific medication according to your food intake. For now, you take ORS 250 mL per loose stool and normal diet You may revert back more details with the type of food to be taken, consistency and quantity of stool, blood or mucus in stool, and presence of pain or not, fever etc. You need to maintain hygiene. For more information consult a medical gastroenterologist online
Hello doctor,I am undergoing treatment for stomach TB for the last one year. I take Sompraz D 20 capsule on empty stomach and Libotryp at night. Due to overeating today, I am having diarrhea and indigestion. Can I take Enteroquinol and Eelectral powder? Or would you like to suggest me any other treatment? Also, now I do not feel like eating anything else. Please help.
Hello. Yes, you can take these medicines. There is no issue with these medications with your present treatment. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. The probable diagnosis is infectious diarrhea. In acute diarrhea cases, the most important is to take water in the form of ORS (oral rehy ChatDoctor. If you have mucus or blood in the stool or pain in the abdomen then only you should take antiparasitic medications. Otherwise not indicated because the most common diarrhea is caused by viruses. If you suspect food poisoning then we should take specific medication according to your food intake. For now, you take ORS 250 mL per loose stool and normal diet You may revert back more details with the type of food to be taken, consistency and quantity of stool, blood or mucus in stool, and presence of pain or not, fever etc. You need to maintain hygiene. For more information consult a medical gastroenterologist online
### Instruction: Answer this question truthfully ###Input: Hello doctor, I was recently diagnosed with asthma, bronchitis, and pharyngitis. I am currently on some temporary medicines, and antibiotics to treat these sicknesses along with an inhaler. I do not feel that bad, but I need to take the pills. However, being in college, I have a big game this weekend. This question may seem to be a little stupid but, would mixing of alcohol with antibiotics be deadly? Or would it just slow down the process of making me better? I know it is a silly question to ask, but I am half minded on it and would prefer not to end up in the hospital. ### Response: Hello, Welcome to Chat Doctor forum. I guess you are taking medicines for bronchitis and pharyngitis. So most probably it is an antibiotic medicine. Generally, we advise to take medicines after food with water, and within limits taking some medicines with low alcohol does not cause any harm. However, it is best to avoid to do so. The idea of taking medicines with alcohol is not advised as it can be harmful. Alcohol and some medicines cause gastritis, and you may vomit out. Also, it can cause liver toxicity with such combination. So there is no logic of taking medicines with alcohol. Also, alcohol intensifies the effects of certain medicines, and alcohol can not dissolve some medicines. Serious interactions also can occur.So it is a better idea to consult your doctor before doing so.
Hello doctor, I was recently diagnosed with asthma, bronchitis, and pharyngitis. I am currently on some temporary medicines, and antibiotics to treat these sicknesses along with an inhaler. I do not feel that bad, but I need to take the pills. However, being in college, I have a big game this weekend. This question may seem to be a little stupid but, would mixing of alcohol with antibiotics be deadly? Or would it just slow down the process of making me better? I know it is a silly question to ask, but I am half minded on it and would prefer not to end up in the hospital.
Hello, Welcome to Chat Doctor forum. I guess you are taking medicines for bronchitis and pharyngitis. So most probably it is an antibiotic medicine. Generally, we advise to take medicines after food with water, and within limits taking some medicines with low alcohol does not cause any harm. However, it is best to avoid to do so. The idea of taking medicines with alcohol is not advised as it can be harmful. Alcohol and some medicines cause gastritis, and you may vomit out. Also, it can cause liver toxicity with such combination. So there is no logic of taking medicines with alcohol. Also, alcohol intensifies the effects of certain medicines, and alcohol can not dissolve some medicines. Serious interactions also can occur.So it is a better idea to consult your doctor before doing so.
### Instruction: Answer this question truthfully ###Input: Hello doctor,My mother had a fall following which it was diagnosed two fractures in the hip joints in front and back. She lives in an area which does not have excellent medical facilities. Hence we thought to take your opinion. Please look at the attached X-ray, prescribed medicine, and let me know your views on the situation. Also, her bone density is extremely low, I do not have her last report, but when did three years ago, it came to be very low.The proposed diagnosis by the doctor, says minor fracture, and since it is in the hip area, plaster cannot be done. Currently, there is a stand provided to support and asked for complete bed rest. However, she is moving to use the washroom for stool. Please suggest if the course of treatment is fine and also how significant is the fracture. ### Response: Hello, Welcome to Chat Doctor forum. I have gone through your questions and the attached reports (attachment removed to protect patient identity). Your mother has a hip fracture which is mildly displaced. The best treatment would be to get the surgery done and get the fracture as early as possible so that she may be able to walk early. Only taking rest and medicines would not guarantee that the fracture would unite and may lead to further complications. However, there are 50 % chances that this fracture may heal without surgery. But there is no guarantee. So I would suggest surgery for faster recovery.
Hello doctor,My mother had a fall following which it was diagnosed two fractures in the hip joints in front and back. She lives in an area which does not have excellent medical facilities. Hence we thought to take your opinion. Please look at the attached X-ray, prescribed medicine, and let me know your views on the situation. Also, her bone density is extremely low, I do not have her last report, but when did three years ago, it came to be very low.The proposed diagnosis by the doctor, says minor fracture, and since it is in the hip area, plaster cannot be done. Currently, there is a stand provided to support and asked for complete bed rest. However, she is moving to use the washroom for stool. Please suggest if the course of treatment is fine and also how significant is the fracture.
Hello, Welcome to Chat Doctor forum. I have gone through your questions and the attached reports (attachment removed to protect patient identity). Your mother has a hip fracture which is mildly displaced. The best treatment would be to get the surgery done and get the fracture as early as possible so that she may be able to walk early. Only taking rest and medicines would not guarantee that the fracture would unite and may lead to further complications. However, there are 50 % chances that this fracture may heal without surgery. But there is no guarantee. So I would suggest surgery for faster recovery.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I have a question about my voice. As a kid, I had a raspy voice the entire time until puberty. After I hit puberty, I do not think my parents noticed anything, but people have said I sound like Kermit the frog or that I need to stop mumbling. The problem I have is that I have to try quite hard to speak in a normal tone, and I am extremely self-conscious about the way I sound. I breathed through my mouth my entire life until I had a septoplasty three years back. Now I can breathe through one nostril, which I guess is 60 % open, while the other one is always 100 % blocked. What is happening, that is making me sound like this? I know I was not meant to sound this way, there has to be something causing some problem. Any idea or suggestion will be appreciated. ### Response: Hi, Welcome to Chat Doctor forum. If your nose is blocked then you may have nasal polyps or some nasopharyngeal mass like adenoid or may have deviated nasal septum. For that, an endoscopy or CT scan is required. It may alter the voice. After ruling out these possibilities, you can consult a speech therapist. According to me, you should meet an ENT specialist and get a nasal endoscopy and laryngoscopy done. Following which, a CT scan can be done, if needed.
Hello doctor,I have a question about my voice. As a kid, I had a raspy voice the entire time until puberty. After I hit puberty, I do not think my parents noticed anything, but people have said I sound like Kermit the frog or that I need to stop mumbling. The problem I have is that I have to try quite hard to speak in a normal tone, and I am extremely self-conscious about the way I sound. I breathed through my mouth my entire life until I had a septoplasty three years back. Now I can breathe through one nostril, which I guess is 60 % open, while the other one is always 100 % blocked. What is happening, that is making me sound like this? I know I was not meant to sound this way, there has to be something causing some problem. Any idea or suggestion will be appreciated.
Hi, Welcome to Chat Doctor forum. If your nose is blocked then you may have nasal polyps or some nasopharyngeal mass like adenoid or may have deviated nasal septum. For that, an endoscopy or CT scan is required. It may alter the voice. After ruling out these possibilities, you can consult a speech therapist. According to me, you should meet an ENT specialist and get a nasal endoscopy and laryngoscopy done. Following which, a CT scan can be done, if needed.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I have been taking 100 mg of Zoloft for a number of years. On 14th, my doctor added another 50 mg which I take at bedtime. For the past few days, I have been experiencing severe insomnia and can rarely sleep for more than an hour at a time. In addition, I have begun taking 25 mg of Seroquel three times a day. Could the increase in Zoloft three weeks ago be causing this recent bout of insomnia? If yes, how long after my doctor returns to the old dosage before this side effect diminishes? ### Response: Hello, Welcome to Chat Doctor forum. The increase of the dose of Zoloft (Sertraline) can cause sleep problem, as you are facing currently. To manage this, you can change the time from night to morning or afternoon. If you altogether stop night doses of Zoloft (return back to 100 mg per day), then this sleep issue will me resolve within four to five days. Another way to manage sleep is to take Seroquel (Quetiapine) 25 mg in morning and 50 mg at night time. By this, your sleep will be normal as Seroquel has sedative property. Try to manage adequate sleep hygiene, like do not sleep during daytime, no coffee after 5 PM, no alcohol, etc. For more information consult a psychiatrist online
Hello doctor,I have been taking 100 mg of Zoloft for a number of years. On 14th, my doctor added another 50 mg which I take at bedtime. For the past few days, I have been experiencing severe insomnia and can rarely sleep for more than an hour at a time. In addition, I have begun taking 25 mg of Seroquel three times a day. Could the increase in Zoloft three weeks ago be causing this recent bout of insomnia? If yes, how long after my doctor returns to the old dosage before this side effect diminishes?
Hello, Welcome to Chat Doctor forum. The increase of the dose of Zoloft (Sertraline) can cause sleep problem, as you are facing currently. To manage this, you can change the time from night to morning or afternoon. If you altogether stop night doses of Zoloft (return back to 100 mg per day), then this sleep issue will me resolve within four to five days. Another way to manage sleep is to take Seroquel (Quetiapine) 25 mg in morning and 50 mg at night time. By this, your sleep will be normal as Seroquel has sedative property. Try to manage adequate sleep hygiene, like do not sleep during daytime, no coffee after 5 PM, no alcohol, etc. For more information consult a psychiatrist online
### Instruction: Answer this question truthfully ###Input: Hi doctor,I am having extreme swelling from under the breast to the belly. My legs and feet are also very swollen and painful. I have gained 40 pounds in two years with no change in diet or activity. My lower legs and ankles were swollen about a year ago. I went through all the horrible heart testing and finally, my heart is fine. My current medications are Bupropion, Carvedilol, Cetirizine, Furosemide, Losartan, Potassium, Hydrochlorothiazide, Gabapentin and Norco. ### Response: Hello. Swelling of feet and ankle is known as pedal edema. Edema occurs due to the accumulation of fluid in the tissues. There are many causes of edema. One is congestive cardiac failure or right heart disease. As this progress, it appears in abdominal wall too. Edema revolves around cardiac, liver and renal that is kidney. It would have been great if you upload 2D echo report, ECG (electrocardiogram) and chest x-ray. Serum albumin, CUE (complete urine examination) to look for urine protein, 24 hour urine volume and protein and thyroid profile are a few tests required. Your blood pressure is perfect; hence the dose of the diuretics cannot be further increased. Curtail salt in food. Another ChatDoctor. Consult your specialist doctor and discuss with him or her regarding the above medicine.
Hi doctor,I am having extreme swelling from under the breast to the belly. My legs and feet are also very swollen and painful. I have gained 40 pounds in two years with no change in diet or activity. My lower legs and ankles were swollen about a year ago. I went through all the horrible heart testing and finally, my heart is fine. My current medications are Bupropion, Carvedilol, Cetirizine, Furosemide, Losartan, Potassium, Hydrochlorothiazide, Gabapentin and Norco.
Hello. Swelling of feet and ankle is known as pedal edema. Edema occurs due to the accumulation of fluid in the tissues. There are many causes of edema. One is congestive cardiac failure or right heart disease. As this progress, it appears in abdominal wall too. Edema revolves around cardiac, liver and renal that is kidney. It would have been great if you upload 2D echo report, ECG (electrocardiogram) and chest x-ray. Serum albumin, CUE (complete urine examination) to look for urine protein, 24 hour urine volume and protein and thyroid profile are a few tests required. Your blood pressure is perfect; hence the dose of the diuretics cannot be further increased. Curtail salt in food. Another ChatDoctor. Consult your specialist doctor and discuss with him or her regarding the above medicine.
### Instruction: Answer this question truthfully ###Input: Hi doctor,God blessed me with a baby boy before three months. This is my second child. I faced many problems such as diabetes, before two years back. I had low platelet counts before six months when I took a test for CBC. Three days before delivery, my platelet count was 44000 per microliter of blood. My doctor suggests me to go for a blood transfusion for delivery. Before delivery, I took three units. After delivery, I took one unit of blood, my platelet count was 172000 per microliter of blood. After a month when I took a test for CBC, my platelet count was 72000 per microliter of blood. I experienced a headache and fever for a few days. I take one Paracetamol tablet in the night. What can I do? Please suggest. ### Response: Hello. Fever with a headache can occur in viral infection. Viral infection can affect the platelet count and can lead to low platelet count. Symptomatic management is done with Paracetamol and maintain your hy ChatDoctor. Your peripheral smear examination, a liver profile is also needed to be done for the primary work up. Peripheral smear examination will detect any parasite and abnormal cells if present. Repeat CBC (complete blood count) after few days and if still, it is elevated then, think of other investigations. For more information consult a hematologist online
Hi doctor,God blessed me with a baby boy before three months. This is my second child. I faced many problems such as diabetes, before two years back. I had low platelet counts before six months when I took a test for CBC. Three days before delivery, my platelet count was 44000 per microliter of blood. My doctor suggests me to go for a blood transfusion for delivery. Before delivery, I took three units. After delivery, I took one unit of blood, my platelet count was 172000 per microliter of blood. After a month when I took a test for CBC, my platelet count was 72000 per microliter of blood. I experienced a headache and fever for a few days. I take one Paracetamol tablet in the night. What can I do? Please suggest.
Hello. Fever with a headache can occur in viral infection. Viral infection can affect the platelet count and can lead to low platelet count. Symptomatic management is done with Paracetamol and maintain your hy ChatDoctor. Your peripheral smear examination, a liver profile is also needed to be done for the primary work up. Peripheral smear examination will detect any parasite and abnormal cells if present. Repeat CBC (complete blood count) after few days and if still, it is elevated then, think of other investigations. For more information consult a hematologist online
### Instruction: Answer this question truthfully ###Input: Hi doctor,I am a 36 year old male. For mild chest pain, I have got my chest x-ray PA view done as suggested by my rheumatologist. My doctor said that x-ray report shows changes of chronic bronchitis in both lungs more in lower zones and old fibrotic scarring is seen in left apex. I am suffering from arthritis for which I am on medication. I have glaucoma. My medication at present for arthritis is Cobix 200 twice daily, HCQS 200 once daily, Pan D before breakfast, Rosuvas once at night, Tryptomer 10 in night, Espidase DP, Folvite 5 mg and Imutrex 15 mg once in a week. Kindly suggest me medication according to the reports attached. Please do not suggest me any other doctor or any hospital as I want to get treated through your medication. ### Response: Hi, Welcome to Chat Doctor forum. We are here to help you. The treatment would be based on the symptoms that you might be getting. I would advice in such case to first get a HRCT chest (high resolution CT scan) along with sputum for AFB (acid-fast bacilli) done, which would rule out the evidence of tuberculosis. Rest for rheumatoid arthritis, your treatment is going in right direction. Further treatment decision would be based on CT chest. Rheumatoid arthritis. CT chest. Avoid smoking.
Hi doctor,I am a 36 year old male. For mild chest pain, I have got my chest x-ray PA view done as suggested by my rheumatologist. My doctor said that x-ray report shows changes of chronic bronchitis in both lungs more in lower zones and old fibrotic scarring is seen in left apex. I am suffering from arthritis for which I am on medication. I have glaucoma. My medication at present for arthritis is Cobix 200 twice daily, HCQS 200 once daily, Pan D before breakfast, Rosuvas once at night, Tryptomer 10 in night, Espidase DP, Folvite 5 mg and Imutrex 15 mg once in a week. Kindly suggest me medication according to the reports attached. Please do not suggest me any other doctor or any hospital as I want to get treated through your medication.
Hi, Welcome to Chat Doctor forum. We are here to help you. The treatment would be based on the symptoms that you might be getting. I would advice in such case to first get a HRCT chest (high resolution CT scan) along with sputum for AFB (acid-fast bacilli) done, which would rule out the evidence of tuberculosis. Rest for rheumatoid arthritis, your treatment is going in right direction. Further treatment decision would be based on CT chest. Rheumatoid arthritis. CT chest. Avoid smoking.
### Instruction: Answer this question truthfully ###Input: Hello doctor,Gender male, age - 51, height- 167, weight- 74.8, latest BP - 140/90, presently no medication, slight neck and back pain, attached latest report. ### Response: Hello, Welcome to Chat Doctor forum. I just read your query and saw the attached file (attachment removed to protect patient identity). Your cholesterol level, uric acid level are increased. Along with this your TSH level is also decreased which is indicative of hyperthyroidism. I am advising you medicine for high cholesterol level and for back and neck pain here. Take it regularly for two weeks and consult me after two weeks regarding improvement and for further management or you can consult a nearby Ayurveda physician. As far as hyperthyroidism is concerned you need hormonal therapy to correct it. So for that you should visit a nearby general physician. Take capsule Arjun two capsules two times a day with water after food for two weeks. Take capsule Giloy two capsules two times a day with water after food for two weeks. Take tablet Triphala two tablets at bedtime with lukewarm water. Do not take anything after taking these tablets. Capsule Shallaki two capsules two times a day with water after food for two weeks. Take Mahanarayan oil and do gentle massage with it of your neck and back two times a day. Do not sit under fan or AC for sometime after applying the oil. two weeks
Hello doctor,Gender male, age - 51, height- 167, weight- 74.8, latest BP - 140/90, presently no medication, slight neck and back pain, attached latest report.
Hello, Welcome to Chat Doctor forum. I just read your query and saw the attached file (attachment removed to protect patient identity). Your cholesterol level, uric acid level are increased. Along with this your TSH level is also decreased which is indicative of hyperthyroidism. I am advising you medicine for high cholesterol level and for back and neck pain here. Take it regularly for two weeks and consult me after two weeks regarding improvement and for further management or you can consult a nearby Ayurveda physician. As far as hyperthyroidism is concerned you need hormonal therapy to correct it. So for that you should visit a nearby general physician. Take capsule Arjun two capsules two times a day with water after food for two weeks. Take capsule Giloy two capsules two times a day with water after food for two weeks. Take tablet Triphala two tablets at bedtime with lukewarm water. Do not take anything after taking these tablets. Capsule Shallaki two capsules two times a day with water after food for two weeks. Take Mahanarayan oil and do gentle massage with it of your neck and back two times a day. Do not sit under fan or AC for sometime after applying the oil. two weeks
### Instruction: Answer this question truthfully ###Input: Hi doctor,I am a 30-year-old male. I had a baby tooth in the left lower jaw. Beneath it, there is an impacted first permanent premolar tooth. OPG and CBCT were taken. The baby tooth was extracted before a month, and the impacted tooth was exposed. As I had some misalignment in both the jaws, I consulted an orthodontist, and I was advised to wait for two months for braces treatment. Now the exposed area of the impacted tooth has got healed and covered completely. Should I need to wait for an eruption? Can I have a cyst formation under the impacted tooth? Can I start my braces treatment now? I am attaching my OPG, CBCT reports and photos. ### Response: Hi. I have gone through the attachment (attachment removed to protect patient identity). You do not have a cyst formation associated with the impacted tooth according to the images. In some cases, by orthodontic treatment, the tooth can be exposed, and they are brought to a normal position. In some cases, after extraction of the retained baby tooth, the impacted tooth can come into favorable position. So the orthodontist can place braces on it to bring it into position. So the doctor advises you to wait for two months. A mucosal layer always covers the tooth, and it can be exposed. After two months, if it is not coming to a favorable position, it can also be extracted.
Hi doctor,I am a 30-year-old male. I had a baby tooth in the left lower jaw. Beneath it, there is an impacted first permanent premolar tooth. OPG and CBCT were taken. The baby tooth was extracted before a month, and the impacted tooth was exposed. As I had some misalignment in both the jaws, I consulted an orthodontist, and I was advised to wait for two months for braces treatment. Now the exposed area of the impacted tooth has got healed and covered completely. Should I need to wait for an eruption? Can I have a cyst formation under the impacted tooth? Can I start my braces treatment now? I am attaching my OPG, CBCT reports and photos.
Hi. I have gone through the attachment (attachment removed to protect patient identity). You do not have a cyst formation associated with the impacted tooth according to the images. In some cases, by orthodontic treatment, the tooth can be exposed, and they are brought to a normal position. In some cases, after extraction of the retained baby tooth, the impacted tooth can come into favorable position. So the orthodontist can place braces on it to bring it into position. So the doctor advises you to wait for two months. A mucosal layer always covers the tooth, and it can be exposed. After two months, if it is not coming to a favorable position, it can also be extracted.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 19 years old, male. I am prone to masturbation since a very young age, I tried to do normally and I fail to orgasm even though it seems close. I do ejaculate a bit, but I have to follow it up with prone masturbation. I do not have erectile dysfunction for now, do not know about later. I only try to do the normal masturbation for two minutes.1. How long does it normally take to ejaculate and orgasm?2. What possible effects does proceeding with prone masturbation have on me?3. What methods should I follow to stop prone masturbation? I stopped masturbation all together for 16 days and it was really hard but I still needed prone. ### Response: Hello, Welcome to Chat Doctor forum. Following are the answers to your questions. 1. Whenever a person ejaculates, the orgasm is simultaneously achieved in most of the cases. The interval between initiation of sexual stimulus and ejaculation or orgasm is depended upon the many factors and varies from person to person. It can be from less than two minutes to more than five minutes. 2. and 3. The masturbation can be done in any position. There are no side-effects of prone masturbation. It is a psychological feeling that you can erect penis in prone position only. You need to remove that thought and you can do masturbation in any position.
Hello doctor,I am 19 years old, male. I am prone to masturbation since a very young age, I tried to do normally and I fail to orgasm even though it seems close. I do ejaculate a bit, but I have to follow it up with prone masturbation. I do not have erectile dysfunction for now, do not know about later. I only try to do the normal masturbation for two minutes.1. How long does it normally take to ejaculate and orgasm?2. What possible effects does proceeding with prone masturbation have on me?3. What methods should I follow to stop prone masturbation? I stopped masturbation all together for 16 days and it was really hard but I still needed prone.
Hello, Welcome to Chat Doctor forum. Following are the answers to your questions. 1. Whenever a person ejaculates, the orgasm is simultaneously achieved in most of the cases. The interval between initiation of sexual stimulus and ejaculation or orgasm is depended upon the many factors and varies from person to person. It can be from less than two minutes to more than five minutes. 2. and 3. The masturbation can be done in any position. There are no side-effects of prone masturbation. It is a psychological feeling that you can erect penis in prone position only. You need to remove that thought and you can do masturbation in any position.
### Instruction: Answer this question truthfully ###Input: Hello doctor,My 2-year-old daughter has a cough with phlegm. She is suffering for the past two weeks. She got hospitalized for pneumonia the week before. She has wheezing now. Her doctor has prescribed Levolin and Kidpred and has started Budecort inhaler too. The doctor told to continue Budecort for a year and said that she might have asthma. Usually, she is a healthy child and does not get cold or cough often. It started when she started going to day care. Earlier, she was on Levolin, Fevergo and Asthalin nebulization.Is this medication correct? Is Budecort necessary? If at all she has asthma, does she has to take medicine life long? ### Response: Hello, Welcome to Chat Doctor forum. According to the history you have provided, it is difficult to conclude whether she has asthma. Pneumonia sometimes takes a month to completely flush out of the lungs. The doctor must have prescribed the medication according to her physical and laboratory examination. Coming to your question of Budecort (Budesonide), if the doctor has confirmed that she has asthma, then yes, the year-long inhaler is necessary. In kids who are confirmed case of asthma, there are certain parameters that we have to go through and guidelines to follow. So, taking Budecort will definitely be helpful. For more information consult a paediatrician online
Hello doctor,My 2-year-old daughter has a cough with phlegm. She is suffering for the past two weeks. She got hospitalized for pneumonia the week before. She has wheezing now. Her doctor has prescribed Levolin and Kidpred and has started Budecort inhaler too. The doctor told to continue Budecort for a year and said that she might have asthma. Usually, she is a healthy child and does not get cold or cough often. It started when she started going to day care. Earlier, she was on Levolin, Fevergo and Asthalin nebulization.Is this medication correct? Is Budecort necessary? If at all she has asthma, does she has to take medicine life long?
Hello, Welcome to Chat Doctor forum. According to the history you have provided, it is difficult to conclude whether she has asthma. Pneumonia sometimes takes a month to completely flush out of the lungs. The doctor must have prescribed the medication according to her physical and laboratory examination. Coming to your question of Budecort (Budesonide), if the doctor has confirmed that she has asthma, then yes, the year-long inhaler is necessary. In kids who are confirmed case of asthma, there are certain parameters that we have to go through and guidelines to follow. So, taking Budecort will definitely be helpful. For more information consult a paediatrician online
### Instruction: Answer this question truthfully ###Input: Hello doctor,I am living in a place, but my mother lives abroad in a country with limited access to spinal surgeons. She is 71 otherwise fit and well for her age. She slipped over and was told she has a t8 vertebral body fracture that is minimally displaced with no cord compression. She is in pain, but does not want to immobilise or stay in bed. What advice does she need to follow? Her sphincters are intact and she can control her bowels and bladder. ### Response: Hello, Welcome to Chat Doctor forum. If she has a T8 vertebral fracture, that is I hope a compression fraction that you are talking about, which is minimally displaced and compressed. Then the treatment that is required is principally pain relief with minimal activities and physiotherapy initially to her mobilize with frame or support. She can use a TLSO brace (thoracic, lumbar sacral orthosis) and mobilize as able as tolerated by pain. Bed rest is only indicated in case of severe pain. Pain-killers like Co-codamol or Paracetamol or Morphine can be prescribed locally. Physiotherapy is given initially to get her up, and I can only give you an exact approach to this if you can send me the MRI report of the pictures. This professional advice provided by me stands subject to the actual examination of report or image and is based entirely on inputs provided to me. It should be correlated with clinical findings.
Hello doctor,I am living in a place, but my mother lives abroad in a country with limited access to spinal surgeons. She is 71 otherwise fit and well for her age. She slipped over and was told she has a t8 vertebral body fracture that is minimally displaced with no cord compression. She is in pain, but does not want to immobilise or stay in bed. What advice does she need to follow? Her sphincters are intact and she can control her bowels and bladder.
Hello, Welcome to Chat Doctor forum. If she has a T8 vertebral fracture, that is I hope a compression fraction that you are talking about, which is minimally displaced and compressed. Then the treatment that is required is principally pain relief with minimal activities and physiotherapy initially to her mobilize with frame or support. She can use a TLSO brace (thoracic, lumbar sacral orthosis) and mobilize as able as tolerated by pain. Bed rest is only indicated in case of severe pain. Pain-killers like Co-codamol or Paracetamol or Morphine can be prescribed locally. Physiotherapy is given initially to get her up, and I can only give you an exact approach to this if you can send me the MRI report of the pictures. This professional advice provided by me stands subject to the actual examination of report or image and is based entirely on inputs provided to me. It should be correlated with clinical findings.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 20 years of age with weight 64 kg and height 160 cm. I had my periods for three to four days with mild bleeding on the fourth day. Now for the past two to three months, I am having periods with heavy flow for two days and mild bleeding on day-3. The doctor suggested PCOD test. My hormone levels are normal with testosterone and insulin in the normal range. Also, I do not have any unwanted growth and no acne problems. Can I still have PCOD? Also, I do not have diabetes or thyroid. Please give me a conclusion as to what has happened. ### Response: Hi, Welcome to Chat Doctor forum. A regular period can range from three to seven days duration, with bleeding being mild to heavy on all or any day. A period can also return monthly or between 21 to 35 days. Your period may have changed in length and days on which heavy bleeding occurs but it still falls well within the remit of a normal range. All of your investigations have been normal. A change in period history can be normal in young adults and can happen in response to any change in physique, as well as emotional and physical state. I would not be worried, neither is any treatment warranted based on the history you have presented. This is a normal change. For more information consult an obstetrician and gynaecologist online
Hello doctor,I am 20 years of age with weight 64 kg and height 160 cm. I had my periods for three to four days with mild bleeding on the fourth day. Now for the past two to three months, I am having periods with heavy flow for two days and mild bleeding on day-3. The doctor suggested PCOD test. My hormone levels are normal with testosterone and insulin in the normal range. Also, I do not have any unwanted growth and no acne problems. Can I still have PCOD? Also, I do not have diabetes or thyroid. Please give me a conclusion as to what has happened.
Hi, Welcome to Chat Doctor forum. A regular period can range from three to seven days duration, with bleeding being mild to heavy on all or any day. A period can also return monthly or between 21 to 35 days. Your period may have changed in length and days on which heavy bleeding occurs but it still falls well within the remit of a normal range. All of your investigations have been normal. A change in period history can be normal in young adults and can happen in response to any change in physique, as well as emotional and physical state. I would not be worried, neither is any treatment warranted based on the history you have presented. This is a normal change. For more information consult an obstetrician and gynaecologist online
### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 25-year-old male. I have had muscle twitches all around my body but primarily in my legs for three months. I had the same twitches last year which lasted about a month. The twitches seemed to subside shortly after I had an EMG done as I was petrified and convinced that it could be ALS or MND. This time round with the twitches (which started again almost exactly a year later), I did not have another EMG as my doctor did not seem it necessary but instead referred me to a neurologist which deals with ALS patients. He did only a physical examination and test and did not have any concerns at all. He also looked at my EMG results and agreed they all read fine and showed benign muscle fasciculations. The twitches seem to have started again more frequently the past couple of days and I have scared myself by reading ALS blogs on the internet where people say that they first started with muscle twitches that progressed into ALS.Do you think I should be worried about ALS? Do you think I have had my EMG conducted too soon to rule out ALS? ### Response: Hi, Welcome to Chat Doctor forum. I have gone through your history and events. I wish to know more about muscle twisting. Which parts of the body are affected? Are those twisting and painful? Is there any stiffness in limbs? Is your illness affecting your activities of daily living or occupation?
Hello doctor,I am a 25-year-old male. I have had muscle twitches all around my body but primarily in my legs for three months. I had the same twitches last year which lasted about a month. The twitches seemed to subside shortly after I had an EMG done as I was petrified and convinced that it could be ALS or MND. This time round with the twitches (which started again almost exactly a year later), I did not have another EMG as my doctor did not seem it necessary but instead referred me to a neurologist which deals with ALS patients. He did only a physical examination and test and did not have any concerns at all. He also looked at my EMG results and agreed they all read fine and showed benign muscle fasciculations. The twitches seem to have started again more frequently the past couple of days and I have scared myself by reading ALS blogs on the internet where people say that they first started with muscle twitches that progressed into ALS.Do you think I should be worried about ALS? Do you think I have had my EMG conducted too soon to rule out ALS?
Hi, Welcome to Chat Doctor forum. I have gone through your history and events. I wish to know more about muscle twisting. Which parts of the body are affected? Are those twisting and painful? Is there any stiffness in limbs? Is your illness affecting your activities of daily living or occupation?
### Instruction: Answer this question truthfully ###Input: Hi doctor,I have been battling with back pain since a year. I associated this pain with a kidney stone which I had for a couple of years. I had a ureteroscopy, crushing and removal of the stone a month ago, but however the back pain still persists. An x-ray done today is attached. I had some back pain before two years due to herniated disc. I have undergone bariatric surgery for weight loss. My weight today is 113 kg. Five months before, during the gastric bypass surgery my weight was 145 kg. My worry is that I cannot exercise or walk long distances. As soon as I walk for 5-10 minutes the back pain is terrible and I need to either sit and rest the spine or press and stretch my back to get some temporary relief. The pain is quite unbearable. I current taking Ultracet and Myoril 8. Please do suggest the best remedy to enable me to become pain free at the earliest. ### Response: Hello, Welcome to Chat Doctor forum. I have gone through the investigation reports (attachment removed to protect patient identity). 1. MRI of dorso-lumbar spine with extension to LS junction.2. X-ray LS spine (lateral flexion and extension views) to look for the amount of instability at L4 - L5 level. Revert back with the investigation reports to a spine health specialist online.-
Hi doctor,I have been battling with back pain since a year. I associated this pain with a kidney stone which I had for a couple of years. I had a ureteroscopy, crushing and removal of the stone a month ago, but however the back pain still persists. An x-ray done today is attached. I had some back pain before two years due to herniated disc. I have undergone bariatric surgery for weight loss. My weight today is 113 kg. Five months before, during the gastric bypass surgery my weight was 145 kg. My worry is that I cannot exercise or walk long distances. As soon as I walk for 5-10 minutes the back pain is terrible and I need to either sit and rest the spine or press and stretch my back to get some temporary relief. The pain is quite unbearable. I current taking Ultracet and Myoril 8. Please do suggest the best remedy to enable me to become pain free at the earliest.
Hello, Welcome to Chat Doctor forum. I have gone through the investigation reports (attachment removed to protect patient identity). 1. MRI of dorso-lumbar spine with extension to LS junction.2. X-ray LS spine (lateral flexion and extension views) to look for the amount of instability at L4 - L5 level. Revert back with the investigation reports to a spine health specialist online.-
### Instruction: Answer this question truthfully ###Input: Hello doctor,I have lowering (variable) neutrophil for past two years. The count is like 2.6, 2.3, 2.0, 2.43, 1.91 being recent, which is lower than usual. The other counts like lymphocytes, platelets, and hemoglobin, RBC are all within range. My only problem is I am getting recurring cold. In the last result, my MPV came a little higher 13.10, whereas normal being 12. I am fearful of leukemia.I did peripheral smear test as well. No abnormal cell was seen in peripheral smear. Only mild neutropenia was seen. I need help to know precisely why only my neutrophil is getting down? Is it leukemia? ### Response: Hello, Welcome to the ChatDoctor. Your absolute neutrophil count is borderline low in the recent report. In the value of the previous description was within the range that is more than two. So it cannot be called persistent neutropenia because the normal range is more than two. Anyway, your peripheral smear examination report does not show any abnormal cells. So the chance of leukemia is very less according to the mentioned report and peripheral smear examination report. The repeated cold can be responsible for an increase in lymphocytes and so relative neutropenia can be seen. I hope I have answered your question. Let me know if I can assist you further.
Hello doctor,I have lowering (variable) neutrophil for past two years. The count is like 2.6, 2.3, 2.0, 2.43, 1.91 being recent, which is lower than usual. The other counts like lymphocytes, platelets, and hemoglobin, RBC are all within range. My only problem is I am getting recurring cold. In the last result, my MPV came a little higher 13.10, whereas normal being 12. I am fearful of leukemia.I did peripheral smear test as well. No abnormal cell was seen in peripheral smear. Only mild neutropenia was seen. I need help to know precisely why only my neutrophil is getting down? Is it leukemia?
Hello, Welcome to the ChatDoctor. Your absolute neutrophil count is borderline low in the recent report. In the value of the previous description was within the range that is more than two. So it cannot be called persistent neutropenia because the normal range is more than two. Anyway, your peripheral smear examination report does not show any abnormal cells. So the chance of leukemia is very less according to the mentioned report and peripheral smear examination report. The repeated cold can be responsible for an increase in lymphocytes and so relative neutropenia can be seen. I hope I have answered your question. Let me know if I can assist you further.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 27 year old unmarried male and my penis size is too small and thin. In the normal position, it is 3 inches, when it gets strong it is 4 inches. Are there any medicines or surgeries for the growth of penis? Also, my penis is not getting strong even when I am in sex mood. When I shake it with my hand, it slowly gets strong. Due to this problem, I am feeling tensed about how I am going to move with my wife after marriage. My marriage date is getting close. ### Response: Hello. Kindly investigate your serum testosterone and serum luteinizing hormone level, length and girth can only be increased if these levels are low. But, in those individuals in whom the testosterone level is normal, let me tell you one thing that, there is no medically proven treatment for increasing the length and girth the of penis. On erection, the normal size varies from 3.5 inches to 5.5 inches, and normal vaginal size is also between 3 to 4 inches. So, any erected penis of size more than 2.5 inches is able to satisfy both the partners. Orgasm in both the partners is independent of size, girth, and length of the penis. Thinking about penis size is a common feature of Dhat syn ChatDoctor. So, my advice is to decrease your weight, do regular exercise,
Hello doctor,I am a 27 year old unmarried male and my penis size is too small and thin. In the normal position, it is 3 inches, when it gets strong it is 4 inches. Are there any medicines or surgeries for the growth of penis? Also, my penis is not getting strong even when I am in sex mood. When I shake it with my hand, it slowly gets strong. Due to this problem, I am feeling tensed about how I am going to move with my wife after marriage. My marriage date is getting close.
Hello. Kindly investigate your serum testosterone and serum luteinizing hormone level, length and girth can only be increased if these levels are low. But, in those individuals in whom the testosterone level is normal, let me tell you one thing that, there is no medically proven treatment for increasing the length and girth the of penis. On erection, the normal size varies from 3.5 inches to 5.5 inches, and normal vaginal size is also between 3 to 4 inches. So, any erected penis of size more than 2.5 inches is able to satisfy both the partners. Orgasm in both the partners is independent of size, girth, and length of the penis. Thinking about penis size is a common feature of Dhat syn ChatDoctor. So, my advice is to decrease your weight, do regular exercise,
### Instruction: Answer this question truthfully ###Input: Hi doctor,I am 26 years of age married for two years with no kids. I have a cystic structure on my left ovary 7.5 cm x 5.5 cm. Before I had a tubular cystic structure on my right ovary 6.5 cm x 5.5 cm which is gone by itself. I just wanted to know what kind of operation is done for this cystic structure and after removal will I be able to get pregnant and the doctors told me that my baby bag is twisted (facing the other side) and the chance of getting pregnant is 15 % lower than the normal ladies. Is it correct? And how it can be corrected? ### Response: Hello. As the CA 125 (coelomic epithelial antigen) levels are normal, the cyst is likely to be a simple ovarian cyst. A cyst of size more than 4 cm if symptomatic can be removed with laparoscopy. But if asymptomatic then a trial of low dose oc (oral contraceptive) pills can be given for two cycles to allow natural resolution of the cyst. Secondly, retroverted uterus as in your case has reduced chances of conception, but with the change of position during intercourse that can be overcome. For infertility management, it is important to learn your hormonal status and regularity of your menstrual cycle. Please follow up with details. Regards. For more information consult an obstetrician and gynaecologist online
Hi doctor,I am 26 years of age married for two years with no kids. I have a cystic structure on my left ovary 7.5 cm x 5.5 cm. Before I had a tubular cystic structure on my right ovary 6.5 cm x 5.5 cm which is gone by itself. I just wanted to know what kind of operation is done for this cystic structure and after removal will I be able to get pregnant and the doctors told me that my baby bag is twisted (facing the other side) and the chance of getting pregnant is 15 % lower than the normal ladies. Is it correct? And how it can be corrected?
Hello. As the CA 125 (coelomic epithelial antigen) levels are normal, the cyst is likely to be a simple ovarian cyst. A cyst of size more than 4 cm if symptomatic can be removed with laparoscopy. But if asymptomatic then a trial of low dose oc (oral contraceptive) pills can be given for two cycles to allow natural resolution of the cyst. Secondly, retroverted uterus as in your case has reduced chances of conception, but with the change of position during intercourse that can be overcome. For infertility management, it is important to learn your hormonal status and regularity of your menstrual cycle. Please follow up with details. Regards. For more information consult an obstetrician and gynaecologist online
### Instruction: Answer this question truthfully ###Input: Hello doctor,My 10 month old daughter has been sick for five days. She had cough with congestion and flu without fever. The doctor has given her Ciprofloxacin for five days. From today, she has a fever of 38 to 38.9 as I checked from her armpit. Kindly tell me what should I do? I have given her Paracetamol 5 ml also. It works for the hour. After that, the fever comes again. Kindly advice me as there is no good doctor here. Please help me. What to do? Is that normal or not? ### Response: Hello, Welcome to Chat Doctor forum. I understand your concern. I suggest you give her Crocin (Paracetamol) 5 ml every four to six hours (Paracetamol 5 ml equals 125 mg). If fever is persistently more than 100 F, give her syrup Meftal P 2.5 ml (Mefenamic acid 5 ml equals 100 mg) every six hourly. In between fever, do tepid sponging of the whole body. The whole purpose is to bring down the temperature so that she should not throw febrile convulsion. Which is very common in very young chil ChatDoctor. Usually, fevers are viral fever and do not require antibiotics. Why was Ciprofloxacin given? Just check with the doctor, usually, in chil
Hello doctor,My 10 month old daughter has been sick for five days. She had cough with congestion and flu without fever. The doctor has given her Ciprofloxacin for five days. From today, she has a fever of 38 to 38.9 as I checked from her armpit. Kindly tell me what should I do? I have given her Paracetamol 5 ml also. It works for the hour. After that, the fever comes again. Kindly advice me as there is no good doctor here. Please help me. What to do? Is that normal or not?
Hello, Welcome to Chat Doctor forum. I understand your concern. I suggest you give her Crocin (Paracetamol) 5 ml every four to six hours (Paracetamol 5 ml equals 125 mg). If fever is persistently more than 100 F, give her syrup Meftal P 2.5 ml (Mefenamic acid 5 ml equals 100 mg) every six hourly. In between fever, do tepid sponging of the whole body. The whole purpose is to bring down the temperature so that she should not throw febrile convulsion. Which is very common in very young chil ChatDoctor. Usually, fevers are viral fever and do not require antibiotics. Why was Ciprofloxacin given? Just check with the doctor, usually, in chil
### Instruction: Answer this question truthfully ###Input: Hello doctor,I have itchy burning or pain sensation during urination since last 4 to 5 weeks. Prior to that I had sex with unknown person so I am thinking it could be STDs. The symptoms become more when the urine become more frothy such as after drinking beer or drinking little water. I am really confused and undecided on what to do next or whom to approach as no urologist available near my stay.Another important point to note is that I did have a bit of burning sensation (during urination) on occasion since childhood but it used to happen only once or twice in a couple of months but since 4 to 5 weeks (as stated above phrase), it has become regular burning sensation every time I pass urine. Here I will mention some symptoms I could experience ### Response: Hi. I have gone through your query, based on your symptoms, it does appear that you might have either an STD or UTI, both of which are partner sure unprotected sexual contact. I would suggest you visit your local general surgeon or urologist for a detailed clinical examination to confirm, a urine analysis and urine culture and an examination of the discharge from the penis. Based on the reports or clinical findings, you will be started on appropriate antibiotics. There is no cause for undue concern as both conditions are easily treatable. I would also advise you to be cautious in the future about unprotected sexual contact. For more information consult an urologist online
Hello doctor,I have itchy burning or pain sensation during urination since last 4 to 5 weeks. Prior to that I had sex with unknown person so I am thinking it could be STDs. The symptoms become more when the urine become more frothy such as after drinking beer or drinking little water. I am really confused and undecided on what to do next or whom to approach as no urologist available near my stay.Another important point to note is that I did have a bit of burning sensation (during urination) on occasion since childhood but it used to happen only once or twice in a couple of months but since 4 to 5 weeks (as stated above phrase), it has become regular burning sensation every time I pass urine. Here I will mention some symptoms I could experience
Hi. I have gone through your query, based on your symptoms, it does appear that you might have either an STD or UTI, both of which are partner sure unprotected sexual contact. I would suggest you visit your local general surgeon or urologist for a detailed clinical examination to confirm, a urine analysis and urine culture and an examination of the discharge from the penis. Based on the reports or clinical findings, you will be started on appropriate antibiotics. There is no cause for undue concern as both conditions are easily treatable. I would also advise you to be cautious in the future about unprotected sexual contact. For more information consult an urologist online
### Instruction: Answer this question truthfully ###Input: Hello doctor,I had sex four days back with my fiancee. Her next period date is two weeks later. During the intercourse, the condom tore and the sperm entered her vagina. Within 24 hours she consumed an I-pill. Her stomach was paining a lot and feeling drowsy the whole day. The next day (after 48 hours) she consumed an I-pill again. Her stomach is paining a lot. Will she get pregnant? In how many days the periods should come? The symptoms of the I-pill and pregnancy are almost the same. So, I am very confused. Should she get a check-up done with a doctor? If yes, should we go to a gynecologist or a sexologist? ### Response: Hello. There was no requirement for a second dose of I-pill. The pain in the abdomen is due to the Progesterone effect and that can be countered by increasing the water intake. The with ChatDoctor. Presently, if the pain is more, then she can opt for an NSAID for pain relief and hot fomentation. Please ask her to take 3 to 4 liters of water in the day and that shall soothe her symptoms. She is unlikely to get pregnant as she has taken the first pill within 24 hours but should have waited for the bleed to start. Now, she needs to wait and watch and keep herself hy Take care.
Hello doctor,I had sex four days back with my fiancee. Her next period date is two weeks later. During the intercourse, the condom tore and the sperm entered her vagina. Within 24 hours she consumed an I-pill. Her stomach was paining a lot and feeling drowsy the whole day. The next day (after 48 hours) she consumed an I-pill again. Her stomach is paining a lot. Will she get pregnant? In how many days the periods should come? The symptoms of the I-pill and pregnancy are almost the same. So, I am very confused. Should she get a check-up done with a doctor? If yes, should we go to a gynecologist or a sexologist?
Hello. There was no requirement for a second dose of I-pill. The pain in the abdomen is due to the Progesterone effect and that can be countered by increasing the water intake. The with ChatDoctor. Presently, if the pain is more, then she can opt for an NSAID for pain relief and hot fomentation. Please ask her to take 3 to 4 liters of water in the day and that shall soothe her symptoms. She is unlikely to get pregnant as she has taken the first pill within 24 hours but should have waited for the bleed to start. Now, she needs to wait and watch and keep herself hy Take care.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I am curious about why we go back to ex relation again and again even after two to three years of breakup and more than a year of total detachment? I know that relation did not work for me, and maybe I had nothing more to give to or get from that relation. I do not want to get back in that again and all the way I blocked myself.But still kind of thoughts follow me again and again, and I feel I cannot grow because of that, or maybe that is not the reason, but still, I think about and feel sad and old why I am feeling like still moving around old-time and searching though I do not want to get back that time. I know everything, and everyone has changed with time. Please advice. ### Response: Hello, Welcome to Chat Doctor forum. There are two possible reasons, 1. Familiarity mind always tends to cling to familiar things which makes it comfortable. Fear of unknown makes the mind choose what is known, even if it is wrong. 2. Lack of a better opportunity, maybe you have not found someone better as of now, so because you crave the belongingness, it is like something is better than nothing. Have patience, think it through. If there is something, you can work on and mend the relationship, it is good, if there is no scope, keep yourself busy and occupied. Give your mind something better to think.
Hello doctor,I am curious about why we go back to ex relation again and again even after two to three years of breakup and more than a year of total detachment? I know that relation did not work for me, and maybe I had nothing more to give to or get from that relation. I do not want to get back in that again and all the way I blocked myself.But still kind of thoughts follow me again and again, and I feel I cannot grow because of that, or maybe that is not the reason, but still, I think about and feel sad and old why I am feeling like still moving around old-time and searching though I do not want to get back that time. I know everything, and everyone has changed with time. Please advice.
Hello, Welcome to Chat Doctor forum. There are two possible reasons, 1. Familiarity mind always tends to cling to familiar things which makes it comfortable. Fear of unknown makes the mind choose what is known, even if it is wrong. 2. Lack of a better opportunity, maybe you have not found someone better as of now, so because you crave the belongingness, it is like something is better than nothing. Have patience, think it through. If there is something, you can work on and mend the relationship, it is good, if there is no scope, keep yourself busy and occupied. Give your mind something better to think.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I am having frequent urination problem (urine every 30 to 40 minutes and not satisfied post-void) since a month. My Kidney function tests, blood sugar level, prostrate size everything is normal. My pelvic ultrasound showed mild urine post-void retention of 25 ml and muscosal prominence was noted measuring 3 to 4 mm in thickness.Kindly advice me an ayurvedic medicine. I read about Chandraprabha vati and Bangshil. Let me know what is to be recommended. And Gogshuradi Guggulu is a diuretic so I will not prefer that. ### Response: Hi. I have read your case history. You have mentioned kidney function test, blood sugar level and prostrate size is normal (attachment removed to protect patient identity), even then you get frequent urination. See, only above mentioned causes are not responsible for frequent urination. Incomplete void due to any reasons like thickness of bladder sphincters or nerve conduction defects, infection, inflammation in urinary tract are also responsible for such conditions. Excess consumption of alcohol, using air-condition are also causes of frequent urination. As you mentioned some Ayurvedic medicines name like Chan ChatDoctor. Gokshuradi guggulu works as diuretic but it also helps to remove the cause of retention of urine. So as per your present case history and investigation reports you should go through following medications. 1. Chan Take care.
Hello doctor,I am having frequent urination problem (urine every 30 to 40 minutes and not satisfied post-void) since a month. My Kidney function tests, blood sugar level, prostrate size everything is normal. My pelvic ultrasound showed mild urine post-void retention of 25 ml and muscosal prominence was noted measuring 3 to 4 mm in thickness.Kindly advice me an ayurvedic medicine. I read about Chandraprabha vati and Bangshil. Let me know what is to be recommended. And Gogshuradi Guggulu is a diuretic so I will not prefer that.
Hi. I have read your case history. You have mentioned kidney function test, blood sugar level and prostrate size is normal (attachment removed to protect patient identity), even then you get frequent urination. See, only above mentioned causes are not responsible for frequent urination. Incomplete void due to any reasons like thickness of bladder sphincters or nerve conduction defects, infection, inflammation in urinary tract are also responsible for such conditions. Excess consumption of alcohol, using air-condition are also causes of frequent urination. As you mentioned some Ayurvedic medicines name like Chan ChatDoctor. Gokshuradi guggulu works as diuretic but it also helps to remove the cause of retention of urine. So as per your present case history and investigation reports you should go through following medications. 1. Chan Take care.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I was diagnosed with ED after a penile Doppler study and observed with low blood flow. We both have been checked and confirmed with no issues with HSG (tube test, semen analysis, etc.). As we want to have a baby, and all the reports are normal, (only problem is ED, not able to perform intercourse), the doctor has suggested self-insemination at home. He has given a catheter, a container for collecting sperm and syringes to perform the self insemination. He suggested to add equivalent amount of ringer lactate solution with the sperm collected in the container. Then, take the mixture in a syringe and flow into the vagina through a catheter. We just want to have a second opinion to know whether it works out and mainly want to know why we need to add ringer lactate solution along with the sperm. What is the importance of adding ringer lactate? Is it mandatory to add this solution or can we do without the solution? Your inputs will help us to know the process in a better way. ### Response: Hello, Welcome to Chat Doctor forum. Ringer lactate is not mandatory. Sometimes, it helps with the sperm speed, but you can do without it. Your erection problem may be due to stress or anxiety or due to any medicine or nutritional supplement if you are taking any. Penile Doppler often gives erroneous results. Usually, it is not performed properly with visual erotica. You need to do blood tests
Hello doctor,I was diagnosed with ED after a penile Doppler study and observed with low blood flow. We both have been checked and confirmed with no issues with HSG (tube test, semen analysis, etc.). As we want to have a baby, and all the reports are normal, (only problem is ED, not able to perform intercourse), the doctor has suggested self-insemination at home. He has given a catheter, a container for collecting sperm and syringes to perform the self insemination. He suggested to add equivalent amount of ringer lactate solution with the sperm collected in the container. Then, take the mixture in a syringe and flow into the vagina through a catheter. We just want to have a second opinion to know whether it works out and mainly want to know why we need to add ringer lactate solution along with the sperm. What is the importance of adding ringer lactate? Is it mandatory to add this solution or can we do without the solution? Your inputs will help us to know the process in a better way.
Hello, Welcome to Chat Doctor forum. Ringer lactate is not mandatory. Sometimes, it helps with the sperm speed, but you can do without it. Your erection problem may be due to stress or anxiety or due to any medicine or nutritional supplement if you are taking any. Penile Doppler often gives erroneous results. Usually, it is not performed properly with visual erotica. You need to do blood tests
### Instruction: Answer this question truthfully ###Input: Hello doctor,My wife and I had some argument about my past. I had lied to her about the number of sex partners I had. That hurts her because she explained that her perception of me was built on the fact that she knew that I only had a few sex partners.We have been discussing this for months, but now after having these discussions and arguments, I realize that when we are to have sex, I get anxious. I will get an erection, but when its time to enter, it falls. I want to know, how to get my mind to a place of not over thinking so that I am not distracted. Kindly help. ### Response: Hello. I am happy that you did understand that the problem behind your erection is, the problem is related to stress and anxiety which is stemmed out of the differences between you and your partner. That itself is the first step of the problem solver. Now the remedial measures are, 1. Do not attempt to have sex when you have the thought and related stress in your mind. 2. Start relaxation breathing for 10 minutes at least once per day. 3. Start physical exercise for one hour daily 4. Write down the cause and effect of the problem you are now facing with all the details. Then clear it logically alongside what you wrote. You may have to write this for two weeks to get the desired result. Take care. Take care.
Hello doctor,My wife and I had some argument about my past. I had lied to her about the number of sex partners I had. That hurts her because she explained that her perception of me was built on the fact that she knew that I only had a few sex partners.We have been discussing this for months, but now after having these discussions and arguments, I realize that when we are to have sex, I get anxious. I will get an erection, but when its time to enter, it falls. I want to know, how to get my mind to a place of not over thinking so that I am not distracted. Kindly help.
Hello. I am happy that you did understand that the problem behind your erection is, the problem is related to stress and anxiety which is stemmed out of the differences between you and your partner. That itself is the first step of the problem solver. Now the remedial measures are, 1. Do not attempt to have sex when you have the thought and related stress in your mind. 2. Start relaxation breathing for 10 minutes at least once per day. 3. Start physical exercise for one hour daily 4. Write down the cause and effect of the problem you are now facing with all the details. Then clear it logically alongside what you wrote. You may have to write this for two weeks to get the desired result. Take care. Take care.
### Instruction: Answer this question truthfully ###Input: Hi doctor,I am 24 and having an active sexual life. I have two questions. First I have noticed that my performance is erratic as in there are times when I can last 5-6 minutes and then the very next day it can go to 30-35 minutes. It is different with different partners. Second and more alarming is that I have been experiencing a stinging pain in my scrotum on the left side it usually happens when I stand up while sitting or laying and sometimes while walking. I tried finding the source of the pain by pressing in different regions but could not find one. Also, it happens at the back side of the scrotum. It is limited to the left side and has been increasing with each passing day. I thought of UTI, but my pee does not burn. Can I have some suggestions for my problems? Thank you. ### Response: Hello, Welcome to Chat Doctor forum. I can understand your concern. If there is any history of injury to scrotum then most likely it is a hematoma or infection post trauma. The pain could occur because of pressure over testis by tight underpants. This sometimes results in a picture similar to an infection. I would advise you to get USG scrotum done. This will rule out any hematoma or infection. A urine analysis should be done to rule out the cause. Please provide the reports for further assistance. Thanks and take care.
Hi doctor,I am 24 and having an active sexual life. I have two questions. First I have noticed that my performance is erratic as in there are times when I can last 5-6 minutes and then the very next day it can go to 30-35 minutes. It is different with different partners. Second and more alarming is that I have been experiencing a stinging pain in my scrotum on the left side it usually happens when I stand up while sitting or laying and sometimes while walking. I tried finding the source of the pain by pressing in different regions but could not find one. Also, it happens at the back side of the scrotum. It is limited to the left side and has been increasing with each passing day. I thought of UTI, but my pee does not burn. Can I have some suggestions for my problems? Thank you.
Hello, Welcome to Chat Doctor forum. I can understand your concern. If there is any history of injury to scrotum then most likely it is a hematoma or infection post trauma. The pain could occur because of pressure over testis by tight underpants. This sometimes results in a picture similar to an infection. I would advise you to get USG scrotum done. This will rule out any hematoma or infection. A urine analysis should be done to rule out the cause. Please provide the reports for further assistance. Thanks and take care.
### Instruction: Answer this question truthfully ###Input: Hello doctor,Positive ANA, weak positive Smith through childhood or teens. Monitored for lupus by pediatric rheumatologist but never really exhibited symptoms. I have abnormal beta 2 glycoprotein that puts me at risk for blood clots. Was told in high school to take Baby Aspirin every day. I am now 28.Recently had full lab tests done for the first time in many years. Platelet count ### Response: Hello. The elevated high total protein does not indicate malignancy only. It could be due to some temporary infective etiology as well. Your all other parameters do not indicate any blood cancer. If you have a history of positive beta 2 glycoproteins as mentioned in the above description then you have to repeat your beta 2 glycoprotein estimation again after 12 weeks. If two repeated tests for beta 2 glycoprotein are positive and any history of thrombosis, then anti-phospholipid lipid syn ChatDoctor. The positive Smith antigen points towards lupus. If asymptomatic, then no need for treatment and only monitoring can be done. However, you can repeat your Smith antibody estimation again to exclude the possibility of lupus. You can investigate with anti-ds DNA estimation as well to exclude SLE. If beta 2 glycoprotein result comes negative in the repeat test, then no need to take Aspirin. The occasional Aspirin ingestion has no value and not indicated. You can consult nearby hematologist for detailed evaluation.
Hello doctor,Positive ANA, weak positive Smith through childhood or teens. Monitored for lupus by pediatric rheumatologist but never really exhibited symptoms. I have abnormal beta 2 glycoprotein that puts me at risk for blood clots. Was told in high school to take Baby Aspirin every day. I am now 28.Recently had full lab tests done for the first time in many years. Platelet count
Hello. The elevated high total protein does not indicate malignancy only. It could be due to some temporary infective etiology as well. Your all other parameters do not indicate any blood cancer. If you have a history of positive beta 2 glycoproteins as mentioned in the above description then you have to repeat your beta 2 glycoprotein estimation again after 12 weeks. If two repeated tests for beta 2 glycoprotein are positive and any history of thrombosis, then anti-phospholipid lipid syn ChatDoctor. The positive Smith antigen points towards lupus. If asymptomatic, then no need for treatment and only monitoring can be done. However, you can repeat your Smith antibody estimation again to exclude the possibility of lupus. You can investigate with anti-ds DNA estimation as well to exclude SLE. If beta 2 glycoprotein result comes negative in the repeat test, then no need to take Aspirin. The occasional Aspirin ingestion has no value and not indicated. You can consult nearby hematologist for detailed evaluation.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I suffer from bipolar 2 disorder as well as OCD and social anxiety disorder. I have tried almost all SSRIs, and SNRIs and neither of them have worked for me (for the last 2 1/2 years). I believe that I have treatment-resistant depression because all the medicines are not working. Currently, I am taking 20 mg of Paroxetine (although I already took 40 mg a few months ago, so I already increased the dose as well), 900 mg of Lithium and 1.5 mg of Risperidone. What should I do? ### Response: Hello. I can understand that it can be frustrating if the medicines you have tried so far have not been effective. Have you been on the maximum doses of each medicine before trying another? There are medication options like add-on Bupropion, which can be considered by your psychiatrist if the low mood is a significant issue. Any medication changes have to be done carefully under monitoring as you are already on a different psychotropic medication. More importantly, have you received any psychological therapy like CBT along with your medication? Combination of CBT and medication is likely to be more effective than medication alone. Especially for OCD and anxiety, CBT has a strong response rate. Also make sure that you follow the necessary lifestyle modifications like eating healthy, have a sleep routine, and exercise regularly. I hope this helps.
Hello doctor,I suffer from bipolar 2 disorder as well as OCD and social anxiety disorder. I have tried almost all SSRIs, and SNRIs and neither of them have worked for me (for the last 2 1/2 years). I believe that I have treatment-resistant depression because all the medicines are not working. Currently, I am taking 20 mg of Paroxetine (although I already took 40 mg a few months ago, so I already increased the dose as well), 900 mg of Lithium and 1.5 mg of Risperidone. What should I do?
Hello. I can understand that it can be frustrating if the medicines you have tried so far have not been effective. Have you been on the maximum doses of each medicine before trying another? There are medication options like add-on Bupropion, which can be considered by your psychiatrist if the low mood is a significant issue. Any medication changes have to be done carefully under monitoring as you are already on a different psychotropic medication. More importantly, have you received any psychological therapy like CBT along with your medication? Combination of CBT and medication is likely to be more effective than medication alone. Especially for OCD and anxiety, CBT has a strong response rate. Also make sure that you follow the necessary lifestyle modifications like eating healthy, have a sleep routine, and exercise regularly. I hope this helps.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I had a 4.4 PSA and had an MRI that was negative. Six months later my PSA is 5.7 and even though the MRI was negative it is suggested that I should have a prostate biopsy. I am a 73-year-old male. I am certainly not that excited to have a biopsy. Any thoughts? ### Response: Hi, Welcome to Chat Doctor forum. I can understand your concern about undergoing an invasive investigation without any symptoms. Let me explain you what does PSA suggest. Basically, PSA is secreted by the prostate as well as some other body tissues. It does not reach circulation and hence remains low in blood as long as the barrier between prostatic tissue and blood vessel is kept intact. Rising PSA is a sign that there is some tissue alteration which has resulted in breach of this barrier. Hence, do not be under the impression that rising PSA always means malignancy. But it is better to confirm the absence of malignancy by biopsy as, at a PSA level as low as 5.7, even in a unlikely event of report being malignancy, the chances of organ confined lesion is very high, which is easy to treat and chances if cure are high. Hence, it is better to undergo biopsy and get your fears allayed. As such, the biopsy is a very small procedure and safe in experienced hands. Wish you a safe biopsy and I hope the results will be benign.
Hello doctor,I had a 4.4 PSA and had an MRI that was negative. Six months later my PSA is 5.7 and even though the MRI was negative it is suggested that I should have a prostate biopsy. I am a 73-year-old male. I am certainly not that excited to have a biopsy. Any thoughts?
Hi, Welcome to Chat Doctor forum. I can understand your concern about undergoing an invasive investigation without any symptoms. Let me explain you what does PSA suggest. Basically, PSA is secreted by the prostate as well as some other body tissues. It does not reach circulation and hence remains low in blood as long as the barrier between prostatic tissue and blood vessel is kept intact. Rising PSA is a sign that there is some tissue alteration which has resulted in breach of this barrier. Hence, do not be under the impression that rising PSA always means malignancy. But it is better to confirm the absence of malignancy by biopsy as, at a PSA level as low as 5.7, even in a unlikely event of report being malignancy, the chances of organ confined lesion is very high, which is easy to treat and chances if cure are high. Hence, it is better to undergo biopsy and get your fears allayed. As such, the biopsy is a very small procedure and safe in experienced hands. Wish you a safe biopsy and I hope the results will be benign.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 26, male and height 163 cm and weight 82 kg. I am suffering with small lump like peanut size and smooth in nature outside of the anus and it is paining and bleeding while passing the stool from the last 10 days. Earlier I did not have that lump and pain or bleeding. Could you please suggest some medication or treatment plan? ### Response: Hello, Welcome to Chat Doctor forum. Firstly, I would like to assure you that you do not have to worry because there is always a solution to your problem. Having said that, I would like to let you know that, it is very important for a doctor to have the area inspected and examined before reaching a conclusion, as you have mentioned presence of a lump. Therefore, you need to consult a surgeon in person and allow him to examine. Do not feel uneasy or worry about it at all. As of now, use Smuth ointment at the anal region. It helps in counteracting the pain and discomfort. Do a sitz bath twice daily. Sitz bath needs filling up of a tub with warm water and mixing in some salt in the water. You need to sit in the water for about 10 minutes twice daily. These would help ease the pain and fight your problem. Again, I would like to remind you to see a surgeon in person for inspection and treatment. Stay healthy and positive.
Hello doctor,I am 26, male and height 163 cm and weight 82 kg. I am suffering with small lump like peanut size and smooth in nature outside of the anus and it is paining and bleeding while passing the stool from the last 10 days. Earlier I did not have that lump and pain or bleeding. Could you please suggest some medication or treatment plan?
Hello, Welcome to Chat Doctor forum. Firstly, I would like to assure you that you do not have to worry because there is always a solution to your problem. Having said that, I would like to let you know that, it is very important for a doctor to have the area inspected and examined before reaching a conclusion, as you have mentioned presence of a lump. Therefore, you need to consult a surgeon in person and allow him to examine. Do not feel uneasy or worry about it at all. As of now, use Smuth ointment at the anal region. It helps in counteracting the pain and discomfort. Do a sitz bath twice daily. Sitz bath needs filling up of a tub with warm water and mixing in some salt in the water. You need to sit in the water for about 10 minutes twice daily. These would help ease the pain and fight your problem. Again, I would like to remind you to see a surgeon in person for inspection and treatment. Stay healthy and positive.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I have a problem of acidity. It feels like a condition when a woman is going through morning sickness. I am 21 and single, but every morning I feel nausea and cannot eat anything until I throw up. Any slight stress, excitement, or sadness increases acidity that I am not able to eat anything unless I puke. I have a history of H.pylori but it has been treated with the triple line therapy, but since then I have this problem of acid reflux, and especially then when do not get sufficient sleep. Because of that, I have lost 9 pounds. I try my best to get sufficient sleep but eight hours seems not enough for me. This whole thing started since I had H.pylori. Although it was treated, these kinds of symptoms have developed since then and are very irritating. Please help. ### Response: Hello, Welcome to Chat Doctor forum. The root cause for your acidity is stress and please concentrate on the causative factor of stress. If you come to know what is the causative factor, then try to plan how to face or avoid in a non-stressful way. If you are facing problems please consult your neuropsychiatrist. He will guide you how to face it. You also need cognitive behavioral therapy also. Avoid spicy food and caffeinated ChatDoctor. Avoid high spicy non-vegetarian food. Eat more fruits and green leafy vegetables. Eat
Hello doctor,I have a problem of acidity. It feels like a condition when a woman is going through morning sickness. I am 21 and single, but every morning I feel nausea and cannot eat anything until I throw up. Any slight stress, excitement, or sadness increases acidity that I am not able to eat anything unless I puke. I have a history of H.pylori but it has been treated with the triple line therapy, but since then I have this problem of acid reflux, and especially then when do not get sufficient sleep. Because of that, I have lost 9 pounds. I try my best to get sufficient sleep but eight hours seems not enough for me. This whole thing started since I had H.pylori. Although it was treated, these kinds of symptoms have developed since then and are very irritating. Please help.
Hello, Welcome to Chat Doctor forum. The root cause for your acidity is stress and please concentrate on the causative factor of stress. If you come to know what is the causative factor, then try to plan how to face or avoid in a non-stressful way. If you are facing problems please consult your neuropsychiatrist. He will guide you how to face it. You also need cognitive behavioral therapy also. Avoid spicy food and caffeinated ChatDoctor. Avoid high spicy non-vegetarian food. Eat more fruits and green leafy vegetables. Eat
### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 30 years old and having hairfall problem from the past 2 to 3 years and I used Minoxidil for a year but no use and slowly it looks like my male pattern baldness is increasing. The thing is last week I had hair tonsure. I noticed a lot of grey hair has come which makes me concerned. The only mistake I did was started to hair dye from past 1 year once in 4 months to cover a few grey hairs but now they have increased like anything and I almost look like an old person. My question is ### Response: Hi, Welcome to Chat Doctor forum. Regarding your hairfall- Does anybody in your family suffer from baldness or premature greying? What is the percentage of Minoxidil you have been using all these days? Did you consult a dermatologist till now? Hair dye never increase the chance of greying. You can use the hair dye regularly. Male pattern baldness is genetically programmed and the Minoxidil is a useful medication for this. If you do not find good response with Minoxidil, then you can start the tablet Finasteride 1 mg daily one tablet for a period of 6 months. PRP injections might help you in the hairfall. Tablets containing Calcium Panthenoate might reduce the speed of greying of hairs. This can be tried for a period of three months. genetic an ChatDoctor.
Hello doctor,I am 30 years old and having hairfall problem from the past 2 to 3 years and I used Minoxidil for a year but no use and slowly it looks like my male pattern baldness is increasing. The thing is last week I had hair tonsure. I noticed a lot of grey hair has come which makes me concerned. The only mistake I did was started to hair dye from past 1 year once in 4 months to cover a few grey hairs but now they have increased like anything and I almost look like an old person. My question is
Hi, Welcome to Chat Doctor forum. Regarding your hairfall- Does anybody in your family suffer from baldness or premature greying? What is the percentage of Minoxidil you have been using all these days? Did you consult a dermatologist till now? Hair dye never increase the chance of greying. You can use the hair dye regularly. Male pattern baldness is genetically programmed and the Minoxidil is a useful medication for this. If you do not find good response with Minoxidil, then you can start the tablet Finasteride 1 mg daily one tablet for a period of 6 months. PRP injections might help you in the hairfall. Tablets containing Calcium Panthenoate might reduce the speed of greying of hairs. This can be tried for a period of three months. genetic an ChatDoctor.
### Instruction: Answer this question truthfully ###Input: Hello doctor, I had my wisdom teeth removed three weeks ago and on the third day, it felt like I ripped my stitching. A few days later it was bothering me so I put my finger in my mouth and I felt an opening along where the stitching should be. So I decided to feel the other side to compare that side was closed. So I went to see my dentist she said that it was healing fine. But days later it still bothers me so I bought a dentist\\s mirror and checked it out. I only saw a bump, but I felt the opening so I put it in between my cheek and teeth and there it was an opening and some white yellow stuff. I think this poking white thing was a part of my molar, cause it was hard and the opening has been getting bigger and it is hurting more. What should I do? ### Response: Hello. I can understand your concern regarding dental health. In this condition, I would strongly like to suggest you to consult your dentist again for a clinical examination of the affected area and condition of it for better results. She will examine the area in which you are feeling hard might be because of bone. Because there are very less chances of root piece after extraction of wisdom tooth. If a root piece will be there, then she will remove it after taking an x-ray. She will ChatDoctor. So, consult her earlier. I hope this helps.
Hello doctor, I had my wisdom teeth removed three weeks ago and on the third day, it felt like I ripped my stitching. A few days later it was bothering me so I put my finger in my mouth and I felt an opening along where the stitching should be. So I decided to feel the other side to compare that side was closed. So I went to see my dentist she said that it was healing fine. But days later it still bothers me so I bought a dentist\\s mirror and checked it out. I only saw a bump, but I felt the opening so I put it in between my cheek and teeth and there it was an opening and some white yellow stuff. I think this poking white thing was a part of my molar, cause it was hard and the opening has been getting bigger and it is hurting more. What should I do?
Hello. I can understand your concern regarding dental health. In this condition, I would strongly like to suggest you to consult your dentist again for a clinical examination of the affected area and condition of it for better results. She will examine the area in which you are feeling hard might be because of bone. Because there are very less chances of root piece after extraction of wisdom tooth. If a root piece will be there, then she will remove it after taking an x-ray. She will ChatDoctor. So, consult her earlier. I hope this helps.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I am having pain in the right lower abdomen for 10 days. The ultrasound had shown mild inflammation of the appendix. Doctor then suggested a CECT whole abdomen. However, in the past, I have had difficulty keeping down the contrast they ask to drink. So the doctor advised CT Scan with IV contrast only and left out the drinking contrast part. The result of the CT scan came normal showing no Appendicitis. My query is, can the CT scan be done without drinking the contrast? Will it be accurate? Is IV only CT scan without the drink reliable? Is it surprising that USG showed mild appendicitis, but the CT scan did not? Please advise. ### Response: Hello, Welcome to Chat Doctor forum. The appendix is a tubular structure measuring less than 5 mm in normal people. When there is appendicitis, the appendix enlarges to 8 to 10 mm or more in diameter. Ultrasound scan has an accuracy of 50 percent for appendicitis in most patients. You have been found with a likely 9 mm appendix before some days. The CT scan was done before a week. It is possible that the inflammation of appendix decreased in a week and so the CT scan finding with only IV contrast showed near-normal appendix and no features of inflammation surrounding it. An oral and IV contrast CT is always better to look for appendix related problems. There is no need to ChatDoctor.
Hello doctor,I am having pain in the right lower abdomen for 10 days. The ultrasound had shown mild inflammation of the appendix. Doctor then suggested a CECT whole abdomen. However, in the past, I have had difficulty keeping down the contrast they ask to drink. So the doctor advised CT Scan with IV contrast only and left out the drinking contrast part. The result of the CT scan came normal showing no Appendicitis. My query is, can the CT scan be done without drinking the contrast? Will it be accurate? Is IV only CT scan without the drink reliable? Is it surprising that USG showed mild appendicitis, but the CT scan did not? Please advise.
Hello, Welcome to Chat Doctor forum. The appendix is a tubular structure measuring less than 5 mm in normal people. When there is appendicitis, the appendix enlarges to 8 to 10 mm or more in diameter. Ultrasound scan has an accuracy of 50 percent for appendicitis in most patients. You have been found with a likely 9 mm appendix before some days. The CT scan was done before a week. It is possible that the inflammation of appendix decreased in a week and so the CT scan finding with only IV contrast showed near-normal appendix and no features of inflammation surrounding it. An oral and IV contrast CT is always better to look for appendix related problems. There is no need to ChatDoctor.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I had a FESS done before five months. Shortly after I noticed clear drainage from my nose. I had a pledget study done that confirm a bilateral CSF leak. Five weeks ago, I had sx to repair it, however in sx under intrathecal fluorescein, and the surgeon could not locate the leak. Nose still leaking and Beta 2 transferrin test came back negative.On Atrovent, for two days nose still drips, especially when bending over. Do I get a second opinion or assume it is caused by chronic rhinitis and start on a nasal spray that combines a steroid or antihistamine in it as my surgeon suggests? I never had any problems with a runny or drippy nose like this until after I had my sinus surgery. ### Response: Hello. CSF rhinorrhea is a known complication of extensive FESS (functional endoscopic sinus surgery). If a pledget had shown confirmed CSK leak, it sure needs to be investigated. Small leaks heal and recover by themselves however, if the leak persists longer, then it needs to be sealed by endoscopic surgery. In your case, any watery discharge from the nose should not be ignored. Especially if the release is more during bending, coughing, straining lifting weight etc. You may need an MRI, but I suggest meet an ENT endoscopic surgeon for further treatment. Sometimes this can get serious, so it is essential to meet your doctor. Take care.
Hello doctor,I had a FESS done before five months. Shortly after I noticed clear drainage from my nose. I had a pledget study done that confirm a bilateral CSF leak. Five weeks ago, I had sx to repair it, however in sx under intrathecal fluorescein, and the surgeon could not locate the leak. Nose still leaking and Beta 2 transferrin test came back negative.On Atrovent, for two days nose still drips, especially when bending over. Do I get a second opinion or assume it is caused by chronic rhinitis and start on a nasal spray that combines a steroid or antihistamine in it as my surgeon suggests? I never had any problems with a runny or drippy nose like this until after I had my sinus surgery.
Hello. CSF rhinorrhea is a known complication of extensive FESS (functional endoscopic sinus surgery). If a pledget had shown confirmed CSK leak, it sure needs to be investigated. Small leaks heal and recover by themselves however, if the leak persists longer, then it needs to be sealed by endoscopic surgery. In your case, any watery discharge from the nose should not be ignored. Especially if the release is more during bending, coughing, straining lifting weight etc. You may need an MRI, but I suggest meet an ENT endoscopic surgeon for further treatment. Sometimes this can get serious, so it is essential to meet your doctor. Take care.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 32 years old and had an herinated disc and had surgery a few years back, it was a post delayed surgery. Due to the delay in surgery (18 days) I left with a foot drop and right leg weakness. I was bedridden for 4 months. Totally weak. But I gradually developed doing physiotheraphy and with some Ayurvedic treatment. I started waking now with out any help. But my foot drop is still there. But I can lift my toe and ankle little bit from last month. Can I come to my normal life, how long I need to wait to get cured from foot drop? ### Response: Hello. I can advise you in detail if i have your detailed neurological charting including assessment of motor power, sensory charting of lower limbs and evaluation of deep tendon reflexes. Also, latest MRI of LS spine is required to see for adequacy of decompression. To answer your query, the best results come early after the spinal decompression surgery, if motor loss can be ascribed to compression in spinal cord or roots. Also intensive physical therapy helps you to gain power . But since you have started gaining power, it can continue for at least 6 more months, so my advise to you will be to continue with intensive physical therapy including muscle stimulation, vitamin B12 intake and come back to me with your neurological charting and MRI films so that i can see and advise you further.
Hello doctor,I am 32 years old and had an herinated disc and had surgery a few years back, it was a post delayed surgery. Due to the delay in surgery (18 days) I left with a foot drop and right leg weakness. I was bedridden for 4 months. Totally weak. But I gradually developed doing physiotheraphy and with some Ayurvedic treatment. I started waking now with out any help. But my foot drop is still there. But I can lift my toe and ankle little bit from last month. Can I come to my normal life, how long I need to wait to get cured from foot drop?
Hello. I can advise you in detail if i have your detailed neurological charting including assessment of motor power, sensory charting of lower limbs and evaluation of deep tendon reflexes. Also, latest MRI of LS spine is required to see for adequacy of decompression. To answer your query, the best results come early after the spinal decompression surgery, if motor loss can be ascribed to compression in spinal cord or roots. Also intensive physical therapy helps you to gain power . But since you have started gaining power, it can continue for at least 6 more months, so my advise to you will be to continue with intensive physical therapy including muscle stimulation, vitamin B12 intake and come back to me with your neurological charting and MRI films so that i can see and advise you further.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I was wondering if you could shed some light on something for me. I recently had my newborn daughter and something looks off. The doctor at the hospital said it was her hairline and I wanted your input. In the middle of her head it is brown and normal looking but on each side of the brown it is definitely lighter in color and less hair. I have uploaded a picture for you to look at. My husband\\s hairline is also like that but where his hairline cuts back there is no hair whatsoever. The second picture is of my husband\\s hairline for a comparison. ### Response: Hi. You have got a beautiful daughter there. Please do not worry about the widows peak (attachment removed to protect pataient identity). It is too early to comment on it. It will be clearly noticed by the time the child becomes a year old. Frankly speaking even if there is a widows peak or for that matter any anomaly relating to the hair, there is nothing that can be done right now at this age group. So, please stop thinking about it and watch as the child grows. Whatever it is, it will be clearly distinguishable by the age of one year and by that age something can be done about it. Also, if you are very anxious I would advice a visit to the dermatologist who can examine the child thoroughly (as the examination in photo and person differs) and guide you on the issue.
Hello doctor,I was wondering if you could shed some light on something for me. I recently had my newborn daughter and something looks off. The doctor at the hospital said it was her hairline and I wanted your input. In the middle of her head it is brown and normal looking but on each side of the brown it is definitely lighter in color and less hair. I have uploaded a picture for you to look at. My husband\\s hairline is also like that but where his hairline cuts back there is no hair whatsoever. The second picture is of my husband\\s hairline for a comparison.
Hi. You have got a beautiful daughter there. Please do not worry about the widows peak (attachment removed to protect pataient identity). It is too early to comment on it. It will be clearly noticed by the time the child becomes a year old. Frankly speaking even if there is a widows peak or for that matter any anomaly relating to the hair, there is nothing that can be done right now at this age group. So, please stop thinking about it and watch as the child grows. Whatever it is, it will be clearly distinguishable by the age of one year and by that age something can be done about it. Also, if you are very anxious I would advice a visit to the dermatologist who can examine the child thoroughly (as the examination in photo and person differs) and guide you on the issue.
### Instruction: Answer this question truthfully ###Input: Hello doctor, I am facing this below for more than 15 days. My lower and upper wisdom teeth are erupting. The lower teeth are erupting and gum got swelling and pain. There is swelling nearby the last molar teeth and feeling pain. I have a feeling of throat infection and sometimes pain in the throat, neck and Jaw. I have no fever but inside the tongue I found red blisters. I need your advice.Already I am taking Loxoprofen sodium 60 mg for one week, and Azithromycin for about three days. ### Response: Hello, Welcome to ChatDoctor. First of all please do not worry. I went through your query and I am a specialist dealing with third molars. I can understand what kind of pain and discomfort you have been through. I will guide you to relieve all your pain. These teeth are impacted and they will not come out normally and will cause discomfort repeatedly. I will prescribe better medicines kindly get them you will be fine. Visit your dentists office once the lockdown gets over to extraction. For now, I need you to do Warm saline gargle two to three times a day (if hypertensive avoid salt, use Betadine gargle). Avoid sticky or sweet food. Maintain oral hygiene. Avoid direct heat (warm cloths from outside). Take the medications as prescribed. Impacted third molars. Pericoronitis. Follow up after seven days.
Hello doctor, I am facing this below for more than 15 days. My lower and upper wisdom teeth are erupting. The lower teeth are erupting and gum got swelling and pain. There is swelling nearby the last molar teeth and feeling pain. I have a feeling of throat infection and sometimes pain in the throat, neck and Jaw. I have no fever but inside the tongue I found red blisters. I need your advice.Already I am taking Loxoprofen sodium 60 mg for one week, and Azithromycin for about three days.
Hello, Welcome to ChatDoctor. First of all please do not worry. I went through your query and I am a specialist dealing with third molars. I can understand what kind of pain and discomfort you have been through. I will guide you to relieve all your pain. These teeth are impacted and they will not come out normally and will cause discomfort repeatedly. I will prescribe better medicines kindly get them you will be fine. Visit your dentists office once the lockdown gets over to extraction. For now, I need you to do Warm saline gargle two to three times a day (if hypertensive avoid salt, use Betadine gargle). Avoid sticky or sweet food. Maintain oral hygiene. Avoid direct heat (warm cloths from outside). Take the medications as prescribed. Impacted third molars. Pericoronitis. Follow up after seven days.
### Instruction: Answer this question truthfully ###Input: Hello doctor,My questions are regarding my painful period. I used to have extremely painful period every month, similar to contractions. I am unable to drive, work, or do normal activities while on period. Birth control pills were prescribed (to control acne) and lower the pain last year. Medicines I am taking are called TriNessa. After taking them for about 1.5 years, the skin looks better (not perfect), and the pain went down but not entirely disappeared.I am wondering if I can skip the last week on the pills to eliminate the periods and pain. If yes, what harm will it cause to my health? My age is almost 30. A gynecologist regularly checks me and no abnormalities were ever found. I am looking for a second opinion. ### Response: Hello, Welcome to Chat Doctor forum. Painful periods are widespread, and they usually get resolved with pills. But if you still think that your pain is not getting fixed with those, then you might try pain killers like Mefenamic acid during your periods. And yes, that is possible to go without periods for two to three months, and it will not cause any harmful effects on your body. But you can also try to switch to another formulation of birth control pills before proceeding to this getting period absent option. I hope it has helped you. If you require any further queries, please do not hesitate to contact me.
Hello doctor,My questions are regarding my painful period. I used to have extremely painful period every month, similar to contractions. I am unable to drive, work, or do normal activities while on period. Birth control pills were prescribed (to control acne) and lower the pain last year. Medicines I am taking are called TriNessa. After taking them for about 1.5 years, the skin looks better (not perfect), and the pain went down but not entirely disappeared.I am wondering if I can skip the last week on the pills to eliminate the periods and pain. If yes, what harm will it cause to my health? My age is almost 30. A gynecologist regularly checks me and no abnormalities were ever found. I am looking for a second opinion.
Hello, Welcome to Chat Doctor forum. Painful periods are widespread, and they usually get resolved with pills. But if you still think that your pain is not getting fixed with those, then you might try pain killers like Mefenamic acid during your periods. And yes, that is possible to go without periods for two to three months, and it will not cause any harmful effects on your body. But you can also try to switch to another formulation of birth control pills before proceeding to this getting period absent option. I hope it has helped you. If you require any further queries, please do not hesitate to contact me.
### Instruction: Answer this question truthfully ###Input: Hello doctor,My wife is 13 weeks pregnant. Though she takes Doxinate tablet once a day, she still has vomiting. Also, she often gets a stomach pain which eases in five minutes. We have discussed with the gynecologist about these issues and he had suggested a full abdominal ultrasound. In the ultrasound, they found a small sludge in her gall bladder. So, the gynecologist had suggested we consult a surgeon. The surgeon recommended a surgery. If not done, he says the mother, as well as the baby, are at risk. My wife is very depressed after hearing this. He has prescribed Rablet-D and Ursodiol for 10 days. Another issue that she faced is that in the last three days, she felt a mild pain in the lower abdomen. This pain also eases by itself in 30 to 40 minutes. Though we missed discussing this with the gynecologist, the USG report shows that everything is normal. I have attached herewith the latest USG, and blood test reports. Please guide us. ### Response: Hello, Welcome to Chat Doctor forum. I have gone through the reports (attachment removed to protect patient identity). It is good that you have consulted a surgeon and arrived at a diagnosis. It is nothing to panic about. If there are any further doubts you can always consult me. For more information consult an obstetrician and gynaecologist online
Hello doctor,My wife is 13 weeks pregnant. Though she takes Doxinate tablet once a day, she still has vomiting. Also, she often gets a stomach pain which eases in five minutes. We have discussed with the gynecologist about these issues and he had suggested a full abdominal ultrasound. In the ultrasound, they found a small sludge in her gall bladder. So, the gynecologist had suggested we consult a surgeon. The surgeon recommended a surgery. If not done, he says the mother, as well as the baby, are at risk. My wife is very depressed after hearing this. He has prescribed Rablet-D and Ursodiol for 10 days. Another issue that she faced is that in the last three days, she felt a mild pain in the lower abdomen. This pain also eases by itself in 30 to 40 minutes. Though we missed discussing this with the gynecologist, the USG report shows that everything is normal. I have attached herewith the latest USG, and blood test reports. Please guide us.
Hello, Welcome to Chat Doctor forum. I have gone through the reports (attachment removed to protect patient identity). It is good that you have consulted a surgeon and arrived at a diagnosis. It is nothing to panic about. If there are any further doubts you can always consult me. For more information consult an obstetrician and gynaecologist online
### Instruction: Answer this question truthfully ###Input: Hi doctor,I am a 16-year-old boy. I had thick hair. Recently, I started applying conditioner on my hair. I have lost my hair after using conditioner on the scalp. My mother has thick hair. My father has a bald head. I want to get my thick hair again. I am living in depression. I am unable to concentrate on my studies. I do not know whether the hair loss is temporary or not. I also have small patches between my hairs. What can it be? What can I do to get a thick hair again? Is it right to use Minoxidil now? Please help me. ### Response: Hi, Welcome to Chat Doctor forum. It can be a side effect of a conditioner. Sometimes, the chemicals present in the conditioners are quite strong, and they lead to a negative impact on the hair, causing hair loss. As a first step, stop using conditioners. Secondly, you have told about the small patches present between the hairs. It can be a fungal infection causing hair loss. Wash your hair twice a week with a mild shampoo. Use Ketaconazole based shampoo for every 15 days. It can be a medicated anti-dan ChatDoctor. You can take vitamin supplements for a month. Take vitamin biotin and other vitamin B complex foods. Also, take vitamin C. Eat healthy food and lots of green leafy vegetables. Also, add
Hi doctor,I am a 16-year-old boy. I had thick hair. Recently, I started applying conditioner on my hair. I have lost my hair after using conditioner on the scalp. My mother has thick hair. My father has a bald head. I want to get my thick hair again. I am living in depression. I am unable to concentrate on my studies. I do not know whether the hair loss is temporary or not. I also have small patches between my hairs. What can it be? What can I do to get a thick hair again? Is it right to use Minoxidil now? Please help me.
Hi, Welcome to Chat Doctor forum. It can be a side effect of a conditioner. Sometimes, the chemicals present in the conditioners are quite strong, and they lead to a negative impact on the hair, causing hair loss. As a first step, stop using conditioners. Secondly, you have told about the small patches present between the hairs. It can be a fungal infection causing hair loss. Wash your hair twice a week with a mild shampoo. Use Ketaconazole based shampoo for every 15 days. It can be a medicated anti-dan ChatDoctor. You can take vitamin supplements for a month. Take vitamin biotin and other vitamin B complex foods. Also, take vitamin C. Eat healthy food and lots of green leafy vegetables. Also, add
### Instruction: Answer this question truthfully ###Input: Hi doctor,I am 29 years old and my wife is 26. I have been married for 2 years now. We are trying for baby since last 1 year but with no positive result. We used to intercourse as per ovulation calculator but my problem is that I can ejaculate only when she is on top.I fail to ejaculate when I am on top or in missionary position. In this position I suddenly lose my erection within 50 to 60 seconds.Is there any chance to get pregnant when woman on top? What should I do to increase my stamina? How to overcome sudden erection loss while intercourse in missionary position? I have attached my semen report here for your reference. ### Response: Hi, Welcome to Chat Doctor forum. First, I would like to tell you that there is no problem in conception even if woman is on top. The possibility of pregnancy is not in the position. Women can get pregnant even when semen is outside the vulva or thighs and even with precum. So, do not lose hope. I went through your reports (attachment removed to protect patient identity). Except for some infection in your semen there is no problem. I would like to know the medication you have taken regarding this issue. How long has your wife being taking ovulation induction medicine? Hopefully I will be able to guide you better after that. Revert back with the answers for the above questions.
Hi doctor,I am 29 years old and my wife is 26. I have been married for 2 years now. We are trying for baby since last 1 year but with no positive result. We used to intercourse as per ovulation calculator but my problem is that I can ejaculate only when she is on top.I fail to ejaculate when I am on top or in missionary position. In this position I suddenly lose my erection within 50 to 60 seconds.Is there any chance to get pregnant when woman on top? What should I do to increase my stamina? How to overcome sudden erection loss while intercourse in missionary position? I have attached my semen report here for your reference.
Hi, Welcome to Chat Doctor forum. First, I would like to tell you that there is no problem in conception even if woman is on top. The possibility of pregnancy is not in the position. Women can get pregnant even when semen is outside the vulva or thighs and even with precum. So, do not lose hope. I went through your reports (attachment removed to protect patient identity). Except for some infection in your semen there is no problem. I would like to know the medication you have taken regarding this issue. How long has your wife being taking ovulation induction medicine? Hopefully I will be able to guide you better after that. Revert back with the answers for the above questions.
### Instruction: Answer this question truthfully ###Input: Hi doctor,I am attaching a picture of my wife\\s left eye. I believe there is a stye or something else inside the left side of the eye. It has been around 8 to 10 days now. Earlier there was a pain in the eyes for the first 2 to 3 days. Later on, the pain was not there but I saw a lump or stye like structure in her left eye. I can also see a small lump from outside which appears like it is filled from inside. This is probably the first time happened with here. Also is it fatal? Kindly suggest what it is and the medications. ### Response: Hello. I have gone through your wife\\s problems and seen the photo attached (attachment removed to protect patient identity). This condition is called a chalazion, it is a sequel of style and it happens when long-standing infection is set up in the eyelid glands. They are usually treated surgically unless resolving with a course of antibiotics. So my advice is that you please do the following. Avoid eye rubbing. Hot fomentation to the affected eye and massage the lid after giving heat. Tobramycin eye ointment two times a day for a week in the affected eye. It is necessary to meet an ophthalmologist in the following scenarios. If eyes become red, start having sticky discharge from eyes, vision becomes blurred, not responding to treatment even after a week.
Hi doctor,I am attaching a picture of my wife\\s left eye. I believe there is a stye or something else inside the left side of the eye. It has been around 8 to 10 days now. Earlier there was a pain in the eyes for the first 2 to 3 days. Later on, the pain was not there but I saw a lump or stye like structure in her left eye. I can also see a small lump from outside which appears like it is filled from inside. This is probably the first time happened with here. Also is it fatal? Kindly suggest what it is and the medications.
Hello. I have gone through your wife\\s problems and seen the photo attached (attachment removed to protect patient identity). This condition is called a chalazion, it is a sequel of style and it happens when long-standing infection is set up in the eyelid glands. They are usually treated surgically unless resolving with a course of antibiotics. So my advice is that you please do the following. Avoid eye rubbing. Hot fomentation to the affected eye and massage the lid after giving heat. Tobramycin eye ointment two times a day for a week in the affected eye. It is necessary to meet an ophthalmologist in the following scenarios. If eyes become red, start having sticky discharge from eyes, vision becomes blurred, not responding to treatment even after a week.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I recently have noticed a slight blurriness in my right eye. It is only noticeable when I close my left eye, and so I am not sure how long it has taken for this to develop. I am going to see an optometrist and doctor early next week but am currently on the road for work.My main question is that when I look out of the corner of my right eye the blurriness seems to subside and I can see usually. I am wondering if this is a good sign. I have been dealing with severe anxiety the past couple months, and I am worried that might have raised my blood pressure enough to hurt my eyesight.Eyesight when looking with both eyes seems to be normal. I have also noticed floaters in my eyes. Kindly help. ### Response: Hello. This kind of a picture of eyesight becoming better on looking at specific directions are related to astigmatism. It is a very prevalent and correctable condition. There is no need to be anxious about it. Different reasons cause floaters. A dilated retinal examination will be able to help us get to the cause. Most of the conditions causing floaters are benign (not severe), but a few are dangerous, but all are treatable. So, I recommend that you visit your optometrist and in case you need any further information or help with refractive surgery, please schedule a consultation. I hope this helps you.
Hello doctor,I recently have noticed a slight blurriness in my right eye. It is only noticeable when I close my left eye, and so I am not sure how long it has taken for this to develop. I am going to see an optometrist and doctor early next week but am currently on the road for work.My main question is that when I look out of the corner of my right eye the blurriness seems to subside and I can see usually. I am wondering if this is a good sign. I have been dealing with severe anxiety the past couple months, and I am worried that might have raised my blood pressure enough to hurt my eyesight.Eyesight when looking with both eyes seems to be normal. I have also noticed floaters in my eyes. Kindly help.
Hello. This kind of a picture of eyesight becoming better on looking at specific directions are related to astigmatism. It is a very prevalent and correctable condition. There is no need to be anxious about it. Different reasons cause floaters. A dilated retinal examination will be able to help us get to the cause. Most of the conditions causing floaters are benign (not severe), but a few are dangerous, but all are treatable. So, I recommend that you visit your optometrist and in case you need any further information or help with refractive surgery, please schedule a consultation. I hope this helps you.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I have an anal fissure. I am taking homeopathy for the past 25 days. It worked for the first 20 days, but for the past five days, my pain has increased significantly. Is it homeopathy aggravation or something else? ### Response: Hello Can you please mention the name of the homeopathic remedy taken? The increased pain after an immense relief can be due to two reasons. The first, the given remedy acted superficially hence you noticed immediate relief. However, since the action of remedy is not completed it stopped working at a certain point where you started getting pain again. The second reason is the aggravation of homeopathic remedy which occurs if the remedy is taken too often in large doses. It is important to know how many doses and in which potency the remedy was taken. If this is an aggravation of remedy, stop the remedy, the pain will subside slowly over the time. If the pain does not subside completely, you can take Nux Vomica 200C one dose (four pills or two ChatDoctor. This remedy will help to reduce the aggravation. Also, it is important to know if the fissure has started to heal in the last 20 days or has it got worse. This can be determined by the physician who will perform the physical examination. Hence, I would advise you to consult a physician and get it checked.
Hello doctor,I have an anal fissure. I am taking homeopathy for the past 25 days. It worked for the first 20 days, but for the past five days, my pain has increased significantly. Is it homeopathy aggravation or something else?
Hello Can you please mention the name of the homeopathic remedy taken? The increased pain after an immense relief can be due to two reasons. The first, the given remedy acted superficially hence you noticed immediate relief. However, since the action of remedy is not completed it stopped working at a certain point where you started getting pain again. The second reason is the aggravation of homeopathic remedy which occurs if the remedy is taken too often in large doses. It is important to know how many doses and in which potency the remedy was taken. If this is an aggravation of remedy, stop the remedy, the pain will subside slowly over the time. If the pain does not subside completely, you can take Nux Vomica 200C one dose (four pills or two ChatDoctor. This remedy will help to reduce the aggravation. Also, it is important to know if the fissure has started to heal in the last 20 days or has it got worse. This can be determined by the physician who will perform the physical examination. Hence, I would advise you to consult a physician and get it checked.
### Instruction: Answer this question truthfully ###Input: Hello doctor, I may have an abscess and I am worried about going into the dentist because of the coronavirus. Currently, I am experiencing an achy jaw and ear congestion on one side, a slightly stiff neck, and a mild sore throat. This comes before one month after a filling repair, and two weeks after I had to go back to get the bite adjustment. It is not debilitating pain, but it is irritating and I am wondering if I can put it off until it is safer to go to the dentist. ### Response: Hello. I can understand the fear you have not to go to the dentist but please do not risk your health because of the fear of coronavirus. There are precautions to that and the dentist will also be taking precautions as the state has already issued guidelines for the doctors. Regarding your concern, I would advise visiting a dentist as soon as possible to look into and in case you need medication and intervention. If still, you want to avoid, just take over the counter pain killer like Advil and also use Listerine to subside the infection if possible. Impacted third molar, pericoronitis. Clinical, x-rays. Pericoronitis, Impaction. Pericoronitis. Oral hygiene and wash away debris and later on surgery may be required. Eat soft food on the side and strict oral hygiene. Follow up is important to see infection subsided and no complications. Take care.
Hello doctor, I may have an abscess and I am worried about going into the dentist because of the coronavirus. Currently, I am experiencing an achy jaw and ear congestion on one side, a slightly stiff neck, and a mild sore throat. This comes before one month after a filling repair, and two weeks after I had to go back to get the bite adjustment. It is not debilitating pain, but it is irritating and I am wondering if I can put it off until it is safer to go to the dentist.
Hello. I can understand the fear you have not to go to the dentist but please do not risk your health because of the fear of coronavirus. There are precautions to that and the dentist will also be taking precautions as the state has already issued guidelines for the doctors. Regarding your concern, I would advise visiting a dentist as soon as possible to look into and in case you need medication and intervention. If still, you want to avoid, just take over the counter pain killer like Advil and also use Listerine to subside the infection if possible. Impacted third molar, pericoronitis. Clinical, x-rays. Pericoronitis, Impaction. Pericoronitis. Oral hygiene and wash away debris and later on surgery may be required. Eat soft food on the side and strict oral hygiene. Follow up is important to see infection subsided and no complications. Take care.
### Instruction: Answer this question truthfully ###Input: Hello doctor,My 5-year-old daughter has scalp ringworm. I am using head and shoulders intense medicated shampoo and topical 2% Ketoconazole antifungal cream. Her doctor also prescribed an oral antifungal Lamisil packets granules 125 mg to be taken in food for a month. I am terrified of giving my 5-year-old daughter an oral medication with such a scary track record or side effects including liver failure and death as well as vision problems, low white blood cell count, and psychiatric problems. Is there any alternative to this terrifying drug for curing scalp ringworm? ### Response: Hello, Welcome to ChatDoctor. Scalp ringworm infection stays for a longer time. Topical ketoconazole cream is good. The oral medication prescribed is also good for the infection. There are a few alternatives. Any medicine carries some side effects along with it. We need to weigh the benefit and risks. If the benefit is more, we go for the medication. Side effects are mentioned but are rarely seen. It is usually tolerated well by chil ChatDoctor. Alternative medication is called Griseofulvin which is to be used for four to six weeks or more if required. It would not be available over the counter. It needs a doctor prescription. It also has some side effects but usually tolerated well. Fungal infection of the scalp. Griseofulvin or Terbinafine.
Hello doctor,My 5-year-old daughter has scalp ringworm. I am using head and shoulders intense medicated shampoo and topical 2% Ketoconazole antifungal cream. Her doctor also prescribed an oral antifungal Lamisil packets granules 125 mg to be taken in food for a month. I am terrified of giving my 5-year-old daughter an oral medication with such a scary track record or side effects including liver failure and death as well as vision problems, low white blood cell count, and psychiatric problems. Is there any alternative to this terrifying drug for curing scalp ringworm?
Hello, Welcome to ChatDoctor. Scalp ringworm infection stays for a longer time. Topical ketoconazole cream is good. The oral medication prescribed is also good for the infection. There are a few alternatives. Any medicine carries some side effects along with it. We need to weigh the benefit and risks. If the benefit is more, we go for the medication. Side effects are mentioned but are rarely seen. It is usually tolerated well by chil ChatDoctor. Alternative medication is called Griseofulvin which is to be used for four to six weeks or more if required. It would not be available over the counter. It needs a doctor prescription. It also has some side effects but usually tolerated well. Fungal infection of the scalp. Griseofulvin or Terbinafine.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I had unprotected oral sex with a bar pickup girl six months ago. She sucked my cock for about 10 minutes without a condom. I had only this exposure. After that, I ejaculated outside in my bed. I did not ejaculate in her mouth. After this incident, I was a little tensed. I waited for 60 days and got tested. I am fine as of now. I tested negative at 60 days after exposure with CMIA method. I also tested negative for western blot at 60 days. I also tested not detected with HIV PCR RNA after 65 days. Off late, I am feeling an inconvenience under my chin. I have probably developed a swollen node under the chin. Is it a symptom of HIV? Is it any kind of infection? Do I need further testing? Am I am at risk? ### Response: Hello, Welcome to Chat Doctor forum. I have noted your concern. Your tests are conclusive. Most of the HIV infected will have a positive test by three to four weeks. Since you have negative tests even after eight weeks, therefore it is reliable. There is no need for further tests. Moreover, oral sex is a low risk for HIV as compared to unprotected vaginal or anal sex. Swollen neck lymph nodes could be due to another cause - perhaps a sore throat. Regards. For more information consult an HIV AIDS specialist online
Hello doctor,I had unprotected oral sex with a bar pickup girl six months ago. She sucked my cock for about 10 minutes without a condom. I had only this exposure. After that, I ejaculated outside in my bed. I did not ejaculate in her mouth. After this incident, I was a little tensed. I waited for 60 days and got tested. I am fine as of now. I tested negative at 60 days after exposure with CMIA method. I also tested negative for western blot at 60 days. I also tested not detected with HIV PCR RNA after 65 days. Off late, I am feeling an inconvenience under my chin. I have probably developed a swollen node under the chin. Is it a symptom of HIV? Is it any kind of infection? Do I need further testing? Am I am at risk?
Hello, Welcome to Chat Doctor forum. I have noted your concern. Your tests are conclusive. Most of the HIV infected will have a positive test by three to four weeks. Since you have negative tests even after eight weeks, therefore it is reliable. There is no need for further tests. Moreover, oral sex is a low risk for HIV as compared to unprotected vaginal or anal sex. Swollen neck lymph nodes could be due to another cause - perhaps a sore throat. Regards. For more information consult an HIV AIDS specialist online
### Instruction: Answer this question truthfully ###Input: Hello doctor,I have been trying to conceive for one year. I am 30 years old. I have children already. Tracking BBT and LH to determine ovulation days (which I have found my peak). I had lots of irregular periods with 20-day cycles. Last cycle was 26 days. I want to try Clomid because I believe I may be having problems with the release of eggs. Please help. ### Response: Hello. Before opting for ovulation induction in your case, it would be important to learn if your partner\\s semen analysis is normal on the first hand. Your cycle seems to be regularly irregular, which is often seen in cases of women with estrogen deficiency and the ones with progesterone deficiency. As you have mentioned that your thyroid is normal, but my primary concern with regards to ovulation remains the estradiol levels, FSH, LH, AMH, serum testosterone on day 3 of your cycle and serum progesterone on day 21 of your cycle. Without having these reports handy, it would not be recommended to opt for Clomiphene citrate to induction ovulation. Please share your latest ultrasound pelvis as well to check for your endometrial thickness in proliferative or mid-cycle. Also, app tracker for LH is futile, rather it is suggested if you can opt for LH ovulation kits to actually determine your LH surge during cycle as that would be more objective. Take care.
Hello doctor,I have been trying to conceive for one year. I am 30 years old. I have children already. Tracking BBT and LH to determine ovulation days (which I have found my peak). I had lots of irregular periods with 20-day cycles. Last cycle was 26 days. I want to try Clomid because I believe I may be having problems with the release of eggs. Please help.
Hello. Before opting for ovulation induction in your case, it would be important to learn if your partner\\s semen analysis is normal on the first hand. Your cycle seems to be regularly irregular, which is often seen in cases of women with estrogen deficiency and the ones with progesterone deficiency. As you have mentioned that your thyroid is normal, but my primary concern with regards to ovulation remains the estradiol levels, FSH, LH, AMH, serum testosterone on day 3 of your cycle and serum progesterone on day 21 of your cycle. Without having these reports handy, it would not be recommended to opt for Clomiphene citrate to induction ovulation. Please share your latest ultrasound pelvis as well to check for your endometrial thickness in proliferative or mid-cycle. Also, app tracker for LH is futile, rather it is suggested if you can opt for LH ovulation kits to actually determine your LH surge during cycle as that would be more objective. Take care.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 58-year-old female with a history of hysterectomy twenty years before. Now, I have osteoporosis and I do not want to take a medicine after viewing all the side effects. I am having difficulty in losing weight despite many diets. After searching on the web, I decided to do hormone test and now I want to have an opinion from a doctor about the results I have obtained and what step should I take? My thyroid results are T3 at 4.6 pmol/L, T4 at 14.25 pmol, and TSH at 1.48 mcU. E2 66.4 pg/mL, progesterone at 0.81 ng/mL, testosterone at 0.25 ng/mL. I want to know if this is in order and I need your advice. I am currently on multivitamins, calcium, and vitamins. ### Response: Hello. Your thyroid profile is absolutely normal. Your other hormones show postmenopausal status which is normal at your age. For osteoporosis, you should take calcium and vitamin D which you are already taking. You should also start with hormone therapy for the shortest duration and lowest dose as it is not harmful This will help to strengthen your bones which is very important for osteoporosis. For more information consult an obstetrician and gynaecologist online Take care.
Hello doctor,I am a 58-year-old female with a history of hysterectomy twenty years before. Now, I have osteoporosis and I do not want to take a medicine after viewing all the side effects. I am having difficulty in losing weight despite many diets. After searching on the web, I decided to do hormone test and now I want to have an opinion from a doctor about the results I have obtained and what step should I take? My thyroid results are T3 at 4.6 pmol/L, T4 at 14.25 pmol, and TSH at 1.48 mcU. E2 66.4 pg/mL, progesterone at 0.81 ng/mL, testosterone at 0.25 ng/mL. I want to know if this is in order and I need your advice. I am currently on multivitamins, calcium, and vitamins.
Hello. Your thyroid profile is absolutely normal. Your other hormones show postmenopausal status which is normal at your age. For osteoporosis, you should take calcium and vitamin D which you are already taking. You should also start with hormone therapy for the shortest duration and lowest dose as it is not harmful This will help to strengthen your bones which is very important for osteoporosis. For more information consult an obstetrician and gynaecologist online Take care.
### Instruction: Answer this question truthfully ###Input: Hi doctor,I have an STD question and hope to have an STD specialist doctor to assist me. I had a sexual contact three years ago and only last month I went for (VDRL nontreponemal test) and is negative. I have read online that after several years or after sometime usually, the result can be negative even if a person had syphilis before. I am afraid it might be a false negative since it was a few years ago. May I know should I test for Treponemal test such as TPPA or FTA-ABS to rule out the false negative by VDRL after three years test, I worry it might false negative by VDRL? The negative VDRL test was one month ago and possible exposure was three years ago. Does this mean the person does not have active syphilis infection? Does this also mean it would not proceed to latent or tertiary syphilis that will damage the body such as paralysis, numbness, gradual blindness and dementia? ### Response: Hello, Welcome to Chat Doctor forum. Yes, sometimes many years after an infection with Treponema pallidum, V ChatDoctor. TPHA (Treponema pallidum hemagglutination) or FTA ABS (fluorescent treponemal antibody absorption test) would be confirmatory in that case. You may take this test. Syphilis may slowly progress to the tertiary stage with neurological involvement. CSF V
Hi doctor,I have an STD question and hope to have an STD specialist doctor to assist me. I had a sexual contact three years ago and only last month I went for (VDRL nontreponemal test) and is negative. I have read online that after several years or after sometime usually, the result can be negative even if a person had syphilis before. I am afraid it might be a false negative since it was a few years ago. May I know should I test for Treponemal test such as TPPA or FTA-ABS to rule out the false negative by VDRL after three years test, I worry it might false negative by VDRL? The negative VDRL test was one month ago and possible exposure was three years ago. Does this mean the person does not have active syphilis infection? Does this also mean it would not proceed to latent or tertiary syphilis that will damage the body such as paralysis, numbness, gradual blindness and dementia?
Hello, Welcome to Chat Doctor forum. Yes, sometimes many years after an infection with Treponema pallidum, V ChatDoctor. TPHA (Treponema pallidum hemagglutination) or FTA ABS (fluorescent treponemal antibody absorption test) would be confirmatory in that case. You may take this test. Syphilis may slowly progress to the tertiary stage with neurological involvement. CSF V
### Instruction: Answer this question truthfully ###Input: Hi doctor,My mother is suffering with breast cancer as primary and now there is brain metastasis. The disease has spread to all the parts of the body including the bones. I have attached her PET scan for your reference. We are taking the treatment for the disease and her physical condition was very good till last week. Our doctor got changed suddenly as he moved to another hospital and the new doctor is taking care of her now. Every month we used to have Ibandronic acid for bone, but we did not receive this medicine last month as this doctor did not include it. Now, my mother is getting severe leg pains and not able to sit or get up. She is unable to stand for even 2 minutes. Can you see the PET scan report and suggest good medicine for the bone improvement? Can you suggest a good medicine for bone metastasis? Some doctor said that Zoledronic acid is better than Ibandronic acid. Please suggest. ### Response: Hi. I understand your concern about the patient. As per the scan report you sent (attachment removed to protect patient identity), though the metastasis is widespread, she has relatively improved as far as bone are considered (sclerotic). In case of cancers, bone quality is largely affected. Bisphosphonates are used to improve the quality of bone, which is a slow process. Currently, two approved and commonly used IV bisphosphonates are Pami ChatDoctor.
Hi doctor,My mother is suffering with breast cancer as primary and now there is brain metastasis. The disease has spread to all the parts of the body including the bones. I have attached her PET scan for your reference. We are taking the treatment for the disease and her physical condition was very good till last week. Our doctor got changed suddenly as he moved to another hospital and the new doctor is taking care of her now. Every month we used to have Ibandronic acid for bone, but we did not receive this medicine last month as this doctor did not include it. Now, my mother is getting severe leg pains and not able to sit or get up. She is unable to stand for even 2 minutes. Can you see the PET scan report and suggest good medicine for the bone improvement? Can you suggest a good medicine for bone metastasis? Some doctor said that Zoledronic acid is better than Ibandronic acid. Please suggest.
Hi. I understand your concern about the patient. As per the scan report you sent (attachment removed to protect patient identity), though the metastasis is widespread, she has relatively improved as far as bone are considered (sclerotic). In case of cancers, bone quality is largely affected. Bisphosphonates are used to improve the quality of bone, which is a slow process. Currently, two approved and commonly used IV bisphosphonates are Pami ChatDoctor.
### Instruction: Answer this question truthfully ###Input: Hello doctor,When I wake up by 8 AM I immediately go to clear the bowel. After that, I feel somewhat relaxed but after few minutes I start feeling bloated and then I take a cup of tea and after 15 minutes again I rush to the bathroom. Then I feel completely relaxed but after breakfast, after few hours, it starts getting bloated but when I go to the bathroom I am not able to poop but I feel very upset in the stomach and bloated. So after my afternoon lunch, by evening 6 to 7, I eat some light food and after a few minutes, I need to rush to the bathroom to poop. I went to the doctor many times but nothing worked for me. I am plannig to take the digestive enzyme. Can I take it? Please suggest. ### Response: Hi. I have gone through your query. Your symptoms could be due to hyperactivity or any stomach infection. I advise you to take care of your diet because most of the symptoms arises because of unhealthy dietary practices. Avoid tea, coffee for few days. Avoid junk food, spicy, and fatty food. Do not remain empty stomach for a long time. Include more salads and fibrous food stuffs in your diet. Avoid taking more protein in your diet. If you have not tried any antacid ChatDoctor. This tablet you have to take one in the morning and one in the evening before meals.
Hello doctor,When I wake up by 8 AM I immediately go to clear the bowel. After that, I feel somewhat relaxed but after few minutes I start feeling bloated and then I take a cup of tea and after 15 minutes again I rush to the bathroom. Then I feel completely relaxed but after breakfast, after few hours, it starts getting bloated but when I go to the bathroom I am not able to poop but I feel very upset in the stomach and bloated. So after my afternoon lunch, by evening 6 to 7, I eat some light food and after a few minutes, I need to rush to the bathroom to poop. I went to the doctor many times but nothing worked for me. I am plannig to take the digestive enzyme. Can I take it? Please suggest.
Hi. I have gone through your query. Your symptoms could be due to hyperactivity or any stomach infection. I advise you to take care of your diet because most of the symptoms arises because of unhealthy dietary practices. Avoid tea, coffee for few days. Avoid junk food, spicy, and fatty food. Do not remain empty stomach for a long time. Include more salads and fibrous food stuffs in your diet. Avoid taking more protein in your diet. If you have not tried any antacid ChatDoctor. This tablet you have to take one in the morning and one in the evening before meals.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 21-year-old female with a really bad skin condition. The acne outbreak happened about a year ago, a time when I stopped the birth control pill, Diane, which I was on it for over five years due to a negative side effect I had swollen legs. Then I was on Almina 28 for about three to four months, with no positive impact on the skin condition. Please help. ### Response: Hello. I think your acne is due to hormonal imbalance, and there are other natural ways to treat this condition. You will need some more work up to find the leading cause. And some more detail in history to find a permanent solution. Lab test suggested are, 1. Complete metabolic profile, including liver enzyme levels. 2. Thyroid-stimulating hormone levels (TSH). 3. Total and free testosterone levels (this points towards if you have polycystic ovarian syn ChatDoctor. 4. Check for A1C to rule out pre-diabetes. 5. Estrogen and progesterone levels. 6. Complete blood picture. Until you get complete workup, I can suggest simple remedies. To get rid of acne, I recommend your system with natural remedies. 1. Use 1/2 teaspoon daily of Manuka honey or nay pure raw honey in 8 oz of warm water and with lemon, Take care.
Hello doctor,I am a 21-year-old female with a really bad skin condition. The acne outbreak happened about a year ago, a time when I stopped the birth control pill, Diane, which I was on it for over five years due to a negative side effect I had swollen legs. Then I was on Almina 28 for about three to four months, with no positive impact on the skin condition. Please help.
Hello. I think your acne is due to hormonal imbalance, and there are other natural ways to treat this condition. You will need some more work up to find the leading cause. And some more detail in history to find a permanent solution. Lab test suggested are, 1. Complete metabolic profile, including liver enzyme levels. 2. Thyroid-stimulating hormone levels (TSH). 3. Total and free testosterone levels (this points towards if you have polycystic ovarian syn ChatDoctor. 4. Check for A1C to rule out pre-diabetes. 5. Estrogen and progesterone levels. 6. Complete blood picture. Until you get complete workup, I can suggest simple remedies. To get rid of acne, I recommend your system with natural remedies. 1. Use 1/2 teaspoon daily of Manuka honey or nay pure raw honey in 8 oz of warm water and with lemon, Take care.
### Instruction: Answer this question truthfully ###Input: Hi doctor,Two years ago, I felt a pop while playing football. My physiotherapist said Ihave torn my cartilage and so, he advised me to take rest. It felt good. After 18 months, when I played football again for some half an hour, I felt the pain. So, I visited a different physiotherapist, and he advised me to go with some exercise for a 4-6 week every day. I am visiting him every week. While playing in the pool on Friday, it gave way again, and I could not straighten my legs. ### Response: Hello. Thank you for providing a brief history. As you had this injury persisting from 2 years now, I will advise getting a proper examination with the physiotherapist you been seeing for now and provide me the reports. Because the muscles must have got weaker and there will be a muscle imbalance due to which there is difficulty in straightening the leg now. I think an MRI of the knee will be helpful as in the beginning what I feel is it was left untreated and due to which it has become a chronic injury. Doing balance board training should help regain the correction of the muscle imbalance. Also, do reverse jogging and provide good core stability exercise. In my clinical practice of over 12 years, most sports injury cases take up to 12 weeks which has helped them to have a good outcome score. Take care.
Hi doctor,Two years ago, I felt a pop while playing football. My physiotherapist said Ihave torn my cartilage and so, he advised me to take rest. It felt good. After 18 months, when I played football again for some half an hour, I felt the pain. So, I visited a different physiotherapist, and he advised me to go with some exercise for a 4-6 week every day. I am visiting him every week. While playing in the pool on Friday, it gave way again, and I could not straighten my legs.
Hello. Thank you for providing a brief history. As you had this injury persisting from 2 years now, I will advise getting a proper examination with the physiotherapist you been seeing for now and provide me the reports. Because the muscles must have got weaker and there will be a muscle imbalance due to which there is difficulty in straightening the leg now. I think an MRI of the knee will be helpful as in the beginning what I feel is it was left untreated and due to which it has become a chronic injury. Doing balance board training should help regain the correction of the muscle imbalance. Also, do reverse jogging and provide good core stability exercise. In my clinical practice of over 12 years, most sports injury cases take up to 12 weeks which has helped them to have a good outcome score. Take care.
### Instruction: Answer this question truthfully ###Input: Hi doctor,When I go to bed, my eyes start watering, mainly the left one. When I get out of my bed and look myself in the mirror, my eyes are red and my eyelids swollen. When I wake up in the morning, I have the same problem of tearing eyes, redness and eyelid swelling. I sleep on the left side, and the left eye is more affected than the right. After I get out of bed, the redness and swelling clears in half an hour to 2 hours, and I keep fine the entire day. I have had 3 conjunctivitis in the left eye in the last 6 months, confirmed by a general doctor all the three times. I have been diagnosed with Xanthelasma on the upper eyelid on the left eye by a general doctor 4-5 years ago. Please help. ### Response: Hi. Xanthelasma is nothing to do with your problems. It is due to high cholesterol levels. Your watering problem may be related to previous conjunctivitis attacks. Do you have irritation during watering or blurring of vision after conjunctivitis? This is more common in viral conjunctivitis. You can use artificial tear ChatDoctor. It may take its own time to complete normalization. However, it is not a serious problem. You can send pictures of your eyes and old records for more clear diagnosis and treatment. Do follow-up for any doubts. Take care.
Hi doctor,When I go to bed, my eyes start watering, mainly the left one. When I get out of my bed and look myself in the mirror, my eyes are red and my eyelids swollen. When I wake up in the morning, I have the same problem of tearing eyes, redness and eyelid swelling. I sleep on the left side, and the left eye is more affected than the right. After I get out of bed, the redness and swelling clears in half an hour to 2 hours, and I keep fine the entire day. I have had 3 conjunctivitis in the left eye in the last 6 months, confirmed by a general doctor all the three times. I have been diagnosed with Xanthelasma on the upper eyelid on the left eye by a general doctor 4-5 years ago. Please help.
Hi. Xanthelasma is nothing to do with your problems. It is due to high cholesterol levels. Your watering problem may be related to previous conjunctivitis attacks. Do you have irritation during watering or blurring of vision after conjunctivitis? This is more common in viral conjunctivitis. You can use artificial tear ChatDoctor. It may take its own time to complete normalization. However, it is not a serious problem. You can send pictures of your eyes and old records for more clear diagnosis and treatment. Do follow-up for any doubts. Take care.
### Instruction: Answer this question truthfully ###Input: Hi doctor,I have depression and anxiety and anger Issues. So, I used to get sleep paralysis a year ago but then it stopped happening itself. I never had panic attacks even with this severe depression. But a week ago I had my first panic attack and then I started having pain in my collar bone, left arm and head. So, like I would get triggered when I see someone crying or someone\\s death. Also, I cannot sleep at night I fear so many things that will happen to me if I close my eyes and two days ago I tried sleeping at night and I had SP. Then I did not sleep the next night and yesterday I tried sleeping again but I was getting scared every time I fell asleep. I would wake up by a shake and also I bit my tongue from places while I was asleep and it hurts now. Please, tell me what is it? What should I do? ### Response: Hi, Welcome to Chat Doctor forum. You seem to have anxiety attacks along with a sleep disorder. The anxiety can be treated with medications from a psychiatrist. For the sleep issues, there are tests such as sleep studies available which can help diagnose what exactly it is. Usually tongue bite in sleep is unusual and seizures should be ruled out. So you can get a sleep study and EEG done and consult with a neurologist for sleep problems and with a psychiatrist for anxiety. For more information consult a psychiatrist online
Hi doctor,I have depression and anxiety and anger Issues. So, I used to get sleep paralysis a year ago but then it stopped happening itself. I never had panic attacks even with this severe depression. But a week ago I had my first panic attack and then I started having pain in my collar bone, left arm and head. So, like I would get triggered when I see someone crying or someone\\s death. Also, I cannot sleep at night I fear so many things that will happen to me if I close my eyes and two days ago I tried sleeping at night and I had SP. Then I did not sleep the next night and yesterday I tried sleeping again but I was getting scared every time I fell asleep. I would wake up by a shake and also I bit my tongue from places while I was asleep and it hurts now. Please, tell me what is it? What should I do?
Hi, Welcome to Chat Doctor forum. You seem to have anxiety attacks along with a sleep disorder. The anxiety can be treated with medications from a psychiatrist. For the sleep issues, there are tests such as sleep studies available which can help diagnose what exactly it is. Usually tongue bite in sleep is unusual and seizures should be ruled out. So you can get a sleep study and EEG done and consult with a neurologist for sleep problems and with a psychiatrist for anxiety. For more information consult a psychiatrist online
### Instruction: Answer this question truthfully ###Input: Hello doctor,I am married for ten months. I had a miscarriage of 10 weeks baby. Now again, I expect five weeks of pregnancy. At my first miscarriage checkup, the doctor said that I have a fibroid of 3.2 cm within the uterus at the intermural side. Also, at that time, my TORCH test was positive. T and R were positive, and I took medicines. Will I have a safe pregnancy this time? What can I do? Please suggest. ### Response: Hello. There are two things, one is to have a pregnancy, and the second is the growth of the pregnancy. Both are different and require different approaches in the treatment point of view. As you said, there were T and R positive. If it was IgG (Immunoglobulin G) positive, then you need not worry. It suggests the past infection. But as you have taken tablets and completed the course, no need to worry. You said that you have a fibroid around 3.2 cm intramural. It is true that fibroid can increase the chance of abortion. But it is also true many pregnancies with fibroid goes up to the term without any complications and have delivered the baby normally. So, continue the treatment prescribed by your doctor. Take maximum rest. Avoid heavy weight lifting, intercourse, jerky work, and work while bending. And hopefully you will have a normal pregnancy.
Hello doctor,I am married for ten months. I had a miscarriage of 10 weeks baby. Now again, I expect five weeks of pregnancy. At my first miscarriage checkup, the doctor said that I have a fibroid of 3.2 cm within the uterus at the intermural side. Also, at that time, my TORCH test was positive. T and R were positive, and I took medicines. Will I have a safe pregnancy this time? What can I do? Please suggest.
Hello. There are two things, one is to have a pregnancy, and the second is the growth of the pregnancy. Both are different and require different approaches in the treatment point of view. As you said, there were T and R positive. If it was IgG (Immunoglobulin G) positive, then you need not worry. It suggests the past infection. But as you have taken tablets and completed the course, no need to worry. You said that you have a fibroid around 3.2 cm intramural. It is true that fibroid can increase the chance of abortion. But it is also true many pregnancies with fibroid goes up to the term without any complications and have delivered the baby normally. So, continue the treatment prescribed by your doctor. Take maximum rest. Avoid heavy weight lifting, intercourse, jerky work, and work while bending. And hopefully you will have a normal pregnancy.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I have been dealing with some issues lately regarding panic attacks. I am not sure what it is, but it is scary. I had three panic attacks in one day, or I think they are panic attacks. My fingers will twitch consistently then lock up and lose circulation, along with my whole arm, on both sides. My upper right lip will switch and my eye will too, then my cheek all while pulling my head back in the same motion.And all, while this is happening someone, will be trying to talk to me but I cannot speak, almost like being catatonic. I am a little skeptical about if they are panic attacks or not. Mainly because I usually have them when I am stressed, but I had two more again today, and I am not even stressing about anything. ### Response: Hello, Welcome to Chat Doctor forum. The symptoms you are experiencing can be possibly due to hyperventilation during panic attacks. These can give rise to tetanic symptoms like tingling in limbs and face, muscle stiffness, trembling in hands, etc. It is advisable to consult your primary care doctor initially so that he can complete a necessary examination to rule out any physical causes that may cause similar symptoms. It will help to learn regular breathing and relaxation exercises. It will get better with practice. Also, learn strategies to manage stressful situations. I hope this helps. You can contact us again for any further advice.
Hello doctor,I have been dealing with some issues lately regarding panic attacks. I am not sure what it is, but it is scary. I had three panic attacks in one day, or I think they are panic attacks. My fingers will twitch consistently then lock up and lose circulation, along with my whole arm, on both sides. My upper right lip will switch and my eye will too, then my cheek all while pulling my head back in the same motion.And all, while this is happening someone, will be trying to talk to me but I cannot speak, almost like being catatonic. I am a little skeptical about if they are panic attacks or not. Mainly because I usually have them when I am stressed, but I had two more again today, and I am not even stressing about anything.
Hello, Welcome to Chat Doctor forum. The symptoms you are experiencing can be possibly due to hyperventilation during panic attacks. These can give rise to tetanic symptoms like tingling in limbs and face, muscle stiffness, trembling in hands, etc. It is advisable to consult your primary care doctor initially so that he can complete a necessary examination to rule out any physical causes that may cause similar symptoms. It will help to learn regular breathing and relaxation exercises. It will get better with practice. Also, learn strategies to manage stressful situations. I hope this helps. You can contact us again for any further advice.
### Instruction: Answer this question truthfully ###Input: Hi doctor,I am 21 years old. Last month, I was experiencing some ringing sounds in my ears, with dizziness. It triggered my health anxiety. I convinced myself that I have MS. Now after a month, my dizziness is gone. But I have new symptoms like joints making crackling sounds (especially in my hips and shoulders). My arms and calf muscles are tight sometimes, and they hurt a lot. My hips make a loud popping sound sometimes which I have never heard it before. If I swing my leg in a circular motion, it makes a loud pop. It causes my whole body to vibrate. I am panic, and I am afraid of going to the doctor. Currently, I am taking Magnesium 200 mg daily. ### Response: Hi. You are suffering from generalized anxiety disorder. Your joint symptoms may occur due to vitamin D deficiency. I suggest you do a blood vitamin D level and a complete blood count. Multiple sclerosis does not happen with joint symptoms. It is a disease though commonly seen in young females, often manifest with limb weakness and cramping in one of the limbs. Multiple sclerosis can present with vertigo in case of brainstem involvement. But, it seems to be a remote possibility in your case. I suggest you take an anxiolytic for your symptoms. If the vitamin D level is found to be low, you may need a vitamin D supplementation. Take care.
Hi doctor,I am 21 years old. Last month, I was experiencing some ringing sounds in my ears, with dizziness. It triggered my health anxiety. I convinced myself that I have MS. Now after a month, my dizziness is gone. But I have new symptoms like joints making crackling sounds (especially in my hips and shoulders). My arms and calf muscles are tight sometimes, and they hurt a lot. My hips make a loud popping sound sometimes which I have never heard it before. If I swing my leg in a circular motion, it makes a loud pop. It causes my whole body to vibrate. I am panic, and I am afraid of going to the doctor. Currently, I am taking Magnesium 200 mg daily.
Hi. You are suffering from generalized anxiety disorder. Your joint symptoms may occur due to vitamin D deficiency. I suggest you do a blood vitamin D level and a complete blood count. Multiple sclerosis does not happen with joint symptoms. It is a disease though commonly seen in young females, often manifest with limb weakness and cramping in one of the limbs. Multiple sclerosis can present with vertigo in case of brainstem involvement. But, it seems to be a remote possibility in your case. I suggest you take an anxiolytic for your symptoms. If the vitamin D level is found to be low, you may need a vitamin D supplementation. Take care.
### Instruction: Answer this question truthfully ###Input: Hi doctor,After passing stool yesterday, I noticed bright red blood on the toilet paper after wiping. Now today after passing stool, I noticed a bit of bright red blood on the toilet seat, but not in the stool and a bit when wiping. I am suffering from a bit of pain when this happens, and the bleeding stops quickly after and only occurs again after passing stool. I believe that I either have an anal fissure or hemorrhoids. So my question is, will this heal on its own? If yes, then how long will it take to recover? Is this likely to get worse, or what can I expect over the next few days? Should I purchase Anusol to help it heal? ### Response: Hello, Welcome to Chat Doctor forum. I can understand your concern. Your symptoms are consistent with anal fissure. Yes, fissure will heal on its own, provided it will get a proper environment. An anal fissure can be prevented by avoiding constipation. Because constipation will produce more pressure on the inner wall of the anal canal, which worsens the fissure. I suggest you try taking medication for pain, apply local anesthetic ointment for quick pain relief, anti-inflammatory medication, and sitz bath to reduce the swelling. Consult your specialist doctor, discuss with him or her and start taking the medications after their consent. Consult a general surgeon and get clinically evaluated. For more information consult a medical gastroenterologist online
Hi doctor,After passing stool yesterday, I noticed bright red blood on the toilet paper after wiping. Now today after passing stool, I noticed a bit of bright red blood on the toilet seat, but not in the stool and a bit when wiping. I am suffering from a bit of pain when this happens, and the bleeding stops quickly after and only occurs again after passing stool. I believe that I either have an anal fissure or hemorrhoids. So my question is, will this heal on its own? If yes, then how long will it take to recover? Is this likely to get worse, or what can I expect over the next few days? Should I purchase Anusol to help it heal?
Hello, Welcome to Chat Doctor forum. I can understand your concern. Your symptoms are consistent with anal fissure. Yes, fissure will heal on its own, provided it will get a proper environment. An anal fissure can be prevented by avoiding constipation. Because constipation will produce more pressure on the inner wall of the anal canal, which worsens the fissure. I suggest you try taking medication for pain, apply local anesthetic ointment for quick pain relief, anti-inflammatory medication, and sitz bath to reduce the swelling. Consult your specialist doctor, discuss with him or her and start taking the medications after their consent. Consult a general surgeon and get clinically evaluated. For more information consult a medical gastroenterologist online
### Instruction: Answer this question truthfully ###Input: Hello doctor,Six weeks ago, I had tooth #2 pulled. The healing process has been normal as described by my dentist. I am now experiencing temperature sensitivity on tooth #4, which was previously asymptomatic. Even room-temperature liquid hurts. About eight weeks ago, I had the crown on tooth #4 replaced for cosmetic purposes. There was no pain with this and it did not hurt until this past week. Is there a chance my roots or nerves might be shifting due to the healing process of the extraction and causing the sensitivity? As a side note, tooth #3 in between the extraction and the one that hurts has had a root canal therapy years ago, which (I assume) is why I am not feeling pain in that one. ### Response: Hi. Yes, your tooth might be sensitive due to the extraction process that happened in the surrounding area. Keep doing saline water mouth rinses. Take a 1/4th teaspoon of salt in a cup of lukewarm water and do its rinses 3 to 4 times a day for a week. If sensitivity goes away, well and good. If symptoms remain same, and sensitivity to air and liquid increases, it means your root is now sensitive and you might need removal of the crown, get a root canal done of this tooth and get back the same crown on it. Give me followup after a week. Stay happy and blessed. Take care.
Hello doctor,Six weeks ago, I had tooth #2 pulled. The healing process has been normal as described by my dentist. I am now experiencing temperature sensitivity on tooth #4, which was previously asymptomatic. Even room-temperature liquid hurts. About eight weeks ago, I had the crown on tooth #4 replaced for cosmetic purposes. There was no pain with this and it did not hurt until this past week. Is there a chance my roots or nerves might be shifting due to the healing process of the extraction and causing the sensitivity? As a side note, tooth #3 in between the extraction and the one that hurts has had a root canal therapy years ago, which (I assume) is why I am not feeling pain in that one.
Hi. Yes, your tooth might be sensitive due to the extraction process that happened in the surrounding area. Keep doing saline water mouth rinses. Take a 1/4th teaspoon of salt in a cup of lukewarm water and do its rinses 3 to 4 times a day for a week. If sensitivity goes away, well and good. If symptoms remain same, and sensitivity to air and liquid increases, it means your root is now sensitive and you might need removal of the crown, get a root canal done of this tooth and get back the same crown on it. Give me followup after a week. Stay happy and blessed. Take care.
### Instruction: Answer this question truthfully ###Input: Hi doctor, I am a 20-year-old female. My height is 5\\1\" and weighs around 160 pounds. I am having sharp burning pain in my chest and back in the mid to left side between the shoulder blades and under the breast bone. It lasts between 30 minutes and a few hours of this sharp pain. Usually, it becomes difficult to breathe or move my upper body until it goes away. As a kid, we visited a doctor for some chest pains, but the doctor said they could not say anything wrong other than a possible heart murmur. There is a history of heart disease in my family. ### Response: Hello, Welcome to Chat Doctor forum. I have gone through your query. I would like to know some more details about your present complaint. What type of murmur has your doctor described? History of which heart disease your family has and who has it? Is your chest pain associated with any other symptoms like breathing difficulty, palpitations, giddiness? Does this pain gets aggravated on movement or on exertion? Is it localized or diffuse? Is there any tenderness i.e. pain increases on pressing with the hand? Any reddish discoloration on localized area of pain? Since when you are having this pain? If possible attach all the available reports like ECG, echo and any other reports. Kindly get back with the above details for further discussion and management.
Hi doctor, I am a 20-year-old female. My height is 5\\1\" and weighs around 160 pounds. I am having sharp burning pain in my chest and back in the mid to left side between the shoulder blades and under the breast bone. It lasts between 30 minutes and a few hours of this sharp pain. Usually, it becomes difficult to breathe or move my upper body until it goes away. As a kid, we visited a doctor for some chest pains, but the doctor said they could not say anything wrong other than a possible heart murmur. There is a history of heart disease in my family.
Hello, Welcome to Chat Doctor forum. I have gone through your query. I would like to know some more details about your present complaint. What type of murmur has your doctor described? History of which heart disease your family has and who has it? Is your chest pain associated with any other symptoms like breathing difficulty, palpitations, giddiness? Does this pain gets aggravated on movement or on exertion? Is it localized or diffuse? Is there any tenderness i.e. pain increases on pressing with the hand? Any reddish discoloration on localized area of pain? Since when you are having this pain? If possible attach all the available reports like ECG, echo and any other reports. Kindly get back with the above details for further discussion and management.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I have pain at the right side near the penis for 20 days. MRI done on pelvic region showing infective etiology likely, there is thickening of right side epididymis, and vas deferens, right side seminal vesicle is thickened. Mild hydrocele on the right side. A thick-walled, 22.5*21*34 mm complex cystic area seen in the right inguinal region just posterior to and abutting the spermatic cord adjacent to the root of the penis.Current medications are Naprosyn 500 mg, Omeprazole 20 mg, Chymoral forte tablet, Methylcobalamin, Alpha Lipoic Acid, Folic acid, Pyridoxine hydrochloride and Oxidation plus capsule. ### Response: Hello, Welcome to Chat Doctor forum. It is the infection involving right testis, right sperm tube and both sides of groin lymph nodes. Please get a urine routine and culture test done. From the list of medications, I do not see any antibiotic. I suggest you start capsule Doxycycline 100 mg twice daily, to be taken for 14 days with the consent of your treating doctor. Is there any recent history of sexual exposure? You can contact me in about five to seven days after getting a sonography of right inguinal and KUB region (kidney, ureter, and urinary bladder). Take care.
Hello doctor,I have pain at the right side near the penis for 20 days. MRI done on pelvic region showing infective etiology likely, there is thickening of right side epididymis, and vas deferens, right side seminal vesicle is thickened. Mild hydrocele on the right side. A thick-walled, 22.5*21*34 mm complex cystic area seen in the right inguinal region just posterior to and abutting the spermatic cord adjacent to the root of the penis.Current medications are Naprosyn 500 mg, Omeprazole 20 mg, Chymoral forte tablet, Methylcobalamin, Alpha Lipoic Acid, Folic acid, Pyridoxine hydrochloride and Oxidation plus capsule.
Hello, Welcome to Chat Doctor forum. It is the infection involving right testis, right sperm tube and both sides of groin lymph nodes. Please get a urine routine and culture test done. From the list of medications, I do not see any antibiotic. I suggest you start capsule Doxycycline 100 mg twice daily, to be taken for 14 days with the consent of your treating doctor. Is there any recent history of sexual exposure? You can contact me in about five to seven days after getting a sonography of right inguinal and KUB region (kidney, ureter, and urinary bladder). Take care.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I had an exposure with an HIV positive lady before four months and since then to a week back, all my fourth generation tests came negative as well as my VDRL was negative and also negative for HBsAg and hepatitis C. But I also did my RNA PCR test which came below detection range. The range was 20 to 100000 copies per ml but mine is below detection limit. Please guide me. I am freaking out right now. Is it possible to get negative after 75 days by fourth generation antigen-antibody test and have a below detection limit? I also took PEP after eight days of exposure but due to its side effect, I stopped it after 20 days. I tested 11 times in 75 days and all the test came negative except PCR test which came below the detection limit? ### Response: Hello, Welcome to Chat Doctor forum. I went through your post. If a fourth generation test comes negative after three weeks of exposure, then the possibility of having an infection is less than 1 %. So I can assure you that you are HIV negative. You can repeat another test preferably CMIA (chemiluminescent immunoassay) HIV after three weeks again. So that we exclude HIV 100 %. So, relax and do not panic. You are HIV negative. For more information consult an internal medicine physician online
Hello doctor,I had an exposure with an HIV positive lady before four months and since then to a week back, all my fourth generation tests came negative as well as my VDRL was negative and also negative for HBsAg and hepatitis C. But I also did my RNA PCR test which came below detection range. The range was 20 to 100000 copies per ml but mine is below detection limit. Please guide me. I am freaking out right now. Is it possible to get negative after 75 days by fourth generation antigen-antibody test and have a below detection limit? I also took PEP after eight days of exposure but due to its side effect, I stopped it after 20 days. I tested 11 times in 75 days and all the test came negative except PCR test which came below the detection limit?
Hello, Welcome to Chat Doctor forum. I went through your post. If a fourth generation test comes negative after three weeks of exposure, then the possibility of having an infection is less than 1 %. So I can assure you that you are HIV negative. You can repeat another test preferably CMIA (chemiluminescent immunoassay) HIV after three weeks again. So that we exclude HIV 100 %. So, relax and do not panic. You are HIV negative. For more information consult an internal medicine physician online
### Instruction: Answer this question truthfully ###Input: Hello doctor,A known 16-year-old son misbehaves with others, not staying at home, does not care about his family, passes the time with his bad company, behaving rudely to parents, and not studying properly. Parents have no control over him, and he does not care when they request him to focus on studies. He does not ask what we say. All these happen within two years of time when he joins with a new circle of friends. Last time he tried committing suicide, writing a statement against his parents as a reason for his death. After his suicide attempt, he is forcing his parents to give him expensive things. Nobody can speak even a single word against him, as it is right or wrong. Otherwise, he will take the next step to attempt suicide. He is not under the control of anybody. We think he needs treatment to stabilize his mind. ### Response: Hello. I can certainly understand your concern. I have worked through your attached query in detail. As per the description, the possibility of a conduct disorder or a borderline personality disorder should be considered here in your child. In view of suicidal threatening, it is advisable to consider mood stabilizer ChatDoctor. Detailed mental status evaluation is required in a head to head interview with your child. It is advisable to consider the expert guidance of a child psychiatrist. An inpatient requirement is also high. I hope this helps.
Hello doctor,A known 16-year-old son misbehaves with others, not staying at home, does not care about his family, passes the time with his bad company, behaving rudely to parents, and not studying properly. Parents have no control over him, and he does not care when they request him to focus on studies. He does not ask what we say. All these happen within two years of time when he joins with a new circle of friends. Last time he tried committing suicide, writing a statement against his parents as a reason for his death. After his suicide attempt, he is forcing his parents to give him expensive things. Nobody can speak even a single word against him, as it is right or wrong. Otherwise, he will take the next step to attempt suicide. He is not under the control of anybody. We think he needs treatment to stabilize his mind.
Hello. I can certainly understand your concern. I have worked through your attached query in detail. As per the description, the possibility of a conduct disorder or a borderline personality disorder should be considered here in your child. In view of suicidal threatening, it is advisable to consider mood stabilizer ChatDoctor. Detailed mental status evaluation is required in a head to head interview with your child. It is advisable to consider the expert guidance of a child psychiatrist. An inpatient requirement is also high. I hope this helps.
### Instruction: Answer this question truthfully ###Input: Hello doctor,My granddaughter was normally born on 11 April 20. Her birth weight was 2.6 kg, currently weighing 3 kg with persistent jaundice. Her total bilirubin is 3.47 and direct is 3.19. She is breastfeeding along with formula as per pediatrician suggestion with couple of blood tests and ultrasound. The ultrasound was tested for biliary atresia and was negative. I am recently seeing oil in her stools. Pediatrician has evaluated it as conjugated hyperbiliruminemia. It would be nice if you could review and let me know your opinions. Is this could be the reason for not gaining weight? ### Response: Hi, Welcome to Chat Doctor forum. Persistence of direct bilirubin at two months of age needs to be evaluated properly. Most importantly, what is the color of her stool? Is your doctor told you anything about the liver whether it is big or normal? There are so many causes, but most important and serious and need timely intervention is extrahepatic biliary atresia which as per information has been ruled out. Other common causes can be neonatal hepatitis or some metabolic disorder. The list of causes is long so better if you can share all the reports (blood, urine, sonography, Torch titer, TFT, enzymes, alpha 1 anti-trypsin, etc), I can advise you on how to proceed further and whether it needs further investigations.
Hello doctor,My granddaughter was normally born on 11 April 20. Her birth weight was 2.6 kg, currently weighing 3 kg with persistent jaundice. Her total bilirubin is 3.47 and direct is 3.19. She is breastfeeding along with formula as per pediatrician suggestion with couple of blood tests and ultrasound. The ultrasound was tested for biliary atresia and was negative. I am recently seeing oil in her stools. Pediatrician has evaluated it as conjugated hyperbiliruminemia. It would be nice if you could review and let me know your opinions. Is this could be the reason for not gaining weight?
Hi, Welcome to Chat Doctor forum. Persistence of direct bilirubin at two months of age needs to be evaluated properly. Most importantly, what is the color of her stool? Is your doctor told you anything about the liver whether it is big or normal? There are so many causes, but most important and serious and need timely intervention is extrahepatic biliary atresia which as per information has been ruled out. Other common causes can be neonatal hepatitis or some metabolic disorder. The list of causes is long so better if you can share all the reports (blood, urine, sonography, Torch titer, TFT, enzymes, alpha 1 anti-trypsin, etc), I can advise you on how to proceed further and whether it needs further investigations.
### Instruction: Answer this question truthfully ###Input: Dear doctor,I am currently paranoid about HIV. Recently, I had an encounter in a massage parlor, where the masseur gave a full body massage with a handjob. I never had sex, this is the closest thing I have come to sex. When she massaged my penis, I felt her hand quite rough, not sure if she had any cuts. She was fully clothed and I was naked. No vaginal, anal, oral, mouth kissing involved. Am I at risk of HIV? Based on your experience, have you come across anyone, who is positive due to handjob? I have consulted a local GP after a day of exposure. He told there was no risk whatsoever and told no need of testing. According to him, no one was infected with HIV through masturbation in any situation, in 40 years of this epidemic. He refused PEP prescription as well. I just wanted a second opinion. ### Response: Hello, Welcome to Chat Doctor forum. HIV (human immunodeficiency virus) infection does not spread through masturbation. As described in your case, there is no risk of acquiring HIV. A handjob is not considered an exposure, thus ruling out the chance for any STDs (sexually transmitted diseases). You could relax totally and let go of your fears of HIV. PEP (post-exposure prophylaxis) would not be needed for you. For more information consult an HIV AIDS specialist online
Dear doctor,I am currently paranoid about HIV. Recently, I had an encounter in a massage parlor, where the masseur gave a full body massage with a handjob. I never had sex, this is the closest thing I have come to sex. When she massaged my penis, I felt her hand quite rough, not sure if she had any cuts. She was fully clothed and I was naked. No vaginal, anal, oral, mouth kissing involved. Am I at risk of HIV? Based on your experience, have you come across anyone, who is positive due to handjob? I have consulted a local GP after a day of exposure. He told there was no risk whatsoever and told no need of testing. According to him, no one was infected with HIV through masturbation in any situation, in 40 years of this epidemic. He refused PEP prescription as well. I just wanted a second opinion.
Hello, Welcome to Chat Doctor forum. HIV (human immunodeficiency virus) infection does not spread through masturbation. As described in your case, there is no risk of acquiring HIV. A handjob is not considered an exposure, thus ruling out the chance for any STDs (sexually transmitted diseases). You could relax totally and let go of your fears of HIV. PEP (post-exposure prophylaxis) would not be needed for you. For more information consult an HIV AIDS specialist online
### Instruction: Answer this question truthfully ###Input: Hi doctor,I sat on my testicle before two months, and I experienced an initial sharp pain for a few hours. I went to the ER and did a blood test, urine test and an ultrasound. Torsion, as well as infection, was ruled out.The exact incident occurred before few days. I did a urine test and another ultrasound. Torsion was ruled out once again. When the pain flared up again, I went to the doctor back. Again, I did an ultrasound, urine test, and blood test. Torsion and infection were ruled once again.The doctor pointed out a little bit of fluid around my testicle, and I had no pain. But, still, I have pain in my testicle. What was ruled out with these tests? From where does the pain arises? ### Response: Hi. I have gone through the attachment (attachment removed to protect patient identity). This acute testicular pain with normal testis examination and ultrasound report look like simple orchialgia. Ruling out torsion is very important in young males presenting with testis pain. It shows that the testis is not twisted on its own. Pathologic pain has associated redness and swelling. From your report, I can say that you do not have torsion and epididymitis. Young males have simple orchialgia due to muscle tone. You need scrotal support. Take tablet Pregabalin 75 mg at bedtime.
Hi doctor,I sat on my testicle before two months, and I experienced an initial sharp pain for a few hours. I went to the ER and did a blood test, urine test and an ultrasound. Torsion, as well as infection, was ruled out.The exact incident occurred before few days. I did a urine test and another ultrasound. Torsion was ruled out once again. When the pain flared up again, I went to the doctor back. Again, I did an ultrasound, urine test, and blood test. Torsion and infection were ruled once again.The doctor pointed out a little bit of fluid around my testicle, and I had no pain. But, still, I have pain in my testicle. What was ruled out with these tests? From where does the pain arises?
Hi. I have gone through the attachment (attachment removed to protect patient identity). This acute testicular pain with normal testis examination and ultrasound report look like simple orchialgia. Ruling out torsion is very important in young males presenting with testis pain. It shows that the testis is not twisted on its own. Pathologic pain has associated redness and swelling. From your report, I can say that you do not have torsion and epididymitis. Young males have simple orchialgia due to muscle tone. You need scrotal support. Take tablet Pregabalin 75 mg at bedtime.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I am suffering from ED and PE, low libido for the past six years. Most of the medication that helps with erection including UpHold, Caverta, Pengra with and without the combination of depressant like Prodep 10 or 20 mg (without any sign of depression) have not helped me. I have even consulted psychologists and have not received any result. There is no obvious concern found during the physical test of the penis. My current medications are L-arginine, Horny goat weed, L-theanine. My blood report indicates ### Response: Hello. All the tests done seems to be fine except vitamin D deficiency. It seems that you are now diabetic and diabetes is so closely associated with erectile dysfunction. The treatment depends on the cause of erectile dysfunction. Some of the common causes are, In this regard, I would like to advise you to get the following tests done and revert back with reports. Fasting and postprandial blood sugars, HbA1c, fasting thyroid profile, fasting lipid profile, serum vitamin D, and B12 levels. Once the cause is corrected, erectile dysfunction will resolve automatically. Also, it is important that there are no psychological factors affecting your sexual health. Make sure that you and your partner are completely ready for the sexual intercourse. You should also consult a sex therapist in person. For more information consult a diabetologist online
Hello doctor,I am suffering from ED and PE, low libido for the past six years. Most of the medication that helps with erection including UpHold, Caverta, Pengra with and without the combination of depressant like Prodep 10 or 20 mg (without any sign of depression) have not helped me. I have even consulted psychologists and have not received any result. There is no obvious concern found during the physical test of the penis. My current medications are L-arginine, Horny goat weed, L-theanine. My blood report indicates
Hello. All the tests done seems to be fine except vitamin D deficiency. It seems that you are now diabetic and diabetes is so closely associated with erectile dysfunction. The treatment depends on the cause of erectile dysfunction. Some of the common causes are, In this regard, I would like to advise you to get the following tests done and revert back with reports. Fasting and postprandial blood sugars, HbA1c, fasting thyroid profile, fasting lipid profile, serum vitamin D, and B12 levels. Once the cause is corrected, erectile dysfunction will resolve automatically. Also, it is important that there are no psychological factors affecting your sexual health. Make sure that you and your partner are completely ready for the sexual intercourse. You should also consult a sex therapist in person. For more information consult a diabetologist online
### Instruction: Answer this question truthfully ###Input: Hi doctor,I am a 25 year old woman. I like my skin tone very much. But, I have pigmented skin. I see a lot of discoloration in my face, near my eyes and near mouth. I have consulted a dermatologist and he recommended Vichy cream overnight, which helped me a lot in getting an even skin. But, the wrinkles around my eyes are still there, which make me look aged. I have very much deep tan on my hands, neck and feet area. Please suggest me some body lotion to get even skin tone. I have been using cucumber on my eyes religiously but still no results. Hence, I am requesting for a dermatology recommended eye, face and also body cream. If u can suggest something for daily routine also would be great. I have a dry sensitive skin. I am using Emolene moisturizer and Neutrogena sun block which works well on my skin. I am using Vichy cream at night. Should I include anything more to get even skin? What facial can I go for? Please help. ### Response: Hi, Welcome to Chat Doctor forum. I have gone through your history and seen the photographs (attachment removed to protect patient identity) you have attached. 1. Hormonal.2. Genetic.3. Sun induced. Perioral and periorbital pigmentation. Revert back after four weeks for follow up to a dermatologist online.-
Hi doctor,I am a 25 year old woman. I like my skin tone very much. But, I have pigmented skin. I see a lot of discoloration in my face, near my eyes and near mouth. I have consulted a dermatologist and he recommended Vichy cream overnight, which helped me a lot in getting an even skin. But, the wrinkles around my eyes are still there, which make me look aged. I have very much deep tan on my hands, neck and feet area. Please suggest me some body lotion to get even skin tone. I have been using cucumber on my eyes religiously but still no results. Hence, I am requesting for a dermatology recommended eye, face and also body cream. If u can suggest something for daily routine also would be great. I have a dry sensitive skin. I am using Emolene moisturizer and Neutrogena sun block which works well on my skin. I am using Vichy cream at night. Should I include anything more to get even skin? What facial can I go for? Please help.
Hi, Welcome to Chat Doctor forum. I have gone through your history and seen the photographs (attachment removed to protect patient identity) you have attached. 1. Hormonal.2. Genetic.3. Sun induced. Perioral and periorbital pigmentation. Revert back after four weeks for follow up to a dermatologist online.-
### Instruction: Answer this question truthfully ###Input: Hello doctor,My gums near the area where the wisdom tooth should grow started feeling painful, but not much. Whenever I chew near that area, it would hurt. I thought of myself, it is probably because my wisdom tooth is coming out (as there was a sort of bulge where my wisdom tooth should come out). The next day, I noticed that the gums near the area where the wisdom tooth should grow started swelling around the tooth before it. And while looking into the mouth, I poked the swollen area accidentally, and pus came out of the swollen gums. What is that? Should I consult a dentist or just taking medicines is enough? If so, what medicine would you prescribe? ### Response: Hello. It seems like your wisdom tooth is on the way, but wisdom tooth does not erupt easily. They will take time and phases to erupt, so you will have to face this pain and swelling in some phases, maybe accompanied by fever even. Do salt water gargling. I would suggest to continue with warm water, and salt rinse five to six times daily, it will help you. I will not advise you to take painkillers. You can take an anti-inflammatory for the time being, Aceclofenac-P 500 mg twice daily for three days. Maintain good oral hygiene and rinse off your mouth after every meal. Follow up after three days. Take care.
Hello doctor,My gums near the area where the wisdom tooth should grow started feeling painful, but not much. Whenever I chew near that area, it would hurt. I thought of myself, it is probably because my wisdom tooth is coming out (as there was a sort of bulge where my wisdom tooth should come out). The next day, I noticed that the gums near the area where the wisdom tooth should grow started swelling around the tooth before it. And while looking into the mouth, I poked the swollen area accidentally, and pus came out of the swollen gums. What is that? Should I consult a dentist or just taking medicines is enough? If so, what medicine would you prescribe?
Hello. It seems like your wisdom tooth is on the way, but wisdom tooth does not erupt easily. They will take time and phases to erupt, so you will have to face this pain and swelling in some phases, maybe accompanied by fever even. Do salt water gargling. I would suggest to continue with warm water, and salt rinse five to six times daily, it will help you. I will not advise you to take painkillers. You can take an anti-inflammatory for the time being, Aceclofenac-P 500 mg twice daily for three days. Maintain good oral hygiene and rinse off your mouth after every meal. Follow up after three days. Take care.
### Instruction: Answer this question truthfully ###Input: Hello doctor,Three days ago, I fell on my face and cracked my right front tooth right in the middle, horizontally. You cannot see the crack with your bare eyes, but if you shine a light from the back of my tooth, you will see it correctly. It goes from the right to the left, and it stops two millimeters before the next tooth. I was scared, so I asked many dentists before going to an actual appointment myself.They said it was fine, that it is only on the outer layer. Then, I went to an actual dentist myself, and they did an X-ray test on it. Nothing appeared, and said I would be fine, but gave me no further details. I was still left wondering, is there any way the rest of the tooth will fall out eventually because it is very slightly sensitive to change in temperature. ### Response: Hello, Welcome to Chat Doctor forum. It is one of the most common complaints in routine dental practice. The fracture (hairline crack) might be only in the superficial structure (more likely in enamel than in dentin) of the tooth and not in the pulp (since it does not hurt). It requires minimal attention, and no specific care is mandatory. You may use desensitizing gel (with potassium nitrate) for brushing and also for a massage before having hot, cold, sweet, and sour stuff. I hope it helps.
Hello doctor,Three days ago, I fell on my face and cracked my right front tooth right in the middle, horizontally. You cannot see the crack with your bare eyes, but if you shine a light from the back of my tooth, you will see it correctly. It goes from the right to the left, and it stops two millimeters before the next tooth. I was scared, so I asked many dentists before going to an actual appointment myself.They said it was fine, that it is only on the outer layer. Then, I went to an actual dentist myself, and they did an X-ray test on it. Nothing appeared, and said I would be fine, but gave me no further details. I was still left wondering, is there any way the rest of the tooth will fall out eventually because it is very slightly sensitive to change in temperature.
Hello, Welcome to Chat Doctor forum. It is one of the most common complaints in routine dental practice. The fracture (hairline crack) might be only in the superficial structure (more likely in enamel than in dentin) of the tooth and not in the pulp (since it does not hurt). It requires minimal attention, and no specific care is mandatory. You may use desensitizing gel (with potassium nitrate) for brushing and also for a massage before having hot, cold, sweet, and sour stuff. I hope it helps.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I have been having consistently a very low resting pulse, between 50 and 58 and I do not know if this is a sign of a problem. I do not have any other issues besides nausea sometimes. I am 39 years old and overweight (BMI 32.9). Should I be worried? ### Response: Hello, Welcome to Chat Doctor forum. This resting pulse is perfectly normal in healthy peoples. This pulse will rise once you exert. Rise in heart rate with exercise and fall during rest is a normal phenomenon that is controlled by our autonomic nervous system. In healthy persons, it even falls in 40s during sleep. So, nothing to worry. The only thing that I would like to ask you is whether you have any symptoms such as dizziness during low pulse rate? Another thing is ECG (electrocardiogram). I want to see your ECG to see whether it is a sinus rhythm or is there any block. As your cardiac workup is done and is normal, I do not think you need any more work up but if there are occasional symptoms associated with low pulse rate as graying of vision, dizziness, etc, I would advise you to have a Holter monitoring done for 24 to 48 hours to see rise and fall of heart rate during daily activities including sleep. If you have no symptoms, just relax and do not worry.
Hello doctor,I have been having consistently a very low resting pulse, between 50 and 58 and I do not know if this is a sign of a problem. I do not have any other issues besides nausea sometimes. I am 39 years old and overweight (BMI 32.9). Should I be worried?
Hello, Welcome to Chat Doctor forum. This resting pulse is perfectly normal in healthy peoples. This pulse will rise once you exert. Rise in heart rate with exercise and fall during rest is a normal phenomenon that is controlled by our autonomic nervous system. In healthy persons, it even falls in 40s during sleep. So, nothing to worry. The only thing that I would like to ask you is whether you have any symptoms such as dizziness during low pulse rate? Another thing is ECG (electrocardiogram). I want to see your ECG to see whether it is a sinus rhythm or is there any block. As your cardiac workup is done and is normal, I do not think you need any more work up but if there are occasional symptoms associated with low pulse rate as graying of vision, dizziness, etc, I would advise you to have a Holter monitoring done for 24 to 48 hours to see rise and fall of heart rate during daily activities including sleep. If you have no symptoms, just relax and do not worry.
### Instruction: Answer this question truthfully ###Input: Hi doctor,I am just done with HIV-1 and HIV-2 test. Can you help me understand the report? Result is 0.03. Notes given regarding this test are this is a chemiluminescent enzyme (CLIA) for simultaneous qualitative detection of antibodies to HIV 1 and 2. A negative result does not exclude the possibility of exposure to or infection with HIV 1 and 2. A positive result is not a diagnosis of AIDS. Supplemental testing such as immunoblot should be done for confirmation. Specimens containing mouse monoclonal antibodies or heterophile antibodies can give falsely elevated or depressed values. ### Response: Hi. In CLIA (Clinical Laboratory Improvement Assessment) test result, a value greater than 1 is considered reactive (positive). Your result is 0.03, which is less than 1. Hence, it is non-reactive (negative). In HIV (Human immunodeficiency virus) testing, it is very important to know how long it has been since your suspected exposure to infection.It can take up to 3 months from the time of exposure, for the virus to be detected in blood. If it has been more than 3 months since your suspected exposure, your result confirms that you do not have HIV infection. In case it is less than 3 months since suspected exposure, I advise you to repeat the test after 3 months of exposure.
Hi doctor,I am just done with HIV-1 and HIV-2 test. Can you help me understand the report? Result is 0.03. Notes given regarding this test are this is a chemiluminescent enzyme (CLIA) for simultaneous qualitative detection of antibodies to HIV 1 and 2. A negative result does not exclude the possibility of exposure to or infection with HIV 1 and 2. A positive result is not a diagnosis of AIDS. Supplemental testing such as immunoblot should be done for confirmation. Specimens containing mouse monoclonal antibodies or heterophile antibodies can give falsely elevated or depressed values.
Hi. In CLIA (Clinical Laboratory Improvement Assessment) test result, a value greater than 1 is considered reactive (positive). Your result is 0.03, which is less than 1. Hence, it is non-reactive (negative). In HIV (Human immunodeficiency virus) testing, it is very important to know how long it has been since your suspected exposure to infection.It can take up to 3 months from the time of exposure, for the virus to be detected in blood. If it has been more than 3 months since your suspected exposure, your result confirms that you do not have HIV infection. In case it is less than 3 months since suspected exposure, I advise you to repeat the test after 3 months of exposure.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I have 100/60 blood pressure, and I feel less active. My TSH level is 0.022, and I am feeling alone and depressed, but I am getting sleep. Please help. ### Response: Hello, Welcome to ilciniq.com. A blood pressure of 100/60 is normal for a woman in your age group. However, if you are feeling lightheaded upon standing, then you need evaluation to see if your blood pressure ChatDoctor. Your blood counts and urinalysis are normal. Your thyroid hormones Total T4 and Total T3 are within normal ranges. A single low TSH (thyroid stimulating hormone) reading may need confirmation with a repeat test. Are you on thyroid hormone supplements? What are your height and weight? You have been prescribed an antibiotic (Mahacef plus). There is no reason for you to take medicines. I suggest stopping it. Also, no indication to take Citro Soda (you do not have a urine infection). Your health is fine, and so you can stop all the medicines. Your symptoms may have other causes like lack of sleep, stress, etc. You will need further evaluation. You can start by getting a repeat TSH test done at a standard laboratory. Stop the medicines you have been prescribed currently. Once you have the repeat TSH level, you can get back to me.
Hello doctor,I have 100/60 blood pressure, and I feel less active. My TSH level is 0.022, and I am feeling alone and depressed, but I am getting sleep. Please help.
Hello, Welcome to ilciniq.com. A blood pressure of 100/60 is normal for a woman in your age group. However, if you are feeling lightheaded upon standing, then you need evaluation to see if your blood pressure ChatDoctor. Your blood counts and urinalysis are normal. Your thyroid hormones Total T4 and Total T3 are within normal ranges. A single low TSH (thyroid stimulating hormone) reading may need confirmation with a repeat test. Are you on thyroid hormone supplements? What are your height and weight? You have been prescribed an antibiotic (Mahacef plus). There is no reason for you to take medicines. I suggest stopping it. Also, no indication to take Citro Soda (you do not have a urine infection). Your health is fine, and so you can stop all the medicines. Your symptoms may have other causes like lack of sleep, stress, etc. You will need further evaluation. You can start by getting a repeat TSH test done at a standard laboratory. Stop the medicines you have been prescribed currently. Once you have the repeat TSH level, you can get back to me.
### Instruction: Answer this question truthfully ###Input: Hello doctor,My baby is three and a half months now. Since he completed three months, he is more on formula milk than breastfeeding due to supply issues. He poops every alternate day. I am concerned as his poop color is dark green and at the end of the process a slight yellow poop comes. I have learned that babies on formula milk poop green but it is dark green. That is the reason I am concerned. Please suggest. Also, I would like to add that the consistency is normal, not too hard or too watery. ### Response: Hello, Welcome to Chat Doctor forum. The color of the poop does not matter much unless it is dark black, which is a possible sign of occult blood. Usually poops in babies on formula feed is dark green. A breastfed baby will have golden yellow poop. So, do not be worried at all. I also suggest you take some medicines to increase your milk supply as every mother gets milk at least until the baby is six months old. You can try supplements like Lactare or Lactonic granules in milk. If this does not work, I suggest trying Domstal (Domperidone) tablet and it will surely increase milk supply. I hope you use a breast pump too at home. The more you pump and stimulate your breast, the more milk you will get. Hope this answers your queries. For more information consult a paediatrician online
Hello doctor,My baby is three and a half months now. Since he completed three months, he is more on formula milk than breastfeeding due to supply issues. He poops every alternate day. I am concerned as his poop color is dark green and at the end of the process a slight yellow poop comes. I have learned that babies on formula milk poop green but it is dark green. That is the reason I am concerned. Please suggest. Also, I would like to add that the consistency is normal, not too hard or too watery.
Hello, Welcome to Chat Doctor forum. The color of the poop does not matter much unless it is dark black, which is a possible sign of occult blood. Usually poops in babies on formula feed is dark green. A breastfed baby will have golden yellow poop. So, do not be worried at all. I also suggest you take some medicines to increase your milk supply as every mother gets milk at least until the baby is six months old. You can try supplements like Lactare or Lactonic granules in milk. If this does not work, I suggest trying Domstal (Domperidone) tablet and it will surely increase milk supply. I hope you use a breast pump too at home. The more you pump and stimulate your breast, the more milk you will get. Hope this answers your queries. For more information consult a paediatrician online
### Instruction: Answer this question truthfully ###Input: Hello doctor,Is this something I should worry about? I have been hypothyroid for 25 years and have recently gained about 25 lbs.Thyroid ultrasound states, history of goiter. We have no previous examination available for comparison. Both thyroid lobes are diminished in size.The right thyroid lobe measures 2.3 cm in length, 6.4 mm in depth and 9.4 mm in width.The left thyroid lobe measures 3.2 cm in length, 6.5 mm in depth and 1 cm in width.Each thyroid lobe is diffusely heterogeneous and without visible nodularity. No parenchymal calcifications are visible.The impression is diffusely heterogeneous and small thyroid lobes. No evidence of dominant nodule on either side. ### Response: Hello. Your weight gain is due to hypothyroidism and probable physical Inactivity. I need to know what is your recent TSH (thyroid-stimulating hormone) level if it is not in a reasonable range, your medication dose needs to be adjusted. Also, do 30 minutes of aerobic exercise daily, avoid sweets, carbonated beverages, and nonveg food. As of your scan report is concerned it is suggestive of atrophic thyroiditis where the thyroid gland shrinks and later becomes inactive. So you may require thyroid hormone supplement. But your scan finding is nothing to worry about. Any doubts or queries feel free to ask.
Hello doctor,Is this something I should worry about? I have been hypothyroid for 25 years and have recently gained about 25 lbs.Thyroid ultrasound states, history of goiter. We have no previous examination available for comparison. Both thyroid lobes are diminished in size.The right thyroid lobe measures 2.3 cm in length, 6.4 mm in depth and 9.4 mm in width.The left thyroid lobe measures 3.2 cm in length, 6.5 mm in depth and 1 cm in width.Each thyroid lobe is diffusely heterogeneous and without visible nodularity. No parenchymal calcifications are visible.The impression is diffusely heterogeneous and small thyroid lobes. No evidence of dominant nodule on either side.
Hello. Your weight gain is due to hypothyroidism and probable physical Inactivity. I need to know what is your recent TSH (thyroid-stimulating hormone) level if it is not in a reasonable range, your medication dose needs to be adjusted. Also, do 30 minutes of aerobic exercise daily, avoid sweets, carbonated beverages, and nonveg food. As of your scan report is concerned it is suggestive of atrophic thyroiditis where the thyroid gland shrinks and later becomes inactive. So you may require thyroid hormone supplement. But your scan finding is nothing to worry about. Any doubts or queries feel free to ask.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 27-year-old male. Over the past several months, I have had many sleep disturbances. I have recorded myself sleeping. Several times over the last two weeks, I have episodes that last two to three minutes and occur 10 plus times a night. During the episodes, I move my eyebrows up and down, move my nose like I am sniffing something, grind my teeth and open my eyes often looking to one side. I also move my legs up and change positions. I have also woken up with sore arms and sharp pain and numbness in my tongue. In the mornings I am often confused and can feel verytired during the day. The only medication I am currently taking is Lexapro for social anxiety. ### Response: Hello, Welcome to Chat Doctor forum. Regarding your concern, I would explain that your symptoms could be related to a sleep disorder or epilepsy seizures. An electrolyte imbalance or vitamin D deficiency may also lead to abrupt leg movements during the night, but not typically the other movements (teeth grinding, eye deviation, etc.). Coming to this point, I would recommend performing an EEG (electroencephalogram). A polysomnogram would help investigate a possible sleep disorder. It is also necessary to check your blood electrolytes. You should discuss with your doctor on the above tests. Hope you find this answer helpful. For more information consult a neurologist online
Hello doctor,I am a 27-year-old male. Over the past several months, I have had many sleep disturbances. I have recorded myself sleeping. Several times over the last two weeks, I have episodes that last two to three minutes and occur 10 plus times a night. During the episodes, I move my eyebrows up and down, move my nose like I am sniffing something, grind my teeth and open my eyes often looking to one side. I also move my legs up and change positions. I have also woken up with sore arms and sharp pain and numbness in my tongue. In the mornings I am often confused and can feel verytired during the day. The only medication I am currently taking is Lexapro for social anxiety.
Hello, Welcome to Chat Doctor forum. Regarding your concern, I would explain that your symptoms could be related to a sleep disorder or epilepsy seizures. An electrolyte imbalance or vitamin D deficiency may also lead to abrupt leg movements during the night, but not typically the other movements (teeth grinding, eye deviation, etc.). Coming to this point, I would recommend performing an EEG (electroencephalogram). A polysomnogram would help investigate a possible sleep disorder. It is also necessary to check your blood electrolytes. You should discuss with your doctor on the above tests. Hope you find this answer helpful. For more information consult a neurologist online
### Instruction: Answer this question truthfully ###Input: Hello doctor,I am suffering from diabetes for five years and taking Metformin M2 Glimepiride 1 mg three times a day. Diabetes was under control for one month. Fasting was 180/200 and PP is 360/400. After taking Vobit M3 daily one tablet before lunch, there is no control of diabetes. Please advise. My age is 57 years. ### Response: Hello, Welcome to Chat Doctor forum. Firstly, I would like to ask you if these readings are after stopping the medications or while you were on them. Also, are you following a strict diabetic diet and doing regular exercise? I would like to stress on the fact that even if you are taking medications, your main savior would be a good diet and regular exercise. It helps decrease your medicine dosages and also helps making your body more sensitive to the actions of the medicines. If these are your blood sugar values with medications, they are of very high values. Mainly, you would have to meet a local doctor as soon as possible. And also, you should never stop your medications without a doctor\\s advice, as it will lead to more rise in your sugar levels. That can be a threat to your life. If oral medicines are no longer effective for you, you might require to be shifted to Insulin. This would be analysed best by a doctor.
Hello doctor,I am suffering from diabetes for five years and taking Metformin M2 Glimepiride 1 mg three times a day. Diabetes was under control for one month. Fasting was 180/200 and PP is 360/400. After taking Vobit M3 daily one tablet before lunch, there is no control of diabetes. Please advise. My age is 57 years.
Hello, Welcome to Chat Doctor forum. Firstly, I would like to ask you if these readings are after stopping the medications or while you were on them. Also, are you following a strict diabetic diet and doing regular exercise? I would like to stress on the fact that even if you are taking medications, your main savior would be a good diet and regular exercise. It helps decrease your medicine dosages and also helps making your body more sensitive to the actions of the medicines. If these are your blood sugar values with medications, they are of very high values. Mainly, you would have to meet a local doctor as soon as possible. And also, you should never stop your medications without a doctor\\s advice, as it will lead to more rise in your sugar levels. That can be a threat to your life. If oral medicines are no longer effective for you, you might require to be shifted to Insulin. This would be analysed best by a doctor.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 29-year-old male, weigh 90 kg, height is 182, non-smoker, non-alcohol drinker. I do not have any symptoms or signs, normal eye, and skin color. I am taking Cipralex 15 mg for the past one year. Had a history of bladder stone and it required admission for one week until it passed normally by medications without surgical intervention. When I reviewed my blood test results, I found out the bilirubin level is bit higher than normal. I was overthinking, so I kept repeating the test weekly. What do you think of my case? Could we consider bilirubin high? If yes, what might be the causes? ### Response: Hi, Welcome to Chat Doctor forum. If Mmol means micron mol, then it is fine (attachment removed to protect patient identity). It looks like a normal variant of hyperbilirubinemia. Most common cause of the condition is hemolysis, Gilbert syn ChatDoctor. In both the conditions, we find the unconjugated bilirubin. I hope your urine is not yellow. Another issue is you have high BMI. It is obesity. So, you may have a fatty liver disease, that could be the cause of high ALT. I want to do a fibroscan and repeat ultrasound for fatty liver and TATA box mutation for Gilbert syn
Hello doctor,I am a 29-year-old male, weigh 90 kg, height is 182, non-smoker, non-alcohol drinker. I do not have any symptoms or signs, normal eye, and skin color. I am taking Cipralex 15 mg for the past one year. Had a history of bladder stone and it required admission for one week until it passed normally by medications without surgical intervention. When I reviewed my blood test results, I found out the bilirubin level is bit higher than normal. I was overthinking, so I kept repeating the test weekly. What do you think of my case? Could we consider bilirubin high? If yes, what might be the causes?
Hi, Welcome to Chat Doctor forum. If Mmol means micron mol, then it is fine (attachment removed to protect patient identity). It looks like a normal variant of hyperbilirubinemia. Most common cause of the condition is hemolysis, Gilbert syn ChatDoctor. In both the conditions, we find the unconjugated bilirubin. I hope your urine is not yellow. Another issue is you have high BMI. It is obesity. So, you may have a fatty liver disease, that could be the cause of high ALT. I want to do a fibroscan and repeat ultrasound for fatty liver and TATA box mutation for Gilbert syn
### Instruction: Answer this question truthfully ###Input: Hi doctor,My daughter has been suffering from a seizure disorder from her birth and has been taking AED. She is 13 years old now and at present she has been taking Valparin Chrono 500 and Levipil 750 both twice daily. She attained puberty before two years and presently studying in sixth standard. She has a learning disability, forgets everything very quickly and needs to be treated specially. But it will not be possible on the part of that school as the school does not provide any special classes for learners with LD or does not have any provision for CWSN. On the other hand, there is no any institution in my locality which provides special education to CWSN. Under the circumstances stated above, I have left no option except to enroll her in an open school and give necessary support to her. Now my question is will it be fine for her in the future to lead a life without any social development? ### Response: Hi. Your daughter has two independent medical problems. The seizure disorder needs management with medications. Her learning disability needs appropriate assessment and remedial work. I do understand that most schools do not offer remedial teaching and they leave the parents with no option other than NIOS (National Institute of open schooling). However, in most cities, there are organizations which are involved in remedial teaching for chil ChatDoctor. You can look up such organizations in your town. Also, chil
Hi doctor,My daughter has been suffering from a seizure disorder from her birth and has been taking AED. She is 13 years old now and at present she has been taking Valparin Chrono 500 and Levipil 750 both twice daily. She attained puberty before two years and presently studying in sixth standard. She has a learning disability, forgets everything very quickly and needs to be treated specially. But it will not be possible on the part of that school as the school does not provide any special classes for learners with LD or does not have any provision for CWSN. On the other hand, there is no any institution in my locality which provides special education to CWSN. Under the circumstances stated above, I have left no option except to enroll her in an open school and give necessary support to her. Now my question is will it be fine for her in the future to lead a life without any social development?
Hi. Your daughter has two independent medical problems. The seizure disorder needs management with medications. Her learning disability needs appropriate assessment and remedial work. I do understand that most schools do not offer remedial teaching and they leave the parents with no option other than NIOS (National Institute of open schooling). However, in most cities, there are organizations which are involved in remedial teaching for chil ChatDoctor. You can look up such organizations in your town. Also, chil
### Instruction: Answer this question truthfully ###Input: Hi doctor,I am married and have no baby yet. A year ago, for the first time, I noticed blood in urine and painful urination. After two days of intercourse, I face this problem. When I was 14 years old, I suffered from hematuria. I took Pause, Mix 500 and Alkasol for relief. Please tell me the treatment now. ### Response: Hi, Welcome to Chat Doctor forum. It is a urinary tract infection, mostly cystitis. It occurs due to unhygienic peri genital condition. In order to prevent UTI keep your perineal area clean like cleaning after intercourse and daily cleaning of the area during bathing. For the cure, you will need an antibiotic for a week. First, you should get urine routine and microscopy test done to confirm the infection. You should also get an ultrasound done to confirm cystitis and rule out other causes of bleeding. Then you will need antibiotic like tablet Nitrofurantoin 100 mg twice a day for a week along with antacid like tablet Pantoprazole before breakfast once a day for a week. I suggest you syrup Cital or Alkasol (Disodium hy ChatDoctor. Also, for pain I suggest antispasmodic tablet Tolterodine 2 mg whenever needed for up to two times a day, especially if syrup is not helping. Also, you should
Hi doctor,I am married and have no baby yet. A year ago, for the first time, I noticed blood in urine and painful urination. After two days of intercourse, I face this problem. When I was 14 years old, I suffered from hematuria. I took Pause, Mix 500 and Alkasol for relief. Please tell me the treatment now.
Hi, Welcome to Chat Doctor forum. It is a urinary tract infection, mostly cystitis. It occurs due to unhygienic peri genital condition. In order to prevent UTI keep your perineal area clean like cleaning after intercourse and daily cleaning of the area during bathing. For the cure, you will need an antibiotic for a week. First, you should get urine routine and microscopy test done to confirm the infection. You should also get an ultrasound done to confirm cystitis and rule out other causes of bleeding. Then you will need antibiotic like tablet Nitrofurantoin 100 mg twice a day for a week along with antacid like tablet Pantoprazole before breakfast once a day for a week. I suggest you syrup Cital or Alkasol (Disodium hy ChatDoctor. Also, for pain I suggest antispasmodic tablet Tolterodine 2 mg whenever needed for up to two times a day, especially if syrup is not helping. Also, you should
### Instruction: Answer this question truthfully ###Input: Hi doctor,I am 18 years old and I have somewhat mild acne and often oily skin. I have had acne for about two years but this year it got worse. Some topical medications I have used in the past are Trimethoprim, Sulfamethoxazole-F, Adapalene gel, Differin. I have tried almost every drugstore prosecutors out there and nothing seems to work. Products I use at this moment are Cetaphil gentle foaming facial cleanser, Witch hazel, and aloe vera plant on my face every night. I have been doing this for only three days, do not see much of a difference yet. I wrote this because I want a final solution to at least control my acne. As it messes with my self-esteem. ### Response: Hi. I have gone through your case. Well, first of all, be patient. You need to understand acne is common in your age and it is an ongoing process and you may experience frequent exacerbation due to stress and hormonal. It occurs due to hormonal activity at puberty. So you may not get final medicine or final decision. And the problem may last until your twenties. Moreover, you have taken too much of medicine which may be another reason for resistant acne. Just stick to one. Apply Clindamycin gel two times a day on the pimple. Use Cetaphil cleaner. For more information consult a dermatologist online
Hi doctor,I am 18 years old and I have somewhat mild acne and often oily skin. I have had acne for about two years but this year it got worse. Some topical medications I have used in the past are Trimethoprim, Sulfamethoxazole-F, Adapalene gel, Differin. I have tried almost every drugstore prosecutors out there and nothing seems to work. Products I use at this moment are Cetaphil gentle foaming facial cleanser, Witch hazel, and aloe vera plant on my face every night. I have been doing this for only three days, do not see much of a difference yet. I wrote this because I want a final solution to at least control my acne. As it messes with my self-esteem.
Hi. I have gone through your case. Well, first of all, be patient. You need to understand acne is common in your age and it is an ongoing process and you may experience frequent exacerbation due to stress and hormonal. It occurs due to hormonal activity at puberty. So you may not get final medicine or final decision. And the problem may last until your twenties. Moreover, you have taken too much of medicine which may be another reason for resistant acne. Just stick to one. Apply Clindamycin gel two times a day on the pimple. Use Cetaphil cleaner. For more information consult a dermatologist online
### Instruction: Answer this question truthfully ###Input: Hi Dr. I have mild lower back abdominal pain, lower back pain , and pressure on the bladder area. My local dr. diagnosed me with IBS after doing CT Scan (ethnography oral and IV contrast) , urine, stool and blood test. The CT scan showed everything was normal and urine, stool and blood tests also normal.He said take these 2 medicines. 1 - duSPATALIN 200mg twice daily, and 2 - DOGMATIL 50mg twice daily. When I read the side affects of DOGMATIL 50mg, it has a lot of side affects for which I am a bit scared of. My question is should I be taking DOGMATIL 50mg? ### Response: Hello, Welcome to Chat Doctor forum. I welcome you to ChatDoctor. Well Dogmatil is not otherwise indicated in irritable bowel syn ChatDoctor. IBS is more a problem with small and large bowel, not stomach otherwise. So, since you do not have any symptoms suggestive of stomach involvement, I suggest you to refrain from use of Dogmatil. Duspatalin however can be used and very well tolerated among IBS patients. It is basically an anti spasmodic agent, it reduces pain, but can cause constipation. You should remember this while its use. I hope this serve the purpose. Take care and have a good day
Hi Dr. I have mild lower back abdominal pain, lower back pain , and pressure on the bladder area. My local dr. diagnosed me with IBS after doing CT Scan (ethnography oral and IV contrast) , urine, stool and blood test. The CT scan showed everything was normal and urine, stool and blood tests also normal.He said take these 2 medicines. 1 - duSPATALIN 200mg twice daily, and 2 - DOGMATIL 50mg twice daily. When I read the side affects of DOGMATIL 50mg, it has a lot of side affects for which I am a bit scared of. My question is should I be taking DOGMATIL 50mg?
Hello, Welcome to Chat Doctor forum. I welcome you to ChatDoctor. Well Dogmatil is not otherwise indicated in irritable bowel syn ChatDoctor. IBS is more a problem with small and large bowel, not stomach otherwise. So, since you do not have any symptoms suggestive of stomach involvement, I suggest you to refrain from use of Dogmatil. Duspatalin however can be used and very well tolerated among IBS patients. It is basically an anti spasmodic agent, it reduces pain, but can cause constipation. You should remember this while its use. I hope this serve the purpose. Take care and have a good day
### Instruction: Answer this question truthfully ###Input: Hello doctor,I had an abortion seven months back. I have been having black colored periods bleeding from the last three months. The bleeding is black on all the days of the periods. ### Response: Hi. How are you doing? That is quite a short history. Having black or altered blood in the first few months after abortion is common. We have to rule out the following possibilities. Get a pelvic scan to rule out any endometrial polyps or any uterine masses or any endometrial pathology. This polyp may be from the cervix projecting into the vagina causing such symptoms. Rule out a possibility of a second pregnancy, so get a home urine pregnancy test done. It may be early pregnancy bleeding. Hope you are not using any other hormonal pills. If you have a lot of vaginal discharge, itching, foul smell, then it might be a vaginal infection. In such a case, I suggest a course of antibiotics. Vaginal infection can cause a lot of spotting or altered blood loss. If your periods are associated with severe abdominal pain, then it could be endometriosis, which will be corrected only with hormone pills or by getting pregnant. It can be diagnosed with physical examination and using pelvic scans. During the examination, the cervix can be evaluated, and Pap smear can also be taken. Hope I have clarified your query, do write back. All the best. For more information consult an obstetrician and gynaecologist online
Hello doctor,I had an abortion seven months back. I have been having black colored periods bleeding from the last three months. The bleeding is black on all the days of the periods.
Hi. How are you doing? That is quite a short history. Having black or altered blood in the first few months after abortion is common. We have to rule out the following possibilities. Get a pelvic scan to rule out any endometrial polyps or any uterine masses or any endometrial pathology. This polyp may be from the cervix projecting into the vagina causing such symptoms. Rule out a possibility of a second pregnancy, so get a home urine pregnancy test done. It may be early pregnancy bleeding. Hope you are not using any other hormonal pills. If you have a lot of vaginal discharge, itching, foul smell, then it might be a vaginal infection. In such a case, I suggest a course of antibiotics. Vaginal infection can cause a lot of spotting or altered blood loss. If your periods are associated with severe abdominal pain, then it could be endometriosis, which will be corrected only with hormone pills or by getting pregnant. It can be diagnosed with physical examination and using pelvic scans. During the examination, the cervix can be evaluated, and Pap smear can also be taken. Hope I have clarified your query, do write back. All the best. For more information consult an obstetrician and gynaecologist online
### Instruction: Answer this question truthfully ###Input: Lower back pain unable to put pressure on legs to walk. 3 weeks ago I was lifting my dog into the car. I got a sharp pain in my lower back..went away in about two days. Today I was lifting my two year old into an inflatable tube, While setting her down I had the same pain but on the mid right side of my back. This pain continued all day. Then while bending down to get a dish out of the dishwasher I got a horrible pain in my lower back. The pain knocked me to the ground. My husband had to help me off the ground to the bed . Since then I have not been able to put pressure on my legs to walk without horrible pain. ### Response: Hello, You need to be examined to determine if this is a back strain or a sciatica from a pinched nerve. Is there any numbness in the leg, does the leg feel weak apart from the pain you feel while trying to walk, can you control your bladder well ,does the pain worsen upon straining ? If the answer to the questions is yes then you have a disc prolapse and you will need to see a doctor and perhaps a MRI too. In three mentioned to need to take anti-inflammatory tablets and muscle relaxant top help with the muscle spasm and apply Ice to the sore area on the back, rest in bed but not absolute such that you walk as much as to feel comfortable
Lower back pain unable to put pressure on legs to walk. 3 weeks ago I was lifting my dog into the car. I got a sharp pain in my lower back..went away in about two days. Today I was lifting my two year old into an inflatable tube, While setting her down I had the same pain but on the mid right side of my back. This pain continued all day. Then while bending down to get a dish out of the dishwasher I got a horrible pain in my lower back. The pain knocked me to the ground. My husband had to help me off the ground to the bed . Since then I have not been able to put pressure on my legs to walk without horrible pain.
Hello, You need to be examined to determine if this is a back strain or a sciatica from a pinched nerve. Is there any numbness in the leg, does the leg feel weak apart from the pain you feel while trying to walk, can you control your bladder well ,does the pain worsen upon straining ? If the answer to the questions is yes then you have a disc prolapse and you will need to see a doctor and perhaps a MRI too. In three mentioned to need to take anti-inflammatory tablets and muscle relaxant top help with the muscle spasm and apply Ice to the sore area on the back, rest in bed but not absolute such that you walk as much as to feel comfortable
### Instruction: Answer this question truthfully ###Input: Hello doctor,My son has one somewhat large scar on the right side of his neck and a small scar on the left side of his neck from a burn injury since 10 months ago. He has received three laser treatments, and it looks much, much better. My son is almost 2 years old. Our plastic surgeon would do a scar excision if we wanted him too (or more laser treatments) but is leaving it up to us. I have read that other plastic surgeons say to wait until the teens so that the natural growth factors produced by a child do not result in a more hypertrophic scar after scar excision. Are children really more susceptible to the formation of hypertrophic scars after scar excision? I am trying to determine if scar excision is really the best option for him. ### Response: Hi, Welcome to Chat Doctor forum. Your son has a post-burn hypertrophic scar over the submandibular region. Post-burn hypertrophic scar. It is better not to do any surgery now for the scar as if the surgery is done, there will be a risk of hypertrophic scar again. This scar will improve over the period. Scar revision can be done later if wanted when the patient is a little grown-up. To improve scar, the following can be done.Scar massage, silicone gel to be applied twice a day, pressure garment if possible to reduce the chance of hypertrophic scarring.
Hello doctor,My son has one somewhat large scar on the right side of his neck and a small scar on the left side of his neck from a burn injury since 10 months ago. He has received three laser treatments, and it looks much, much better. My son is almost 2 years old. Our plastic surgeon would do a scar excision if we wanted him too (or more laser treatments) but is leaving it up to us. I have read that other plastic surgeons say to wait until the teens so that the natural growth factors produced by a child do not result in a more hypertrophic scar after scar excision. Are children really more susceptible to the formation of hypertrophic scars after scar excision? I am trying to determine if scar excision is really the best option for him.
Hi, Welcome to Chat Doctor forum. Your son has a post-burn hypertrophic scar over the submandibular region. Post-burn hypertrophic scar. It is better not to do any surgery now for the scar as if the surgery is done, there will be a risk of hypertrophic scar again. This scar will improve over the period. Scar revision can be done later if wanted when the patient is a little grown-up. To improve scar, the following can be done.Scar massage, silicone gel to be applied twice a day, pressure garment if possible to reduce the chance of hypertrophic scarring.
### Instruction: Answer this question truthfully ###Input: Hi doctor,I am a 21-year-old healthy male with no underlying conditions. Today about six to seven hours ago, I was getting a haircut and the barber had the cape/blanket around my neck pretty tight and so I asked him to loosen it and when he did, he yanked it back before unbuttoning it and it choked me for a couple of seconds. The cape was lying on above my Adam's apple so I know it got pressed inward. There is not a lot of pain just discomfort like the feeling after getting choked. It was not intentionally done hard but it might have been the angle and where it was lying because it is a bit uncomfortable right now. If I take my mind off from it I do not feel it but as soon as I am remembered I feel the discomfort. Wondering if I had any damage permanently or if it is just temporary discomfort? ### Response: Hello. Your symptom seems to be temporary. You need not worry about it. You can take a plain Paracetamol 750 mg (Tylenol) twice daily for three days after food. Tylenol will not only reduce the pain and discomfort but also the inflammation post-injury. Instead of Semithecone, you can take Nexium 20 mg (Esomeprazole) once daily on empty stomach for three days (because Tylenol can cause acidity).
Hi doctor,I am a 21-year-old healthy male with no underlying conditions. Today about six to seven hours ago, I was getting a haircut and the barber had the cape/blanket around my neck pretty tight and so I asked him to loosen it and when he did, he yanked it back before unbuttoning it and it choked me for a couple of seconds. The cape was lying on above my Adam's apple so I know it got pressed inward. There is not a lot of pain just discomfort like the feeling after getting choked. It was not intentionally done hard but it might have been the angle and where it was lying because it is a bit uncomfortable right now. If I take my mind off from it I do not feel it but as soon as I am remembered I feel the discomfort. Wondering if I had any damage permanently or if it is just temporary discomfort?
Hello. Your symptom seems to be temporary. You need not worry about it. You can take a plain Paracetamol 750 mg (Tylenol) twice daily for three days after food. Tylenol will not only reduce the pain and discomfort but also the inflammation post-injury. Instead of Semithecone, you can take Nexium 20 mg (Esomeprazole) once daily on empty stomach for three days (because Tylenol can cause acidity).
### Instruction: Answer this question truthfully ###Input: Hello doctor,I have blurry vision in a small section of my right eye, and it keeps moving around. Sometimes, it completely disappears. In addition, I have pain on the inside of my top and bottom eyelids as well as the outer corner of my eye, but I feel the pain only when I blink. This pain is also alternated between those three sections of my eye while I was wearing the contacts, but the pain has settled in my top eyelid now. I also noticed the discharge a couple of minutes ago. These symptoms started this morning upon inserting my cleaned contact lenses. I am currently on Melatonin and Depo-Provera. ### Response: Hello. Stop wearing contact lenses until the eye is completely normal without redness. Consult an ophthalmologist nearby to check for eyelids and retina for moving things and weak spots (lattice). The moving thing is a floater. It is uncommon in your age unless you are myopic. There is a jelly-like substance in the eye and as age progresses it starts to liquify and you start seeing floaters. You should go to an ophthalmologist immediately in case if there is an increase in the number of these floaters, or if you are seeing flashes of light. Because these are the signs of retinal detachment. Get your retina checked at least once a year. Right now you have to ignore the floaters and you will get used to it.
Hello doctor,I have blurry vision in a small section of my right eye, and it keeps moving around. Sometimes, it completely disappears. In addition, I have pain on the inside of my top and bottom eyelids as well as the outer corner of my eye, but I feel the pain only when I blink. This pain is also alternated between those three sections of my eye while I was wearing the contacts, but the pain has settled in my top eyelid now. I also noticed the discharge a couple of minutes ago. These symptoms started this morning upon inserting my cleaned contact lenses. I am currently on Melatonin and Depo-Provera.
Hello. Stop wearing contact lenses until the eye is completely normal without redness. Consult an ophthalmologist nearby to check for eyelids and retina for moving things and weak spots (lattice). The moving thing is a floater. It is uncommon in your age unless you are myopic. There is a jelly-like substance in the eye and as age progresses it starts to liquify and you start seeing floaters. You should go to an ophthalmologist immediately in case if there is an increase in the number of these floaters, or if you are seeing flashes of light. Because these are the signs of retinal detachment. Get your retina checked at least once a year. Right now you have to ignore the floaters and you will get used to it.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 70 years old, male with history of migraine for 40 years. The last few years for stress, I have taken 60 mg Cymbalta twice daily. My headaches sometimes give me the aura and sometimes slight dizziness for 10 to 15 seconds with headache to follow. Over the years I have tried all kinds of medicines like Paxel, Topamax, etc. Maxalt and this sort of medicine have not worked. My headaches were pretty well controlled with Cymbalta and Gabapentin twice per day. I went off the Gabapentin three years ago and only experienced 3 to 4 migraines per year. My headaches have a history of pain 3/4 on 10 but long duration 7 to 30 days. A few years ago a headache specialist prescribed Prednisone pac which generally works. I have had two migraines this month, this one started with mild dizziness for 10 seconds followed with headache. I started with three Prednisone for four days and restarted the Pac beginning with 6 tablets day one, five tablets day two, four tablets day three, etc. Also had Toradol shot three days ago. Headache is mildly better but not gone. Any ideas to abort? ### Response: Hi. First of all, one needs to confirm that it is indeed migraine. I would recommend the following
Hello doctor,I am 70 years old, male with history of migraine for 40 years. The last few years for stress, I have taken 60 mg Cymbalta twice daily. My headaches sometimes give me the aura and sometimes slight dizziness for 10 to 15 seconds with headache to follow. Over the years I have tried all kinds of medicines like Paxel, Topamax, etc. Maxalt and this sort of medicine have not worked. My headaches were pretty well controlled with Cymbalta and Gabapentin twice per day. I went off the Gabapentin three years ago and only experienced 3 to 4 migraines per year. My headaches have a history of pain 3/4 on 10 but long duration 7 to 30 days. A few years ago a headache specialist prescribed Prednisone pac which generally works. I have had two migraines this month, this one started with mild dizziness for 10 seconds followed with headache. I started with three Prednisone for four days and restarted the Pac beginning with 6 tablets day one, five tablets day two, four tablets day three, etc. Also had Toradol shot three days ago. Headache is mildly better but not gone. Any ideas to abort?
Hi. First of all, one needs to confirm that it is indeed migraine. I would recommend the following
### Instruction: Answer this question truthfully ###Input: Hello doctor,Third time on Lexapro started again two months back. Taking 10 mg, after about 20 days, I felt good again. Then it stopped working after about two weeks. My GP raised the dose to 20 mg. Today is a full week without much improvement. How long should I wait to see if 20 mg will kick in for me? I am also taking Metoprolol. ### Response: Hi, Welcome to Chat Doctor forum. First of all, try to stay calm because it is your third episode and medications take time to act. If you have come out of your illness twice before then this time too you will come out of your illness. Do not lose patience. As you have mentioned you are taking third time this medication. So this is your third episode. Lexapro is an antidepressant SSRI (Escitalopram). It generally takes 14 days to start the action. As you have mentioned you are taking it for the past two months and you started feeling good so you should wait for another one week for this medication to act before switching to another medication or adding a medication with it. Since it is working for you because you did feel good after taking the medication, so I would suggest you take the medication for one more week minimum to experience the effect. I would like to know more about your past episodes and which ChatDoctor.
Hello doctor,Third time on Lexapro started again two months back. Taking 10 mg, after about 20 days, I felt good again. Then it stopped working after about two weeks. My GP raised the dose to 20 mg. Today is a full week without much improvement. How long should I wait to see if 20 mg will kick in for me? I am also taking Metoprolol.
Hi, Welcome to Chat Doctor forum. First of all, try to stay calm because it is your third episode and medications take time to act. If you have come out of your illness twice before then this time too you will come out of your illness. Do not lose patience. As you have mentioned you are taking third time this medication. So this is your third episode. Lexapro is an antidepressant SSRI (Escitalopram). It generally takes 14 days to start the action. As you have mentioned you are taking it for the past two months and you started feeling good so you should wait for another one week for this medication to act before switching to another medication or adding a medication with it. Since it is working for you because you did feel good after taking the medication, so I would suggest you take the medication for one more week minimum to experience the effect. I would like to know more about your past episodes and which ChatDoctor.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 28 years old. From the past two weeks, there is a slight pain in my right ear. I tried Clear Wax ear drops and normal ear drops then there is a relief for a certain period then again mild pain is coming the next day. When I wake up in the morning there is a very slight headache kind on the right side and some sort of discomfort in my right ear. There is not severe pain but certainly, there is some sort of mild pain. I also noticed whenever I tried using earbuds in my left ear to clean then I am getting cough as if some sort of itchiness sensation in the ear is causing immediate cough in the throat and normal again after I take earbud out. I want to know whether I should consult ENT specialist immediately or if there are any ear drops in particular to use before I go to ENT doctor. ### Response: Hello, Welcome to Chat Doctor forum. The cough which occurs during ear cleaning is due to stimulus to your auricular branch of the vagus nerve, which is normal. Now coming to your problem, many times mild pain occurs due to impacted wax or ETD (eustachian tube dysfunction). Both cases it is advisable to consult an ENT surgeon for the proper examination of the ear. Till then, continue the ear ChatDoctor. Never try to clean the ear yourself as it can cause injury to your ear.
Hello doctor,I am 28 years old. From the past two weeks, there is a slight pain in my right ear. I tried Clear Wax ear drops and normal ear drops then there is a relief for a certain period then again mild pain is coming the next day. When I wake up in the morning there is a very slight headache kind on the right side and some sort of discomfort in my right ear. There is not severe pain but certainly, there is some sort of mild pain. I also noticed whenever I tried using earbuds in my left ear to clean then I am getting cough as if some sort of itchiness sensation in the ear is causing immediate cough in the throat and normal again after I take earbud out. I want to know whether I should consult ENT specialist immediately or if there are any ear drops in particular to use before I go to ENT doctor.
Hello, Welcome to Chat Doctor forum. The cough which occurs during ear cleaning is due to stimulus to your auricular branch of the vagus nerve, which is normal. Now coming to your problem, many times mild pain occurs due to impacted wax or ETD (eustachian tube dysfunction). Both cases it is advisable to consult an ENT surgeon for the proper examination of the ear. Till then, continue the ear ChatDoctor. Never try to clean the ear yourself as it can cause injury to your ear.
### Instruction: Answer this question truthfully ###Input: Hello doctor,My 29 year old brother had a pacemaker placed three years ago after survival from a sudden cardiac arrest. Doctors found the cause of the cardiac arrest to be a ventricular fibrillation. Last week was the first time he received a shock from his pacemaker, that is, exactly three years after his first episode. My question is, whether we can find the root cause of his ventricular fibrillation. What is the best treatment for his case? ### Response: Hello, Welcome to Chat Doctor forum. Ventricular fibrillation, the commonest cause is coronary artery disease. The other causes are dilated cardiomyopathy or low heart function. What is his ejection fraction? Low ejection fraction due to any reason like coronary artery disease or others can lead to ventricular tachycardia and fibrillation. He should undergo angiography, and echocardiogram, if he has not already. His electrolyte levels should also be checked as it is a very important precipitator for ventricular fibrillation. In treatment, he should receive Cordarone (Amiodarone), and multiple other medicines depending upon the echocardiogram and angiography reports. Usually, patients get antiplatelets like Aspirin, Clopidogrel, ACE inhibitor like ramipril, and Spironolactone along with other medications. You can upload his reports if any so that I can opine on the cause. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online
Hello doctor,My 29 year old brother had a pacemaker placed three years ago after survival from a sudden cardiac arrest. Doctors found the cause of the cardiac arrest to be a ventricular fibrillation. Last week was the first time he received a shock from his pacemaker, that is, exactly three years after his first episode. My question is, whether we can find the root cause of his ventricular fibrillation. What is the best treatment for his case?
Hello, Welcome to Chat Doctor forum. Ventricular fibrillation, the commonest cause is coronary artery disease. The other causes are dilated cardiomyopathy or low heart function. What is his ejection fraction? Low ejection fraction due to any reason like coronary artery disease or others can lead to ventricular tachycardia and fibrillation. He should undergo angiography, and echocardiogram, if he has not already. His electrolyte levels should also be checked as it is a very important precipitator for ventricular fibrillation. In treatment, he should receive Cordarone (Amiodarone), and multiple other medicines depending upon the echocardiogram and angiography reports. Usually, patients get antiplatelets like Aspirin, Clopidogrel, ACE inhibitor like ramipril, and Spironolactone along with other medications. You can upload his reports if any so that I can opine on the cause. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online
### Instruction: Answer this question truthfully ###Input: Hi doctor,Without remembering to take off my contacts, I slept with them on. It was only for three and a half hours. These are yearly lenses, so they are pretty thick. They are FDA approved but doctors normally do not recommend them. I woke up with my vision having a white haze. As the time goes by, it is going away. But I just wanna know if I should schedule an appointment with my doctor. ### Response: Hello, Welcome to Chat Doctor forum. I have gone through what you have mentioned and feel that you do need an ophthalmologist appointment. The causes for such a foggy or hazy vision could be corneal edema. As you might already know the contact lenses do not permit good aeration of the cornea, this can cause accumulation of fluid inside the normally transparent cornea causing foggy vision. You may also experience seeing rainbow colored halos around light and glare. Corneal ulcers. These are also caused by contact lens wear and present with foreign body sensation and pain along with foggy vision. With the above in mind, I feel it is best to visit an ophthalmologist for further evaluation and treatment. Measures to be taken in the meantime are to stop using contact lenses, use glasses. Resume contact lens wear only after your ophthalmologist\\s advise. Use over the counter lubricants (example-Refresh tears eye ChatDoctor. Use sunglasses while outdoors and avoid exposure to dust or wind.
Hi doctor,Without remembering to take off my contacts, I slept with them on. It was only for three and a half hours. These are yearly lenses, so they are pretty thick. They are FDA approved but doctors normally do not recommend them. I woke up with my vision having a white haze. As the time goes by, it is going away. But I just wanna know if I should schedule an appointment with my doctor.
Hello, Welcome to Chat Doctor forum. I have gone through what you have mentioned and feel that you do need an ophthalmologist appointment. The causes for such a foggy or hazy vision could be corneal edema. As you might already know the contact lenses do not permit good aeration of the cornea, this can cause accumulation of fluid inside the normally transparent cornea causing foggy vision. You may also experience seeing rainbow colored halos around light and glare. Corneal ulcers. These are also caused by contact lens wear and present with foreign body sensation and pain along with foggy vision. With the above in mind, I feel it is best to visit an ophthalmologist for further evaluation and treatment. Measures to be taken in the meantime are to stop using contact lenses, use glasses. Resume contact lens wear only after your ophthalmologist\\s advise. Use over the counter lubricants (example-Refresh tears eye ChatDoctor. Use sunglasses while outdoors and avoid exposure to dust or wind.
### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 65 years old with weight 88 kg and height 5\\10\". I suffer from moderate hypertension and diabetes since last eight years but always in control of medicines. Last year I had undergone angiography as an age-based test and symptom of pain on starting walking short distance a few meters. Many times it does not, in a mid-thoracic area of the upper back and epi-gastro area. But things were seen normal except for a small branch which was 100 % clogged but the cardiologists said it does not matter. This problem of feeling pain when walk some meters started four years back. It is surprising that if I jog stationary position for even two minutes no pain. Now since a few days when I lie down on the bed also the pain starts but not in sitting position. So an MRI was recommended and I underwent MRI of the spine with contrast. The report is in brief here ### Response: Hi, Welcome to Chat Doctor forum. I appreciate your detailed history. The symptoms you have described are suggestive of neurogenic claudication due to the neuro-foraminal stenosis and disc bulges in the spine. If the pain is the prominent symptom, then conservative therapy should be done first. But if you have any weakness or sensory loss or urinary symptoms, then I would recommend consulting a spine surgeon. Conservative management includes the following
Hello doctor,I am 65 years old with weight 88 kg and height 5\\10\". I suffer from moderate hypertension and diabetes since last eight years but always in control of medicines. Last year I had undergone angiography as an age-based test and symptom of pain on starting walking short distance a few meters. Many times it does not, in a mid-thoracic area of the upper back and epi-gastro area. But things were seen normal except for a small branch which was 100 % clogged but the cardiologists said it does not matter. This problem of feeling pain when walk some meters started four years back. It is surprising that if I jog stationary position for even two minutes no pain. Now since a few days when I lie down on the bed also the pain starts but not in sitting position. So an MRI was recommended and I underwent MRI of the spine with contrast. The report is in brief here
Hi, Welcome to Chat Doctor forum. I appreciate your detailed history. The symptoms you have described are suggestive of neurogenic claudication due to the neuro-foraminal stenosis and disc bulges in the spine. If the pain is the prominent symptom, then conservative therapy should be done first. But if you have any weakness or sensory loss or urinary symptoms, then I would recommend consulting a spine surgeon. Conservative management includes the following
### Instruction: Answer this question truthfully ###Input: Hello doctor,My 18 weeks old baby appears to have less interest in her bottles. She is only drinking approximately 20 to 24 ounces of milk instead of the recommended 30 to 35. She has become more irritable, crying, biting her hands and tethers. When I give her a bottle, she drinks a few ounces then chews on it and tries to spit it out of her mouth. She does not seem to have much of an appetite. I took her to my GP, who said she appeared to be teething and that her temperature, ear, nose, and throats were fine. She is also making strange noises and crying when anyone other than me picks her up. She normally has one dirty nappy per day and about six wet ones. She is smiling and follows things with her eyes and picks up things with her hands. She also appears to be sleeping more than before. At 15 weeks, her weight was normal, and her growth was fine. Could this be teething? ### Response: Hello, Welcome to Chat Doctor forum. I understand your feelings and preoccupations. I might have to ask you a few more questions but here are some attempts to give you a beginning of an answer. Well, I would be dishonest if I would send you the miracle answer. But let us try together. Revert with more information to a paediatrician online
Hello doctor,My 18 weeks old baby appears to have less interest in her bottles. She is only drinking approximately 20 to 24 ounces of milk instead of the recommended 30 to 35. She has become more irritable, crying, biting her hands and tethers. When I give her a bottle, she drinks a few ounces then chews on it and tries to spit it out of her mouth. She does not seem to have much of an appetite. I took her to my GP, who said she appeared to be teething and that her temperature, ear, nose, and throats were fine. She is also making strange noises and crying when anyone other than me picks her up. She normally has one dirty nappy per day and about six wet ones. She is smiling and follows things with her eyes and picks up things with her hands. She also appears to be sleeping more than before. At 15 weeks, her weight was normal, and her growth was fine. Could this be teething?
Hello, Welcome to Chat Doctor forum. I understand your feelings and preoccupations. I might have to ask you a few more questions but here are some attempts to give you a beginning of an answer. Well, I would be dishonest if I would send you the miracle answer. But let us try together. Revert with more information to a paediatrician online
### Instruction: Answer this question truthfully ###Input: I have a sore throat for more than 2 weeks now and I am done taking antibiotics (dalacin c) for 7 days but it is not going away..I feel that there\\s something stuck inside my throat / esophagus. I have a mild headache but no fever. Pain scale is ranging 4-6 out of ten.I also gargle every 3 hours using difflam - C.Gender ### Response: If this got worse after antibiotics, it is likely thrush (a yeast infection of the throat often found after antibiotic and/or steroid treatment. See if you can get your physician to prescribe fluconazole 150mg daily X 10 days (not 3 days like prescribed for female yeast infections...this would not be long enough.If it got much better after the antibiotic and has stayed level, you might consider that whatever bacteria you had was partially resistant and another should be tried. A good one to consider (if you have not had this yet) is Clindamycin 450md three times a day X 10 days)..if you have had that already, consider Amoxicillin Clavulinic acid 875mg twice a day X 10 days.If none of these are the case, see an ENT to rule out an abscess behind the tonsil, know as a peritonsillar abscess., or some other cause
I have a sore throat for more than 2 weeks now and I am done taking antibiotics (dalacin c) for 7 days but it is not going away..I feel that there\\s something stuck inside my throat / esophagus. I have a mild headache but no fever. Pain scale is ranging 4-6 out of ten.I also gargle every 3 hours using difflam - C.Gender
If this got worse after antibiotics, it is likely thrush (a yeast infection of the throat often found after antibiotic and/or steroid treatment. See if you can get your physician to prescribe fluconazole 150mg daily X 10 days (not 3 days like prescribed for female yeast infections...this would not be long enough.If it got much better after the antibiotic and has stayed level, you might consider that whatever bacteria you had was partially resistant and another should be tried. A good one to consider (if you have not had this yet) is Clindamycin 450md three times a day X 10 days)..if you have had that already, consider Amoxicillin Clavulinic acid 875mg twice a day X 10 days.If none of these are the case, see an ENT to rule out an abscess behind the tonsil, know as a peritonsillar abscess., or some other cause