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Hello doctor,My periods are delayed by a month and was prescribed Regestrone 5 mg twice daily for three days. How soon can I expect to start bleeding and is it normal to feel nauseous after taking that dosage?Until when is it legal to get an abortion for a woman without any complications or failed contraception?
### Response:
Hello, Welcome to Chat Doctor forum. As you asked, yes, it is common to have nausea after taking Regestrone pills, as it is a hormonal pill. Your periods will stop only after stopping the tablet and should be getting any time between 7-10 days after stopping it, as it varies from person to person. MTP (medical termination of pregnancy) can be offered till 24 weeks of gestation, if the pregnancy is assumed to be constituting grave injury to the physical or mental health of the woman. Although they have not clearly mentioned, as the scenario you mentioned, any unwanted pregnancy (arising due to rape or contraceptive failure) can be a grave mental injury to a woman. Also in your scenario, I would like to know, why would a woman consider a termination of pregnancy at an advanced gestational age, if neither there were any complications nor it happens due to contraception failure. But one needs to get it approved by two registered medical practitioners for going ahead with the termination of pregnancy. I hope this helps. | Hello doctor,My periods are delayed by a month and was prescribed Regestrone 5 mg twice daily for three days. How soon can I expect to start bleeding and is it normal to feel nauseous after taking that dosage?Until when is it legal to get an abortion for a woman without any complications or failed contraception? | Hello, Welcome to Chat Doctor forum. As you asked, yes, it is common to have nausea after taking Regestrone pills, as it is a hormonal pill. Your periods will stop only after stopping the tablet and should be getting any time between 7-10 days after stopping it, as it varies from person to person. MTP (medical termination of pregnancy) can be offered till 24 weeks of gestation, if the pregnancy is assumed to be constituting grave injury to the physical or mental health of the woman. Although they have not clearly mentioned, as the scenario you mentioned, any unwanted pregnancy (arising due to rape or contraceptive failure) can be a grave mental injury to a woman. Also in your scenario, I would like to know, why would a woman consider a termination of pregnancy at an advanced gestational age, if neither there were any complications nor it happens due to contraception failure. But one needs to get it approved by two registered medical practitioners for going ahead with the termination of pregnancy. I hope this helps. |
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Hi doctor,I have tremors on my left hand. I am on Amantrel 100 mg tds, Frisium 30 mg and Propranolol 40 mg. I have been through two stents in my heart, but I have no myocardial infarction. I am on beta blockers Valent 40mg od and Retorlix 5 mg od. My neurologist says this as Rubral syndrome and my very senior physician said this is more likely to be muscle weakness because through a strict regime I have come down to 99 kg from 140 kg in the past 19 months. I would like to slowly discontinue Frisium because it makes me drowsy. My question is, should I taper one medicine after another just to see what works best? The physician told me to stop all medication completely which I do not think as a great idea. Can you please help?
### Response:
Hi, Welcome to Chat Doctor forum. I understand your concerns. Let me try to help you. Rubral Tremors (Slow tremors at rest). 1. Parkinson\\s disease2. Parkinson-plus disorders (group of neurodegenerative disorders) Parkinson\\s disease. Continue tablet Amantrel (Amantadine). Do daily morning and evening 45 minutes of walk. Revert back after two weeks to a neurologist online.- | Hi doctor,I have tremors on my left hand. I am on Amantrel 100 mg tds, Frisium 30 mg and Propranolol 40 mg. I have been through two stents in my heart, but I have no myocardial infarction. I am on beta blockers Valent 40mg od and Retorlix 5 mg od. My neurologist says this as Rubral syndrome and my very senior physician said this is more likely to be muscle weakness because through a strict regime I have come down to 99 kg from 140 kg in the past 19 months. I would like to slowly discontinue Frisium because it makes me drowsy. My question is, should I taper one medicine after another just to see what works best? The physician told me to stop all medication completely which I do not think as a great idea. Can you please help? | Hi, Welcome to Chat Doctor forum. I understand your concerns. Let me try to help you. Rubral Tremors (Slow tremors at rest). 1. Parkinson\\s disease2. Parkinson-plus disorders (group of neurodegenerative disorders) Parkinson\\s disease. Continue tablet Amantrel (Amantadine). Do daily morning and evening 45 minutes of walk. Revert back after two weeks to a neurologist online.- |
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Hi doctor,I am 19 years old. I have pain in the corner of my left eye for the past one year. I went to the doctor, and he gave me Sterdex. I used it and felt better. My pain went away. After a few months, I started to have pain, but it was not so severe as the first time. I wear glasses and lenses, and I am treating my eye allergy with Chibro Cadron 5 ml, and for dry eyes, I use Fluidabak after taking the lens. Whenever I do my yearly eye checkup, my eyesight gets worse because of the pain in the corner, and I am scared about my sight. I do not know whether I use an appropriate medicine to my eye. Whenever I consult the doctor, he gives me the same medication. Please help me.
### Response:
Hi. Minimize the use of steroids as much as possible to avoid side effects such as an increase in eye pressure leading to glaucoma. Both Sterdex (Dexamethasone) and Chibro are steroids. They may relieve your symptoms in the short run but may harm your eyes if used for long term. Pain in the corner should not affect your eyesight. Just use appropriate glasses. For lubricant, you can start with Carboxymethylcellulose containing ChatDoctor. For allergies, Olopatadine containing Take care. | Hi doctor,I am 19 years old. I have pain in the corner of my left eye for the past one year. I went to the doctor, and he gave me Sterdex. I used it and felt better. My pain went away. After a few months, I started to have pain, but it was not so severe as the first time. I wear glasses and lenses, and I am treating my eye allergy with Chibro Cadron 5 ml, and for dry eyes, I use Fluidabak after taking the lens. Whenever I do my yearly eye checkup, my eyesight gets worse because of the pain in the corner, and I am scared about my sight. I do not know whether I use an appropriate medicine to my eye. Whenever I consult the doctor, he gives me the same medication. Please help me. | Hi. Minimize the use of steroids as much as possible to avoid side effects such as an increase in eye pressure leading to glaucoma. Both Sterdex (Dexamethasone) and Chibro are steroids. They may relieve your symptoms in the short run but may harm your eyes if used for long term. Pain in the corner should not affect your eyesight. Just use appropriate glasses. For lubricant, you can start with Carboxymethylcellulose containing ChatDoctor. For allergies, Olopatadine containing Take care. |
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Hi doctor,My mother is 65 years old (height 4\\11\", weight 64 kg), and has been doing all the household chores since she was 20 years. She has no problems except diabetes. Since one week, she started getting lower back pain. The symptoms are if she is in a sleeping position and gets up and starts walking, there is no problem. But if she is in a sitting position and gets up to walk, there is sharp lower back pain. Can you please let me know what could be the reason? How can the pain be relieved? Any special exercises or chair or vitamin supplements, etc.?
### Response:
Hello, Welcome to Chat Doctor forum. At 65, your mother seems to be suffering from spondylosis which is nothing but wear and tear of the spine. This is made worse after any period of rest and sitting usually makes it worse. Is there any radiation of pain to the leg? I will recommend that you get an X-ray of the affected part like lumbar spine AP and lateral. In the meantime, I will also recommend that she tries hot packs or preferably ice packs over the site area to see if that relieves pain. She can also apply Dynapar QPS spray. Take Ultracet for pain one tablet twice a day. Please send me the X-rays for further advice. | Hi doctor,My mother is 65 years old (height 4\\11\", weight 64 kg), and has been doing all the household chores since she was 20 years. She has no problems except diabetes. Since one week, she started getting lower back pain. The symptoms are if she is in a sleeping position and gets up and starts walking, there is no problem. But if she is in a sitting position and gets up to walk, there is sharp lower back pain. Can you please let me know what could be the reason? How can the pain be relieved? Any special exercises or chair or vitamin supplements, etc.? | Hello, Welcome to Chat Doctor forum. At 65, your mother seems to be suffering from spondylosis which is nothing but wear and tear of the spine. This is made worse after any period of rest and sitting usually makes it worse. Is there any radiation of pain to the leg? I will recommend that you get an X-ray of the affected part like lumbar spine AP and lateral. In the meantime, I will also recommend that she tries hot packs or preferably ice packs over the site area to see if that relieves pain. She can also apply Dynapar QPS spray. Take Ultracet for pain one tablet twice a day. Please send me the X-rays for further advice. |
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Hi doctor,I am a male. I had unprotected vaginal sex single exposure with a girl. Nine months later, I found she is HIV positive. My question
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Hi, Welcome to Chat Doctor forum. For this question, it is based on the test you do. HIV enters the body on day-0, and goes to the nearest lymph node and starts replication by day-7. This is when, p24 antigens (core proteins of HIV virus) get detected and in turn, the body starts defense and produces HIV antibodies, and these get tested positive in 15 to 23 days. But, due to neutralization of antigens by antibodies, as per theory, testing after 23 days up to 28 days may give false negatives (<0.001%). So, getting a fourth generation HIV test after 28 days is confirmation by 99 %. Yes, not only in medical, but in any field, 100 % is not possible. And taking medico legality, no one gives you 100 % cure. No further test is needed. You are negative by 99.99 %. A change in result is unlikely. You will stay negative forever. The window period is a period where lab tests cannot detect the presence of infection by tests. For more information consult an HIV AIDS specialist online | Hi doctor,I am a male. I had unprotected vaginal sex single exposure with a girl. Nine months later, I found she is HIV positive. My question | Hi, Welcome to Chat Doctor forum. For this question, it is based on the test you do. HIV enters the body on day-0, and goes to the nearest lymph node and starts replication by day-7. This is when, p24 antigens (core proteins of HIV virus) get detected and in turn, the body starts defense and produces HIV antibodies, and these get tested positive in 15 to 23 days. But, due to neutralization of antigens by antibodies, as per theory, testing after 23 days up to 28 days may give false negatives (<0.001%). So, getting a fourth generation HIV test after 28 days is confirmation by 99 %. Yes, not only in medical, but in any field, 100 % is not possible. And taking medico legality, no one gives you 100 % cure. No further test is needed. You are negative by 99.99 %. A change in result is unlikely. You will stay negative forever. The window period is a period where lab tests cannot detect the presence of infection by tests. For more information consult an HIV AIDS specialist online |
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Hello doctor,My daughter is 11 years old, height is 5\\2\" and weight is 45 kg. She started her periods eight months back. It was normal till two months back. After which, she got her periods twice with a gap of 10 days and duration of 9 to 10 days. Same continued next month also. The next month we had been to a gynecologist and she has asked us to do a couple of tests and scan which came out normal. She has Iron, vitamin B12, serum ferritin and vitamin D deficiency so gave supplements for the same. Again we went to her around fifteen days later as bleeding was still continuing. She prescribed Trapic for three days and the bleeding stopped but is back again. Today we had gone to the doctor. She has prescribed Regestrone 5 mg thrice a day for a week twice a day and once a day for a week. Please advice. I am concerned about weight gain and other side effects.
### Response:
Hello. I have gone through your history and understand your concern. As she is bleeding we have to give progesterone to stop it because in her age mostly cycles are anovulatory and deficiency of progesterone may cause bleeding. Do not worry much about weight gain. For more information consult an obstetrician and gynaecologist online | Hello doctor,My daughter is 11 years old, height is 5\\2\" and weight is 45 kg. She started her periods eight months back. It was normal till two months back. After which, she got her periods twice with a gap of 10 days and duration of 9 to 10 days. Same continued next month also. The next month we had been to a gynecologist and she has asked us to do a couple of tests and scan which came out normal. She has Iron, vitamin B12, serum ferritin and vitamin D deficiency so gave supplements for the same. Again we went to her around fifteen days later as bleeding was still continuing. She prescribed Trapic for three days and the bleeding stopped but is back again. Today we had gone to the doctor. She has prescribed Regestrone 5 mg thrice a day for a week twice a day and once a day for a week. Please advice. I am concerned about weight gain and other side effects. | Hello. I have gone through your history and understand your concern. As she is bleeding we have to give progesterone to stop it because in her age mostly cycles are anovulatory and deficiency of progesterone may cause bleeding. Do not worry much about weight gain. For more information consult an obstetrician and gynaecologist online |
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Hello doctor,Is Stenson duct normal in the mouth? They are located right next to the upper second molar on each side of the cheeks. Mine do not hurt and my doctor told me to rinse my mouth with salt water every day and they will go away. They are very annoying because you can feel them with your tongue. I do not know if other people have them in their mouth but I was just wondering if this is a normal thing. Please help and is there any way to get them out of your mouth?
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Hi. Normally, the ducts are not felt by the patient or individual. Sometimes this can happen as in your case. It is not any pathological condition it is a normal anatomical defect that happens one in thousands. Yes, you do not need any treatment for it, in case you handled in for too many years. Now you have a problem with it, you can visit an oral surgeon, with simple minor surgery you can get rid of them any time. After checking your image (attachment removed to protect patient identity), I think you must not worry about it. My opinion will be do not think too much about it. It does not need any treatment. You may also take over-the-counter antibiotics for five days if it is infected. That will take care of it. For more information consult a dentist online Take care. | Hello doctor,Is Stenson duct normal in the mouth? They are located right next to the upper second molar on each side of the cheeks. Mine do not hurt and my doctor told me to rinse my mouth with salt water every day and they will go away. They are very annoying because you can feel them with your tongue. I do not know if other people have them in their mouth but I was just wondering if this is a normal thing. Please help and is there any way to get them out of your mouth? | Hi. Normally, the ducts are not felt by the patient or individual. Sometimes this can happen as in your case. It is not any pathological condition it is a normal anatomical defect that happens one in thousands. Yes, you do not need any treatment for it, in case you handled in for too many years. Now you have a problem with it, you can visit an oral surgeon, with simple minor surgery you can get rid of them any time. After checking your image (attachment removed to protect patient identity), I think you must not worry about it. My opinion will be do not think too much about it. It does not need any treatment. You may also take over-the-counter antibiotics for five days if it is infected. That will take care of it. For more information consult a dentist online Take care. |
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Hi doctor,I just came back from a day walking around the mall. I am having cramping pain in my left calf. It feels like a rubber band is wrapped around my leg. It is better when sitting but hurts when outstretched. I am on Enbrel and previous medical history includes low blood pressure and low cholesterol. My recent blood work is normal and only a little thing off was anion gap.
### Response:
Hi, Welcome to Chat Doctor forum. I am glad to answer your query. I would have appreciated a reason for having ENBREL (Etanercept), whether RA or ankylosing spondylitis or psoriatic arthritis. The ChatDoctor. Your condition might be just tiredness from exertion while walking around the mall. If you are a patient of rheumatoid arthritis or ankylosing spondylitis, then you should give some rest to your legs. soak them in lukewarm water, clean the feet and rest your legs with pillow beneath the calf muscles muscles. If you have psoriatic arthritis do not soak feet in warm water. just give some rest. Your pain should subside in a day or two. If there is no relief or decrease in intensity of pain after rest for a day or continuous increase in pain should warrant a physical examination. I have good hope that this treatment shall be enough to help you get rid of the pain. | Hi doctor,I just came back from a day walking around the mall. I am having cramping pain in my left calf. It feels like a rubber band is wrapped around my leg. It is better when sitting but hurts when outstretched. I am on Enbrel and previous medical history includes low blood pressure and low cholesterol. My recent blood work is normal and only a little thing off was anion gap. | Hi, Welcome to Chat Doctor forum. I am glad to answer your query. I would have appreciated a reason for having ENBREL (Etanercept), whether RA or ankylosing spondylitis or psoriatic arthritis. The ChatDoctor. Your condition might be just tiredness from exertion while walking around the mall. If you are a patient of rheumatoid arthritis or ankylosing spondylitis, then you should give some rest to your legs. soak them in lukewarm water, clean the feet and rest your legs with pillow beneath the calf muscles muscles. If you have psoriatic arthritis do not soak feet in warm water. just give some rest. Your pain should subside in a day or two. If there is no relief or decrease in intensity of pain after rest for a day or continuous increase in pain should warrant a physical examination. I have good hope that this treatment shall be enough to help you get rid of the pain. |
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Hey doctor,I have always wanted white teeth. My parents had told me when I was a baby my teeth rotted as a result of the milk bottle getting left in my mouth. Fast forward to all the way now. Nothing has worked. I went to a dentist for an evaluation. And he gave me teeth whitening tray to take home. And it seems that has not worked. Is there any way possible for me to get white teeth? Without having to resort to veneers?
### Response:
Hi, Welcome to Chat Doctor forum. Firstly, I would like you to know that baby teeth are always pearl white in color and that is the reason they are called milk teeth. The permanent teeth which you have now are always slight yellowish to greyish in color by nature. I saw the picture you have attached (attachment removed to protect patient identity). And your teeth seem to be perfectly alright. There are no evidences of any problem of milk bottle decay with your current teeth. With the home bleaching tray given to you, it can only bring one or two shades lighter than the original. You cannot expect miracles to happen. And veneers are not for you as well because we do not want to ruin your shiny enamel. I reckon you maintain good oral hygiene and stay happy with this beautiful set of teeth. May be home whitening once in a while will do. For more information consult a dentist online | Hey doctor,I have always wanted white teeth. My parents had told me when I was a baby my teeth rotted as a result of the milk bottle getting left in my mouth. Fast forward to all the way now. Nothing has worked. I went to a dentist for an evaluation. And he gave me teeth whitening tray to take home. And it seems that has not worked. Is there any way possible for me to get white teeth? Without having to resort to veneers? | Hi, Welcome to Chat Doctor forum. Firstly, I would like you to know that baby teeth are always pearl white in color and that is the reason they are called milk teeth. The permanent teeth which you have now are always slight yellowish to greyish in color by nature. I saw the picture you have attached (attachment removed to protect patient identity). And your teeth seem to be perfectly alright. There are no evidences of any problem of milk bottle decay with your current teeth. With the home bleaching tray given to you, it can only bring one or two shades lighter than the original. You cannot expect miracles to happen. And veneers are not for you as well because we do not want to ruin your shiny enamel. I reckon you maintain good oral hygiene and stay happy with this beautiful set of teeth. May be home whitening once in a while will do. For more information consult a dentist online |
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Hello doctor,I have been to six different rheumatologists. One of those rheumatologists said I have fibromyalgia and I still do not agree with this diagnosis. My labs come back normal. My radiographic test concludes osteoarthritis in both knees and thumbs. I have pain in these joints and have a bone island in my right knee. I am under pain management, but I just feel like we are missing something. My body feels way off and I am almost positive with seronegative RA. I just feel like the physicians are in someway scared to conclude this diagnosis. I have bad flares that are bilateral on my hands, knees, hips, and between my shoulder blades. I have swelling and fever in these joints. I have no idea what to do but I am progressively getting worse. Please help.I am currently taking Nucynta ER 150 mg, Xanax 1 mg, Lyrica 100 mg, HS Tizanidine 2 mg, and Synthroid 25 mcg before meals.
### Response:
Hi, Welcome to Chat Doctor forum. You seem to have multiple joint arthritis. Since CRP (C-reactive protein), R factor, Anti CCP (cyclic-citrullinated antibody) antibody, and ESR are normal no one is going to conclude this as rheumatoid arthritis or seronegative arthritis. I need the following details | Hello doctor,I have been to six different rheumatologists. One of those rheumatologists said I have fibromyalgia and I still do not agree with this diagnosis. My labs come back normal. My radiographic test concludes osteoarthritis in both knees and thumbs. I have pain in these joints and have a bone island in my right knee. I am under pain management, but I just feel like we are missing something. My body feels way off and I am almost positive with seronegative RA. I just feel like the physicians are in someway scared to conclude this diagnosis. I have bad flares that are bilateral on my hands, knees, hips, and between my shoulder blades. I have swelling and fever in these joints. I have no idea what to do but I am progressively getting worse. Please help.I am currently taking Nucynta ER 150 mg, Xanax 1 mg, Lyrica 100 mg, HS Tizanidine 2 mg, and Synthroid 25 mcg before meals. | Hi, Welcome to Chat Doctor forum. You seem to have multiple joint arthritis. Since CRP (C-reactive protein), R factor, Anti CCP (cyclic-citrullinated antibody) antibody, and ESR are normal no one is going to conclude this as rheumatoid arthritis or seronegative arthritis. I need the following details |
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Hello doctor,There is a gap between my front two teeth. I want to close the gap. Can you please suggest any process for it?
### Response:
Hello. Yes, there are two treatment options. 1. Ortho (braces) treatment. 2. Tooth-colored fillings. Gap closure by braces is a permanent solution. Your teeth will be aligned and the gap can be closed naturally. This option is suggested when the gap is very wide and this helps correct other tooth alignment issues if present. Whereas in the second option, the gap is closed with a tooth-colored filling material. This is not a permanent solution. This filling can last anywhere between three to seven years. If this filling fractures in the future, you may require a new filling in its place. However, the longevity of this filling depends on our maintenance. This will best suit if the gap between the two teeth is less than 4 mm. The option that best suits you is determined by the amount of gap present, general oral hygiene, and your gum health. A clear picture of the gap will help suggest. If you want to close your tooth gap naturally without any filling, please visit an orthodontist to start a braces treatment. But if the gap is minimal and you want a filling to close the gap, this procedure is best done by a cosmetic dentist. I hope this helps. | Hello doctor,There is a gap between my front two teeth. I want to close the gap. Can you please suggest any process for it? | Hello. Yes, there are two treatment options. 1. Ortho (braces) treatment. 2. Tooth-colored fillings. Gap closure by braces is a permanent solution. Your teeth will be aligned and the gap can be closed naturally. This option is suggested when the gap is very wide and this helps correct other tooth alignment issues if present. Whereas in the second option, the gap is closed with a tooth-colored filling material. This is not a permanent solution. This filling can last anywhere between three to seven years. If this filling fractures in the future, you may require a new filling in its place. However, the longevity of this filling depends on our maintenance. This will best suit if the gap between the two teeth is less than 4 mm. The option that best suits you is determined by the amount of gap present, general oral hygiene, and your gum health. A clear picture of the gap will help suggest. If you want to close your tooth gap naturally without any filling, please visit an orthodontist to start a braces treatment. But if the gap is minimal and you want a filling to close the gap, this procedure is best done by a cosmetic dentist. I hope this helps. |
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Hi doctor,My dad is suffering from acute pancreatitis. It started six days ago and he is getting better now but he used to take antidepressants like Escitalopram and Ezeepam and he has been taking these kinds of anxiety medicines from a long time but not continuously but from last six months the usage has increased. He is unable to sleep properly and he is getting restless. He is asking for that medicine but we think that it could be a reason for his sudden acute pancreatitis as alcohol and gallstones are ruled out. Please suggest what should we do.
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Hi, Welcome to Chat Doctor forum. I have reviewed your query and can understand your concerns. The patient cannot stop the medications at his own. It is always best to inform the treating physician before thinking of changing or stopping medications. There is a specific protocol to taper off Escitalopram. If stopped taking all of a sudden, patient may feel bad side effects. I would recommend consulting his prescribing psychiatrist for proper evaluation and management. There are other causes that may also be considered before Escitalopram. Parathyroid gland function testing and calcium levels in blood, smoking and other factors also need attention. Escitalopram is not so commonly documented cause of acute pancreatitis. The de-challenge test is done for ChatDoctor. But this is a very rare cause of pancreatitis. So, undue with | Hi doctor,My dad is suffering from acute pancreatitis. It started six days ago and he is getting better now but he used to take antidepressants like Escitalopram and Ezeepam and he has been taking these kinds of anxiety medicines from a long time but not continuously but from last six months the usage has increased. He is unable to sleep properly and he is getting restless. He is asking for that medicine but we think that it could be a reason for his sudden acute pancreatitis as alcohol and gallstones are ruled out. Please suggest what should we do. | Hi, Welcome to Chat Doctor forum. I have reviewed your query and can understand your concerns. The patient cannot stop the medications at his own. It is always best to inform the treating physician before thinking of changing or stopping medications. There is a specific protocol to taper off Escitalopram. If stopped taking all of a sudden, patient may feel bad side effects. I would recommend consulting his prescribing psychiatrist for proper evaluation and management. There are other causes that may also be considered before Escitalopram. Parathyroid gland function testing and calcium levels in blood, smoking and other factors also need attention. Escitalopram is not so commonly documented cause of acute pancreatitis. The de-challenge test is done for ChatDoctor. But this is a very rare cause of pancreatitis. So, undue with |
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Hi doctor, I am a 24-year-old female. I am married for about 11 months. My weight is 77 kg and height is 5.4\". I conceived in the very first month, but unfortunately, I had a miscarriage after 10 weeks and had D and C. Till then I am trying to get pregnant but having a problem in it. My gynecologist suggested me hormonal test but I could not understand its result. Please explain to me the report and help me to find out the actual reason for infertility. According to the test report
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Hi. All of your test reports are normal. You are trying for pregnancy just from last seven to eight months. Kindly give yourself some time and you can get pregnant naturally. As your periods are regular, in my opinion, you do not need ovulation induction medicines like Clomid. In fact, you do not need any medicine right now. Just continue Folic acid tablets and continue trying naturally, you should get pregnant naturally. If there was any infection after last D & C (dilation and curettage), you can get your tubes checked by HSG (hysterosalpingography) to be sure that everything is normal. You can do that test after trying naturally (without medicines) for three months. I hope this helps. Take care. | Hi doctor, I am a 24-year-old female. I am married for about 11 months. My weight is 77 kg and height is 5.4\". I conceived in the very first month, but unfortunately, I had a miscarriage after 10 weeks and had D and C. Till then I am trying to get pregnant but having a problem in it. My gynecologist suggested me hormonal test but I could not understand its result. Please explain to me the report and help me to find out the actual reason for infertility. According to the test report | Hi. All of your test reports are normal. You are trying for pregnancy just from last seven to eight months. Kindly give yourself some time and you can get pregnant naturally. As your periods are regular, in my opinion, you do not need ovulation induction medicines like Clomid. In fact, you do not need any medicine right now. Just continue Folic acid tablets and continue trying naturally, you should get pregnant naturally. If there was any infection after last D & C (dilation and curettage), you can get your tubes checked by HSG (hysterosalpingography) to be sure that everything is normal. You can do that test after trying naturally (without medicines) for three months. I hope this helps. Take care. |
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Hello doctor,Acne started getting bad on and off for the last 2 to 3 months, always had the occasional pimple but now it is all over my face. The dermatologist prescribed Doxycycline after Minocycline, it did not work. He also prescribed Sulfacleanse to use in the shower and Benzoyl Peroxide, Clindamycin mix, and Adapalene three gels. I found that all of that made my face worse so I used Sulfacleanse in the shower and after that, I used rose water toner alcohol-free, then hyaluronic serum then either tea tree oil, Adapalene or Benzoyl peroxide then Proactiv green tea moisturizer. I used that for a week and my face cleared up a bit then I went back to the dermatologist and he said not to use my stuff and only BP and Adapalene and that made my face break out again so I am back on my routine for three days now and noticed a bit of clearing up. I eat very healthily and I am also using supplements.
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Hello. I understand your concern. You have grade 2 acne vulgaris and definitely, need oral antibiotics. The thing with anti-acne medications particularly retinoids like Adapalene is that initially, you might feel that acne is flaring and people stop them. But in time they get better. Use the following medications | Hello doctor,Acne started getting bad on and off for the last 2 to 3 months, always had the occasional pimple but now it is all over my face. The dermatologist prescribed Doxycycline after Minocycline, it did not work. He also prescribed Sulfacleanse to use in the shower and Benzoyl Peroxide, Clindamycin mix, and Adapalene three gels. I found that all of that made my face worse so I used Sulfacleanse in the shower and after that, I used rose water toner alcohol-free, then hyaluronic serum then either tea tree oil, Adapalene or Benzoyl peroxide then Proactiv green tea moisturizer. I used that for a week and my face cleared up a bit then I went back to the dermatologist and he said not to use my stuff and only BP and Adapalene and that made my face break out again so I am back on my routine for three days now and noticed a bit of clearing up. I eat very healthily and I am also using supplements. | Hello. I understand your concern. You have grade 2 acne vulgaris and definitely, need oral antibiotics. The thing with anti-acne medications particularly retinoids like Adapalene is that initially, you might feel that acne is flaring and people stop them. But in time they get better. Use the following medications |
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Hi doctor,I am asking you on behalf of my friend. Here are the symptoms, which she had around three to seven days before bleeding. All symptoms of PMS along with occasional migraine with glaucoma, nausea, pain in the lower part of spine and cramps.On the first day of bleeding, she is having painful cramps of uterus, dizziness, breathlessness and nipple soreness.On the second day she will look better, but the pain will still be strong. Sometimes, she complains of right ovary pain.The doctor she consulted earlier said the solution to get rid of the pain permanently is to give birth.Please suggest an alternative solution. Her current prescription is Microgynon 21. Her weight is 44.6 kg and height is 163 cm.
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Hello, Welcome to Chat Doctor forum. This is dysmenorrhea with premenstrual syn ChatDoctor. If the pains are severe and symptoms are uncontrollable, then please follow the following prescription. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Continue the above medicines for three cycles. Pregnancy once planned shall help decrease dysmenorrhea, but till then she can practice the above medication. Most importantly, keep her water intake high for 10 to 15 glasses per day, as that shall play an important role in keeping the progesterone with | Hi doctor,I am asking you on behalf of my friend. Here are the symptoms, which she had around three to seven days before bleeding. All symptoms of PMS along with occasional migraine with glaucoma, nausea, pain in the lower part of spine and cramps.On the first day of bleeding, she is having painful cramps of uterus, dizziness, breathlessness and nipple soreness.On the second day she will look better, but the pain will still be strong. Sometimes, she complains of right ovary pain.The doctor she consulted earlier said the solution to get rid of the pain permanently is to give birth.Please suggest an alternative solution. Her current prescription is Microgynon 21. Her weight is 44.6 kg and height is 163 cm. | Hello, Welcome to Chat Doctor forum. This is dysmenorrhea with premenstrual syn ChatDoctor. If the pains are severe and symptoms are uncontrollable, then please follow the following prescription. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Continue the above medicines for three cycles. Pregnancy once planned shall help decrease dysmenorrhea, but till then she can practice the above medication. Most importantly, keep her water intake high for 10 to 15 glasses per day, as that shall play an important role in keeping the progesterone with |
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Hello doctor, I think I am so much addicted to masturbation. It has affected me both socially and emotionally. I have problems with my self-esteem and self-confidence. I find difficult to talk to girls every time, I think it is because of my low self-esteem. I do not have a girlfriend but I really want to have one. I really want to quit this habit. I have tried to quit several times but I end up crawling back and wank a lot more. Please help.
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Hi. Doing masturbation three or four days a week is completely normal. Also, it is a myth that masturbation causes weakness and loss of energy. But if you are doing it daily, try to engage your mind with something else which you like. Such as watching tv shows, playing games, eating, listening to music, etc. You can try initially to not masturbate one day in a week. Then two days after two weeks, etc. If they are of milder intensity, please do a Google search for techniques like \\Thought stopping\\, and use any of the methods described, such as slapping thigh, yelling stop, snapping rubber band, etc. If thoughts are extremely disturbing, I would suggest you please visit a local psychiatrist who can give you some medication for a couple of months which will help prevent excessive thoughts. Take care. | Hello doctor, I think I am so much addicted to masturbation. It has affected me both socially and emotionally. I have problems with my self-esteem and self-confidence. I find difficult to talk to girls every time, I think it is because of my low self-esteem. I do not have a girlfriend but I really want to have one. I really want to quit this habit. I have tried to quit several times but I end up crawling back and wank a lot more. Please help. | Hi. Doing masturbation three or four days a week is completely normal. Also, it is a myth that masturbation causes weakness and loss of energy. But if you are doing it daily, try to engage your mind with something else which you like. Such as watching tv shows, playing games, eating, listening to music, etc. You can try initially to not masturbate one day in a week. Then two days after two weeks, etc. If they are of milder intensity, please do a Google search for techniques like \\Thought stopping\\, and use any of the methods described, such as slapping thigh, yelling stop, snapping rubber band, etc. If thoughts are extremely disturbing, I would suggest you please visit a local psychiatrist who can give you some medication for a couple of months which will help prevent excessive thoughts. Take care. |
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Hello doctor,I am diagnosed with the degenerative changes in the cervical and many more things. I am attaching the MRI report also. Symptoms include pain in neck, shoulder, hand, weakness, dizziness. I cannot sleep properly, cannot sit for a long time. I have also consulted with some doctor but no result. I have got relief when I am taking medicine, otherwise, it goes worse. Please see what the problem is and please clear it.
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Hi. I have read your concern and seen the MRI report. It seems that the spine shows degeneration in the bones and disk but does not show any impingement of the spinal cord and the nerves. However, the cervical vertebrae are abnormally straightened as opposed to normal curve (this signifies muscle strain). The pain you are experiencing can be discoligamentous in nature, meaning this is coming from the disc and bones and joint attachments. It is a good thing that you do not have any motor weakness (signifies intact nerves). This usually resolves in pain medications and rehabilitative medicine in six weeks. This should help you. Age-related changes. Repeat MRI after rehabilitation in six weeks, serum, calcium, sodium. Cervical arthropathy due to RA or TB. Degenerative cervical spine disease. Pain medications, NSAID and Gabapentin. Exercises and rehabilitative medicine, physical therapy. Take care. | Hello doctor,I am diagnosed with the degenerative changes in the cervical and many more things. I am attaching the MRI report also. Symptoms include pain in neck, shoulder, hand, weakness, dizziness. I cannot sleep properly, cannot sit for a long time. I have also consulted with some doctor but no result. I have got relief when I am taking medicine, otherwise, it goes worse. Please see what the problem is and please clear it. | Hi. I have read your concern and seen the MRI report. It seems that the spine shows degeneration in the bones and disk but does not show any impingement of the spinal cord and the nerves. However, the cervical vertebrae are abnormally straightened as opposed to normal curve (this signifies muscle strain). The pain you are experiencing can be discoligamentous in nature, meaning this is coming from the disc and bones and joint attachments. It is a good thing that you do not have any motor weakness (signifies intact nerves). This usually resolves in pain medications and rehabilitative medicine in six weeks. This should help you. Age-related changes. Repeat MRI after rehabilitation in six weeks, serum, calcium, sodium. Cervical arthropathy due to RA or TB. Degenerative cervical spine disease. Pain medications, NSAID and Gabapentin. Exercises and rehabilitative medicine, physical therapy. Take care. |
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Hello doctor,I have developed feet neuropathy, primarily the right foot from the past one year. The symptoms went away six months back but returned a month back (burning, tingling, etc). I suffer from high blood pressure and anxiety. The neurologists could not find the cause after all tests. I tested negative for HIV but tested positive for herpes 1 and 2. Can herpes cause this? It has been so long since I had these symptoms.
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Hello. It is less likely that your symptoms are related to herpes. Herpes infection does not usually lead to such a clinical situation. Besides, a positive test does not always indicate an active infection. The fact that your tests resulted in positive means that you have gone through this infection in the past. In fact, herpes 1 is a very common infection (almost everyone has gone through it). So, I do not think that your symptoms are related to these types of infections. In many cases, no cause of peripheral neuropathy is found (idiopathic peripheral neuropathy). Regarding the pain and burning sensation, I would recommend starting treatment with Pregabalin or Gabapentin. Another possible treatment option would be Duloxetine. I would also advise you to be active. Physical therapy can help improve your clinical situation. You should discuss with your doctor about the above treatment options. For more information consult a neurologist online. | Hello doctor,I have developed feet neuropathy, primarily the right foot from the past one year. The symptoms went away six months back but returned a month back (burning, tingling, etc). I suffer from high blood pressure and anxiety. The neurologists could not find the cause after all tests. I tested negative for HIV but tested positive for herpes 1 and 2. Can herpes cause this? It has been so long since I had these symptoms. | Hello. It is less likely that your symptoms are related to herpes. Herpes infection does not usually lead to such a clinical situation. Besides, a positive test does not always indicate an active infection. The fact that your tests resulted in positive means that you have gone through this infection in the past. In fact, herpes 1 is a very common infection (almost everyone has gone through it). So, I do not think that your symptoms are related to these types of infections. In many cases, no cause of peripheral neuropathy is found (idiopathic peripheral neuropathy). Regarding the pain and burning sensation, I would recommend starting treatment with Pregabalin or Gabapentin. Another possible treatment option would be Duloxetine. I would also advise you to be active. Physical therapy can help improve your clinical situation. You should discuss with your doctor about the above treatment options. For more information consult a neurologist online. |
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Hi doctor,I have a problem to defecate completely. It takes me more than 20 minutes to defecate completely. I also take more than two minutes to pass urine completely. I am very healthy. I consulted a doctor, and I have done various tests and examinations such as defecogram, balloon expulsion test, rectal manometry, and colonoscopy. The doctor told that I have pelvic floor dyssynergia-type 1.I underwent biofeedback sessions to get relaxed and to correct my way of passing stools. Even after that also, I am unable to clear my bladder. I am still taking the same amount of time. I do not have a habit of smoking and drinking alcohol. I have used all the laxatives and medicines given by the doctor. But they did not help me. I usually have a walk for 20 kilometers a day. At that time, I had some relief. But as soon as when I stopped it, I have developed the same problem. Please help me.
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Hi, Welcome to Chat Doctor forum. It is a complex problem. Exercises like kegel exercise and medication can help. Urinary issues also occur due to constipation and dyssynergia. Use Docusate sodium 200 mg twice daily. It is a good stool softener, and you can use it for a long time. | Hi doctor,I have a problem to defecate completely. It takes me more than 20 minutes to defecate completely. I also take more than two minutes to pass urine completely. I am very healthy. I consulted a doctor, and I have done various tests and examinations such as defecogram, balloon expulsion test, rectal manometry, and colonoscopy. The doctor told that I have pelvic floor dyssynergia-type 1.I underwent biofeedback sessions to get relaxed and to correct my way of passing stools. Even after that also, I am unable to clear my bladder. I am still taking the same amount of time. I do not have a habit of smoking and drinking alcohol. I have used all the laxatives and medicines given by the doctor. But they did not help me. I usually have a walk for 20 kilometers a day. At that time, I had some relief. But as soon as when I stopped it, I have developed the same problem. Please help me. | Hi, Welcome to Chat Doctor forum. It is a complex problem. Exercises like kegel exercise and medication can help. Urinary issues also occur due to constipation and dyssynergia. Use Docusate sodium 200 mg twice daily. It is a good stool softener, and you can use it for a long time. |
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Hi doctor,Recently my husband had gone to semen analysis and doctor mentioned that he has low motility but not sure how serious is the issue. Here are the results of semen analysis volume 1 ml, the viscosity is normal, reaction alkaline liquefaction is 25, fructose is positive. Total sperm count is 90 mill/ml, rapid progressive motility 10 %, slow progressive motility 20 %, nonprogressive motility 10 %, non-motile sperms 60 %, live sperms 40 %, dead sperms 60 %, normal forms 80 %, abnormal forms 20 %. The doctor said that he has an infection and suggested Popson tablets and he is taking tablets from the past three months. Also, he has undergone circumcision three months ago as frenulum tear is happening frequently. Could you please suggest how serious is the issue?
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Hello, Welcome to Chat Doctor forum. Your husband is suffering from asthenoteratozoospermia where motility is very less and dead sperms are high, likely due to infection, yes. The life cycle of sperms is 120 days and hence at least three months of treatment is required with sperm energizers and antioxidants after two weeks course of antibiotics to increase the motility and number. The present count is the cause of male infertility and hence non-conception. | Hi doctor,Recently my husband had gone to semen analysis and doctor mentioned that he has low motility but not sure how serious is the issue. Here are the results of semen analysis volume 1 ml, the viscosity is normal, reaction alkaline liquefaction is 25, fructose is positive. Total sperm count is 90 mill/ml, rapid progressive motility 10 %, slow progressive motility 20 %, nonprogressive motility 10 %, non-motile sperms 60 %, live sperms 40 %, dead sperms 60 %, normal forms 80 %, abnormal forms 20 %. The doctor said that he has an infection and suggested Popson tablets and he is taking tablets from the past three months. Also, he has undergone circumcision three months ago as frenulum tear is happening frequently. Could you please suggest how serious is the issue? | Hello, Welcome to Chat Doctor forum. Your husband is suffering from asthenoteratozoospermia where motility is very less and dead sperms are high, likely due to infection, yes. The life cycle of sperms is 120 days and hence at least three months of treatment is required with sperm energizers and antioxidants after two weeks course of antibiotics to increase the motility and number. The present count is the cause of male infertility and hence non-conception. |
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Hello doctor,What is the stigma around mental health? Why it is there? How can people help break the stigma around mental health and what advice do you have for people who want help but stigma is keeping them from getting it?
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Hello. Stigma for mental illnesses is as old as civilization itself. Persons having mental illnesses were considered as evil. Mental illnesses were thought to be due to past life sins. A person having any kind of mental illness whether neurotic or psychotic was considered as \"mental\" or \"crazy\" or \"lunatic\". Progressively these all resulted in failure to acknowledge the mental illness and individuals develop thinking that what others would think if they consult a psychiatrist. Stigma is there because of cultural beliefs. Even in western countries, people have hesitation in consulting a psychiatrist. What will others think about me? People will make fun of me if I consult a psychiatrist, psychiatric medicines will make me emotionally numb, I will become dependent on medicines, etc., are the reasons there is a stigma for mental illnesses. Psycho-education is the most important method to break stigma. Awareness in public about mental illnesses, acknowledgment by celebrities that they too suffer mental issues are the factors that can help to break the stigma. Making people believe that mental illnesses are like any other medical illnesses, and these occur because of change in neuro-transmitters also help in reducing stigma. | Hello doctor,What is the stigma around mental health? Why it is there? How can people help break the stigma around mental health and what advice do you have for people who want help but stigma is keeping them from getting it? | Hello. Stigma for mental illnesses is as old as civilization itself. Persons having mental illnesses were considered as evil. Mental illnesses were thought to be due to past life sins. A person having any kind of mental illness whether neurotic or psychotic was considered as \"mental\" or \"crazy\" or \"lunatic\". Progressively these all resulted in failure to acknowledge the mental illness and individuals develop thinking that what others would think if they consult a psychiatrist. Stigma is there because of cultural beliefs. Even in western countries, people have hesitation in consulting a psychiatrist. What will others think about me? People will make fun of me if I consult a psychiatrist, psychiatric medicines will make me emotionally numb, I will become dependent on medicines, etc., are the reasons there is a stigma for mental illnesses. Psycho-education is the most important method to break stigma. Awareness in public about mental illnesses, acknowledgment by celebrities that they too suffer mental issues are the factors that can help to break the stigma. Making people believe that mental illnesses are like any other medical illnesses, and these occur because of change in neuro-transmitters also help in reducing stigma. |
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Hello doctor,I am 36 years married since a year back, I had a history of six times laparoscopic ovarian cystectomy and my doctor did ovarian drilling twice, and I found AMH low and my period was normal every 30 days with the average amount, I used the ovulation kit for three months and there was no positive result (anovulatory). I want to get pregnant as soon as possible. Please advice for me.
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Hello. If you had checked with ovulation kit in the cycle while taking OCP (oral contraceptive pills), they bound to be negative. If the period is regular every 30 days (as you mentioned) and still kit showed no ovulation, it might have given a false negative result which is familiar with ovulation kits, especially if monitoring is not done as advised on it). It is very rare for all cycles despite being regular to be anovulatory (it is ok if an irregular period is anovulatory). Still, considering your age, multiple surgeries, and low AMH, you can go for ovulation induction (initially at least with clomiphene citrate). You need to consult a doctor for a prescription and further ovulation monitoring. Controlled ovarian stimulation with injection FSH (follicle-stimulating hormone) and IUI (intrauterine device) will give a better chance of pregnancy than ovulation induction alone. | Hello doctor,I am 36 years married since a year back, I had a history of six times laparoscopic ovarian cystectomy and my doctor did ovarian drilling twice, and I found AMH low and my period was normal every 30 days with the average amount, I used the ovulation kit for three months and there was no positive result (anovulatory). I want to get pregnant as soon as possible. Please advice for me. | Hello. If you had checked with ovulation kit in the cycle while taking OCP (oral contraceptive pills), they bound to be negative. If the period is regular every 30 days (as you mentioned) and still kit showed no ovulation, it might have given a false negative result which is familiar with ovulation kits, especially if monitoring is not done as advised on it). It is very rare for all cycles despite being regular to be anovulatory (it is ok if an irregular period is anovulatory). Still, considering your age, multiple surgeries, and low AMH, you can go for ovulation induction (initially at least with clomiphene citrate). You need to consult a doctor for a prescription and further ovulation monitoring. Controlled ovarian stimulation with injection FSH (follicle-stimulating hormone) and IUI (intrauterine device) will give a better chance of pregnancy than ovulation induction alone. |
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Hello doctor,My 2-year-old daughter has raspy breathing, and a rough cough followed with a runny nose for the past two days. Today started running a slight fever of 100.3 with green diarrhea that has turned yellow that smells very bad. She also keeps pointing to her belly as it hurts. Kindly advice.
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Hello. I just got your concern. It is like a typical viral infection. Give more water, liquid, and homemade food. If she has a fever when measured with a thermometer kindly make a note of it. If her temperature is more than 100 Fahrenheit, give Paracetamol syrup with a dose of 15 mg per kg. Keep a gap of minimum six hours in between two treatments. For diarrhea, you can give ORS (oral rehy ChatDoctor. Is she pointing her belly and complaining that it is hurting it is possible then maybe some spasm? You can give Dicyclomine syrup. For cold and runny nose you can give Cetirizine syrup 2.5 mg one time a day. Look for breathing if she is having more cough and breathing then please visit the nearby pediatrician. If she is looking dull, not taking anything from the mouth and sleepy, then please go to the pediatrician. Stool routine. Dysentery. Viral gastroenteritis. Oral rehy | Hello doctor,My 2-year-old daughter has raspy breathing, and a rough cough followed with a runny nose for the past two days. Today started running a slight fever of 100.3 with green diarrhea that has turned yellow that smells very bad. She also keeps pointing to her belly as it hurts. Kindly advice. | Hello. I just got your concern. It is like a typical viral infection. Give more water, liquid, and homemade food. If she has a fever when measured with a thermometer kindly make a note of it. If her temperature is more than 100 Fahrenheit, give Paracetamol syrup with a dose of 15 mg per kg. Keep a gap of minimum six hours in between two treatments. For diarrhea, you can give ORS (oral rehy ChatDoctor. Is she pointing her belly and complaining that it is hurting it is possible then maybe some spasm? You can give Dicyclomine syrup. For cold and runny nose you can give Cetirizine syrup 2.5 mg one time a day. Look for breathing if she is having more cough and breathing then please visit the nearby pediatrician. If she is looking dull, not taking anything from the mouth and sleepy, then please go to the pediatrician. Stool routine. Dysentery. Viral gastroenteritis. Oral rehy |
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Hello doctor,I have always had decent dental health, except for flare-ups with stress. Recently I noticed sensitivity along with bottom front teeth. When I pulled out my bottom lip, I noticed that the gum surrounding one tooth looked puffy. Not red, or sensitive, but it sticks out, it does not lay flat against the tooth like the others. Is this something to be concerned about? I am doing natural treatments with herbs, vitamins, etc. Could it be a periodontal disease?
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Hello. Puffy swollen gums are a sign of periodontal disease. The cause of the periodontal disease is microbial deposits on the teeth (dental plaque). The plaque when mineralized become tartar (calculus). The calculus, in turn, attracts more plaque, and the disease process continues. At later stages, it may lead to bone loss and mobility of the teeth. I would suggest you to please visit your dentist and get your teeth cleaned, your dentist will be able to assess the stage of periodontal disease and if required will refer you to a periodontist. Get your oral health check-up done every six months so that any changes in the oral cavity can be treated in the initial stages. Deposits on teeth. Clinical examination and IOPA. Scaling and root planing, if it has reached the advanced stage then further periodontal treatment. Proper brushing of teeth and regular check-up. | Hello doctor,I have always had decent dental health, except for flare-ups with stress. Recently I noticed sensitivity along with bottom front teeth. When I pulled out my bottom lip, I noticed that the gum surrounding one tooth looked puffy. Not red, or sensitive, but it sticks out, it does not lay flat against the tooth like the others. Is this something to be concerned about? I am doing natural treatments with herbs, vitamins, etc. Could it be a periodontal disease? | Hello. Puffy swollen gums are a sign of periodontal disease. The cause of the periodontal disease is microbial deposits on the teeth (dental plaque). The plaque when mineralized become tartar (calculus). The calculus, in turn, attracts more plaque, and the disease process continues. At later stages, it may lead to bone loss and mobility of the teeth. I would suggest you to please visit your dentist and get your teeth cleaned, your dentist will be able to assess the stage of periodontal disease and if required will refer you to a periodontist. Get your oral health check-up done every six months so that any changes in the oral cavity can be treated in the initial stages. Deposits on teeth. Clinical examination and IOPA. Scaling and root planing, if it has reached the advanced stage then further periodontal treatment. Proper brushing of teeth and regular check-up. |
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Hello doctor,I am 31-years-old male and a heavy smoker. I usually have some problems with GERD, but when I take Nexium, I feel I am suffering recently from the following symptoms. During my day, around two times, I got episodes of the following while resting.1. Strong heartbeats.2. Accelerated heartbeats.3. Feeling my stomach blow.4. Difficulty in breathing.5. Sweating.The episodes last for might be two minutes.I have visited a cardiologist, and I made the following analysis,1. Thyroid hormones.2. CBC.3. Urine.4. ECG and stress ECG.5. Holter for 24 hours.6. Chest X-ray.7. Breathing test.All measures are normal except high cholesterol and LDL. Now the episodes come maybe once every couple of days. I do not know what is the reason could be?.
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Hello, Welcome to Chat Doctor forum. You should curtail your smoking which is the reason for the increase in cholesterol as well as increasing your heart rate your heart and must be going very high due to stimulation of the heart by the nicotine and hy ChatDoctor. You have to do ECG immediately once you have the episode or will need a loop recorder or event recorder for the diagnosis of arrhythmia if the incidents are recurrent. | Hello doctor,I am 31-years-old male and a heavy smoker. I usually have some problems with GERD, but when I take Nexium, I feel I am suffering recently from the following symptoms. During my day, around two times, I got episodes of the following while resting.1. Strong heartbeats.2. Accelerated heartbeats.3. Feeling my stomach blow.4. Difficulty in breathing.5. Sweating.The episodes last for might be two minutes.I have visited a cardiologist, and I made the following analysis,1. Thyroid hormones.2. CBC.3. Urine.4. ECG and stress ECG.5. Holter for 24 hours.6. Chest X-ray.7. Breathing test.All measures are normal except high cholesterol and LDL. Now the episodes come maybe once every couple of days. I do not know what is the reason could be?. | Hello, Welcome to Chat Doctor forum. You should curtail your smoking which is the reason for the increase in cholesterol as well as increasing your heart rate your heart and must be going very high due to stimulation of the heart by the nicotine and hy ChatDoctor. You have to do ECG immediately once you have the episode or will need a loop recorder or event recorder for the diagnosis of arrhythmia if the incidents are recurrent. |
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I am 32 years old healthy male without any relevant medical history. I am married since 2 years and do not have kids. Till 3 months ago I used to have weekly sex with my wife but now since last 5 months I have been staying without her in some city so meet her only once a month. I also masturbate once a day mostly. In last 45 days we have met three times but I felt less confident in maintaining erection enough to have sex, so I had 5 mg tadalafil and did intercourse comfortably. But yesterday I had to to take 10 mg tadalafil and then also I was under confident. Kindly suggest
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Erectile performance and ejaculation can be influenced by many factors, if you are anxious, sad or stressed this can get lower performance, if you are relaxed and happy you will have better performance because it is affected by neurotransmitters, which is influenced by mood, stress level, etc. the more relaxed, happy and stress free you are the more levels of these neurotransmitters and better performance, it\\s also influenced by emotional factors with your partner, if any problem between them can lead to psychological erectile dysfunction which is common in young couples. and when partners stay away they are not doing sex often and they get distanced in emotions and some level of anxiety builds up when they perform. | I am 32 years old healthy male without any relevant medical history. I am married since 2 years and do not have kids. Till 3 months ago I used to have weekly sex with my wife but now since last 5 months I have been staying without her in some city so meet her only once a month. I also masturbate once a day mostly. In last 45 days we have met three times but I felt less confident in maintaining erection enough to have sex, so I had 5 mg tadalafil and did intercourse comfortably. But yesterday I had to to take 10 mg tadalafil and then also I was under confident. Kindly suggest | Erectile performance and ejaculation can be influenced by many factors, if you are anxious, sad or stressed this can get lower performance, if you are relaxed and happy you will have better performance because it is affected by neurotransmitters, which is influenced by mood, stress level, etc. the more relaxed, happy and stress free you are the more levels of these neurotransmitters and better performance, it\\s also influenced by emotional factors with your partner, if any problem between them can lead to psychological erectile dysfunction which is common in young couples. and when partners stay away they are not doing sex often and they get distanced in emotions and some level of anxiety builds up when they perform. |
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Hello doctor,I have tears in my penis and I have sugar 390 after fasting. Milky discharge occurs frequently. The skin around the penis is reddish, thinner and peeling.
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Hello, Welcome to Chat Doctor forum. Firstly, you should upload the picture of your penis, where it is getting torn and reddened. Also, since when are you having the sugar problem? Is it detected for the first time, any medicines you are having for it? Usually, it is a fungal infection of the penis which causes these problems. I suggest Clotrimazole ointment three times a day for two weeks. Also, tablet Fluconazole 150 mg bedtime once only. Apply Abzorb (Clotrimazole) powder two times a day on the skin around your penis for two weeks. Your sugar level is very high and you should consult a doctor for that. You need to be started on the medicines as soon as possible. You should get your post-lunch sugar done as well. Also, get your HbA1C levels, renal function test done. Avoid sweet food, rice, potatoes and other high-calorie foods like oily, fatty foods. Do daily exercises in order to achieve weight loss. Repeat blood sugar after a week of medications and lifestyle changes. Have plenty of water. For more information consult an internal medicine physician online | Hello doctor,I have tears in my penis and I have sugar 390 after fasting. Milky discharge occurs frequently. The skin around the penis is reddish, thinner and peeling. | Hello, Welcome to Chat Doctor forum. Firstly, you should upload the picture of your penis, where it is getting torn and reddened. Also, since when are you having the sugar problem? Is it detected for the first time, any medicines you are having for it? Usually, it is a fungal infection of the penis which causes these problems. I suggest Clotrimazole ointment three times a day for two weeks. Also, tablet Fluconazole 150 mg bedtime once only. Apply Abzorb (Clotrimazole) powder two times a day on the skin around your penis for two weeks. Your sugar level is very high and you should consult a doctor for that. You need to be started on the medicines as soon as possible. You should get your post-lunch sugar done as well. Also, get your HbA1C levels, renal function test done. Avoid sweet food, rice, potatoes and other high-calorie foods like oily, fatty foods. Do daily exercises in order to achieve weight loss. Repeat blood sugar after a week of medications and lifestyle changes. Have plenty of water. For more information consult an internal medicine physician online |
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Hello doctor,I am realizing that I am an extremely sensitive person. I fear socializing with people. I think too much about what people think about me. There is a lot of fear within me. When people scold me, I take it too deeply and even my mouth vibrates. It is conspicuously visible. I have a lot of social fear mixing with people. While greeting people in my sister\\s engagement ceremony, while smiling at a woman, all of a sudden mouth started to vibrate in fear. Overall, I am extremely sensitive to what people think about me. I feel depressed because of my embarrassment in front of them. I am sensitive even to sound and noise. Because of this, I find it difficult to go around and play or work in a group. If someone asks me something I fear before answering. I want to be calm and tough enough to face the society. Is there any effective medication? I am a law graduate as well. This problem is affecting my career and relationship. I am too shy and absent-minded. My first and final query is what is the disorder I am having? Please explain my disorder.
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Hello. What you have is social phobia, anxiety and mostly is a result of a hard or strict education in childhood. Here are some ways you can build your confidence in life in general and help you rid yourself of social anxiety | Hello doctor,I am realizing that I am an extremely sensitive person. I fear socializing with people. I think too much about what people think about me. There is a lot of fear within me. When people scold me, I take it too deeply and even my mouth vibrates. It is conspicuously visible. I have a lot of social fear mixing with people. While greeting people in my sister\\s engagement ceremony, while smiling at a woman, all of a sudden mouth started to vibrate in fear. Overall, I am extremely sensitive to what people think about me. I feel depressed because of my embarrassment in front of them. I am sensitive even to sound and noise. Because of this, I find it difficult to go around and play or work in a group. If someone asks me something I fear before answering. I want to be calm and tough enough to face the society. Is there any effective medication? I am a law graduate as well. This problem is affecting my career and relationship. I am too shy and absent-minded. My first and final query is what is the disorder I am having? Please explain my disorder. | Hello. What you have is social phobia, anxiety and mostly is a result of a hard or strict education in childhood. Here are some ways you can build your confidence in life in general and help you rid yourself of social anxiety |
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Hi doctor,I am 27 years old, and I have multiple symptoms including nervousness, anxiety and weight loss. These symptoms are troubling me a lot. I experience extreme nervousness, even when I do not have any emotional struggles. I have a feeling of having a fast heartbeat. At the age of 16, my blood report showed me a result of subclinical hyperthyroidism. I have done breast surgery. Due to my health concern, I always have my blood tested for thyroid.Before eight months, I also had done a Holter monitor, which showed my heart palpitations. On my final blood test, my thyroid results came normal. But still, I have the symptoms. I am trying for a baby. But I heard an issue that underlying or undiagnosed thyroid issue could become a terrible one during pregnancy. Do I need to consult an endocrinologist soon? Do these fluctuations are common in hyperthyroidism?
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Hi. I have gone through the query. It appears that you have had subclinical hyperthyroidism. This condition needs regular follow up tests and consult an endocrinologist even if you are not undergoing treatment for hyperthyroidism. If you plan for pregnancy, then it is necessary to have a constant follow-up with an endocrinologist before and during pregnancy. Yes, fluctuations in thyroid function test are common. Take care. | Hi doctor,I am 27 years old, and I have multiple symptoms including nervousness, anxiety and weight loss. These symptoms are troubling me a lot. I experience extreme nervousness, even when I do not have any emotional struggles. I have a feeling of having a fast heartbeat. At the age of 16, my blood report showed me a result of subclinical hyperthyroidism. I have done breast surgery. Due to my health concern, I always have my blood tested for thyroid.Before eight months, I also had done a Holter monitor, which showed my heart palpitations. On my final blood test, my thyroid results came normal. But still, I have the symptoms. I am trying for a baby. But I heard an issue that underlying or undiagnosed thyroid issue could become a terrible one during pregnancy. Do I need to consult an endocrinologist soon? Do these fluctuations are common in hyperthyroidism? | Hi. I have gone through the query. It appears that you have had subclinical hyperthyroidism. This condition needs regular follow up tests and consult an endocrinologist even if you are not undergoing treatment for hyperthyroidism. If you plan for pregnancy, then it is necessary to have a constant follow-up with an endocrinologist before and during pregnancy. Yes, fluctuations in thyroid function test are common. Take care. |
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Hello doctor,I am in love with my relative. We both have each other in someplace in our mind and I know it. She is a high achiever in her career, and I work hard to achieve stuff and good at studies but not as high as her. I faced real kind of depression earlier and often get it. So, I find happiness in everything. What I find difficult is to commit to her in some way as I see she may get a better person who will be supportive to her achievement. I do not underestimate myself, but there is a dilemma which is hurting me in my mind. Please advice.
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Hello. You are very considerate that you want the best for your relative even at the cost of your love. Your cousin should be lucky that you have her best interests in your mind. However, if she reciprocates your feelings, you better go ahead and commit yourself to the relationship. If both of you love each other, you can develop a supportive and robust bond. Always remember that academics, career, money, etc., are not the primary factors in a relationship. Of course, they are essential, but a successful marriage needs personal compatibility and care for each other. Do activities to improve your confidence. Try regular exercise, yoga, and have an open talk with a trusted family member or friend about your decision. Take care. | Hello doctor,I am in love with my relative. We both have each other in someplace in our mind and I know it. She is a high achiever in her career, and I work hard to achieve stuff and good at studies but not as high as her. I faced real kind of depression earlier and often get it. So, I find happiness in everything. What I find difficult is to commit to her in some way as I see she may get a better person who will be supportive to her achievement. I do not underestimate myself, but there is a dilemma which is hurting me in my mind. Please advice. | Hello. You are very considerate that you want the best for your relative even at the cost of your love. Your cousin should be lucky that you have her best interests in your mind. However, if she reciprocates your feelings, you better go ahead and commit yourself to the relationship. If both of you love each other, you can develop a supportive and robust bond. Always remember that academics, career, money, etc., are not the primary factors in a relationship. Of course, they are essential, but a successful marriage needs personal compatibility and care for each other. Do activities to improve your confidence. Try regular exercise, yoga, and have an open talk with a trusted family member or friend about your decision. Take care. |
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Hi doctor,I had a frenuloplasty of the penis ten days back. It all seemed fine at first, and I had very little pain. I have to say the actual incision and stitches were a lot larger than what I was previously led to believe. I have been washing gently with salt water and rinsing twice daily. I took a good look a few days ago, and it seems that the stitches have come apart. To be honest, and I am not a urologist, but it does not look like a good job, though I may be wrong. I went to see the doctor yesterday, and she took a look and said that it all looks fine, the stitches may have come apart slightly. She told me to leave it for two weeks, and if I am still concerned, they will refer me back to the specialist. I was hoping to get a second opinion, this being my penis, I am obviously concerned that it is not going to heal properly and I will end up worse than before the operation. I am primarily looking for reassurance.
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Hi. I saw the photos (attachment removed to protect patient identity). You are correct, a few stitches have come apart. So, be reassured that nothing has gone awfully wrong. Just wait it out till complete healing takes place. Hopefully, it should heal well, as the wound is healthy. | Hi doctor,I had a frenuloplasty of the penis ten days back. It all seemed fine at first, and I had very little pain. I have to say the actual incision and stitches were a lot larger than what I was previously led to believe. I have been washing gently with salt water and rinsing twice daily. I took a good look a few days ago, and it seems that the stitches have come apart. To be honest, and I am not a urologist, but it does not look like a good job, though I may be wrong. I went to see the doctor yesterday, and she took a look and said that it all looks fine, the stitches may have come apart slightly. She told me to leave it for two weeks, and if I am still concerned, they will refer me back to the specialist. I was hoping to get a second opinion, this being my penis, I am obviously concerned that it is not going to heal properly and I will end up worse than before the operation. I am primarily looking for reassurance. | Hi. I saw the photos (attachment removed to protect patient identity). You are correct, a few stitches have come apart. So, be reassured that nothing has gone awfully wrong. Just wait it out till complete healing takes place. Hopefully, it should heal well, as the wound is healthy. |
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Hello doctor,The level of anti-TPO antibodies is 492. The doctors say it is a state of euthyroid. I am worried about my prognosis. I am a medical student, can I still become a surgeon?
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Hi, Welcome to Chat Doctor forum. Going by the details you have provided you have euthyroid. This means that you do have normal TSH with normal T4 and T3. The most common cause is autoimmune thyroid disease, which is confirmed by positive anti-TPO (anti-Thyroid Peroxidase) antibodies. Positive anti-TPO means you have these antibodies in your body which act against the thyroid cells. Most often this is a progressive disease. As of today, we do not have treatment against autoimmunity. Therefore, we replace thyroid hormone in the form of Thyroxine. With TSH near 10 and strongly positive antibodies, I suggest you get your TSH done after 6 weeks. If normal, there is nothing to worry. Apart from the destruction of thyroid cells, anti-TPO antibodies do not cause any other harm. Disease per se is harmless if TSH is kept normal. Keep track of TSH and treat it accordingly. This will never affect your future, and you can continue your studies without fear of not becoming a surgeon. You will become a surgeon, all the best. | Hello doctor,The level of anti-TPO antibodies is 492. The doctors say it is a state of euthyroid. I am worried about my prognosis. I am a medical student, can I still become a surgeon? | Hi, Welcome to Chat Doctor forum. Going by the details you have provided you have euthyroid. This means that you do have normal TSH with normal T4 and T3. The most common cause is autoimmune thyroid disease, which is confirmed by positive anti-TPO (anti-Thyroid Peroxidase) antibodies. Positive anti-TPO means you have these antibodies in your body which act against the thyroid cells. Most often this is a progressive disease. As of today, we do not have treatment against autoimmunity. Therefore, we replace thyroid hormone in the form of Thyroxine. With TSH near 10 and strongly positive antibodies, I suggest you get your TSH done after 6 weeks. If normal, there is nothing to worry. Apart from the destruction of thyroid cells, anti-TPO antibodies do not cause any other harm. Disease per se is harmless if TSH is kept normal. Keep track of TSH and treat it accordingly. This will never affect your future, and you can continue your studies without fear of not becoming a surgeon. You will become a surgeon, all the best. |
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Hi doctor,I take on a daily basic- 100 mg Ixel, 60 mg Paxet, 0.5 mg Clonazapem. My psychiatrist told me to take 5 mg of Zyprexa in cases of SOS. I do not have any psychotic symptoms. He told me it was meant to knock me down, so I could have relief from stress and I could sleep. I took this pill (first time ever) and I slept for 20 hours (I was awake for one hour in between). Then I was awake for three hours feeling really bad, dizzy, spaced out, tired. Then I slept for another nine hours. I still felt bad and restless for a day, but slowly I got less tired and more alert. I guess it is not normal. It was even quite scary. In the meanwhile, should I avoid this pill or maybe reduce it?
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Hello, Welcome to Chat Doctor forum. I can understand your problem. You are on high dose of Paroxetine and are also taking Milnacipran, Clonazepam and if even with these medicines the symptoms are persisting, then there is no harm in adding a low dose antipsychotic ChatDoctor. Olanzapine in low dose has great efficacy in depressive symptoms, anxiety disorders and in resistant depression symptoms. The | Hi doctor,I take on a daily basic- 100 mg Ixel, 60 mg Paxet, 0.5 mg Clonazapem. My psychiatrist told me to take 5 mg of Zyprexa in cases of SOS. I do not have any psychotic symptoms. He told me it was meant to knock me down, so I could have relief from stress and I could sleep. I took this pill (first time ever) and I slept for 20 hours (I was awake for one hour in between). Then I was awake for three hours feeling really bad, dizzy, spaced out, tired. Then I slept for another nine hours. I still felt bad and restless for a day, but slowly I got less tired and more alert. I guess it is not normal. It was even quite scary. In the meanwhile, should I avoid this pill or maybe reduce it? | Hello, Welcome to Chat Doctor forum. I can understand your problem. You are on high dose of Paroxetine and are also taking Milnacipran, Clonazepam and if even with these medicines the symptoms are persisting, then there is no harm in adding a low dose antipsychotic ChatDoctor. Olanzapine in low dose has great efficacy in depressive symptoms, anxiety disorders and in resistant depression symptoms. The |
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Hello doctor,My 7-year- old son fell out of a top bunk and as he was bleeding from his ear we took him by an ambulance to the hospital where he was diagnosed with a major concussion and possible non-displaced skull fracture. He was discharged the next day but we were told that as he had been bleeding from his ear there was a possibility of bacterial meningitis as there was a trail from the outside into his brain. So, we have been keeping him quiet but I have a couple of questions. How long before he can go swimming? He goes back to school next week, what about P.E and running around in the playground? He goes to rugby training, how long before he should return to that? What about tennis coaching? I would really appreciate knowing how long I should be a fussy mother?
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Hello. I understand your concern for your son, I hope he is fine. Since then, if he has no further bleeding and no seizure episodes, and is fine with no complaints he can attend the school and participate in sports and other activities. I would suggest to avoid swimming for at least four weeks and use ear buds while swimming after that. Even rugby would be risky, so try to postpone rugby training for at least four weeks to prevent any further head injury which would complicate the previous injury. The rest activities are fine. | Hello doctor,My 7-year- old son fell out of a top bunk and as he was bleeding from his ear we took him by an ambulance to the hospital where he was diagnosed with a major concussion and possible non-displaced skull fracture. He was discharged the next day but we were told that as he had been bleeding from his ear there was a possibility of bacterial meningitis as there was a trail from the outside into his brain. So, we have been keeping him quiet but I have a couple of questions. How long before he can go swimming? He goes back to school next week, what about P.E and running around in the playground? He goes to rugby training, how long before he should return to that? What about tennis coaching? I would really appreciate knowing how long I should be a fussy mother? | Hello. I understand your concern for your son, I hope he is fine. Since then, if he has no further bleeding and no seizure episodes, and is fine with no complaints he can attend the school and participate in sports and other activities. I would suggest to avoid swimming for at least four weeks and use ear buds while swimming after that. Even rugby would be risky, so try to postpone rugby training for at least four weeks to prevent any further head injury which would complicate the previous injury. The rest activities are fine. |
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Hello doctor,My wife has PCOS and is undergoing a treatment for the same. She had irregular periods issue even before marriage. We got married eight months back. My wife has not yet conceived. Our previous doctor said that my wife has a primary infertility problem and she suggested Mychiro tablet for three months. Is there any severe issue for her? They mentioned in the report that E7 was 9.3 mm on the eighth day of the period. We are very confused and we need clarification. My wife is now 24 and she does not have any thyroid issue.
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Hi. For pregnancy to happen, good quality ovum from the female and good quality sperm from the male is very important. Let us assume that you are normal. In a regular 30 day cycle, women normally ovulate around 14th day in the middle of the cycle. When there is an irregular cycle, then there may or may not be an ovulation. If ovulation is occurring, then there is a chance of pregnancy. But, most of the time there is either no ovulation or there is bad quality ovulation happening in an irregular cycle. So, pregnancy fails to occur. In treatment also, they may advise to ovulate in a normal manner and ask you both to have sex near, before and after ovulation to maximize the chances of getting pregnant. | Hello doctor,My wife has PCOS and is undergoing a treatment for the same. She had irregular periods issue even before marriage. We got married eight months back. My wife has not yet conceived. Our previous doctor said that my wife has a primary infertility problem and she suggested Mychiro tablet for three months. Is there any severe issue for her? They mentioned in the report that E7 was 9.3 mm on the eighth day of the period. We are very confused and we need clarification. My wife is now 24 and she does not have any thyroid issue. | Hi. For pregnancy to happen, good quality ovum from the female and good quality sperm from the male is very important. Let us assume that you are normal. In a regular 30 day cycle, women normally ovulate around 14th day in the middle of the cycle. When there is an irregular cycle, then there may or may not be an ovulation. If ovulation is occurring, then there is a chance of pregnancy. But, most of the time there is either no ovulation or there is bad quality ovulation happening in an irregular cycle. So, pregnancy fails to occur. In treatment also, they may advise to ovulate in a normal manner and ask you both to have sex near, before and after ovulation to maximize the chances of getting pregnant. |
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Hi doctor,I am a thyroid patient. Some time ago I went for blood test and found my RDW-CV 18.2 and RDW-SD 60.5. Just wanted to know if there is anything serious. My ultrasound report saying border-line hepatomegaly and mildly enlarged liver. My liver test shows alkaline phosphate value is 114 and albumin protein value is 5.6. Currently, I am taking Thyroxine.
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Hi, Welcome to Chat Doctor forum. I understand your concerns. But there is nothing to worry about. RDW (red blood cell distribution width) is used to determine the type of anemia, it indicates the average size of the red blood cells. Your values are a little bit above average but nothing to worry about. Alkaline phosphatase is a substance that increases if there is an obstruction in the biliary system, your value is within normal. Level of albumin is also within normal. The hepatomegaly is most likely due to fatty changes that are most likely due to alcoholic liver disease or high blood cholesterol. I suggest that you perform complete lipid profile. Please tell me if you have any symptoms. In order to see how the thyroid condition is well controlled, please send me the last TSH (thyroid stimulating hormone) level. For more information consult a general medicine physician online | Hi doctor,I am a thyroid patient. Some time ago I went for blood test and found my RDW-CV 18.2 and RDW-SD 60.5. Just wanted to know if there is anything serious. My ultrasound report saying border-line hepatomegaly and mildly enlarged liver. My liver test shows alkaline phosphate value is 114 and albumin protein value is 5.6. Currently, I am taking Thyroxine. | Hi, Welcome to Chat Doctor forum. I understand your concerns. But there is nothing to worry about. RDW (red blood cell distribution width) is used to determine the type of anemia, it indicates the average size of the red blood cells. Your values are a little bit above average but nothing to worry about. Alkaline phosphatase is a substance that increases if there is an obstruction in the biliary system, your value is within normal. Level of albumin is also within normal. The hepatomegaly is most likely due to fatty changes that are most likely due to alcoholic liver disease or high blood cholesterol. I suggest that you perform complete lipid profile. Please tell me if you have any symptoms. In order to see how the thyroid condition is well controlled, please send me the last TSH (thyroid stimulating hormone) level. For more information consult a general medicine physician online |
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Hi doctor,My 7 months old baby boy is dropping down his head occasionally. Sometimes, he has some mild jerks. Jerks were at the time after his feeding or after he wakes up. That time, he just swallows or lick his lips with tongue. Otherwise, his activities are very normal. He can hear us, identify us clearly, take his toys on his own choice, starts to grasping things, etc.. He started to crawl and got his milk teeth. For example, if we ask where is the fan, then he automatically sees the roof. If the fan is switched off, then he just sees it and cry. If he crosses some particular color lights or television, he will turn his head towards it and watch it. When I took him to his pediatrician, he said he is absolutely normal. Also, his health is good. He asked us not to worry. But, it makes me fear while he drop his head down or getting jerk. He is our second son and it was a cesarean. Now, he is having cold. He got his vaccinations on correct time. Is there any need to take him to a neurologist?
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Hi.I have read your question with care and understand that you are concerned about few jerks your kid has. First and foremost, I would like to appreciate and congratulate you for giving detailed descriptions. | Hi doctor,My 7 months old baby boy is dropping down his head occasionally. Sometimes, he has some mild jerks. Jerks were at the time after his feeding or after he wakes up. That time, he just swallows or lick his lips with tongue. Otherwise, his activities are very normal. He can hear us, identify us clearly, take his toys on his own choice, starts to grasping things, etc.. He started to crawl and got his milk teeth. For example, if we ask where is the fan, then he automatically sees the roof. If the fan is switched off, then he just sees it and cry. If he crosses some particular color lights or television, he will turn his head towards it and watch it. When I took him to his pediatrician, he said he is absolutely normal. Also, his health is good. He asked us not to worry. But, it makes me fear while he drop his head down or getting jerk. He is our second son and it was a cesarean. Now, he is having cold. He got his vaccinations on correct time. Is there any need to take him to a neurologist? | Hi.I have read your question with care and understand that you are concerned about few jerks your kid has. First and foremost, I would like to appreciate and congratulate you for giving detailed descriptions. |
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Hello doctor, I am having 0% concentration in my studies. My board exams are going on, I have become too irritable. I am also able to make myself happy again but the stress of studying is bothering me as I cannot concentrate. Also, I am motivating myself but still, I cannot.
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Hello. Board exams are indeed stressful for every student and especially with this huge coronavirus scare thats going on, it is even worse I am sure. Although, now that your board exams have been suspended for the next 10 days, you may breathe a sigh of relief. I can still give you some tips on handling exam pressure. 1. Study in small clusters of time, like study for 50 minutes then take a 10 minutes break and then restart. 2. Have a proper three square homecooked meals a day with two small snacks in between. No junk food, aerated ChatDoctor. 3. Spend one hour every day in engaging in your hobby even during exam time. This will recharge your mind and you will feel more concentrated and productive in studies. 4. Keep your phone and other gadgets at bay. Switching them off until exams get over is the best thing to do. 5. Catch up on good sleep at night and keep sleep timings fixed. I hope this helps. Take care. | Hello doctor, I am having 0% concentration in my studies. My board exams are going on, I have become too irritable. I am also able to make myself happy again but the stress of studying is bothering me as I cannot concentrate. Also, I am motivating myself but still, I cannot. | Hello. Board exams are indeed stressful for every student and especially with this huge coronavirus scare thats going on, it is even worse I am sure. Although, now that your board exams have been suspended for the next 10 days, you may breathe a sigh of relief. I can still give you some tips on handling exam pressure. 1. Study in small clusters of time, like study for 50 minutes then take a 10 minutes break and then restart. 2. Have a proper three square homecooked meals a day with two small snacks in between. No junk food, aerated ChatDoctor. 3. Spend one hour every day in engaging in your hobby even during exam time. This will recharge your mind and you will feel more concentrated and productive in studies. 4. Keep your phone and other gadgets at bay. Switching them off until exams get over is the best thing to do. 5. Catch up on good sleep at night and keep sleep timings fixed. I hope this helps. Take care. |
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Hi doctor,My wife is 38 years old. She had an abortion in 2012 around her six months of pregnancy due to the defects of diabetics. From that time onwards she has not taken any treatment for diabetics.As per her report, pregnancy starts from 18th February. We have started Insulin Eglucent three times and Levemir sleeping time as per doctor\\s advice. Is there any problem to the baby or my wife? We are strictly following the diet and taking insulin with regular blood check-up (four times daily).
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Hi. From your history, I gather that you have been taking insulin from early pregnancy and closely following it. If your blood sugar levels are well controlled with diet, exercise, and insulin, then there is nothing to worry about. There is no specific and extra chance for the baby to have any anomalies. Baby will have all the features of a normal pregnancy. The pregnancy complications rate is same as any other normal pregnancy. You do not need to worry. You can have an NT (Nuchal translucency) ultrasound scan at 11-14 weeks, Qua ChatDoctor. This is just for your satisfaction. For every lady with diabetes or previous history so, is tested with this. Do not worry your wife and baby are both doing fine. I hope this helps. | Hi doctor,My wife is 38 years old. She had an abortion in 2012 around her six months of pregnancy due to the defects of diabetics. From that time onwards she has not taken any treatment for diabetics.As per her report, pregnancy starts from 18th February. We have started Insulin Eglucent three times and Levemir sleeping time as per doctor\\s advice. Is there any problem to the baby or my wife? We are strictly following the diet and taking insulin with regular blood check-up (four times daily). | Hi. From your history, I gather that you have been taking insulin from early pregnancy and closely following it. If your blood sugar levels are well controlled with diet, exercise, and insulin, then there is nothing to worry about. There is no specific and extra chance for the baby to have any anomalies. Baby will have all the features of a normal pregnancy. The pregnancy complications rate is same as any other normal pregnancy. You do not need to worry. You can have an NT (Nuchal translucency) ultrasound scan at 11-14 weeks, Qua ChatDoctor. This is just for your satisfaction. For every lady with diabetes or previous history so, is tested with this. Do not worry your wife and baby are both doing fine. I hope this helps. |
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Hello doctor,I had indigestion problems last month and I was given a Pan 40 injection in a 24/7 hospital in my locality. The moment I was given the injection, my body developed rashes, redness, and itching. My doctor immediately gave Avil injection after which rashes and redness subsided. Two days back, I again had got indigestion problems after a week of having junk food outside. This time I had Pan D tablet, but this time after an hour I developed rashes, itching, and the whole body turned red. I again went to the 24/7 hospital and the doctor again injected Avil after which the redness and itching subsided. The doctor also told me never to take Pantoprazole tablets as I am allergic and reacting very badly. Now, I have been given Rantac and I have no problems now. So, here are my questions
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Hello, Welcome to Chat Doctor forum. I have gone through your question and I understand your concerns but yes Pantoprazole allergy is a permanent condition that you will need to report to any doctor you visit before prescribing medications. Also, this allergy is nothing to worry about as long as you avoid taking Pantoprazole but can get very serious and even fatal if you take it again. I hope you find this helpful. For more information consult a general medicine physician online | Hello doctor,I had indigestion problems last month and I was given a Pan 40 injection in a 24/7 hospital in my locality. The moment I was given the injection, my body developed rashes, redness, and itching. My doctor immediately gave Avil injection after which rashes and redness subsided. Two days back, I again had got indigestion problems after a week of having junk food outside. This time I had Pan D tablet, but this time after an hour I developed rashes, itching, and the whole body turned red. I again went to the 24/7 hospital and the doctor again injected Avil after which the redness and itching subsided. The doctor also told me never to take Pantoprazole tablets as I am allergic and reacting very badly. Now, I have been given Rantac and I have no problems now. So, here are my questions | Hello, Welcome to Chat Doctor forum. I have gone through your question and I understand your concerns but yes Pantoprazole allergy is a permanent condition that you will need to report to any doctor you visit before prescribing medications. Also, this allergy is nothing to worry about as long as you avoid taking Pantoprazole but can get very serious and even fatal if you take it again. I hope you find this helpful. For more information consult a general medicine physician online |
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Hello doctor,I had sex with a sex worker a day before yesterday. But I told her not to remove her dress because I did not have a condom. Then I had a hug and allowed her to suck my penis for five minutes. While doing, she told me that my liquid is coming in her mouth, and so I stopped. After that, I sucked her breast some time. I do not know either milk is coming or not. Then finally I told her to do hands blow job after which I ejaculated.My question is the next day I got a red pimple in my inner thigh on both sides and is getting irritated. Why is it coming suddenly? I feel it may be an indication of HIV. It happened only after the incident. I was thinking in two ways. Could it be due to my liquid which went inside her mouth, if she has an infection? Or maybe due to that, I have sucked her breast I felt I might have drunk her milk. Is this an initial infection of HIV? Kindly look at my attachment. Please advice.
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Hello, Welcome to Chat Doctor forum. As per your exposure, you seem to be safe from HIV. The thigh lesions are not due to HIV (attachment removed to protect patient identity). It could be due to other causes. Do you have any symptoms like pain, itching, etc.? | Hello doctor,I had sex with a sex worker a day before yesterday. But I told her not to remove her dress because I did not have a condom. Then I had a hug and allowed her to suck my penis for five minutes. While doing, she told me that my liquid is coming in her mouth, and so I stopped. After that, I sucked her breast some time. I do not know either milk is coming or not. Then finally I told her to do hands blow job after which I ejaculated.My question is the next day I got a red pimple in my inner thigh on both sides and is getting irritated. Why is it coming suddenly? I feel it may be an indication of HIV. It happened only after the incident. I was thinking in two ways. Could it be due to my liquid which went inside her mouth, if she has an infection? Or maybe due to that, I have sucked her breast I felt I might have drunk her milk. Is this an initial infection of HIV? Kindly look at my attachment. Please advice. | Hello, Welcome to Chat Doctor forum. As per your exposure, you seem to be safe from HIV. The thigh lesions are not due to HIV (attachment removed to protect patient identity). It could be due to other causes. Do you have any symptoms like pain, itching, etc.? |
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Hello doctor,I got a teeth cleaning done, but the inflammation is still there. The dentist said that I need to get treated for a receding gum line through surgery. She said it was due to brushing hard and asked me to switch to a soft bristle toothbrush and sensodyne toothpaste. I am also awaiting some fillings. I already have a temporary filling which as fallen out and the hole seems to be too big. Please advice.
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Hello. Use warm saline gargling daily at least 2 or 3 times, for two weeks. This will help in reducing the inflammation and help in preventing further recession of gum line. Also if you can get Betadine gargle for rinsing then it would be much better, this would be of great help in case of severe periodontitis (gum inflammation and receding gums). Use sensodyne toothbrush (as suggested by your treating dentist) which have very soft bristles in an upward and downward motion only. Do not scrub the toothbrush over gingiva (gums) as it may cause further recession of the gum line. If the recession is severe then it may require flap surgery, still, the receded gingiva can never be brought back but a further recession can be avoided. You need to get that filling done as early as possible or it may result in infection of the tooth root. The receding gums might be due to | Hello doctor,I got a teeth cleaning done, but the inflammation is still there. The dentist said that I need to get treated for a receding gum line through surgery. She said it was due to brushing hard and asked me to switch to a soft bristle toothbrush and sensodyne toothpaste. I am also awaiting some fillings. I already have a temporary filling which as fallen out and the hole seems to be too big. Please advice. | Hello. Use warm saline gargling daily at least 2 or 3 times, for two weeks. This will help in reducing the inflammation and help in preventing further recession of gum line. Also if you can get Betadine gargle for rinsing then it would be much better, this would be of great help in case of severe periodontitis (gum inflammation and receding gums). Use sensodyne toothbrush (as suggested by your treating dentist) which have very soft bristles in an upward and downward motion only. Do not scrub the toothbrush over gingiva (gums) as it may cause further recession of the gum line. If the recession is severe then it may require flap surgery, still, the receded gingiva can never be brought back but a further recession can be avoided. You need to get that filling done as early as possible or it may result in infection of the tooth root. The receding gums might be due to |
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Hello doctor,I had a spinal fusion surgery down my entire back about two years ago when I was 17. I never had terrible back pain but as of recent, it is been somewhat bad. I feel like a 97-year-old woman. I have difficulty in sleeping because some positions just make the pain worse. Will this last forever?
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Hello, Welcome to Chat Doctor forum. I read your concern. In my opinion, post-surgery you should start work on a little bit of rehabilitation to strengthen the spinal muscles. That would have prevented these kinds of issues. Do not worry. I would like you to have a good recovery session frequently inside a pool and stretch your body to work on whole body flexibility within the limits it allows and progressively extend more. Do not try to push too hard as it will increase tightness. I would like to know if you have any sort of pain and spasm or pins and needle sensation or tingling sensation anywhere in the upper and lower body. If so get yourself properly checked up with your surgeon. I would also recommend you to be active. Keep moving around and hy ChatDoctor. Have good food and support yourself in every position properly especially those positions you are required to maintain for a longer period. Kindly try these things and then let me know how you feel after three days. I hope this helps. | Hello doctor,I had a spinal fusion surgery down my entire back about two years ago when I was 17. I never had terrible back pain but as of recent, it is been somewhat bad. I feel like a 97-year-old woman. I have difficulty in sleeping because some positions just make the pain worse. Will this last forever? | Hello, Welcome to Chat Doctor forum. I read your concern. In my opinion, post-surgery you should start work on a little bit of rehabilitation to strengthen the spinal muscles. That would have prevented these kinds of issues. Do not worry. I would like you to have a good recovery session frequently inside a pool and stretch your body to work on whole body flexibility within the limits it allows and progressively extend more. Do not try to push too hard as it will increase tightness. I would like to know if you have any sort of pain and spasm or pins and needle sensation or tingling sensation anywhere in the upper and lower body. If so get yourself properly checked up with your surgeon. I would also recommend you to be active. Keep moving around and hy ChatDoctor. Have good food and support yourself in every position properly especially those positions you are required to maintain for a longer period. Kindly try these things and then let me know how you feel after three days. I hope this helps. |
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Hello doctor,I am 26 years old. Yesterday night, I went out with my friends and I drank for the first time. We drank quite a lot and my last drink was a glass of red wine. After coming back, I felt sick and puked. My vomit was red colored. I vomited quite a lot. I was wondering if it was blood, but then it was so much that I do not know I would be standing after vomiting so much blood. I do not have any other symptoms. I am otherwise fit. It happened last night and I am perfectly fine since morning. I was wondering if it could have been blood and do I need an endoscopy or was it the red wine coloring the vomit?
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Hi. Nothing to worry much. It will be most probably the wine with some amount of gastric juice. Retching during vomiting will cause small erosion and bleed. This is a self-limiting one. Just observe the color of your stools for the next three days. If the stools are yellow (as usual), then you can leave it alone. If it is black (like hair or tar), then you have to get a blood test done and probably consider endoscopy. Hope your queries have been cleared. Do revert if you have any further concerns. For more information consult a medical gastroenterologist online Take care. | Hello doctor,I am 26 years old. Yesterday night, I went out with my friends and I drank for the first time. We drank quite a lot and my last drink was a glass of red wine. After coming back, I felt sick and puked. My vomit was red colored. I vomited quite a lot. I was wondering if it was blood, but then it was so much that I do not know I would be standing after vomiting so much blood. I do not have any other symptoms. I am otherwise fit. It happened last night and I am perfectly fine since morning. I was wondering if it could have been blood and do I need an endoscopy or was it the red wine coloring the vomit? | Hi. Nothing to worry much. It will be most probably the wine with some amount of gastric juice. Retching during vomiting will cause small erosion and bleed. This is a self-limiting one. Just observe the color of your stools for the next three days. If the stools are yellow (as usual), then you can leave it alone. If it is black (like hair or tar), then you have to get a blood test done and probably consider endoscopy. Hope your queries have been cleared. Do revert if you have any further concerns. For more information consult a medical gastroenterologist online Take care. |
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Hello doctor,I recently began doing cardio exercise and noticed that my heart rate would go upto 160-170 beats just after a few minutes of exercise. I got some anxiety about it and purchased a portable EKG monitor. Everything showed up normal when taking it while resting. But it shows ST depression after working out. So I consulted my family doctor, he has done an ECG, and nothing showed up. I tried explaining to him it was showing some change after exercise, but he seemed to like it was not a concern and said it is normal to show a change after exercise. But I read something that, showing ST changes after exercise is a bad sign and can be CAD. Is it something I should be concerned about? Or is ST depression normal after exercise?
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Hello, Welcome to Chat Doctor forum. Heart rate going up might be related to you being unaccustomed to activities. At your age, normally you are expected to attain a heart rate of 180 bpm with exercise. So nothing to worry about it. Some ST depression does occur during exercise, but it is physiological and upsloping, and can only be commented upon after seeing it. However, considering your age and no symptoms while running, it is likely a physiological depression. If you can get tracing, then that would be confirmatory. I hope this helps. | Hello doctor,I recently began doing cardio exercise and noticed that my heart rate would go upto 160-170 beats just after a few minutes of exercise. I got some anxiety about it and purchased a portable EKG monitor. Everything showed up normal when taking it while resting. But it shows ST depression after working out. So I consulted my family doctor, he has done an ECG, and nothing showed up. I tried explaining to him it was showing some change after exercise, but he seemed to like it was not a concern and said it is normal to show a change after exercise. But I read something that, showing ST changes after exercise is a bad sign and can be CAD. Is it something I should be concerned about? Or is ST depression normal after exercise? | Hello, Welcome to Chat Doctor forum. Heart rate going up might be related to you being unaccustomed to activities. At your age, normally you are expected to attain a heart rate of 180 bpm with exercise. So nothing to worry about it. Some ST depression does occur during exercise, but it is physiological and upsloping, and can only be commented upon after seeing it. However, considering your age and no symptoms while running, it is likely a physiological depression. If you can get tracing, then that would be confirmatory. I hope this helps. |
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Hello doctor,The last six months I have been experiencing fast heart rates. Just by walking my heart goes 130 to 150. I have no symptoms at all, no dizziness, no shortness of breath, no tiredness. Even by sneezing my heart goes at 150. I do not even know it till I check my pulse or put my hand in my chest and I see my heart is racing. I have done three EKG and three echoes by different doctors and all were fine. In rest, my heart is in 60 to 90. I am taking 10 to 20 mg Propanolol every day. If I miss a dose my heart goes fast even during rest. I had a very sedentary life during the last year, which is changing now. But my heart rate is still the same. Is this something to worry about?
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Hi, Welcome to Chat Doctor forum. It appears you are suffering from what is known as inappropriate sinus tachycardia. Of course, we have to see the ECG during palpitations to confirm that. I would also suggest a thyroid function test to rule out thyroid disease. It is good to exercise daily as that itself can regulate the rate. Also, continue Propranolol as having constant tachycardia can cause heart pumping to become weak. For more information consult a cardiologist online | Hello doctor,The last six months I have been experiencing fast heart rates. Just by walking my heart goes 130 to 150. I have no symptoms at all, no dizziness, no shortness of breath, no tiredness. Even by sneezing my heart goes at 150. I do not even know it till I check my pulse or put my hand in my chest and I see my heart is racing. I have done three EKG and three echoes by different doctors and all were fine. In rest, my heart is in 60 to 90. I am taking 10 to 20 mg Propanolol every day. If I miss a dose my heart goes fast even during rest. I had a very sedentary life during the last year, which is changing now. But my heart rate is still the same. Is this something to worry about? | Hi, Welcome to Chat Doctor forum. It appears you are suffering from what is known as inappropriate sinus tachycardia. Of course, we have to see the ECG during palpitations to confirm that. I would also suggest a thyroid function test to rule out thyroid disease. It is good to exercise daily as that itself can regulate the rate. Also, continue Propranolol as having constant tachycardia can cause heart pumping to become weak. For more information consult a cardiologist online |
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Hello doctor,I am a 27-year-old female. I had a history of on and off acid reflux for a few years. Last month, I had a bad episode of GERD and was prescribed Pantoprazole for a month. It got better and I stopped taking Pantoprazole, but I still have epigastric pain on and off. I had an upper endoscopy last week where the findings were all normal except for erythema atrophy of antrum. No more obvious acid reflux signs though. But epigastric pain still comes and goes. I was prescribed Hyoscyamine, but not sure why. What does erythema atrophy of antrum mean and why do you think I was prescribed Hyoscyamine? I have not had biopsy results from endoscopy yet, but I am hoping and praying for the best.
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Hello. Your symptoms likely from your stomach. Atrophy and erythema mean there is inflammation, might be from a bacterial infection (helicobacter), which we have to wait for the biopsy result then to be treated with triple therapy. Hyoscyamine ChatDoctor. To be honest, we rarely use it for stomach, PPI (proton pump inhibitors) like Pantoprazole usually are better with stomach inflammation, and decreasing its acidity. For now, we have to avoid smoking, | Hello doctor,I am a 27-year-old female. I had a history of on and off acid reflux for a few years. Last month, I had a bad episode of GERD and was prescribed Pantoprazole for a month. It got better and I stopped taking Pantoprazole, but I still have epigastric pain on and off. I had an upper endoscopy last week where the findings were all normal except for erythema atrophy of antrum. No more obvious acid reflux signs though. But epigastric pain still comes and goes. I was prescribed Hyoscyamine, but not sure why. What does erythema atrophy of antrum mean and why do you think I was prescribed Hyoscyamine? I have not had biopsy results from endoscopy yet, but I am hoping and praying for the best. | Hello. Your symptoms likely from your stomach. Atrophy and erythema mean there is inflammation, might be from a bacterial infection (helicobacter), which we have to wait for the biopsy result then to be treated with triple therapy. Hyoscyamine ChatDoctor. To be honest, we rarely use it for stomach, PPI (proton pump inhibitors) like Pantoprazole usually are better with stomach inflammation, and decreasing its acidity. For now, we have to avoid smoking, |
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Hello doctor,My blood report came today surprise me that my creatinine is 3.05 mg/dL. How bad is it? I am very concerned. Is there any way I can avid dialysis and treat with medication, diet and excursive. Please guide me if possible. I am taking Verapamil ER 180 mg and Atorvastatin 20 mg for high blood pressure for last 15 years.
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Hi. As I understand, you are having hypertension for past 15 years, apparently under control at present. Many a time, hypertension can remain undetected, without symptoms for long. So we may not know the exact duration of the disease in many patients. You have hypertension for a minimum of 15 years. It is not mentioned about the status of control in initial years. I hope that it was controlled. Looking at your results, this is most likely to be hypertensive kidney disease. However, we have to rule out precipitating or complicating factors like recent intake of painkillers, obstruction of urinary tract like prostate enlargement (normal PSA- prostate-specific antigen need not rule it out), recent infection, etc., many of these factors, if treated, may to some extent reverse kidney failure which you have. I suggest you have an ultrasound abdomen and urine routine. For more information consult a nephrologist online | Hello doctor,My blood report came today surprise me that my creatinine is 3.05 mg/dL. How bad is it? I am very concerned. Is there any way I can avid dialysis and treat with medication, diet and excursive. Please guide me if possible. I am taking Verapamil ER 180 mg and Atorvastatin 20 mg for high blood pressure for last 15 years. | Hi. As I understand, you are having hypertension for past 15 years, apparently under control at present. Many a time, hypertension can remain undetected, without symptoms for long. So we may not know the exact duration of the disease in many patients. You have hypertension for a minimum of 15 years. It is not mentioned about the status of control in initial years. I hope that it was controlled. Looking at your results, this is most likely to be hypertensive kidney disease. However, we have to rule out precipitating or complicating factors like recent intake of painkillers, obstruction of urinary tract like prostate enlargement (normal PSA- prostate-specific antigen need not rule it out), recent infection, etc., many of these factors, if treated, may to some extent reverse kidney failure which you have. I suggest you have an ultrasound abdomen and urine routine. For more information consult a nephrologist online |
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Hello doctor,I am having digestive issues for some time, gotten a bit worse. Symptoms
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Hello, Welcome to Chat Doctor forum. You have acid peptic disease (peptic ulcer) which is usually controlled by PPI (proton pump inhibitor). You are already taking this. If you could not correct dietary practices, you may not get complete relief. You should avoid, chilly, fresh onion, and oily foods (fried items) and non- vegetarian foods. Stomach finds it difficult to digest foods. So, consume easily digestible foods like fresh fruits, fruit juices, sliced vegetables, steamed foods, etc. Avoid tea and coffee which never allow the peptic ulcer to heal. Daily morning take one cup of pumpkin juice on an empty stomach. Do not eat raw vegetables (such as cucumber cut pieces, etc) in large quantities. Eat the same in small quantity after completely chewing into a paste. While sleeping you should sleep in left lateral or supine. Never sleep in right lateral and prone position. You can practice pranayama to balance autonomic systems. You also need to come out of stress situation, because stress certainly increases acid secretion. Do not skip any meals. If required, please undergo endoscopy to see if any ulcer is present. Continue the dietary, yogic, and ChatDoctor. Thank you. For more information consult a naturopathy specialist online | Hello doctor,I am having digestive issues for some time, gotten a bit worse. Symptoms | Hello, Welcome to Chat Doctor forum. You have acid peptic disease (peptic ulcer) which is usually controlled by PPI (proton pump inhibitor). You are already taking this. If you could not correct dietary practices, you may not get complete relief. You should avoid, chilly, fresh onion, and oily foods (fried items) and non- vegetarian foods. Stomach finds it difficult to digest foods. So, consume easily digestible foods like fresh fruits, fruit juices, sliced vegetables, steamed foods, etc. Avoid tea and coffee which never allow the peptic ulcer to heal. Daily morning take one cup of pumpkin juice on an empty stomach. Do not eat raw vegetables (such as cucumber cut pieces, etc) in large quantities. Eat the same in small quantity after completely chewing into a paste. While sleeping you should sleep in left lateral or supine. Never sleep in right lateral and prone position. You can practice pranayama to balance autonomic systems. You also need to come out of stress situation, because stress certainly increases acid secretion. Do not skip any meals. If required, please undergo endoscopy to see if any ulcer is present. Continue the dietary, yogic, and ChatDoctor. Thank you. For more information consult a naturopathy specialist online |
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Hi doctor,My wife missed her periods and we doubt she is pregnant. Our first kid is just 1 year old now and it was a Cesarean. We are not in a position to have a second child now. Her LMP was 22nd of last month. I read that Mifepristone can induce abortion. Is it a safe drug? Do we have to consult doctor for taking this drug? What are all the possible side effects? Is that drug 100 percent reliable? Is there any other options? Whether this drug is available without doctor\\s prescription? Thank you.
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Hello. First, please confirm the pregnancy with a serum beta-hCG test (human chorionic gonadotropin) as urine pregnancy test is not reliable till eight days post missed periods. If the hCG levels are more than 5 ng/dL then she is pregnant. In that case as she has been a post C-section case, medical abortion is not to be undertaken with either Mifepristone or Misoprostol simply. Because, the C-section scar would still be weak by one year and there are often chances of uterus rupture. The best option in that case would be an ultrasound guided dilation and curettage procedure for surgical abortion. Please meet your gynecologist and get the needful. Take care. | Hi doctor,My wife missed her periods and we doubt she is pregnant. Our first kid is just 1 year old now and it was a Cesarean. We are not in a position to have a second child now. Her LMP was 22nd of last month. I read that Mifepristone can induce abortion. Is it a safe drug? Do we have to consult doctor for taking this drug? What are all the possible side effects? Is that drug 100 percent reliable? Is there any other options? Whether this drug is available without doctor\\s prescription? Thank you. | Hello. First, please confirm the pregnancy with a serum beta-hCG test (human chorionic gonadotropin) as urine pregnancy test is not reliable till eight days post missed periods. If the hCG levels are more than 5 ng/dL then she is pregnant. In that case as she has been a post C-section case, medical abortion is not to be undertaken with either Mifepristone or Misoprostol simply. Because, the C-section scar would still be weak by one year and there are often chances of uterus rupture. The best option in that case would be an ultrasound guided dilation and curettage procedure for surgical abortion. Please meet your gynecologist and get the needful. Take care. |
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Hello doctor,I would like an opinion on my X-ray if it shows any signs of a stress fracture in the heel. I took up running and increased it too fast.It hurts to walk on the sides of the heel. Pressing on either side of the heel hurts a lot. There is swelling but no bruising.The swelling is decreasing now but the pain is not. I want to know what I am dealing with. I cannot see the GP for another week or so.
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Hi, Welcome to Chat Doctor forum. I have viewed your X-rays (attachment removed to protect patient identity) and there is no feature to suggest a stress fracture in the calcaneum bone and bones in the heel area. It is possible that you have a soft tissue or tendon abnormality which can cause you the pain in the heel area. If there is no significant improvement in the pain over the coming week, then you can discuss an MRI ankle joint scan to know about the soft tissues or any subtle bone edema in the calcaneum. This information is not available in the X-ray picture. Since your doctor is not available for a week, I suggest you decrease your running and apply a muscle relaxant spray or ointment over the hurting area. You can also apply an ice pack to decrease any inflammation in the area. For more information consult a radiologist online | Hello doctor,I would like an opinion on my X-ray if it shows any signs of a stress fracture in the heel. I took up running and increased it too fast.It hurts to walk on the sides of the heel. Pressing on either side of the heel hurts a lot. There is swelling but no bruising.The swelling is decreasing now but the pain is not. I want to know what I am dealing with. I cannot see the GP for another week or so. | Hi, Welcome to Chat Doctor forum. I have viewed your X-rays (attachment removed to protect patient identity) and there is no feature to suggest a stress fracture in the calcaneum bone and bones in the heel area. It is possible that you have a soft tissue or tendon abnormality which can cause you the pain in the heel area. If there is no significant improvement in the pain over the coming week, then you can discuss an MRI ankle joint scan to know about the soft tissues or any subtle bone edema in the calcaneum. This information is not available in the X-ray picture. Since your doctor is not available for a week, I suggest you decrease your running and apply a muscle relaxant spray or ointment over the hurting area. You can also apply an ice pack to decrease any inflammation in the area. For more information consult a radiologist online |
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Hello doctor,I am pregnant for one month. I got to know it when I missed my periods on a fourth of date. I had sex with my husband after an eighth of date. Then I did the pregnancy test 3 to 4 times and it was positive. Then I tried natural abortion methods like having food for natural abortion but it did not work. It was 4 to 5 days for it now. I want to take the abortion pill. Can I take the abortion pill without doing any test? Or use the abortion kit at home? I only take the Omega site tables as the doctor said and completed that course 15 days ago.
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Hello, Welcome to Chat Doctor forum. Firstly, if this is an unplanned pregnancy then you may consider termination. But it is important to learn the location of pregnancy first, whether it is intrauterine or an ectopic pregnancy (pregnancy outside the uterus). This is because in that case, you cannot undertake abortion by MTP (medical termination of pregnancy) pills. Hence, an ultrasound pelvis is a must to establish the location of pregnancy first. Secondly, it would also estimate the period of gestation and if less than nine weeks then you can opt for termination of pregnancy by the medical method under a gynecologist supervision safely. For more information consult an obstetrician and gynaecologist online | Hello doctor,I am pregnant for one month. I got to know it when I missed my periods on a fourth of date. I had sex with my husband after an eighth of date. Then I did the pregnancy test 3 to 4 times and it was positive. Then I tried natural abortion methods like having food for natural abortion but it did not work. It was 4 to 5 days for it now. I want to take the abortion pill. Can I take the abortion pill without doing any test? Or use the abortion kit at home? I only take the Omega site tables as the doctor said and completed that course 15 days ago. | Hello, Welcome to Chat Doctor forum. Firstly, if this is an unplanned pregnancy then you may consider termination. But it is important to learn the location of pregnancy first, whether it is intrauterine or an ectopic pregnancy (pregnancy outside the uterus). This is because in that case, you cannot undertake abortion by MTP (medical termination of pregnancy) pills. Hence, an ultrasound pelvis is a must to establish the location of pregnancy first. Secondly, it would also estimate the period of gestation and if less than nine weeks then you can opt for termination of pregnancy by the medical method under a gynecologist supervision safely. For more information consult an obstetrician and gynaecologist online |
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Hello doctor,I have sex problem such as zero to one-minute timing. The second time, there is no reaction. Also, my penis is small. Please guide me. I have taken so many medications previously. When I start medicine, the reaction (I mean timing) improves, but after stopping the medicines the same problem is back. Someone said to me, this medicines if taken, can cause habitual dependence. So, please suggest a medicine that would work for me for lifetime but at the same time has no side effects. Please guide me.
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Hello, Welcome to Chat Doctor forum. It seems like you are suffering from premature ejaculation. There are several causes for this condition. Like regular masturbation, watching porn movies, engaged in erotic novel or thought, stress, anxiety, smoking and ChatDoctor. Premature ejaculation is mostly psychogenic and it reflects your psychology and thoughts while intercourse. But it can be managed through ayurvedic medicines and Yoga practices. Small-sized penis does not matter but the penis should be erected for a period while intercourse. Even two to three inches of erected penis would be able to provide sufficient pleasure while intercourse. Before intercourse, foreplay is very important to improve your concern. Follow the instructions. Do these things and provide your valuable feedback after fifteen days. For more information consult an ayurveda specialist online | Hello doctor,I have sex problem such as zero to one-minute timing. The second time, there is no reaction. Also, my penis is small. Please guide me. I have taken so many medications previously. When I start medicine, the reaction (I mean timing) improves, but after stopping the medicines the same problem is back. Someone said to me, this medicines if taken, can cause habitual dependence. So, please suggest a medicine that would work for me for lifetime but at the same time has no side effects. Please guide me. | Hello, Welcome to Chat Doctor forum. It seems like you are suffering from premature ejaculation. There are several causes for this condition. Like regular masturbation, watching porn movies, engaged in erotic novel or thought, stress, anxiety, smoking and ChatDoctor. Premature ejaculation is mostly psychogenic and it reflects your psychology and thoughts while intercourse. But it can be managed through ayurvedic medicines and Yoga practices. Small-sized penis does not matter but the penis should be erected for a period while intercourse. Even two to three inches of erected penis would be able to provide sufficient pleasure while intercourse. Before intercourse, foreplay is very important to improve your concern. Follow the instructions. Do these things and provide your valuable feedback after fifteen days. For more information consult an ayurveda specialist online |
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Hello doctor,I am 17-year-old with height 5\\8\" and weight 118. My doctor has clinically diagnosed me with narcolepsy. He said that I show every sign and symptom I did not meet the requirements on the MSLT. He believes that I still have it. He did blood work, and my iron and vitamin C came back low. He wants to do a spinal tap, if that comes back fine does that mean I do not have narcolepsy. Also, what does clinically diagnosed mean?
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Hello. Most of the diagnosis is made based on the patient\\s history of complaints, examination done by the doctor and supported by investigations. The investigations most of the time play a crucial role for example if I suspect diabetes in a patient and his blood sugar test reports come normal, then my diagnosis needs to be changed. But for certain diseases, there are no tests which will confirm or refute the diagnosis. Narcolepsy is one such disease. So what your doctor is doing is he is testing for other illnesses which mimic as narcolepsy. And if tests come normal, he concludes as narcolepsy based only on your symptoms and his examination and not on test reports. That is the meaning of clinically diagnosing. If you can tell me your symptoms, I can help you in diagnosis. | Hello doctor,I am 17-year-old with height 5\\8\" and weight 118. My doctor has clinically diagnosed me with narcolepsy. He said that I show every sign and symptom I did not meet the requirements on the MSLT. He believes that I still have it. He did blood work, and my iron and vitamin C came back low. He wants to do a spinal tap, if that comes back fine does that mean I do not have narcolepsy. Also, what does clinically diagnosed mean? | Hello. Most of the diagnosis is made based on the patient\\s history of complaints, examination done by the doctor and supported by investigations. The investigations most of the time play a crucial role for example if I suspect diabetes in a patient and his blood sugar test reports come normal, then my diagnosis needs to be changed. But for certain diseases, there are no tests which will confirm or refute the diagnosis. Narcolepsy is one such disease. So what your doctor is doing is he is testing for other illnesses which mimic as narcolepsy. And if tests come normal, he concludes as narcolepsy based only on your symptoms and his examination and not on test reports. That is the meaning of clinically diagnosing. If you can tell me your symptoms, I can help you in diagnosis. |
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Hello doctor,I am a 25-year-old girl. My problem is that I am suffering from lower lung pain on the left side for the past 10 days. I already consulted a doctor, but he was not able to find anything abnormal in X-ray and blood reports. He prescribed me some capsules and pain killers, but it does not work. It is getting worse when I take a deep breath or sneeze. It is a pinpoint pain in the left lower lungs. Please suggest me something so that I can cure my problem.
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Hello, Welcome to Chat Doctor forum. As you said, you had left chest pain for 10 days, and all reports are normal, it is very difficult to interpret it. You should elaborate your history in detail, including your history or similar episodes in the past. Attach the x-ray with your query. If you are having some acidity issues, it can be because of gastritis. You have not specified any other symptoms like cough, history of fall or any trauma in your description. So I advise you to get back to me with all these details. Most of the time, it is because of costochon ChatDoctor. Even it is related with your menses also and very common in young girls. So a good correlation of your medical history will solve your problem. | Hello doctor,I am a 25-year-old girl. My problem is that I am suffering from lower lung pain on the left side for the past 10 days. I already consulted a doctor, but he was not able to find anything abnormal in X-ray and blood reports. He prescribed me some capsules and pain killers, but it does not work. It is getting worse when I take a deep breath or sneeze. It is a pinpoint pain in the left lower lungs. Please suggest me something so that I can cure my problem. | Hello, Welcome to Chat Doctor forum. As you said, you had left chest pain for 10 days, and all reports are normal, it is very difficult to interpret it. You should elaborate your history in detail, including your history or similar episodes in the past. Attach the x-ray with your query. If you are having some acidity issues, it can be because of gastritis. You have not specified any other symptoms like cough, history of fall or any trauma in your description. So I advise you to get back to me with all these details. Most of the time, it is because of costochon ChatDoctor. Even it is related with your menses also and very common in young girls. So a good correlation of your medical history will solve your problem. |
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Hello doctor,I had an aorta aneurysm removed four weeks ago. While in the hospital and rehabilitation, I complained of my ear hurting. I often collect ear wax, so I thought that was the problem. Now that I am home and have a CNA and therapist helping me get stronger, the ear pain is the only pain I have. She put Debrox and Hyland's earache drops in my ear. She flushed the ear with warm water for two days. The pain is so bad that I can hardly eat because chewing hurts. It hurts in my mouth too. I have been putting saltwater in, but it does not seem to help. Might I have an ear infection? I am not well enough to go to an ENT's office, and I am not sure if they are open. Any advice you can give would be greatly appreciated.
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Hello. It is likely that you have developed otitis externa following wax removal. Syringing often leaves some moisture in the ear and this provides an ideal medium for fungi to grow in. Do you have pain while touching your tragus or moving your pinna? If you have severe pain then you may need analgesics. It would be better to use Paracetamol 500 tablet as and when required. You can also use ear ChatDoctor. Candibiotic ear Take care. | Hello doctor,I had an aorta aneurysm removed four weeks ago. While in the hospital and rehabilitation, I complained of my ear hurting. I often collect ear wax, so I thought that was the problem. Now that I am home and have a CNA and therapist helping me get stronger, the ear pain is the only pain I have. She put Debrox and Hyland's earache drops in my ear. She flushed the ear with warm water for two days. The pain is so bad that I can hardly eat because chewing hurts. It hurts in my mouth too. I have been putting saltwater in, but it does not seem to help. Might I have an ear infection? I am not well enough to go to an ENT's office, and I am not sure if they are open. Any advice you can give would be greatly appreciated. | Hello. It is likely that you have developed otitis externa following wax removal. Syringing often leaves some moisture in the ear and this provides an ideal medium for fungi to grow in. Do you have pain while touching your tragus or moving your pinna? If you have severe pain then you may need analgesics. It would be better to use Paracetamol 500 tablet as and when required. You can also use ear ChatDoctor. Candibiotic ear Take care. |
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Hello doctor,I have a query regarding a possible miscarriage. I am five weeks pregnant and I woke up with abdominal pain and found a discharge in my urine that looks like small pieces of solids (beige color with a fluid inside) and with small pieces of what looks like tissue. There was no blood and just orange discharge. However, I am on Progesterone. So, the orange discharge may be from that. I am concerned about the solid pieces. I went to a doctor and they did an ultrasound and said my cervix is still closed and both gestational sacs (I am pregnant with twins) are still there. I also did a blood test and my beta has been doubling as it should (currently at 1734 at 5 weeks). Could this discharge be something else? Does this sound like a miscarriage if there is no bleeding and the cervix is still closed? I cannot stop worrying.
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Hello, Welcome to Chat Doctor forum. No, this is the effect of the medicine. The discharge normally increases during pregnancy. And, if you are using vaginal suppositories, it may be because of staining. If the ultrasound shows everything is normal, then do not worry as your beta hCG (human chorionic gonadotropin) is good with doubling values. Do take rest. Do not exert yourself. Avoid intercourse. Get pregnancy tests done like | Hello doctor,I have a query regarding a possible miscarriage. I am five weeks pregnant and I woke up with abdominal pain and found a discharge in my urine that looks like small pieces of solids (beige color with a fluid inside) and with small pieces of what looks like tissue. There was no blood and just orange discharge. However, I am on Progesterone. So, the orange discharge may be from that. I am concerned about the solid pieces. I went to a doctor and they did an ultrasound and said my cervix is still closed and both gestational sacs (I am pregnant with twins) are still there. I also did a blood test and my beta has been doubling as it should (currently at 1734 at 5 weeks). Could this discharge be something else? Does this sound like a miscarriage if there is no bleeding and the cervix is still closed? I cannot stop worrying. | Hello, Welcome to Chat Doctor forum. No, this is the effect of the medicine. The discharge normally increases during pregnancy. And, if you are using vaginal suppositories, it may be because of staining. If the ultrasound shows everything is normal, then do not worry as your beta hCG (human chorionic gonadotropin) is good with doubling values. Do take rest. Do not exert yourself. Avoid intercourse. Get pregnancy tests done like |
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Hello doctor,My father, aged 70 years, lost five kg of weight in two to three months. Usg and CECT confirms a right renal mid-lower polar well defined large 11.3*10.6*12.0 cm soft tissue density homogeneously enhancing mass with internal regions of non-enhancement is observed with no obvious calcification or fat content.The lesion appears to be containing renal fascia with increased peripheral vessels likely mitotic mass lesion of the right kidney (RCC). The right renal vein and IVC is patent. The mass is seen to indent the right psoas muscle, but a flat plane with the adjacent structures is nearly maintained. The urine test and renal functions are normal, and there is no evidence of metastasis. Kindly tell me if it is benign or malignant, and what are the possible line of treatment? Please help.
### Response:
Hello, Welcome to Chat Doctor forum. As per the report, it is renal cell carcinoma (RCC) and it requires further evaluation. In the treatment of RCC, first of all, surgery is needed to remove the tumor and if required the kidney too. Then after confirming the diagnosis on histopathology, chemotherapy, or radiation is required. Please consult an oncosurgeon immediately. I hope it helps you. If you have any further queries, please ask me. | Hello doctor,My father, aged 70 years, lost five kg of weight in two to three months. Usg and CECT confirms a right renal mid-lower polar well defined large 11.3*10.6*12.0 cm soft tissue density homogeneously enhancing mass with internal regions of non-enhancement is observed with no obvious calcification or fat content.The lesion appears to be containing renal fascia with increased peripheral vessels likely mitotic mass lesion of the right kidney (RCC). The right renal vein and IVC is patent. The mass is seen to indent the right psoas muscle, but a flat plane with the adjacent structures is nearly maintained. The urine test and renal functions are normal, and there is no evidence of metastasis. Kindly tell me if it is benign or malignant, and what are the possible line of treatment? Please help. | Hello, Welcome to Chat Doctor forum. As per the report, it is renal cell carcinoma (RCC) and it requires further evaluation. In the treatment of RCC, first of all, surgery is needed to remove the tumor and if required the kidney too. Then after confirming the diagnosis on histopathology, chemotherapy, or radiation is required. Please consult an oncosurgeon immediately. I hope it helps you. If you have any further queries, please ask me. |
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Hi doctor,Recently, I got a lipid profile done, and the triglycerides level was 207 mg/dL, apart from that everything was normal. As it was a festival season, I had a lot of drinks and food for three days before the blood test. My doctor told me to take Razel (Rosuvastatin) tablets for 3 to 4 months after food and told me to control my diet. Is it necessary to take medicine? Can the triglycerides level be reduced only by controlling my diet at this stage? And even if I take the pills, will it cause any side effects? Please explain.
### Response:
Hi. I will try to explain in detail about the lipid profile. Triglyceride levels in the lipid profile depend on the fasting status. If the blood sample is taken in fasting, the upper limit is 200 mg/dL. But the value changes with the food taken by you. In your case, there is no need to take the tablets as your LDL (low-density lipoprotein) and HDL (high-density lipoprotein) cholesterol are normal. You need to do regular physical activity and control your diet. Rosuvastatin usually does not have much effect in reducing the triglyceride level. It will decrease the LDL levels instead, so no need for medicines. For more information consult an internal medicine physician online | Hi doctor,Recently, I got a lipid profile done, and the triglycerides level was 207 mg/dL, apart from that everything was normal. As it was a festival season, I had a lot of drinks and food for three days before the blood test. My doctor told me to take Razel (Rosuvastatin) tablets for 3 to 4 months after food and told me to control my diet. Is it necessary to take medicine? Can the triglycerides level be reduced only by controlling my diet at this stage? And even if I take the pills, will it cause any side effects? Please explain. | Hi. I will try to explain in detail about the lipid profile. Triglyceride levels in the lipid profile depend on the fasting status. If the blood sample is taken in fasting, the upper limit is 200 mg/dL. But the value changes with the food taken by you. In your case, there is no need to take the tablets as your LDL (low-density lipoprotein) and HDL (high-density lipoprotein) cholesterol are normal. You need to do regular physical activity and control your diet. Rosuvastatin usually does not have much effect in reducing the triglyceride level. It will decrease the LDL levels instead, so no need for medicines. For more information consult an internal medicine physician online |
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Hello doctor,My mother is 75 years old. She is suffering from head spinning and heaviness problem since the last six months. Her BP, sugar, thyroid and other blood test reports are normal. After getting a suggestion from a doctor (Medicine) she had gone on an MRI test. The MRI test (non-contrast) of brain report was given with a doubt of evidence of blooming in GRE in the left parietal lobe and right basifrontal lobe without evidence of perilesional edema and advised for further evaluation with contrast to rule out calcified granulomas and other etiologies. Also, MRI report findings include
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Hello, Welcome to Chat Doctor forum. I have gone through the detailed query and understand your concerns. In my opinion, there is a definite need for face to face consultation as it seems to me that there is a need for cognitive evaluation. The MRI changes observed are indicative of vascular pathology and should be treated if concomitant symptoms are present. Regarding the doubtful observation over MRI, nobody can help with this. Either one sees the MRI report or you get contrast MRI. This will unearth the true pathology of blooming in the parietal and frontal lobes. Since there is no edema, it can be concluded that there is little possibility of malignancy or recent changes but it does not rule out the chronic healed granuloma. I request you to do following | Hello doctor,My mother is 75 years old. She is suffering from head spinning and heaviness problem since the last six months. Her BP, sugar, thyroid and other blood test reports are normal. After getting a suggestion from a doctor (Medicine) she had gone on an MRI test. The MRI test (non-contrast) of brain report was given with a doubt of evidence of blooming in GRE in the left parietal lobe and right basifrontal lobe without evidence of perilesional edema and advised for further evaluation with contrast to rule out calcified granulomas and other etiologies. Also, MRI report findings include | Hello, Welcome to Chat Doctor forum. I have gone through the detailed query and understand your concerns. In my opinion, there is a definite need for face to face consultation as it seems to me that there is a need for cognitive evaluation. The MRI changes observed are indicative of vascular pathology and should be treated if concomitant symptoms are present. Regarding the doubtful observation over MRI, nobody can help with this. Either one sees the MRI report or you get contrast MRI. This will unearth the true pathology of blooming in the parietal and frontal lobes. Since there is no edema, it can be concluded that there is little possibility of malignancy or recent changes but it does not rule out the chronic healed granuloma. I request you to do following |
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Hello doctor,I have been suffering from a fungal infection in the inner thighs for more than a month now. I used Terbinaforce tablets. For a month now, I am using only Sebifin cream. But I cannot see much improvement. Can you please suggest me any better treatment or medicine?
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Hello, Welcome to Chat Doctor forum. Fungal infections usually take two months to resolve completely provided you take proper dose of medicine for the prescribed duration. Terbinaforce (Terbinafine) is a good antifungal. Both tablets Terbinaforce and Sebifin (Terbinafine) cream have the same ChatDoctor. I suggest if you have taken Terbinaforce for one month then it is sufficient. I would suggest you switch to Seriva cream (Sertaconazole Topical), a newer antifungal. Apply this cream twice a day, in the morning after taking bath and in the night before going to bed. You also can use KZ soap (Ketoconazole). Use only for thigh area while taking bath. Use your regular soap for rest of the body. You can also use Abzorb Dusting Powder. Apply it to the thigh area after you apply Seriva cream. This will reduce sweating and friction. Along with that, I need you to follow few do\\s and don\\ts. For more information consult a dermatologist online | Hello doctor,I have been suffering from a fungal infection in the inner thighs for more than a month now. I used Terbinaforce tablets. For a month now, I am using only Sebifin cream. But I cannot see much improvement. Can you please suggest me any better treatment or medicine? | Hello, Welcome to Chat Doctor forum. Fungal infections usually take two months to resolve completely provided you take proper dose of medicine for the prescribed duration. Terbinaforce (Terbinafine) is a good antifungal. Both tablets Terbinaforce and Sebifin (Terbinafine) cream have the same ChatDoctor. I suggest if you have taken Terbinaforce for one month then it is sufficient. I would suggest you switch to Seriva cream (Sertaconazole Topical), a newer antifungal. Apply this cream twice a day, in the morning after taking bath and in the night before going to bed. You also can use KZ soap (Ketoconazole). Use only for thigh area while taking bath. Use your regular soap for rest of the body. You can also use Abzorb Dusting Powder. Apply it to the thigh area after you apply Seriva cream. This will reduce sweating and friction. Along with that, I need you to follow few do\\s and don\\ts. For more information consult a dermatologist online |
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Hi doctor,I am 27 years old. My weight is 65 kg. Height is 1\\6\". At 9 AM I took three tablets of Cytotec drugs orally and inserted one. But have been having cramp and diarrhea but no bleeding just sign of small blood when I urinate. Please can I insert another one this night?
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Hello, Welcome to Chat Doctor forum. The abortion procedure depends on the age of gestation. Cytotec contains Misoprostol and it is used for the abortion procedure. For the first trimester, abortion Mifepristone should be given orally as 600 mg dose and than Misoprostol orally or vaginally inserted after 72 hours. If no induced bleeding, then repeat the dose if needed. You have no induced bleeding, so the abortion process might be incomplete. According to my opinion, you have to consult your gynecologist for examination and transvaginal ultrasonography (TVS) will confirm whether the pregnancy is intrauterine or extrauterine. In only intrauterine pregnancy, abortion procedure is carried out in this way through medication. So do not try any self-medication for abortion. Consult the gynecologist for examination and discuss your further management plan for carrying out abortion. Take care. For more information consult an obstetrician and gynaecologist online | Hi doctor,I am 27 years old. My weight is 65 kg. Height is 1\\6\". At 9 AM I took three tablets of Cytotec drugs orally and inserted one. But have been having cramp and diarrhea but no bleeding just sign of small blood when I urinate. Please can I insert another one this night? | Hello, Welcome to Chat Doctor forum. The abortion procedure depends on the age of gestation. Cytotec contains Misoprostol and it is used for the abortion procedure. For the first trimester, abortion Mifepristone should be given orally as 600 mg dose and than Misoprostol orally or vaginally inserted after 72 hours. If no induced bleeding, then repeat the dose if needed. You have no induced bleeding, so the abortion process might be incomplete. According to my opinion, you have to consult your gynecologist for examination and transvaginal ultrasonography (TVS) will confirm whether the pregnancy is intrauterine or extrauterine. In only intrauterine pregnancy, abortion procedure is carried out in this way through medication. So do not try any self-medication for abortion. Consult the gynecologist for examination and discuss your further management plan for carrying out abortion. Take care. For more information consult an obstetrician and gynaecologist online |
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Hi doctor,I have poor blood circulation, and my hands are affected. My finger is swollen, and it hurts me a lot. I have tried using hot water over it, and it has not helped me. What can I do now? I am taking Daflon. But it has not helped me. I have attached my picture. Please see the images of the same finger present in different hands. Please help me.
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Hi. I have gone through the attachment (attachment removed to protect patient identity). Please say about the duration of the swelling present in the finger. If the finger swelling is present for a few days, it can occur due to an infectious cause. If the finger swelling and pain occur due to cold exposure, then it can be a Raynaud\\s phenomenon. It is an autoimmune disease. As there is involvement of finger in one side, it can occur due to an autoimmune cause. Your blood circulation is poor. So, you can do an ultrasound color Doppler of the arterial system of your hand. In the case of vascular insufficiency, vasodilator ChatDoctor. You must exclude an infectious etiology. If there is a pus formation under your nailbed, an antibiotic can be taken. In case of severe pain, you can take Nonsteroidal anti-inflammatory medications like Aceclofenac plus after having food. | Hi doctor,I have poor blood circulation, and my hands are affected. My finger is swollen, and it hurts me a lot. I have tried using hot water over it, and it has not helped me. What can I do now? I am taking Daflon. But it has not helped me. I have attached my picture. Please see the images of the same finger present in different hands. Please help me. | Hi. I have gone through the attachment (attachment removed to protect patient identity). Please say about the duration of the swelling present in the finger. If the finger swelling is present for a few days, it can occur due to an infectious cause. If the finger swelling and pain occur due to cold exposure, then it can be a Raynaud\\s phenomenon. It is an autoimmune disease. As there is involvement of finger in one side, it can occur due to an autoimmune cause. Your blood circulation is poor. So, you can do an ultrasound color Doppler of the arterial system of your hand. In the case of vascular insufficiency, vasodilator ChatDoctor. You must exclude an infectious etiology. If there is a pus formation under your nailbed, an antibiotic can be taken. In case of severe pain, you can take Nonsteroidal anti-inflammatory medications like Aceclofenac plus after having food. |
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Hello doctor,I had protected intercourse with a CSW, but the protection broke at the tip during insertion and I immediately pulled out. Enough space was left at the tip for semen to collect and I do not know whether the tip of my penis has come in contact with some vaginal fluid.I am totally stressed out after the incident and do not know whether STDs can be passed in this period of one to two seconds. After a week, I am experiencing some pain below my armpits but no lymph node swelling.Is that due to stress that I feel the pain? I am totally stressed out and your support would be extremely helpful.
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Hi, Welcome to Chat Doctor forum. Even a minute touch of an infected vagina can spread STDs (sexually transmitted diseases). As partner status is unknown and has high-risk factors, it is better to use prophylactic treatment. Secondly, pain in armpit has almost no relation to STD. It is probably myalgia and it may be exaggerated by stress and fear. Are you having any ulcers on the penis or surrounding skin or had shaved before the act? These acts or ulcers can increase the chances of transmission. You can use prophylactic antibiotics to restrict STDs. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult an HIV AIDS specialist online | Hello doctor,I had protected intercourse with a CSW, but the protection broke at the tip during insertion and I immediately pulled out. Enough space was left at the tip for semen to collect and I do not know whether the tip of my penis has come in contact with some vaginal fluid.I am totally stressed out after the incident and do not know whether STDs can be passed in this period of one to two seconds. After a week, I am experiencing some pain below my armpits but no lymph node swelling.Is that due to stress that I feel the pain? I am totally stressed out and your support would be extremely helpful. | Hi, Welcome to Chat Doctor forum. Even a minute touch of an infected vagina can spread STDs (sexually transmitted diseases). As partner status is unknown and has high-risk factors, it is better to use prophylactic treatment. Secondly, pain in armpit has almost no relation to STD. It is probably myalgia and it may be exaggerated by stress and fear. Are you having any ulcers on the penis or surrounding skin or had shaved before the act? These acts or ulcers can increase the chances of transmission. You can use prophylactic antibiotics to restrict STDs. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult an HIV AIDS specialist online |
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Hello doctor,I am having a history of hypertension for the last 13 years. My BMI is around 39 and recently I found grade 1 diastolic dysfunction. What is your advice on going out to the office? As I am working in a bank and it comes under essential services. What precautions should I take against COVID-19?
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Hello, Welcome to ChatDoctor. Certainly, you fall into hig-risk category and prevention is very important in your case, so ideally you should avoid going to bank or outside as much as possible. But this may not be possible for essential service providers like you, doctors. If you could not manage to stay home then take full precautions like using mask all the time, keeping distance from all the individuals, using sanitizer frequently, etc. If your BP is remaining above 140/90 mmHg for most of the times then you need to get some more medications added like tablet Cilinidipine 10 mg once or twice daily depending upon the requirement. Also, LDL cholesterol of 181 is too much elevated and you need to be on medication for it as well along with healthy lifestyle like tablet Rosuvastatin 10 mg bedtime for eight weeks. So, you need to take full precautions as you fall into high risk category. I hope this helps. | Hello doctor,I am having a history of hypertension for the last 13 years. My BMI is around 39 and recently I found grade 1 diastolic dysfunction. What is your advice on going out to the office? As I am working in a bank and it comes under essential services. What precautions should I take against COVID-19? | Hello, Welcome to ChatDoctor. Certainly, you fall into hig-risk category and prevention is very important in your case, so ideally you should avoid going to bank or outside as much as possible. But this may not be possible for essential service providers like you, doctors. If you could not manage to stay home then take full precautions like using mask all the time, keeping distance from all the individuals, using sanitizer frequently, etc. If your BP is remaining above 140/90 mmHg for most of the times then you need to get some more medications added like tablet Cilinidipine 10 mg once or twice daily depending upon the requirement. Also, LDL cholesterol of 181 is too much elevated and you need to be on medication for it as well along with healthy lifestyle like tablet Rosuvastatin 10 mg bedtime for eight weeks. So, you need to take full precautions as you fall into high risk category. I hope this helps. |
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Hello doctor,I need consultation about my stress management problem. I am appointed on a management post in a public sector hospital while my actual field according to my academics is research and teaching. I am facing difficulties in adjusting myself in this job while staying for the first time in my life away from home. I am trying hard to find some job suitable to my nature but at present, I have to stay here unless I find some suitable job. I am facing a stressful situation. All the time I want to stay away from people to whom I have to deal according to my job description and I am always in search of a chance to go back to home and I do not know what to call it but my actual problem is this. Kindly give me consultation to manage this situation.
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Hello, Welcome to Chat Doctor forum. First of all, you should have the acceptance that you have a job and you must do your job irrespective of the fact that this is not your subject. If you think that this is not for you then you should have not taken this job. Once you have accepted about the job, then you will start working properly. Hard work will result in positive results which will act as a reinforcement which will further ChatDoctor. Stop searching for any other job as of now and focus on your current job. This will definitely help you. | Hello doctor,I need consultation about my stress management problem. I am appointed on a management post in a public sector hospital while my actual field according to my academics is research and teaching. I am facing difficulties in adjusting myself in this job while staying for the first time in my life away from home. I am trying hard to find some job suitable to my nature but at present, I have to stay here unless I find some suitable job. I am facing a stressful situation. All the time I want to stay away from people to whom I have to deal according to my job description and I am always in search of a chance to go back to home and I do not know what to call it but my actual problem is this. Kindly give me consultation to manage this situation. | Hello, Welcome to Chat Doctor forum. First of all, you should have the acceptance that you have a job and you must do your job irrespective of the fact that this is not your subject. If you think that this is not for you then you should have not taken this job. Once you have accepted about the job, then you will start working properly. Hard work will result in positive results which will act as a reinforcement which will further ChatDoctor. Stop searching for any other job as of now and focus on your current job. This will definitely help you. |
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Hi doctor,It is about two months that I have pain in the L5/S1 region. I also have a red patch at this region. The picture of which I have attached. It is a localized pain. When I bend forward or sit down it increases. But, when I bend backward I do not have any problem. The red patch does not itch. I have frequent urination, burning sensation before or after urination and occasional pelvic pain. I do not know whether the two problems are related or not. Currently, I focused on my back pain problem. I am waiting for an MRI which will be one month later. I have some questions to you as an expert in the field. What is the red patch at L5/S1 region? What can be the cause? What could be the source of pain at L5/S1 region? I am pleased for your advice.
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Hi. I have read your query. I have seen the attached photographs (attachment removed to protect patient identity) also. I understand your concern. The possibilities for the red patch on your back are lichen simplex chronicus and tinea corporis. Lichen simplex chronicus is characterized by hyperpigmented patch with roughened skin. Tinea corporis is a fungal infection of skin and characterized by red colored scaly rash. Treatment depends on the diagnosis | Hi doctor,It is about two months that I have pain in the L5/S1 region. I also have a red patch at this region. The picture of which I have attached. It is a localized pain. When I bend forward or sit down it increases. But, when I bend backward I do not have any problem. The red patch does not itch. I have frequent urination, burning sensation before or after urination and occasional pelvic pain. I do not know whether the two problems are related or not. Currently, I focused on my back pain problem. I am waiting for an MRI which will be one month later. I have some questions to you as an expert in the field. What is the red patch at L5/S1 region? What can be the cause? What could be the source of pain at L5/S1 region? I am pleased for your advice. | Hi. I have read your query. I have seen the attached photographs (attachment removed to protect patient identity) also. I understand your concern. The possibilities for the red patch on your back are lichen simplex chronicus and tinea corporis. Lichen simplex chronicus is characterized by hyperpigmented patch with roughened skin. Tinea corporis is a fungal infection of skin and characterized by red colored scaly rash. Treatment depends on the diagnosis |
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Hello doctor,My fiancee usually gets her periods at the end of every month. We indulged in unprotected intercourse ten days back and within six hours, she consumed an I-pill. This was the date she lost her virginity. Yesterday, she noticed a white and red discharge on her private parts and today she was experiencing a burning sensation while urinating with a little pimple sort of bubble on her private parts. Is there anything to worry about? Will she get her periods soon? Also is this little pimple caused due to having sex for the first time? What is the cause of this white and red discharge? Please clear my doubts.
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Hi, Welcome to Chat Doctor forum. Since you have taken an emergency pill within 72 hours of intercourse, there is no chance of pregnancy. She will definitely get her periods. So relax and do not worry. The discharge could be because of hormonal changes due to the pill you have taken. The burning while passing urine could be because of urinary infection. There is nothing major to worry about. Avoid having sex till then. Wear cotton panties and loose lowers. Maintain personal hygiene and take plenty of fluids. Wash your private parts with normal tap water every time you use the washroom. Avoid using vaginal douches and creams. For more information consult an obstetrician and gynaecologist online | Hello doctor,My fiancee usually gets her periods at the end of every month. We indulged in unprotected intercourse ten days back and within six hours, she consumed an I-pill. This was the date she lost her virginity. Yesterday, she noticed a white and red discharge on her private parts and today she was experiencing a burning sensation while urinating with a little pimple sort of bubble on her private parts. Is there anything to worry about? Will she get her periods soon? Also is this little pimple caused due to having sex for the first time? What is the cause of this white and red discharge? Please clear my doubts. | Hi, Welcome to Chat Doctor forum. Since you have taken an emergency pill within 72 hours of intercourse, there is no chance of pregnancy. She will definitely get her periods. So relax and do not worry. The discharge could be because of hormonal changes due to the pill you have taken. The burning while passing urine could be because of urinary infection. There is nothing major to worry about. Avoid having sex till then. Wear cotton panties and loose lowers. Maintain personal hygiene and take plenty of fluids. Wash your private parts with normal tap water every time you use the washroom. Avoid using vaginal douches and creams. For more information consult an obstetrician and gynaecologist online |
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Hello doctor,I have been suffering from OCD and took medication for around five months prescribed by a psychiatrist. Now I am somewhat managing the OCD, but at the same time, I have depression also. Now I lost interest in all things and feel like doing a job, earn money and living in a middle-class life who have to work all the life battling that anxious thought, never-ending though and always being cautious to not make act abnormal in a public place. I am totally tired and gave up hope of living life. Now, most of the time I have suicidal thoughts and find unworthy of life and social meetings. I am detached from my family and I hate them as they do not take my illness seriously.Consumed drugs
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Hello. Depression is comorbid most of the time with OCD (occlusive compulsive disorder) because it is a very frustrating condition when you do not have control over your thoughts. If you control your thoughts and control yourself to engage in it, then it is a very good indication. Now start to engage in other activities, physical exercise and a job as you wanted. Do not get hopeless, and remember one thing that God helps those, who help themselves. You can start with Clomipramine 25 mg and build up as guided. Psychotherapy will be more beneficial and will work as an adjuvant. When needed. | Hello doctor,I have been suffering from OCD and took medication for around five months prescribed by a psychiatrist. Now I am somewhat managing the OCD, but at the same time, I have depression also. Now I lost interest in all things and feel like doing a job, earn money and living in a middle-class life who have to work all the life battling that anxious thought, never-ending though and always being cautious to not make act abnormal in a public place. I am totally tired and gave up hope of living life. Now, most of the time I have suicidal thoughts and find unworthy of life and social meetings. I am detached from my family and I hate them as they do not take my illness seriously.Consumed drugs | Hello. Depression is comorbid most of the time with OCD (occlusive compulsive disorder) because it is a very frustrating condition when you do not have control over your thoughts. If you control your thoughts and control yourself to engage in it, then it is a very good indication. Now start to engage in other activities, physical exercise and a job as you wanted. Do not get hopeless, and remember one thing that God helps those, who help themselves. You can start with Clomipramine 25 mg and build up as guided. Psychotherapy will be more beneficial and will work as an adjuvant. When needed. |
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Hi doctor,I am a 28 year old male. I have had severe acid reflux and stomach bloating three times in the past 12 months. It started suddenly each time. There is no prior symptom. This is the third time and it has been going on for a month. During the first time, I treated myself with antacids (Calcium carbonate) and a two week cycle of Nexium with probiotics. When it came back for the second time, I had Pepsin and Betaine hydrochloride, probiotics for a month. It worked very well. Five months later, it came back for the third time now. I have had no acid reflux, but just bloating. I am taking Betaine HCl and Pepsin, but it is not going away. I will start to bloat right after my first bite of food. Even drinking water too fast will make it. The bloating is bad. I have severe bloating and pressure for hours after I eat. I think my stomach is not producing any acid. Could it be like that?
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Hello, Welcome to Chat Doctor forum. You described two different entities here. CT scan of abdomen and upper gastrointestinal (GI) endoscopy. 1. Indigestion.2. Hiatus hernia.3. Esophagitis. GERD with gastritis. Continue treatment for gastritis. | Hi doctor,I am a 28 year old male. I have had severe acid reflux and stomach bloating three times in the past 12 months. It started suddenly each time. There is no prior symptom. This is the third time and it has been going on for a month. During the first time, I treated myself with antacids (Calcium carbonate) and a two week cycle of Nexium with probiotics. When it came back for the second time, I had Pepsin and Betaine hydrochloride, probiotics for a month. It worked very well. Five months later, it came back for the third time now. I have had no acid reflux, but just bloating. I am taking Betaine HCl and Pepsin, but it is not going away. I will start to bloat right after my first bite of food. Even drinking water too fast will make it. The bloating is bad. I have severe bloating and pressure for hours after I eat. I think my stomach is not producing any acid. Could it be like that? | Hello, Welcome to Chat Doctor forum. You described two different entities here. CT scan of abdomen and upper gastrointestinal (GI) endoscopy. 1. Indigestion.2. Hiatus hernia.3. Esophagitis. GERD with gastritis. Continue treatment for gastritis. |
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Hello doctor,I am 26 years old and diagnosed with rheumatoid arthritis when I was 23. Since then I have been on 15 mg of Methotrexate and Hydroxychloroquine. Since I have been on medication, I hardly have no symptoms, but recently arthritis seems to be flaring up for three weeks now. I have pain in my feet again, some stiffness and tiredness. Does this mean the Methotrexate is no longer working? My ankle also clicks every time I walk. I am worried about my joint damage? I did my blood test, liver and kidney function tests. All tests are normal. Please advise.
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Hello, Welcome to Chat Doctor forum. Well, it is a possibility that Methotrexate dose is not sufficient enough to stop the disease. 15 mg is the dose we use for starting and we normally go higher up. In my experience, 15 mg normally proves inefficient in the long run. But since your disease is flaring, and as you said liver functions are good, you need to increase the dose to 20 mg or 25 mg. Secondly, for the flare you are having, you can take a short course of steroids, Prednisolone 10 mg to be tapered over three weeks and stop. That will help to stop the disease. | Hello doctor,I am 26 years old and diagnosed with rheumatoid arthritis when I was 23. Since then I have been on 15 mg of Methotrexate and Hydroxychloroquine. Since I have been on medication, I hardly have no symptoms, but recently arthritis seems to be flaring up for three weeks now. I have pain in my feet again, some stiffness and tiredness. Does this mean the Methotrexate is no longer working? My ankle also clicks every time I walk. I am worried about my joint damage? I did my blood test, liver and kidney function tests. All tests are normal. Please advise. | Hello, Welcome to Chat Doctor forum. Well, it is a possibility that Methotrexate dose is not sufficient enough to stop the disease. 15 mg is the dose we use for starting and we normally go higher up. In my experience, 15 mg normally proves inefficient in the long run. But since your disease is flaring, and as you said liver functions are good, you need to increase the dose to 20 mg or 25 mg. Secondly, for the flare you are having, you can take a short course of steroids, Prednisolone 10 mg to be tapered over three weeks and stop. That will help to stop the disease. |
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Hi doctor,I am suffering from tinea cruris, itching near scrotum, for a very long time and left untreated. Now, I am losing my hairs from the left side of the scrotal area. I went to a doctor and he gave me a cream and a medicine for 10 days. After 10 days, I got relief and also hairs are growing back. Over two days, I had noticed some redness in the scrotum. It may be due to sweating in summer as I go to the gym. But, I am a little worried because when I checked online, I came to know it is one of the symptoms of STD. Please clear my doubt. Thanks.
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Hi. Tinea cruris is a fungal infection of the groin. It is possible that you may have got a recurrence of the same. It would be of great help if you could tell me the medicine and cream that you have used and after how many days of stopping the medicine did the problem recur. Till then, you may apply Abzorb (Clotrimazole dusting powder) on the area of concern. STDs (sexually transmitted diseases) do not remain silent for so long and additionally, you generally will have pus-filled lesions or discharge with STD. Revert back with the name of the medicine to a dermatologist online | Hi doctor,I am suffering from tinea cruris, itching near scrotum, for a very long time and left untreated. Now, I am losing my hairs from the left side of the scrotal area. I went to a doctor and he gave me a cream and a medicine for 10 days. After 10 days, I got relief and also hairs are growing back. Over two days, I had noticed some redness in the scrotum. It may be due to sweating in summer as I go to the gym. But, I am a little worried because when I checked online, I came to know it is one of the symptoms of STD. Please clear my doubt. Thanks. | Hi. Tinea cruris is a fungal infection of the groin. It is possible that you may have got a recurrence of the same. It would be of great help if you could tell me the medicine and cream that you have used and after how many days of stopping the medicine did the problem recur. Till then, you may apply Abzorb (Clotrimazole dusting powder) on the area of concern. STDs (sexually transmitted diseases) do not remain silent for so long and additionally, you generally will have pus-filled lesions or discharge with STD. Revert back with the name of the medicine to a dermatologist online |
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Hi doctor,I am 18 years old. I had sexual intercourse. We used contraceptives like a condom. But the condom got broked. I do not know whether the sperm has gone inside. I washed my genitals quickly after knowing that the condom has got broken. I took a pregnancy test, and it came negative. Can I put my trust in the pregnancy test or should I have to consult a doctor? Is it possible to get pregnant in two days after having sexual intercourse?
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Hi, Welcome to Chat Doctor forum. If you had intercourse around 10th to 17th day of your cycle, and if you have a regular menstrual cycle, then the possibility of conception increases with each day within that period when the condom has broken. In this situation, you can take an emergency pill within 72 hours of sexual intercourse to avoid pregnancy. Sperms can stay alive in the vaginal tract for up to seven days whereas the egg remains available for fertilization for 24 hours. In conception, you have to wait for at least a week to get a positive pregnancy test with urine dipstick. Serum beta hCG can be detected earlier, but you have to wait for a few days. You do not need to go to a doctor. Just repeat the urine pregnancy test after two weeks or get a blood pregnancy test done. | Hi doctor,I am 18 years old. I had sexual intercourse. We used contraceptives like a condom. But the condom got broked. I do not know whether the sperm has gone inside. I washed my genitals quickly after knowing that the condom has got broken. I took a pregnancy test, and it came negative. Can I put my trust in the pregnancy test or should I have to consult a doctor? Is it possible to get pregnant in two days after having sexual intercourse? | Hi, Welcome to Chat Doctor forum. If you had intercourse around 10th to 17th day of your cycle, and if you have a regular menstrual cycle, then the possibility of conception increases with each day within that period when the condom has broken. In this situation, you can take an emergency pill within 72 hours of sexual intercourse to avoid pregnancy. Sperms can stay alive in the vaginal tract for up to seven days whereas the egg remains available for fertilization for 24 hours. In conception, you have to wait for at least a week to get a positive pregnancy test with urine dipstick. Serum beta hCG can be detected earlier, but you have to wait for a few days. You do not need to go to a doctor. Just repeat the urine pregnancy test after two weeks or get a blood pregnancy test done. |
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Hello doctor,I have anxiety for the last five months. Recently, I had an echocardiogram, it says grade 1 diastolic dysfunction of the left ventricle with E/A ratio 0.7. Rest other parameters of the echo are fine. Sometimes my diastolic BP goes to 90 due to anxiety. Can you please tell what is this dysfunction? Will it cause future issues and will it go away if I get rid of my anxiety and BP? My ECG is found to be normal.
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Hello, Welcome to Chat Doctor forum. Diastolic dysfunction in the echo is, in fact, abnormal function of the left ventricle during relaxation phase that is diastole (attachment removed to protect patient identity). It occurs when left ventricle muscle is hypertrophied due to increased blood pressure. Grade 1 is the initial phase, but do not worry it is reversible. Control blood pressure and it will be fine within a few months. No need to repeat echo but controlling BP is essential. According to the latest guidelines, optimal BP is <120/<80 mmHg. To reduce BP avoid anxiety, avoid smoking (if you smoke), avoid alcohol or any other form of addiction (if you are addicted), reduce salt intake in the diet, avoid junk foods, oily foods, ghee, etc. Do regular exercise, maintain a healthy weight. | Hello doctor,I have anxiety for the last five months. Recently, I had an echocardiogram, it says grade 1 diastolic dysfunction of the left ventricle with E/A ratio 0.7. Rest other parameters of the echo are fine. Sometimes my diastolic BP goes to 90 due to anxiety. Can you please tell what is this dysfunction? Will it cause future issues and will it go away if I get rid of my anxiety and BP? My ECG is found to be normal. | Hello, Welcome to Chat Doctor forum. Diastolic dysfunction in the echo is, in fact, abnormal function of the left ventricle during relaxation phase that is diastole (attachment removed to protect patient identity). It occurs when left ventricle muscle is hypertrophied due to increased blood pressure. Grade 1 is the initial phase, but do not worry it is reversible. Control blood pressure and it will be fine within a few months. No need to repeat echo but controlling BP is essential. According to the latest guidelines, optimal BP is <120/<80 mmHg. To reduce BP avoid anxiety, avoid smoking (if you smoke), avoid alcohol or any other form of addiction (if you are addicted), reduce salt intake in the diet, avoid junk foods, oily foods, ghee, etc. Do regular exercise, maintain a healthy weight. |
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Hello doctor,I am suffering from high blood pressure since last 10 years. I take medicine every day twice but my BP remains same 150/100. I take Starpress XL 0 (at night), CTDT-0.25 (during day). Gender- female, age- 48 years. I have cholesterol little bit high. So I take Rosuvastatin, but ECG is normal. I have also my TSH level high. I daily take Eltroxin 50.
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Hi. Your BP (blood pressure) is not controlled with beta-blocker (Starpress) and a diuretic (CTD). I advice you to do a renal function test and a renal doppler. The cause of your high BP can be from renal pathology. It should be ruled out. The second thing is that if both above things are normal, some changes in the medicine is needed. For now, you can add Amlodipine 5 mg OD. Secondary HTN (hypertension). RFT, renal color doppler, blood sugar (FBS, PPBS), electrolytes (Na,K). Essential vs secondary HTN. HTN, hypothyroidism, hypercholesterolemia. Same with ChatDoctor. Exercise, low salt diet, reduce stress if any. | Hello doctor,I am suffering from high blood pressure since last 10 years. I take medicine every day twice but my BP remains same 150/100. I take Starpress XL 0 (at night), CTDT-0.25 (during day). Gender- female, age- 48 years. I have cholesterol little bit high. So I take Rosuvastatin, but ECG is normal. I have also my TSH level high. I daily take Eltroxin 50. | Hi. Your BP (blood pressure) is not controlled with beta-blocker (Starpress) and a diuretic (CTD). I advice you to do a renal function test and a renal doppler. The cause of your high BP can be from renal pathology. It should be ruled out. The second thing is that if both above things are normal, some changes in the medicine is needed. For now, you can add Amlodipine 5 mg OD. Secondary HTN (hypertension). RFT, renal color doppler, blood sugar (FBS, PPBS), electrolytes (Na,K). Essential vs secondary HTN. HTN, hypothyroidism, hypercholesterolemia. Same with ChatDoctor. Exercise, low salt diet, reduce stress if any. |
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Hi doctor.I had Pantocid HP after doctor advice and had loose motion 4-5 times. For stopping loose motion what shall I do? For past six days I am taking Pantocid HP kit. No problem except loose motion of about 5-6 times and some weakness.I am taking Bifilac HP one tablet daily and a vitamin capsule. How long loose motion will happen as it is a 14 days course. I know this is a side effect.Can I take electrol powder (ORS) and coconut water? Should I follow any food restriction except spicy food?
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Hi. I have seen your reports (attachment removed to protect patient identity). Pantocid HP kit contains Pantoprazole, Amoxicillin and Clarithromycin and is used in the treatment of gastritis by Helicobacter pylori bacteria. Pantoprazole reduces acid secretion while the other two kill bacteria. Loose motion is a common side effect of Amoxicillin and Clarithromycin. I will suggest you to take Bifilac (probiotic) 3 times a day. That may prevent loose motion from antibiotic and also to replenish your gut flora. Take this after consultation with your physician. You can take ORS (oral rehy ChatDoctor. I also suggest you to take Imosac M (combination of Loperamide Hy | Hi doctor.I had Pantocid HP after doctor advice and had loose motion 4-5 times. For stopping loose motion what shall I do? For past six days I am taking Pantocid HP kit. No problem except loose motion of about 5-6 times and some weakness.I am taking Bifilac HP one tablet daily and a vitamin capsule. How long loose motion will happen as it is a 14 days course. I know this is a side effect.Can I take electrol powder (ORS) and coconut water? Should I follow any food restriction except spicy food? | Hi. I have seen your reports (attachment removed to protect patient identity). Pantocid HP kit contains Pantoprazole, Amoxicillin and Clarithromycin and is used in the treatment of gastritis by Helicobacter pylori bacteria. Pantoprazole reduces acid secretion while the other two kill bacteria. Loose motion is a common side effect of Amoxicillin and Clarithromycin. I will suggest you to take Bifilac (probiotic) 3 times a day. That may prevent loose motion from antibiotic and also to replenish your gut flora. Take this after consultation with your physician. You can take ORS (oral rehy ChatDoctor. I also suggest you to take Imosac M (combination of Loperamide Hy |
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Hi doctor,I am 25 years old. I have been diagnosed with PCOS 3 years ago. I was on the pill till around this year however due to a few issues and after removing my gall bladder due to gall stones my GP advised I stop my pill. My periods have been on and off however I have not actually bled as such. There is just continuous dark brown discharge for a few days but no red flowing blood. What could this be and how do I go about treating it?
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Hello. If you have been on pills for PCOD for more than 3 years now and yet your hormones remain uncontrolled and menses have not been regularized, then there is definitely something wrong in the treatment protocol or you may not be following the lifestyle changes which you may have been advised to follow. It is best to stop pills for at least 3 months after such a long treatment already and switch to lifestyle changes now for results. If pregnancy is not a concern lately, then the pills can be avoided. However darkish brown blood indicates irregular shedding and this could be due to isolated progesterone deficiency, which can be evaluated by your serum progesterone levels. However immediate control of bleed can be achieved with antifibrinolytics. You may discuss it with your treating gynecologist. Please feel free to discuss this further in detail. Regards. | Hi doctor,I am 25 years old. I have been diagnosed with PCOS 3 years ago. I was on the pill till around this year however due to a few issues and after removing my gall bladder due to gall stones my GP advised I stop my pill. My periods have been on and off however I have not actually bled as such. There is just continuous dark brown discharge for a few days but no red flowing blood. What could this be and how do I go about treating it? | Hello. If you have been on pills for PCOD for more than 3 years now and yet your hormones remain uncontrolled and menses have not been regularized, then there is definitely something wrong in the treatment protocol or you may not be following the lifestyle changes which you may have been advised to follow. It is best to stop pills for at least 3 months after such a long treatment already and switch to lifestyle changes now for results. If pregnancy is not a concern lately, then the pills can be avoided. However darkish brown blood indicates irregular shedding and this could be due to isolated progesterone deficiency, which can be evaluated by your serum progesterone levels. However immediate control of bleed can be achieved with antifibrinolytics. You may discuss it with your treating gynecologist. Please feel free to discuss this further in detail. Regards. |
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Hi doctor,I and my partner went through an HIV 1 and 2 test five months back. Both of us tested negative. This month we had unprotected sex. I did not have sex in between and upon asking my partner, he too said that he had no sex with anyone else. He does not do any drugs and stays with parents. However, I panicked and went to the doctor and insisted upon PEP. Four days back, my partner went through a CMIA test and was negative (0.27). I think he is clean. However, I am still scared. In this situation, do you think I might be in HIV risk? Please guide.
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Hello, Welcome to Chat Doctor forum. I have reviewed your query and here is my advise. Your partner is HIV negative with CMIA (chemiluminescent microparticle immunoassay) test. But this test can effectively exclude HIV after six weeks of exposure. Mostly your partner might be right and if you believe him then do not worry about HIV. But if you have a doubt regarding any form of exposure, then again after six weeks, a repeat test is needed. As per my opinion, although a chance of HIV is less, you should get investigated with HIV after six weeks of exposure to effectively rule out HIV. (By CMIA or fourth generation ELISA test). | Hi doctor,I and my partner went through an HIV 1 and 2 test five months back. Both of us tested negative. This month we had unprotected sex. I did not have sex in between and upon asking my partner, he too said that he had no sex with anyone else. He does not do any drugs and stays with parents. However, I panicked and went to the doctor and insisted upon PEP. Four days back, my partner went through a CMIA test and was negative (0.27). I think he is clean. However, I am still scared. In this situation, do you think I might be in HIV risk? Please guide. | Hello, Welcome to Chat Doctor forum. I have reviewed your query and here is my advise. Your partner is HIV negative with CMIA (chemiluminescent microparticle immunoassay) test. But this test can effectively exclude HIV after six weeks of exposure. Mostly your partner might be right and if you believe him then do not worry about HIV. But if you have a doubt regarding any form of exposure, then again after six weeks, a repeat test is needed. As per my opinion, although a chance of HIV is less, you should get investigated with HIV after six weeks of exposure to effectively rule out HIV. (By CMIA or fourth generation ELISA test). |
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Hi doctor,I am a 37 year old male. I am suffering from polycythemia for the last two years. My Hb is 19.17 and HCT is 51.9. The doctors informed me that it is all due to smoking. Is there any serious problem with me? What will you suggest? Thank you.
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Hi, Welcome to Chat Doctor forum. Chronic smoking can lead to heart failure, chronic lung disease, etc., and hence, polycythemia occurs. It is called secondary polycythemia. With the treatment, the prognosis is good in secondary polycythemia. But, polycythemia can occur as primary polycythemia as well, and in that case, the prognosis will not be good as it is considered under myeloproliferative neoplasm. Primary polycythemia called polycythemia vera and for that JAK2 mutation study done by a molecular method to confirm it. For polycythemia, the treatment is therapeutic phlebotomy in which 250 to 400 mL of blood is removed as per needed frequency. Our aim is to maintain HCT - hematocrit of less than 45% in polycythemia male patient. Initially, phlebotomy can be somewhat aggressive with more frequency and then maintained as less frequency. Hy ChatDoctor. | Hi doctor,I am a 37 year old male. I am suffering from polycythemia for the last two years. My Hb is 19.17 and HCT is 51.9. The doctors informed me that it is all due to smoking. Is there any serious problem with me? What will you suggest? Thank you. | Hi, Welcome to Chat Doctor forum. Chronic smoking can lead to heart failure, chronic lung disease, etc., and hence, polycythemia occurs. It is called secondary polycythemia. With the treatment, the prognosis is good in secondary polycythemia. But, polycythemia can occur as primary polycythemia as well, and in that case, the prognosis will not be good as it is considered under myeloproliferative neoplasm. Primary polycythemia called polycythemia vera and for that JAK2 mutation study done by a molecular method to confirm it. For polycythemia, the treatment is therapeutic phlebotomy in which 250 to 400 mL of blood is removed as per needed frequency. Our aim is to maintain HCT - hematocrit of less than 45% in polycythemia male patient. Initially, phlebotomy can be somewhat aggressive with more frequency and then maintained as less frequency. Hy ChatDoctor. |
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Hello doctor,I am a 24-year-old male. My main issue is people say that I behave like a 10-year-old boy. I think I have dyspraxia. I lack gross motor skills. I cannot play any sports. I cannot drive a car properly. People get averted due to my behavior. I have bad handwriting and I attempt things in a clumsy way. I have an unusual gait. So basically I have learning disabilities in everything. I have a migraine and bipolar depression too. People often tell me that there must be definitely some maturity problem with my brain as I behave very oddly. Please look for any developmental anomalies in my brain MRI or any abnormalities. I have attached the file.Currently, I am using 5-HTP anti-depressant for my mood enhancement.
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Hi, Welcome to Chat Doctor forum. As discussed earlier, there is no doubt about the diagnosis of motor coordination disorder or dyspraxia. Many of your problems can be explained on the basis of dyspraxia itself and I feel you are right in saying that you have dyspraxia. However, your current post does not contain any file or attachment for view. I request you to attach the file in proper format or possible way so I can see whether there is any structural abnormality. I hope this helps. | Hello doctor,I am a 24-year-old male. My main issue is people say that I behave like a 10-year-old boy. I think I have dyspraxia. I lack gross motor skills. I cannot play any sports. I cannot drive a car properly. People get averted due to my behavior. I have bad handwriting and I attempt things in a clumsy way. I have an unusual gait. So basically I have learning disabilities in everything. I have a migraine and bipolar depression too. People often tell me that there must be definitely some maturity problem with my brain as I behave very oddly. Please look for any developmental anomalies in my brain MRI or any abnormalities. I have attached the file.Currently, I am using 5-HTP anti-depressant for my mood enhancement. | Hi, Welcome to Chat Doctor forum. As discussed earlier, there is no doubt about the diagnosis of motor coordination disorder or dyspraxia. Many of your problems can be explained on the basis of dyspraxia itself and I feel you are right in saying that you have dyspraxia. However, your current post does not contain any file or attachment for view. I request you to attach the file in proper format or possible way so I can see whether there is any structural abnormality. I hope this helps. |
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Hello doctor,I am a 30-year-old male. My lab results suggest,1. Normal CBC, ESR, kidney function, and liver functions.2. Normal CT scan on the brain.3. I am not diabetic and do not have blood pressure or heart disease.4. I am negative for all the virus A, B, C and HIV gen 1,2 and 3.5. Elevated CRP level is 8.6. My health condition is IBS, anxiety, tension headaches, allergic rhinitis, and poor dental care.I have an elevated CRP level, and I do not know why? And also how can my ESR be normal while my CRP is not?
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Hello, Welcome to the ChatDoctor. The CRP (C-reactive protein) raised in case of any inflammation in the body. ESR (erythrocyte sedimentation rate) doesn\\t need to be always increased when CRP raised because ESR is a non-specific marker of inflammation. It is not as much sense as like that of CRP. Your CRP value mildly increased which will fall within range once inflammation resolution occurs. Allergic rhinitis probably might be the cause. The irritable bowel syn ChatDoctor. So you need to treat anxiety with anxiolytic medicine and with SSRI (selective serotonin reuptake inhibitor) group of | Hello doctor,I am a 30-year-old male. My lab results suggest,1. Normal CBC, ESR, kidney function, and liver functions.2. Normal CT scan on the brain.3. I am not diabetic and do not have blood pressure or heart disease.4. I am negative for all the virus A, B, C and HIV gen 1,2 and 3.5. Elevated CRP level is 8.6. My health condition is IBS, anxiety, tension headaches, allergic rhinitis, and poor dental care.I have an elevated CRP level, and I do not know why? And also how can my ESR be normal while my CRP is not? | Hello, Welcome to the ChatDoctor. The CRP (C-reactive protein) raised in case of any inflammation in the body. ESR (erythrocyte sedimentation rate) doesn\\t need to be always increased when CRP raised because ESR is a non-specific marker of inflammation. It is not as much sense as like that of CRP. Your CRP value mildly increased which will fall within range once inflammation resolution occurs. Allergic rhinitis probably might be the cause. The irritable bowel syn ChatDoctor. So you need to treat anxiety with anxiolytic medicine and with SSRI (selective serotonin reuptake inhibitor) group of |
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Hi doctor,I had unprotected sex with a man who forced himself on me. Five days later, a node on the right side of my neck appeared with a sore throat. I went to the doctor, explained everything, took an HIV test and it came back negative. The node is hard and gets soft sometimes but has been there for months. Sometimes, I feel like there is pressure on my neck and ear, found another node recently on my neck, lower part of the left-hand side, soft and movable and another one on the front side of my ear on the left and I have a tooth that has been giving me problems for a while on the same side. Could this be HIV because I read that nodes on the neck are normally associated with it?
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Hi, Welcome to Chat Doctor forum. Lymphadenopathy is not related to HIV (human immunodeficiency virus) and probably caused by infected teeth as HIV infection takes approximately six months to one year to get lymphadenopathy. Get HIV test after 45 to 90 days with generation four dual tests or western blot to confirm infection. Soft movable node is probably due to infection and abscess may be formed. So, rule out TB tuberculosis). Finally, it is not HIV infection, for confirmation get tested after 45 days. For more information consult an HIV AIDS specialist online | Hi doctor,I had unprotected sex with a man who forced himself on me. Five days later, a node on the right side of my neck appeared with a sore throat. I went to the doctor, explained everything, took an HIV test and it came back negative. The node is hard and gets soft sometimes but has been there for months. Sometimes, I feel like there is pressure on my neck and ear, found another node recently on my neck, lower part of the left-hand side, soft and movable and another one on the front side of my ear on the left and I have a tooth that has been giving me problems for a while on the same side. Could this be HIV because I read that nodes on the neck are normally associated with it? | Hi, Welcome to Chat Doctor forum. Lymphadenopathy is not related to HIV (human immunodeficiency virus) and probably caused by infected teeth as HIV infection takes approximately six months to one year to get lymphadenopathy. Get HIV test after 45 to 90 days with generation four dual tests or western blot to confirm infection. Soft movable node is probably due to infection and abscess may be formed. So, rule out TB tuberculosis). Finally, it is not HIV infection, for confirmation get tested after 45 days. For more information consult an HIV AIDS specialist online |
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Hello doctor,I am a 49-year-old male. I took Prevacid for 17 years. One or two pills a day. I stopped five months ago after I read about that it increases the risk of dementia. If I do not have dementia now, and I have stopped the medication do my risks of dementia remain elevated for the rest of my life? Is the effect reversible? Does stopping the medication mean I am no longer at higher risk for dementia? Is the damage already done even if it is not noticeable at present? I asked my GP, and she said nobody knows. That even if I took an extensive test from a neuropsychologist, it would only mean I do not have dementia today, but it does not mean that my past Prevacid use would not cause dementia in the future. That leaves a life of uncertainty ahead. Is that the answer we just do not know? I wanted to ask a neurologist before I accept that answer.
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Hello. After careful review, I understand you are worried about the side effects of Lansoprazole (Prevacid). Now as you have stopped taking it, the risk of side effects do not remain the same as with taking the ChatDoctor. The reversibility of effects is based on the extent and the nature of damages done by any | Hello doctor,I am a 49-year-old male. I took Prevacid for 17 years. One or two pills a day. I stopped five months ago after I read about that it increases the risk of dementia. If I do not have dementia now, and I have stopped the medication do my risks of dementia remain elevated for the rest of my life? Is the effect reversible? Does stopping the medication mean I am no longer at higher risk for dementia? Is the damage already done even if it is not noticeable at present? I asked my GP, and she said nobody knows. That even if I took an extensive test from a neuropsychologist, it would only mean I do not have dementia today, but it does not mean that my past Prevacid use would not cause dementia in the future. That leaves a life of uncertainty ahead. Is that the answer we just do not know? I wanted to ask a neurologist before I accept that answer. | Hello. After careful review, I understand you are worried about the side effects of Lansoprazole (Prevacid). Now as you have stopped taking it, the risk of side effects do not remain the same as with taking the ChatDoctor. The reversibility of effects is based on the extent and the nature of damages done by any |
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Hi doctor, It has been a week now and yet I feel like I do not get enough sleep. I would sleep from 1 AM onwards but tend to wake up every hour and my sleep feels like it is not in deep sleep. I could get a deep sleep only aound morning 5-6 AM and woke up at 10-11 AM. Please help.
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Hello. Yes, this pandemic is causing a lot of stress in everybody is mind. We all processing information at the conscious subconscious and unconscious level of our brain. Sometimes that is to this kind of disturbance in biological rhythms. Along with that at times people start having anxiety of not falling asleep. So do not worry just follow some sleep hygiene measures. Try some sleep hygiene measures. 1) Wake up at the same time every day. 2) If after lying down you are not able to sleep for 10 to 15 minutes then get up from bedsit on a table chair and start reading something. 3) Do not take any tea or coffee after 6 PM. 4) Listen to some white noise or light music. Start some exercise on a routine basis that will keep you fit and will release some and will release endorphins in your brain that will relax your mind. Start Pranayama and meditation. Take care. | Hi doctor, It has been a week now and yet I feel like I do not get enough sleep. I would sleep from 1 AM onwards but tend to wake up every hour and my sleep feels like it is not in deep sleep. I could get a deep sleep only aound morning 5-6 AM and woke up at 10-11 AM. Please help. | Hello. Yes, this pandemic is causing a lot of stress in everybody is mind. We all processing information at the conscious subconscious and unconscious level of our brain. Sometimes that is to this kind of disturbance in biological rhythms. Along with that at times people start having anxiety of not falling asleep. So do not worry just follow some sleep hygiene measures. Try some sleep hygiene measures. 1) Wake up at the same time every day. 2) If after lying down you are not able to sleep for 10 to 15 minutes then get up from bedsit on a table chair and start reading something. 3) Do not take any tea or coffee after 6 PM. 4) Listen to some white noise or light music. Start some exercise on a routine basis that will keep you fit and will release some and will release endorphins in your brain that will relax your mind. Start Pranayama and meditation. Take care. |
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Hello doctor,I drank for five days heavily and was admitted to a hospital with hangover and heartburn. They took the test and my amylase and lipase were little high. Then they gave me medicines. Past one week, I am taking Panblock morning and night and Encremin. My health is alright now but my amylase and lipase is little high. Can you give me a clear answer, when does it become normal? I am anxious about it and worried a lot about this test. I have stopped drinking forever. Can it reverse? Please help me. I am attaching my reports.
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Hello. I have seen the reports (attachment removed to protect patient identity). You had a mild attack of acute pancreatitis. The amylase level shoots first and slowly decreases over two to three weeks. Lipase shoots slowly. No point in checking it very often as it usually takes time to normalize. Yours looks like a mild attack only and not a severe one. Once you are symptom-free you can relax. Get an amylase (amylase only, not lipase) after a month. Get an ultrasound scan also after a month. The disease needs avoidance of precipitating factors so that further damage to the pancreas can be prevented. Hope your queries have been cleared. For more infotrmation consutl a medical gastroenterologist online | Hello doctor,I drank for five days heavily and was admitted to a hospital with hangover and heartburn. They took the test and my amylase and lipase were little high. Then they gave me medicines. Past one week, I am taking Panblock morning and night and Encremin. My health is alright now but my amylase and lipase is little high. Can you give me a clear answer, when does it become normal? I am anxious about it and worried a lot about this test. I have stopped drinking forever. Can it reverse? Please help me. I am attaching my reports. | Hello. I have seen the reports (attachment removed to protect patient identity). You had a mild attack of acute pancreatitis. The amylase level shoots first and slowly decreases over two to three weeks. Lipase shoots slowly. No point in checking it very often as it usually takes time to normalize. Yours looks like a mild attack only and not a severe one. Once you are symptom-free you can relax. Get an amylase (amylase only, not lipase) after a month. Get an ultrasound scan also after a month. The disease needs avoidance of precipitating factors so that further damage to the pancreas can be prevented. Hope your queries have been cleared. For more infotrmation consutl a medical gastroenterologist online |
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Hello doctor,I had unprotected sex a month back. I took ECP the following day. Three pills every after 12 hours. I did this for two consecutive days. It is almost a month and I have not got my period yet and there is no withdrawal bleeding. What are the odds that I am pregnant? I do not have morning sickness and no pregnancy-related symptoms except for hyperacidity which almost happened every day.
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Hello, Welcome to Chat Doctor forum. If an emergency pill is taken within the time limit, that is within 72 hours of unprotected intercourse then it is very effective in preventing pregnancy. But if your next period is delayed then pregnancy has to be ruled out. For that, blood hCG estimation can be done three weeks after LMP (last menstrual period). If you want to do urine hCG card test then get investigated after one week of thedelayed period. Sometimes, high dose Progesterone in an emergency pill can delay period for a week. So, if your period is delayed for more than a week then urine hCG card test can be done to exclude pregnancy. Usually, an emergency pill is taken as two doses of poll or high dose Levonorgestrel 1.5 mg single dose. Thee poll not recommended in any regimen. For more information consult a family physician online | Hello doctor,I had unprotected sex a month back. I took ECP the following day. Three pills every after 12 hours. I did this for two consecutive days. It is almost a month and I have not got my period yet and there is no withdrawal bleeding. What are the odds that I am pregnant? I do not have morning sickness and no pregnancy-related symptoms except for hyperacidity which almost happened every day. | Hello, Welcome to Chat Doctor forum. If an emergency pill is taken within the time limit, that is within 72 hours of unprotected intercourse then it is very effective in preventing pregnancy. But if your next period is delayed then pregnancy has to be ruled out. For that, blood hCG estimation can be done three weeks after LMP (last menstrual period). If you want to do urine hCG card test then get investigated after one week of thedelayed period. Sometimes, high dose Progesterone in an emergency pill can delay period for a week. So, if your period is delayed for more than a week then urine hCG card test can be done to exclude pregnancy. Usually, an emergency pill is taken as two doses of poll or high dose Levonorgestrel 1.5 mg single dose. Thee poll not recommended in any regimen. For more information consult a family physician online |
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Hello doctor,I am 54 years old. I am a diabetic patient since 24 years. I have a retina problem in both the eyes. I had a laser surgery in both my eyes two years ago. It was repeated last year with three injections of Avastin and this year, the laser surgery was done only in the right eye. But, I cannot see very well. I see something like a black point. So, I got checked for ischemic eye stroke. I checked with two doctors in my city. The first said that there is a cataract in the right eye and that three injections Eylea, Ozurdex, and Accentrix had to be given, while the left eye is well. The second said that the cataract was in the beginning stage and no removal is required. Only an injection of Accentrix and two laser treatments would suffice. So, now I am confused. Please help me. I have attached few pictures.
### Response:
Hello. I have gone through your query and seen the pictures (attachment removed to protect patient identity). You have diabetic edema and diabetic retinopathy in the eye. From what I have seen, the left eye is fine but, the right eye is still swollen. The laser treatment was done because of the presence of ischemic areas. For more information consult an eye care ophthalmologist online | Hello doctor,I am 54 years old. I am a diabetic patient since 24 years. I have a retina problem in both the eyes. I had a laser surgery in both my eyes two years ago. It was repeated last year with three injections of Avastin and this year, the laser surgery was done only in the right eye. But, I cannot see very well. I see something like a black point. So, I got checked for ischemic eye stroke. I checked with two doctors in my city. The first said that there is a cataract in the right eye and that three injections Eylea, Ozurdex, and Accentrix had to be given, while the left eye is well. The second said that the cataract was in the beginning stage and no removal is required. Only an injection of Accentrix and two laser treatments would suffice. So, now I am confused. Please help me. I have attached few pictures. | Hello. I have gone through your query and seen the pictures (attachment removed to protect patient identity). You have diabetic edema and diabetic retinopathy in the eye. From what I have seen, the left eye is fine but, the right eye is still swollen. The laser treatment was done because of the presence of ischemic areas. For more information consult an eye care ophthalmologist online |
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Hi doctor,We had unprotected sex yesterday and scared about pregnancy. She took I-pill after one hour. Please suggest what else we need to do to avoid pregnancy. Her last period was 12 days back and her next period is after 20 days. So, will her periods be regular or not? If there is any possibility to occur some unwanted change then please convey us with treatment or checkup.
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Hi, Welcome to Chat Doctor forum. Your partner has taken the I-pill after one hour of sex. This rules out the chance of pregnancy in all respect. So, please relax. You have nothing to worry for now. But, you should ask her to start regular pills like Femilon (Ethinyl estradiol and Desogestrel) or Novelon from first day of her next cycle. This should be continued for 21 days and new pack to be restarted after a gap of seven days. This is an excellent form of contraception. Now, she may have some form of bleeding within two to three days. Do not panic. This is normal as a reaction of the I-pill. Her next cycle will be delayed also. This is also normal. Just ask her to start the pill from then. Meanwhile, you use condom for protection as you cannot repeat I-pill so often. Contraceptive guidelines. | Hi doctor,We had unprotected sex yesterday and scared about pregnancy. She took I-pill after one hour. Please suggest what else we need to do to avoid pregnancy. Her last period was 12 days back and her next period is after 20 days. So, will her periods be regular or not? If there is any possibility to occur some unwanted change then please convey us with treatment or checkup. | Hi, Welcome to Chat Doctor forum. Your partner has taken the I-pill after one hour of sex. This rules out the chance of pregnancy in all respect. So, please relax. You have nothing to worry for now. But, you should ask her to start regular pills like Femilon (Ethinyl estradiol and Desogestrel) or Novelon from first day of her next cycle. This should be continued for 21 days and new pack to be restarted after a gap of seven days. This is an excellent form of contraception. Now, she may have some form of bleeding within two to three days. Do not panic. This is normal as a reaction of the I-pill. Her next cycle will be delayed also. This is also normal. Just ask her to start the pill from then. Meanwhile, you use condom for protection as you cannot repeat I-pill so often. Contraceptive guidelines. |
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Hi doctor,My son is 3 years 3 months old and weighs 14.1 kg. His fever, cough, and cold started from 100.3, so we gave Crocin 240 mg / 5 mL syrup 4 mL every 6 hours on the first day. As it was a viral fever, it was 103.5 at night. The doctor told us to continue 4 mL for 4 hours and give a sponge bath, and if the temperature is more than 102, Meftal-P 100 mg suspension 6 mL is prescribed. Today at 10 AM it was 102.5 (it was 101.3 4 hours back ), so we gave Meftal 6 mL, and within 30 min he became active. The dose is not printed in bottle unlike in Crocin, so I want to double check the dose 6 mL for every 4 hours if it is 102.5.
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Hi. Please give Meftal 5 mL (6 hourly) if the temperature is above 101 F or if not controlled on Crocin (Paracetamol). You can give Meftal (Mefenamic acid) 4 hours after giving Crocin. | Hi doctor,My son is 3 years 3 months old and weighs 14.1 kg. His fever, cough, and cold started from 100.3, so we gave Crocin 240 mg / 5 mL syrup 4 mL every 6 hours on the first day. As it was a viral fever, it was 103.5 at night. The doctor told us to continue 4 mL for 4 hours and give a sponge bath, and if the temperature is more than 102, Meftal-P 100 mg suspension 6 mL is prescribed. Today at 10 AM it was 102.5 (it was 101.3 4 hours back ), so we gave Meftal 6 mL, and within 30 min he became active. The dose is not printed in bottle unlike in Crocin, so I want to double check the dose 6 mL for every 4 hours if it is 102.5. | Hi. Please give Meftal 5 mL (6 hourly) if the temperature is above 101 F or if not controlled on Crocin (Paracetamol). You can give Meftal (Mefenamic acid) 4 hours after giving Crocin. |
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Hi doctor,I had a mole removed yesterday from my leg and I am very worried despite my dermatologist saying she did not think it was melanoma. She said she knew I would stare at it constantly and worry and that taking an atypical mole off here and there was alright and saved a lot of anxiety. She knows I have severe health anxiety. This mole was 3.5 mm and the worrisome thing was that it had a darker dot. I was hoping you would take a look. Before I left, I said, \\x80\\x9cIf it is melanoma -\\x80\\x9c but she interrupted and said she did not think it was. What I was going to ask though, was if it was, then hopefully it would be early since it is small.
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Hello. I saw the picture (attachment removed to protect patient identity). Clinically, it does not look like melanoma, but it is good that your dermatologist did a biopsy. So, the result will show us if it is a melanoma or not. It may most likely be a dysplastic nevus. I am sure your dermatologist would have looked at the lesion through a dermoscope, which enhances the features, and pattern of pigmentation. I feel it is good to get it biopsied rather than keep worrying about it. | Hi doctor,I had a mole removed yesterday from my leg and I am very worried despite my dermatologist saying she did not think it was melanoma. She said she knew I would stare at it constantly and worry and that taking an atypical mole off here and there was alright and saved a lot of anxiety. She knows I have severe health anxiety. This mole was 3.5 mm and the worrisome thing was that it had a darker dot. I was hoping you would take a look. Before I left, I said, \\x80\\x9cIf it is melanoma -\\x80\\x9c but she interrupted and said she did not think it was. What I was going to ask though, was if it was, then hopefully it would be early since it is small. | Hello. I saw the picture (attachment removed to protect patient identity). Clinically, it does not look like melanoma, but it is good that your dermatologist did a biopsy. So, the result will show us if it is a melanoma or not. It may most likely be a dysplastic nevus. I am sure your dermatologist would have looked at the lesion through a dermoscope, which enhances the features, and pattern of pigmentation. I feel it is good to get it biopsied rather than keep worrying about it. |
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Hello doctor,I have had this spot on the side of my tongue for some time now. I noticed it six months back. No change in that amount time, although I will post a picture from that time to show. I have been told that it is a frictional thing from adjacent teeth, but I want to get a second opinion to make sure that it is nothing more sinister. There are no symptoms in this spot. When I run my finger over it, I do not feel anything hard, different or even a hole. I want to know if I have a serious problem or if this is something I can safely let go.
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Hi, Welcome to Chat Doctor forum. Yes, it is not even traumatic ulcer. It is simply hyperkeratinized epithelium. That means it is normal tissue which is bearing some sort of stress. I think your upper tooth has a rough surface that may be the issue causing this or even it may be because of food if you are chewing only from that side. You need to take foods with much Vitamin A and B complex, fruits and carrot. Even you can take supplements like that of Vitamin A. No it is not something that can be the cause of concern. It is not a cancerous or ulcerous lesion. So, do not be too apprehensive. It is a normal tissue with little keratinization. | Hello doctor,I have had this spot on the side of my tongue for some time now. I noticed it six months back. No change in that amount time, although I will post a picture from that time to show. I have been told that it is a frictional thing from adjacent teeth, but I want to get a second opinion to make sure that it is nothing more sinister. There are no symptoms in this spot. When I run my finger over it, I do not feel anything hard, different or even a hole. I want to know if I have a serious problem or if this is something I can safely let go. | Hi, Welcome to Chat Doctor forum. Yes, it is not even traumatic ulcer. It is simply hyperkeratinized epithelium. That means it is normal tissue which is bearing some sort of stress. I think your upper tooth has a rough surface that may be the issue causing this or even it may be because of food if you are chewing only from that side. You need to take foods with much Vitamin A and B complex, fruits and carrot. Even you can take supplements like that of Vitamin A. No it is not something that can be the cause of concern. It is not a cancerous or ulcerous lesion. So, do not be too apprehensive. It is a normal tissue with little keratinization. |
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Hi doctor,I appeared to have an allergic reaction to something, nearly two weeks ago. I was given antihistamines and a seven-day course of steroids (Prednisolone 40 mg). The allergy seems to subside, but it keeps coming back. I cannot be sure about the cause of this allergy. The surrounding skin around my eyes is itchy and red, from today morning. I have attached a photo of the initial flare-up. Please help.
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Hi. I have seen the attached photo (attachment removed to protect patient identity). This is called as acute urticaria with angioedema. It is basically an allergic reaction, which can be due to change in diet or new medications or idiopathic (sometimes the cause cannot be known). Since there is swelling on the lips and eyes, you should visit an emergency room. You will need another course of oral steroid or injectable dose. Continue with the oral antihistamines. And oral steroid should be tapered from 40 mg to lower doses and then stopped. If stopped suddenly at 40 mg, then there can be chances of recurrence. Self-medication is not advised in this condition. Look out for symptoms like difficulty in swallowing or breathing. If they develop, visit a doctor as soon as possible. Do not wait. I suggest you get the following tests done | Hi doctor,I appeared to have an allergic reaction to something, nearly two weeks ago. I was given antihistamines and a seven-day course of steroids (Prednisolone 40 mg). The allergy seems to subside, but it keeps coming back. I cannot be sure about the cause of this allergy. The surrounding skin around my eyes is itchy and red, from today morning. I have attached a photo of the initial flare-up. Please help. | Hi. I have seen the attached photo (attachment removed to protect patient identity). This is called as acute urticaria with angioedema. It is basically an allergic reaction, which can be due to change in diet or new medications or idiopathic (sometimes the cause cannot be known). Since there is swelling on the lips and eyes, you should visit an emergency room. You will need another course of oral steroid or injectable dose. Continue with the oral antihistamines. And oral steroid should be tapered from 40 mg to lower doses and then stopped. If stopped suddenly at 40 mg, then there can be chances of recurrence. Self-medication is not advised in this condition. Look out for symptoms like difficulty in swallowing or breathing. If they develop, visit a doctor as soon as possible. Do not wait. I suggest you get the following tests done |
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Hello doctor,The semen analysis report is in my hand, but I cannot understand it.Liquefaction time- 30 minutes.Duration of abstinence- four days.Appearance- creamy white.Volume 4.0 ml.Ph 8Fructose- Present.Motility- 100.Spermatozoa- rapid 20%, slow 10%, non-progressive motility 5%, immotile 83%.Vitality count- 15 million.Morphology- normal 20%, abnormal 80%.
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Hello. I read your query and understand your concerns about the semen analysis report. As per the available semen analysis report, you have very low sperm count and most of the available sperms are defective. As you can see that almost 80 % of your sperms are defective and of no use. In addition, the count is just 15 million per ml, which is again very low. Considering this report, there is a low chance of natural pregnancy to your partner as the sperms are low and available ones are defective. I request you to see your doctor as you need treatment for improvement of the health of your sperms. I hope this helps you. For more information consult an an ChatDoctor. ChatDoctor/ask-a-doctor-online/an | Hello doctor,The semen analysis report is in my hand, but I cannot understand it.Liquefaction time- 30 minutes.Duration of abstinence- four days.Appearance- creamy white.Volume 4.0 ml.Ph 8Fructose- Present.Motility- 100.Spermatozoa- rapid 20%, slow 10%, non-progressive motility 5%, immotile 83%.Vitality count- 15 million.Morphology- normal 20%, abnormal 80%. | Hello. I read your query and understand your concerns about the semen analysis report. As per the available semen analysis report, you have very low sperm count and most of the available sperms are defective. As you can see that almost 80 % of your sperms are defective and of no use. In addition, the count is just 15 million per ml, which is again very low. Considering this report, there is a low chance of natural pregnancy to your partner as the sperms are low and available ones are defective. I request you to see your doctor as you need treatment for improvement of the health of your sperms. I hope this helps you. For more information consult an an ChatDoctor. ChatDoctor/ask-a-doctor-online/an |
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Hi doctor,I am 47 years old female. Before a year, I went to the ER with pain during breathing. My D dimer was elevated at 700 ng/mL. CT scan was negative for a clot. Then I have done two subsequent D dimer tests, and both the ranges were elevated. The values are 521 ng/mL and 707 ng/mL. I am taking tablet Armour for hypothyroidism and a multivitamin tablet.
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Hi, Welcome to Chat Doctor forum. D dimer is a fibrin degraded product, and it is elevated in case of thrombosis usually like pulmonary embolism, deep vein thrombosis. For this, the investigation is done in the form of 2D echocardiography and color doppler of the leg. But you had investigated with CT scan angiography as mentioned in the history (attachment removed to protect patient identity) and it is considered as the preferred test to detect pulmonary embolism. So pulmonary embolism seems less likely. Calf vein color doppler is done to check deep vein thrombosis. Specific false definite causes for D dimer include pregnancy, inflammation, liver disease, any previous surgery. Also, you can check your coagulation profile through PT (prothrombin time), aPTT (activated partial thromboplastin time), BT (bleeding time). For more information consult a hematologist online | Hi doctor,I am 47 years old female. Before a year, I went to the ER with pain during breathing. My D dimer was elevated at 700 ng/mL. CT scan was negative for a clot. Then I have done two subsequent D dimer tests, and both the ranges were elevated. The values are 521 ng/mL and 707 ng/mL. I am taking tablet Armour for hypothyroidism and a multivitamin tablet. | Hi, Welcome to Chat Doctor forum. D dimer is a fibrin degraded product, and it is elevated in case of thrombosis usually like pulmonary embolism, deep vein thrombosis. For this, the investigation is done in the form of 2D echocardiography and color doppler of the leg. But you had investigated with CT scan angiography as mentioned in the history (attachment removed to protect patient identity) and it is considered as the preferred test to detect pulmonary embolism. So pulmonary embolism seems less likely. Calf vein color doppler is done to check deep vein thrombosis. Specific false definite causes for D dimer include pregnancy, inflammation, liver disease, any previous surgery. Also, you can check your coagulation profile through PT (prothrombin time), aPTT (activated partial thromboplastin time), BT (bleeding time). For more information consult a hematologist online |
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Hello doctor,My son is 4 months old, and one eye is slightly more open than the other (ever since he was born). I feel like the eyelid of the eye that does not open as wide might be swollen and there is also an angel\\s kiss on that eyelid. It also has an extra crease on the outside of the eyelid. Is that ptosis or something else? It does not cover his pupil and does not seem to affect his vision.
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Hello, Welcome to Chat Doctor forum. I have seen the photos. (attachment removed to protect patient identity). From the photos, I can see a few variations from the normal anatomy in both upper lids. There is an extra fold of skin over the upper lid of the right eye, this is called epiblepharon in medical terminology. Now coming to your question of ptosis in the left eye, although there is a little bit of upper lid ChatDoctor. My advice to you is Regarding the left eye, wait and watch for another year. Congenital ptosis does require surgery to correct it, but the ideal time to operate would be when the patient is 3-4 years old. This is because we can get more accurate measurements for the surgery then, and the child will also be able to tolerate the procedure. Also, the upper eyelid | Hello doctor,My son is 4 months old, and one eye is slightly more open than the other (ever since he was born). I feel like the eyelid of the eye that does not open as wide might be swollen and there is also an angel\\s kiss on that eyelid. It also has an extra crease on the outside of the eyelid. Is that ptosis or something else? It does not cover his pupil and does not seem to affect his vision. | Hello, Welcome to Chat Doctor forum. I have seen the photos. (attachment removed to protect patient identity). From the photos, I can see a few variations from the normal anatomy in both upper lids. There is an extra fold of skin over the upper lid of the right eye, this is called epiblepharon in medical terminology. Now coming to your question of ptosis in the left eye, although there is a little bit of upper lid ChatDoctor. My advice to you is Regarding the left eye, wait and watch for another year. Congenital ptosis does require surgery to correct it, but the ideal time to operate would be when the patient is 3-4 years old. This is because we can get more accurate measurements for the surgery then, and the child will also be able to tolerate the procedure. Also, the upper eyelid |
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Hello doctor,My last period was before a month, and it has been nine days I missed my period. I got positive in my blood and urine test. My beta hCG on last month was 675, and yesterday it was 3300. I almost completed 10 days after the missed period. Yesterday I went for scan my doctor told no sac is visible. I have some breast pain heavily and feel like period pain but no other symptoms. My TSH value is 2.9, and my doctor suspected may be ectopic. I do not have any pain or bleeding so far, but it is only like period pain. Please help.
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Hello, Welcome to Chat Doctor forum. By the dates, you are five weeks pregnant. If no gestational sac is visible in your uterus even on transvaginal ultrasound, then it may be an ectopic pregnancy. Ectopic pregnancy presents with symptoms only if it grows or gets ruptured. That is an emergency and can even be life-threatening or at the least cause liters and liters on blood loss inside the abdomen. I advise you to go for a transvaginal scan. Rarely MRI to confirm the ectopic pregnancy. It may be dealt with medicines or go for laparoscopic removal of tube or milking whichever is feasible. Do it before it becomes an emergency. | Hello doctor,My last period was before a month, and it has been nine days I missed my period. I got positive in my blood and urine test. My beta hCG on last month was 675, and yesterday it was 3300. I almost completed 10 days after the missed period. Yesterday I went for scan my doctor told no sac is visible. I have some breast pain heavily and feel like period pain but no other symptoms. My TSH value is 2.9, and my doctor suspected may be ectopic. I do not have any pain or bleeding so far, but it is only like period pain. Please help. | Hello, Welcome to Chat Doctor forum. By the dates, you are five weeks pregnant. If no gestational sac is visible in your uterus even on transvaginal ultrasound, then it may be an ectopic pregnancy. Ectopic pregnancy presents with symptoms only if it grows or gets ruptured. That is an emergency and can even be life-threatening or at the least cause liters and liters on blood loss inside the abdomen. I advise you to go for a transvaginal scan. Rarely MRI to confirm the ectopic pregnancy. It may be dealt with medicines or go for laparoscopic removal of tube or milking whichever is feasible. Do it before it becomes an emergency. |
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Hello doctor,I have a problem of premature ejaculation. I have been masturbating since I was 14. Now, when I masturbate, I am not able to last for more than 30 seconds. I was never able to last more than a minute till now and it has now reduced further. Kindly tell me the cure and immediate steps I can take for correcting this problem. I last for this much time only even if I am not turned on by porn or other stuff before masturbation.
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Hi, Welcome to Chat Doctor forum. I can understand that it is probably due to anxiety and psychological reasons you are having this problem. It is normal during masturbation to see early ejaculation, but the time will automatically increase during sex. No need to worry about that. Time during masturbation has no importance. I hope you are understanding what I mean to say. If still you want to increase the time then you can try some herbal ChatDoctor. It is a herbal preparation and has no side effects and can be used safely. You can start taking one tablet twice a day and take the tablets for at least 2 to 3 months and you will see improvement in time. Try to remain relaxed during masturbation or sex, avoid thinking about premature ejaculation at that time and you will see improvement. | Hello doctor,I have a problem of premature ejaculation. I have been masturbating since I was 14. Now, when I masturbate, I am not able to last for more than 30 seconds. I was never able to last more than a minute till now and it has now reduced further. Kindly tell me the cure and immediate steps I can take for correcting this problem. I last for this much time only even if I am not turned on by porn or other stuff before masturbation. | Hi, Welcome to Chat Doctor forum. I can understand that it is probably due to anxiety and psychological reasons you are having this problem. It is normal during masturbation to see early ejaculation, but the time will automatically increase during sex. No need to worry about that. Time during masturbation has no importance. I hope you are understanding what I mean to say. If still you want to increase the time then you can try some herbal ChatDoctor. It is a herbal preparation and has no side effects and can be used safely. You can start taking one tablet twice a day and take the tablets for at least 2 to 3 months and you will see improvement in time. Try to remain relaxed during masturbation or sex, avoid thinking about premature ejaculation at that time and you will see improvement. |
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Hello doctor,I am wondering if I have gingivitis or more advanced gum disease? My gums are red, a little more so than you can tell in the picture, inflamed, and somewhat sensitive. I have been brushing and flossing twice or three times a day. Is it possible for me to reverse these symptoms at home on my own? That would be preferred because I am currently unable to pay for a dentist visit. I have just started using salt water rinses to try and help reverse the gingivitis as well. Also, what mouthwash and toothpaste would be best for me to use to reverse the symptoms and restore the health of my gums? Lastly, can I take an antibiotic, such as Amoxicillin 500 mg capsules to help fight any bacteria and reverse the symptoms? I would greatly appreciate any help and guidance that you can provide.
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Hello, Welcome to Chat Doctor forum. The gingivitis is easily reversible but at least the cleaning of teeth and gums by a dentist has to be performed every six months or a year. This helps in removing calculus and plaque build up. It will not go away just by brushing or flossing. Use warm salt water gargle and yes Amoxicillin 500 mg will help but after removing the calculus build up. For more information consult a dentist online | Hello doctor,I am wondering if I have gingivitis or more advanced gum disease? My gums are red, a little more so than you can tell in the picture, inflamed, and somewhat sensitive. I have been brushing and flossing twice or three times a day. Is it possible for me to reverse these symptoms at home on my own? That would be preferred because I am currently unable to pay for a dentist visit. I have just started using salt water rinses to try and help reverse the gingivitis as well. Also, what mouthwash and toothpaste would be best for me to use to reverse the symptoms and restore the health of my gums? Lastly, can I take an antibiotic, such as Amoxicillin 500 mg capsules to help fight any bacteria and reverse the symptoms? I would greatly appreciate any help and guidance that you can provide. | Hello, Welcome to Chat Doctor forum. The gingivitis is easily reversible but at least the cleaning of teeth and gums by a dentist has to be performed every six months or a year. This helps in removing calculus and plaque build up. It will not go away just by brushing or flossing. Use warm salt water gargle and yes Amoxicillin 500 mg will help but after removing the calculus build up. For more information consult a dentist online |
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Hello doctor,It started four years back that a patch of hair (round with about 3 cm diameter) suddenly disappeared from my lower right part of beard area (neck). I ignored this at first, but then when the hair never came back even after about six months. A doctor told me to use Tacrolimus 0.03 % for some time. I used it for two months regularly with not much success. Again, I ignored my condition, considering it to be a minor issue.A month back, I moved to a new place for work and on the very second day, I lost a patch of scalp hair (left center of my head). This seems to be a very serious issue. I started applying Tacroz 0.03 % for last three weeks and am also taking Dexamethasone 5 mcg once a day. I want the hair to regrow on my beard and also on my scalp. Also, I do not want this situation or issue to re-occur.
### Response:
Hello, Welcome to Chat Doctor forum. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). You seem to have alopecia areata. I suggest you take oral corticosteroids for a few weeks if it is progressing. Tacrolimus is not a treatment of choice for alopecia areata. | Hello doctor,It started four years back that a patch of hair (round with about 3 cm diameter) suddenly disappeared from my lower right part of beard area (neck). I ignored this at first, but then when the hair never came back even after about six months. A doctor told me to use Tacrolimus 0.03 % for some time. I used it for two months regularly with not much success. Again, I ignored my condition, considering it to be a minor issue.A month back, I moved to a new place for work and on the very second day, I lost a patch of scalp hair (left center of my head). This seems to be a very serious issue. I started applying Tacroz 0.03 % for last three weeks and am also taking Dexamethasone 5 mcg once a day. I want the hair to regrow on my beard and also on my scalp. Also, I do not want this situation or issue to re-occur. | Hello, Welcome to Chat Doctor forum. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). You seem to have alopecia areata. I suggest you take oral corticosteroids for a few weeks if it is progressing. Tacrolimus is not a treatment of choice for alopecia areata. |
### Instruction:
Answer this question truthfully
###Input:
Hello doctor,Overall tightness in right side of the body. Especially tightness in the right knee, above knee cap leading to pain front and top of knee. Also tightness in the groin both sides. Unable to feel the groin stretch on inside of the leg, more of a locking feeling at the upper inner groin and outer hip. Tight hamstring only on right side. I do not feel a stretch when stretching right quad but do feel a stretch on the left. Right shoulder/ discomfort and tightness. Tightness in the back lower right side and right hip looks to be slightly lower when standing.
### Response:
Hi, Welcome to Chat Doctor forum. It may be due to weak muscles, apply Diclofenac ointment on the pain above knee and shoulder, cover it up for 10 minutes, give it hot water therapy, try to slowly strech your thigh muscles untill you feel pain more and relax yourself, repeat it for twice a day. Take Aceclofenac tablet for a day if you have more pain and for shoulder do shoulder excercises at home. After trying these if you still feel the pain after three days, you can go for ultrasound therapy following IFT. This will surely help you get rid of the problem. Jerk while running or walking, sleep distress X-ray for shoulder IFT, ultrasound Avoid lifting heavy objects, do not bend. | Hello doctor,Overall tightness in right side of the body. Especially tightness in the right knee, above knee cap leading to pain front and top of knee. Also tightness in the groin both sides. Unable to feel the groin stretch on inside of the leg, more of a locking feeling at the upper inner groin and outer hip. Tight hamstring only on right side. I do not feel a stretch when stretching right quad but do feel a stretch on the left. Right shoulder/ discomfort and tightness. Tightness in the back lower right side and right hip looks to be slightly lower when standing. | Hi, Welcome to Chat Doctor forum. It may be due to weak muscles, apply Diclofenac ointment on the pain above knee and shoulder, cover it up for 10 minutes, give it hot water therapy, try to slowly strech your thigh muscles untill you feel pain more and relax yourself, repeat it for twice a day. Take Aceclofenac tablet for a day if you have more pain and for shoulder do shoulder excercises at home. After trying these if you still feel the pain after three days, you can go for ultrasound therapy following IFT. This will surely help you get rid of the problem. Jerk while running or walking, sleep distress X-ray for shoulder IFT, ultrasound Avoid lifting heavy objects, do not bend. |
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