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Hello doctor,I am suffering from ear pain, and a kind of the whole head is blocked like sensation. The left and right ears are blocked with some air or water like state. I have this ear pain for four days gradually on the same pain note.I have taken Aceclofenac with Paracetamol and Amoxicillin. I have also tried Otorex ear drops but the pain neither reduced or increased. The right ear is a kind of inflamed and not even let the drops go through.I am already on Deplatt A, Concor, and Imdur in the morning and Amlong and Rosuvastatin in the night for my angina complaint. I am also on Thyronorm 75 mcg in the morning.I am scared to go out to a hospital due to the pandemic effects, so please advise.
### Response:
Hi, Welcome to Chat Doctor forum. It looks like you have developed what we call as eustachian tube catarrh. This tube ventilates both the nose and the ear and can get blocked due to allergy or sinusitis or in any upper respiratory infection such as common flu. If you have allergic issues, it has to be adequately treated. Tablet Sinarest (a combination of Acetaminophen, Chlorpheniramine, and Pseudoephe ChatDoctor. e., 12 hours apart for one week can be considered. Otrivin nasal | Hello doctor,I am suffering from ear pain, and a kind of the whole head is blocked like sensation. The left and right ears are blocked with some air or water like state. I have this ear pain for four days gradually on the same pain note.I have taken Aceclofenac with Paracetamol and Amoxicillin. I have also tried Otorex ear drops but the pain neither reduced or increased. The right ear is a kind of inflamed and not even let the drops go through.I am already on Deplatt A, Concor, and Imdur in the morning and Amlong and Rosuvastatin in the night for my angina complaint. I am also on Thyronorm 75 mcg in the morning.I am scared to go out to a hospital due to the pandemic effects, so please advise. | Hi, Welcome to Chat Doctor forum. It looks like you have developed what we call as eustachian tube catarrh. This tube ventilates both the nose and the ear and can get blocked due to allergy or sinusitis or in any upper respiratory infection such as common flu. If you have allergic issues, it has to be adequately treated. Tablet Sinarest (a combination of Acetaminophen, Chlorpheniramine, and Pseudoephe ChatDoctor. e., 12 hours apart for one week can be considered. Otrivin nasal |
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Hello doctor,I have got pretty bad eczema. I have been using Doublebase gel that my GP gave me, but does not seem to be working. What is annoying is that I have noticed very deep wrinkles under my eyes where my skin is mostly dry. Could I get rid of these? I am only 18 and I cannot even look in the mirror or smile because of these lines. I also have allergies and my eyes water and itch a lot usually during the night. I have now tried many creams and oils including coconut oil, cocoa butter, Hydrocortisone, Doublebase gel, E45, baby oil and many more, but none seem to work. I just want answers for these. Hope you can help. Thank you.
### Response:
Hi, Welcome to Chat Doctor forum. I have read your query in detail and do understand your concern (attachment removed to protect patient identity). 1. You seem to be suffering from atopic dermatitis.2. The wrinkles you are referring to could be actually Dennie-Morgan folds (folds below the lower eyelid as a result of edema) seen in atopic dermatitis. They will get better with the treatment of your eczema. 1. Along with moisturizing lotions, you should take antihistamines like tablet Hy ChatDoctor. 2. If it still does not respond, I recommend mid potent steroids like Mometasone instead of Hy | Hello doctor,I have got pretty bad eczema. I have been using Doublebase gel that my GP gave me, but does not seem to be working. What is annoying is that I have noticed very deep wrinkles under my eyes where my skin is mostly dry. Could I get rid of these? I am only 18 and I cannot even look in the mirror or smile because of these lines. I also have allergies and my eyes water and itch a lot usually during the night. I have now tried many creams and oils including coconut oil, cocoa butter, Hydrocortisone, Doublebase gel, E45, baby oil and many more, but none seem to work. I just want answers for these. Hope you can help. Thank you. | Hi, Welcome to Chat Doctor forum. I have read your query in detail and do understand your concern (attachment removed to protect patient identity). 1. You seem to be suffering from atopic dermatitis.2. The wrinkles you are referring to could be actually Dennie-Morgan folds (folds below the lower eyelid as a result of edema) seen in atopic dermatitis. They will get better with the treatment of your eczema. 1. Along with moisturizing lotions, you should take antihistamines like tablet Hy ChatDoctor. 2. If it still does not respond, I recommend mid potent steroids like Mometasone instead of Hy |
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Hi doctor,I am an 18 year old female. I weigh 110 pounds, and I am 5 feet tall. I have been feeling a bit weird lately. I have been feeling tired; like no matter how much sleep I get, I still feel so tired. And when I eat any sweets, I feel weird. I do not know how to explain it. I feel like my heartbeat gets faster sometimes, but when I check my pulse, it feels normal. But today when I ate some chocolate cookies, I laid down because I felt tired and weak. My left arm felt really weak. Then when I got up, I got really dizzy, like more dizzy than I usually get when I wake up, and I had to wait a few seconds so that I can go downstairs without falling. And I always just want to lay down. I always feel so lazy and do not really want to do anything, and I do not know why. Should I be worried?
### Response:
Hi, Welcome to Chat Doctor forum. No need to be worried, but yes you need to get evaluated for the cause of your problems because at the age of 18, tiredness all the day and weakness is not common. Your problems could be due to low hemoglobin, vitamin D or B12 deficiency, or due to thyroid problems or diabetes. I advise you to get the following tests done | Hi doctor,I am an 18 year old female. I weigh 110 pounds, and I am 5 feet tall. I have been feeling a bit weird lately. I have been feeling tired; like no matter how much sleep I get, I still feel so tired. And when I eat any sweets, I feel weird. I do not know how to explain it. I feel like my heartbeat gets faster sometimes, but when I check my pulse, it feels normal. But today when I ate some chocolate cookies, I laid down because I felt tired and weak. My left arm felt really weak. Then when I got up, I got really dizzy, like more dizzy than I usually get when I wake up, and I had to wait a few seconds so that I can go downstairs without falling. And I always just want to lay down. I always feel so lazy and do not really want to do anything, and I do not know why. Should I be worried? | Hi, Welcome to Chat Doctor forum. No need to be worried, but yes you need to get evaluated for the cause of your problems because at the age of 18, tiredness all the day and weakness is not common. Your problems could be due to low hemoglobin, vitamin D or B12 deficiency, or due to thyroid problems or diabetes. I advise you to get the following tests done |
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Hello doctor,I had intercourse with my girlfriend and it slipped. Also, my girl just started her menstrual cycle at about the same time. After about two weeks later, I noted slight wetness at the tip of my penis and had some irritation. I took Azithromycin three tablets. The irritation stopped, but slight wetness at the penis tip remained. It is very slight wetness at the tip, as during the day every few hours we go to urinate and is only on the tip. The wetness can mainly be seen in the morning when I get up after eight hours of sleep. I got blood tests and VRDL is negative. I seek your advice on medication and what could this be?
### Response:
Hello, Welcome to Chat Doctor forum. The wetness you are experiencing may not be an infection, it could be due to friction-related issue after intercourse causing some inflammation. As you have already run the tests and taken a course of antibiotics, there is not much to worry about. Observe the discharge for a week if it gets foul-smelling or you develop a fever or an itch over the area you may have to see the doctor. In the mean time get a urine microscopy and routine test to rule out any urinary tract infection. Avoid nylon undergarments and use cotton ones instead. Use a condom always during intercourse and make sure you do not have an allergy to latex. | Hello doctor,I had intercourse with my girlfriend and it slipped. Also, my girl just started her menstrual cycle at about the same time. After about two weeks later, I noted slight wetness at the tip of my penis and had some irritation. I took Azithromycin three tablets. The irritation stopped, but slight wetness at the penis tip remained. It is very slight wetness at the tip, as during the day every few hours we go to urinate and is only on the tip. The wetness can mainly be seen in the morning when I get up after eight hours of sleep. I got blood tests and VRDL is negative. I seek your advice on medication and what could this be? | Hello, Welcome to Chat Doctor forum. The wetness you are experiencing may not be an infection, it could be due to friction-related issue after intercourse causing some inflammation. As you have already run the tests and taken a course of antibiotics, there is not much to worry about. Observe the discharge for a week if it gets foul-smelling or you develop a fever or an itch over the area you may have to see the doctor. In the mean time get a urine microscopy and routine test to rule out any urinary tract infection. Avoid nylon undergarments and use cotton ones instead. Use a condom always during intercourse and make sure you do not have an allergy to latex. |
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Hi doctor,I (34) and my wife (30) have been trying to conceive for about 15 months. Due to a slightly low AMH for her age (16 pmol) my wife was recommended to go straight to IVF from our fertility clinic. With all of the above, no issues were found and we are diagnosed with unexplained. My wife went for vaginal swab testing in preparation for the IVF where although no major STDs were found they discovered a large amount of E.Coli bacteria colonized within the reproductive tract (presumably vagina and cervix). There was a small number of leukocytes found too. The doctor wrote a prescription for antibiotics which he said should clear it out. Our concern now is, could the E-coli be the reason for infertility? My wife has not taken antibiotics for a long time and we are presuming that she could have had the bacteria there for a long time. I have read that E-coli does pretty much clump sperm together and stop them from moving. Do you have any advice on the matter?
### Response:
Hi. Since the vaginal swab shows E-coli (attachment removed to protect patient identity), it would be better to undergo a course of antibiotics for you and your wife in order to improve chances of IVF. If you wish you can request your doctor to go for IUI if both fallopian tubes are patent. Take care. | Hi doctor,I (34) and my wife (30) have been trying to conceive for about 15 months. Due to a slightly low AMH for her age (16 pmol) my wife was recommended to go straight to IVF from our fertility clinic. With all of the above, no issues were found and we are diagnosed with unexplained. My wife went for vaginal swab testing in preparation for the IVF where although no major STDs were found they discovered a large amount of E.Coli bacteria colonized within the reproductive tract (presumably vagina and cervix). There was a small number of leukocytes found too. The doctor wrote a prescription for antibiotics which he said should clear it out. Our concern now is, could the E-coli be the reason for infertility? My wife has not taken antibiotics for a long time and we are presuming that she could have had the bacteria there for a long time. I have read that E-coli does pretty much clump sperm together and stop them from moving. Do you have any advice on the matter? | Hi. Since the vaginal swab shows E-coli (attachment removed to protect patient identity), it would be better to undergo a course of antibiotics for you and your wife in order to improve chances of IVF. If you wish you can request your doctor to go for IUI if both fallopian tubes are patent. Take care. |
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HelIo doctor,I am a 17 year old girl who through a series of mistakes has pushed my friends away. School is a constant battle and I feel alone and defeated. I am lonely and continually depressed. Please help me.
### Response:
Hi, Welcome to Chat Doctor forum. From the available description, it appears that you need to manage stress appropriately. Mistakes are a normal part of our life and there is no point in regretting them. Whatever might be the situation, you need to move forward. Identify the problems in school and start working on them, one by one. Once you identify the problem, it will be easy to make a list and solve the easiest first and then proceed further. At the same time, it will be appropriate if you can talk to your old friends. Saying sorry and admitting mistakesmelt almost all the problems in buddies and I am sure they will embrace you with the same warmth if you move a few steps towards them. Having said this, take the help of elders in your family because they can provide valuable advice. I can assure you at this stage that you are not alone and help is available. Whatever comes to your mind or whatever problem you face, do not hesitate to write back to me. I will be glad to assist you. If you find any difficulty in handling such situations, you can write back to a psychologist counsellor online with specific details for further guidance | HelIo doctor,I am a 17 year old girl who through a series of mistakes has pushed my friends away. School is a constant battle and I feel alone and defeated. I am lonely and continually depressed. Please help me. | Hi, Welcome to Chat Doctor forum. From the available description, it appears that you need to manage stress appropriately. Mistakes are a normal part of our life and there is no point in regretting them. Whatever might be the situation, you need to move forward. Identify the problems in school and start working on them, one by one. Once you identify the problem, it will be easy to make a list and solve the easiest first and then proceed further. At the same time, it will be appropriate if you can talk to your old friends. Saying sorry and admitting mistakesmelt almost all the problems in buddies and I am sure they will embrace you with the same warmth if you move a few steps towards them. Having said this, take the help of elders in your family because they can provide valuable advice. I can assure you at this stage that you are not alone and help is available. Whatever comes to your mind or whatever problem you face, do not hesitate to write back to me. I will be glad to assist you. If you find any difficulty in handling such situations, you can write back to a psychologist counsellor online with specific details for further guidance |
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Hello doctor,I am 22 years old. I have problems with my penis it is 4 inches when erect and the foreskin is very tight and sometimes I feel pain while urinating. Are there any methods to increase the size of the penis?
### Response:
Hi, Welcome to Chat Doctor forum. Coming back to your query, I will let you know that the average penile size (erect) is 4.7 inches so your\\s should be quite normal. If you do not have difficulty with intercourse and your partner is satisfied then I do not think there is a need for any medications. (medications has a limited role and has side effects too). If you feel there is phimosis (inability to retract foreskin) get circumcision done. It is is a very basic procedure and will let you to urinate better. Moreover, there is no hygiene-related problems after circumcision. You can try some non invasive methods to increase the size and strength such as penile pump, jelquing in this when penis is erect apply any lubricant (oil) around base of the shaft and milk towards the end. It helps to increase in both length and girth. Try to shed some weight. You can give a try of tablet Tadalafil 2.5 mg once a day for 1 month and see the results, it will not make you dependent so do not worry. | Hello doctor,I am 22 years old. I have problems with my penis it is 4 inches when erect and the foreskin is very tight and sometimes I feel pain while urinating. Are there any methods to increase the size of the penis? | Hi, Welcome to Chat Doctor forum. Coming back to your query, I will let you know that the average penile size (erect) is 4.7 inches so your\\s should be quite normal. If you do not have difficulty with intercourse and your partner is satisfied then I do not think there is a need for any medications. (medications has a limited role and has side effects too). If you feel there is phimosis (inability to retract foreskin) get circumcision done. It is is a very basic procedure and will let you to urinate better. Moreover, there is no hygiene-related problems after circumcision. You can try some non invasive methods to increase the size and strength such as penile pump, jelquing in this when penis is erect apply any lubricant (oil) around base of the shaft and milk towards the end. It helps to increase in both length and girth. Try to shed some weight. You can give a try of tablet Tadalafil 2.5 mg once a day for 1 month and see the results, it will not make you dependent so do not worry. |
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Hi doctor,Earlier at work, I experienced the most bizarre episode of palpitations I can remember. I do find them to occur fairly regularly once in every couple of days. Today, however, rather than just the one small bubbling and skipping feeling, it happened in sequences shortly one after the other for around four times. It went on for about 30 seconds and had me pretty concerned that I had some attack. Any of your help would be appreciated. Thank you.
### Response:
Hello, Welcome to Chat Doctor forum. There are two possibilities like heart issues and even anxiety related. It is likely to be a cardiac arrhythmia like premature complexes, PSVT (paroxysmal supraventricular tachycardia) or atrial fibrillation. We first need to find out the cause, and so you should get one ECG done. If ECG is not informative, then you will need a 24-hour Holter monitoring if symptoms are occurring on a daily basis. So, visit a nearby cardiologist for these investigations. Also, get one thyroid test done. Is there any stress or anxiety associated, as it can be related to it as well? Until the time your evaluation is complete, you can ask your local doctor for tablet Ciplar LA 20 mg Propranolol or other beta blockers once a day. You should avoid smoking, alcohol or ChatDoctor. Revert with the reports to a cardiologist online | Hi doctor,Earlier at work, I experienced the most bizarre episode of palpitations I can remember. I do find them to occur fairly regularly once in every couple of days. Today, however, rather than just the one small bubbling and skipping feeling, it happened in sequences shortly one after the other for around four times. It went on for about 30 seconds and had me pretty concerned that I had some attack. Any of your help would be appreciated. Thank you. | Hello, Welcome to Chat Doctor forum. There are two possibilities like heart issues and even anxiety related. It is likely to be a cardiac arrhythmia like premature complexes, PSVT (paroxysmal supraventricular tachycardia) or atrial fibrillation. We first need to find out the cause, and so you should get one ECG done. If ECG is not informative, then you will need a 24-hour Holter monitoring if symptoms are occurring on a daily basis. So, visit a nearby cardiologist for these investigations. Also, get one thyroid test done. Is there any stress or anxiety associated, as it can be related to it as well? Until the time your evaluation is complete, you can ask your local doctor for tablet Ciplar LA 20 mg Propranolol or other beta blockers once a day. You should avoid smoking, alcohol or ChatDoctor. Revert with the reports to a cardiologist online |
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Hello doctor,My son is 9 years old. He is 4 feet and 11 inches and weighs about 107 lbs. I checked his BMI, it said he was obese in the 95th percentile. He is active. Should I worry about his weight? And if so, how can I help him with it?
### Response:
Hi, Welcome to ChatDoctor. Your son has good height and for the same reason, his weight is not worrisome. But definitely he is on 95th centile for his height as well as for his age. Also, his BMI (body mass index) is 22.4 which puts him in the category of obese. Let him have a lot of outdoor activity, avoid sitting for a long time in front of the computer or tv, and avoid junk foods. Swimming is the best activity for this age and swimming for at least 30-45 minutes daily or at least five days a week will help him. Let him have a good balanced home food with less fat. Child Obesity at this age has higher chances for him to be obese as an adult with all its other consequences. So it is better to have some precautions but no need for a dieting regime at this age as he is a growing boy and needs more calories from proteins for his overall growth. I hope this helps. | Hello doctor,My son is 9 years old. He is 4 feet and 11 inches and weighs about 107 lbs. I checked his BMI, it said he was obese in the 95th percentile. He is active. Should I worry about his weight? And if so, how can I help him with it? | Hi, Welcome to ChatDoctor. Your son has good height and for the same reason, his weight is not worrisome. But definitely he is on 95th centile for his height as well as for his age. Also, his BMI (body mass index) is 22.4 which puts him in the category of obese. Let him have a lot of outdoor activity, avoid sitting for a long time in front of the computer or tv, and avoid junk foods. Swimming is the best activity for this age and swimming for at least 30-45 minutes daily or at least five days a week will help him. Let him have a good balanced home food with less fat. Child Obesity at this age has higher chances for him to be obese as an adult with all its other consequences. So it is better to have some precautions but no need for a dieting regime at this age as he is a growing boy and needs more calories from proteins for his overall growth. I hope this helps. |
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Hi doctor,I have noticed that my first molar is loose. I keep pushing it with my tongue and clenching a bit against it and I just noticed that it has become loose little more. I have my wisdom teeth and I think it might be applying pressure forward on these teeth. I read in a book that day grinding can cause a teeth to loosen, which is easier to treat. There is no pain and the teeth look healthy. I always clench my teeth but it never caused any looseness.
### Response:
Hi. I have gone through your query and you are having a habit of grinding your teeth during the night, that is called as bruxism and the symptomatic treatment for that is the use of mouth guards. I recommend you visit a dentist and get it checked. Your treatment depends on the grade of mobility. So, I am not quite sure about what grade of mobility you are having. The mobility can be in grade 1 or grade 2. If it is in grade 1, it will resolve on its own and if it is in grade 2, you need to go for scaling and root planing that is a 15 minutes procedure done only in the surgical environment. You can get mouth guards for your nightwear at any sports shop or get customed ones by giving an impression of your dental arch at the dental clinic. For more information consult a dentist online | Hi doctor,I have noticed that my first molar is loose. I keep pushing it with my tongue and clenching a bit against it and I just noticed that it has become loose little more. I have my wisdom teeth and I think it might be applying pressure forward on these teeth. I read in a book that day grinding can cause a teeth to loosen, which is easier to treat. There is no pain and the teeth look healthy. I always clench my teeth but it never caused any looseness. | Hi. I have gone through your query and you are having a habit of grinding your teeth during the night, that is called as bruxism and the symptomatic treatment for that is the use of mouth guards. I recommend you visit a dentist and get it checked. Your treatment depends on the grade of mobility. So, I am not quite sure about what grade of mobility you are having. The mobility can be in grade 1 or grade 2. If it is in grade 1, it will resolve on its own and if it is in grade 2, you need to go for scaling and root planing that is a 15 minutes procedure done only in the surgical environment. You can get mouth guards for your nightwear at any sports shop or get customed ones by giving an impression of your dental arch at the dental clinic. For more information consult a dentist online |
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Hello doctor,I have the first upper molar root canal treated 15 years ago. It has undergone two root canals treatment but does it seem incomplete? I did a CBCT and it shows a cyst and sinusitis although I have not that much pain. I am 41 and the dentist told me that I have bone resorption at the upper left maxillary region and I also have been recently diagnosed with Hashimoto thyroiditis. Should I get the tooth extracted? Should I try again for a new third root canal? What about periodontitis which is at the beginning?
### Response:
Hello. At first, I appreciate you because you have so much awareness of your oral health. The life span of normal root canal treated tooth is 5 to 6 years. If you have 15-year-old treated tooth, it means you are so health conscious and take care of your oral hygiene. My opinion is you should go for extraction along with cyst removal because third-time root canal of the same tooth is not a good idea. Periodontitis is nothing but an infection of gum tissue which is totally curable and depends upon your oral hygiene. Bone resorption is a kind of bone loss due to demineralization. There are many things which are responsible for that like age factor, some diseases, calcium level, gingivitis with periodontitis is also a cause of bone loss. | Hello doctor,I have the first upper molar root canal treated 15 years ago. It has undergone two root canals treatment but does it seem incomplete? I did a CBCT and it shows a cyst and sinusitis although I have not that much pain. I am 41 and the dentist told me that I have bone resorption at the upper left maxillary region and I also have been recently diagnosed with Hashimoto thyroiditis. Should I get the tooth extracted? Should I try again for a new third root canal? What about periodontitis which is at the beginning? | Hello. At first, I appreciate you because you have so much awareness of your oral health. The life span of normal root canal treated tooth is 5 to 6 years. If you have 15-year-old treated tooth, it means you are so health conscious and take care of your oral hygiene. My opinion is you should go for extraction along with cyst removal because third-time root canal of the same tooth is not a good idea. Periodontitis is nothing but an infection of gum tissue which is totally curable and depends upon your oral hygiene. Bone resorption is a kind of bone loss due to demineralization. There are many things which are responsible for that like age factor, some diseases, calcium level, gingivitis with periodontitis is also a cause of bone loss. |
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Hello doctor,My partner had a small accident while on holidays. She slipped and fell on a wooden floor and landed on her outstretched right hand. (dominant hand). Her wrist got injured, received immediate medical attention with a splint attached, and an X-ray image was taken about 14 hours after the accident. She received a cast after the diagnosis of a fracture of the tip of the ulna.We would like to have a second opinion based on the attached images, especially whether other damage can be identified on the radius or other wrist bones, and whether more invasive treatment is necessary. Swelling and pain have experience on both sides of the wrist (radius and ulna), but the movement of fingers, including the thumb, did not incur further pain. The swinging of the hand sideways or up and down was also possible and without increased pain. No numbness or circulation issues have been identified.
### Response:
Hello, Welcome to Chat Doctor forum. There is a fracture involving the lower end of the radius and in the styloid process of ulna bone (attachment removed to protect patient identity). There is not much displacement in the fracture areas. It is essential that you meet a consultant orthopedician and review the injured areas. In such cases, usually a splint and cast are provided, and once the inflammation comes down in four to five days, then a definitive treatment on the fracture might be thought of. | Hello doctor,My partner had a small accident while on holidays. She slipped and fell on a wooden floor and landed on her outstretched right hand. (dominant hand). Her wrist got injured, received immediate medical attention with a splint attached, and an X-ray image was taken about 14 hours after the accident. She received a cast after the diagnosis of a fracture of the tip of the ulna.We would like to have a second opinion based on the attached images, especially whether other damage can be identified on the radius or other wrist bones, and whether more invasive treatment is necessary. Swelling and pain have experience on both sides of the wrist (radius and ulna), but the movement of fingers, including the thumb, did not incur further pain. The swinging of the hand sideways or up and down was also possible and without increased pain. No numbness or circulation issues have been identified. | Hello, Welcome to Chat Doctor forum. There is a fracture involving the lower end of the radius and in the styloid process of ulna bone (attachment removed to protect patient identity). There is not much displacement in the fracture areas. It is essential that you meet a consultant orthopedician and review the injured areas. In such cases, usually a splint and cast are provided, and once the inflammation comes down in four to five days, then a definitive treatment on the fracture might be thought of. |
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Hi doctor,My period is a little late, just only a day. But, I have been having many pregnancy symptoms. I masturbated yesterday (penetration and clitoral stimulation to orgasm) and a considerable amount of blood came out. Some blood flushed itself out for some time and I am clear now. What does this mean? Before, I was worried that I was pregnant, but that blood was too much to be spotted from implantation I think. Was it period blood as I masturbated roughly? I had a bit of cramping today.
### Response:
Hi, Welcome to Chat Doctor forum. It may be your period bleeding or may be bleeding due to masturbation. For that have to check clinically for any sign of vaginal tear or just bleeding from your uterus. If you have a doubt that last month had sex and can be pregnant, then do a urine pregnancy test. If negative, then you are not pregnant and it was either your period or bleeding due to masturbation. Cramping also can be due to your menstruation, as it may be going on and you will bleed in short time. In case of laceration of the vagina while masturbation also, you will get cramps. If bleeding is not there, then it is difficult to say the cause. But, forget everything and just do a urine pregnancy test in case of doubt. Other things are normal as you are not bleeding now. | Hi doctor,My period is a little late, just only a day. But, I have been having many pregnancy symptoms. I masturbated yesterday (penetration and clitoral stimulation to orgasm) and a considerable amount of blood came out. Some blood flushed itself out for some time and I am clear now. What does this mean? Before, I was worried that I was pregnant, but that blood was too much to be spotted from implantation I think. Was it period blood as I masturbated roughly? I had a bit of cramping today. | Hi, Welcome to Chat Doctor forum. It may be your period bleeding or may be bleeding due to masturbation. For that have to check clinically for any sign of vaginal tear or just bleeding from your uterus. If you have a doubt that last month had sex and can be pregnant, then do a urine pregnancy test. If negative, then you are not pregnant and it was either your period or bleeding due to masturbation. Cramping also can be due to your menstruation, as it may be going on and you will bleed in short time. In case of laceration of the vagina while masturbation also, you will get cramps. If bleeding is not there, then it is difficult to say the cause. But, forget everything and just do a urine pregnancy test in case of doubt. Other things are normal as you are not bleeding now. |
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Hello doctor,I am 36 years old. I have depression, illness, and taking treatments for about 16 years. Now, taking Veniz XR 37.5, Thyronorm 50 mcg, both in the morning and Veniz XR 37.5, 75 both are evening. Feeling fatigue and anorexia. I do not like doing work, feel restlessness, and intensely angry. These symptoms are feeling compulsive looking in the smartphone, porn sites, and porn stars detail, and masturbate two to three times daily. Now, while looking on erotic porn stars videos, heartbeat and anxiety are high. Is it porn addiction? And what are the symptoms of porn addiction? Porn addiction and intense anxiety have any relation? Please answer me.
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Hi, Welcome to Chat Doctor forum. When we are in anxiety and depression, our mind is stressed, it needs something which could increase secretion of a chemical called dopamine in our brain. This chemical uplift the mood. Doing masturbation or any kind of sexual activity increases this chemical in the brain. It is the same as people start ChatDoctor. I would advise you to consult psychiatrist so that your medications can be adjusted. Once you are better you would automatically decrease all these increased sexual behavior. Thyroid stimulating hormone. Medicines need to be adjusted. Sleep well, eat a healthy diet, follow a routine. | Hello doctor,I am 36 years old. I have depression, illness, and taking treatments for about 16 years. Now, taking Veniz XR 37.5, Thyronorm 50 mcg, both in the morning and Veniz XR 37.5, 75 both are evening. Feeling fatigue and anorexia. I do not like doing work, feel restlessness, and intensely angry. These symptoms are feeling compulsive looking in the smartphone, porn sites, and porn stars detail, and masturbate two to three times daily. Now, while looking on erotic porn stars videos, heartbeat and anxiety are high. Is it porn addiction? And what are the symptoms of porn addiction? Porn addiction and intense anxiety have any relation? Please answer me. | Hi, Welcome to Chat Doctor forum. When we are in anxiety and depression, our mind is stressed, it needs something which could increase secretion of a chemical called dopamine in our brain. This chemical uplift the mood. Doing masturbation or any kind of sexual activity increases this chemical in the brain. It is the same as people start ChatDoctor. I would advise you to consult psychiatrist so that your medications can be adjusted. Once you are better you would automatically decrease all these increased sexual behavior. Thyroid stimulating hormone. Medicines need to be adjusted. Sleep well, eat a healthy diet, follow a routine. |
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Hello doctor,This is for my son. We have got his blood tests done. He is on Thyronorm 500 mcg one tablet per day in the morning. Off late, he is having mood swings. Sometimes he seems to be active and sometimes too tired. He sleeps a lot maybe about nine hours in the night. In holidays, he tries to sleep in the afternoon also. He is about 5 feet 10 inches and weight 90 kgs. His age is 29. I checked his nails and bottom of the feet and they seem to be fine. There are no cracks, etc. He has no numbness in the feet or in the body. For the past few days, he is having a dry cough for which he is taking a cough syrup.
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Hello, Welcome to Chat Doctor forum. I just read your query about your son and it appears that your son has hypothyroidism and vitamin D deficiency. The combination of hypothyroidism and severe vitamin D deficiency can give rise to the symptoms that you have mentioned. I suggest that you give him tablet Vitamin D 50000 IU once weekly after lunchtime for three months. Give him tablet Calcium 500 mg once daily after lunch as well. Continue Thyronorm at the same dose. Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online | Hello doctor,This is for my son. We have got his blood tests done. He is on Thyronorm 500 mcg one tablet per day in the morning. Off late, he is having mood swings. Sometimes he seems to be active and sometimes too tired. He sleeps a lot maybe about nine hours in the night. In holidays, he tries to sleep in the afternoon also. He is about 5 feet 10 inches and weight 90 kgs. His age is 29. I checked his nails and bottom of the feet and they seem to be fine. There are no cracks, etc. He has no numbness in the feet or in the body. For the past few days, he is having a dry cough for which he is taking a cough syrup. | Hello, Welcome to Chat Doctor forum. I just read your query about your son and it appears that your son has hypothyroidism and vitamin D deficiency. The combination of hypothyroidism and severe vitamin D deficiency can give rise to the symptoms that you have mentioned. I suggest that you give him tablet Vitamin D 50000 IU once weekly after lunchtime for three months. Give him tablet Calcium 500 mg once daily after lunch as well. Continue Thyronorm at the same dose. Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online |
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Hi doctor,I have a question concerning a failed medical abortion. I have read the odds and they do not look good. I am 11 weeks pregnant and my medical abortion failed. I started having second thoughts about keeping the baby since this happened but I am also concerned for malformations and any other issues that may come up due to the medication. I have a surgical abortion scheduled and I am starting to get nervous. I just wanted some thoughts on what my odds are if I decided to keep this baby. I know the first trimester is very delicate and I feel like I have already messed this up. I did not realize I was pregnant either so there has been a bit of alcohol consumption plus I take about 1 mg of Alprazolam a day. If you can help me sway my decision either way. I am okay with the abortion. I just feel like I had a second chance or I am being punished.
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Hello. If you have been given tablet Mifepristone 200 mg during the medical abortion process then there is no point continuing the pregnancy as it can cause congenital anomalies in the foetus, however, if only Misoprostol was used then you can contemplate continuation. There are different check levels with scans which can determine anomalies during continuing pregnancy- at 11 to 13 weeks NT scan, qua ChatDoctor. Take care. | Hi doctor,I have a question concerning a failed medical abortion. I have read the odds and they do not look good. I am 11 weeks pregnant and my medical abortion failed. I started having second thoughts about keeping the baby since this happened but I am also concerned for malformations and any other issues that may come up due to the medication. I have a surgical abortion scheduled and I am starting to get nervous. I just wanted some thoughts on what my odds are if I decided to keep this baby. I know the first trimester is very delicate and I feel like I have already messed this up. I did not realize I was pregnant either so there has been a bit of alcohol consumption plus I take about 1 mg of Alprazolam a day. If you can help me sway my decision either way. I am okay with the abortion. I just feel like I had a second chance or I am being punished. | Hello. If you have been given tablet Mifepristone 200 mg during the medical abortion process then there is no point continuing the pregnancy as it can cause congenital anomalies in the foetus, however, if only Misoprostol was used then you can contemplate continuation. There are different check levels with scans which can determine anomalies during continuing pregnancy- at 11 to 13 weeks NT scan, qua ChatDoctor. Take care. |
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Hello doctor,I had my lower wisdom tooth removed a month ago. It was infected and they said they had to break a bone and take it out. I had two stitches removed post 10 days of my surgery. Still, I have the sensitivity and light pain in the cheekbone area. Is this normal to have? How long will it take to cure?
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Hello, Welcome to Chat Doctor forum. After wisdom tooth removal, one generally has pain and little difficulty in chewing for a week or so. But, it is a month now and it should not be there. Is there sensitivity on the cheeks or the adjacent tooth? If it is on the tooth, you need to check for any cavity in the tooth adjacent to the wisdom tooth removed or during the time of removal of wisdom tooth slight luxation to the adjacent tooth can occur that is also normal. This can lead to a sensitivity in that tooth for a few days. You also need to check if there is any tingling sensation or not. Because in some cases, wisdom tooth is very near to the nerve supply of teeth of the lower jaw. This also leads to a problem This can be relieved over a period of time with medication. If possible do post an X-ray of your teeth so that I can let you know in detail if there is any problem with respect to the tooth. For more information consult a dentist online | Hello doctor,I had my lower wisdom tooth removed a month ago. It was infected and they said they had to break a bone and take it out. I had two stitches removed post 10 days of my surgery. Still, I have the sensitivity and light pain in the cheekbone area. Is this normal to have? How long will it take to cure? | Hello, Welcome to Chat Doctor forum. After wisdom tooth removal, one generally has pain and little difficulty in chewing for a week or so. But, it is a month now and it should not be there. Is there sensitivity on the cheeks or the adjacent tooth? If it is on the tooth, you need to check for any cavity in the tooth adjacent to the wisdom tooth removed or during the time of removal of wisdom tooth slight luxation to the adjacent tooth can occur that is also normal. This can lead to a sensitivity in that tooth for a few days. You also need to check if there is any tingling sensation or not. Because in some cases, wisdom tooth is very near to the nerve supply of teeth of the lower jaw. This also leads to a problem This can be relieved over a period of time with medication. If possible do post an X-ray of your teeth so that I can let you know in detail if there is any problem with respect to the tooth. For more information consult a dentist online |
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Hi doctor,I have an 8-year-old son. Recently, I came home from work and found him wanking in the living room. He saw me standing there, and he was not embarrassed that I caught him. He continued to do it, so I walked away and left him wanking. I have not spoken to him about that on that day. Since from that day he has been wanking in front of me. I do not care if he does it in front of me and he does not bother me. Should I let him continue with this behavior or is it wrong and should I need to speak to him about it?
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Hi, Welcome to Chat Doctor forum. If he is wanking most of the days, in front of you, I do not think this is a healthy child behavior. Abnormal behavior of a child should be ad ChatDoctor. Your son may or may not understand that it is unusual behavior for his age. A lot of stressors can be a cause for the abnormal action of a child. Try to find out the cause. Yes, you should talk to him more positively. So you will be aware of what is going on in his mind. You can seek an expert opinion as well, clinical psychologist or pediatric psychiatrist for counseling as well as a therapeutic intervention if needed. Behavioral remodeling will help. For more information consult a paediatrician online | Hi doctor,I have an 8-year-old son. Recently, I came home from work and found him wanking in the living room. He saw me standing there, and he was not embarrassed that I caught him. He continued to do it, so I walked away and left him wanking. I have not spoken to him about that on that day. Since from that day he has been wanking in front of me. I do not care if he does it in front of me and he does not bother me. Should I let him continue with this behavior or is it wrong and should I need to speak to him about it? | Hi, Welcome to Chat Doctor forum. If he is wanking most of the days, in front of you, I do not think this is a healthy child behavior. Abnormal behavior of a child should be ad ChatDoctor. Your son may or may not understand that it is unusual behavior for his age. A lot of stressors can be a cause for the abnormal action of a child. Try to find out the cause. Yes, you should talk to him more positively. So you will be aware of what is going on in his mind. You can seek an expert opinion as well, clinical psychologist or pediatric psychiatrist for counseling as well as a therapeutic intervention if needed. Behavioral remodeling will help. For more information consult a paediatrician online |
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Hello doctor,I have not been the best at my oral hygiene but lately, I feel I have been way better. I am aware of the tartar and that I need a good cleaning. I brush my teeth twice a day, use mouthwash twice a day, from there I use periogen twice a day and top it off with flossing once a day. When I read about gum disease, I see a lot of stories about gum recession and discolored gums. It terrifies me. When I brush my teeth and floss, they do not bleed. I see that is a good thing but I cannot help to just think that something may be wrong. I know I can do better with my teeth and I have been trying but the anxiety haunts me on a daily basis. Can anybody help me by looking at the pictures?
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Hello, Welcome to Chat Doctor forum. When you get a full scaling procedure done, all the calculus seen will go away. Then, the gums will look more healthy and good. You have some recession in lower front gums due to heavy calculus buildup (attachment removed to protect patient identity). Make it a habit to get your teeth cleaned by a dentist every six months. Other than that, you have healthy gums. You can maintain them by occasionally gargling with warm salt water gargle twice a day. It gives excellent results. For more information consult a dentist online | Hello doctor,I have not been the best at my oral hygiene but lately, I feel I have been way better. I am aware of the tartar and that I need a good cleaning. I brush my teeth twice a day, use mouthwash twice a day, from there I use periogen twice a day and top it off with flossing once a day. When I read about gum disease, I see a lot of stories about gum recession and discolored gums. It terrifies me. When I brush my teeth and floss, they do not bleed. I see that is a good thing but I cannot help to just think that something may be wrong. I know I can do better with my teeth and I have been trying but the anxiety haunts me on a daily basis. Can anybody help me by looking at the pictures? | Hello, Welcome to Chat Doctor forum. When you get a full scaling procedure done, all the calculus seen will go away. Then, the gums will look more healthy and good. You have some recession in lower front gums due to heavy calculus buildup (attachment removed to protect patient identity). Make it a habit to get your teeth cleaned by a dentist every six months. Other than that, you have healthy gums. You can maintain them by occasionally gargling with warm salt water gargle twice a day. It gives excellent results. For more information consult a dentist online |
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Hi doctor,I am a 27 year old female. I had my last period 60 days before. I am pregnant and I opted to abort at home. Four days back I have taken one tablet of Mifepristone at 10 AM and then two tablets of Misoprostol 10 AM the next day. I have been bleeding lightly after taking Misoprostol tablets. There are still two tablets of Misoprostol left. Could you please advice when and how to take these two tablets of Misoprostol. I have attached my transvaginal scan reports taken yesterday for your reference. This is my second abortion. I did home abortion eight years ago using a set of two pills, but I did not remember the names. Now, I feel slightly dizzy with headache. Please guide me.
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Hi. The methodology you have adopted for abortion is incorrect. You should have asked this question before taking the medicines. You have already crossed the time for the other two tablets. Ideally, two Misoprostol should have been taken orally and two inserted in vagina. So, I would suggest you to insert the two tablets as soon as possible. You will bleed a little more. As far as the reports are concerned, your pregnancy of 9 weeks is absolutely intact in the ultrasound. So, it does not seem that the pregnancy has been terminated. | Hi doctor,I am a 27 year old female. I had my last period 60 days before. I am pregnant and I opted to abort at home. Four days back I have taken one tablet of Mifepristone at 10 AM and then two tablets of Misoprostol 10 AM the next day. I have been bleeding lightly after taking Misoprostol tablets. There are still two tablets of Misoprostol left. Could you please advice when and how to take these two tablets of Misoprostol. I have attached my transvaginal scan reports taken yesterday for your reference. This is my second abortion. I did home abortion eight years ago using a set of two pills, but I did not remember the names. Now, I feel slightly dizzy with headache. Please guide me. | Hi. The methodology you have adopted for abortion is incorrect. You should have asked this question before taking the medicines. You have already crossed the time for the other two tablets. Ideally, two Misoprostol should have been taken orally and two inserted in vagina. So, I would suggest you to insert the two tablets as soon as possible. You will bleed a little more. As far as the reports are concerned, your pregnancy of 9 weeks is absolutely intact in the ultrasound. So, it does not seem that the pregnancy has been terminated. |
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Hello doctor,I was seen today for what seems to be carpal tunnel pain in both hands or wrist right being worse. It has been going on for over two weeks straight. Massages do not work, splints do not work. The pain is horrible at night, my hands are not just numb, my middle fingers feel like they are on fire, no sleep, now numbness has been going on for over a week during the day also. Constantly no matter what I do, I received steroid injection today in right carpal tunnel. Now my concern is that I have hip dysplasia and have had injections. Yes, they help with pain but now that it has worn off my hip is actually worse. I am scared that is going to happen with my hands also. Is it wrong to tell my doctor I want surgery still and soon? And I have no clue how severe I have it since I just saw him today for the first time for this and only test that was performed was the tapping on my wrist.
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Hi. Greetings for a healthy future. I understand that you have symptoms of carpal tunnel syn ChatDoctor. Regarding your questions about severity and surgery I hope following helps you. In order to know the exact cause and the severity of problem, it will be helpful to get objective test done. EMG NCV is a good test to reach a diagnosis of carpal tunnel syn | Hello doctor,I was seen today for what seems to be carpal tunnel pain in both hands or wrist right being worse. It has been going on for over two weeks straight. Massages do not work, splints do not work. The pain is horrible at night, my hands are not just numb, my middle fingers feel like they are on fire, no sleep, now numbness has been going on for over a week during the day also. Constantly no matter what I do, I received steroid injection today in right carpal tunnel. Now my concern is that I have hip dysplasia and have had injections. Yes, they help with pain but now that it has worn off my hip is actually worse. I am scared that is going to happen with my hands also. Is it wrong to tell my doctor I want surgery still and soon? And I have no clue how severe I have it since I just saw him today for the first time for this and only test that was performed was the tapping on my wrist. | Hi. Greetings for a healthy future. I understand that you have symptoms of carpal tunnel syn ChatDoctor. Regarding your questions about severity and surgery I hope following helps you. In order to know the exact cause and the severity of problem, it will be helpful to get objective test done. EMG NCV is a good test to reach a diagnosis of carpal tunnel syn |
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Hello doctor,I have failed twice in my exams. I am feeling pushed out of my own home because there is a lack of peace. I weep secretly and daily whenever I think of my future, and it all looks bleak. I am a lonely person, and my enemies are many around me, including my own younger brother. Every time I feel like to quarrel with one or the other person. I always feel depressed, and sometimes I start feeling that one or the other day, I might become mentally ill because of this depression. I do not understand how to come out of this situation.
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Hello. Competitive exams are tough, and the situation in which you are is not helping you cope up. To excel in such exams, you need to concentrate and not be distracted. Maybe you can shift to a hostel for preparing if you cannot start with maintaining some distance. Try it for two days, no matter what happens, you do not react to anything and focus on your studies. If you feel sad most of the times, if you think some anxiety, I would recommend meet a Psychiatrist and check if you need medicine. You can also start counseling sessions, which would help you cope up. I need more details about your situation to help you better. But I hope this would give an idea of what you should do next. Let me know if you need anything else. Take care. | Hello doctor,I have failed twice in my exams. I am feeling pushed out of my own home because there is a lack of peace. I weep secretly and daily whenever I think of my future, and it all looks bleak. I am a lonely person, and my enemies are many around me, including my own younger brother. Every time I feel like to quarrel with one or the other person. I always feel depressed, and sometimes I start feeling that one or the other day, I might become mentally ill because of this depression. I do not understand how to come out of this situation. | Hello. Competitive exams are tough, and the situation in which you are is not helping you cope up. To excel in such exams, you need to concentrate and not be distracted. Maybe you can shift to a hostel for preparing if you cannot start with maintaining some distance. Try it for two days, no matter what happens, you do not react to anything and focus on your studies. If you feel sad most of the times, if you think some anxiety, I would recommend meet a Psychiatrist and check if you need medicine. You can also start counseling sessions, which would help you cope up. I need more details about your situation to help you better. But I hope this would give an idea of what you should do next. Let me know if you need anything else. Take care. |
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Hi doctor,I am 30 years old. I just want check whether my T/E2 values are proper not because I am suffering from most of the symptoms of high estrogen levels like enlarged prostate, extreme fatigue, anxiety, muscle loss, belly side fat, loss of libido, knee and joint pains, etc., for more than 10 years.Around six months back, I got checkups for gastritis, there they said it is minor gastritis only and all readings are good including thyroid, but better to check for T, e2 and PSA levels as they see enlarged prostate. Do I need to take any medicines to inhibit E2 levels like Arimidex?Please check the below readings
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Hi. I read your query and understand your concerns. First of all, I would like to inform you that your testosterone is completely normal but not estradiol. The maximum physiological level is 40 pg/ml and the level above this rings alarm bell and should be investigated. The increased level of PSA (prostate-specific antigen) along with prostate enlargement indicates there is abnormal aromatization of sex hormones which could be due to simple overweight to sex steroid secreting tumors. Regarding the treatment, there is a definite need for treatment and Aromatase inhibitors could be the right choice for you. There are multiple options for this purpose including Arimidex. I hope this helps. | Hi doctor,I am 30 years old. I just want check whether my T/E2 values are proper not because I am suffering from most of the symptoms of high estrogen levels like enlarged prostate, extreme fatigue, anxiety, muscle loss, belly side fat, loss of libido, knee and joint pains, etc., for more than 10 years.Around six months back, I got checkups for gastritis, there they said it is minor gastritis only and all readings are good including thyroid, but better to check for T, e2 and PSA levels as they see enlarged prostate. Do I need to take any medicines to inhibit E2 levels like Arimidex?Please check the below readings | Hi. I read your query and understand your concerns. First of all, I would like to inform you that your testosterone is completely normal but not estradiol. The maximum physiological level is 40 pg/ml and the level above this rings alarm bell and should be investigated. The increased level of PSA (prostate-specific antigen) along with prostate enlargement indicates there is abnormal aromatization of sex hormones which could be due to simple overweight to sex steroid secreting tumors. Regarding the treatment, there is a definite need for treatment and Aromatase inhibitors could be the right choice for you. There are multiple options for this purpose including Arimidex. I hope this helps. |
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Hi doctor,My wife is 24 years old and her period was regular of 30 days. Before two months, we had intercourse after seven days of her periods. She had her period after some 15 days. It was normal for the first two days, but after that it was very heavy. She had abdominal cramps for approximately a month. Our local doctor gave some medications with iron tablets. Then, she did not have her periods yet. From the beginning of this month, she is having nausea and vomiting. We are not sure whether she is pregnant. Pregnancy test has not been done. Now, she had an accident and fell down from a terrace of 10 feet height. Her x-ray was normal and no bone injuries. But, she is unable to move because of pain. Does x-ray show pregnancy? Since she is unable to bear child at this stage, please suggest some medicine to terminate the pregnancy.
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Hi. Without doing a urine pregnancy test it is very difficult for me to tell whether she is pregnant or not. Moreover, early pregnancy cannot be detected in x-ray. You will have to do a urine pregnancy test at home first. She need not go anywhere for this test. Once the pregnancy is proved, then we can go ahead and think of termination. So, please do the test and get back to me with the results. | Hi doctor,My wife is 24 years old and her period was regular of 30 days. Before two months, we had intercourse after seven days of her periods. She had her period after some 15 days. It was normal for the first two days, but after that it was very heavy. She had abdominal cramps for approximately a month. Our local doctor gave some medications with iron tablets. Then, she did not have her periods yet. From the beginning of this month, she is having nausea and vomiting. We are not sure whether she is pregnant. Pregnancy test has not been done. Now, she had an accident and fell down from a terrace of 10 feet height. Her x-ray was normal and no bone injuries. But, she is unable to move because of pain. Does x-ray show pregnancy? Since she is unable to bear child at this stage, please suggest some medicine to terminate the pregnancy. | Hi. Without doing a urine pregnancy test it is very difficult for me to tell whether she is pregnant or not. Moreover, early pregnancy cannot be detected in x-ray. You will have to do a urine pregnancy test at home first. She need not go anywhere for this test. Once the pregnancy is proved, then we can go ahead and think of termination. So, please do the test and get back to me with the results. |
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Hello doctor,I have homocysteine value 23.6, and lipoprotein 31.5. ECG and TMT are normal. Is it serious? As I smoke, is it normal because of my smoking? Do I need to visit a doctor?
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Hello, Welcome to Chat Doctor forum. I have gone through your reports (attachment removed to protect patient identity). This is not worrisome. Lipoprotein is just borderline, and you just need to have a healthy lifestyle to control it like low oily, fat and calorie diet along with regular exercises at least 30 minutes a day. Lipoprotein correlates with cholesterol. So, once you should get your lipid profile done. Homocysteine is elevated to some extent which is usually due to vitamin B12 or folate deficiency. So, you need to get the level of vitamin B12 and folic acid done, and supplements, if either one is deficient. Thirdly, you have mild prolapse of the mitral valve in echo which is not usually worrisome but should be kept under observation. So, you get echo done every two to three years. So overall, it is not worrisome, but smoking is always injurious to health. It increases the risk of many illnesses. So, effort should be always to cut down on smoking and it is best to avoid it. For more information consult a cardiologist online | Hello doctor,I have homocysteine value 23.6, and lipoprotein 31.5. ECG and TMT are normal. Is it serious? As I smoke, is it normal because of my smoking? Do I need to visit a doctor? | Hello, Welcome to Chat Doctor forum. I have gone through your reports (attachment removed to protect patient identity). This is not worrisome. Lipoprotein is just borderline, and you just need to have a healthy lifestyle to control it like low oily, fat and calorie diet along with regular exercises at least 30 minutes a day. Lipoprotein correlates with cholesterol. So, once you should get your lipid profile done. Homocysteine is elevated to some extent which is usually due to vitamin B12 or folate deficiency. So, you need to get the level of vitamin B12 and folic acid done, and supplements, if either one is deficient. Thirdly, you have mild prolapse of the mitral valve in echo which is not usually worrisome but should be kept under observation. So, you get echo done every two to three years. So overall, it is not worrisome, but smoking is always injurious to health. It increases the risk of many illnesses. So, effort should be always to cut down on smoking and it is best to avoid it. For more information consult a cardiologist online |
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Hello doctor,I found a very small dark spot on my thigh today. To the best of my recollection, I have never seen it before. Now, of course, I am thinking the worse and believe I have melanoma. I am olive-skinned.I have never had an issue with moles or dark spots before. My mom had a pre-cancerous growth removed from her face years ago and she is fine. She goes to her check-ups and applies sunscreen all the time. When I was a kid, I never saw my mom applying sunscreen. It was the 70\\s and it was just something we did not do. She just turned 76.I attached a photo. I am sure you will think it is something that should be looked at and so do I. I am going to make an appointment with a dermatologist. But I also suffer from health anxiety, depression and OCD so I am convinced it is melanoma and I am feeling very depressed right now.
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Hello. I have seen the pictures (attachment removed to protect patient identity). No, it is not melanoma. It is a normal nevus (benign). For your confirmation, you can go for an excisional biopsy of the lesion. Histopathology reports will confirm that the lesion is benign or malignant. Do not worry it is normal nevus due to melanosis (increase in melanin pigment). | Hello doctor,I found a very small dark spot on my thigh today. To the best of my recollection, I have never seen it before. Now, of course, I am thinking the worse and believe I have melanoma. I am olive-skinned.I have never had an issue with moles or dark spots before. My mom had a pre-cancerous growth removed from her face years ago and she is fine. She goes to her check-ups and applies sunscreen all the time. When I was a kid, I never saw my mom applying sunscreen. It was the 70\\s and it was just something we did not do. She just turned 76.I attached a photo. I am sure you will think it is something that should be looked at and so do I. I am going to make an appointment with a dermatologist. But I also suffer from health anxiety, depression and OCD so I am convinced it is melanoma and I am feeling very depressed right now. | Hello. I have seen the pictures (attachment removed to protect patient identity). No, it is not melanoma. It is a normal nevus (benign). For your confirmation, you can go for an excisional biopsy of the lesion. Histopathology reports will confirm that the lesion is benign or malignant. Do not worry it is normal nevus due to melanosis (increase in melanin pigment). |
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Hello doctor,I have been kneed really hard in the groin 10 days ago while playing basketball. The pain is more of an ache that does not last long. There was immediate swelling in my scrotum around the veins and arteries above my left testicle and some minor discomfort but continued to play. I had minor discomfort the next few days while swelling went down. There has been no discoloration. I have been able to go to the bathroom fine. There is now a pea size lump around or in the veins or arteries that causes minor pain when pressure is applied. It is firm but soft at the same time. What could this be? Should I see a urologist?
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Hello, Welcome to Chat Doctor forum. You have had a blunt trauma to your scrotum almost a week back and since then have had a decrease in the swelling and no urinary complaints which are good signs. Was there ever any blood in the urine immediately after the incident? From your description, it appears that what you have is a scrotal hematoma which is resolving gradually. So you need to worry. All you would need is some scrotal elevation which will ease pain and swelling. But I would still advise you to visit your urologist to make sure the pain is just in the scrotum and not involved the testes, which is not possible without a clinical exam. For more information consult a urologist online | Hello doctor,I have been kneed really hard in the groin 10 days ago while playing basketball. The pain is more of an ache that does not last long. There was immediate swelling in my scrotum around the veins and arteries above my left testicle and some minor discomfort but continued to play. I had minor discomfort the next few days while swelling went down. There has been no discoloration. I have been able to go to the bathroom fine. There is now a pea size lump around or in the veins or arteries that causes minor pain when pressure is applied. It is firm but soft at the same time. What could this be? Should I see a urologist? | Hello, Welcome to Chat Doctor forum. You have had a blunt trauma to your scrotum almost a week back and since then have had a decrease in the swelling and no urinary complaints which are good signs. Was there ever any blood in the urine immediately after the incident? From your description, it appears that what you have is a scrotal hematoma which is resolving gradually. So you need to worry. All you would need is some scrotal elevation which will ease pain and swelling. But I would still advise you to visit your urologist to make sure the pain is just in the scrotum and not involved the testes, which is not possible without a clinical exam. For more information consult a urologist online |
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Hi doctor,I had a dental examination and scaling done last week. After that, I had a very bad bitter or metallic taste in my mouth when I eat or drink along with a stinging sensation on my tongue. I also had sensitivity in my teeth. The only difference during this visit was an ultrasonic scaler was used, instead of manual scaling. I had never undergone scaling with an ultrasonic scaler before. The scaling was extremely uncomfortable. I had a bad taste in my mouth after scaling. But, it got worsened later in the evening when I tried to eat. Could this procedure have caused some nerve damage? Please help me. The next day, I also had a headache and felt nauseous after scaling. The bad taste, stinging sensation of the tongue and tooth sensitivity has got worsened badly. I have never experienced these problems after a scaling and a dental examination. I do not have any amalgam fillings. I have a history of sinus infections and TMJ pain.
### Response:
Hi, Welcome to Chat Doctor forum. Because of the irritation and vibrations of the ultrasonic scalers, sometimes, the salivary glands become hyperactive and secrete bicarbonate to counteract any acidic ion present in the mouth. Till now, you will be apprehensive. You can feel it. Do not get panic. Nerve damages never happen with scaling. In case, if you are taking fruits or ChatDoctor. For more information consult a dentist online | Hi doctor,I had a dental examination and scaling done last week. After that, I had a very bad bitter or metallic taste in my mouth when I eat or drink along with a stinging sensation on my tongue. I also had sensitivity in my teeth. The only difference during this visit was an ultrasonic scaler was used, instead of manual scaling. I had never undergone scaling with an ultrasonic scaler before. The scaling was extremely uncomfortable. I had a bad taste in my mouth after scaling. But, it got worsened later in the evening when I tried to eat. Could this procedure have caused some nerve damage? Please help me. The next day, I also had a headache and felt nauseous after scaling. The bad taste, stinging sensation of the tongue and tooth sensitivity has got worsened badly. I have never experienced these problems after a scaling and a dental examination. I do not have any amalgam fillings. I have a history of sinus infections and TMJ pain. | Hi, Welcome to Chat Doctor forum. Because of the irritation and vibrations of the ultrasonic scalers, sometimes, the salivary glands become hyperactive and secrete bicarbonate to counteract any acidic ion present in the mouth. Till now, you will be apprehensive. You can feel it. Do not get panic. Nerve damages never happen with scaling. In case, if you are taking fruits or ChatDoctor. For more information consult a dentist online |
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Hi doctor,I am a 63-year-old female. I started getting flashes in the right eye a couple of days ago, and now have a floater in the shape of the flashes. I was not too worried. But today flashes have started up again in the same area. Given the pandemic, eye doctors are only open for emergency care, and I really do not want to get exposed. At what point is this situation an emergency?I am currently on estrogen patch, Sertraline, and Nexium.
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Hello, Welcome to Chat Doctor forum. Flashes can signify many conditions affecting the inner layers of the eye starting with the vitreous (the gel structure pressing down the retina - in high myopes it is usually dissociated) where floaters are usually located. If you have high blood pressure or diabetes, elements of blood can form in that space and start floating (floaters). The way to detect if it is in the vitreous is to look sideways and if the floater follows the motion of the eye (slowly in the same direction) then it is in the vitreous and does not require quick intervention. If the distortion is in the same position in whatever direction you look then we are talking about the retina and retinal detachment which should be urgently excluded. If you are seeing a halo around the source of light then your eye pressure might be increased and requires urgent attention. | Hi doctor,I am a 63-year-old female. I started getting flashes in the right eye a couple of days ago, and now have a floater in the shape of the flashes. I was not too worried. But today flashes have started up again in the same area. Given the pandemic, eye doctors are only open for emergency care, and I really do not want to get exposed. At what point is this situation an emergency?I am currently on estrogen patch, Sertraline, and Nexium. | Hello, Welcome to Chat Doctor forum. Flashes can signify many conditions affecting the inner layers of the eye starting with the vitreous (the gel structure pressing down the retina - in high myopes it is usually dissociated) where floaters are usually located. If you have high blood pressure or diabetes, elements of blood can form in that space and start floating (floaters). The way to detect if it is in the vitreous is to look sideways and if the floater follows the motion of the eye (slowly in the same direction) then it is in the vitreous and does not require quick intervention. If the distortion is in the same position in whatever direction you look then we are talking about the retina and retinal detachment which should be urgently excluded. If you are seeing a halo around the source of light then your eye pressure might be increased and requires urgent attention. |
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Hi doctor,I am a 26 year old male. My height is 5\\8\" and weight is 75 kg. For two weeks, I have been having a lot of gas and burping without any other discomfort. Due to my tough work schedule in the last week I slept only 3 to 4 hours every day. Now from the last four days, I am feeling pressure and pain in my upper neck muscles just below the head. Also, my head is feeling heavy and I have slight ear pressure in my right ear. I had some difficulty in breathing, but it was fine after I had burps and removed the gas from my body. My BP is 130/100 mmHg on average, which was 135/110 mmHg on the first day of the headaches. It has been one day that I started taking Capoten 25 mg. Even after taking complete bed rest for two days, still I have neck pain and gas problem. Kindly please advice on the matter. Also, what should I do now?
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Hi, Welcome to Chat Doctor forum. I have understood your problem and must say that it is quite a common complaint to my clinic. Sleep deprivation and increased physical stress. Acute otitis media. GERD (gastroesophageal reflux disease). PPI and antihistamine. Avoid sleep deprivation. | Hi doctor,I am a 26 year old male. My height is 5\\8\" and weight is 75 kg. For two weeks, I have been having a lot of gas and burping without any other discomfort. Due to my tough work schedule in the last week I slept only 3 to 4 hours every day. Now from the last four days, I am feeling pressure and pain in my upper neck muscles just below the head. Also, my head is feeling heavy and I have slight ear pressure in my right ear. I had some difficulty in breathing, but it was fine after I had burps and removed the gas from my body. My BP is 130/100 mmHg on average, which was 135/110 mmHg on the first day of the headaches. It has been one day that I started taking Capoten 25 mg. Even after taking complete bed rest for two days, still I have neck pain and gas problem. Kindly please advice on the matter. Also, what should I do now? | Hi, Welcome to Chat Doctor forum. I have understood your problem and must say that it is quite a common complaint to my clinic. Sleep deprivation and increased physical stress. Acute otitis media. GERD (gastroesophageal reflux disease). PPI and antihistamine. Avoid sleep deprivation. |
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Hi doctor,My baby is 1 year and 10 months old. Two weeks ago, she had severe diarrhea and around her thighs and around her genitals, there was inflammation. The doctor says that because diarrhea is a type of virus and inflammation of the fungus. The doctor prescribed Clotrimazole and burns ointment and Yomogi. Two days later, fever started and in the body, eruptions that were in the form of fungus were released, that caused itching. The apparent shape of the grain is juicy. This time the doctor prescribed Triamcinolone ointment and syrup Amoxyclav and Hydroxyzine. According to the doctor, this virus is contagious.
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Hi, Welcome to ChatDoctor. I have read your question in detail and I know that you are very concerned about your child but do not worry. By what you quote it seems that your child probably has got acute gastroenteritis with inflammation at thighs and scrotal region. In my opinion, you should give syrup Ofloxacin (5 ml = 50 mg) 2.5 ml two times a day for three days and apply a Zinc Oxide cream like Rashfree cream for five days. If no improvement in 24 hours, then do a stool routine microscopy test to confirm the diagnosis. This is not viral as fever and diarrhea have been for more than 3 days. Review after 2 days. | Hi doctor,My baby is 1 year and 10 months old. Two weeks ago, she had severe diarrhea and around her thighs and around her genitals, there was inflammation. The doctor says that because diarrhea is a type of virus and inflammation of the fungus. The doctor prescribed Clotrimazole and burns ointment and Yomogi. Two days later, fever started and in the body, eruptions that were in the form of fungus were released, that caused itching. The apparent shape of the grain is juicy. This time the doctor prescribed Triamcinolone ointment and syrup Amoxyclav and Hydroxyzine. According to the doctor, this virus is contagious. | Hi, Welcome to ChatDoctor. I have read your question in detail and I know that you are very concerned about your child but do not worry. By what you quote it seems that your child probably has got acute gastroenteritis with inflammation at thighs and scrotal region. In my opinion, you should give syrup Ofloxacin (5 ml = 50 mg) 2.5 ml two times a day for three days and apply a Zinc Oxide cream like Rashfree cream for five days. If no improvement in 24 hours, then do a stool routine microscopy test to confirm the diagnosis. This is not viral as fever and diarrhea have been for more than 3 days. Review after 2 days. |
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Hello doctor,I am a 34-year-old female. 5\\4\" 130 lbs. I discontinued my Depo-Provera when my shot was before seven months. Before three months, I had a lot of discomforts and went to urgent care with suspected UTI. UTI came back negative, after the ultrasound, doctors confirmed I was likely close to ovulating and should expect the first period in about two weeks.Before two months, I had very light pink, then very light brown discharge when I wiped after urinating, but no period. Since then, I have had pelvic pressure, ache, nausea, dizziness, headache consistently. I do have one child. The discharge and other symptoms were consistent with my last pregnancy, but tests so far have come back negative. My husband and I are not preventing pregnancy. Is this a hormonal imbalance that needs treatment or possibly ovarian cysts? Consistently dry heaving at work has become very bothersome, and symptoms do not seem to be lessening.
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Hello. As you have been on progesterones in the form of depot Provera for years and have discontinued for four months and had little with ChatDoctor. But this scenario of menses being delayed and often taking 3-5 months post depot Provera stoppage is a common side effect of prolonging depot usage. You can opt for a with Take care. | Hello doctor,I am a 34-year-old female. 5\\4\" 130 lbs. I discontinued my Depo-Provera when my shot was before seven months. Before three months, I had a lot of discomforts and went to urgent care with suspected UTI. UTI came back negative, after the ultrasound, doctors confirmed I was likely close to ovulating and should expect the first period in about two weeks.Before two months, I had very light pink, then very light brown discharge when I wiped after urinating, but no period. Since then, I have had pelvic pressure, ache, nausea, dizziness, headache consistently. I do have one child. The discharge and other symptoms were consistent with my last pregnancy, but tests so far have come back negative. My husband and I are not preventing pregnancy. Is this a hormonal imbalance that needs treatment or possibly ovarian cysts? Consistently dry heaving at work has become very bothersome, and symptoms do not seem to be lessening. | Hello. As you have been on progesterones in the form of depot Provera for years and have discontinued for four months and had little with ChatDoctor. But this scenario of menses being delayed and often taking 3-5 months post depot Provera stoppage is a common side effect of prolonging depot usage. You can opt for a with Take care. |
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Hello doctor, I had unprotected anal sex with the neighbor lady before three years, and after a week I got jaundice, and it suffered around one month, and I got treatment with some ayurvedic medicines and got relief. Then around three months later I tested for hepatitis B and C both, but the result was negative, but in LFT test my bilirubin was a little high, and I got a fatty liver grade one by the doctor. So I have the following questions that, 1. Can I get infected with hepatitis B and C in the future? 2. How can I overcome with high bilirubin? 3. My digestive system is also not as good as previous. 4. Will I suffer from any sexual infection in the future.
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Hello doctor, A negative test for hepatitis B and C, three months after that unprotected anal sex rules these out as a cause for your hepatitis. Perhaps it was another cause for hepatitis, may be hepatitis A which is transmitted through contaminated food rather than by sex. Hepatitis B and C are transmitted through unprotected sex or blood, e.g. transfusion or sharing needles. So, these scenarios can pose a risk of hepatitis. For raised bilirubin, I suggest you consult a physician kindly. I also suggest you screen for hepatitis A. STDs can happen if you indulge in unprotected sex or sex with partners with high-risk behavior. | Hello doctor, I had unprotected anal sex with the neighbor lady before three years, and after a week I got jaundice, and it suffered around one month, and I got treatment with some ayurvedic medicines and got relief. Then around three months later I tested for hepatitis B and C both, but the result was negative, but in LFT test my bilirubin was a little high, and I got a fatty liver grade one by the doctor. So I have the following questions that, 1. Can I get infected with hepatitis B and C in the future? 2. How can I overcome with high bilirubin? 3. My digestive system is also not as good as previous. 4. Will I suffer from any sexual infection in the future. | Hello doctor, A negative test for hepatitis B and C, three months after that unprotected anal sex rules these out as a cause for your hepatitis. Perhaps it was another cause for hepatitis, may be hepatitis A which is transmitted through contaminated food rather than by sex. Hepatitis B and C are transmitted through unprotected sex or blood, e.g. transfusion or sharing needles. So, these scenarios can pose a risk of hepatitis. For raised bilirubin, I suggest you consult a physician kindly. I also suggest you screen for hepatitis A. STDs can happen if you indulge in unprotected sex or sex with partners with high-risk behavior. |
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Hi doctor,I am 50 years old female, went through menopause but otherwise I am healthy. There is a problem with my nails. Out of 10 nails, six nails have one-third of the nails separated from the nail beds, with a v shape, looking white underneath, rest of the nails are looking pinkish pale. The nails are painless unless I press them hard. All the nails have some ridges. I kept my nails short with no polish for over five weeks. My fingers felt dry with mild skin peeling after a travel. Currently, I have a mild skin eczema. I also had seborrheic dermatitis in my scalp a few years ago. But it is under control with special shampoo treatment. I had one fingernail with a similar problem but it was in a milder condition. I thought it was nail fungal. I used Mometasone furoate 0.1 % cream for my skin eczema. It cleared up when my nails grew. I have an allergy to pollen.
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Hi. I have gone through your attachment (attachment removed to protect patient identity). You seem to have a condition known as onycholysis, which is characterized by the separation of the nail from its nail bed. Causes could be either a fungal infection (onychomycosis) or underlying skin eczemas like psoriasis. For more information consult a dermatologist online Take care. | Hi doctor,I am 50 years old female, went through menopause but otherwise I am healthy. There is a problem with my nails. Out of 10 nails, six nails have one-third of the nails separated from the nail beds, with a v shape, looking white underneath, rest of the nails are looking pinkish pale. The nails are painless unless I press them hard. All the nails have some ridges. I kept my nails short with no polish for over five weeks. My fingers felt dry with mild skin peeling after a travel. Currently, I have a mild skin eczema. I also had seborrheic dermatitis in my scalp a few years ago. But it is under control with special shampoo treatment. I had one fingernail with a similar problem but it was in a milder condition. I thought it was nail fungal. I used Mometasone furoate 0.1 % cream for my skin eczema. It cleared up when my nails grew. I have an allergy to pollen. | Hi. I have gone through your attachment (attachment removed to protect patient identity). You seem to have a condition known as onycholysis, which is characterized by the separation of the nail from its nail bed. Causes could be either a fungal infection (onychomycosis) or underlying skin eczemas like psoriasis. For more information consult a dermatologist online Take care. |
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Hi doctor,Please explain about the things that are toxic to humans in their day to day life. How do they affect the health? Please advise.
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Hi, Welcome to Chat Doctor forum. Detergents contain hazardous chemicals that irritate the skin and cause eczema. Some individuals who are prone to allergy, also get contact dermatitis. They also cause damage to the mucosal lining of the gastrointestinal tract when they are ingested. Detergents contain phenol. The skin absorbs them quickly, and they result in a renal and hepatic dysfunction for a long term. Perfumes or body sprays contain hazardous compounds. When they are inhaled, they irritate the delicate mucosal surfaces of the respiratory tract, and they result in asthma and allergic rhinitis in some individuals. Certain compounds in perfumes can also cause a headache. Processed foods like sausages are harmful to the digestive system, and when they are ingested for an extended period, they result in colon cancer. Processed meats are said to be carcinogenic. Canned food also contain chemicals that are carcinogenic. Canned foods which are rich in fructose also cause hepatotoxicity. Foods rich in trans fat predispose to atherosclerosis. Air fresheners that contain artificial fragrance can irritate the eyes and cause inflammation. It can also cause asthma due to chronic inhalation of phthalates present in these compounds. These hazardous fumes when readily inhaled cause lung parenchymal diseases in the long term. Some may affect the reproductive functions also. | Hi doctor,Please explain about the things that are toxic to humans in their day to day life. How do they affect the health? Please advise. | Hi, Welcome to Chat Doctor forum. Detergents contain hazardous chemicals that irritate the skin and cause eczema. Some individuals who are prone to allergy, also get contact dermatitis. They also cause damage to the mucosal lining of the gastrointestinal tract when they are ingested. Detergents contain phenol. The skin absorbs them quickly, and they result in a renal and hepatic dysfunction for a long term. Perfumes or body sprays contain hazardous compounds. When they are inhaled, they irritate the delicate mucosal surfaces of the respiratory tract, and they result in asthma and allergic rhinitis in some individuals. Certain compounds in perfumes can also cause a headache. Processed foods like sausages are harmful to the digestive system, and when they are ingested for an extended period, they result in colon cancer. Processed meats are said to be carcinogenic. Canned food also contain chemicals that are carcinogenic. Canned foods which are rich in fructose also cause hepatotoxicity. Foods rich in trans fat predispose to atherosclerosis. Air fresheners that contain artificial fragrance can irritate the eyes and cause inflammation. It can also cause asthma due to chronic inhalation of phthalates present in these compounds. These hazardous fumes when readily inhaled cause lung parenchymal diseases in the long term. Some may affect the reproductive functions also. |
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Hello doctor,I am having tooth pain, and I am not sure what the cause is. I do have a cavity on the top row beside my front tooth, but would that affect my bottom teeth too? The pain feels like a dull pressure, so maybe it is the wisdom teeth? I am 18, so I suppose it is possible, but I do not have insurance or the money to figure out any solutions.My teeth have started hurting more since I started brushing them more often. I only brush in the morning and at night, but I brush for about five minutes each time. Could that be bothering my teeth, and the cavities I already have? Also, I have a tooth in the back left where one-fourth of it just broke off while eating, so now it is just a sensitive hole, so maybe that has something to do with it?
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Hi, Welcome to Chat Doctor forum. Your teeth look fine in the picture (attachment removed to protect patient identity), but I suggest you get an appointment with a dentist and get to know what is causing you the pain. Is it the wisdom tooth or the broken tooth or any other tooth having a cavity or is it just a sensitivity. It can be confirmed by a dentist, that too after checking out an X-ray. Rather than worrying, better have a dentist appointment soon. For more information consult a dentist online | Hello doctor,I am having tooth pain, and I am not sure what the cause is. I do have a cavity on the top row beside my front tooth, but would that affect my bottom teeth too? The pain feels like a dull pressure, so maybe it is the wisdom teeth? I am 18, so I suppose it is possible, but I do not have insurance or the money to figure out any solutions.My teeth have started hurting more since I started brushing them more often. I only brush in the morning and at night, but I brush for about five minutes each time. Could that be bothering my teeth, and the cavities I already have? Also, I have a tooth in the back left where one-fourth of it just broke off while eating, so now it is just a sensitive hole, so maybe that has something to do with it? | Hi, Welcome to Chat Doctor forum. Your teeth look fine in the picture (attachment removed to protect patient identity), but I suggest you get an appointment with a dentist and get to know what is causing you the pain. Is it the wisdom tooth or the broken tooth or any other tooth having a cavity or is it just a sensitivity. It can be confirmed by a dentist, that too after checking out an X-ray. Rather than worrying, better have a dentist appointment soon. For more information consult a dentist online |
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Hi doctor,My issue is that around six months before I started getting tinnitus in both my ears. A month later, I had an MRI and a couple of neurologists said that the MRI is fine. I was referred to an ENT doctor. One ENT doctor said that all is fine after several audiography tests. Now, three weeks before, I started getting giddiness and the tinnitus continues the whole day in both ears. I went to another ENT specialist. He is of the opinion that my MRI might be read by a well known neuro radiologist. I am sending my MRI image herewith for your perusal. I am a 65 year old male. I am neither diabetic nor hypertensive. I am a vegetarian with no smoking and drinking habit. Please look into my MRI and give your opinion.
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Hi. Your MRI looks grossly normal. In an unexplained tinnitus like this, you need further investigations to rule out two rare conditions, jugular bulb abnormalities and sigmoid sinus diverticulum (sinus wall abnormality). You will require high resolution CT of the temporal bone to look for any bony abnormalities. Another possibility is dural arteriovenousfistula dAVF; however, MRI does not show any evidence for this. You will need cerebral DSA (digital subtraction angiography) for excluding this condition because of tinnitus. The same test will also identify jugular vein and sigmoid sinus problems. | Hi doctor,My issue is that around six months before I started getting tinnitus in both my ears. A month later, I had an MRI and a couple of neurologists said that the MRI is fine. I was referred to an ENT doctor. One ENT doctor said that all is fine after several audiography tests. Now, three weeks before, I started getting giddiness and the tinnitus continues the whole day in both ears. I went to another ENT specialist. He is of the opinion that my MRI might be read by a well known neuro radiologist. I am sending my MRI image herewith for your perusal. I am a 65 year old male. I am neither diabetic nor hypertensive. I am a vegetarian with no smoking and drinking habit. Please look into my MRI and give your opinion. | Hi. Your MRI looks grossly normal. In an unexplained tinnitus like this, you need further investigations to rule out two rare conditions, jugular bulb abnormalities and sigmoid sinus diverticulum (sinus wall abnormality). You will require high resolution CT of the temporal bone to look for any bony abnormalities. Another possibility is dural arteriovenousfistula dAVF; however, MRI does not show any evidence for this. You will need cerebral DSA (digital subtraction angiography) for excluding this condition because of tinnitus. The same test will also identify jugular vein and sigmoid sinus problems. |
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Hi doctor,I had a little bit of itching on the foreskin. I had sex with my partner, and I used a condom. After the first ejaculation, I used the second condom. I started to have pain in the penis after the first ejaculation. But still, I went for the second one. After several strokes, when I was not able to ejaculate, I ended up. After removing the condom, I saw red dots on my urethral opening and glans. It was paining a lot.The next day, the dots were no more. But my foreskin had pain. Now, after three days, after sex, my foreskin is dry, and some part of the skin is peeling off. I am unable to take the foreskin back. While retaking it, it pains a lot. My urethral opening is always dry. There is no problem on my penis shaft, and my foreskin is dry. My partner is not having a problem. What can I do? Is this a serious problem? Please suggest me a solution.
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Hi. You have developed an allergy to latex. You have developed redness and pain while using a condom. This is probably a hypersensitive reaction to the condom. As you have ChatDoctor. The problem is not severe, and this will become fine within a few days. Take care. | Hi doctor,I had a little bit of itching on the foreskin. I had sex with my partner, and I used a condom. After the first ejaculation, I used the second condom. I started to have pain in the penis after the first ejaculation. But still, I went for the second one. After several strokes, when I was not able to ejaculate, I ended up. After removing the condom, I saw red dots on my urethral opening and glans. It was paining a lot.The next day, the dots were no more. But my foreskin had pain. Now, after three days, after sex, my foreskin is dry, and some part of the skin is peeling off. I am unable to take the foreskin back. While retaking it, it pains a lot. My urethral opening is always dry. There is no problem on my penis shaft, and my foreskin is dry. My partner is not having a problem. What can I do? Is this a serious problem? Please suggest me a solution. | Hi. You have developed an allergy to latex. You have developed redness and pain while using a condom. This is probably a hypersensitive reaction to the condom. As you have ChatDoctor. The problem is not severe, and this will become fine within a few days. Take care. |
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Hello doctor,My wife got scanned her thyroid by a novice user just for training purposes. She has been scanned in the hospital before, as part of an assessment of an autoinflammatory disease. At this time, they found a thyroid nodule (~12 mm) but no further investigation, as it seemed benign. Now, at the training scan, we observed the nodule had changed in shape, size, and it looks like there are some microcalcifications. But we are not the experts. We noticed it has changed. Could you give your second opinion on the attached images?
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Hello. According to the american college of radiology thyroid imaging reporting and data systems (TIRADS), the nodule falls under category TR4, which defines it as moderately suspicious. However, as you mentioned, there is a change in morphology with the development of microcalcifications. Microcalcifications are the feature of papillary carcinoma of the thyroid, and therefore, it is essential to rule out that for which a fine needle aspiration cytology and biopsy (FNAC-FNAB) is recommended. Further, I would like to know if any necrotic neck nodes were detected. Let me know the results. I hope and pray that the nodule turns out to be benign and not malignant. FNAC-FNABUltrasound guided fine needle aspiration cytology and biopsy. Papillary carcinoma of thyroid and benign colloid nodule. | Hello doctor,My wife got scanned her thyroid by a novice user just for training purposes. She has been scanned in the hospital before, as part of an assessment of an autoinflammatory disease. At this time, they found a thyroid nodule (~12 mm) but no further investigation, as it seemed benign. Now, at the training scan, we observed the nodule had changed in shape, size, and it looks like there are some microcalcifications. But we are not the experts. We noticed it has changed. Could you give your second opinion on the attached images? | Hello. According to the american college of radiology thyroid imaging reporting and data systems (TIRADS), the nodule falls under category TR4, which defines it as moderately suspicious. However, as you mentioned, there is a change in morphology with the development of microcalcifications. Microcalcifications are the feature of papillary carcinoma of the thyroid, and therefore, it is essential to rule out that for which a fine needle aspiration cytology and biopsy (FNAC-FNAB) is recommended. Further, I would like to know if any necrotic neck nodes were detected. Let me know the results. I hope and pray that the nodule turns out to be benign and not malignant. FNAC-FNABUltrasound guided fine needle aspiration cytology and biopsy. Papillary carcinoma of thyroid and benign colloid nodule. |
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Hi doctor,I am a 20-year-old male. A few months ago I noticed a small lump on my skin directly on my tailbone. I picked it and it formed into a small dent. I did not think anything of it but for the past one week the same dent has become inflamed on the outer edge and extremely painful to touch. I struggle to get up when I sit down as it is painful. When I touch it after standing up it feels wet.I have just asked my partner to look at it (as I cannot see for myself) and I gently opened my cheeks. She told me that a thick white pus substance was coming out in large amounts. I felt again and when I looked at my hands a small amount of white pus was on my nail. Whenever I have an infection in a scab my pus usually turns out to be a yellowish-white or a yellow color so I am quite worried. This color is not normal for me. Please help.
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Hi, Welcome to Chat Doctor forum. From your description, you could be suffering from a pilonidal sinus or cyst. Color of pus, yellow or white is not of great concern. What can be concerning is a large amount of pus. Kindly try to quantify it, may be in ChatDoctor. It is a disease of young men, mostly hairy and sedentary lifestyles. Professional | Hi doctor,I am a 20-year-old male. A few months ago I noticed a small lump on my skin directly on my tailbone. I picked it and it formed into a small dent. I did not think anything of it but for the past one week the same dent has become inflamed on the outer edge and extremely painful to touch. I struggle to get up when I sit down as it is painful. When I touch it after standing up it feels wet.I have just asked my partner to look at it (as I cannot see for myself) and I gently opened my cheeks. She told me that a thick white pus substance was coming out in large amounts. I felt again and when I looked at my hands a small amount of white pus was on my nail. Whenever I have an infection in a scab my pus usually turns out to be a yellowish-white or a yellow color so I am quite worried. This color is not normal for me. Please help. | Hi, Welcome to Chat Doctor forum. From your description, you could be suffering from a pilonidal sinus or cyst. Color of pus, yellow or white is not of great concern. What can be concerning is a large amount of pus. Kindly try to quantify it, may be in ChatDoctor. It is a disease of young men, mostly hairy and sedentary lifestyles. Professional |
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Hi doctor,I am 21 years old. Before two years, I went to a dermatologist for my acne problem. He prescribed me Ziana. It helped for about three to four months. I used it for a year. I still have acne. But it got worse. I use PanOxyl at night with acne free toner and a cleanser in the morning. I want to have good results. I am having acne problem for about six years. Recently, it has got worse now. I have large multiple white and blackheads on the cheek, chin, and jawline. Please help.
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Hi. It can be acne vulgaris, seborrhea, or it can be due to hormonal imbalance. You should use Benzoyl peroxide 2.5 percent gel in the morning over the affected areas and continue with Ziana (Clindamycin and Tretinoin) at night. Since your acne is not getting controlled by the topical application, I recommend you go for oral treatment. You can start with a course of tablet Azithromycin 500 mg on three consecutive days in a week for four to six weeks. It will help you by keeping your face ChatDoctor. Avoid applying cream or moisturizer. Avoid oiling the scalp and reduce taking sugary foods. I hope these measures will help you. Revert me after six weeks. Take care. | Hi doctor,I am 21 years old. Before two years, I went to a dermatologist for my acne problem. He prescribed me Ziana. It helped for about three to four months. I used it for a year. I still have acne. But it got worse. I use PanOxyl at night with acne free toner and a cleanser in the morning. I want to have good results. I am having acne problem for about six years. Recently, it has got worse now. I have large multiple white and blackheads on the cheek, chin, and jawline. Please help. | Hi. It can be acne vulgaris, seborrhea, or it can be due to hormonal imbalance. You should use Benzoyl peroxide 2.5 percent gel in the morning over the affected areas and continue with Ziana (Clindamycin and Tretinoin) at night. Since your acne is not getting controlled by the topical application, I recommend you go for oral treatment. You can start with a course of tablet Azithromycin 500 mg on three consecutive days in a week for four to six weeks. It will help you by keeping your face ChatDoctor. Avoid applying cream or moisturizer. Avoid oiling the scalp and reduce taking sugary foods. I hope these measures will help you. Revert me after six weeks. Take care. |
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Hello doctor,I have pain in my left side of the chest and under armpit from the last one week. My EKG report is clear but my resting heart rate is always 50 to 60 bpm. During running, my heart rate is 100 to 130 and during walking, it is 70 to 90 bpm. My blood pressure is 100/70 mm/Hg. My age is 27 years. I am single, non-smoker, and do not consume alcohol. What reason can cause my left-sided chest pain and low heart rate?
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Hello, Welcome to Chat Doctor forum. I passed carefully through your question and would explain that your symptoms do not seem to be related to any cardiac issues. Considering your age and the fact that you have no cardiovascular risk factors there is nothing to worry about your heart. Your heart rate and blood pressure fluctuations are quite normal during physical activity and do not indicate any serious cardiac condition. Costochon ChatDoctor. Anxiety may also trigger this clinical situation. I would recommend using painkillers. If the pain persists, I recommend performing a chest X-ray study, a cervical spine X-ray study, complete blood count, PCR (polymerase chain reaction), ESR (erythrocyte sedimentation rate) for inflammation. For more information consult a cardiologist online | Hello doctor,I have pain in my left side of the chest and under armpit from the last one week. My EKG report is clear but my resting heart rate is always 50 to 60 bpm. During running, my heart rate is 100 to 130 and during walking, it is 70 to 90 bpm. My blood pressure is 100/70 mm/Hg. My age is 27 years. I am single, non-smoker, and do not consume alcohol. What reason can cause my left-sided chest pain and low heart rate? | Hello, Welcome to Chat Doctor forum. I passed carefully through your question and would explain that your symptoms do not seem to be related to any cardiac issues. Considering your age and the fact that you have no cardiovascular risk factors there is nothing to worry about your heart. Your heart rate and blood pressure fluctuations are quite normal during physical activity and do not indicate any serious cardiac condition. Costochon ChatDoctor. Anxiety may also trigger this clinical situation. I would recommend using painkillers. If the pain persists, I recommend performing a chest X-ray study, a cervical spine X-ray study, complete blood count, PCR (polymerase chain reaction), ESR (erythrocyte sedimentation rate) for inflammation. For more information consult a cardiologist online |
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Hello doctor,My father had a kidney transplant for three years. His health condition was good until last year, but for the past seven months, he started getting a fever for every 15 days. They have taken his full body tests twice in these six months, and everything seems to be fine, but the fever is continuing for every 15 to 20 days. Please help us how to know the reason and rectify it?
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Hello, Welcome to Chat Doctor forum. Kidney transplant patients are one medication that weakens the immune system of the body. This increased the risk of catching any infection. Plus there is a chance of reduction in white cell count due to the same medication. That is why I suggest you do the following. 1) Blood complete picture, this will show if you have low or high white cell count and might also give an idea to the type of infection like bacterial or viral. 2) Blood or urine culture to identify quickly any possible infections. 3) Chest X-ray to see if there is any chance of infection. 4) ChatDoctor. If it is more, they may require a reduction in dose. 5) Doctors checkup will help identify any places where infection could have started like chest abdomen throat etc. I hope this answers the question. In case you have any further questions then feel free to contact in writing. | Hello doctor,My father had a kidney transplant for three years. His health condition was good until last year, but for the past seven months, he started getting a fever for every 15 days. They have taken his full body tests twice in these six months, and everything seems to be fine, but the fever is continuing for every 15 to 20 days. Please help us how to know the reason and rectify it? | Hello, Welcome to Chat Doctor forum. Kidney transplant patients are one medication that weakens the immune system of the body. This increased the risk of catching any infection. Plus there is a chance of reduction in white cell count due to the same medication. That is why I suggest you do the following. 1) Blood complete picture, this will show if you have low or high white cell count and might also give an idea to the type of infection like bacterial or viral. 2) Blood or urine culture to identify quickly any possible infections. 3) Chest X-ray to see if there is any chance of infection. 4) ChatDoctor. If it is more, they may require a reduction in dose. 5) Doctors checkup will help identify any places where infection could have started like chest abdomen throat etc. I hope this answers the question. In case you have any further questions then feel free to contact in writing. |
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Hello doctor,I am 18 (unmarried) and I have missed my periods on first two days and I suppose I might be pregnant (unplanned) as I am not having any symptoms of my monthly periods. Me and my fiance had a pullout in 6-10 seconds after he inserted the penis in vagina but there was just a pre-cum which he had already wipped away and there was no ejaculation taken place (sure). Is it a sign of pregnancy? Can I consult a Gynecologist alone without parents or guardian? Can I terminate the pregnancy by medication as it has been only 6 days? What should I expect? Please help, I am stressed.
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Hello, Welcome to Chat Doctor forum. Please do not get worried or panicked. Get a beta hCG test done. It is a blood test to confirm pregnancy. A value less than 5 means you are not pregnant. Even if it is positive, you do not need to worry. You can get it terminated by medicines (You will need to get an USG done first). You can visit a gynecologist without parents and your privacy will be respected. Please make sure you visit a qualified gynecologist and do not visit quack out of social fear. Gynecologists are professional and will not meddle in your private life and will help you get rid of pregnancy without risk to your life. | Hello doctor,I am 18 (unmarried) and I have missed my periods on first two days and I suppose I might be pregnant (unplanned) as I am not having any symptoms of my monthly periods. Me and my fiance had a pullout in 6-10 seconds after he inserted the penis in vagina but there was just a pre-cum which he had already wipped away and there was no ejaculation taken place (sure). Is it a sign of pregnancy? Can I consult a Gynecologist alone without parents or guardian? Can I terminate the pregnancy by medication as it has been only 6 days? What should I expect? Please help, I am stressed. | Hello, Welcome to Chat Doctor forum. Please do not get worried or panicked. Get a beta hCG test done. It is a blood test to confirm pregnancy. A value less than 5 means you are not pregnant. Even if it is positive, you do not need to worry. You can get it terminated by medicines (You will need to get an USG done first). You can visit a gynecologist without parents and your privacy will be respected. Please make sure you visit a qualified gynecologist and do not visit quack out of social fear. Gynecologists are professional and will not meddle in your private life and will help you get rid of pregnancy without risk to your life. |
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Hello doctor,I had a teeth whitening at the dentist office which was done with a light and some paste put on my teeth. The light was on for 10 minutes and then new paste was added. This was done three times. The Dentist then confirmed that the process was successful and the teeth became 3 to 4 shades whiter. After the procedure, I noticed that the surface of my teeth felt rough. My dentist told that it is normal and all teeth will become smooth like before after a few days. It has been now five days and I have not noticed any difference, my teeth are still rough from the surface. Should I be worried, or how long (days) this effect can last? I believe it is due to enamel dehydration.
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Hello. This roughness will go eventually. In some people, it goes in a week or in two depending upon the tooth quality. Do not worry, just make sure you maintain your oral hygiene properly. And if it does not go, well, then I would suggest you visit your dentist once again because the treatment you had is bleaching in which chemicals are used and then the dentist will help you to correct. But at least give it time like one more week to get smooth surface again. After cleaning and whitening, it is normal to have a rough surface due to removing dirt from the teeth. For more information consult a dentist online | Hello doctor,I had a teeth whitening at the dentist office which was done with a light and some paste put on my teeth. The light was on for 10 minutes and then new paste was added. This was done three times. The Dentist then confirmed that the process was successful and the teeth became 3 to 4 shades whiter. After the procedure, I noticed that the surface of my teeth felt rough. My dentist told that it is normal and all teeth will become smooth like before after a few days. It has been now five days and I have not noticed any difference, my teeth are still rough from the surface. Should I be worried, or how long (days) this effect can last? I believe it is due to enamel dehydration. | Hello. This roughness will go eventually. In some people, it goes in a week or in two depending upon the tooth quality. Do not worry, just make sure you maintain your oral hygiene properly. And if it does not go, well, then I would suggest you visit your dentist once again because the treatment you had is bleaching in which chemicals are used and then the dentist will help you to correct. But at least give it time like one more week to get smooth surface again. After cleaning and whitening, it is normal to have a rough surface due to removing dirt from the teeth. For more information consult a dentist online |
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Hello doctor,I am 33 weeks pregnant. In my previous pregnancy, I had a c section at 33 weeks as my water broke. Presently, I am taking Aspirin tablets daily. My doctor prescribed it. But I have a doubt that will it cause excessive bleeding in my delivery? As I am near to delivery is it safe to take these tablets?I am currently taking Ecospirin 150 mg, Diamet Metformin 500 mg, Orotate 3D, Folsafe D, Wysolone 5 mg, and Iron tablets.
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Hello, Welcome to Chat Doctor forum. I totally understand your concern, but please do not be stressed. All you need right now is to relax, keep calm, and take some rest. Yes, Ecosporin is totally safe during pregnancy, and mostly your gynecologist will continue it until 36 weeks at least. But I would like to know the reason for starting Ecosporin and also the steroids ( Wysolone) because you have not mentioned it (could be related to previous pregnancy events which need to be known in detail). And also if you go into labor you can stop it then, the effect usually does not last more than a day, and the dose that is given in pregnancy is very low. So definitely there is not much risk of bleeding. I hope this helps. | Hello doctor,I am 33 weeks pregnant. In my previous pregnancy, I had a c section at 33 weeks as my water broke. Presently, I am taking Aspirin tablets daily. My doctor prescribed it. But I have a doubt that will it cause excessive bleeding in my delivery? As I am near to delivery is it safe to take these tablets?I am currently taking Ecospirin 150 mg, Diamet Metformin 500 mg, Orotate 3D, Folsafe D, Wysolone 5 mg, and Iron tablets. | Hello, Welcome to Chat Doctor forum. I totally understand your concern, but please do not be stressed. All you need right now is to relax, keep calm, and take some rest. Yes, Ecosporin is totally safe during pregnancy, and mostly your gynecologist will continue it until 36 weeks at least. But I would like to know the reason for starting Ecosporin and also the steroids ( Wysolone) because you have not mentioned it (could be related to previous pregnancy events which need to be known in detail). And also if you go into labor you can stop it then, the effect usually does not last more than a day, and the dose that is given in pregnancy is very low. So definitely there is not much risk of bleeding. I hope this helps. |
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Hi doctor,I am suffering from nasal blockage for the past 1.5 months. Generally, I have cold and cough problems from past 10 to 12 years, which becomes worse during the weather change. Earlier, I had breathing problem, but have been experiencing nose blockage now. The nose will be blocked from both the sides during the day if I sit in AC room. I feel better if I keep moving or stay in a warm room. The doctor has suggested me to go for surgery. So, I wanted to check if surgery is the only option or can it be treated with medication. Also, I wanted to know if I go for surgery, then what are the risks involved.
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Hi. An ENT doctor would have advised you to undergo endoscopic sinus surgery and septoplasty. Surgery is the treatment of choice , because your problem seems to be chronic (from longer duration). If you do not want surgery, then you can take nasal spray (a combination of steroid and antihistamines) for a month, mucolytics for a week and antibiotics for 14 days. Early morning jogging is really good for patients having sinusitis. Please follow the advice for a month and check if you have any improvement in your symptoms. Since the pollution levels are high in your locality, I would advise you to do exercise and jogging at home itself. Take care. | Hi doctor,I am suffering from nasal blockage for the past 1.5 months. Generally, I have cold and cough problems from past 10 to 12 years, which becomes worse during the weather change. Earlier, I had breathing problem, but have been experiencing nose blockage now. The nose will be blocked from both the sides during the day if I sit in AC room. I feel better if I keep moving or stay in a warm room. The doctor has suggested me to go for surgery. So, I wanted to check if surgery is the only option or can it be treated with medication. Also, I wanted to know if I go for surgery, then what are the risks involved. | Hi. An ENT doctor would have advised you to undergo endoscopic sinus surgery and septoplasty. Surgery is the treatment of choice , because your problem seems to be chronic (from longer duration). If you do not want surgery, then you can take nasal spray (a combination of steroid and antihistamines) for a month, mucolytics for a week and antibiotics for 14 days. Early morning jogging is really good for patients having sinusitis. Please follow the advice for a month and check if you have any improvement in your symptoms. Since the pollution levels are high in your locality, I would advise you to do exercise and jogging at home itself. Take care. |
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Hello doctor,I am male, 36 years old. I have eye powers 3.75 in my right eye and 2.75 in left eye both high cylinder. I have doctors prescription for glasses but after I bought the prescription glasses, I can read only for a few seconds and immediately printed text looks double. In the morning, I can read without glasses but in the evening I cannot read even with glasses. There is a lot of strain in the eyes when I try to read the fine print. I did not have glasses till two years back. With my left eye, I can read the normal texts without glasses so I did not get it tested. I do not want to go for LASIK surgery because numbers are not stable. Please guide me by alternative treatment to reduce and stabilize prescription number.
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Hi. By going through your query I could understand that you are not able to tolerate your glasses. Glasses even though they correct your vision, the muscle balance can be achieved only after a few weeks of adjustment. During this period the glasses are to be continuously worn even though that is causing discomfort. Eye ChatDoctor. Reading should be done under bright light. The minimum distance between eyes and book should be 33 cm for the eyes to be comfortable. I would be able to suggest the feasibility of contact lenses after I see your glasses prescription paper. | Hello doctor,I am male, 36 years old. I have eye powers 3.75 in my right eye and 2.75 in left eye both high cylinder. I have doctors prescription for glasses but after I bought the prescription glasses, I can read only for a few seconds and immediately printed text looks double. In the morning, I can read without glasses but in the evening I cannot read even with glasses. There is a lot of strain in the eyes when I try to read the fine print. I did not have glasses till two years back. With my left eye, I can read the normal texts without glasses so I did not get it tested. I do not want to go for LASIK surgery because numbers are not stable. Please guide me by alternative treatment to reduce and stabilize prescription number. | Hi. By going through your query I could understand that you are not able to tolerate your glasses. Glasses even though they correct your vision, the muscle balance can be achieved only after a few weeks of adjustment. During this period the glasses are to be continuously worn even though that is causing discomfort. Eye ChatDoctor. Reading should be done under bright light. The minimum distance between eyes and book should be 33 cm for the eyes to be comfortable. I would be able to suggest the feasibility of contact lenses after I see your glasses prescription paper. |
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Hello doctor,I am a 21 year old female. Yesterday, doctors have checked my blood. I am visiting a hospital frequently as I have iron deficiency anemia. The thing I am scared about is, my doctor asked me why my ferritin has not increased (just the opposite, it has decreased from 5.79 to 5.77) after three months of taking iron supplements. My other iron levels are at 39 which has increased considering those references. But, that was probably because I did not use the medicine correctly, I was only taking 5 mg a day. Another thing I am worried about is, my lymphocytes kind of got increased in my blood
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Hello. In viral infection, lymphocytosis means increased lymphocytes and neutrophil is relatively low because of increased lymphocytes. Platelet can be high in iron deficiency anemia. It is not a matter of worry just now. You can provide your reports to guide you further. Your hemoglobin level is mildly low and you should be given a good iron-containing medication like Ferrous ascorbate (brand name Orofer that contains 100 mg elemental iron). It should be taken without break for the prescribed duration. The underlying cause for iron deficiency anemia also should be ruled out like bleeding, parasites infestation, etc. Repeat your CBC after a few days. For more information consult a hematologist online | Hello doctor,I am a 21 year old female. Yesterday, doctors have checked my blood. I am visiting a hospital frequently as I have iron deficiency anemia. The thing I am scared about is, my doctor asked me why my ferritin has not increased (just the opposite, it has decreased from 5.79 to 5.77) after three months of taking iron supplements. My other iron levels are at 39 which has increased considering those references. But, that was probably because I did not use the medicine correctly, I was only taking 5 mg a day. Another thing I am worried about is, my lymphocytes kind of got increased in my blood | Hello. In viral infection, lymphocytosis means increased lymphocytes and neutrophil is relatively low because of increased lymphocytes. Platelet can be high in iron deficiency anemia. It is not a matter of worry just now. You can provide your reports to guide you further. Your hemoglobin level is mildly low and you should be given a good iron-containing medication like Ferrous ascorbate (brand name Orofer that contains 100 mg elemental iron). It should be taken without break for the prescribed duration. The underlying cause for iron deficiency anemia also should be ruled out like bleeding, parasites infestation, etc. Repeat your CBC after a few days. For more information consult a hematologist online |
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Hi doctor,My 9 months old baby had a high fever, cough, and cold. Initially, it was the fever that was concerning. Later the cough was severe and hospitalized for bronchiolitis. He was put on a nebulizer and after three days his condition has improved. So, the doctor suggested moving from the nebulizer to Asthalin huf puf. Later that night, he had a continuous cough for one hour and was then back on nebulizer. He is put on oxygen support as his SpO2 dropped to around 86. We are much worried as he is premature and was formula fed mostly. Please let us know if this behavior is normal with bronchiolitis.
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Hi. The symptoms that your child has been suggestive of bronchiolitis. In bronchiolitis, nebulization needs to be given for five to seven days; usually, the child recovers in seven days. Your child was discharged from the hospital and developed respiratory distress after continuous cough and spO2 has decreased. I think that during continuous cough your child has aspirated the food and this has now led to bronchopneumonia. In my opinion, your child needs antibiotics and nebulization with a repeat chest x-ray to see the extent of pneumonia. I think your child needs admission for a week after which he will be alright. Take care of your child. | Hi doctor,My 9 months old baby had a high fever, cough, and cold. Initially, it was the fever that was concerning. Later the cough was severe and hospitalized for bronchiolitis. He was put on a nebulizer and after three days his condition has improved. So, the doctor suggested moving from the nebulizer to Asthalin huf puf. Later that night, he had a continuous cough for one hour and was then back on nebulizer. He is put on oxygen support as his SpO2 dropped to around 86. We are much worried as he is premature and was formula fed mostly. Please let us know if this behavior is normal with bronchiolitis. | Hi. The symptoms that your child has been suggestive of bronchiolitis. In bronchiolitis, nebulization needs to be given for five to seven days; usually, the child recovers in seven days. Your child was discharged from the hospital and developed respiratory distress after continuous cough and spO2 has decreased. I think that during continuous cough your child has aspirated the food and this has now led to bronchopneumonia. In my opinion, your child needs antibiotics and nebulization with a repeat chest x-ray to see the extent of pneumonia. I think your child needs admission for a week after which he will be alright. Take care of your child. |
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Hello doctor,I am currently experiencing severe lower back and left hip pain and spasms. I have a history of a slight disk herniation at L5-S1 with no nerve impingement. I believe this flare-up began two weeks ago when I attended my first chiropractic visit. The pain became so severe, I broke down and went to a different chiropractor for possible help. The pain was so severe that I got nausea, sweat, and almost passed out in the waiting area. The pain was better since yesterday. The new chiropractor thinks my right hip was tilted forward, causing the muscles on the left to get spasm and be in pain. Please help.
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Hello. I understand your concern and suggest to do the following. Take analgesics, and muscle relaxants. Apply hot packs, and Diclofenac gel locally where you feel any tenderness. Either lie in bed or stand. Sit for short durations only, less than 20 minutes at a stretch and that too with your back supported. I would advise against any manipulation by your chiropractor till your spasms subside though, you can have massages of the muscles in spasm. If all this fails to help in the next couple of weeks get a repeat MRI (magnetic resonance imaging) if there are new leg symptoms like numbness, weakness, or shooting pain below the knee. I hope this helps. Take care. | Hello doctor,I am currently experiencing severe lower back and left hip pain and spasms. I have a history of a slight disk herniation at L5-S1 with no nerve impingement. I believe this flare-up began two weeks ago when I attended my first chiropractic visit. The pain became so severe, I broke down and went to a different chiropractor for possible help. The pain was so severe that I got nausea, sweat, and almost passed out in the waiting area. The pain was better since yesterday. The new chiropractor thinks my right hip was tilted forward, causing the muscles on the left to get spasm and be in pain. Please help. | Hello. I understand your concern and suggest to do the following. Take analgesics, and muscle relaxants. Apply hot packs, and Diclofenac gel locally where you feel any tenderness. Either lie in bed or stand. Sit for short durations only, less than 20 minutes at a stretch and that too with your back supported. I would advise against any manipulation by your chiropractor till your spasms subside though, you can have massages of the muscles in spasm. If all this fails to help in the next couple of weeks get a repeat MRI (magnetic resonance imaging) if there are new leg symptoms like numbness, weakness, or shooting pain below the knee. I hope this helps. Take care. |
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Hello doctor,My husband takes too much alcohol daily. I want him to stop alcohol forever. About one week before, we have done a health checkup. His SGPT level has increased by 108. What should I do now?
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Hello, Welcome to Chat Doctor forum. Regarding quitting the alcohol, firstly you need to take him to nearby deaddiction center. You need to talk to him regarding the harmful consequences like liver damage which has now begun. You need to take him into confidence and take him to deaddiction center. There he will get counseling and assistance to quit alcohol. The patients are given medicine to reduce alcohol craving like Naltrexone and also medicines which will produce adverse effects on alcohol consumption, which you must have heard about. This medicine is Disulfiram 250 which you will be provided there which is given once daily. Regarding his SGPT, the best treatment is abstinence from alcohol. Also, other contributory factors like obesity, healthy lifestyle and weight loss will help to prevent further liver damage. At this stage, damage can be recovered but later this may become irreversible. Also, get him vaccinated for hepatitis B if not yet done. Also, he should be given plenty of water, adequate nutrition, fruits, and vegetables. Hope this helps you and get back if you have any doubts. For more information consult an internal medicine physician online | Hello doctor,My husband takes too much alcohol daily. I want him to stop alcohol forever. About one week before, we have done a health checkup. His SGPT level has increased by 108. What should I do now? | Hello, Welcome to Chat Doctor forum. Regarding quitting the alcohol, firstly you need to take him to nearby deaddiction center. You need to talk to him regarding the harmful consequences like liver damage which has now begun. You need to take him into confidence and take him to deaddiction center. There he will get counseling and assistance to quit alcohol. The patients are given medicine to reduce alcohol craving like Naltrexone and also medicines which will produce adverse effects on alcohol consumption, which you must have heard about. This medicine is Disulfiram 250 which you will be provided there which is given once daily. Regarding his SGPT, the best treatment is abstinence from alcohol. Also, other contributory factors like obesity, healthy lifestyle and weight loss will help to prevent further liver damage. At this stage, damage can be recovered but later this may become irreversible. Also, get him vaccinated for hepatitis B if not yet done. Also, he should be given plenty of water, adequate nutrition, fruits, and vegetables. Hope this helps you and get back if you have any doubts. For more information consult an internal medicine physician online |
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Hi doctor,I am 24 years old. I have stiffness and pain in thighs and knees for more than a year. I cannot sit properly and stand up instantly. I am having problem in each and every activity involving legs. I have reduced mobility and flexibility of legs. My report shows AVN stage 3 of hip joint, for which I have been suggested hip replacement surgery. My question is that, if problem is in hip joint then why I have so many problems with knees? When I stand up, my knee gets blocked and I cannot stand instantly. There is cracking sound in knees when I sit or stand up. I am worried whether I have some other problem in knees also.
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Hi, Welcome to Chat Doctor forum. Hip avascular necrosis (AVN) and hip arthritis causes pain in the affected hip and also sometimes in the knees as the same nerve which supplies the hip also supplies the knee joint. It is called as obturator nerve. This nerve supplies both the joints. So if there is hip joint pain, many patients also get pain in the knee joint. But, also to be sure if nothing is wrong with the knee joint, you should take x-rays and document it. Get x-ray of the knee joint both in anteroposterior view (AP) and lateral view and then get a follow up done to confirm your problem. | Hi doctor,I am 24 years old. I have stiffness and pain in thighs and knees for more than a year. I cannot sit properly and stand up instantly. I am having problem in each and every activity involving legs. I have reduced mobility and flexibility of legs. My report shows AVN stage 3 of hip joint, for which I have been suggested hip replacement surgery. My question is that, if problem is in hip joint then why I have so many problems with knees? When I stand up, my knee gets blocked and I cannot stand instantly. There is cracking sound in knees when I sit or stand up. I am worried whether I have some other problem in knees also. | Hi, Welcome to Chat Doctor forum. Hip avascular necrosis (AVN) and hip arthritis causes pain in the affected hip and also sometimes in the knees as the same nerve which supplies the hip also supplies the knee joint. It is called as obturator nerve. This nerve supplies both the joints. So if there is hip joint pain, many patients also get pain in the knee joint. But, also to be sure if nothing is wrong with the knee joint, you should take x-rays and document it. Get x-ray of the knee joint both in anteroposterior view (AP) and lateral view and then get a follow up done to confirm your problem. |
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Hi doctor,I am 25, and I have really bad anxiety about my health. I have been to therapists but nothing seems to help. Since I was 20, I have had these weird heartbeats that would last no more than a second that feels like a big thump. They would happen randomly and usually worse when I am bloated, after a huge meal. I went to the hospital for that/chest pain, and racing heart, got an EKG and blood tests and the doctor said that my EKG was all clear. I have also had four EKGs in the past (one last year), blood test for my heart, and they all came back clear. Should I be concerned?
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Hello, Welcome to Chat Doctor forum. Most probably, these are ventricular premature complexes. These are ectopic or extra beats. These are usually benign and not life-threatening. These are frequently associated with MVP (mitral valve prolapse), also caffeine, alcohol, thyroid, gastritis and acidity problems may aggravate these. Since these are not frequent, ECG may be normal. So, in that case, you will need 24-hour Holter monitoring which can diagnose these. You should also get a thyroid test done. You will need beta blockers like Metoprolol to keep these under control. Discuss with your doctor about this. For more information consult a cardiologist online | Hi doctor,I am 25, and I have really bad anxiety about my health. I have been to therapists but nothing seems to help. Since I was 20, I have had these weird heartbeats that would last no more than a second that feels like a big thump. They would happen randomly and usually worse when I am bloated, after a huge meal. I went to the hospital for that/chest pain, and racing heart, got an EKG and blood tests and the doctor said that my EKG was all clear. I have also had four EKGs in the past (one last year), blood test for my heart, and they all came back clear. Should I be concerned? | Hello, Welcome to Chat Doctor forum. Most probably, these are ventricular premature complexes. These are ectopic or extra beats. These are usually benign and not life-threatening. These are frequently associated with MVP (mitral valve prolapse), also caffeine, alcohol, thyroid, gastritis and acidity problems may aggravate these. Since these are not frequent, ECG may be normal. So, in that case, you will need 24-hour Holter monitoring which can diagnose these. You should also get a thyroid test done. You will need beta blockers like Metoprolol to keep these under control. Discuss with your doctor about this. For more information consult a cardiologist online |
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Hi doctor,I am a 42 year old male. From the past three months, I was suffering from typhoid. Now, I have pain in knees, sole, back, and wrist joints. The test reports show high sensitivity c-reactive protein (hs-CRP) 7.67, eGFR 68, folate 2, uric acid 7.7, creatinine 1.02, total cholesterol 211, triglycerides 239 , TC/HDL ratio 5.4, VLDL cholesterol 47.8, non-HDL 172.1, alkaline phosphatase 111.7, alanine transaminase (SGPT) 44.1, vitamin D 7.45, total RBC 5.25, MCHC 29.4, SD (RDW-SD) 50.3, RDW-CV 14.1, PDW 16.5, P-LCR 45.8, and MPV 12.5.
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Hello, Welcome to Chat Doctor forum. You mentioned that you had typhoid three months back, and now have features of large joint arthritis. With this profile, it seems to be reactive arthritis. Regards. Revert with more information to an internal medicine physician online | Hi doctor,I am a 42 year old male. From the past three months, I was suffering from typhoid. Now, I have pain in knees, sole, back, and wrist joints. The test reports show high sensitivity c-reactive protein (hs-CRP) 7.67, eGFR 68, folate 2, uric acid 7.7, creatinine 1.02, total cholesterol 211, triglycerides 239 , TC/HDL ratio 5.4, VLDL cholesterol 47.8, non-HDL 172.1, alkaline phosphatase 111.7, alanine transaminase (SGPT) 44.1, vitamin D 7.45, total RBC 5.25, MCHC 29.4, SD (RDW-SD) 50.3, RDW-CV 14.1, PDW 16.5, P-LCR 45.8, and MPV 12.5. | Hello, Welcome to Chat Doctor forum. You mentioned that you had typhoid three months back, and now have features of large joint arthritis. With this profile, it seems to be reactive arthritis. Regards. Revert with more information to an internal medicine physician online |
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Hello doctor,My wife is 35 years old and is four months pregnant now. She is suffering from severe itching which is not responding to any medication. Her doctor advised to take Udiliv 150 and Cetirizine, but there is no relief. We changed the doctor, and this doc advised to take Udiplus 300, capsule Coetrie, and tablet Alivher. But, this also is not working. I suspect that it is a case of obstetric cholestasis. Kindly suggest an effective and safe remedy to control the itching. The laboratory tests performed were LFT, billirubin, and sonography.
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Hi. I have gone through your query and reports (attachment removed to protect patient identity). Yes, it is obstetric cholestasis. During pregnancy, Udiliv (Ursodeoxycholic acid) 300 mg is the best and effective treatment for cholestasis. Your gynecologist has prescribed you proper medication. Also, apply some Calamine lotion to have a soothing effect on skin and prevent itching. However, if you do not find relief, then get her checked by an endocrinologist. Do get back to me with the reports after meeting the endocrinologist, so that I can guide you further. For more information consult an obstetrician and gynaecologist online | Hello doctor,My wife is 35 years old and is four months pregnant now. She is suffering from severe itching which is not responding to any medication. Her doctor advised to take Udiliv 150 and Cetirizine, but there is no relief. We changed the doctor, and this doc advised to take Udiplus 300, capsule Coetrie, and tablet Alivher. But, this also is not working. I suspect that it is a case of obstetric cholestasis. Kindly suggest an effective and safe remedy to control the itching. The laboratory tests performed were LFT, billirubin, and sonography. | Hi. I have gone through your query and reports (attachment removed to protect patient identity). Yes, it is obstetric cholestasis. During pregnancy, Udiliv (Ursodeoxycholic acid) 300 mg is the best and effective treatment for cholestasis. Your gynecologist has prescribed you proper medication. Also, apply some Calamine lotion to have a soothing effect on skin and prevent itching. However, if you do not find relief, then get her checked by an endocrinologist. Do get back to me with the reports after meeting the endocrinologist, so that I can guide you further. For more information consult an obstetrician and gynaecologist online |
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Hi doctor,I had an oral contraceptive pill three months back, which caused a three week delay in my periods and my cycle was for only 3 days compared to normal 5 days. After that, we have not had sex. I still have not got my periods of this month, which is due. I feel puckish and dizzy most of the day. I tried the home pregnancy test and the results are negative. What do you think? I have a thyroid problem and recently changed my dose from 100 mcg to 75 mcg.
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Hi, Welcome to Chat Doctor forum. I have gone through your query and can understand your health concern. If you have taken the oral contraceptive pill within 72 hours of sex, then no need to worry. As you got your periods after that though they are delayed there is nothing to worry. As you have mentioned that you have thyroid problem also, I think it is due to hormonal imbalance as thyroid problems can also cause irregular menses. Your symptoms can be due to PMS (premenstrual syn ChatDoctor. Still, I suggest you to check your serum beta hCG (human chorionic gonadotropin) levels to make sure that there is no pregnancy. I suggest you to consult a gynecologist if serum beta hCG comes to be high and periods get delayed further. 1. Premenstrual syn | Hi doctor,I had an oral contraceptive pill three months back, which caused a three week delay in my periods and my cycle was for only 3 days compared to normal 5 days. After that, we have not had sex. I still have not got my periods of this month, which is due. I feel puckish and dizzy most of the day. I tried the home pregnancy test and the results are negative. What do you think? I have a thyroid problem and recently changed my dose from 100 mcg to 75 mcg. | Hi, Welcome to Chat Doctor forum. I have gone through your query and can understand your health concern. If you have taken the oral contraceptive pill within 72 hours of sex, then no need to worry. As you got your periods after that though they are delayed there is nothing to worry. As you have mentioned that you have thyroid problem also, I think it is due to hormonal imbalance as thyroid problems can also cause irregular menses. Your symptoms can be due to PMS (premenstrual syn ChatDoctor. Still, I suggest you to check your serum beta hCG (human chorionic gonadotropin) levels to make sure that there is no pregnancy. I suggest you to consult a gynecologist if serum beta hCG comes to be high and periods get delayed further. 1. Premenstrual syn |
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Hi doctor,I took Oxycodone and mixed it with alcohol two months ago. I did not drink a lot but ended up with the worst panic attack. I did not go to the hospital. A week later, everything was fine, but I had some stressful events in my life. Now, I am experiencing anxiety, and it is not controllable. A lot of overthinking and I am wondering if Oxycodone could be the one to blame. I have had anxiety way before, and it just went away. But, now it is occurring again. Could Oxycodone affect my brain terribly? I had a blood test a month ago, and everything was normal.
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Hi. It is not due to Oxycodone because its plasma half-life is 4 to 5 hours. It is completely eliminated or metabolized by the body after 12 hours, so there is no question of the previous ChatDoctor. I would suggest you consult a physician or to take Chlordiazepoxide 10 mg two times a day. Also, include 20 minutes of exercise in your schedule apart from the daily routine activity because the body gets acclimatized to that schedule. Because, that would cause secretion of endorphin, which is an antidepressant hormone. It is very common to have anxiety episodes these days, so do not worry. Take care. | Hi doctor,I took Oxycodone and mixed it with alcohol two months ago. I did not drink a lot but ended up with the worst panic attack. I did not go to the hospital. A week later, everything was fine, but I had some stressful events in my life. Now, I am experiencing anxiety, and it is not controllable. A lot of overthinking and I am wondering if Oxycodone could be the one to blame. I have had anxiety way before, and it just went away. But, now it is occurring again. Could Oxycodone affect my brain terribly? I had a blood test a month ago, and everything was normal. | Hi. It is not due to Oxycodone because its plasma half-life is 4 to 5 hours. It is completely eliminated or metabolized by the body after 12 hours, so there is no question of the previous ChatDoctor. I would suggest you consult a physician or to take Chlordiazepoxide 10 mg two times a day. Also, include 20 minutes of exercise in your schedule apart from the daily routine activity because the body gets acclimatized to that schedule. Because, that would cause secretion of endorphin, which is an antidepressant hormone. It is very common to have anxiety episodes these days, so do not worry. Take care. |
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Hello doctor,My wife had her last periods 15 days back. The period lasted for about four days. We had a sexual contact a week later. She had her periods completed on Tuesday, and we had this on Thursday, and it was not intercourse. I was not able to penetrate her and was only sliding against the outer lining. Since it was unprotected, so as soon as I got the feeling of ejaculating, I withdrew. After that, I ejaculated outside. But I have a little doubt that maybe a drop or so might have come out when I felt like ejaculating and may have got on her outer vagina or slightly inner vagina. Are there any chances of getting pregnant? I doubt because of a drop that might have come out. She has a regular cycle of 28 to 30 days.
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Hello. There is almost no chance of pregnancy in your case if you are sure that the ChatDoctor. Pregnancy happens only on penetration intercourse with some volume of semen ejaculated inside into the vagina. Practically, I feel there is no chance of pregnancy. Also, the time period that you had intercourse is her safe period and not the fertile window which further reduces chance of conception. There is no need to worry regarding pregnancy or even take a contraception. For more information consult an obstetrician and gynaecologist online Take care. | Hello doctor,My wife had her last periods 15 days back. The period lasted for about four days. We had a sexual contact a week later. She had her periods completed on Tuesday, and we had this on Thursday, and it was not intercourse. I was not able to penetrate her and was only sliding against the outer lining. Since it was unprotected, so as soon as I got the feeling of ejaculating, I withdrew. After that, I ejaculated outside. But I have a little doubt that maybe a drop or so might have come out when I felt like ejaculating and may have got on her outer vagina or slightly inner vagina. Are there any chances of getting pregnant? I doubt because of a drop that might have come out. She has a regular cycle of 28 to 30 days. | Hello. There is almost no chance of pregnancy in your case if you are sure that the ChatDoctor. Pregnancy happens only on penetration intercourse with some volume of semen ejaculated inside into the vagina. Practically, I feel there is no chance of pregnancy. Also, the time period that you had intercourse is her safe period and not the fertile window which further reduces chance of conception. There is no need to worry regarding pregnancy or even take a contraception. For more information consult an obstetrician and gynaecologist online Take care. |
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Hi doctor,I am not sure I am over-stressing, but I have noticed when I drink cold icy water I can feel it go down to my stomach. I hurt my tummy muscle four weeks ago, and still not 100 percent cured. It still burns and I get acid reflux as well my throat is dry and sore. My breath is smelly and I get sinus problem and feel like phlegm is going back down to my throat.
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Hello, Welcome to Chat Doctor forum. As for the feeling of cold water going down your thirst and the acid reflux, both indicate an inflammatory condition esophagitis and gastritis. This can be treated with a proton pump inhibitor Controloc (Pantoprazole) once daily and an antacid Ranitidine before every meal. The bad breath could be due to inflamed gums or an infection such as H.pylori. So I recommend you get a test for H.pylori infection and consult a dentist to examine your gums. Bad breath can also be due to sinusitis. Sinusitis can also be the cause of the post nasal discharge (phelgm at the back of your throat) and can be treated with an anti-inflammatory Ibuprofen twice daily and an antihistaminic as Cetirizine or Zyrtec once daily before going to bed for 10 days. | Hi doctor,I am not sure I am over-stressing, but I have noticed when I drink cold icy water I can feel it go down to my stomach. I hurt my tummy muscle four weeks ago, and still not 100 percent cured. It still burns and I get acid reflux as well my throat is dry and sore. My breath is smelly and I get sinus problem and feel like phlegm is going back down to my throat. | Hello, Welcome to Chat Doctor forum. As for the feeling of cold water going down your thirst and the acid reflux, both indicate an inflammatory condition esophagitis and gastritis. This can be treated with a proton pump inhibitor Controloc (Pantoprazole) once daily and an antacid Ranitidine before every meal. The bad breath could be due to inflamed gums or an infection such as H.pylori. So I recommend you get a test for H.pylori infection and consult a dentist to examine your gums. Bad breath can also be due to sinusitis. Sinusitis can also be the cause of the post nasal discharge (phelgm at the back of your throat) and can be treated with an anti-inflammatory Ibuprofen twice daily and an antihistaminic as Cetirizine or Zyrtec once daily before going to bed for 10 days. |
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Hello doctor,I have a query regarding my current pregnancy. I had a miscarriage last year at my 16th week due to amniotic fluid leakage, the doctor could not tell the reason for it.And now I am pregnant again with 16 weeks too and this time my doctor suggested me to consider cervical suture as my cervix size is 26.9 mm and I really did not want to do it considering the risks. I will have another scan at 18 weeks to check the size again. But I am really worried as I had four miscarriages and I do not wanna lose this too. Currently, I am taking Aspirin and Progesterone. Could you please kindly advise me on this?
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Hello, Welcome to ChatDoctor. Do not think twice. It is better you get a cervical stitch done. Considering your history and present cervical length, it would be better if you go for cervical suture. Obviously, as the gestation increases the cervical length would shorten up more. The cut off is 25 mm, so no point in waiting. Also, add weekly intramuscular Hy ChatDoctor. Another thing is strict rest, avoid any strain like constipation, cough, sneeze, strenuous exercises, etc. Short cervix. Cervical stitch. Strict rest, avoid sitting positions, as it increases the pressure over internal os. When necessary. Take care. | Hello doctor,I have a query regarding my current pregnancy. I had a miscarriage last year at my 16th week due to amniotic fluid leakage, the doctor could not tell the reason for it.And now I am pregnant again with 16 weeks too and this time my doctor suggested me to consider cervical suture as my cervix size is 26.9 mm and I really did not want to do it considering the risks. I will have another scan at 18 weeks to check the size again. But I am really worried as I had four miscarriages and I do not wanna lose this too. Currently, I am taking Aspirin and Progesterone. Could you please kindly advise me on this? | Hello, Welcome to ChatDoctor. Do not think twice. It is better you get a cervical stitch done. Considering your history and present cervical length, it would be better if you go for cervical suture. Obviously, as the gestation increases the cervical length would shorten up more. The cut off is 25 mm, so no point in waiting. Also, add weekly intramuscular Hy ChatDoctor. Another thing is strict rest, avoid any strain like constipation, cough, sneeze, strenuous exercises, etc. Short cervix. Cervical stitch. Strict rest, avoid sitting positions, as it increases the pressure over internal os. When necessary. Take care. |
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Hello doctor,I had an ear perforation two months before. My ear was healing really well. The doctor told me to clean my ear by ear syringing. He gave me two shots of syringing. After that, earwax clean up. My ear had gone bad. I feel like my eardrum is hardened. Whenever I put my finger in my ear to pop up my eardrum, my eardrum does not flexibly move at all. It is like it got stuck in one place. It does not move up and down when I put my finger. It is just fixed up in one place and the tinnitus has also gone bad. It vibrates really bad when anyone talks to me or I talk to anyone. I am so worried. Will my eardrum heal again?
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Hello, Welcome to Chat Doctor forum. First of all, tympanic membrane is anchored to bone and does not move up and down but moves inward and outward because of sound. Secondly, it is placed 2.5 cm from external ear orifice and cannot be moved with a finger. Since you had a perforation two years back, it might not have healed at all. The other symptom you are talking about is tinnitus. It is possible to have in presence of a perforation. You should get the ear examined. Also, I would like to know if you have any discharge now. | Hello doctor,I had an ear perforation two months before. My ear was healing really well. The doctor told me to clean my ear by ear syringing. He gave me two shots of syringing. After that, earwax clean up. My ear had gone bad. I feel like my eardrum is hardened. Whenever I put my finger in my ear to pop up my eardrum, my eardrum does not flexibly move at all. It is like it got stuck in one place. It does not move up and down when I put my finger. It is just fixed up in one place and the tinnitus has also gone bad. It vibrates really bad when anyone talks to me or I talk to anyone. I am so worried. Will my eardrum heal again? | Hello, Welcome to Chat Doctor forum. First of all, tympanic membrane is anchored to bone and does not move up and down but moves inward and outward because of sound. Secondly, it is placed 2.5 cm from external ear orifice and cannot be moved with a finger. Since you had a perforation two years back, it might not have healed at all. The other symptom you are talking about is tinnitus. It is possible to have in presence of a perforation. You should get the ear examined. Also, I would like to know if you have any discharge now. |
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Hello doctor, I am a 48 years old male. A couple of months ago, I was diagnosed with a bulging disc in C6 and C7. I had pain and weakness associated with such a problem, and after some treatment, the pain subsided. Since then, my left index finger developed a twitch. Always at rest and occasionally twitching on and off most of the day. Some days I would hardly notice it at all if any. Now my left middle finger is starting to twitch the same as my index finger, and I do not notice the twitch in my index finger as I did before. And I also noticed an occasional toe twitch on either foot before falling asleep at night. I could blame the finger twitching on the, disc, but the toes on each foot make me concerned. I am concerned about Parkinson\\s disease. I researched all I could online. I do not have any of the other symptoms associated with the disease. I also tried to figure out the difference between tremor and twitch. It seems Parkinson\\s tremors are very rhythmic while mine are more sporadic twitches. I have attached a video of my index finger for your review.
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Hello. I watched your uploaded video and would explain that your symptoms are not suggestive of Parkinson\\s disease. (attachment removed to protect patient identity). This kind of twitching is usually related to different causes like | Hello doctor, I am a 48 years old male. A couple of months ago, I was diagnosed with a bulging disc in C6 and C7. I had pain and weakness associated with such a problem, and after some treatment, the pain subsided. Since then, my left index finger developed a twitch. Always at rest and occasionally twitching on and off most of the day. Some days I would hardly notice it at all if any. Now my left middle finger is starting to twitch the same as my index finger, and I do not notice the twitch in my index finger as I did before. And I also noticed an occasional toe twitch on either foot before falling asleep at night. I could blame the finger twitching on the, disc, but the toes on each foot make me concerned. I am concerned about Parkinson\\s disease. I researched all I could online. I do not have any of the other symptoms associated with the disease. I also tried to figure out the difference between tremor and twitch. It seems Parkinson\\s tremors are very rhythmic while mine are more sporadic twitches. I have attached a video of my index finger for your review. | Hello. I watched your uploaded video and would explain that your symptoms are not suggestive of Parkinson\\s disease. (attachment removed to protect patient identity). This kind of twitching is usually related to different causes like |
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Hello doctor,I have anxiety and panic since five years. My GP had given Nexito forte and Veniz XR 37.5. And, I felt better and asked him to reduce the dosage two years ago. He stopped both and gave Nextio plus from then till date. I felt better. I did not smoke or drink while on treatment. 10 days back, I stopped taking the tablet. I drank half a beer at a party, and the anxiety disorder relapsed. I will not drink any longer. Now, my questions are as follows. I am on Nexito plus. Suppose there is a relapse, should I take Veniz XR 37.5? When I completely stop all the medications, and there is a future relapse, should I take Nexito forte, Nexito plus or Veniz XR?
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Hello, Welcome to Chat Doctor forum. It seems to be an anxiety disorder. You need to avoid the triggering factors that cause the relapse. Be it alcohol or something like smoking, family issues or financial problems. It is better to be on Nexito forte (Escitalopram and Clonazepam) during the episode of anxiety. If your symptoms were not controlled then, add on Veniz (Venlafaxine) to your medications. Meditation and yoga will help control the problem. For more information consult an internal medicine physician online | Hello doctor,I have anxiety and panic since five years. My GP had given Nexito forte and Veniz XR 37.5. And, I felt better and asked him to reduce the dosage two years ago. He stopped both and gave Nextio plus from then till date. I felt better. I did not smoke or drink while on treatment. 10 days back, I stopped taking the tablet. I drank half a beer at a party, and the anxiety disorder relapsed. I will not drink any longer. Now, my questions are as follows. I am on Nexito plus. Suppose there is a relapse, should I take Veniz XR 37.5? When I completely stop all the medications, and there is a future relapse, should I take Nexito forte, Nexito plus or Veniz XR? | Hello, Welcome to Chat Doctor forum. It seems to be an anxiety disorder. You need to avoid the triggering factors that cause the relapse. Be it alcohol or something like smoking, family issues or financial problems. It is better to be on Nexito forte (Escitalopram and Clonazepam) during the episode of anxiety. If your symptoms were not controlled then, add on Veniz (Venlafaxine) to your medications. Meditation and yoga will help control the problem. For more information consult an internal medicine physician online |
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Hello doctor,I am a 58-year-old male. I am 180 cm in height and weigh about 85 kg. I have frequent constipation issues. I am currently on Obimet SR 500, Glimisave M1, Pinom 40 mg, Pivasta 2 mg, and Clopilet 75 mg.
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Hello, Welcome to Chat Doctor forum. Would you please answer few of my following questions. How frequently do you pass stools per week? Have you felt any blood in stools? Do you feel pain in the anal area while passing stools? Have you noticed anything coming out from the anal area while passing stools? Have you noticed any loss of weight? If yes then how much? Any abdominal pain? Do you strain while defecating? Any feeling of incomplete evacuation after passing stools? Have you used any medication for constipation? Any change in ChatDoctor. Please feel free to ask anything and answer my questions. CBC (complete blood count). HbA1C (glycated hemoglobin). TSH (thyroid-stimulating hormone). Serum calcium. Digital rectal examination. Ispaghol husk two teaspoons in a glass of water every night. Polyethylene glycol sachet in a glass of water every night for two weeks. Take plenty of water. Do 20-30 minutes walk daily. | Hello doctor,I am a 58-year-old male. I am 180 cm in height and weigh about 85 kg. I have frequent constipation issues. I am currently on Obimet SR 500, Glimisave M1, Pinom 40 mg, Pivasta 2 mg, and Clopilet 75 mg. | Hello, Welcome to Chat Doctor forum. Would you please answer few of my following questions. How frequently do you pass stools per week? Have you felt any blood in stools? Do you feel pain in the anal area while passing stools? Have you noticed anything coming out from the anal area while passing stools? Have you noticed any loss of weight? If yes then how much? Any abdominal pain? Do you strain while defecating? Any feeling of incomplete evacuation after passing stools? Have you used any medication for constipation? Any change in ChatDoctor. Please feel free to ask anything and answer my questions. CBC (complete blood count). HbA1C (glycated hemoglobin). TSH (thyroid-stimulating hormone). Serum calcium. Digital rectal examination. Ispaghol husk two teaspoons in a glass of water every night. Polyethylene glycol sachet in a glass of water every night for two weeks. Take plenty of water. Do 20-30 minutes walk daily. |
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Hello doctor,I am 29 years old . I am married from the last 1.5 years. My problem is that from the last two weeks I am am not getting proper erection during sex. Erection comes a bit and goes out instantly. It is just happeing from the last two weeks before that I was totally fine. I am taking some herbal medicines. Please suggest me why this happening to me. Right now I cat get any erection sex only a bit if I watch some porn or like that. I am having so much tension because of that. Yes one more thing, I used to take one penis size enlarge oil but very rarely. Might be because of that oil I am having this problem. Please suggest me best possible option to cure this.
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Hi. I can understand your concern. As you are getting erections when you watch porn but are losing during sex this shows that problem is not organic. The issues are more psychological. Confido helps to boost confidence but is not proper treatment. For some times you can try tablet Tadalafil or Sildenafil. Either of these tablets if taken about half to one hour before sexual intercourse help to improve erection. If problem persists then visit a doctor and get serum Testosterone and Prolactin levels done. If levels of both these hormones come normal then remain relaxed. No need to worry. | Hello doctor,I am 29 years old . I am married from the last 1.5 years. My problem is that from the last two weeks I am am not getting proper erection during sex. Erection comes a bit and goes out instantly. It is just happeing from the last two weeks before that I was totally fine. I am taking some herbal medicines. Please suggest me why this happening to me. Right now I cat get any erection sex only a bit if I watch some porn or like that. I am having so much tension because of that. Yes one more thing, I used to take one penis size enlarge oil but very rarely. Might be because of that oil I am having this problem. Please suggest me best possible option to cure this. | Hi. I can understand your concern. As you are getting erections when you watch porn but are losing during sex this shows that problem is not organic. The issues are more psychological. Confido helps to boost confidence but is not proper treatment. For some times you can try tablet Tadalafil or Sildenafil. Either of these tablets if taken about half to one hour before sexual intercourse help to improve erection. If problem persists then visit a doctor and get serum Testosterone and Prolactin levels done. If levels of both these hormones come normal then remain relaxed. No need to worry. |
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Hi doctor,I am struggling to get up early in the morning. I sleep for eight hours every day. I press the snooze button many times, but still, I cannot wake up early. I became irregular to the work which became a barrier to my career. Currently, I am taking tablet Fluvoxin 100 mg in the afternoon for OCD and depression, tablet Oxetol 450 mg in the evening for gelastic seizure, tablet Quetiapine 100 mg at night for delusions.
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Hi, Welcome to Chat Doctor forum. You have to be strict about your schedule. You are taking tablet Quetiapine at night. It is a standard medication which affects your sleep, mostly due to oversedation. But there is no other option if your delusions are under control with it or you may try another antipsychotic like Risperidone. You must sleep early at night if possible and take night medication soon at least at 9 PM if you are going to sleep at 10 PM. Fix your sleeping time from 10 PM to 6 AM. Do not snooze alarm. It is hard initially after that you will use to get up early. If you have depressive features, then treat your depression, because depression can also cause a problem in sleep (wake up issue). For more information consult a psychiatrist online | Hi doctor,I am struggling to get up early in the morning. I sleep for eight hours every day. I press the snooze button many times, but still, I cannot wake up early. I became irregular to the work which became a barrier to my career. Currently, I am taking tablet Fluvoxin 100 mg in the afternoon for OCD and depression, tablet Oxetol 450 mg in the evening for gelastic seizure, tablet Quetiapine 100 mg at night for delusions. | Hi, Welcome to Chat Doctor forum. You have to be strict about your schedule. You are taking tablet Quetiapine at night. It is a standard medication which affects your sleep, mostly due to oversedation. But there is no other option if your delusions are under control with it or you may try another antipsychotic like Risperidone. You must sleep early at night if possible and take night medication soon at least at 9 PM if you are going to sleep at 10 PM. Fix your sleeping time from 10 PM to 6 AM. Do not snooze alarm. It is hard initially after that you will use to get up early. If you have depressive features, then treat your depression, because depression can also cause a problem in sleep (wake up issue). For more information consult a psychiatrist online |
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Hi doctor,Yesterday I had to have a frenuloplasty. I had to have a general anaesthetic. I woke up and never got any advice off the urologist because I never saw him after the procedure. The nurse who discharged me told me to take off the dressing in the morning and wash the wound and the foreskin twice daily. My concern is today I noticed my foreskin has become swollen and looks similar to a balloon. The stitches are preventing me from pulling my foreskin back over the glans. So, it has been retracted all this time. Is the swelling normal and due to the incision or is it not normal? Also, am I suppose to keep it pulled back or do I try to push it back over the glans? My glans is very sensitive. So, it feels like an electric shock every time I move.
### Response:
Hello. You have very likely developed a paraphimosis. It would be more clear if you share a picture of the penis. You are supposed to keep the skin in front of glans. If it is painful to roll the skin over the glans, I suggest using Lignocaine gel and pull it front. After that, the swelling will slowly subside. If red discoloration also is present, then it can be a hematoma. Please share a picture. Revert with more information to a urologist online | Hi doctor,Yesterday I had to have a frenuloplasty. I had to have a general anaesthetic. I woke up and never got any advice off the urologist because I never saw him after the procedure. The nurse who discharged me told me to take off the dressing in the morning and wash the wound and the foreskin twice daily. My concern is today I noticed my foreskin has become swollen and looks similar to a balloon. The stitches are preventing me from pulling my foreskin back over the glans. So, it has been retracted all this time. Is the swelling normal and due to the incision or is it not normal? Also, am I suppose to keep it pulled back or do I try to push it back over the glans? My glans is very sensitive. So, it feels like an electric shock every time I move. | Hello. You have very likely developed a paraphimosis. It would be more clear if you share a picture of the penis. You are supposed to keep the skin in front of glans. If it is painful to roll the skin over the glans, I suggest using Lignocaine gel and pull it front. After that, the swelling will slowly subside. If red discoloration also is present, then it can be a hematoma. Please share a picture. Revert with more information to a urologist online |
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Hello doctor,A stray dog came near my 3 years and eight months old toddler. Its mouth was very near his hand. I do not know if it licked his hand or not but I just got worried. He has no open bleeding wound but yes mosquito bite sites and many minute abrasions because of playing. In the last two years, he has been given a tetanus shot also. I do not know what to do. I did not see the dog licking his hand but was very close to his hand, maybe for sniffing it came near.The dog looked fine, not overactive or underactive. It was a stray dog, so cannot watch it also. Please suggest what to do. Such incidents wherein a dog comes near or sniffs might happen in the future also and with kids, you cannot be sure if they were licked or not.
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Hello, Welcome to Chat Doctor forum. Just licking on unbroken skin comes under category-1 exposure. Here no vaccination is needed. But if licking was on abraded skin then better to get vaccinated. If you are not sure about licking on the abraded skin and if dog not traceable than better to get vaccinated for rabies. Once the child is vaccinated, it protects the child for many years. But still, after completion of five doses, a booster after one year can be taken. For more information consult a general practitioner online | Hello doctor,A stray dog came near my 3 years and eight months old toddler. Its mouth was very near his hand. I do not know if it licked his hand or not but I just got worried. He has no open bleeding wound but yes mosquito bite sites and many minute abrasions because of playing. In the last two years, he has been given a tetanus shot also. I do not know what to do. I did not see the dog licking his hand but was very close to his hand, maybe for sniffing it came near.The dog looked fine, not overactive or underactive. It was a stray dog, so cannot watch it also. Please suggest what to do. Such incidents wherein a dog comes near or sniffs might happen in the future also and with kids, you cannot be sure if they were licked or not. | Hello, Welcome to Chat Doctor forum. Just licking on unbroken skin comes under category-1 exposure. Here no vaccination is needed. But if licking was on abraded skin then better to get vaccinated. If you are not sure about licking on the abraded skin and if dog not traceable than better to get vaccinated for rabies. Once the child is vaccinated, it protects the child for many years. But still, after completion of five doses, a booster after one year can be taken. For more information consult a general practitioner online |
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Hi doctor,After suffering with groin pain, I had a double operation 12 weeks ago. During the operation, I had a repair of left side inguinal hernia and right hand hydrocele. I am now in more pain than I was before the operation. My testicle thorns with pain constantly and I have stabbing pain on hernia side. It feels like someone is sticking a bottle in me. I am struggling to walk very far, climb stairs and drive. I am unable to have a sex life. Is it normal to do both operations at the same time? Can you explain any possible cause for pain?
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Hi. Well, ideally if you have bilateral inguinal hernia, or inguina\\xc4\\xba hernia on one side and hy ChatDoctor. Pain can be due to entrapment of a nerve like ileoinguinal or ileohypogastric nerves which run with the spermatic cords or it could be also present if there is improper repair with subsequent breakdown of the repair and subsequent herniation of the bowel content into the inguinal ring or it can be from infection of the operation site. 12 weeks is quite a long time for surgical pains to have disappeared. You will need to do an abdominal pelvic ultrasound scan to see if there is any reccurence or failure of the surgery or if there is entrapment of visceral content. | Hi doctor,After suffering with groin pain, I had a double operation 12 weeks ago. During the operation, I had a repair of left side inguinal hernia and right hand hydrocele. I am now in more pain than I was before the operation. My testicle thorns with pain constantly and I have stabbing pain on hernia side. It feels like someone is sticking a bottle in me. I am struggling to walk very far, climb stairs and drive. I am unable to have a sex life. Is it normal to do both operations at the same time? Can you explain any possible cause for pain? | Hi. Well, ideally if you have bilateral inguinal hernia, or inguina\\xc4\\xba hernia on one side and hy ChatDoctor. Pain can be due to entrapment of a nerve like ileoinguinal or ileohypogastric nerves which run with the spermatic cords or it could be also present if there is improper repair with subsequent breakdown of the repair and subsequent herniation of the bowel content into the inguinal ring or it can be from infection of the operation site. 12 weeks is quite a long time for surgical pains to have disappeared. You will need to do an abdominal pelvic ultrasound scan to see if there is any reccurence or failure of the surgery or if there is entrapment of visceral content. |
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Hello doctor,Is a 600 cc breast implant the same as a 500 cc implant filled to 600 cc? Is a 500 cc implant filled to 600 cc considered extremely large with more chance of rupture? Is going from A cup to C cup (350 cc) then going from C cup to possible D cup (500 cc filled to 600 cc) that big of a difference?
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Hello. I can understand your confusions. Let me tell you one thing. The implants are usually measured by three things, the volume, the base diameter and the height (profile). So the implants chosen will be on the basis of all the three criteria. An implant of 500 cc will have the capacity to be filled almost up to twice its volume (1000 cc) without being ruptured. It depends upon the surgeon that what volume will be good in your case. Again the material and shape of the implant determine the distribution of the additional fill. That all will be pre-decided by your surgeon. Going from A to C and then to D is not that much of a difference provided you do have that much skin to accommodate. If not, then the doctor might suggest a few months interval in between for the skin to stretch. For more information consult a plastic surgeon online | Hello doctor,Is a 600 cc breast implant the same as a 500 cc implant filled to 600 cc? Is a 500 cc implant filled to 600 cc considered extremely large with more chance of rupture? Is going from A cup to C cup (350 cc) then going from C cup to possible D cup (500 cc filled to 600 cc) that big of a difference? | Hello. I can understand your confusions. Let me tell you one thing. The implants are usually measured by three things, the volume, the base diameter and the height (profile). So the implants chosen will be on the basis of all the three criteria. An implant of 500 cc will have the capacity to be filled almost up to twice its volume (1000 cc) without being ruptured. It depends upon the surgeon that what volume will be good in your case. Again the material and shape of the implant determine the distribution of the additional fill. That all will be pre-decided by your surgeon. Going from A to C and then to D is not that much of a difference provided you do have that much skin to accommodate. If not, then the doctor might suggest a few months interval in between for the skin to stretch. For more information consult a plastic surgeon online |
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Hi doctor,My wife is pregnant with twins, 24 weeks now. Her Hb levels never in life had gone above 10. At the start of pregnancy, it was 8.5 but now it has touched 7.7. We did serum ferritin test and her level was 50 (normal) which I guess means no iron deficiency. She is a beta thalassemia minor as per the detailed reports. Can you please guide here? Our gynecologist would be consulting a hematologist today but if we can get an opinion here it would be great.
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Hi. Thalassemia minor is hemoglobinopathy and so hemoglobin level can never be above 12 in such patient. In pregnancy, plasma is increased and so hemodilution can lead to more fall in hemoglobin level in CBC. Orofer XT like Iron tablet can be prescribed for such case. It would be great if the Hb level remains around 9 or 10 during pregnancy. The Iron infusion can be given in second or third trimester of pregnancy only if needed. You can discuss all these with your treating doctor or hematologist. No other mode of treatment is available as per my opinion. Close watch up is necessary in such case. I would like to suggest you to investigate with HB electrophoresis as well to avoid thalassemia major child. Take care. | Hi doctor,My wife is pregnant with twins, 24 weeks now. Her Hb levels never in life had gone above 10. At the start of pregnancy, it was 8.5 but now it has touched 7.7. We did serum ferritin test and her level was 50 (normal) which I guess means no iron deficiency. She is a beta thalassemia minor as per the detailed reports. Can you please guide here? Our gynecologist would be consulting a hematologist today but if we can get an opinion here it would be great. | Hi. Thalassemia minor is hemoglobinopathy and so hemoglobin level can never be above 12 in such patient. In pregnancy, plasma is increased and so hemodilution can lead to more fall in hemoglobin level in CBC. Orofer XT like Iron tablet can be prescribed for such case. It would be great if the Hb level remains around 9 or 10 during pregnancy. The Iron infusion can be given in second or third trimester of pregnancy only if needed. You can discuss all these with your treating doctor or hematologist. No other mode of treatment is available as per my opinion. Close watch up is necessary in such case. I would like to suggest you to investigate with HB electrophoresis as well to avoid thalassemia major child. Take care. |
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Hello doctor,I am 31 years old. I am married for the last two years, but still, I am not successful in doing intercourse with my wife and I am really frustrated. Also, my foreskin on the penis does not draw back when tried. I want your help in doing successful intercourse with my wife. When I consulted a sexologist, he says that I need to do circumcision, as the foreskin does not draw back. When I try to insert the penis, it is not getting inside her vagina, but shrinks and stays at the head of the vagina only. Please help.
### Response:
Hello, Welcome to Chat Doctor forum. I understand your concern. You are having phimosis. In phimosis, the foreskin does not role back and it is difficult to do intercourse. The other thing which can cause foreskin not to roll back are genital candidiasis but as per your description, you are having phimosis. You should do circumcision, it is the best treatment available and it is very effective. You should consult a general surgeon or urologist, they will do the procedure in your penis. Do not worry circumcision is a minor procedure done under local anesthesia and it is an out patient procedure. It will take only two weeks to recover completely and it will solve your problem permanently and also it will help you to enjoy sex also. I hope this helps. | Hello doctor,I am 31 years old. I am married for the last two years, but still, I am not successful in doing intercourse with my wife and I am really frustrated. Also, my foreskin on the penis does not draw back when tried. I want your help in doing successful intercourse with my wife. When I consulted a sexologist, he says that I need to do circumcision, as the foreskin does not draw back. When I try to insert the penis, it is not getting inside her vagina, but shrinks and stays at the head of the vagina only. Please help. | Hello, Welcome to Chat Doctor forum. I understand your concern. You are having phimosis. In phimosis, the foreskin does not role back and it is difficult to do intercourse. The other thing which can cause foreskin not to roll back are genital candidiasis but as per your description, you are having phimosis. You should do circumcision, it is the best treatment available and it is very effective. You should consult a general surgeon or urologist, they will do the procedure in your penis. Do not worry circumcision is a minor procedure done under local anesthesia and it is an out patient procedure. It will take only two weeks to recover completely and it will solve your problem permanently and also it will help you to enjoy sex also. I hope this helps. |
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Hello doctor,I got this eye problem three days ago. I do not know what happens but when it is evening, I notice that there is a frequent watery eye dirt in my eyes, sometimes it is a little bit only and sometimes a lot. But, it is very frequent like every minute like that. So that the veins in my eyes turn red. So, my eyes turn red also. It is not noticeable, but when I look at it clearly and I lift up the lids, I really can see the root. I do not know what to do. It is not hurt. I am just bothered about the eye dirt that comes out every minute and the red veins or roots in my eyes. Hope you can help me.
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Hello, Welcome to Chat Doctor forum. I do not know whether the dirt is white or yellow. However, it seems to be allergic. For this, I suggest you can use (Sodium Cromoglycate or antihistamine) ChatDoctor. Wash your eyes with water (not warm) as well. If no result, the problem may be an infection. Most probable viral one, other probability bacterial but very little. I advise you to try the allergic treatment and if no development for one to two days you have to go to an ophthalmologist to define the problem. For more information consult an eye care ophthalmologist online | Hello doctor,I got this eye problem three days ago. I do not know what happens but when it is evening, I notice that there is a frequent watery eye dirt in my eyes, sometimes it is a little bit only and sometimes a lot. But, it is very frequent like every minute like that. So that the veins in my eyes turn red. So, my eyes turn red also. It is not noticeable, but when I look at it clearly and I lift up the lids, I really can see the root. I do not know what to do. It is not hurt. I am just bothered about the eye dirt that comes out every minute and the red veins or roots in my eyes. Hope you can help me. | Hello, Welcome to Chat Doctor forum. I do not know whether the dirt is white or yellow. However, it seems to be allergic. For this, I suggest you can use (Sodium Cromoglycate or antihistamine) ChatDoctor. Wash your eyes with water (not warm) as well. If no result, the problem may be an infection. Most probable viral one, other probability bacterial but very little. I advise you to try the allergic treatment and if no development for one to two days you have to go to an ophthalmologist to define the problem. For more information consult an eye care ophthalmologist online |
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Hi doctor,I work in night shift. What can I take to be alive and energetic at night during work? I feel sleepy, and I am slow during my work. Please suggest.
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Hi. Since you are working in the night, you might be losing out the necessary sleep. So you are unable to focus entirely during work. It is essential for an adult human being to get seven to eight hours of quality sleep every day. Once you finish your job in the morning, try to have a hearty breakfast and then close the windows of your room with a dark curtain that blocks the entry of light. Request your family to keep the house quiet and try to sleep at a stretch for at least six to seven hours. It will help you unwind and relax. During the weekends, try to avoid staying out for long periods. Try to catch up the lost sleep. Some foods that help in inducing sleep are dairy products, bananas, and almonds. To keep you awake and energetic during work, avoid eating heavy meals before and during work. Eat small meals at frequent intervals. Green tea, dark chocolate, and fruits may help you to stay awake when you feel ChatDoctor. Please remember that the best time to sleep is the night time. Keep looking for better work opportunities, and sometime in future, you can move on to a job that lets you sleep well at night. | Hi doctor,I work in night shift. What can I take to be alive and energetic at night during work? I feel sleepy, and I am slow during my work. Please suggest. | Hi. Since you are working in the night, you might be losing out the necessary sleep. So you are unable to focus entirely during work. It is essential for an adult human being to get seven to eight hours of quality sleep every day. Once you finish your job in the morning, try to have a hearty breakfast and then close the windows of your room with a dark curtain that blocks the entry of light. Request your family to keep the house quiet and try to sleep at a stretch for at least six to seven hours. It will help you unwind and relax. During the weekends, try to avoid staying out for long periods. Try to catch up the lost sleep. Some foods that help in inducing sleep are dairy products, bananas, and almonds. To keep you awake and energetic during work, avoid eating heavy meals before and during work. Eat small meals at frequent intervals. Green tea, dark chocolate, and fruits may help you to stay awake when you feel ChatDoctor. Please remember that the best time to sleep is the night time. Keep looking for better work opportunities, and sometime in future, you can move on to a job that lets you sleep well at night. |
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Hello doctor,I have had four follicles ruptured from my left ovary and one from the right. I have had IUI back to back for two consecutive days. But my major concern is I have a unicornate uterus with a left rudimentary horn. I recently had lap because I had a cyst on my right ovary. The doctor says I have been ovulating perfectly every time. I am depressed abt the fact that left tube is absent but four follicles ruptured on the same side. Please give me some hope of getting pregnant. The endometrium lining is 9 mm which the doctor said is very good. And, this is my first IUI after lap.
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Hello, Welcome to Chat Doctor forum. How are you doing? I do not see any reason for you to worry. The movement of egg into the fallopian tube is chemically controlled or attracted. So, no matter which tube is open or blocked, the egg falls into the peritoneal cavity or the space around the uterus. Then, it will be obviously sucked into the open tube. So, you have definitely a chance of pregnancy. Your doctor will have more job to do only after you get pregnant, with lots of close monitoring and medications. Your chances of getting pregnant are on par with any other lady. So, just hope for the best and pray well. All the best. For more information consult an infertility specialist online | Hello doctor,I have had four follicles ruptured from my left ovary and one from the right. I have had IUI back to back for two consecutive days. But my major concern is I have a unicornate uterus with a left rudimentary horn. I recently had lap because I had a cyst on my right ovary. The doctor says I have been ovulating perfectly every time. I am depressed abt the fact that left tube is absent but four follicles ruptured on the same side. Please give me some hope of getting pregnant. The endometrium lining is 9 mm which the doctor said is very good. And, this is my first IUI after lap. | Hello, Welcome to Chat Doctor forum. How are you doing? I do not see any reason for you to worry. The movement of egg into the fallopian tube is chemically controlled or attracted. So, no matter which tube is open or blocked, the egg falls into the peritoneal cavity or the space around the uterus. Then, it will be obviously sucked into the open tube. So, you have definitely a chance of pregnancy. Your doctor will have more job to do only after you get pregnant, with lots of close monitoring and medications. Your chances of getting pregnant are on par with any other lady. So, just hope for the best and pray well. All the best. For more information consult an infertility specialist online |
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Good day, please i was diagnose with hep b positive 18months ago, my consulting tild me my condition i\\xc5\\x9f inactive and need no medication. some month back i was feeling hurt at my chest i was later diagnose with ulcer. some some weeks now have been having pains around my chest and most especially middle of my check. please what is happening to me?
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Hello, Welcome to i cliniq You have been diagnosed with inactive hepatitis B, for that I will request you to send me all your laboratory work so that a decision about the treatment can be taken. you now having central chest pain which looks like to due to esophageal ulcer called esophagitis and you may be also having some retrosternal burning with it. For this I am prescribing some medications it will help out in this pain. You need to take Cap.Esomeprazole 40mg 1 before breakfast and Syp.Sucralfate 10ml TID. Both of these should be taken for 2 weeks and let me know incase you have no improvement. EGD if no improvement with medications. EsophagitisChronic HBV Esophagitis Cap.Esomeprazole 40mg 1 before breakfastSyp.Sucralfate 10ml TID before meals Avoid spicy foods Needs follow up for HBV | Good day, please i was diagnose with hep b positive 18months ago, my consulting tild me my condition i\\xc5\\x9f inactive and need no medication. some month back i was feeling hurt at my chest i was later diagnose with ulcer. some some weeks now have been having pains around my chest and most especially middle of my check. please what is happening to me? | Hello, Welcome to i cliniq You have been diagnosed with inactive hepatitis B, for that I will request you to send me all your laboratory work so that a decision about the treatment can be taken. you now having central chest pain which looks like to due to esophageal ulcer called esophagitis and you may be also having some retrosternal burning with it. For this I am prescribing some medications it will help out in this pain. You need to take Cap.Esomeprazole 40mg 1 before breakfast and Syp.Sucralfate 10ml TID. Both of these should be taken for 2 weeks and let me know incase you have no improvement. EGD if no improvement with medications. EsophagitisChronic HBV Esophagitis Cap.Esomeprazole 40mg 1 before breakfastSyp.Sucralfate 10ml TID before meals Avoid spicy foods Needs follow up for HBV |
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Hello doctor,My bottom tooth has a kind of a hole at the gum line. I do not know. When I breathe in, it feels cold like the air went in my tooth. It just does not seem or feel normal. Also, on my upper front tooth, I have some kind of deep line. Example like when you make a line in the sand and it flows into the line but it still stays. It is hard to explain. Is there any way I can fix this without going to the dentist? And yes, I do brush my teeth daily.
### Response:
Hi. As per your history, you are having class 5 dental cavity in the lower tooth. You need to do filling (restoration) of the tooth as soon as possible. If you do not take measures at this time you may need RCT (root canal treatment) which will be 10 to 20 expensive and not as successful as filling. On your upper tooth, the line I understand is the gingival recession with abrasion, if you are right handed it must be on the left side or the side you keep your teeth brushing continuously. For this, you only need to use an ultrasoft toothbrush and check the video for modified Bass technique for tooth brushing. Also brush your teeth twice daily and keep the brush time of two to three minutes only. For more information consult a dentist online | Hello doctor,My bottom tooth has a kind of a hole at the gum line. I do not know. When I breathe in, it feels cold like the air went in my tooth. It just does not seem or feel normal. Also, on my upper front tooth, I have some kind of deep line. Example like when you make a line in the sand and it flows into the line but it still stays. It is hard to explain. Is there any way I can fix this without going to the dentist? And yes, I do brush my teeth daily. | Hi. As per your history, you are having class 5 dental cavity in the lower tooth. You need to do filling (restoration) of the tooth as soon as possible. If you do not take measures at this time you may need RCT (root canal treatment) which will be 10 to 20 expensive and not as successful as filling. On your upper tooth, the line I understand is the gingival recession with abrasion, if you are right handed it must be on the left side or the side you keep your teeth brushing continuously. For this, you only need to use an ultrasoft toothbrush and check the video for modified Bass technique for tooth brushing. Also brush your teeth twice daily and keep the brush time of two to three minutes only. For more information consult a dentist online |
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Hello doctor,I am 29 weeks pregnant. From the last two days, I am not feeling good. There is sudden nausea. The baby movement is fine but I am not able to eat anything because of nausea and frequent urination. Burning feet is also there accompanied by gas and constipation.
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Hello. Vomiting is more usual in the first trimester. In the second and third trimester, it is less usual and can be due to a urine infection. Have urinalysis and urine culture. If it comes positive for infection, you need antibiotics. Have a strict check on thyroid as well. It should be normal and have recurrent checkups. Have plenty of water and cranberry juice to prevent/have relief from a urine infection. I suggest you have tablet Cyclizine 50 mg eight hourly before 45 minutes of taking food. Have small frequent meals of your choice that you like nowadays and you can have easily like juices, soups, soft diet but homemade. Have walk daily and try to have diet properly with a tablet as improper diet habits cause digestive problems. Have Calcium on alternate days for few days till you have relief from these symptoms. Check thyroid level and consult a maternal medicine specialist if abnormal for readjustment of the dose of Thyroxine. Check urine reports with a gynecologist. For more information consult an obstetrician and gynaecologist online | Hello doctor,I am 29 weeks pregnant. From the last two days, I am not feeling good. There is sudden nausea. The baby movement is fine but I am not able to eat anything because of nausea and frequent urination. Burning feet is also there accompanied by gas and constipation. | Hello. Vomiting is more usual in the first trimester. In the second and third trimester, it is less usual and can be due to a urine infection. Have urinalysis and urine culture. If it comes positive for infection, you need antibiotics. Have a strict check on thyroid as well. It should be normal and have recurrent checkups. Have plenty of water and cranberry juice to prevent/have relief from a urine infection. I suggest you have tablet Cyclizine 50 mg eight hourly before 45 minutes of taking food. Have small frequent meals of your choice that you like nowadays and you can have easily like juices, soups, soft diet but homemade. Have walk daily and try to have diet properly with a tablet as improper diet habits cause digestive problems. Have Calcium on alternate days for few days till you have relief from these symptoms. Check thyroid level and consult a maternal medicine specialist if abnormal for readjustment of the dose of Thyroxine. Check urine reports with a gynecologist. For more information consult an obstetrician and gynaecologist online |
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Hello doctor,After I ate some food, I had a piece of chewy candy and felt a hole on one of my bottom right molars. I immediately spit the candy out, to find a piece of my tooth, and when I shone a flashlight into my mouth, I saw that a chunk of my molar was missing, on the area right next to my back molar. I am not sure if the chunk is a filling or an actual piece of my teeth, but the gaping hole looks pretty deep and there was a lot of sensitivity when I rinsed out my mouth with cool water. Should I be worried, and what can I do to minimize the sensitivity before I see my dentist?
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Hello. I have read your query and it seems that the filling portion of the tooth is broken (attachment removed to protect patient identity). No need to worry as the tooth seems to be vital. Sensitivity is normal here because dentin of your tooth has been exposed due to broken piece. I would suggest to get this cavity filled soon as the delay would cause problems like food lodging and over time caries. Atleast have a temporary filling done for time being. Sensitivity can be minimised by brushing with fluoride toothpastes. Take a fluoridated paste on your finger tip and massage it gently over the whole involved tooth, brush after 2 minutes with a regular toothpaste after that. Take care. | Hello doctor,After I ate some food, I had a piece of chewy candy and felt a hole on one of my bottom right molars. I immediately spit the candy out, to find a piece of my tooth, and when I shone a flashlight into my mouth, I saw that a chunk of my molar was missing, on the area right next to my back molar. I am not sure if the chunk is a filling or an actual piece of my teeth, but the gaping hole looks pretty deep and there was a lot of sensitivity when I rinsed out my mouth with cool water. Should I be worried, and what can I do to minimize the sensitivity before I see my dentist? | Hello. I have read your query and it seems that the filling portion of the tooth is broken (attachment removed to protect patient identity). No need to worry as the tooth seems to be vital. Sensitivity is normal here because dentin of your tooth has been exposed due to broken piece. I would suggest to get this cavity filled soon as the delay would cause problems like food lodging and over time caries. Atleast have a temporary filling done for time being. Sensitivity can be minimised by brushing with fluoride toothpastes. Take a fluoridated paste on your finger tip and massage it gently over the whole involved tooth, brush after 2 minutes with a regular toothpaste after that. Take care. |
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Hello doctor,I am married with two kids and a loving husband. I quit my job a year ago and started selling clothing online. I love watching movies. And recently I have a crush on an actor in a movie that is about cross country sport. Since I was young I used to get easily attracted to people who are good at sports. Hence, suddenly I am totally starstrucked by the lead character. And I follow the Instagram of the actor and I am trying to get to know about this actor. He is totally a good, charismatic person and have that odd looking feature. That is the thing I love about him. Now, every single second I cannot stop thinking about this actor. I cannot do my job well because I would go viewing his instagram and watch his videos most of the times. When I was young it was normal to have a crush, but now? I really feel my life is so complicated. I cannot stop thinking about the actor. I cry every time I had to watch him on television or view his Instagram and not doing my work properly. At this time I just hate myself. Please help me.
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Hi, Welcome to Chat Doctor forum. Firstly, I must say it is very courageous of you to share your concerns here and I would thank you for doing so. 1. Celebrity obsession.2. Anxiety.3. Depression. | Hello doctor,I am married with two kids and a loving husband. I quit my job a year ago and started selling clothing online. I love watching movies. And recently I have a crush on an actor in a movie that is about cross country sport. Since I was young I used to get easily attracted to people who are good at sports. Hence, suddenly I am totally starstrucked by the lead character. And I follow the Instagram of the actor and I am trying to get to know about this actor. He is totally a good, charismatic person and have that odd looking feature. That is the thing I love about him. Now, every single second I cannot stop thinking about this actor. I cannot do my job well because I would go viewing his instagram and watch his videos most of the times. When I was young it was normal to have a crush, but now? I really feel my life is so complicated. I cannot stop thinking about the actor. I cry every time I had to watch him on television or view his Instagram and not doing my work properly. At this time I just hate myself. Please help me. | Hi, Welcome to Chat Doctor forum. Firstly, I must say it is very courageous of you to share your concerns here and I would thank you for doing so. 1. Celebrity obsession.2. Anxiety.3. Depression. |
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Hello doctor,My boy baby is 9 years old and is still passing urine on the bed while sleeping. While I discussed with him, he said he is not feeling. As per doctor suggestion I used to wake up him by night for passing the urine but it did not work. Day time he gets it urgent and runs towards the bathroom. Study time in one-hour minimum three to four times he goes to urinate. He is maximum time watching TV, and want to play game in cell or laptop. Her mom was also under psychiatric care for the last eight years after his birth. During that period while taking medicine she fed him also. I am not getting a solution. I have explained everything. I request you to suggest proper solution and steps need to be taken.
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Hi. First, you have to rule out the organic or structural cause of enuresis, like urinary tract infections, obstruction, polyuria, diabetes, and any medicine. Second, if the organic cause is ruled out then you have to review the toilet training of your child, and medicine such as Desmopressin or Reboxetine are alternative. Also, behavioral therapy has a significant role like bell and pad system is effective in 50 percent cases. Also, limit the time spent on the screen like mobile or television, and it should be noted more than two hours per day. | Hello doctor,My boy baby is 9 years old and is still passing urine on the bed while sleeping. While I discussed with him, he said he is not feeling. As per doctor suggestion I used to wake up him by night for passing the urine but it did not work. Day time he gets it urgent and runs towards the bathroom. Study time in one-hour minimum three to four times he goes to urinate. He is maximum time watching TV, and want to play game in cell or laptop. Her mom was also under psychiatric care for the last eight years after his birth. During that period while taking medicine she fed him also. I am not getting a solution. I have explained everything. I request you to suggest proper solution and steps need to be taken. | Hi. First, you have to rule out the organic or structural cause of enuresis, like urinary tract infections, obstruction, polyuria, diabetes, and any medicine. Second, if the organic cause is ruled out then you have to review the toilet training of your child, and medicine such as Desmopressin or Reboxetine are alternative. Also, behavioral therapy has a significant role like bell and pad system is effective in 50 percent cases. Also, limit the time spent on the screen like mobile or television, and it should be noted more than two hours per day. |
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Hello doctor,I am having diarrhea since three to four months. What actually is happening is I am getting large amount of water which is clear with small broken pieces of feces. Also, I can see tissue like (lace-like) mucus like things in my feces. I have abdominal discomfort when I do not defecate. My diarrhea is like expulsive and when I apply pressure at the coccyx, the water comes out explosively nevertheless, how many times I do this. After defecating, I have mild pain in my legs. I do not have obvious signs of dehydration but yes cheilosis is present and abdominal discomfort. I cannot have my meals properly. But, I feel hungry with gaps, I cannot finish my meal but then I feel hungry after an hour or so. I hope you help.
### Response:
Hi. From your symptoms, you could have a chronic infection or inflammatory condition of the colon associated with malabsorption. It could be a number of things so we need to approach in a stepwise manner. If symptoms are associated with certain food intakes like dairy or gluten, it could be intolerance or allergy to these. Please get the following investigations done and let me know the results. That will help us narrow down the list and identify the cause. You have vitamin B deficiency which also suggests malabsorption. For more information consult a general practitioner online Take care. | Hello doctor,I am having diarrhea since three to four months. What actually is happening is I am getting large amount of water which is clear with small broken pieces of feces. Also, I can see tissue like (lace-like) mucus like things in my feces. I have abdominal discomfort when I do not defecate. My diarrhea is like expulsive and when I apply pressure at the coccyx, the water comes out explosively nevertheless, how many times I do this. After defecating, I have mild pain in my legs. I do not have obvious signs of dehydration but yes cheilosis is present and abdominal discomfort. I cannot have my meals properly. But, I feel hungry with gaps, I cannot finish my meal but then I feel hungry after an hour or so. I hope you help. | Hi. From your symptoms, you could have a chronic infection or inflammatory condition of the colon associated with malabsorption. It could be a number of things so we need to approach in a stepwise manner. If symptoms are associated with certain food intakes like dairy or gluten, it could be intolerance or allergy to these. Please get the following investigations done and let me know the results. That will help us narrow down the list and identify the cause. You have vitamin B deficiency which also suggests malabsorption. For more information consult a general practitioner online Take care. |
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Hello doctor,I have had a lot of hair loss in the past year. Mostly on top of my head. Lost half my hair. My regular doctor did not find anything wrong with my blood test and said hair loss affects a lot of women and accept it. My new Naturopath thought my numbers seemed low and suggested iron and thyroid supplements. I need another opinion.I have tested positive for Hashimoto's, and I have ankylosing spondylitis. The dermatologist did scalp bio negative for inflammation. My TSH is 3.71, T4 is 99, T3 is 110, and FSH is 8.1. The values of zinc is 82, ferritin 36, Iron 93 and TIBC 315. Please help me know what I should do?
### Response:
Hello. Hair loss in females can be due to many causes, most common being 1. Telogen effluvium stress-induced, due to illness, a diet with low protein intake, surgery, post-pregnancy, and mental stress. 2. Female pattern alopecia is genetic and hormone-mediated, runs in the family. 3. Diffuse alopecia areata is autoimmune condition usually associated with other autoimmune disorders like diabetes, thyroid disorders, and ulcerative colitis. 4. ChatDoctor. | Hello doctor,I have had a lot of hair loss in the past year. Mostly on top of my head. Lost half my hair. My regular doctor did not find anything wrong with my blood test and said hair loss affects a lot of women and accept it. My new Naturopath thought my numbers seemed low and suggested iron and thyroid supplements. I need another opinion.I have tested positive for Hashimoto's, and I have ankylosing spondylitis. The dermatologist did scalp bio negative for inflammation. My TSH is 3.71, T4 is 99, T3 is 110, and FSH is 8.1. The values of zinc is 82, ferritin 36, Iron 93 and TIBC 315. Please help me know what I should do? | Hello. Hair loss in females can be due to many causes, most common being 1. Telogen effluvium stress-induced, due to illness, a diet with low protein intake, surgery, post-pregnancy, and mental stress. 2. Female pattern alopecia is genetic and hormone-mediated, runs in the family. 3. Diffuse alopecia areata is autoimmune condition usually associated with other autoimmune disorders like diabetes, thyroid disorders, and ulcerative colitis. 4. ChatDoctor. |
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Hello doctor,I am a 72-year-old woman and having back pain for more than three days across the lower back and sides. It feels like inflammation. How can I tell if this is simple back pain or kidney problems? I take Lithium twice a day (bipolar) and Levothyroxine. Also Vitamins, Fiber gel tablet and occasionally Melatonin and Ativan for sleep. I have been on Lithium for over 30 years. I understand it can impact the kidneys. My liver and kidneys tested normal two months ago. I usually take Aleve for pain but yesterday, I accidentally took too much Vicodin for pain and had reactions (hot flash, nausea, and vomiting). Today I am off from all painkillers and using hot or cold compresses and rest. Kindly advice.
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Hi, Welcome to Chat Doctor forum. If your pain is aggravated by movements and improved by rest, then it is probably due to musculoskeletal rather than kidney problems. One of the tests to find out is to do a urine test to find out if there are signs of infection or blood. You mentioned that you have fatigue. And in this case, I would recommend that you visit your doctor to have blood tests and MRI (magnetic resonance imaging) scan of your back as soon as possible. For more information consult an orthopaedician and traumatologist online | Hello doctor,I am a 72-year-old woman and having back pain for more than three days across the lower back and sides. It feels like inflammation. How can I tell if this is simple back pain or kidney problems? I take Lithium twice a day (bipolar) and Levothyroxine. Also Vitamins, Fiber gel tablet and occasionally Melatonin and Ativan for sleep. I have been on Lithium for over 30 years. I understand it can impact the kidneys. My liver and kidneys tested normal two months ago. I usually take Aleve for pain but yesterday, I accidentally took too much Vicodin for pain and had reactions (hot flash, nausea, and vomiting). Today I am off from all painkillers and using hot or cold compresses and rest. Kindly advice. | Hi, Welcome to Chat Doctor forum. If your pain is aggravated by movements and improved by rest, then it is probably due to musculoskeletal rather than kidney problems. One of the tests to find out is to do a urine test to find out if there are signs of infection or blood. You mentioned that you have fatigue. And in this case, I would recommend that you visit your doctor to have blood tests and MRI (magnetic resonance imaging) scan of your back as soon as possible. For more information consult an orthopaedician and traumatologist online |
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Hello doctor,I had premature rupture of membrane. I lost total amniotic fluid like a gushing flow, that time actually I was in the toilet for elimination. I have multiple fibroids, and HBsAg positive, but I do not know what is the reason for the fluid leak. The doctor said it is because of HBsAg. Please tell me what is the reason behind this. Termination has been done. Prescribed for myomectomy surgery. Can you tell my possibilities of pregnancy and precautions for next time? And one thing, my body temperature in both palm and the sole is high compared to others. I do not have any fever.
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Hello. The leak can be due to many reasons. The most common is due to some contraction of the uterus and may be due to a weak membrane and or more baby movement, sudden irritation, and strong contraction, due to some infection and many more. If you have one pregnancy with fibroid then there can be a pregnancy with fibroid and you can also go for myomectomy and then pregnancy. The only thing you should do is to take more care and more rest next time. and take medicines regularly with a regular check-up. Only these things are in our hands. The temperature of the palm and sole, is mostly because of your body nature and not related to any other thing (individual variations). | Hello doctor,I had premature rupture of membrane. I lost total amniotic fluid like a gushing flow, that time actually I was in the toilet for elimination. I have multiple fibroids, and HBsAg positive, but I do not know what is the reason for the fluid leak. The doctor said it is because of HBsAg. Please tell me what is the reason behind this. Termination has been done. Prescribed for myomectomy surgery. Can you tell my possibilities of pregnancy and precautions for next time? And one thing, my body temperature in both palm and the sole is high compared to others. I do not have any fever. | Hello. The leak can be due to many reasons. The most common is due to some contraction of the uterus and may be due to a weak membrane and or more baby movement, sudden irritation, and strong contraction, due to some infection and many more. If you have one pregnancy with fibroid then there can be a pregnancy with fibroid and you can also go for myomectomy and then pregnancy. The only thing you should do is to take more care and more rest next time. and take medicines regularly with a regular check-up. Only these things are in our hands. The temperature of the palm and sole, is mostly because of your body nature and not related to any other thing (individual variations). |
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Hello doctor,I am a 57-year-old male with polycystic kidney disease. My BMI is 27, and I am a non-smoker. My creatine ~1.25, eGFR ~63. I am currently on 30 mg Lisinopril, 12.5 mg Hydrochlorothiazide daily.Most recently I changed to (6 months ago), taking 40 mg Lisinopril only and noticed bp increasing so added the HCT. Since starting HCT, hypernatremic @ NA=130.My query is I get a rapid spike in blood pressure over the course of two to three days from well-controlled 130/80 mmHg to 165/105 mmHg which has maintained for the last seven days and continues. What are the possible causes of such a rapid sustained spike?
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Hello, Welcome to Chat Doctor forum. The causes of this accelerated phase could be multiple. Is there any change in dietary habit with increased salt intake? Any recent change in antihypertensive? Did you by any chance miss antihypertensive medications? Any consumption of pain killer NSAIDs (nonsteroidal anti-inflammatory ChatDoctor. My advice will be to continue with Lisinopril as advised. As HCTZ (hy | Hello doctor,I am a 57-year-old male with polycystic kidney disease. My BMI is 27, and I am a non-smoker. My creatine ~1.25, eGFR ~63. I am currently on 30 mg Lisinopril, 12.5 mg Hydrochlorothiazide daily.Most recently I changed to (6 months ago), taking 40 mg Lisinopril only and noticed bp increasing so added the HCT. Since starting HCT, hypernatremic @ NA=130.My query is I get a rapid spike in blood pressure over the course of two to three days from well-controlled 130/80 mmHg to 165/105 mmHg which has maintained for the last seven days and continues. What are the possible causes of such a rapid sustained spike? | Hello, Welcome to Chat Doctor forum. The causes of this accelerated phase could be multiple. Is there any change in dietary habit with increased salt intake? Any recent change in antihypertensive? Did you by any chance miss antihypertensive medications? Any consumption of pain killer NSAIDs (nonsteroidal anti-inflammatory ChatDoctor. My advice will be to continue with Lisinopril as advised. As HCTZ (hy |
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Hi doctor, My father has acute heart failure and extensive MI since two months ago. Also, he got a pleural effusion and leg edema. He is in bed symptomatic depending on oxygen device most of the time. His EF is 21.The ECG shows possible left atrial enlargement, nonspecific intraventricular block, right ventricular hypertrophy, inferior infarct, and anterolateral infarct. QRS = 138 with right bundle branch block.He sleeps in a 30-45 degree. We did not do PCI until now. I would like to know will CRTD be good for him?
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Hi, Welcome to Chat Doctor forum. As he had a heart attack, first priority is revascularization of angioplasty or bypass surgery. If this is done and heart function improves, then it will be good. In right bundle branch block, there is very little benefit of CRT (cardiac resynchronization therapy). If revascularization is not possible, then maximum medical therapy is best. Yes, ICD (implantable cadioverter defibrillator) is indicated. It should be considered once the patient is out of the acute episode and is stabilized. If the patient needs recurrent hospitalization for heart failure or recurrent BP ChatDoctor. First thing is to assess for revascularization if there is viable heart muscle. I hope this helps. | Hi doctor, My father has acute heart failure and extensive MI since two months ago. Also, he got a pleural effusion and leg edema. He is in bed symptomatic depending on oxygen device most of the time. His EF is 21.The ECG shows possible left atrial enlargement, nonspecific intraventricular block, right ventricular hypertrophy, inferior infarct, and anterolateral infarct. QRS = 138 with right bundle branch block.He sleeps in a 30-45 degree. We did not do PCI until now. I would like to know will CRTD be good for him? | Hi, Welcome to Chat Doctor forum. As he had a heart attack, first priority is revascularization of angioplasty or bypass surgery. If this is done and heart function improves, then it will be good. In right bundle branch block, there is very little benefit of CRT (cardiac resynchronization therapy). If revascularization is not possible, then maximum medical therapy is best. Yes, ICD (implantable cadioverter defibrillator) is indicated. It should be considered once the patient is out of the acute episode and is stabilized. If the patient needs recurrent hospitalization for heart failure or recurrent BP ChatDoctor. First thing is to assess for revascularization if there is viable heart muscle. I hope this helps. |
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Hi doctor,I went abroad a few days after my period ended. I start birth control on the last day or the day after the last usually. On the second day of my vacation, I started spotting and that has lasted till now. It has been about 10 days. I have been taking my birth control throughout. I only just got back. What could this be? Please help. How do I go about with my next cycle of birth control? Will my period be normal? Also, I have not had sex during this entire situation. The mistake I did is that I skipped a couple of birth control pills as soon as my holiday started and then I tried to make up for it by taking two on the same day.
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Hello. You are experiencing a breakthrough bleeding occurring due to missing your pills and also probably due to not taking them on time. If it is a combined oral contraceptive pill, then it should be started from day 2 or 3 of your cycle ideally. So, the best is to stop the pill pack now and wait for your with ChatDoctor. Till then, you may use barrier contraception to prevent any pregnancy and if the bleeding is discomforting, then you can use antifibrinolytics for three days to stop it completely as well. The pills should be taken on time and regularly to avoid such breakthrough episodes, ideally. | Hi doctor,I went abroad a few days after my period ended. I start birth control on the last day or the day after the last usually. On the second day of my vacation, I started spotting and that has lasted till now. It has been about 10 days. I have been taking my birth control throughout. I only just got back. What could this be? Please help. How do I go about with my next cycle of birth control? Will my period be normal? Also, I have not had sex during this entire situation. The mistake I did is that I skipped a couple of birth control pills as soon as my holiday started and then I tried to make up for it by taking two on the same day. | Hello. You are experiencing a breakthrough bleeding occurring due to missing your pills and also probably due to not taking them on time. If it is a combined oral contraceptive pill, then it should be started from day 2 or 3 of your cycle ideally. So, the best is to stop the pill pack now and wait for your with ChatDoctor. Till then, you may use barrier contraception to prevent any pregnancy and if the bleeding is discomforting, then you can use antifibrinolytics for three days to stop it completely as well. The pills should be taken on time and regularly to avoid such breakthrough episodes, ideally. |
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Hello doctor,I am an 18-year-old, and I have experienced forgetfulness ever since I was in elementary. I usually ace my tests because I have a very short term memory, so cramming often makes do. But, I often tend to forget things when my body takes the so-called auto-pilot mode. During these times, I tend to do things with me, not really focusing on doing it because I was thinking of something else. I cannot really recall what exactly happened in a day when nothing special has occurred. I often forget where I put things, even when they are already in front of me, or in my hand. I seem to misplace habitually and it has pertrubed my parents. Now I am wandering if these are early symptoms of Alzheimer\\s. Please reply, and if you want to ask questions about me,feel free.
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Hello. I understand your concern and would explain that your symptoms are not related to dementia or Alzheimer. At your age, considering the description of your complaints, I would think about a concentration disorder (attention disorder). This could be related to ADHD or anxiety. For this reason, I would recommend consulting with a psychiatrist or psychologist to help determine the right cause. It is also important checking complete blood count for anemia and thyroid hormone levels for thyroid gland dysfunction. Take care. | Hello doctor,I am an 18-year-old, and I have experienced forgetfulness ever since I was in elementary. I usually ace my tests because I have a very short term memory, so cramming often makes do. But, I often tend to forget things when my body takes the so-called auto-pilot mode. During these times, I tend to do things with me, not really focusing on doing it because I was thinking of something else. I cannot really recall what exactly happened in a day when nothing special has occurred. I often forget where I put things, even when they are already in front of me, or in my hand. I seem to misplace habitually and it has pertrubed my parents. Now I am wandering if these are early symptoms of Alzheimer\\s. Please reply, and if you want to ask questions about me,feel free. | Hello. I understand your concern and would explain that your symptoms are not related to dementia or Alzheimer. At your age, considering the description of your complaints, I would think about a concentration disorder (attention disorder). This could be related to ADHD or anxiety. For this reason, I would recommend consulting with a psychiatrist or psychologist to help determine the right cause. It is also important checking complete blood count for anemia and thyroid hormone levels for thyroid gland dysfunction. Take care. |
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Hello doctor, We both are 30 year old couple and we have been planning for a baby for more than a year. My wife has normal period and as per the medical report my semen is fine. We have visited a doctor in our locality and he advised cleaning of the uterus (D and C - dilation and curettage). Could you please advise if our treatment is going in the right direction? Should we go for cleaning of the uterus (D and C)? My wife\\s current medications are JP Tone, Femitone, D3 Must, Norflox 400, Zentor 500 (Levofloxacin) and Tido (Tinidazole). Her past medication includes Ovares SR and Krimson. Please also check the medical reports and prescription attached. We have also undergone the following tests. Syphilis urine test, E.coli culture and sensitivity test, HIV transvaginal sonography, hormone tests - LH, FT4, TSH, prolactin, FSH, AMH and semen analysis. What should we do?
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Hello. Please send me the complete reports to get better knowledge about your problem. A few suggestions based on the other information mentioned in the description are as follows. HSG. Primary infertility. Revert back with the reports to an obstetrician and gynaecologist online.- Take care. | Hello doctor, We both are 30 year old couple and we have been planning for a baby for more than a year. My wife has normal period and as per the medical report my semen is fine. We have visited a doctor in our locality and he advised cleaning of the uterus (D and C - dilation and curettage). Could you please advise if our treatment is going in the right direction? Should we go for cleaning of the uterus (D and C)? My wife\\s current medications are JP Tone, Femitone, D3 Must, Norflox 400, Zentor 500 (Levofloxacin) and Tido (Tinidazole). Her past medication includes Ovares SR and Krimson. Please also check the medical reports and prescription attached. We have also undergone the following tests. Syphilis urine test, E.coli culture and sensitivity test, HIV transvaginal sonography, hormone tests - LH, FT4, TSH, prolactin, FSH, AMH and semen analysis. What should we do? | Hello. Please send me the complete reports to get better knowledge about your problem. A few suggestions based on the other information mentioned in the description are as follows. HSG. Primary infertility. Revert back with the reports to an obstetrician and gynaecologist online.- Take care. |
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Hi doctor,Yesterday, I woke up with bumps on my face and neck. It started off small and it was really itchy, so I itched the bumps and they started to get bigger. I washed my hands after and got some cream to stop it from itching. Later on, more bumps started to appear after itching my self and it's on my fingers and the back of my neck, and I have no idea what I have and it's hard to find treatments without knowing what it is. I do have a feeling it is an allergic reaction, since I ate a whole packet of sweets and it had a weird texture to it.
### Response:
Hi, Welcome to Chat Doctor forum. It is urticaria and you are right it is an allergic reaction. Urticaria can be due to ChatDoctor. You have to keenly observe and note the things that can flare it up or cause it. Do not worry. You will get better with proper treatment and medication. Urticaria. Urticaria. Apply Betamethasone propionate lotion, mix with Calamine lotion BD over the lesions. Take antihistamine BD like Loratidine 20 mg. Avoid things that flare it up. Do not eat food from outside the home. Maintain hygiene of area, wash with soap and water, avoid using Dettol and other irritants. | Hi doctor,Yesterday, I woke up with bumps on my face and neck. It started off small and it was really itchy, so I itched the bumps and they started to get bigger. I washed my hands after and got some cream to stop it from itching. Later on, more bumps started to appear after itching my self and it's on my fingers and the back of my neck, and I have no idea what I have and it's hard to find treatments without knowing what it is. I do have a feeling it is an allergic reaction, since I ate a whole packet of sweets and it had a weird texture to it. | Hi, Welcome to Chat Doctor forum. It is urticaria and you are right it is an allergic reaction. Urticaria can be due to ChatDoctor. You have to keenly observe and note the things that can flare it up or cause it. Do not worry. You will get better with proper treatment and medication. Urticaria. Urticaria. Apply Betamethasone propionate lotion, mix with Calamine lotion BD over the lesions. Take antihistamine BD like Loratidine 20 mg. Avoid things that flare it up. Do not eat food from outside the home. Maintain hygiene of area, wash with soap and water, avoid using Dettol and other irritants. |
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Hello doctor,My mother has asthma as she used to smoke and live near roads. Her X-ray showed that trachea is in the midline, the cardiac shadow is not enlarged, pulmonary vasculatures are not prominent, hemidiaphragm is flattened, costophrenic sulci are blunted, right lower lung infiltrates present and pneumonia entertain. Please correlate clinically. Emphysematous changes are also considered.The last X-ray was negative for tuberculosis. She was using Ventolin as nebulizer three to four months back.
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Hi, Welcome to Chat Doctor forum. I have checked the attached report, along with the data you provided (attachment removed to protect patient identity). Your mother has COPD which is a chronic obstructive lung disease due to changes in the lung with age and due to smoking. In COPD the air is entrapped inside the lung with difficulty to get it out, so the oxygenation is impaired. Thus the patient becomes hypoxic with frequent exacerbations in winter with any infection of the lung. The infiltrates found in the right lung are due to pneumonia. The treatment includes inhalers regularly with antibiotics and long-term home oxygen therapy may be required if certain criteria are found. To identify the stage, I need to see her oxygen saturation in room air and arterial blood gas test. For more information consult an internal medicine physician online | Hello doctor,My mother has asthma as she used to smoke and live near roads. Her X-ray showed that trachea is in the midline, the cardiac shadow is not enlarged, pulmonary vasculatures are not prominent, hemidiaphragm is flattened, costophrenic sulci are blunted, right lower lung infiltrates present and pneumonia entertain. Please correlate clinically. Emphysematous changes are also considered.The last X-ray was negative for tuberculosis. She was using Ventolin as nebulizer three to four months back. | Hi, Welcome to Chat Doctor forum. I have checked the attached report, along with the data you provided (attachment removed to protect patient identity). Your mother has COPD which is a chronic obstructive lung disease due to changes in the lung with age and due to smoking. In COPD the air is entrapped inside the lung with difficulty to get it out, so the oxygenation is impaired. Thus the patient becomes hypoxic with frequent exacerbations in winter with any infection of the lung. The infiltrates found in the right lung are due to pneumonia. The treatment includes inhalers regularly with antibiotics and long-term home oxygen therapy may be required if certain criteria are found. To identify the stage, I need to see her oxygen saturation in room air and arterial blood gas test. For more information consult an internal medicine physician online |
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Hello doctor,I am a 23 year old female. I am not yet married.In October 2013, I had a laparoscopic removal of a chocolate cyst measuring 10cm.The doctor suggested me tablet Ovral-L.But, after that I had aneurysm and could not take those tablets.Now, when I got scanning done 4 days ago, they found 2 chocolate cysts size 4cm and 3cm.What should I do now?Is it possible for me to get pregnant after marriage?
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Hi. Yes, there are chances for the recurrence of chocolate cyst. Usually the cyst wall is removed while doing cystectomy (removal of the cyst) to decrease the chances of recurrence. For this, you can consult your gynaecologist and take only progesterones or GnRH agonists (Gonadotropin-Releasing Hormone Agonists). You can get your ovulation study done to see the number and size of developing follicles and their rupture, which means ovulatory cycles. If you are planning for a pregnancy then best will be to get a diagnostic laparoscopy done which will confirm the actual status of the cyst along with tubal patency, etc., and so many other things. Revert back to an obstetrician and gynaecologist online for further follow up Take care. | Hello doctor,I am a 23 year old female. I am not yet married.In October 2013, I had a laparoscopic removal of a chocolate cyst measuring 10cm.The doctor suggested me tablet Ovral-L.But, after that I had aneurysm and could not take those tablets.Now, when I got scanning done 4 days ago, they found 2 chocolate cysts size 4cm and 3cm.What should I do now?Is it possible for me to get pregnant after marriage? | Hi. Yes, there are chances for the recurrence of chocolate cyst. Usually the cyst wall is removed while doing cystectomy (removal of the cyst) to decrease the chances of recurrence. For this, you can consult your gynaecologist and take only progesterones or GnRH agonists (Gonadotropin-Releasing Hormone Agonists). You can get your ovulation study done to see the number and size of developing follicles and their rupture, which means ovulatory cycles. If you are planning for a pregnancy then best will be to get a diagnostic laparoscopy done which will confirm the actual status of the cyst along with tubal patency, etc., and so many other things. Revert back to an obstetrician and gynaecologist online for further follow up Take care. |
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Hello doctor,I suddenly feel a tingling sensation after urination and a slight prick sort of a thing. I visited a doctor for the same and had been diagnosed with a urine infection. I also have a constant urge to urinate. He gave a dose of antibiotics which I had to take for three days. But I just had it for a day and a half as I felt better and I feel the same again. Is it the urine infection itself which has continued? Also, my doctor told me that it is urine infection only and that I will have to take Norflox 400 mg for five days two times.
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Hello, Welcome to Chat Doctor forum. Based on your symptoms, you seems to have a urinary tract infection. The treatment is a full course of antibiotics which ranges from three to seven days depending on the severity of symptoms. Antibiotics usually give symptomatic relief in 24 hours but it takes minimum three days to clear the infection completely. As you had stopped the medication in between, you most likely have a persistent UTI (urinary tract infection). You will have to finish your antibiotic course and in your case, it is better to take for five days because it is a residual infection. If you still have symptoms after completing your antibiotic course, it would be necessary to further investigate with a urine culture and ultrasound. For more information consult a urologist online | Hello doctor,I suddenly feel a tingling sensation after urination and a slight prick sort of a thing. I visited a doctor for the same and had been diagnosed with a urine infection. I also have a constant urge to urinate. He gave a dose of antibiotics which I had to take for three days. But I just had it for a day and a half as I felt better and I feel the same again. Is it the urine infection itself which has continued? Also, my doctor told me that it is urine infection only and that I will have to take Norflox 400 mg for five days two times. | Hello, Welcome to Chat Doctor forum. Based on your symptoms, you seems to have a urinary tract infection. The treatment is a full course of antibiotics which ranges from three to seven days depending on the severity of symptoms. Antibiotics usually give symptomatic relief in 24 hours but it takes minimum three days to clear the infection completely. As you had stopped the medication in between, you most likely have a persistent UTI (urinary tract infection). You will have to finish your antibiotic course and in your case, it is better to take for five days because it is a residual infection. If you still have symptoms after completing your antibiotic course, it would be necessary to further investigate with a urine culture and ultrasound. For more information consult a urologist online |
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Hi doctor,I had a CT scan of my heart to check for calcium buildup in my arteries. The score is 5.83 cubic mm and there is a break down in left anterior descending and no detectable calcification. An approximately 2 mm calcification is present within the proximal aspect of the left circumflex coronary artery about 2 to 3 cm distal to its origin. And 2.8 mm calcification is present within the proximal aspect of the right coronary artery just distal to its origin. Please tell me your opinion. Am I at a risk of heart attack? I do not have any previous history of heart issue, but heart disease runs in my family. Last month, my cholesterol and LDL were 280 and 235 and now 182 and 149 respectively.
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Hi. We follow so many patients, but these are just a predictor of screening patient who are at risk. Even, a low score person also gets a heart attack. You need to show your report to your cardiologist rather than doing interpretation by yourself. Even we had seen so many patients with critical blockages in coronary CT and found the only minimal disease. So, it is not a gold standard test. Still risk factors like obesity, smoking, high cholesterol are better predictors. Revert back with detailed history to a cardiologist online | Hi doctor,I had a CT scan of my heart to check for calcium buildup in my arteries. The score is 5.83 cubic mm and there is a break down in left anterior descending and no detectable calcification. An approximately 2 mm calcification is present within the proximal aspect of the left circumflex coronary artery about 2 to 3 cm distal to its origin. And 2.8 mm calcification is present within the proximal aspect of the right coronary artery just distal to its origin. Please tell me your opinion. Am I at a risk of heart attack? I do not have any previous history of heart issue, but heart disease runs in my family. Last month, my cholesterol and LDL were 280 and 235 and now 182 and 149 respectively. | Hi. We follow so many patients, but these are just a predictor of screening patient who are at risk. Even, a low score person also gets a heart attack. You need to show your report to your cardiologist rather than doing interpretation by yourself. Even we had seen so many patients with critical blockages in coronary CT and found the only minimal disease. So, it is not a gold standard test. Still risk factors like obesity, smoking, high cholesterol are better predictors. Revert back with detailed history to a cardiologist online |
### Instruction:
Answer this question truthfully
###Input:
Hello, I'm a 25 year old woman who recently discovered they are pregnant. My period was due on 1st of this month, that same day I took a test that came back positive. I've tested several times sense and all have been positive. However on the 6th, I noticed some bleeding. The first time it was on the napkin and a bit made it into the toilet. Then it went away for several hours and then came back but only on my napkin. It's now almost 3am and I noticed I'm still spotting but very lightly. I do have an appointment today to confirm if I'm really pregnant but I am concerned.
### Response:
Hello, Welcome to ChatDoctor. I would like to let you know that any spotting or bleeding in early pregnancy is a sign of threatened miscarriage. You need to visit your doctor so that she can perform a scan to check if the pregnancy is still viable or not. Also if your previous cycles were totally regular, then you would be mostly around 5 weeks gestation. So please visit your Gynaecologist as soon as possible. Wishing you good luck and a great health. - Ultrasound for viability and also. - after the ultrasound, to consider progesterone support as advised by your Gynaecologist. avoid sexual intercourse till 1st 3months of pregnancy. | Hello, I'm a 25 year old woman who recently discovered they are pregnant. My period was due on 1st of this month, that same day I took a test that came back positive. I've tested several times sense and all have been positive. However on the 6th, I noticed some bleeding. The first time it was on the napkin and a bit made it into the toilet. Then it went away for several hours and then came back but only on my napkin. It's now almost 3am and I noticed I'm still spotting but very lightly. I do have an appointment today to confirm if I'm really pregnant but I am concerned. | Hello, Welcome to ChatDoctor. I would like to let you know that any spotting or bleeding in early pregnancy is a sign of threatened miscarriage. You need to visit your doctor so that she can perform a scan to check if the pregnancy is still viable or not. Also if your previous cycles were totally regular, then you would be mostly around 5 weeks gestation. So please visit your Gynaecologist as soon as possible. Wishing you good luck and a great health. - Ultrasound for viability and also. - after the ultrasound, to consider progesterone support as advised by your Gynaecologist. avoid sexual intercourse till 1st 3months of pregnancy. |
### Instruction:
Answer this question truthfully
###Input:
Hello doctor,My wife is five weeks pregnant and it is the second time. Our first kid is now 6-1/2 years old. He is totally refusing to have a sibling. He makes statements like \"I do not want a brother or a sister. We are a good family like this.\" He says it is not a good idea to have a baby. He does not want his mother to be fat and have a big tummy. We did not tell him yet that my wife is pregnant. How can we deal with this and would this affect him psychologically?
### Response:
Hello. What you are describing your child is normal insecurity of the first born child. Whenever there is a second baby expected due to the constant attention which the coming baby gets, the first child gets insecure and feels unsafe as young chil ChatDoctor. They feel that their parents will be snatched away from him. Also when the second child is born, the elder one craves for more attention from the parents. This is also called as sibling rivalry. You need to ensure your elder child that he will be loved and taken care of as earlier. You need to explain him about his responsibilities about the second child that he is also responsible to take care of the younger child. When you make your child responsible with affection, this fear will slowly go away. For more information consult a psychologist counsellor online | Hello doctor,My wife is five weeks pregnant and it is the second time. Our first kid is now 6-1/2 years old. He is totally refusing to have a sibling. He makes statements like \"I do not want a brother or a sister. We are a good family like this.\" He says it is not a good idea to have a baby. He does not want his mother to be fat and have a big tummy. We did not tell him yet that my wife is pregnant. How can we deal with this and would this affect him psychologically? | Hello. What you are describing your child is normal insecurity of the first born child. Whenever there is a second baby expected due to the constant attention which the coming baby gets, the first child gets insecure and feels unsafe as young chil ChatDoctor. They feel that their parents will be snatched away from him. Also when the second child is born, the elder one craves for more attention from the parents. This is also called as sibling rivalry. You need to ensure your elder child that he will be loved and taken care of as earlier. You need to explain him about his responsibilities about the second child that he is also responsible to take care of the younger child. When you make your child responsible with affection, this fear will slowly go away. For more information consult a psychologist counsellor online |
### Instruction:
Answer this question truthfully
###Input:
Hello doctor,I have a question about hearing. Firstly, I am aware that hearing loss takes place when the tiny hair cells within the inner ear are damaged. My question is, once a particular hair has been damaged, will the same sound level that previously damaged it, hurt it again? For example, if you listened to a sound at 90 dB for nine hours and your hearing was damaged, would doing the same thing another day further damage your hearing? Or would it not change anything, as your ears would not be registering the same level of sound as the previous time?
### Response:
Hello, Welcome to Chat Doctor forum. There is something called a temporary threshold shift and permanent hearing loss. Temporary loss is the loss which if a sudden burst of sound and you get hearing loss as hair cells are fatigued however hearing regains soon in some time. If it is a permanent loss that too at a severe level for all frequencies chances are the person will not notice the same loudness of the sound afterward however there are some pathologies where the sound amplifies itself, and it is called recruitment. So in that condition, the person may not even respond to a loud sound of 80 dB however they might complain abnormal loudness at 90 and feel the same discomfort as a person with normal hearing has. It all depends on the pathology and condition of the hearing loss. | Hello doctor,I have a question about hearing. Firstly, I am aware that hearing loss takes place when the tiny hair cells within the inner ear are damaged. My question is, once a particular hair has been damaged, will the same sound level that previously damaged it, hurt it again? For example, if you listened to a sound at 90 dB for nine hours and your hearing was damaged, would doing the same thing another day further damage your hearing? Or would it not change anything, as your ears would not be registering the same level of sound as the previous time? | Hello, Welcome to Chat Doctor forum. There is something called a temporary threshold shift and permanent hearing loss. Temporary loss is the loss which if a sudden burst of sound and you get hearing loss as hair cells are fatigued however hearing regains soon in some time. If it is a permanent loss that too at a severe level for all frequencies chances are the person will not notice the same loudness of the sound afterward however there are some pathologies where the sound amplifies itself, and it is called recruitment. So in that condition, the person may not even respond to a loud sound of 80 dB however they might complain abnormal loudness at 90 and feel the same discomfort as a person with normal hearing has. It all depends on the pathology and condition of the hearing loss. |
### Instruction:
Answer this question truthfully
###Input:
Hello doctor,I am 11 weeks and 4 days pregnant. I have done glucose challenge test (GCT) one hour and the result was 174 and glucose challenge test (GCT) two hours was 174 with 82.5 grams glucose but fasting plasma glucose was 82, HbA1c 5.5 and estimated average blood glucose level was 111.15. But I did these tests at 10 weeks and our doctor said this is high sugar and sent to an endocrinologist to show our test report but when we met with him during consultation he said this was not appropriate time (10 weeks) for glucose test as you did this earlier and he recommended to do the same test only at 24 to 28 weeks, and there is nothing to worry he said.I am worried about this confusion as both the doctors gave different advise. Kindly help me to overcome this situation and what to do next for my baby and for me. My doctor also said to go for NT scan and double marker test. Kindly reply me I am waiting for your fruitful advice.
### Response:
Hi. How are you doing? Let me start by saying that you are absolutely fine. Your endocrinologist has given you the right advice. Let me give you a few facts as per WHO and world standards | Hello doctor,I am 11 weeks and 4 days pregnant. I have done glucose challenge test (GCT) one hour and the result was 174 and glucose challenge test (GCT) two hours was 174 with 82.5 grams glucose but fasting plasma glucose was 82, HbA1c 5.5 and estimated average blood glucose level was 111.15. But I did these tests at 10 weeks and our doctor said this is high sugar and sent to an endocrinologist to show our test report but when we met with him during consultation he said this was not appropriate time (10 weeks) for glucose test as you did this earlier and he recommended to do the same test only at 24 to 28 weeks, and there is nothing to worry he said.I am worried about this confusion as both the doctors gave different advise. Kindly help me to overcome this situation and what to do next for my baby and for me. My doctor also said to go for NT scan and double marker test. Kindly reply me I am waiting for your fruitful advice. | Hi. How are you doing? Let me start by saying that you are absolutely fine. Your endocrinologist has given you the right advice. Let me give you a few facts as per WHO and world standards |
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