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Hello doctor,I am 24 years old. For the past two years, I have been having an irregular period cycle. My doctor recently suggested me to get my exam Pap smear. I have gained 60 pounds in the last three years. When I was younger, I had the HPV shots. I am nervous about the pap smear and having an irregular period cycle. Should I be worried about uterine cervical cancer? I have not lost weight. I do not have pain. I recently had a yeast infection, and I am still healing from that.So when I had intercourse last time I felt a little discomfort in a certain position. I started spoofing today, and I am having normal PMS symptoms sensitive boobs, and I do not bleed in between things. I read that cervical cancer takes 15 years to be invasive, and I am scared.
### Response:
Hello, Welcome to Chat Doctor forum. You should not be afraid of pap smear, having pap smear test does not mean cancer it is only a routine check-up. Your irregular cycles may be due to the hormonal problem, and there is no relation with cancer. You should do an ultrasound test of the pelvis and blood tests for sugar PP (postprandial), TSH (thyroid-stimulating), prolactin, and testosterone. Depending on the report, treatment is available. | Hello doctor,I am 24 years old. For the past two years, I have been having an irregular period cycle. My doctor recently suggested me to get my exam Pap smear. I have gained 60 pounds in the last three years. When I was younger, I had the HPV shots. I am nervous about the pap smear and having an irregular period cycle. Should I be worried about uterine cervical cancer? I have not lost weight. I do not have pain. I recently had a yeast infection, and I am still healing from that.So when I had intercourse last time I felt a little discomfort in a certain position. I started spoofing today, and I am having normal PMS symptoms sensitive boobs, and I do not bleed in between things. I read that cervical cancer takes 15 years to be invasive, and I am scared. | Hello, Welcome to Chat Doctor forum. You should not be afraid of pap smear, having pap smear test does not mean cancer it is only a routine check-up. Your irregular cycles may be due to the hormonal problem, and there is no relation with cancer. You should do an ultrasound test of the pelvis and blood tests for sugar PP (postprandial), TSH (thyroid-stimulating), prolactin, and testosterone. Depending on the report, treatment is available. |
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Hello doctor,I am a 52-year-old male. I am suffering from decreased erectile function and decreased libido. Also, my triglyceride and estradiol levels are high. Free testosterone 11.65 pg/ml, total testosterone 649 ng/dl, serum estradiol 70.45 pg/ml, height 5'9\\x80\\x9d, weight 80 kg, blood pressure 140/90. Presently, on Ecospirin 0.25 and Met XL 0.75. No history of diseases. Triglycerides are 342. KFT, LFT, TFT are normal. Blood glucose and urine routine are normal. I take 5 to 6 cups of tea daily. Please suggest some safe and effective medicines to cure my problems of decreased erectile function and very high estradiol level.
### Response:
Hello. I just read your query and from what you have mentioned it appears that you have erectile dysfunction. I suggest that you check your serum prolactin, FSH (follicular stimulating hormone), LH (luteinizing hormone), serum ferritin, HbA1c levels and get back for review. For more information consult an endocrinologist online Take care. | Hello doctor,I am a 52-year-old male. I am suffering from decreased erectile function and decreased libido. Also, my triglyceride and estradiol levels are high. Free testosterone 11.65 pg/ml, total testosterone 649 ng/dl, serum estradiol 70.45 pg/ml, height 5'9\\x80\\x9d, weight 80 kg, blood pressure 140/90. Presently, on Ecospirin 0.25 and Met XL 0.75. No history of diseases. Triglycerides are 342. KFT, LFT, TFT are normal. Blood glucose and urine routine are normal. I take 5 to 6 cups of tea daily. Please suggest some safe and effective medicines to cure my problems of decreased erectile function and very high estradiol level. | Hello. I just read your query and from what you have mentioned it appears that you have erectile dysfunction. I suggest that you check your serum prolactin, FSH (follicular stimulating hormone), LH (luteinizing hormone), serum ferritin, HbA1c levels and get back for review. For more information consult an endocrinologist online Take care. |
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Hello doctor,I do not have any official diagnoses, but I am curious to know more about ADHD or ADD and OCD. Recently I was about to sit down to eat breakfast when I got sidetracked and started something else. One thing lead to another and next thing I know it is 45 minutes later, I have half of my room torn apart due to not finishing everything I had started, and I still had not touched my breakfast. I have had more of these types of situations recently, and it makes me frustrated and a little worried. I thought about going to see a doctor about it, but I was hoping for an opinion. Currently, I am not under any medications.
### Response:
Hello, Welcome to Chat Doctor forum. Start with one thing on another, and we may behave strangely. But it does not mean that you have some psychiatric diagnosis. The difference between abnormality and normality lies on a spectrum in psychiatry. Some criteria to define if a particular thing needs the attention of a psychiatrist. 1) Persistent in nature. 2) Disturb your day to day routine. 3) Functional impairment. 4) Disturbance of bio functions like sleep, appetite, etc. If all these things are not there, then I would not advise you to consult a doctor. If this last for some time, then contact a psychiatrist. | Hello doctor,I do not have any official diagnoses, but I am curious to know more about ADHD or ADD and OCD. Recently I was about to sit down to eat breakfast when I got sidetracked and started something else. One thing lead to another and next thing I know it is 45 minutes later, I have half of my room torn apart due to not finishing everything I had started, and I still had not touched my breakfast. I have had more of these types of situations recently, and it makes me frustrated and a little worried. I thought about going to see a doctor about it, but I was hoping for an opinion. Currently, I am not under any medications. | Hello, Welcome to Chat Doctor forum. Start with one thing on another, and we may behave strangely. But it does not mean that you have some psychiatric diagnosis. The difference between abnormality and normality lies on a spectrum in psychiatry. Some criteria to define if a particular thing needs the attention of a psychiatrist. 1) Persistent in nature. 2) Disturb your day to day routine. 3) Functional impairment. 4) Disturbance of bio functions like sleep, appetite, etc. If all these things are not there, then I would not advise you to consult a doctor. If this last for some time, then contact a psychiatrist. |
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Hello doctor,Just two days back I suddenly experienced an upset stomach with just a semi-solid consistency of stool. However a day later, I found that I had the urge to pee more often than usual immediately after emptying my bladder. I am 40 years old and my last period was a month back. I am 5\\3\" and weigh 70 kg. I have no pain at all while urinating. However, this sudden new symptom has caused me to be very anxious. I also have some PMS symptoms like muscle ache and so on. Could you please advise doctor?
### Response:
Hi, Welcome to Chat Doctor forum. Sometimes urine symptoms can happen whenever there is altered stool pattern. If there is any problem in stool passage, it may reflect as a burning sensation or frequency of urine as the nerve supply to both areas is same. In case there is no fever, and stomach is still upset, you can start with a probiotic like Econorm sachet twice a day for three days. If symptoms persist beyond 2 to 3 days, then get urine routine test and an ultrasound KUB and revert. A short course of antibiotic like Nitrofurantoin 100 mg twice a day for three days and Solifenacin 5 mg once a day for five days can be started after consultation with your GP. | Hello doctor,Just two days back I suddenly experienced an upset stomach with just a semi-solid consistency of stool. However a day later, I found that I had the urge to pee more often than usual immediately after emptying my bladder. I am 40 years old and my last period was a month back. I am 5\\3\" and weigh 70 kg. I have no pain at all while urinating. However, this sudden new symptom has caused me to be very anxious. I also have some PMS symptoms like muscle ache and so on. Could you please advise doctor? | Hi, Welcome to Chat Doctor forum. Sometimes urine symptoms can happen whenever there is altered stool pattern. If there is any problem in stool passage, it may reflect as a burning sensation or frequency of urine as the nerve supply to both areas is same. In case there is no fever, and stomach is still upset, you can start with a probiotic like Econorm sachet twice a day for three days. If symptoms persist beyond 2 to 3 days, then get urine routine test and an ultrasound KUB and revert. A short course of antibiotic like Nitrofurantoin 100 mg twice a day for three days and Solifenacin 5 mg once a day for five days can be started after consultation with your GP. |
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Hi doctor,Can I marry a woman without a thyroid gland? She has a nodule in her left lobe of thyroid gland but after total thyroidectomy, there was no cancer. I am tensed because she has no thyroid gland. The surgeon said it is not a matter but some doctors say there will be a complication in future. I am tensed with her life-span. Can she live a normal and healthy life without a thyroid gland? Some doctors say that every medicine has side effects.So I want to know that the side effects of synthetic Thyroxine taken for whole life? Can she concieve? Can I marry her? Please answer my every answer clearly. It is my future.
### Response:
Hi. According to your history, the queries you have are usual and answers are yes, she can live quite a normal life provided she takes the supplement Eltroxin (Levothyroxine) timely and according to the prescription. Yes, she can conceive but for further information, you should consult a Gynaecologist. There are quite common side effects of Eltroxin but they do not hinder in normal sex life neither would be a reason to not marry her but you might like to consult an endocrinologist for further information. Take care. For more information consult an endocrinologist online Take care. | Hi doctor,Can I marry a woman without a thyroid gland? She has a nodule in her left lobe of thyroid gland but after total thyroidectomy, there was no cancer. I am tensed because she has no thyroid gland. The surgeon said it is not a matter but some doctors say there will be a complication in future. I am tensed with her life-span. Can she live a normal and healthy life without a thyroid gland? Some doctors say that every medicine has side effects.So I want to know that the side effects of synthetic Thyroxine taken for whole life? Can she concieve? Can I marry her? Please answer my every answer clearly. It is my future. | Hi. According to your history, the queries you have are usual and answers are yes, she can live quite a normal life provided she takes the supplement Eltroxin (Levothyroxine) timely and according to the prescription. Yes, she can conceive but for further information, you should consult a Gynaecologist. There are quite common side effects of Eltroxin but they do not hinder in normal sex life neither would be a reason to not marry her but you might like to consult an endocrinologist for further information. Take care. For more information consult an endocrinologist online Take care. |
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Hello doctor,For some days I was burping a lot with burning sensation around the stomach. I went to the doctor and he advised some medicines Vibact DS 1 at night for three days and Torfix 400 three tablets each day for three days. I am better now. Just for a normal checkup without any issues I went for a urine and stool routine check and found that occult blood is present. I have done stool OBT test before as well just two to three months before and everything was normal. When I see internet I am worried about all occurrences. Please help. Am I going to die? Currently, I am taking Telday 40 for blood pressure and discontinued Telekast L10.
### Response:
Hi. Nothing to worry. Stool occult blood positive implies that there is microscopic evidence of blood in your stools. It can happen due to multiple reasons. You might be having some amount of inflammation in the gut which caused your symptoms. These can result in positive OBT (occult blood test). Please take tablet Pantocid (Pantoprazole) 40 mg tablets once daily for one week 30 minutes before food. Get few tests done after two weeks like complete blood counts, liver function tests, and stool occult blood. For more information consult a medical gastroenterologist online Take care. | Hello doctor,For some days I was burping a lot with burning sensation around the stomach. I went to the doctor and he advised some medicines Vibact DS 1 at night for three days and Torfix 400 three tablets each day for three days. I am better now. Just for a normal checkup without any issues I went for a urine and stool routine check and found that occult blood is present. I have done stool OBT test before as well just two to three months before and everything was normal. When I see internet I am worried about all occurrences. Please help. Am I going to die? Currently, I am taking Telday 40 for blood pressure and discontinued Telekast L10. | Hi. Nothing to worry. Stool occult blood positive implies that there is microscopic evidence of blood in your stools. It can happen due to multiple reasons. You might be having some amount of inflammation in the gut which caused your symptoms. These can result in positive OBT (occult blood test). Please take tablet Pantocid (Pantoprazole) 40 mg tablets once daily for one week 30 minutes before food. Get few tests done after two weeks like complete blood counts, liver function tests, and stool occult blood. For more information consult a medical gastroenterologist online Take care. |
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Hello doctor,My tooth started hurting about a month and a half ago, just one night of hurting badly. Then went away. About weeks later started hurting again but nothing too bad. I just dealt with it. Now, again I have severe pain. I went to ER, said it was abscessed tooth and gave me Amoxicillin. The pain was still very bad so went back to the doctor. Three days later they prescribed me Clindamycin. Started taking them this morning. The pain is very bad and now my face is starting to get swollen. My whole face hurts, hurts to talk or really do anything. Should I go back to the ER or wait and see if this new antibiotic works? Please help me.
### Response:
Hi, Welcome to Chat Doctor forum. I have gone through your question and I can understand your concern. I think you are having an acute periapical infection with involvement of buccal and mandibular space infection. If the swelling is increasing and there is burning pain you may need another antibiotic with Clindamycin. For that upload a picture so that I can provide you with the best possible treatment plan. Make sure you do not have any airway obstruction, that can be dangerous. Periapical infection due to the cavity. IOPAR X-ray. Acute apical periodontitis. Buccal space infection. | Hello doctor,My tooth started hurting about a month and a half ago, just one night of hurting badly. Then went away. About weeks later started hurting again but nothing too bad. I just dealt with it. Now, again I have severe pain. I went to ER, said it was abscessed tooth and gave me Amoxicillin. The pain was still very bad so went back to the doctor. Three days later they prescribed me Clindamycin. Started taking them this morning. The pain is very bad and now my face is starting to get swollen. My whole face hurts, hurts to talk or really do anything. Should I go back to the ER or wait and see if this new antibiotic works? Please help me. | Hi, Welcome to Chat Doctor forum. I have gone through your question and I can understand your concern. I think you are having an acute periapical infection with involvement of buccal and mandibular space infection. If the swelling is increasing and there is burning pain you may need another antibiotic with Clindamycin. For that upload a picture so that I can provide you with the best possible treatment plan. Make sure you do not have any airway obstruction, that can be dangerous. Periapical infection due to the cavity. IOPAR X-ray. Acute apical periodontitis. Buccal space infection. |
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My symptoms are that for the past 4 day so or so I have had some congestion in my chest that comes and goes... a few times (a total of about 3 hours in 4 days) very mild chest pain.So I have been staying in bed and on Tamiflu for a few days and 2500 MG of Amoxicillin since yesterday with mild improvement. My other symptom includes that I get a bit tired if I walk more than 5 minutes,,Not had a fever, chills, cough or a sore throat...and have not lost my taste or smell..I am just paranoid about covid...ALSO I have had one incident of yellow drainage that came from my lungs as flem but more instance of clear drainage (but only 3 small ones)I am also not fatigued and actually insomniac as I usual am (sleep a few hours at night)
### Response:
Hi. Welcome to ChatDoctor. I am ChatDoctor for your help. What we know about corona with current available experience is that it has presentation in most cases with ChatDoctor. Fever has to be there in COVID. Since you have had no fever , cough is productive, Covid is virtually out. You might be having Allergic cough or some Lower Respiratory Tract Infection. You are on Amoxicillin which is a very good | My symptoms are that for the past 4 day so or so I have had some congestion in my chest that comes and goes... a few times (a total of about 3 hours in 4 days) very mild chest pain.So I have been staying in bed and on Tamiflu for a few days and 2500 MG of Amoxicillin since yesterday with mild improvement. My other symptom includes that I get a bit tired if I walk more than 5 minutes,,Not had a fever, chills, cough or a sore throat...and have not lost my taste or smell..I am just paranoid about covid...ALSO I have had one incident of yellow drainage that came from my lungs as flem but more instance of clear drainage (but only 3 small ones)I am also not fatigued and actually insomniac as I usual am (sleep a few hours at night) | Hi. Welcome to ChatDoctor. I am ChatDoctor for your help. What we know about corona with current available experience is that it has presentation in most cases with ChatDoctor. Fever has to be there in COVID. Since you have had no fever , cough is productive, Covid is virtually out. You might be having Allergic cough or some Lower Respiratory Tract Infection. You are on Amoxicillin which is a very good |
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Hello doctor,I have a deviated nasal septum on the right side of my nose. I also have difficulty in breathing although I have deviated right side septum but still, I face breathing problems in the left side. I also sometimes feel pain on my face but my major problem is that if I use nasal sprays, I get well for 1 or 2 hours but then again I have breathing problems. I am also unable to understand if I have a right side deviated septum. So, why do I have difficulty in breathing from the left side and also if my left nose gets open my right side closes and if right opens left closes? Kindly help me, please.
### Response:
Hello, Welcome to Chat Doctor forum. Having read through your query, I can understand your concern. Patients with DNS can have nasal obstruction on both sides. First, because the septum can deviate in an S-shape giving rise to obstruction on both sides. Second, on the side opposite to DNS, there may be enlargement of another structure called Inferior turbinate secondary to DNS. This is called paradoxical obstruction. Third, excessive use of sprays can lead to mucosal atrophy or thinning and a subjective feeling of an obstruction. You may share your CT to guide me further. You should go for surgery. It is a minor procedure that can be done even under local anesthesia. | Hello doctor,I have a deviated nasal septum on the right side of my nose. I also have difficulty in breathing although I have deviated right side septum but still, I face breathing problems in the left side. I also sometimes feel pain on my face but my major problem is that if I use nasal sprays, I get well for 1 or 2 hours but then again I have breathing problems. I am also unable to understand if I have a right side deviated septum. So, why do I have difficulty in breathing from the left side and also if my left nose gets open my right side closes and if right opens left closes? Kindly help me, please. | Hello, Welcome to Chat Doctor forum. Having read through your query, I can understand your concern. Patients with DNS can have nasal obstruction on both sides. First, because the septum can deviate in an S-shape giving rise to obstruction on both sides. Second, on the side opposite to DNS, there may be enlargement of another structure called Inferior turbinate secondary to DNS. This is called paradoxical obstruction. Third, excessive use of sprays can lead to mucosal atrophy or thinning and a subjective feeling of an obstruction. You may share your CT to guide me further. You should go for surgery. It is a minor procedure that can be done even under local anesthesia. |
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Hi doctor,I have small colorless bumps on my arm and a couple on fingers of my hand. They do not cause any pain or itching. But, I have noticed that they were not present on my arm earlier, and I would like to avoid these spreading elsewhere. Kindly suggest the causes and treatment.
### Response:
Hi. I have gone through the picture (attachment removed to protect patient identity). These tiny skin colored papules are called lichen nitidus. It is a harmless condition. In about 70 % of cases, it is self-limiting which means it resolves on its own, no treatment is usually required. If it is itchy, then use Mometasone cream, mix one part of cream with two parts of moisturizer and apply a thin layer to the affected area at night for two weeks only. Mometasone is a moderately potent topical corticosteroid. It should not be used continuously. Use it for two weeks. Take a break for a week then again use it for another two weeks if the skin lesions are still present. Olesoft moisturizing lotion (Olive oil with Sodium lactate) is fine. You can use any moisturizer or lotion but do not use cream or ointment because the ointment will be thick and can clog the pores. It is better to use lotion during summer. For more information consult a dermatologist online | Hi doctor,I have small colorless bumps on my arm and a couple on fingers of my hand. They do not cause any pain or itching. But, I have noticed that they were not present on my arm earlier, and I would like to avoid these spreading elsewhere. Kindly suggest the causes and treatment. | Hi. I have gone through the picture (attachment removed to protect patient identity). These tiny skin colored papules are called lichen nitidus. It is a harmless condition. In about 70 % of cases, it is self-limiting which means it resolves on its own, no treatment is usually required. If it is itchy, then use Mometasone cream, mix one part of cream with two parts of moisturizer and apply a thin layer to the affected area at night for two weeks only. Mometasone is a moderately potent topical corticosteroid. It should not be used continuously. Use it for two weeks. Take a break for a week then again use it for another two weeks if the skin lesions are still present. Olesoft moisturizing lotion (Olive oil with Sodium lactate) is fine. You can use any moisturizer or lotion but do not use cream or ointment because the ointment will be thick and can clog the pores. It is better to use lotion during summer. For more information consult a dermatologist online |
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Hi doctor,Around six months ago, I removed four wisdom teeth (one tooth per month). I remember the first two were not very painful, but the third and the fourth ones, especially the fourth, gave me really bad headaches and it even made my whole cheek swell for a few days.Anyways, I also noticed this one tooth from my lower teeth started moving after all of my wisdom teeth were removed, and so I started putting on my retainers at night, but the problem is that in the morning when I eat, that tooth starts moving again and I get a headache eventually during the day.My orthodontist told me that there is nothing wrong with my retainers and that this headache could be caused by me grinding my teeth at night. I have also been told to do a CBCT scan.Any suggestions on what I should do? Should I go back to wearing braces on my lower teeth?
### Response:
Hello. Braces are not good for the time being. Allow the molar tooth to become firm. Get an X-ray done to confirm whether there is any periodontal recession. The bone support may be very less at the area behind where the wisdom tooth was removed, hence more mobility to front tooth. You may need periodontal surgery along with root canal treatment to make it firm. For more information consult a dentist online Take care. | Hi doctor,Around six months ago, I removed four wisdom teeth (one tooth per month). I remember the first two were not very painful, but the third and the fourth ones, especially the fourth, gave me really bad headaches and it even made my whole cheek swell for a few days.Anyways, I also noticed this one tooth from my lower teeth started moving after all of my wisdom teeth were removed, and so I started putting on my retainers at night, but the problem is that in the morning when I eat, that tooth starts moving again and I get a headache eventually during the day.My orthodontist told me that there is nothing wrong with my retainers and that this headache could be caused by me grinding my teeth at night. I have also been told to do a CBCT scan.Any suggestions on what I should do? Should I go back to wearing braces on my lower teeth? | Hello. Braces are not good for the time being. Allow the molar tooth to become firm. Get an X-ray done to confirm whether there is any periodontal recession. The bone support may be very less at the area behind where the wisdom tooth was removed, hence more mobility to front tooth. You may need periodontal surgery along with root canal treatment to make it firm. For more information consult a dentist online Take care. |
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Hello,I would like to have a remote eye view on a question related to glaucoma.I am 35 years old and I am being followed for 5 years for ocular hypertension.I have between 23 and 26 mmHg by applanation tonometer.My field of vision is good.Optical Coherence Tomography (OCT) examinations are good.And my optic nerves seem normal.During the first 4 years I had followed every six months.I do not have any treatment for the moment.Given my age, this worries me somewhat. So, I would like to get your opinion in response to some of my questions
### Response:
Hello, Welcome to Chat Doctor forum. I reviewed your history. It seems from the history that you are having ocular hypertension. Since the results of visual field, optic disc changes and OCT are normal, there is no glaucoma. But treatment of ocular hypertension is necessary for you to prevent development of glaucoma. Hence, you need to start the treatment and aim should be to bring the intraocular pressure below 16 mmHg and keep it around 14-15 mmHg. If treatment and follow up is done, the risk of blindness is minimal or nil but better follow up and treatment is important in your case. Hope it helps. Consult an eye care ophthalmologist online for further clarifications | Hello,I would like to have a remote eye view on a question related to glaucoma.I am 35 years old and I am being followed for 5 years for ocular hypertension.I have between 23 and 26 mmHg by applanation tonometer.My field of vision is good.Optical Coherence Tomography (OCT) examinations are good.And my optic nerves seem normal.During the first 4 years I had followed every six months.I do not have any treatment for the moment.Given my age, this worries me somewhat. So, I would like to get your opinion in response to some of my questions | Hello, Welcome to Chat Doctor forum. I reviewed your history. It seems from the history that you are having ocular hypertension. Since the results of visual field, optic disc changes and OCT are normal, there is no glaucoma. But treatment of ocular hypertension is necessary for you to prevent development of glaucoma. Hence, you need to start the treatment and aim should be to bring the intraocular pressure below 16 mmHg and keep it around 14-15 mmHg. If treatment and follow up is done, the risk of blindness is minimal or nil but better follow up and treatment is important in your case. Hope it helps. Consult an eye care ophthalmologist online for further clarifications |
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Hello doctor,I had braces three times now. First, during childhood, and second as an adult. First I had metal, wore my retainer religiously for a year, and then after being super strict, my teeth shifted. I then tried Invisalign and was not a huge fan, but considering it again. My teeth continuously shift, and I was told I have a tongue thrust, and hence, my teeth are always moving back. Am I wasting my time getting braces again? I was also considering veneers, but not sure if it would even qualify.
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Hello. Why have not they put fixed retainers in your case? Especially if the case got relapsed. You must have got the second treatment done and then at end get fixed retainer at palatal and lingual side of your teeth for like good 10 years. This is the only way to avoid relapse. Moreover, if you are having tongue thrust, there is an appliance for it. I would suggest you to get treatment done (which could be fourth time) with conventional bracketing. And at the end, ask the dentist to put fixed retainer. After it gives you an appliance to limit tongue thrust. This would not cause relapse, hopefully. I could suggest you more proper treatment plan if you can provide me with clinical pictures of before, after treatment and now recent ones too. | Hello doctor,I had braces three times now. First, during childhood, and second as an adult. First I had metal, wore my retainer religiously for a year, and then after being super strict, my teeth shifted. I then tried Invisalign and was not a huge fan, but considering it again. My teeth continuously shift, and I was told I have a tongue thrust, and hence, my teeth are always moving back. Am I wasting my time getting braces again? I was also considering veneers, but not sure if it would even qualify. | Hello. Why have not they put fixed retainers in your case? Especially if the case got relapsed. You must have got the second treatment done and then at end get fixed retainer at palatal and lingual side of your teeth for like good 10 years. This is the only way to avoid relapse. Moreover, if you are having tongue thrust, there is an appliance for it. I would suggest you to get treatment done (which could be fourth time) with conventional bracketing. And at the end, ask the dentist to put fixed retainer. After it gives you an appliance to limit tongue thrust. This would not cause relapse, hopefully. I could suggest you more proper treatment plan if you can provide me with clinical pictures of before, after treatment and now recent ones too. |
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Hello doctor,I am 22 years old male and want to join technical duty branch in the Indian Air Force. But my height is 155 cm, and the airforce eligibility criteria for the required height is 157.5 cm. So I cannot hold this height criteria.I want to increase my height by up to 157.5 cm.My mother\\s height is 147 cm, and my father\\s height is 161.5 cm, and my sister\\s height is 154 cm.So please give me a positive reply or result so I can start my future in the Indian Air Force.
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Hello, Welcome to ChatDoctor. Once you achieve 18 years, your bones of the whole body can become fused. Now according to scientific research, there will be very less or no chance to gain height. But for your satisfaction, you can do vigorous exercise pull-ups, yoga practice, and pranayama practice that may help you. Do not waste your money and time on protein powder consumption. I do not want to provide the wrong hope. You be happy first, I know your goal is to join the Indian Air Force. Join the Art of Living Happiness program in your area. Do not be discouraged. Do your best. | Hello doctor,I am 22 years old male and want to join technical duty branch in the Indian Air Force. But my height is 155 cm, and the airforce eligibility criteria for the required height is 157.5 cm. So I cannot hold this height criteria.I want to increase my height by up to 157.5 cm.My mother\\s height is 147 cm, and my father\\s height is 161.5 cm, and my sister\\s height is 154 cm.So please give me a positive reply or result so I can start my future in the Indian Air Force. | Hello, Welcome to ChatDoctor. Once you achieve 18 years, your bones of the whole body can become fused. Now according to scientific research, there will be very less or no chance to gain height. But for your satisfaction, you can do vigorous exercise pull-ups, yoga practice, and pranayama practice that may help you. Do not waste your money and time on protein powder consumption. I do not want to provide the wrong hope. You be happy first, I know your goal is to join the Indian Air Force. Join the Art of Living Happiness program in your area. Do not be discouraged. Do your best. |
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Hello doctor,I had a silent missed abortion last year in the third month of my pregnancy. After that, I got some tests done, which resulted in CMV IgG positive. Then I got vaccinated for rubella to prevent any casualties in the next pregnancy. Now I want to try and conceive, but just now I got my torch panel done again. And now the HSV IGM is positive with 1.15 range along with CMV and rubella IgG positive. Should I wait or can I try to conceive right now? My husband\\s torch panel also done, nothing abnormal.I am currently under Folic acid and Multivitamin, for now, to conceive faster. And also a homeopathic medicine for migraine.
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Hello, Welcome to Chat Doctor forum. Yes, you can try for your pregnancy as IgG (immunoglobulin G) means that you do not have any current infection. It is only due to prior exposure. And for HSV, the only thing you have to watch is the presence of active lesions. Otherwise, there is no other reason not to try for pregnancy. You must try for it whenever you and your partner feel ready to do so. Secondly, abortion is a very common thing in reproductive age and only after one abortion there is no need to undergo all these extensive investigations. I hope it has helped you. | Hello doctor,I had a silent missed abortion last year in the third month of my pregnancy. After that, I got some tests done, which resulted in CMV IgG positive. Then I got vaccinated for rubella to prevent any casualties in the next pregnancy. Now I want to try and conceive, but just now I got my torch panel done again. And now the HSV IGM is positive with 1.15 range along with CMV and rubella IgG positive. Should I wait or can I try to conceive right now? My husband\\s torch panel also done, nothing abnormal.I am currently under Folic acid and Multivitamin, for now, to conceive faster. And also a homeopathic medicine for migraine. | Hello, Welcome to Chat Doctor forum. Yes, you can try for your pregnancy as IgG (immunoglobulin G) means that you do not have any current infection. It is only due to prior exposure. And for HSV, the only thing you have to watch is the presence of active lesions. Otherwise, there is no other reason not to try for pregnancy. You must try for it whenever you and your partner feel ready to do so. Secondly, abortion is a very common thing in reproductive age and only after one abortion there is no need to undergo all these extensive investigations. I hope it has helped you. |
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Hi doctor,I recently had unprotected sex with a guy twice in an interval of three days. After the first time, there was a lot of pain, but had a regular whitish discharge. Second time, I started having this brownish or yellowish discharge and I have taken the photo of the discharge. I am not sure what it is? Neither of us have STDs. I am quite scared of being pregnant. I do not remember when I had my last period. Is this discharge normal? Please help me.
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Hi, Welcome to Chat Doctor forum. The brownish discharge seems to be due to rupture of your hymen. Generally, if you have sex for the first time in case of a virgin, then the hymen gets partly withered or at times does not. However, during repeated acts of intercourse, there are fair enough chances that it ruptures and maybe that is the cause of brownish discharge after the second time. However, we will wait and watch as there is no such matter of concern. If it happens again, then please do visit a nearby gynecologist and get an internal check done. Coming to the pregnancy point, if you do not remember your periods date, then at least get a urine pregnancy test done after one month and wait for the results. If the result is negative, then repeat the test after a week. | Hi doctor,I recently had unprotected sex with a guy twice in an interval of three days. After the first time, there was a lot of pain, but had a regular whitish discharge. Second time, I started having this brownish or yellowish discharge and I have taken the photo of the discharge. I am not sure what it is? Neither of us have STDs. I am quite scared of being pregnant. I do not remember when I had my last period. Is this discharge normal? Please help me. | Hi, Welcome to Chat Doctor forum. The brownish discharge seems to be due to rupture of your hymen. Generally, if you have sex for the first time in case of a virgin, then the hymen gets partly withered or at times does not. However, during repeated acts of intercourse, there are fair enough chances that it ruptures and maybe that is the cause of brownish discharge after the second time. However, we will wait and watch as there is no such matter of concern. If it happens again, then please do visit a nearby gynecologist and get an internal check done. Coming to the pregnancy point, if you do not remember your periods date, then at least get a urine pregnancy test done after one month and wait for the results. If the result is negative, then repeat the test after a week. |
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Hello doctor,I am a 46-year-old male. A month ago, I had a heart stroke and underwent angio for blood clotting thrombus. My CBC report at that time shows a platelet count at 24 lakhs. I received CALR Exon 9 mutation analysis report today. It reads \"CALR Exon 9 mutation is detected by PCR amplification of Exon 9 of CALR, followed by sequencing of coding and junctional region of the Exon. The sequence is compared with the reference sequence NM-004343 for the analysis of mutations.\" Hematologist prescribed me Anagrelide 0.5 mg. Do I have to worry? Can it be cured by medication?
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Hello, Welcome to Chat Doctor forum. You have very high levels of platelets which are called \\primary thrombocytosis\\ or \\essential thrombocytosis\\, which was confirmed by CALR Gene mutation test. This condition will results in either clots or sometimes bleeding in any part of the body. There are few treatment options available to control the disease, Anagrelide is one of them, which is supposed to be taken along with Aspirin. Please consult a hematologist who will monitor the condition and give you treatment. Please discuss with the hematologist if you can be tried on Hy ChatDoctor. | Hello doctor,I am a 46-year-old male. A month ago, I had a heart stroke and underwent angio for blood clotting thrombus. My CBC report at that time shows a platelet count at 24 lakhs. I received CALR Exon 9 mutation analysis report today. It reads \"CALR Exon 9 mutation is detected by PCR amplification of Exon 9 of CALR, followed by sequencing of coding and junctional region of the Exon. The sequence is compared with the reference sequence NM-004343 for the analysis of mutations.\" Hematologist prescribed me Anagrelide 0.5 mg. Do I have to worry? Can it be cured by medication? | Hello, Welcome to Chat Doctor forum. You have very high levels of platelets which are called \\primary thrombocytosis\\ or \\essential thrombocytosis\\, which was confirmed by CALR Gene mutation test. This condition will results in either clots or sometimes bleeding in any part of the body. There are few treatment options available to control the disease, Anagrelide is one of them, which is supposed to be taken along with Aspirin. Please consult a hematologist who will monitor the condition and give you treatment. Please discuss with the hematologist if you can be tried on Hy ChatDoctor. |
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Hello doctor,My 5 year old daughter has stomach aches around the navel area that happens from time to time. It lasts a few minutes each time and goes away. Abdominal X-ray and ultrasound were done and has not found any abnormalities or umbilical hernia. Stomach pain starts while eating or drinking and also at random times. Other symptoms including the passing of stools about four to five times a day, including while having a meal.A most recent development within the last week has had several accidents and says she did not feel it coming. This is not normal for her. No other emotional distress could be a reason.
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Hello, Welcome to Chat Doctor forum. I suspect three things, it is just assumption based on history. 1. Stomach ulcer, as she had pain after food and water. 2. Worm infection, need to have a look after food. 3. If non of the above, must be ruled out by investigations. Then it is called functional abdominal pain. I advise you to visit a specialist. She might require one-week antibiotics and if symptoms not settled, then endoscopy also. But the best part is to visit the pediatrician. So he can evaluate her in detail and examine her. Meanwhile, you can give symptomatic treatment. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. | Hello doctor,My 5 year old daughter has stomach aches around the navel area that happens from time to time. It lasts a few minutes each time and goes away. Abdominal X-ray and ultrasound were done and has not found any abnormalities or umbilical hernia. Stomach pain starts while eating or drinking and also at random times. Other symptoms including the passing of stools about four to five times a day, including while having a meal.A most recent development within the last week has had several accidents and says she did not feel it coming. This is not normal for her. No other emotional distress could be a reason. | Hello, Welcome to Chat Doctor forum. I suspect three things, it is just assumption based on history. 1. Stomach ulcer, as she had pain after food and water. 2. Worm infection, need to have a look after food. 3. If non of the above, must be ruled out by investigations. Then it is called functional abdominal pain. I advise you to visit a specialist. She might require one-week antibiotics and if symptoms not settled, then endoscopy also. But the best part is to visit the pediatrician. So he can evaluate her in detail and examine her. Meanwhile, you can give symptomatic treatment. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. |
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Hello doctor,I am 53 years old, and have quit smoking 19 years ago. I still have a chronic cough. Each specialist tells me something different. The pulmonologist told me it was asthma, and another doctor said it was acid reflux disease. Now they are telling me it is COPD. I do not have diminished lung capacity or problem in breathing, no wheezing, out of breath when I run but, I am overweight and out of shape. What do you think?
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Hello. There is not much of difference between asthma and COPD (chronic obstructive pulmonary disease). COPD is usually seen in a person who has smoked a lot while asthma is seen from childhood, which is not in your case. Acid reflux can cause prolonged duration cough, but it shall subside very well once treated for acid reflux. But in your case, it has persisted. So it has to be either COPD or infection of the lung. I would have favored COPD if you were investigated for Infection and found nothing. Hence I recommend specific tests for evaluating infection as the cause. Kindly get the following test done and revert with reports. CT chest, BAL microscopy (bronchoalveolar lavage) and culture, ESR (erythrocyte sedimentation rate), Montoux test. I hope this information was useful for you. Any clarification feel free to ask. | Hello doctor,I am 53 years old, and have quit smoking 19 years ago. I still have a chronic cough. Each specialist tells me something different. The pulmonologist told me it was asthma, and another doctor said it was acid reflux disease. Now they are telling me it is COPD. I do not have diminished lung capacity or problem in breathing, no wheezing, out of breath when I run but, I am overweight and out of shape. What do you think? | Hello. There is not much of difference between asthma and COPD (chronic obstructive pulmonary disease). COPD is usually seen in a person who has smoked a lot while asthma is seen from childhood, which is not in your case. Acid reflux can cause prolonged duration cough, but it shall subside very well once treated for acid reflux. But in your case, it has persisted. So it has to be either COPD or infection of the lung. I would have favored COPD if you were investigated for Infection and found nothing. Hence I recommend specific tests for evaluating infection as the cause. Kindly get the following test done and revert with reports. CT chest, BAL microscopy (bronchoalveolar lavage) and culture, ESR (erythrocyte sedimentation rate), Montoux test. I hope this information was useful for you. Any clarification feel free to ask. |
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Hi doctor,I took my mother to a dentist. She hit the tooth hard with a hammer and chisel to remove the second molar of upper jaw. She has experience as a dentist for 30 years; still she does not wear gloves. I am wondering, is this practice safe? My mother cried during the procedure, but the dentist told it will not pain. My mother cried because of fear. I am looking forward to hear from you. Thank you.
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Hello. Getting a tooth removed is a terrifying experience for all. It is the dentist\\s responsibility to ad ChatDoctor. Ideally, the procedure should be explained to the patient beforehand. Infection control is very important for the safety of both the dentist and the patient. A dentist must wear gloves and face mask before any treatment. As far as using a hammer and a chisel, these are the instruments usually present in dental clinic. They are a part of the dental instruments used for teeth extractions, especially in difficult cases. Although, a local anesthetic injection is given prior to removing a tooth, anxious patients may need more than one injection. Also, while the local anesthetic is good for numbing the area, patients can still feel the pressure sensation during tooth removal. In the end, it all comes down to proper communication with your patient and constant reassurance during the procedure. | Hi doctor,I took my mother to a dentist. She hit the tooth hard with a hammer and chisel to remove the second molar of upper jaw. She has experience as a dentist for 30 years; still she does not wear gloves. I am wondering, is this practice safe? My mother cried during the procedure, but the dentist told it will not pain. My mother cried because of fear. I am looking forward to hear from you. Thank you. | Hello. Getting a tooth removed is a terrifying experience for all. It is the dentist\\s responsibility to ad ChatDoctor. Ideally, the procedure should be explained to the patient beforehand. Infection control is very important for the safety of both the dentist and the patient. A dentist must wear gloves and face mask before any treatment. As far as using a hammer and a chisel, these are the instruments usually present in dental clinic. They are a part of the dental instruments used for teeth extractions, especially in difficult cases. Although, a local anesthetic injection is given prior to removing a tooth, anxious patients may need more than one injection. Also, while the local anesthetic is good for numbing the area, patients can still feel the pressure sensation during tooth removal. In the end, it all comes down to proper communication with your patient and constant reassurance during the procedure. |
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Hi doctor,My sister is 12.6 years old. She got her first period about six months ago. Just about four weeks ago, she got her second period. I know when you go through your first menstrual cycle it can be on and off, so that did not really bother me. But then, her second period just keeps coming back every day. Some days, it would only be blotchy and very dark. The other day, she bled heavy in bright red with severe cramps. It usually starts and ends at the same time every day. It starts around 10 AM and ends around 3.30 PM. She has PE in school three days a week and she would get plenty of exercise. My mom thinks that she has been taking Guanfacine and it has something to do with my hormones. Do you think that she should go to my local Endocrinologist? What do you think could be wrong? My mom heard of people taking low dosages of birth control medication. Is it advisable for my sister?
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Hello. Hypothyroidism, hyperprolactinemia, bleeding disorders and PCOD (polycystic ovarian disease). Puberty menorrhagia. Hemostats and Progesterone if required. Revert back with the reports to an obstetrician and gynaecologist online.- | Hi doctor,My sister is 12.6 years old. She got her first period about six months ago. Just about four weeks ago, she got her second period. I know when you go through your first menstrual cycle it can be on and off, so that did not really bother me. But then, her second period just keeps coming back every day. Some days, it would only be blotchy and very dark. The other day, she bled heavy in bright red with severe cramps. It usually starts and ends at the same time every day. It starts around 10 AM and ends around 3.30 PM. She has PE in school three days a week and she would get plenty of exercise. My mom thinks that she has been taking Guanfacine and it has something to do with my hormones. Do you think that she should go to my local Endocrinologist? What do you think could be wrong? My mom heard of people taking low dosages of birth control medication. Is it advisable for my sister? | Hello. Hypothyroidism, hyperprolactinemia, bleeding disorders and PCOD (polycystic ovarian disease). Puberty menorrhagia. Hemostats and Progesterone if required. Revert back with the reports to an obstetrician and gynaecologist online.- |
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Hi doctor,I had pulpectomy on a lower left tooth two days ago. I am still in pain and the outside of my chin and lower lip is still numb. The dentist told me I would not be in any pain after the procedure, but it is still hurting. I had Ibuprofen 200 mg four times a day. Is this normal to have numbness and to have pain in the tooth?
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Hi, Welcome to Chat Doctor forum. As I see this, there are two issues here. Firstly, the pain in your lower left tooth could be due to a couple of reasons. Whenever there is infection of the pulp, the infection spreads beyond the tip of the tooth; it extrudes the tooth out of its socket within the jaw. When this happens the tooth is painful especially when it touches the opposing upper tooth. The other reason for tooth pain could be that the entire infected pulp was not removed. Either way, you need to go back to your dentist. The second issue here is the numbness of your chin and lower lip. This usually happens when the nerve in the lower jaw gets nicked by the needle while giving the local anesthetic. If the damage is minor, the nerve repairs itself and the normal sensation will return. If numbness persists after two to three months, then you need to consult your doctor. | Hi doctor,I had pulpectomy on a lower left tooth two days ago. I am still in pain and the outside of my chin and lower lip is still numb. The dentist told me I would not be in any pain after the procedure, but it is still hurting. I had Ibuprofen 200 mg four times a day. Is this normal to have numbness and to have pain in the tooth? | Hi, Welcome to Chat Doctor forum. As I see this, there are two issues here. Firstly, the pain in your lower left tooth could be due to a couple of reasons. Whenever there is infection of the pulp, the infection spreads beyond the tip of the tooth; it extrudes the tooth out of its socket within the jaw. When this happens the tooth is painful especially when it touches the opposing upper tooth. The other reason for tooth pain could be that the entire infected pulp was not removed. Either way, you need to go back to your dentist. The second issue here is the numbness of your chin and lower lip. This usually happens when the nerve in the lower jaw gets nicked by the needle while giving the local anesthetic. If the damage is minor, the nerve repairs itself and the normal sensation will return. If numbness persists after two to three months, then you need to consult your doctor. |
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Hello doctor,I have recently felt lightheadedness for about a week. I went to the ER and they could not find anything wrong. They did all neuro testing and I passed. Blood work and urine are perfect. Blood sugar and blood pressure were perfect. Ekg came back perfect, no stomach issues. I do not feel like I have to vomit and drinking or eating does not help or make it worse. I have not fainted at all. I do have high cholesterol but I take fish oil every day and red yeast rice as recommended by the doctor. The only thing that makes it go away is if I lay down and sleep for a bit then I feel better. I have had a headache every now and then but it does not last very long. Is this a neuro or heart issue or something to do with my sinus? My ears do pop a lot lately. I do not feel dizzy. The room does not spin. Just a few times I feel like I have to lay down or I will faint.
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Hello, Welcome to iclliniq.com. Probably you have an issue with your ear that may cause a block in the eustachian tube due to allergy or infection leading to vertigo. Other possibilities like acute labyrinthitis or vestibular neuronitis may cause your symptoms. Avoid smoking and caffeine ChatDoctor. | Hello doctor,I have recently felt lightheadedness for about a week. I went to the ER and they could not find anything wrong. They did all neuro testing and I passed. Blood work and urine are perfect. Blood sugar and blood pressure were perfect. Ekg came back perfect, no stomach issues. I do not feel like I have to vomit and drinking or eating does not help or make it worse. I have not fainted at all. I do have high cholesterol but I take fish oil every day and red yeast rice as recommended by the doctor. The only thing that makes it go away is if I lay down and sleep for a bit then I feel better. I have had a headache every now and then but it does not last very long. Is this a neuro or heart issue or something to do with my sinus? My ears do pop a lot lately. I do not feel dizzy. The room does not spin. Just a few times I feel like I have to lay down or I will faint. | Hello, Welcome to iclliniq.com. Probably you have an issue with your ear that may cause a block in the eustachian tube due to allergy or infection leading to vertigo. Other possibilities like acute labyrinthitis or vestibular neuronitis may cause your symptoms. Avoid smoking and caffeine ChatDoctor. |
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Hello doctor,How many IVF can one person undergo in total? We have attempted three ICSI with negative results. Each time, the embryo failed to develop more than four days, once developed only up to morula stage on day five. My wife is 30 years old with AMH 4.5 with type-2 diabetes. Next, what can we plan? Our doctor has advised ICSI with donor eggs.
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Hello. How are you doing today? There is no limit to the number of times you can do ICSI (intracytoplasmic sperm injection). But if I may advise, why not try to correct the underlying cause for the failure of a healthy embryo growth? An AMH of 4 or more means she has plenty of eggs. But diabetes is mostly spoiling her chances. Hopefully, her HbA1c is normal and other complications have been ruled out. Also, semen factor should be alright. Any problem in either of these should be the reason for poor embryo quality. If you feel all these are fine, then maybe have the procedure at a different IVF clinic, with a different embryologist. I know it is a tough call, but do think about it. Hope I have clarified your query, do write back if any more queries. All the best. For more information consult an infertility specialist online | Hello doctor,How many IVF can one person undergo in total? We have attempted three ICSI with negative results. Each time, the embryo failed to develop more than four days, once developed only up to morula stage on day five. My wife is 30 years old with AMH 4.5 with type-2 diabetes. Next, what can we plan? Our doctor has advised ICSI with donor eggs. | Hello. How are you doing today? There is no limit to the number of times you can do ICSI (intracytoplasmic sperm injection). But if I may advise, why not try to correct the underlying cause for the failure of a healthy embryo growth? An AMH of 4 or more means she has plenty of eggs. But diabetes is mostly spoiling her chances. Hopefully, her HbA1c is normal and other complications have been ruled out. Also, semen factor should be alright. Any problem in either of these should be the reason for poor embryo quality. If you feel all these are fine, then maybe have the procedure at a different IVF clinic, with a different embryologist. I know it is a tough call, but do think about it. Hope I have clarified your query, do write back if any more queries. All the best. For more information consult an infertility specialist online |
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Hi doctor,I am scheduled for extracorporeal shock wave lithotripsy (ESWL) to treat a kidney stone that was discovered through testing for gross hematuria. My pre-operative blood work came back with a number of readings that were flagged as high. It includes Alpha-1-acid glycoprotein (AGP) 17, blood urea nitrogen (BUN) 25, creatinine level 1.3, calcium 10.3 and Na is 148. Is this anything should I be concerned about? Should I see a nephrologist prior to the ESWL? Or do you think that it is fine to proceed with the treatment as planned?
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Hello, Welcome to Chat Doctor forum. Your high readings in kidney function tests are probably attributed to the kidney stone that you are having. Any stone present in kidney that is causing hematuria is very likely to cause transient rise in creatinine levels and alter the kidney function test too. This is the reason for the stone need to be removed else it would cause permanent kidney damage. I suppose there is no need to see a nephrologist at this point. Once your stone is removed, your kidney function would ChatDoctor. However, I would still need to know the location of the stone? What is the size of the stone and any hy | Hi doctor,I am scheduled for extracorporeal shock wave lithotripsy (ESWL) to treat a kidney stone that was discovered through testing for gross hematuria. My pre-operative blood work came back with a number of readings that were flagged as high. It includes Alpha-1-acid glycoprotein (AGP) 17, blood urea nitrogen (BUN) 25, creatinine level 1.3, calcium 10.3 and Na is 148. Is this anything should I be concerned about? Should I see a nephrologist prior to the ESWL? Or do you think that it is fine to proceed with the treatment as planned? | Hello, Welcome to Chat Doctor forum. Your high readings in kidney function tests are probably attributed to the kidney stone that you are having. Any stone present in kidney that is causing hematuria is very likely to cause transient rise in creatinine levels and alter the kidney function test too. This is the reason for the stone need to be removed else it would cause permanent kidney damage. I suppose there is no need to see a nephrologist at this point. Once your stone is removed, your kidney function would ChatDoctor. However, I would still need to know the location of the stone? What is the size of the stone and any hy |
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Hello doctor,I am 31 years old and recently went for life insurance and they did a blood test on me. My results were normal except liver enzymes. AST 203, ALT 206, and GGT 281. Bilirubin 0.8 (apparently normal). I have been drinking heavily for a couple years, but quit about three weeks ago (the week prior to the blood test). How long would it reasonably take to get my enzyme levels back to normal ranges, and allow the liver to repair itself? Obviously, abstaining from alcohol is in my new life plan, and also eating well and trying to exercise more regularly. Should I currently be worried and seek additional help or medication or should the life changes above allow for my liver to get back to normal?
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Hi, Welcome to Chat Doctor forum. Yes, this is alcoholic fatty liver disease and hepatitis. You need to worry. Once you stop alcohol, the levels should come down to normal in 6 to 8 weeks of complete abstinence. You should discuss with your doctor to prescribe you tablet Udiliv that contains Ursodeoxycholic acid for three months. I would recommend you an ultrasound and a check-up for hepatitis B and C via blood tests. Moreover, you should exercise and avoid fat in the diet. | Hello doctor,I am 31 years old and recently went for life insurance and they did a blood test on me. My results were normal except liver enzymes. AST 203, ALT 206, and GGT 281. Bilirubin 0.8 (apparently normal). I have been drinking heavily for a couple years, but quit about three weeks ago (the week prior to the blood test). How long would it reasonably take to get my enzyme levels back to normal ranges, and allow the liver to repair itself? Obviously, abstaining from alcohol is in my new life plan, and also eating well and trying to exercise more regularly. Should I currently be worried and seek additional help or medication or should the life changes above allow for my liver to get back to normal? | Hi, Welcome to Chat Doctor forum. Yes, this is alcoholic fatty liver disease and hepatitis. You need to worry. Once you stop alcohol, the levels should come down to normal in 6 to 8 weeks of complete abstinence. You should discuss with your doctor to prescribe you tablet Udiliv that contains Ursodeoxycholic acid for three months. I would recommend you an ultrasound and a check-up for hepatitis B and C via blood tests. Moreover, you should exercise and avoid fat in the diet. |
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Hi doctor,My son is 9 months old. He had a high fever and low platelet count (70 k). We admitted him immediately and done blood platelet transfusion (100 ml). The next day, the platelets went down to 16 k. He was discharged from the hospital when it came up to 95 k. Now after a week, the count went down to 52 k again. My pediatrician suggested taking advice from hematologist to see if he requires treatment for ITP (if diagnosed as such). Please advice next steps, worrying a lot. I also had this problem when I was two and a half years old. I was given steroids as a treatment.
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Hi, Welcome to Chat Doctor forum. I have gone through the query (attachment removed to protect patient identity). Your son\\s latest report shows neutrophilia. It is suggestive of bacterial infection. Further workup can be done in the form of CRP (C- reactive protein) estimation, blood culture, and flow cytometry to rule out congenital thrombocytopenia causes. ITP is a diagnosis of exclusion. If there is no other cause found, then only ITP is suspected. For that bone marrow study is essential. Please provide me the previous CBC report also to give further comment. For more information consult a hematologist online | Hi doctor,My son is 9 months old. He had a high fever and low platelet count (70 k). We admitted him immediately and done blood platelet transfusion (100 ml). The next day, the platelets went down to 16 k. He was discharged from the hospital when it came up to 95 k. Now after a week, the count went down to 52 k again. My pediatrician suggested taking advice from hematologist to see if he requires treatment for ITP (if diagnosed as such). Please advice next steps, worrying a lot. I also had this problem when I was two and a half years old. I was given steroids as a treatment. | Hi, Welcome to Chat Doctor forum. I have gone through the query (attachment removed to protect patient identity). Your son\\s latest report shows neutrophilia. It is suggestive of bacterial infection. Further workup can be done in the form of CRP (C- reactive protein) estimation, blood culture, and flow cytometry to rule out congenital thrombocytopenia causes. ITP is a diagnosis of exclusion. If there is no other cause found, then only ITP is suspected. For that bone marrow study is essential. Please provide me the previous CBC report also to give further comment. For more information consult a hematologist online |
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Hi doctor,I have been having difficulties breathing. It feels like mucus is blocking my airways. I also have this feeling that something is stuck in my throat. I did a thyroid blood test, TSH, and T3 which were normal but T4 was high. I did thyroid scan, it showed a soft cyst of 10 mm \\xc3\\x97 8 mm in my left lobe and another one in my isthmus about 6 mm. I am having a serious stomach acid, heart palpitations, irregular heartbeat, and my pause ranges between 40 to 45 each time I check it. I always feel hot, feel tired easily when doing a hard job. I would like to know if I have hyperthyroidism and for the cyst, do you think I need a surgery or is my problem something which medication can solve.
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Hi. You are likely to be having thyroid cyst with hyperthyroidism and GERD (gastroesophageal reflux disease). As far as thyroid problems are concerned, they are managed by medical treatment followed by surgery. Your other problem of thick mucous and hyperacidity can be managed by a change in lifestyle, dietary habits, and medication. You have to consult your doctor for a thorough examination and necessary investigations to manage it properly. For more information consult an internal medicine physician online | Hi doctor,I have been having difficulties breathing. It feels like mucus is blocking my airways. I also have this feeling that something is stuck in my throat. I did a thyroid blood test, TSH, and T3 which were normal but T4 was high. I did thyroid scan, it showed a soft cyst of 10 mm \\xc3\\x97 8 mm in my left lobe and another one in my isthmus about 6 mm. I am having a serious stomach acid, heart palpitations, irregular heartbeat, and my pause ranges between 40 to 45 each time I check it. I always feel hot, feel tired easily when doing a hard job. I would like to know if I have hyperthyroidism and for the cyst, do you think I need a surgery or is my problem something which medication can solve. | Hi. You are likely to be having thyroid cyst with hyperthyroidism and GERD (gastroesophageal reflux disease). As far as thyroid problems are concerned, they are managed by medical treatment followed by surgery. Your other problem of thick mucous and hyperacidity can be managed by a change in lifestyle, dietary habits, and medication. You have to consult your doctor for a thorough examination and necessary investigations to manage it properly. For more information consult an internal medicine physician online |
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Hello doctor,My father who is 72 years old has a problem of uncontrolled shaking of his right hand for the past three years. The problem has increased over the years and now he finds it difficult to hold the toothbrush also. Some works he can do without much difficulty like riding a scooter, sweeping with his right hand etc. But this problem is only increasing. He has consulted a neurologist after my insistence to rule out Parkinson\\s. The doctor assured that it is not that and gave some medication. This was about eight months back. But, there has been no improvement. My father does not have any other ailments. Of note, he only had a stent operation three years ago. Please let me know what is this problem called, how to treat this and is it curable?
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Hello. Based on the symptoms you have described, your father likely has an \"essential tremor.\" This is a very common neurological condition affecting 4% of the elderly population. Yes, it is not Parkinson\\ s disease but it has to be differentiated from Parkinson\\s disease by a neurologist especially who is trained in movement disorders. Movement disorder neurologist is additionally trained in conditions like essential tremor and Parkinson\\s disease. Please do not hesitate to ask any further questions. For more information consult a neurologist online Take care. | Hello doctor,My father who is 72 years old has a problem of uncontrolled shaking of his right hand for the past three years. The problem has increased over the years and now he finds it difficult to hold the toothbrush also. Some works he can do without much difficulty like riding a scooter, sweeping with his right hand etc. But this problem is only increasing. He has consulted a neurologist after my insistence to rule out Parkinson\\s. The doctor assured that it is not that and gave some medication. This was about eight months back. But, there has been no improvement. My father does not have any other ailments. Of note, he only had a stent operation three years ago. Please let me know what is this problem called, how to treat this and is it curable? | Hello. Based on the symptoms you have described, your father likely has an \"essential tremor.\" This is a very common neurological condition affecting 4% of the elderly population. Yes, it is not Parkinson\\ s disease but it has to be differentiated from Parkinson\\s disease by a neurologist especially who is trained in movement disorders. Movement disorder neurologist is additionally trained in conditions like essential tremor and Parkinson\\s disease. Please do not hesitate to ask any further questions. For more information consult a neurologist online Take care. |
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Hello doctor,Four months ago, I had an encounter with a CSW. During that time, I kissed her mouth, boobs, and the outer lips of the vagina (not vagina). I had taken tests for HIV, HBsAg, HSV, after three months and all those came negative. During that time, I had taken a normal urine test for UTI. In that report, the pus cell values are 3 to 6.My questions are
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Hello, Welcome to Chat Doctor forum. You said you did your HIV test three months after sexual exposure. So, it is very unlikely that you got infected. Secondly, the likelihood of getting gonorrhea and other infections which you mentioned are very unlikely after three months. If you had developed gonorrhea, there would be discharge or bumps over the penis within one month. About oral HPV, if your sexual partner had this infection, then there is a possibility of transmission, but that too is very unlikely. If you had developed, you would have symptoms by now. There would be at least minute warts that would have appeared over the oral cavity or genitalia. So, do not get tensed. Be cool. Take care not to have encounters with unknown persons and if you do, I suggest using adequate protection in the form of condoms. For more information consult a venereologist online | Hello doctor,Four months ago, I had an encounter with a CSW. During that time, I kissed her mouth, boobs, and the outer lips of the vagina (not vagina). I had taken tests for HIV, HBsAg, HSV, after three months and all those came negative. During that time, I had taken a normal urine test for UTI. In that report, the pus cell values are 3 to 6.My questions are | Hello, Welcome to Chat Doctor forum. You said you did your HIV test three months after sexual exposure. So, it is very unlikely that you got infected. Secondly, the likelihood of getting gonorrhea and other infections which you mentioned are very unlikely after three months. If you had developed gonorrhea, there would be discharge or bumps over the penis within one month. About oral HPV, if your sexual partner had this infection, then there is a possibility of transmission, but that too is very unlikely. If you had developed, you would have symptoms by now. There would be at least minute warts that would have appeared over the oral cavity or genitalia. So, do not get tensed. Be cool. Take care not to have encounters with unknown persons and if you do, I suggest using adequate protection in the form of condoms. For more information consult a venereologist online |
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Hi doctor, I have a dry red small area on my face for years now. I went to my dermatologist and he told me to buy a cream (I do not remember the name). It worked for a while, but after it stopped working. The redness gets redder, when it is hot I sweat on my face or if I scratch it. It does not itch at all nor have any other redness anywhere. I had dandruff but I am using dandruff shampoos for years now and do not have anymore. I have another thing to say. I have a small lump on my thumb, it has been there for one year but these days I smashed it a little and it got bigger. When I press on it, it hurts, and it does not look like a wart. What can I do for these issues? I will upload the photos. Please help.
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Hi, Welcome to Chat Doctor forum. I have seen the photos. (attahment removed to protect patient identity). It is not clear. I want to know about your age, exact morphology site of rash, any disease present or treatment taken, and diagnosis made for either of the lesions? Please send clear photos of both the lesions and all details and any other lesions if present. I will try to help you. It may be allergy or infection or else. | Hi doctor, I have a dry red small area on my face for years now. I went to my dermatologist and he told me to buy a cream (I do not remember the name). It worked for a while, but after it stopped working. The redness gets redder, when it is hot I sweat on my face or if I scratch it. It does not itch at all nor have any other redness anywhere. I had dandruff but I am using dandruff shampoos for years now and do not have anymore. I have another thing to say. I have a small lump on my thumb, it has been there for one year but these days I smashed it a little and it got bigger. When I press on it, it hurts, and it does not look like a wart. What can I do for these issues? I will upload the photos. Please help. | Hi, Welcome to Chat Doctor forum. I have seen the photos. (attahment removed to protect patient identity). It is not clear. I want to know about your age, exact morphology site of rash, any disease present or treatment taken, and diagnosis made for either of the lesions? Please send clear photos of both the lesions and all details and any other lesions if present. I will try to help you. It may be allergy or infection or else. |
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Hello doctor,I was recommended by my cardiologist for a heart valve replacement surgery as my latest echocardiogram results, both transthoracic (TTE) and transesophageal (TEE), revealed that my mitral valve prolapse had worsened. The diagnosis was severe eccentric MR. However, during the latest TTE scan, the radiographer who did the scan said that my regurgitation was only moderate. I find this very confusing and was wondering if MVP is a reversible condition. No current medications.
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Hello. First of all, the severity of MR (mitral regurgitation) will be correctly deciphered by your cardiologist. An eccentric type of MR is actually a grade higher than what it looks. Like your radiologist may think it is moderate but it is severe, but because of its eccentric nature, it looks lesser than what it is. The second thing is, why are you not on any medicine yet? You should be on ACE (angiotensin-converting enzyme) inhibitors and diuretics. If you have symptoms like breathlessness, these medicines will relieve that and prevent heart events too. If you have symptoms and your heart chamber size increases, then you should go for MVR (mitral valve replacement). If a prolapse is worsening, then it will not reverse. For more information consult a cardiologist online Take care. | Hello doctor,I was recommended by my cardiologist for a heart valve replacement surgery as my latest echocardiogram results, both transthoracic (TTE) and transesophageal (TEE), revealed that my mitral valve prolapse had worsened. The diagnosis was severe eccentric MR. However, during the latest TTE scan, the radiographer who did the scan said that my regurgitation was only moderate. I find this very confusing and was wondering if MVP is a reversible condition. No current medications. | Hello. First of all, the severity of MR (mitral regurgitation) will be correctly deciphered by your cardiologist. An eccentric type of MR is actually a grade higher than what it looks. Like your radiologist may think it is moderate but it is severe, but because of its eccentric nature, it looks lesser than what it is. The second thing is, why are you not on any medicine yet? You should be on ACE (angiotensin-converting enzyme) inhibitors and diuretics. If you have symptoms like breathlessness, these medicines will relieve that and prevent heart events too. If you have symptoms and your heart chamber size increases, then you should go for MVR (mitral valve replacement). If a prolapse is worsening, then it will not reverse. For more information consult a cardiologist online Take care. |
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Hi doctor,My father is a kidney transplant patient. He had his transplant a year ago. Right now he is having wet cough and cold. It started yesterday. He is taking Pangraf 1.5 mg, Cellcept 500 mg, Septran and Wysolone daily. Which medicines should we give him for cough and cold?
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Hello, Welcome to Chat Doctor forum. First of all, most of the cough and common cold are upper respiratory tract infection (URTI) issues, which are self-limiting and respond without antibiotics. But since he is on immunosupressants, he would be considered for antibiotics if he develops any high grade fever or severe coughing. For URTI, I advise to take an antibiotic like Azithromycin only in case he has persisting fever. Otherwise in most cases of URTI, it is due to viral infection and it gets better within 5 days. He can take an antiallergic like Levocetirizine which is available as OTC (over-the-counter) ChatDoctor. He should do warm saline gargles at least 3-4 times a day and do steam inhalation. He should also take Paracetamol on as or when required basis for fever and body pains.Please share my opinion with your doctor, before acting upon it. | Hi doctor,My father is a kidney transplant patient. He had his transplant a year ago. Right now he is having wet cough and cold. It started yesterday. He is taking Pangraf 1.5 mg, Cellcept 500 mg, Septran and Wysolone daily. Which medicines should we give him for cough and cold? | Hello, Welcome to Chat Doctor forum. First of all, most of the cough and common cold are upper respiratory tract infection (URTI) issues, which are self-limiting and respond without antibiotics. But since he is on immunosupressants, he would be considered for antibiotics if he develops any high grade fever or severe coughing. For URTI, I advise to take an antibiotic like Azithromycin only in case he has persisting fever. Otherwise in most cases of URTI, it is due to viral infection and it gets better within 5 days. He can take an antiallergic like Levocetirizine which is available as OTC (over-the-counter) ChatDoctor. He should do warm saline gargles at least 3-4 times a day and do steam inhalation. He should also take Paracetamol on as or when required basis for fever and body pains.Please share my opinion with your doctor, before acting upon it. |
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Hi doctor,I have removed all the four wisdom tooth before nine years. I had a safe and successful operation. After removing my wisdom tooth, I started to have bad breath. Before the removal of wisdom tooth, I do not have this problem. Currently, I floss daily, and I brush my teeth twice a day. I am using mouthwash twice a day, and I also do salt water gargling after taking foods. Nothing helps me. What could the problem behind it? Please help.
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Hi, Welcome to Chat Doctor forum. You are maintaining your oral hygiene well. Having bad breath after extraction or surgery is quite common due to an open socket. But it generally disappears after a few days. There are other possibilities also. The first cause can be periodontitis. It is the inflammation of the periodontal ligament or the structure supporting the gums. Bad breath can also occur due to GERD (gastroesophageal reflux disease) because of chronic acidity. Infections in tonsils or other areas of the throat can also cause bad breath. Food impaction around the teeth also causes bad breath. You can consult a dentist for a checkup and try to rule out periodontitis. Try to see the presence of calculus and do scaling. After ruling out periodontitis, you can see a physician for other health-related problems. | Hi doctor,I have removed all the four wisdom tooth before nine years. I had a safe and successful operation. After removing my wisdom tooth, I started to have bad breath. Before the removal of wisdom tooth, I do not have this problem. Currently, I floss daily, and I brush my teeth twice a day. I am using mouthwash twice a day, and I also do salt water gargling after taking foods. Nothing helps me. What could the problem behind it? Please help. | Hi, Welcome to Chat Doctor forum. You are maintaining your oral hygiene well. Having bad breath after extraction or surgery is quite common due to an open socket. But it generally disappears after a few days. There are other possibilities also. The first cause can be periodontitis. It is the inflammation of the periodontal ligament or the structure supporting the gums. Bad breath can also occur due to GERD (gastroesophageal reflux disease) because of chronic acidity. Infections in tonsils or other areas of the throat can also cause bad breath. Food impaction around the teeth also causes bad breath. You can consult a dentist for a checkup and try to rule out periodontitis. Try to see the presence of calculus and do scaling. After ruling out periodontitis, you can see a physician for other health-related problems. |
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Hello doctor,I am a 34-year-old female. I am on my second pregnancy. My last menstrual period was a month ago. Last month my beta hCG was 2708 mIU/mL, and transvaginal ultrasound showed GA (LMP) 5 weeks. Gestational sac 0.66 cm (no yolk sac or fetal embryo seen). A single intrauterine pregnancy with left corpus luteal cyst. I was suggested to take Ecosprin 75 mg, Folic Acid, and Progesterone injection weekly. Kindly advice.
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Hello, Welcome to Chat Doctor forum. Your details show that there is no yolk sac seen on the scan until now (attachment removed to protect patient identity), but you have not mentioned any query. I suppose you are worrying for absent yolk sac. I would suggest to repeat a scan after a week or so and also repeat beta hCG after 48 hours of the previous test date and check if it is almost doubling or not. If it is nearly doubling that would mean that your pregnancy is viable. And soon yolk sac will appear, but if the level is falling, then it would mean that abortion might be there. I hope it has helped you. If you have any further queries, please do not hesitate to contact me. | Hello doctor,I am a 34-year-old female. I am on my second pregnancy. My last menstrual period was a month ago. Last month my beta hCG was 2708 mIU/mL, and transvaginal ultrasound showed GA (LMP) 5 weeks. Gestational sac 0.66 cm (no yolk sac or fetal embryo seen). A single intrauterine pregnancy with left corpus luteal cyst. I was suggested to take Ecosprin 75 mg, Folic Acid, and Progesterone injection weekly. Kindly advice. | Hello, Welcome to Chat Doctor forum. Your details show that there is no yolk sac seen on the scan until now (attachment removed to protect patient identity), but you have not mentioned any query. I suppose you are worrying for absent yolk sac. I would suggest to repeat a scan after a week or so and also repeat beta hCG after 48 hours of the previous test date and check if it is almost doubling or not. If it is nearly doubling that would mean that your pregnancy is viable. And soon yolk sac will appear, but if the level is falling, then it would mean that abortion might be there. I hope it has helped you. If you have any further queries, please do not hesitate to contact me. |
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Hi doctor,My 10-year-old daughter\\s back left tooth completely broke off on her gum, and it was hollow. I believe it is an adult tooth. How would a tooth be hollow?
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Hi, Welcome to Chat Doctor forum. If it is the second last tooth of the last side, then it is the last milk tooth that got broken, as it falls off in between age 9 to 11 years. If it is the last tooth of arch that got broken it is the permanent molar tooth. It is the only permanent molar in arch till 12 years of age. If it is molar, it is some serious issue. Get root canal treatment or filling done because this is the primary molar that will aid in chewing for your daughter\\s entire life. If it is deciduous or milk tooth then you need not to worry. A permanent tooth from beneath might have given pressure for the eruption, and so milk tooth will be wearing off after becoming hollow. A hollow tooth is caused by cavities or a broken part of tooth. I can tell you a better exact diagnosis if you can provide me with clinical picture of your daughter\\s teeth. If it is painful right now, you can give simple Brufen syrup (Ibuprofen) 8 hourly for three days. Stay happy and blessed. | Hi doctor,My 10-year-old daughter\\s back left tooth completely broke off on her gum, and it was hollow. I believe it is an adult tooth. How would a tooth be hollow? | Hi, Welcome to Chat Doctor forum. If it is the second last tooth of the last side, then it is the last milk tooth that got broken, as it falls off in between age 9 to 11 years. If it is the last tooth of arch that got broken it is the permanent molar tooth. It is the only permanent molar in arch till 12 years of age. If it is molar, it is some serious issue. Get root canal treatment or filling done because this is the primary molar that will aid in chewing for your daughter\\s entire life. If it is deciduous or milk tooth then you need not to worry. A permanent tooth from beneath might have given pressure for the eruption, and so milk tooth will be wearing off after becoming hollow. A hollow tooth is caused by cavities or a broken part of tooth. I can tell you a better exact diagnosis if you can provide me with clinical picture of your daughter\\s teeth. If it is painful right now, you can give simple Brufen syrup (Ibuprofen) 8 hourly for three days. Stay happy and blessed. |
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Hello doctor, My partner had a miscarriage unknowingly that she was pregnant five to eight weeks maybe? She had negative home pregnancy tests, a negative test at the doctor, and had a miscarriage the next day after doctors test. My question is, could it be possible there is another fetus remaining inside? I only ask because we each have one parent that is a twin. Please advise.She thought she was on her period the entire week. Bled for seven days. Sheattributed it to the Plan-b pill she took several weeks back. We hadunprotected sex but I still pulled out. She is on birth control andused a Plan-b pill. How is any of this miscarriage stuffpossible especially after just seeing the doctor the day beforemiscarriage?
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Hi. If Bhcg (beta-human chorionic gonadotropin) test or urine pregnancy test says she is pregnant then we can say she is pregnant. And if Bhcg test is positive and healthy if it is decreasing with the history of bleeding then we can say it was a miscarriage. Or we find a fetus part in ultrasound scan or test bleeding parts then we can say that it was pregnancy. It can be possible. The twin part, I cannot say. Need to do an ultrasound scan to check the status of pregnancy. Sometimes early there is implantation bleeding only. | Hello doctor, My partner had a miscarriage unknowingly that she was pregnant five to eight weeks maybe? She had negative home pregnancy tests, a negative test at the doctor, and had a miscarriage the next day after doctors test. My question is, could it be possible there is another fetus remaining inside? I only ask because we each have one parent that is a twin. Please advise.She thought she was on her period the entire week. Bled for seven days. Sheattributed it to the Plan-b pill she took several weeks back. We hadunprotected sex but I still pulled out. She is on birth control andused a Plan-b pill. How is any of this miscarriage stuffpossible especially after just seeing the doctor the day beforemiscarriage? | Hi. If Bhcg (beta-human chorionic gonadotropin) test or urine pregnancy test says she is pregnant then we can say she is pregnant. And if Bhcg test is positive and healthy if it is decreasing with the history of bleeding then we can say it was a miscarriage. Or we find a fetus part in ultrasound scan or test bleeding parts then we can say that it was pregnancy. It can be possible. The twin part, I cannot say. Need to do an ultrasound scan to check the status of pregnancy. Sometimes early there is implantation bleeding only. |
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Hello doctor,I am 23, 51 kg. I had unprotected sex a day before I got my period (on the 38th day of cycle). It lasted for four days (normal). Today is the 13th day from when my period started and I am getting bad backache, my breasts hurt (usually happens just before period) and sticky egg white discharge. Am I pregnant or is it ovulation? I had taken a pregnancy test before I got my period because I was late and it was negative. I have mild PCOS. So, my periods are never on time but happens every month. Is it possible to be pregnant after you get your period?
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Hello, Welcome to Chat Doctor forum. I have gone through your history and understand your concern. This is very unlikely to be pregnancy as a proper period followed and when UPT (urine pregnancy test) was negative just before the period. So, you are at present not pregnant and no chances of pregnancy even with that last unprotected intercourse. The nature of discharge is suggestive of ovulation only. However, if still any doubt in your mind you may take two pregnancy tests - one immediately now and another after a week. If both are negative, you are not pregnant. For more information consult an obstetrician and gynaecologist online | Hello doctor,I am 23, 51 kg. I had unprotected sex a day before I got my period (on the 38th day of cycle). It lasted for four days (normal). Today is the 13th day from when my period started and I am getting bad backache, my breasts hurt (usually happens just before period) and sticky egg white discharge. Am I pregnant or is it ovulation? I had taken a pregnancy test before I got my period because I was late and it was negative. I have mild PCOS. So, my periods are never on time but happens every month. Is it possible to be pregnant after you get your period? | Hello, Welcome to Chat Doctor forum. I have gone through your history and understand your concern. This is very unlikely to be pregnancy as a proper period followed and when UPT (urine pregnancy test) was negative just before the period. So, you are at present not pregnant and no chances of pregnancy even with that last unprotected intercourse. The nature of discharge is suggestive of ovulation only. However, if still any doubt in your mind you may take two pregnancy tests - one immediately now and another after a week. If both are negative, you are not pregnant. For more information consult an obstetrician and gynaecologist online |
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Hello doctor,My wife was previously diagnosed with bipolar II and was taking 100 mg Lamotrigine daily for depression maintenance. She was on that dosage for nine years. She recently suffered a more chronic depressive episode and went out of town for ketamine infusion therapy. The infusions were very successful, and the psychiatrist who was assessing her for the infusions suggested that she did not need the Lamotrigine, that it was ineffective for treating depression in bipolar II. She tapered off the Lamotrigine, which was very difficult.It has been three to four weeks since her last dose of Lamotrigine, and nine weeks since her infusions. She is feeling very moody and depressed, irritability, fatigue, loss of focus. The question is, do you think she needs to go back on the Lamotrigine? Or does she need to get a booster shot of Ketamine? Both are difficult solutions. Getting off the Lamotrigine was awful, and getting Ketamine requires out of town travel, etc. Kindly advice.
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Hello. I can understand your problem. Ketamine infusion therapy has great roles in depression but regular maintenance treatment is needed and which results in a significant burden on patients. Lamotrigine is the right ChatDoctor. Even in maintenance treatment, the Take care. | Hello doctor,My wife was previously diagnosed with bipolar II and was taking 100 mg Lamotrigine daily for depression maintenance. She was on that dosage for nine years. She recently suffered a more chronic depressive episode and went out of town for ketamine infusion therapy. The infusions were very successful, and the psychiatrist who was assessing her for the infusions suggested that she did not need the Lamotrigine, that it was ineffective for treating depression in bipolar II. She tapered off the Lamotrigine, which was very difficult.It has been three to four weeks since her last dose of Lamotrigine, and nine weeks since her infusions. She is feeling very moody and depressed, irritability, fatigue, loss of focus. The question is, do you think she needs to go back on the Lamotrigine? Or does she need to get a booster shot of Ketamine? Both are difficult solutions. Getting off the Lamotrigine was awful, and getting Ketamine requires out of town travel, etc. Kindly advice. | Hello. I can understand your problem. Ketamine infusion therapy has great roles in depression but regular maintenance treatment is needed and which results in a significant burden on patients. Lamotrigine is the right ChatDoctor. Even in maintenance treatment, the Take care. |
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Hello doctor,I am diagnosed with chronic rhinitis by an ENT doctor. I cannot sleep at night and barely eat anymore because I cannot taste or smell anything. My nose is always stuffy. I tried Neti pot, sinus irrigator, herbs, and steam inhalation. I cannot seem to find anything that helps except steroids. I used Carticosteroid nasal spray and Methylprednisalone 4 mg, but those are terrible to keep using. I lost hope. What to do?
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Hello, Welcome to Chat Doctor forum. I understand your problem. It can be a bothersome problem in your case. Chronic rhinitis should be evaluated, and any condition causing it should be ad ChatDoctor. If you could show me the findings of the nasal endoscopy it will be useful for me to make a decisive diagnosis. You may also do nasal odor tests to confirm the loss of sense of smell and let us know the results of the same. Nextly, the use of corticosteroid nasal sprays are not bad at all. They are very helpful in resolving nasal inflammation and accompanying rhinitis. You may use them as per your doctors advice, we also regularly advise patients to use those. As to using oral steroids, you do not use those continuously for a long duration. Also, try taking saline nasal sprays once a while. | Hello doctor,I am diagnosed with chronic rhinitis by an ENT doctor. I cannot sleep at night and barely eat anymore because I cannot taste or smell anything. My nose is always stuffy. I tried Neti pot, sinus irrigator, herbs, and steam inhalation. I cannot seem to find anything that helps except steroids. I used Carticosteroid nasal spray and Methylprednisalone 4 mg, but those are terrible to keep using. I lost hope. What to do? | Hello, Welcome to Chat Doctor forum. I understand your problem. It can be a bothersome problem in your case. Chronic rhinitis should be evaluated, and any condition causing it should be ad ChatDoctor. If you could show me the findings of the nasal endoscopy it will be useful for me to make a decisive diagnosis. You may also do nasal odor tests to confirm the loss of sense of smell and let us know the results of the same. Nextly, the use of corticosteroid nasal sprays are not bad at all. They are very helpful in resolving nasal inflammation and accompanying rhinitis. You may use them as per your doctors advice, we also regularly advise patients to use those. As to using oral steroids, you do not use those continuously for a long duration. Also, try taking saline nasal sprays once a while. |
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Hi doctor,I heard that in nephrotic syndrome the filtering unit of kidney becomes larger and so protein comes in urine. I am a patient of cortisone dependent nephrotic syndrome over 15 years. Doctor says that about 95 percent of children will get cured at the age of 18. I am 17 years old now. When a child grows, does the filtering unit become smaller? And what happens to the remaining 5 percent? I have anemia, but otherwise normal. Only albumin comes in urine. I also heard that kidney biopsy is done for nephrotic syndrome. But no doctor advised me for biopsy. Do I have minimal change disease?
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Hi, Welcome to Chat Doctor forum. Yes, you have heard the things right. Due to increased pore there is protein in urine. The best treatment remains the Cortisone. In cases where there is no response to Cortisone as evidenced by persistence of albumin in urine, we need to shift those patients on Cyclophosphamide and Azathioprine. Renal biopsy can be performed but since you are on steroids the reports may be altered. You need to get C3 (complement component 3), C4 (complement component 4), ANA (antinuclear antibody), ANCA (antineutrophil cytoplasmic antibody) and urine protein to creatinine ratio. | Hi doctor,I heard that in nephrotic syndrome the filtering unit of kidney becomes larger and so protein comes in urine. I am a patient of cortisone dependent nephrotic syndrome over 15 years. Doctor says that about 95 percent of children will get cured at the age of 18. I am 17 years old now. When a child grows, does the filtering unit become smaller? And what happens to the remaining 5 percent? I have anemia, but otherwise normal. Only albumin comes in urine. I also heard that kidney biopsy is done for nephrotic syndrome. But no doctor advised me for biopsy. Do I have minimal change disease? | Hi, Welcome to Chat Doctor forum. Yes, you have heard the things right. Due to increased pore there is protein in urine. The best treatment remains the Cortisone. In cases where there is no response to Cortisone as evidenced by persistence of albumin in urine, we need to shift those patients on Cyclophosphamide and Azathioprine. Renal biopsy can be performed but since you are on steroids the reports may be altered. You need to get C3 (complement component 3), C4 (complement component 4), ANA (antinuclear antibody), ANCA (antineutrophil cytoplasmic antibody) and urine protein to creatinine ratio. |
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Hello doctor,I am an 18-year-old girl. I have had thyroid problems since I was around 11. It used to be just considered hypothyroidism but now we have figured out that it is Hashimoto's disease. I rotate daily between 88 mcg and 100 mcg of my Levothyroxine to keep my TSH in check because that is the only thing that works. I get my blood drawn every six months but my doctor has not checked these antibodies lately even though last time, the number was around 5,000 when it was supposed to be 0 to 59. Some days I can barely move, and I am really limited to the activities that I am physically able to participate in. I am just scared. I do not know what is going to happen to me. If someone who is older could help or tell me what happens, I would really appreciate it.
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Hi. Hashimoto disease also causes hypothyroidism and you are already taking medication for hypothyroidism. So do not worry. It is a type of autoimmune disease. So kindly go for detecting which autoimmune problem causes your Hashimoto disease means along with Levothyroxine you have to take some medication also for autoimmune diseases like a steroid or immunosuppressive ChatDoctor. Take care. | Hello doctor,I am an 18-year-old girl. I have had thyroid problems since I was around 11. It used to be just considered hypothyroidism but now we have figured out that it is Hashimoto's disease. I rotate daily between 88 mcg and 100 mcg of my Levothyroxine to keep my TSH in check because that is the only thing that works. I get my blood drawn every six months but my doctor has not checked these antibodies lately even though last time, the number was around 5,000 when it was supposed to be 0 to 59. Some days I can barely move, and I am really limited to the activities that I am physically able to participate in. I am just scared. I do not know what is going to happen to me. If someone who is older could help or tell me what happens, I would really appreciate it. | Hi. Hashimoto disease also causes hypothyroidism and you are already taking medication for hypothyroidism. So do not worry. It is a type of autoimmune disease. So kindly go for detecting which autoimmune problem causes your Hashimoto disease means along with Levothyroxine you have to take some medication also for autoimmune diseases like a steroid or immunosuppressive ChatDoctor. Take care. |
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Hello doctor,I found out I am about three weeks pregnant. This is my first pregnancy, so I have no idea what is normal? I have lower abdominal pain, sort of like period cramps, but they more localized to the right side. Is this normal? ER stated they could not see anything on an ultrasound because it is too early in the pregnancy.
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Hello, Welcome to Chat Doctor forum. You are right to be concerned. It can either be a normal pregnancy, or the pregnancy can be ectopic (in fallopian tubes) and thus should be further evaluated. Get a serum beta hCG levels done. It is a blood test that has to be done twice 48 hours apart. If the value doubles (or increases by 66 %), it is a normal pregnancy. If the growth is less than that, there are chances of ectopic pregnancy or missed abortion. Also, by the time the value of beta hCG is 2000 or more, the sac should be visible in the uterus (happens around four weeks or more). Please get the above investigations done and do not ignore the condition. Serum beta hCG twice 48 hours apart. USG early pregnancy when hCG reaches 2000. Ectopic pregnancy missed abortion Normal intrauterine pregnancy. Pregnancy support if required. | Hello doctor,I found out I am about three weeks pregnant. This is my first pregnancy, so I have no idea what is normal? I have lower abdominal pain, sort of like period cramps, but they more localized to the right side. Is this normal? ER stated they could not see anything on an ultrasound because it is too early in the pregnancy. | Hello, Welcome to Chat Doctor forum. You are right to be concerned. It can either be a normal pregnancy, or the pregnancy can be ectopic (in fallopian tubes) and thus should be further evaluated. Get a serum beta hCG levels done. It is a blood test that has to be done twice 48 hours apart. If the value doubles (or increases by 66 %), it is a normal pregnancy. If the growth is less than that, there are chances of ectopic pregnancy or missed abortion. Also, by the time the value of beta hCG is 2000 or more, the sac should be visible in the uterus (happens around four weeks or more). Please get the above investigations done and do not ignore the condition. Serum beta hCG twice 48 hours apart. USG early pregnancy when hCG reaches 2000. Ectopic pregnancy missed abortion Normal intrauterine pregnancy. Pregnancy support if required. |
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Hello doctor,I am trying to find out what the following images show (images attached). Are there nodules? If so, how many and what size? What types of nodules do you see? What are the chances of the nodule being benign (maybe a colloid)? What characteristics do the nodules show hypo or hyperechoic, any vascularity and if so, is it peripheral or intranodular flow and any other info you can provide?
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Hi, Welcome to Chat Doctor forum. I have seen the images. (attachment removed to protect patient identity). There is a larger nodule in the left lobe and a tiny one in the right lobe of thyroid. The left thyroid nodule measures 14 x 19 mm and is isoechoic and solid areas and shows peripheral vascularity with a small focus of possible cystic change within which can be cystic changes probably colloid changes. The right thyroid nodule is 4 x 4 mm and is iso to hypoechoic. It is too small to comment on vascularity. There is no calcification in the nodules. In my opinion, it is likely to be a benign condition but FNAC (fine needle aspiration cytology) from the larger left thyroid nodule is suggested for confirmation. Usually, 80 percent of thyroid nodules are benign. I hope this helps. | Hello doctor,I am trying to find out what the following images show (images attached). Are there nodules? If so, how many and what size? What types of nodules do you see? What are the chances of the nodule being benign (maybe a colloid)? What characteristics do the nodules show hypo or hyperechoic, any vascularity and if so, is it peripheral or intranodular flow and any other info you can provide? | Hi, Welcome to Chat Doctor forum. I have seen the images. (attachment removed to protect patient identity). There is a larger nodule in the left lobe and a tiny one in the right lobe of thyroid. The left thyroid nodule measures 14 x 19 mm and is isoechoic and solid areas and shows peripheral vascularity with a small focus of possible cystic change within which can be cystic changes probably colloid changes. The right thyroid nodule is 4 x 4 mm and is iso to hypoechoic. It is too small to comment on vascularity. There is no calcification in the nodules. In my opinion, it is likely to be a benign condition but FNAC (fine needle aspiration cytology) from the larger left thyroid nodule is suggested for confirmation. Usually, 80 percent of thyroid nodules are benign. I hope this helps. |
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Hello doctor,I take Sompraz D20 on an empty stomach every day. I also take Libotryp at night for stomach TB for the last one year. I have pain in my lower teeth while eating anything. One year ago a small cavity was also detected for which I underwent airbrushing and filling. I suspect that the filling came out from my lower teeth yesterday.I have this tooth sensitivity for the last 15 days. It pains a lot when I eat otherwise it is fine. I also take Duonase nasal spray two times. Also for dry eyes, I take I-Dew DS eye drops. My recent vitamin D is 25.48 ng/ml. Suggest me any gel or cream to cure this cavity. Also, I am highly sensitive and allergic to smell. So please prescribe me gel or cream accordingly.
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Hi, Welcome to ChatDoctor. See, the first thing that I need to know is that, is whether the pain is present in a single tooth or multiple teeth? As you mentioned in your question that the filling has come out, so please make it clear that is the tooth that has lost filling is painful alone or more teeth also? Also, please click the picture of your teeth that are painful and upload. Please revert back with the answer. | Hello doctor,I take Sompraz D20 on an empty stomach every day. I also take Libotryp at night for stomach TB for the last one year. I have pain in my lower teeth while eating anything. One year ago a small cavity was also detected for which I underwent airbrushing and filling. I suspect that the filling came out from my lower teeth yesterday.I have this tooth sensitivity for the last 15 days. It pains a lot when I eat otherwise it is fine. I also take Duonase nasal spray two times. Also for dry eyes, I take I-Dew DS eye drops. My recent vitamin D is 25.48 ng/ml. Suggest me any gel or cream to cure this cavity. Also, I am highly sensitive and allergic to smell. So please prescribe me gel or cream accordingly. | Hi, Welcome to ChatDoctor. See, the first thing that I need to know is that, is whether the pain is present in a single tooth or multiple teeth? As you mentioned in your question that the filling has come out, so please make it clear that is the tooth that has lost filling is painful alone or more teeth also? Also, please click the picture of your teeth that are painful and upload. Please revert back with the answer. |
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Hello doctor,I fell last Sunday and hit my face including my front teeth. Four teeth and top gum become numb for the past eight days. I can bite my teeth though I feel numb. Please help.
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Hello, Welcome to Chat Doctor forum. I understand your concern. Do you find any changes in the way your teeth rest? Do you find any tooth that hits when you bite on? Any tooth sensitivity? Any fractured or chipped tooth? This is not normal and you need to visit a dentist straight away and get your jaw and front teeth x-rayed. The dentist may check for the vitality of those teeth. If the teeth are vital (has sensation) and is disturbed, you will require a splinting procedure that will hold your front four teeth in position for the next two weeks. If the teeth had lost its vitality (no sensation), you may require a root canal procedure to remove the clotted blood from inside the teeth. This procedure prevents a future color change of your front teeth due to clotted blood. The injured front teeth get discolored in the future if left untreated. Please visit as soon as possible and get it checked because if there was clotted blood inside the injured teeth or if the teeth are slightly disturbed, this could cause complications like cysts or jaw issues in the future. I hope this helps. | Hello doctor,I fell last Sunday and hit my face including my front teeth. Four teeth and top gum become numb for the past eight days. I can bite my teeth though I feel numb. Please help. | Hello, Welcome to Chat Doctor forum. I understand your concern. Do you find any changes in the way your teeth rest? Do you find any tooth that hits when you bite on? Any tooth sensitivity? Any fractured or chipped tooth? This is not normal and you need to visit a dentist straight away and get your jaw and front teeth x-rayed. The dentist may check for the vitality of those teeth. If the teeth are vital (has sensation) and is disturbed, you will require a splinting procedure that will hold your front four teeth in position for the next two weeks. If the teeth had lost its vitality (no sensation), you may require a root canal procedure to remove the clotted blood from inside the teeth. This procedure prevents a future color change of your front teeth due to clotted blood. The injured front teeth get discolored in the future if left untreated. Please visit as soon as possible and get it checked because if there was clotted blood inside the injured teeth or if the teeth are slightly disturbed, this could cause complications like cysts or jaw issues in the future. I hope this helps. |
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Hello doctor,I am a 25-year-old lady about 6 to 7 weeks pregnant. My HbA1c is 12. What should I do?
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Hi, Welcome to Chat Doctor forum. According to diabetes guidelines, the patient should have strict diabetic control pre-pregnancy. It is better to have a strict diabetic diet and sugar levels within the normal range and have HbA1c less than 6. Frankly speaking, I feel that during conception, less than 6 or 5 would be better but at 10, it is advised not to conceive but I think after conception it would have increased. As with high sugar levels, more chances of congenital anomalies in the fetus are there, most popular is heart defects. The baby could have diabetes and could grow fast due to sugar levels imbalance and can be large for the gestational age. It can have stillbirth, difficult delivery, intrauterine death, etc. Please contact maternal medicine consultant obstetrician and discuss your detailed history and treatment till now. In pregnancy, Insulin is preferred over oral medications. Have a strict diabetic diet, daily walk, yoga, or mild exercises. Try to have strict monitoring of fetus as well as your sugar levels. Things could be well only with strict diabetic treatment and precautions for the whole pregnancy. | Hello doctor,I am a 25-year-old lady about 6 to 7 weeks pregnant. My HbA1c is 12. What should I do? | Hi, Welcome to Chat Doctor forum. According to diabetes guidelines, the patient should have strict diabetic control pre-pregnancy. It is better to have a strict diabetic diet and sugar levels within the normal range and have HbA1c less than 6. Frankly speaking, I feel that during conception, less than 6 or 5 would be better but at 10, it is advised not to conceive but I think after conception it would have increased. As with high sugar levels, more chances of congenital anomalies in the fetus are there, most popular is heart defects. The baby could have diabetes and could grow fast due to sugar levels imbalance and can be large for the gestational age. It can have stillbirth, difficult delivery, intrauterine death, etc. Please contact maternal medicine consultant obstetrician and discuss your detailed history and treatment till now. In pregnancy, Insulin is preferred over oral medications. Have a strict diabetic diet, daily walk, yoga, or mild exercises. Try to have strict monitoring of fetus as well as your sugar levels. Things could be well only with strict diabetic treatment and precautions for the whole pregnancy. |
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Hi doctor,I have pigment dispersion syndrome for 10 years. Now I take Bimatoprost in both eyes at night. A few days back, I suffered a trauma to the eye area and as a result, I have a lot of swelling and a subconjunctival hemorrhage and the doctor carried out the funduscopic exam and it was clear. Today hemorrhage has gotten bigger and feel like my eye is discharging or weeping. Eyesight is normal. Should I get it checked?
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Hello, Welcome to Chat Doctor forum. I understand that you suffered a trauma to the eye. When examined, the doctor said that you have a subconjunctival hemorrhage with no damage to the retina. As of now your vision is clear but the hemorrhage has increased for two days and you are on treatment for pigment dispersion, psoriasis or ankylosing spondylitis. With this scenario, I feel that a visit to an ophthalmologist is necessary. An appearance of increasing redness of your eyes could be due to both the congestion of the eye or due to an increasing hemorrhage. The fact that you have discharge from your eyes suggests that an infection could have developed. This is quite a common occurrence after an injury. I advise you to avoid rubbing your eyes, wash the discharge away with cold clean water and review with your doctor. | Hi doctor,I have pigment dispersion syndrome for 10 years. Now I take Bimatoprost in both eyes at night. A few days back, I suffered a trauma to the eye area and as a result, I have a lot of swelling and a subconjunctival hemorrhage and the doctor carried out the funduscopic exam and it was clear. Today hemorrhage has gotten bigger and feel like my eye is discharging or weeping. Eyesight is normal. Should I get it checked? | Hello, Welcome to Chat Doctor forum. I understand that you suffered a trauma to the eye. When examined, the doctor said that you have a subconjunctival hemorrhage with no damage to the retina. As of now your vision is clear but the hemorrhage has increased for two days and you are on treatment for pigment dispersion, psoriasis or ankylosing spondylitis. With this scenario, I feel that a visit to an ophthalmologist is necessary. An appearance of increasing redness of your eyes could be due to both the congestion of the eye or due to an increasing hemorrhage. The fact that you have discharge from your eyes suggests that an infection could have developed. This is quite a common occurrence after an injury. I advise you to avoid rubbing your eyes, wash the discharge away with cold clean water and review with your doctor. |
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Hello doctor,My mother, age 59, had an ischemic attack recently (Trop T test positive, CPK-MB elevated). She has had a BMV for her mitral stenosis two years back. She is currently in the ICU, on medicinal therapy (anti-thrombotics). She underwent an angiogram yesterday (report and video attached). Her RCA is 100 percent chronically occluded. LDA and LCX have 70 percent and 90 percent occlusion respectively.I have the following questions
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Hello, Welcome to Chat Doctor forum. I am sorry to hear about your mother\\s poor health condition. 1. There is a very good chance that angioplasty can help with the 100 % blockage alongside a stent. She is still young. If she can adhere to lifestyle modifications and medications it will help. 2. Rotablator or IVUS can definitely help with clearing the clogged arteries. Although they also will require stenting because the site of the clogged arteries have become weak and will require stenting as support. 3. In situations like this I advise angiography for my patient. The recovery period is shorter and patients are able to live a quality life with modification of lifestyle and medication. It is not safe for her to undergo the stress of traveling at this time. | Hello doctor,My mother, age 59, had an ischemic attack recently (Trop T test positive, CPK-MB elevated). She has had a BMV for her mitral stenosis two years back. She is currently in the ICU, on medicinal therapy (anti-thrombotics). She underwent an angiogram yesterday (report and video attached). Her RCA is 100 percent chronically occluded. LDA and LCX have 70 percent and 90 percent occlusion respectively.I have the following questions | Hello, Welcome to Chat Doctor forum. I am sorry to hear about your mother\\s poor health condition. 1. There is a very good chance that angioplasty can help with the 100 % blockage alongside a stent. She is still young. If she can adhere to lifestyle modifications and medications it will help. 2. Rotablator or IVUS can definitely help with clearing the clogged arteries. Although they also will require stenting because the site of the clogged arteries have become weak and will require stenting as support. 3. In situations like this I advise angiography for my patient. The recovery period is shorter and patients are able to live a quality life with modification of lifestyle and medication. It is not safe for her to undergo the stress of traveling at this time. |
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Hello doctor,My 15-month-old son was vaccinated with measles vaccine at nine months. Now, he will be vaccinated with MMR and varicella on the same day. I am afraid of the adverse side effects of the MMR vaccine. My son is not premature nor underweight. But after birth, the doctor treated my son with Gardinal because the nurse told the doctor that the baby was trembling when crying and sometimes when not crying.With regards the family history, my wife\\s 75-year-old grandmother is now under treatment for a neurological disorder or madness for four years. Sometimes, she has to be admitted to the mental hospital. My 62-year-old mother is suffering from a hearing problem since three years.So, keeping in mind the above things and the data available from the internet about the MMR vaccine, I want to know the chances of being affected adversely by MMR vaccines like autism and hearing problem?
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Hello, Welcome to Chat Doctor forum. As per current recommendations, MMR (measles, mumps, and rubella) and Varicella vaccines can be given to your child at 15 months of age at different sites. There is no association of MMR vaccine with autism. The benefits far outweigh any risks. For more information consult a paediatrician online | Hello doctor,My 15-month-old son was vaccinated with measles vaccine at nine months. Now, he will be vaccinated with MMR and varicella on the same day. I am afraid of the adverse side effects of the MMR vaccine. My son is not premature nor underweight. But after birth, the doctor treated my son with Gardinal because the nurse told the doctor that the baby was trembling when crying and sometimes when not crying.With regards the family history, my wife\\s 75-year-old grandmother is now under treatment for a neurological disorder or madness for four years. Sometimes, she has to be admitted to the mental hospital. My 62-year-old mother is suffering from a hearing problem since three years.So, keeping in mind the above things and the data available from the internet about the MMR vaccine, I want to know the chances of being affected adversely by MMR vaccines like autism and hearing problem? | Hello, Welcome to Chat Doctor forum. As per current recommendations, MMR (measles, mumps, and rubella) and Varicella vaccines can be given to your child at 15 months of age at different sites. There is no association of MMR vaccine with autism. The benefits far outweigh any risks. For more information consult a paediatrician online |
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Hello doctor,I have stupidly just flushed my retainers down the toilet. I had braces removed eight years back and have been wearing them religiously every night since. Unfortunately, there is a storm here. So, all the dental practices are closed. I am worried that my teeth will move before I get an appointment next week. I have a mold of my top and bottom teeth from when I first got my braces removed but I had to change my retainers after getting new crowns and a porcelain veneer in my two front teeth. So, the new ones I flushed down the toilet are different but I would say only slightly. Is there a benefit of wearing these molds until I can get a replacement retainer?
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Hello. It is quite unfortunate that you flushed your retainers and I completely understand your concern regarding the relapse of your orthodontic treatment in the absence of retainers. Now, coming to your question regarding the old retainer, you cannot wear the old retainer as it is not going to help you since a minor change in dentistry means a lot. But, do not worry. Only a week of not wearing the retainers would not make much of a difference since you have been wearing them for quite a long time. My advice to you would be to wait for your appointment and get the retainers. For more information consult an orthodontist online | Hello doctor,I have stupidly just flushed my retainers down the toilet. I had braces removed eight years back and have been wearing them religiously every night since. Unfortunately, there is a storm here. So, all the dental practices are closed. I am worried that my teeth will move before I get an appointment next week. I have a mold of my top and bottom teeth from when I first got my braces removed but I had to change my retainers after getting new crowns and a porcelain veneer in my two front teeth. So, the new ones I flushed down the toilet are different but I would say only slightly. Is there a benefit of wearing these molds until I can get a replacement retainer? | Hello. It is quite unfortunate that you flushed your retainers and I completely understand your concern regarding the relapse of your orthodontic treatment in the absence of retainers. Now, coming to your question regarding the old retainer, you cannot wear the old retainer as it is not going to help you since a minor change in dentistry means a lot. But, do not worry. Only a week of not wearing the retainers would not make much of a difference since you have been wearing them for quite a long time. My advice to you would be to wait for your appointment and get the retainers. For more information consult an orthodontist online |
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Hello doctor,I was wondering if I need to be concerned, or what is the probability if any, would I have at developing a blood clot if I have no blood clotting genetic issues (factor v, etc), not on any hormones (was on birth control pills for 12 years but been off for almost four years), no recent surgery, do not and have never smoked. I am just going to be moving 12 hours away and someone I know developed a blood clot in their leg after a 12 hours drive and did not have any risk factors (smoking, hormones, etc) to their knowledge. I got a little nervous about this possibility because I had a friend who died of a PE. Also, should I take Aspirin before the trip and wear compression socks or would that help? I am a 31-year-old female who only takes prenatal vitamins, Vitamin B12 1000 mcg chewable, Citalopram 10 mg, and occasional Excedrin as needed. Thanks.
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Hi. I can understand your concern. Before I can answer your question, you mentioned that you are taking prenatal vitamins. Just curious if you are pregnant or plan to do so? Do you have previous unplanned or accidental abortions? Please let me know. Take care. | Hello doctor,I was wondering if I need to be concerned, or what is the probability if any, would I have at developing a blood clot if I have no blood clotting genetic issues (factor v, etc), not on any hormones (was on birth control pills for 12 years but been off for almost four years), no recent surgery, do not and have never smoked. I am just going to be moving 12 hours away and someone I know developed a blood clot in their leg after a 12 hours drive and did not have any risk factors (smoking, hormones, etc) to their knowledge. I got a little nervous about this possibility because I had a friend who died of a PE. Also, should I take Aspirin before the trip and wear compression socks or would that help? I am a 31-year-old female who only takes prenatal vitamins, Vitamin B12 1000 mcg chewable, Citalopram 10 mg, and occasional Excedrin as needed. Thanks. | Hi. I can understand your concern. Before I can answer your question, you mentioned that you are taking prenatal vitamins. Just curious if you are pregnant or plan to do so? Do you have previous unplanned or accidental abortions? Please let me know. Take care. |
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Hello doctor,I had a crown in one of my teeth on the lower left bottom. The crown came off. I went to the dentist who suggested root canal even when I did not have any problem. The root canal was completed and the crown was placed. After a few days, my teeth used to pain only on consuming hot water. I went to the dentist and she performed RCT again and now she has left it open because now I have a constant pain which is there a from two weeks. The dentist said I might be allergic to calcium hydroxide and then she said it could be an infection. I am not sure what is happening. Kindly help. Pain is unbearable.
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Hi. I had gone through your question I can understand your concern. The pain may be because of post RCT infection or because of the accessory canal in the root that becomes sometimes difficult to manage. In case it in infection you need to take antibiotics and that will help you. If you had antibiotics and pain still persist, please let me know about the name of antibiotics because you may be resistant to it. You can also upload the pictures of X-ray done during root canal treatment so that I can tell you, if RCT is done properly or not. An allergic reaction does not precipitate in the form of pain only there could be certain associated complications too. | Hello doctor,I had a crown in one of my teeth on the lower left bottom. The crown came off. I went to the dentist who suggested root canal even when I did not have any problem. The root canal was completed and the crown was placed. After a few days, my teeth used to pain only on consuming hot water. I went to the dentist and she performed RCT again and now she has left it open because now I have a constant pain which is there a from two weeks. The dentist said I might be allergic to calcium hydroxide and then she said it could be an infection. I am not sure what is happening. Kindly help. Pain is unbearable. | Hi. I had gone through your question I can understand your concern. The pain may be because of post RCT infection or because of the accessory canal in the root that becomes sometimes difficult to manage. In case it in infection you need to take antibiotics and that will help you. If you had antibiotics and pain still persist, please let me know about the name of antibiotics because you may be resistant to it. You can also upload the pictures of X-ray done during root canal treatment so that I can tell you, if RCT is done properly or not. An allergic reaction does not precipitate in the form of pain only there could be certain associated complications too. |
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I am suffering from major depressive illness,sleep deprivation,anxiety attacks,heavy breathing ,fatigue and exhaustion.i am a doctor myself, and currently taking Petril 0.5mg. I need help.
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Hello Welcome to ChatDoctor - How long have you been experiencing features of depression , anxiety and related symptoms? - Is there any ongoing stressor in your life that is exacerbating your symptoms ? Being a doctor can itself be an exhausting and demanding job. - I note that you are taking Petril 0.5 mgs ( clonazepam). Petril is good for short term management of stress , anxiety and help you to calm down. As you know it is not recommended for long term use due to risk of dependence and tolerance. You can use petril occasionally as needed for upto 4 weeks - If depression and anxiety symptoms are severe and persistent, you will benefit by taking SSRIs ( like Fluoxetine, Sertraline or Escitalopram). - In addition to medication, make lifestyle changes to improve your mood. Regular exercise helps. Try walking for atleast 20-30 mins daily. Talk to a trusted family member /friend about any ongoing difficulties. If feasible, consider CBT which will be helpful to manage and prevent relapse of depression & anxiety Hope this helps. Take care. | I am suffering from major depressive illness,sleep deprivation,anxiety attacks,heavy breathing ,fatigue and exhaustion.i am a doctor myself, and currently taking Petril 0.5mg. I need help. | Hello Welcome to ChatDoctor - How long have you been experiencing features of depression , anxiety and related symptoms? - Is there any ongoing stressor in your life that is exacerbating your symptoms ? Being a doctor can itself be an exhausting and demanding job. - I note that you are taking Petril 0.5 mgs ( clonazepam). Petril is good for short term management of stress , anxiety and help you to calm down. As you know it is not recommended for long term use due to risk of dependence and tolerance. You can use petril occasionally as needed for upto 4 weeks - If depression and anxiety symptoms are severe and persistent, you will benefit by taking SSRIs ( like Fluoxetine, Sertraline or Escitalopram). - In addition to medication, make lifestyle changes to improve your mood. Regular exercise helps. Try walking for atleast 20-30 mins daily. Talk to a trusted family member /friend about any ongoing difficulties. If feasible, consider CBT which will be helpful to manage and prevent relapse of depression & anxiety Hope this helps. Take care. |
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Hi doctor,I have social phobia. I have this problem from my childhood. Till now, I have not visited any doctor. I am explaining my common issues. Please go through it and please suggest me. I dislike being introduced to other people. I find hard to go outside. I cannot be confident in front of other people. I hesitate to go through crowds. I have a fear to go to parties. I have a fear to have eye contact. I cannot concentrate on my work. I find it hard to socialize with other people.I feel hard to talk in front of other people. I feel anxious when I go to social ceremonies or functions. I generally want to stay silent always. I have a fear to talk with others. It makes me depressed. I have a fear to give a speech in front of other people. My mind is going blank, and I am very nervous. Please give me useful advice.
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Hi. I have gone through your problem, and I can understand your concern. You have social phobia and anxiety disorder. You need to consult a psychiatrist soon as depression and avoidant personality disorder are difficult to differentiate from a social anxiety disorder. In social phobia, SSRI (selective serotonin reuptake inhibitor) and psychotherapy such as cognitive retraining, homework assignment, and desensitization are helpful. | Hi doctor,I have social phobia. I have this problem from my childhood. Till now, I have not visited any doctor. I am explaining my common issues. Please go through it and please suggest me. I dislike being introduced to other people. I find hard to go outside. I cannot be confident in front of other people. I hesitate to go through crowds. I have a fear to go to parties. I have a fear to have eye contact. I cannot concentrate on my work. I find it hard to socialize with other people.I feel hard to talk in front of other people. I feel anxious when I go to social ceremonies or functions. I generally want to stay silent always. I have a fear to talk with others. It makes me depressed. I have a fear to give a speech in front of other people. My mind is going blank, and I am very nervous. Please give me useful advice. | Hi. I have gone through your problem, and I can understand your concern. You have social phobia and anxiety disorder. You need to consult a psychiatrist soon as depression and avoidant personality disorder are difficult to differentiate from a social anxiety disorder. In social phobia, SSRI (selective serotonin reuptake inhibitor) and psychotherapy such as cognitive retraining, homework assignment, and desensitization are helpful. |
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Hello doctor,From your desk of concern, I want to ask some questions regarding my pregnancy. I have sex with my partner about five days ago. We did not use any precautions. Even though the penis is not properly ejected in my vagina but from how penetration was done and he discharge I feel some of the liquid go inside but as the penetration was not too much we have a doubt. We go by PT test on the fifth day in the evening and that was positive. But still we are confused. Kindly guide us on how to do further confirmation regarding pregnancy? But we do not want this fetus to develop in my uterus. Also, guide me about abortion.
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Hi. With unprotected sex pregnancy can happen. Pregnancy test does not come positive after five days of intercourse. You need to do one ultrasound for confirmation about pregnancy and how much growth is there and where is it growing. According to that, we will decide how to abort. But if the baby is live then every country has its own laws about abortion. So you have to consult nearby gynecologist or abortion center. And follow the proper guidelines according to the doctor and local laws for effective and safe abortion. Do not go here and there and put you in trouble legally also. And if you bleed more than there may be problem to your health and or life also. | Hello doctor,From your desk of concern, I want to ask some questions regarding my pregnancy. I have sex with my partner about five days ago. We did not use any precautions. Even though the penis is not properly ejected in my vagina but from how penetration was done and he discharge I feel some of the liquid go inside but as the penetration was not too much we have a doubt. We go by PT test on the fifth day in the evening and that was positive. But still we are confused. Kindly guide us on how to do further confirmation regarding pregnancy? But we do not want this fetus to develop in my uterus. Also, guide me about abortion. | Hi. With unprotected sex pregnancy can happen. Pregnancy test does not come positive after five days of intercourse. You need to do one ultrasound for confirmation about pregnancy and how much growth is there and where is it growing. According to that, we will decide how to abort. But if the baby is live then every country has its own laws about abortion. So you have to consult nearby gynecologist or abortion center. And follow the proper guidelines according to the doctor and local laws for effective and safe abortion. Do not go here and there and put you in trouble legally also. And if you bleed more than there may be problem to your health and or life also. |
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Hi doctor,I have queries regarding my mom\\s health. She is suffering from some abdominal issues. When she had a CT scan, they found an impression with the liver. I attached her report and please tell me if there is a serious issue. Yesterday she got admitted with intolerable abdominal pain. Her doctor asked us whether she had any injuries on that area. But she never had any injuries. They prescribed some medicine and asked her to take an injection for two days. She was discharged home in the evening and last night she got severe abdomen pain. She is worrying a lot and crying all the time. She is getting pain while she coughs. She is unable to sleep and has constipation. I totally rely on you to get suggestion.
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Hi. According to the CT scan report (attachment removed to protect patient identity), there are two problems. In the liver, there is hemangioma which is a benign tumor meaning it does not cause any harm. If it increases in size, then it is resected. The other problem is with the muscles of the abdominal wall in which a small amount of blood is accumulated which is causing pain. It can occur after some trauma or injury to the site. It will also resolve in a few days. So I think hopefully she will get fine in a few days. Take care. | Hi doctor,I have queries regarding my mom\\s health. She is suffering from some abdominal issues. When she had a CT scan, they found an impression with the liver. I attached her report and please tell me if there is a serious issue. Yesterday she got admitted with intolerable abdominal pain. Her doctor asked us whether she had any injuries on that area. But she never had any injuries. They prescribed some medicine and asked her to take an injection for two days. She was discharged home in the evening and last night she got severe abdomen pain. She is worrying a lot and crying all the time. She is getting pain while she coughs. She is unable to sleep and has constipation. I totally rely on you to get suggestion. | Hi. According to the CT scan report (attachment removed to protect patient identity), there are two problems. In the liver, there is hemangioma which is a benign tumor meaning it does not cause any harm. If it increases in size, then it is resected. The other problem is with the muscles of the abdominal wall in which a small amount of blood is accumulated which is causing pain. It can occur after some trauma or injury to the site. It will also resolve in a few days. So I think hopefully she will get fine in a few days. Take care. |
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Hello doctor,Yesterday during lunch, I ate drumstick leaves curry. Whenever I eat that, in an hour or two, I go to the toilet (little loose stools) two times. Is this normal? Yesterday I had the same, further after about 5 hours, I ate grapes. After an hour, I had to go to the toilet often (loose motion). Why does this happen? Did I eat anything in the wrong combination? I also get loose motion and stomach upset whenever I eat watermelon after food, especially it becomes severe and affects for two days. Am I sensitive to any such components? I understand that eating fruits after food can cause indigestion, but my friends seem to be not affected, even if they eat a lot of melon after lunch.
### Response:
Hello, Welcome to Chat Doctor forum. You seem to have allergy to some food products. You should do an allergy sensitivity test for food products and fruits. This test will tell you which food and fruits you are allergic to and you should avoid having those foods. What is your age? Did you have any fever or rash on your body? For now, try tablet Levocet (Levocetirizine) twice a day for 5 days. Also, take tablet Loperamide 2 mg twice a day for 5 days. Take care. | Hello doctor,Yesterday during lunch, I ate drumstick leaves curry. Whenever I eat that, in an hour or two, I go to the toilet (little loose stools) two times. Is this normal? Yesterday I had the same, further after about 5 hours, I ate grapes. After an hour, I had to go to the toilet often (loose motion). Why does this happen? Did I eat anything in the wrong combination? I also get loose motion and stomach upset whenever I eat watermelon after food, especially it becomes severe and affects for two days. Am I sensitive to any such components? I understand that eating fruits after food can cause indigestion, but my friends seem to be not affected, even if they eat a lot of melon after lunch. | Hello, Welcome to Chat Doctor forum. You seem to have allergy to some food products. You should do an allergy sensitivity test for food products and fruits. This test will tell you which food and fruits you are allergic to and you should avoid having those foods. What is your age? Did you have any fever or rash on your body? For now, try tablet Levocet (Levocetirizine) twice a day for 5 days. Also, take tablet Loperamide 2 mg twice a day for 5 days. Take care. |
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Hello doctor,For the past 8 days I am having mild palpitations both morning and evening. Since, eight years, I am taking tablet Metolar 50 mg for BP. I consulted my doctor, he asked me to get ECG, ECHO and also thyroid tests. I even got lipid profile, kidney and liver function tests done and all the tests came normal. Though, all my tests are normal, I still feel some discomfort. I am very much concerned. When I got a regular check up of my BP it was 130/70, pulse was 65, LDL was 103, HDL was 57 and triglycerides was 65. Now my doctor has asked me to take BP tablet regularly. Kindly advice. Thank you in advance.
### Response:
Hi. I have worked through your query and understand your health issues. I assure you not to worry. With all the normal laboratory reports (attachment removed to protect patient identity) palpitations in the morning and evenings may be due to anxiety. Anxiety is considered to be the biggest cause of palpitations. I suggest you to consult a cardiologist and get a complete physical examination done. He will insist you to take an EKG (electrocardiogram) and run few tests accordingly. Some of the causes of tachycardia and palpitations are | Hello doctor,For the past 8 days I am having mild palpitations both morning and evening. Since, eight years, I am taking tablet Metolar 50 mg for BP. I consulted my doctor, he asked me to get ECG, ECHO and also thyroid tests. I even got lipid profile, kidney and liver function tests done and all the tests came normal. Though, all my tests are normal, I still feel some discomfort. I am very much concerned. When I got a regular check up of my BP it was 130/70, pulse was 65, LDL was 103, HDL was 57 and triglycerides was 65. Now my doctor has asked me to take BP tablet regularly. Kindly advice. Thank you in advance. | Hi. I have worked through your query and understand your health issues. I assure you not to worry. With all the normal laboratory reports (attachment removed to protect patient identity) palpitations in the morning and evenings may be due to anxiety. Anxiety is considered to be the biggest cause of palpitations. I suggest you to consult a cardiologist and get a complete physical examination done. He will insist you to take an EKG (electrocardiogram) and run few tests accordingly. Some of the causes of tachycardia and palpitations are |
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Hello doctor,I am a 22-year-old healthy male. Yesterday I had my first panic attack and it was severe and lasted long. I have ended up in the emergency room. But they just gave me a Diazepam and I was feeling good again, but they never told me what triggered and I am curious. Last night I drank 110 mg of phosphate codeine (liquid) and drank one 600 ml beer and then smoked Marijuana. Once I get back home which was a couple of hours later, right after I smoked the panic attack started. But I am smoking for six years and just strong strains and concentrated and nothing ever happened before (yesterday I smoked a really non-potent one). My question is, is it possible that the weed is causing the panic attack or it was the codeine with beers? I really do not want that to happen again.
### Response:
Hello, Welcome to Chat Doctor forum. It could be a combination of Marijuana, codeine, and beer. Also, regular use of Marijuana will cause panic attacks. It is just that the effects of whatever is taken regularly and do not show up immediately. Only chronic use of either smoking, alcohol or other ChatDoctor. I would recommend that you at least try to reduce if not stop the quantity of the | Hello doctor,I am a 22-year-old healthy male. Yesterday I had my first panic attack and it was severe and lasted long. I have ended up in the emergency room. But they just gave me a Diazepam and I was feeling good again, but they never told me what triggered and I am curious. Last night I drank 110 mg of phosphate codeine (liquid) and drank one 600 ml beer and then smoked Marijuana. Once I get back home which was a couple of hours later, right after I smoked the panic attack started. But I am smoking for six years and just strong strains and concentrated and nothing ever happened before (yesterday I smoked a really non-potent one). My question is, is it possible that the weed is causing the panic attack or it was the codeine with beers? I really do not want that to happen again. | Hello, Welcome to Chat Doctor forum. It could be a combination of Marijuana, codeine, and beer. Also, regular use of Marijuana will cause panic attacks. It is just that the effects of whatever is taken regularly and do not show up immediately. Only chronic use of either smoking, alcohol or other ChatDoctor. I would recommend that you at least try to reduce if not stop the quantity of the |
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Hi. I am 20 years old, and a student. I am currently having obsessive thoughts and I find it hard to control the thoughts. I have fears and getting anxious that something might happen to me yet, I am trying to convince myself to not to. But then again, i\\ve been seeking for help from psychiatrists that offer free consultations because, as I said I am just a student wanting to know more about my condition. I hope someone could help me.I have ear problems and mitral valve prolapse. I for now, have medical prescriptions for mitral valve prolapse and haven\\t checked up for this ear problems of mine. I am currently taking Propanolol.
### Response:
hello, I can understand that you are suffering from obsessive compulsive disorder and having distressing obsessive thoughts. OCD is quite resistant illness which involve serotonin a kind of chemical in the brain. we generally prescribe antidepressants to increase level of serotonin in the brain. antidepressant require in higher amount because you know oCD symptoms are very resistant more than depression. there is also a talk therapy which is called as exposure and response prevention it\\s a kind of cognitive behaviour therapy . I would suggest you to visit your psychiatrist again and ask for this talk therapy. this will definitely help you hope my answer help you thank you kind regards feel free to ask further | Hi. I am 20 years old, and a student. I am currently having obsessive thoughts and I find it hard to control the thoughts. I have fears and getting anxious that something might happen to me yet, I am trying to convince myself to not to. But then again, i\\ve been seeking for help from psychiatrists that offer free consultations because, as I said I am just a student wanting to know more about my condition. I hope someone could help me.I have ear problems and mitral valve prolapse. I for now, have medical prescriptions for mitral valve prolapse and haven\\t checked up for this ear problems of mine. I am currently taking Propanolol. | hello, I can understand that you are suffering from obsessive compulsive disorder and having distressing obsessive thoughts. OCD is quite resistant illness which involve serotonin a kind of chemical in the brain. we generally prescribe antidepressants to increase level of serotonin in the brain. antidepressant require in higher amount because you know oCD symptoms are very resistant more than depression. there is also a talk therapy which is called as exposure and response prevention it\\s a kind of cognitive behaviour therapy . I would suggest you to visit your psychiatrist again and ask for this talk therapy. this will definitely help you hope my answer help you thank you kind regards feel free to ask further |
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Hi doctor,I am 24 years old male. I have a habit of masturbation for about nine years. Now, it became a habit in me. I have started doing it compulsively for about five to six years. I masturbate as frequently as thrice a day every day. Now, my head is programmed to wank at any time when I am alone. I feel exhausted, and I want to stop the habit or to minimize the frequency of doing it. How can I do it? Please advice.
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Hi. I can understand your concern and masturbation is a safe habit. It does not result in weakness or physical fatigue. But excessive masturbation results in significant loss of time that is spent on sports or in studies. This progressively results in poor health and poor performance in academics. There is no need to stop it completely, but you should reduce the frequency. There is no medicine available to help you. You have to reduce the frequency gradually. First of all, stop watching or reading porn materials. Try to masturbate by fantasies, and it helps to reduce the severity. When you stop watching porn entirely, you can reduce the frequency to two and then to one. Try to keep yourself busy and take part in outdoor sports. Keeping yourself busy will help to reduce your habit. Take care. | Hi doctor,I am 24 years old male. I have a habit of masturbation for about nine years. Now, it became a habit in me. I have started doing it compulsively for about five to six years. I masturbate as frequently as thrice a day every day. Now, my head is programmed to wank at any time when I am alone. I feel exhausted, and I want to stop the habit or to minimize the frequency of doing it. How can I do it? Please advice. | Hi. I can understand your concern and masturbation is a safe habit. It does not result in weakness or physical fatigue. But excessive masturbation results in significant loss of time that is spent on sports or in studies. This progressively results in poor health and poor performance in academics. There is no need to stop it completely, but you should reduce the frequency. There is no medicine available to help you. You have to reduce the frequency gradually. First of all, stop watching or reading porn materials. Try to masturbate by fantasies, and it helps to reduce the severity. When you stop watching porn entirely, you can reduce the frequency to two and then to one. Try to keep yourself busy and take part in outdoor sports. Keeping yourself busy will help to reduce your habit. Take care. |
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Hello Doctor,We (me and my fiancee) had unprotected sex on the 11th day of the month (mensuration). I am very sure I did not eject that day. But for safety within 24 hours, she had taken Unwanted 72. Now after 13 days of it, before 1 to 3 days of expected periods. She got bleeding for a full day and continued the next day as well. Blood is of red and brown color.1. Can you please help me? Is it implantation bleeding or withdrawal bleeding?2. When did she get her periods?3. When we will surely come to know there is no pregnancy?4. When to use a pregnancy test?
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Hello, Welcome to Chat Doctor forum. It is likely that she has got her with ChatDoctor. This can be confirmed by getting a serum beta hCG test (human chorionic gonadotrophin test) done which can conclusively rule out pregnancy as well, earliest by 10 days post intercourse. If the hCG levels are less than 3mIU then she is surely not pregnant and the bleed is not an implantation bleed(as it is always a retrospective diagnosis). She would get her menses now only after a month counting from the day of the start of the with | Hello Doctor,We (me and my fiancee) had unprotected sex on the 11th day of the month (mensuration). I am very sure I did not eject that day. But for safety within 24 hours, she had taken Unwanted 72. Now after 13 days of it, before 1 to 3 days of expected periods. She got bleeding for a full day and continued the next day as well. Blood is of red and brown color.1. Can you please help me? Is it implantation bleeding or withdrawal bleeding?2. When did she get her periods?3. When we will surely come to know there is no pregnancy?4. When to use a pregnancy test? | Hello, Welcome to Chat Doctor forum. It is likely that she has got her with ChatDoctor. This can be confirmed by getting a serum beta hCG test (human chorionic gonadotrophin test) done which can conclusively rule out pregnancy as well, earliest by 10 days post intercourse. If the hCG levels are less than 3mIU then she is surely not pregnant and the bleed is not an implantation bleed(as it is always a retrospective diagnosis). She would get her menses now only after a month counting from the day of the start of the with |
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Hi doctor,I have a 3-year-old son. He has mild puffy upper eyes often. It seems to show variations in both the eyes, occurring in one or other day. On one day, it is not puffy. I can see his eyelids looking good. On the other day, it seems puffy involving one or both eyelids which are covered by the skin above them.He usually wakes up with puffy eyes, and it remains throughout the day. Then the next morning, when he wakes up, they will look good. It happens like this, again and again, a couple of times in a week. He does not have itching in his eyes. What could be the cause for it?
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Hi, Welcome to Chat Doctor forum. I have gone through your query (attachment removed to protect patient identity). I feel that your son is suffering from blepharochalasis. It is a recurrent swelling of the lids which subsides on its own. But in some cases, it may cause ChatDoctor. However, there are no trusted tests to confirm the diagnosis or any other effective treatment for the disease. Consult an Ophthalmologist to be on the safer side. It can be done at your convenience, and it is not an emergency. My advice is to see an Ophthalmologist in case of | Hi doctor,I have a 3-year-old son. He has mild puffy upper eyes often. It seems to show variations in both the eyes, occurring in one or other day. On one day, it is not puffy. I can see his eyelids looking good. On the other day, it seems puffy involving one or both eyelids which are covered by the skin above them.He usually wakes up with puffy eyes, and it remains throughout the day. Then the next morning, when he wakes up, they will look good. It happens like this, again and again, a couple of times in a week. He does not have itching in his eyes. What could be the cause for it? | Hi, Welcome to Chat Doctor forum. I have gone through your query (attachment removed to protect patient identity). I feel that your son is suffering from blepharochalasis. It is a recurrent swelling of the lids which subsides on its own. But in some cases, it may cause ChatDoctor. However, there are no trusted tests to confirm the diagnosis or any other effective treatment for the disease. Consult an Ophthalmologist to be on the safer side. It can be done at your convenience, and it is not an emergency. My advice is to see an Ophthalmologist in case of |
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Hello doctor,I got a sedative filling done after a filling that was done a week ago became very painful. A day after the sedative filling, I am still experiencing a lot of pain. Is this normal? When should I consider going back to the dentist?
### Response:
Hello. I have gone through your issue. Since you have pain after sedative/temporary filling, this indicates the tooth is either non-vital or the cavity has reached the pulp (blood supply of tooth). So, kindly visit the dentist, take an X-ray (intraoral periapical radiograph) of the tooth. Get the filling removed and get root canal treatment done. You can take antibiotics too based on the X-ray and clinical findings, which will be prescribed by your dentist. Once the canals are exposed and the compression from the filling is removed, the pain will be relieved. If you have an X-ray, send that along with a photo of the tooth to guide you better. Also, we need to check whether the pain is from somewhere else or due to food lodgement between teeth or gum pain and treatment will vary accordingly. If the cause is that filled tooth, then removal of filling and root canal treatment will help. Do not worry, you will be fine. Take care. For more information consult a dentist online | Hello doctor,I got a sedative filling done after a filling that was done a week ago became very painful. A day after the sedative filling, I am still experiencing a lot of pain. Is this normal? When should I consider going back to the dentist? | Hello. I have gone through your issue. Since you have pain after sedative/temporary filling, this indicates the tooth is either non-vital or the cavity has reached the pulp (blood supply of tooth). So, kindly visit the dentist, take an X-ray (intraoral periapical radiograph) of the tooth. Get the filling removed and get root canal treatment done. You can take antibiotics too based on the X-ray and clinical findings, which will be prescribed by your dentist. Once the canals are exposed and the compression from the filling is removed, the pain will be relieved. If you have an X-ray, send that along with a photo of the tooth to guide you better. Also, we need to check whether the pain is from somewhere else or due to food lodgement between teeth or gum pain and treatment will vary accordingly. If the cause is that filled tooth, then removal of filling and root canal treatment will help. Do not worry, you will be fine. Take care. For more information consult a dentist online |
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Hello doctor,I am 50 years with PAF. My first A-Fib was five years ago. I converted on my own. It went away for five years and in the year end, I started a keto diet and went into A-Fib twice and converted on my own. Started keto again and went into A-fib twice again and converted on my own. My cardiologist has me on 50 mg Flecainide twice a day. I am also on Prozac 20 mg and Trazadone 400 mg. I am concerned about developing Prolonged QT, and I am not sure if Flecainide is really necessary? I am worried about what Flecainide will do to my heart. I have a healthy heart otherwise. 60 resting heart rate and 95/70 BP.
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Hello, Welcome to Chat Doctor forum. I passed carefully through your medical history and would like to explain that you are right when you worry about your current medications. Both Prozac and Flecainide increase QTc interval and may predispose for arrhythmia. I would recommend stop continuing their concomitant use. Probably it would be better to start with ChatDoctor. But if it is not possible for the moment, you should discuss with your attending doctor to keep the most indispensable | Hello doctor,I am 50 years with PAF. My first A-Fib was five years ago. I converted on my own. It went away for five years and in the year end, I started a keto diet and went into A-Fib twice and converted on my own. Started keto again and went into A-fib twice again and converted on my own. My cardiologist has me on 50 mg Flecainide twice a day. I am also on Prozac 20 mg and Trazadone 400 mg. I am concerned about developing Prolonged QT, and I am not sure if Flecainide is really necessary? I am worried about what Flecainide will do to my heart. I have a healthy heart otherwise. 60 resting heart rate and 95/70 BP. | Hello, Welcome to Chat Doctor forum. I passed carefully through your medical history and would like to explain that you are right when you worry about your current medications. Both Prozac and Flecainide increase QTc interval and may predispose for arrhythmia. I would recommend stop continuing their concomitant use. Probably it would be better to start with ChatDoctor. But if it is not possible for the moment, you should discuss with your attending doctor to keep the most indispensable |
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Hello doctor,I had two miscarriages one was in the fourth week. While taking the scan, the sac was not found and two-week delay in growth. Another one for almost seven weeks and two-week growth delay. Now I am pregnant after six months of the second miscarriage. Now I am in my third week.My doctor advised to take injections for Progestogen and Aspirin, and one more substance was there, and I do not remember the name. I need to take the injection every day until the fifth month of pregnancy.In the second pregnancy till sixth-week heartbeat was everything was fine. After the second miscarriage, I had a delay in my periods and took a scan at 12 days of my period, and my dominant follicle was smaller when compared to regular size 11.58. I would like to here second opinion for this. So please advice.
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Hello, Welcome to Chat Doctor forum. Probably the name of the third injection would be Heparin (blood thinning agent). Your doctor is right as antiphospholipid antibody syn ChatDoctor. And there is no harm in taking these medicine in accordance to doctor advice. And it will be helpful for your pregnancy. Hope it has helped you. If you require any further queries, please do not hesitate to contact me. | Hello doctor,I had two miscarriages one was in the fourth week. While taking the scan, the sac was not found and two-week delay in growth. Another one for almost seven weeks and two-week growth delay. Now I am pregnant after six months of the second miscarriage. Now I am in my third week.My doctor advised to take injections for Progestogen and Aspirin, and one more substance was there, and I do not remember the name. I need to take the injection every day until the fifth month of pregnancy.In the second pregnancy till sixth-week heartbeat was everything was fine. After the second miscarriage, I had a delay in my periods and took a scan at 12 days of my period, and my dominant follicle was smaller when compared to regular size 11.58. I would like to here second opinion for this. So please advice. | Hello, Welcome to Chat Doctor forum. Probably the name of the third injection would be Heparin (blood thinning agent). Your doctor is right as antiphospholipid antibody syn ChatDoctor. And there is no harm in taking these medicine in accordance to doctor advice. And it will be helpful for your pregnancy. Hope it has helped you. If you require any further queries, please do not hesitate to contact me. |
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Hi doctor,I have a question regarding a mole. I just had my hair cut and noticed a mole on the back of my neck near my scalp. I might have had it for a while and did not know about it. Most of my moles are brown and auburn. But, this one is pink. I am wondering whether this is normal. My concern is about nodular melanoma, but my understanding is that the nodular melanomas are typically under the skin and then grow out. This one is on the top of the skin, almost like a skin tag that you could pick off. But, I think it is a mole and not a tag. It does not feel like a firm nodule under the skin. It is soft and mobile. Please help.
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Hello. From the picture (attachment removed to protect patient identity), it does not look cancerous. Yes, it has a skin tag type appearance. But, I can give you a confirmatory answer that it is not melanoma because only skin biopsy is the tool which can give you a definite diagnosis. If you notice that it is increasing in size, changing in shape and color, then you have to go to the local dermatologist for further evaluation. Otherwise, at present leave it like this and wait for three to four months for further changes. Take care. | Hi doctor,I have a question regarding a mole. I just had my hair cut and noticed a mole on the back of my neck near my scalp. I might have had it for a while and did not know about it. Most of my moles are brown and auburn. But, this one is pink. I am wondering whether this is normal. My concern is about nodular melanoma, but my understanding is that the nodular melanomas are typically under the skin and then grow out. This one is on the top of the skin, almost like a skin tag that you could pick off. But, I think it is a mole and not a tag. It does not feel like a firm nodule under the skin. It is soft and mobile. Please help. | Hello. From the picture (attachment removed to protect patient identity), it does not look cancerous. Yes, it has a skin tag type appearance. But, I can give you a confirmatory answer that it is not melanoma because only skin biopsy is the tool which can give you a definite diagnosis. If you notice that it is increasing in size, changing in shape and color, then you have to go to the local dermatologist for further evaluation. Otherwise, at present leave it like this and wait for three to four months for further changes. Take care. |
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Hi doctor,I am 23 years old and slim female. Three years back, I had been diagnosed with PCOS, mild stage as doctor said. I had Hyponidd tablets for one year or more. After that my periods were regular. I got married two years back and I am not on any regular medication from that time. Now, I am trying to conceive. It is seven days since I missed my period. Today, I got my pregnancy test result as negative. What shall I do? Should I wait for another week to test again? Is it PCOS shooting again? Will I have to get treatment for conception? Can PCOS be cured? Please help.
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Hello. If you have taken the urine pregnancy test after seven days of missed periods, then the results are usually conclusive. You may repeat the test after 48 hours and if it is still negative then you are not pregnant. The delay can possibly be due to stress induced hormonal imbalance, especially during this cycle due to stressors which can easily delay your menses. If your menses do not arrive naturally in next one week, then you may opt for a with ChatDoctor. A single delayed period is not an indication for infertility workup. Repeat the tests and consult an obstetrician and gynaecologist online Take care. | Hi doctor,I am 23 years old and slim female. Three years back, I had been diagnosed with PCOS, mild stage as doctor said. I had Hyponidd tablets for one year or more. After that my periods were regular. I got married two years back and I am not on any regular medication from that time. Now, I am trying to conceive. It is seven days since I missed my period. Today, I got my pregnancy test result as negative. What shall I do? Should I wait for another week to test again? Is it PCOS shooting again? Will I have to get treatment for conception? Can PCOS be cured? Please help. | Hello. If you have taken the urine pregnancy test after seven days of missed periods, then the results are usually conclusive. You may repeat the test after 48 hours and if it is still negative then you are not pregnant. The delay can possibly be due to stress induced hormonal imbalance, especially during this cycle due to stressors which can easily delay your menses. If your menses do not arrive naturally in next one week, then you may opt for a with ChatDoctor. A single delayed period is not an indication for infertility workup. Repeat the tests and consult an obstetrician and gynaecologist online Take care. |
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Hello doctor,I have an odd thing happening in my left eye. I see a flash of light when I look right to left in the left side of my eye. It is a curve from top to bottom. It happens in daylight, nighttime, and even in the dark with my eyes closed. I move my pupil left to right and see a bright arc of light. I cannot make it stay there, it just flashes as I move my eye balls left to right. Any ideas?
### Response:
Hello. This occurrence of flashes of light can be due to various causes. The first and the most probable cause could be posterior vitreous detachment, this is a benign condition not requiring any treatment. Here, you may experience some floaters but no reduction in vision or nonseeing areas in your visual field. The most important to rule out here would be the second condition, retinal detachment. Here, although you do experience floaters just like in posterior vitreous detachment, the floaters are more numerous and keep increasing with time. You will also have a reduction in vision with nonseeing areas in your visual field. This often needs to be treated surgically. I recommend you to visit an ophthalmologist. In case there is no reduction of vision or increase in floaters, I would not say that it is not urgent. Take care. | Hello doctor,I have an odd thing happening in my left eye. I see a flash of light when I look right to left in the left side of my eye. It is a curve from top to bottom. It happens in daylight, nighttime, and even in the dark with my eyes closed. I move my pupil left to right and see a bright arc of light. I cannot make it stay there, it just flashes as I move my eye balls left to right. Any ideas? | Hello. This occurrence of flashes of light can be due to various causes. The first and the most probable cause could be posterior vitreous detachment, this is a benign condition not requiring any treatment. Here, you may experience some floaters but no reduction in vision or nonseeing areas in your visual field. The most important to rule out here would be the second condition, retinal detachment. Here, although you do experience floaters just like in posterior vitreous detachment, the floaters are more numerous and keep increasing with time. You will also have a reduction in vision with nonseeing areas in your visual field. This often needs to be treated surgically. I recommend you to visit an ophthalmologist. In case there is no reduction of vision or increase in floaters, I would not say that it is not urgent. Take care. |
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Hello doctor,My wife aged 72, weight 65 kg, is a diabetic type 2 for the past six years, hypertensive for the past two years, is suffering from moderate tricuspid regurgitation, aortic valve sclerosis, and pulmonary hypertension for the past two years. Her systolic function is good and there is no diastolic dysfunction.No drugs are prescribed for AS or TR. For hypertension, she was prescribed Telmisartan 40 one tablet per day with which her BP is about 145-150/90-85. Diabetes is under control. Other parameters are normal. Whether the present medication is adequate or she needs further medication such as Tadalafil to treat PAH. Any medication for TR? Please advise.
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Hi, Welcome to Chat Doctor forum. On the face of diabetes and hypertension with raised cholesterol and LDL, I suggest you add tablet Rosuvas (Rosuvastatin) one tablet daily after dinner. Consult your doctor. I think the dose of anti-diabetes medicine could be adjusted to reduce his blood sugar level to reduce further to near the desired level along with BP medicine dose to adjust to achieve BP around 130/80. Regarding PAH and other valvular diseases, your Cardiologists will decide after going through different parameters. | Hello doctor,My wife aged 72, weight 65 kg, is a diabetic type 2 for the past six years, hypertensive for the past two years, is suffering from moderate tricuspid regurgitation, aortic valve sclerosis, and pulmonary hypertension for the past two years. Her systolic function is good and there is no diastolic dysfunction.No drugs are prescribed for AS or TR. For hypertension, she was prescribed Telmisartan 40 one tablet per day with which her BP is about 145-150/90-85. Diabetes is under control. Other parameters are normal. Whether the present medication is adequate or she needs further medication such as Tadalafil to treat PAH. Any medication for TR? Please advise. | Hi, Welcome to Chat Doctor forum. On the face of diabetes and hypertension with raised cholesterol and LDL, I suggest you add tablet Rosuvas (Rosuvastatin) one tablet daily after dinner. Consult your doctor. I think the dose of anti-diabetes medicine could be adjusted to reduce his blood sugar level to reduce further to near the desired level along with BP medicine dose to adjust to achieve BP around 130/80. Regarding PAH and other valvular diseases, your Cardiologists will decide after going through different parameters. |
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Hello doctor,I dislocated my right ankle before 14 years and had an operation after one year. Ever since then I have a sheer sharp pain go up to my Achilles tendon lasting for 20 seconds. What causes it? Recently, it is getting worse and swelling has formed around the tendon and there is pain around the heel and tendon. I am having pain around the ankle joint as well. Sometimes, I cannot walk on it. It sometimes gets cold then, very warm with a tingling sensation. What could it be?
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Hello. You appear to be suffering from Haglund deformity, which is otherwise called Achillestendo insertional tendonitis. It happens from overuse and consists of inflammation and swelling of the Achilles insertion. It is not related to your ankle injury earlier. Treatment usually is pain killers, anti-inflammatory, cold compresses, stretching exercises and sometimes use of a small heel in your shoe to relax. Your ankle pain is possibly due to arthritis resulting from the injury. The treatment depends on the age and the severity of the injury. If you are having pain in the front of the ankle, first you need to get an x-ray to study your ankle. Further treatment depends on the radiological findings and the severity of arthritis. Let me know when you get an x-ray done. | Hello doctor,I dislocated my right ankle before 14 years and had an operation after one year. Ever since then I have a sheer sharp pain go up to my Achilles tendon lasting for 20 seconds. What causes it? Recently, it is getting worse and swelling has formed around the tendon and there is pain around the heel and tendon. I am having pain around the ankle joint as well. Sometimes, I cannot walk on it. It sometimes gets cold then, very warm with a tingling sensation. What could it be? | Hello. You appear to be suffering from Haglund deformity, which is otherwise called Achillestendo insertional tendonitis. It happens from overuse and consists of inflammation and swelling of the Achilles insertion. It is not related to your ankle injury earlier. Treatment usually is pain killers, anti-inflammatory, cold compresses, stretching exercises and sometimes use of a small heel in your shoe to relax. Your ankle pain is possibly due to arthritis resulting from the injury. The treatment depends on the age and the severity of the injury. If you are having pain in the front of the ankle, first you need to get an x-ray to study your ankle. Further treatment depends on the radiological findings and the severity of arthritis. Let me know when you get an x-ray done. |
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Hello doctor,I have a question about HPV. I am a 28-year-old male with one genital wart and I wanted to know if this is for life? Will this keep coming back every so often? What are the best ways to get rid of the wart and a way to prevent them from coming back? I also read that the immune system plays a big part in clearing the virus. I was thinking about taking medical mushrooms and Inosine Pranabox for immune boosting.
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Hi, Welcome to Chat Doctor forum. Warts are treatable. Kindly always attach the picture of the lesion for reference. It is not necessary that warts come and go. Once you are treated properly it does not mean you have to suffer from it again and again. It is human papilloma viral infection. This virus has 150 types because our immunity has to fight with this. That is why it is very important that our immune system should be healthy. The best treatment for genital wart is cryotherapy. Other can be CO2 laser. Sometimes a small wart can shed off itself but that depends upon the type of the wart. To boost your immunity you can use Zinc preparation. It has a role in preventing further warts. Genital wart. Cryotherapy for wart. Use Zinc preparation to prevent it. | Hello doctor,I have a question about HPV. I am a 28-year-old male with one genital wart and I wanted to know if this is for life? Will this keep coming back every so often? What are the best ways to get rid of the wart and a way to prevent them from coming back? I also read that the immune system plays a big part in clearing the virus. I was thinking about taking medical mushrooms and Inosine Pranabox for immune boosting. | Hi, Welcome to Chat Doctor forum. Warts are treatable. Kindly always attach the picture of the lesion for reference. It is not necessary that warts come and go. Once you are treated properly it does not mean you have to suffer from it again and again. It is human papilloma viral infection. This virus has 150 types because our immunity has to fight with this. That is why it is very important that our immune system should be healthy. The best treatment for genital wart is cryotherapy. Other can be CO2 laser. Sometimes a small wart can shed off itself but that depends upon the type of the wart. To boost your immunity you can use Zinc preparation. It has a role in preventing further warts. Genital wart. Cryotherapy for wart. Use Zinc preparation to prevent it. |
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Hi doctor,A few days ago I was diagnosed with UTI infection. I was put on antibiotics, and the ER doctor sent my urine for a culture. My doctor told me that Klebsiella pneumoniae is present in my urine culture and referred me to a specialist. What does it mean? I am 23 years old and sexually active. Will this bacteria cause harm? This year I have had about four UTIs, which is not normal for me. I am done taking the course of antibiotics. I was given a five-day course. Could this be because the antibiotics are not treating it? Is this curable? Is it contagious? Should I stay away from sexual activity? I am trying to get pregnant. Please help.
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Hi. UTI - urinary tract infection caused by Klebsiella takes longer to get treated. But, once cleared it should not come back. Recurrent UTI could be due to kidney stones, diabetes, dehy ChatDoctor. I would suggest you carry out ultrasound examination of your abdomen to rule out upper UTI, fasting blood glucose levels to rule out diabetes and carry out culture sensitivity of the organism. Antibiotics will surely clear your infection. It is not contagious but can occur in the sexually active individual due to more chances of mucosal injury. I would advise you take a good quantity of water | Hi doctor,A few days ago I was diagnosed with UTI infection. I was put on antibiotics, and the ER doctor sent my urine for a culture. My doctor told me that Klebsiella pneumoniae is present in my urine culture and referred me to a specialist. What does it mean? I am 23 years old and sexually active. Will this bacteria cause harm? This year I have had about four UTIs, which is not normal for me. I am done taking the course of antibiotics. I was given a five-day course. Could this be because the antibiotics are not treating it? Is this curable? Is it contagious? Should I stay away from sexual activity? I am trying to get pregnant. Please help. | Hi. UTI - urinary tract infection caused by Klebsiella takes longer to get treated. But, once cleared it should not come back. Recurrent UTI could be due to kidney stones, diabetes, dehy ChatDoctor. I would suggest you carry out ultrasound examination of your abdomen to rule out upper UTI, fasting blood glucose levels to rule out diabetes and carry out culture sensitivity of the organism. Antibiotics will surely clear your infection. It is not contagious but can occur in the sexually active individual due to more chances of mucosal injury. I would advise you take a good quantity of water |
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Hi doctor,I am 46 years old. I am diabetic, and I have a high blood sugar level of 200 mg/dL. I also have a hernia problem. Currently, I am taking allopathic medicines, Glimepiride and Metformin. Please suggest.
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Hi. If your blood sugar level is above 200 mg/dL, you may need a change in the dosage of your medication. You might need to increase the dosage of the existing medication, or you may require a new medication. You have not mentioned the exact dosage of Metformin and Glimepiride that you are currently taking. The medication and the dosage are decided by the doctor based on various factors like age, weight, previous medical history, duration of diabetes, other medical conditions, other medications and the condition of your vital organs. It may not be ideal to give you a prescription without doing a clinical examination and evaluation of laboratory parameters. Hence I suggest you meet your diabetologist for proper clinical assessment. For the hernia issue, it is essential to understand the stage of the disease. It helps to determine whether it needs conservative treatment or whether there is a need for surgery. It can be decided only by a qualified surgeon after a detailed clinical examination, and it involves various steps. Take care. | Hi doctor,I am 46 years old. I am diabetic, and I have a high blood sugar level of 200 mg/dL. I also have a hernia problem. Currently, I am taking allopathic medicines, Glimepiride and Metformin. Please suggest. | Hi. If your blood sugar level is above 200 mg/dL, you may need a change in the dosage of your medication. You might need to increase the dosage of the existing medication, or you may require a new medication. You have not mentioned the exact dosage of Metformin and Glimepiride that you are currently taking. The medication and the dosage are decided by the doctor based on various factors like age, weight, previous medical history, duration of diabetes, other medical conditions, other medications and the condition of your vital organs. It may not be ideal to give you a prescription without doing a clinical examination and evaluation of laboratory parameters. Hence I suggest you meet your diabetologist for proper clinical assessment. For the hernia issue, it is essential to understand the stage of the disease. It helps to determine whether it needs conservative treatment or whether there is a need for surgery. It can be decided only by a qualified surgeon after a detailed clinical examination, and it involves various steps. Take care. |
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Hi doctor,My son is 15 years and medium built. He recently has some concentration problem. What homeopathy medicine can I give him? Please suggest the recommended dose. Thanks.
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Hi. It is essential to understand the cause of a concentration problem. Based on the limited information provided here I can think of a few remedies. If your son has taken too much stress of his studies and due to which he is not able to perform well or unable to concentrate, then you can give him Kali Phos 6x two tablets twice a day for 15 days. If Kali Phos 6x is not available, then get Phos 30c three pills once a day in the evening for seven days. You can give him Five Phos 6x if he is generally not able to concentrate and the cause is not known. Five Phos 6x two tablets can be given twice a day for 15 days. I would suggest you seek help from professional homeopath either face to face or online consultation on ChatDoctor. It is very important to understand the details of his problem to prescribe any homeopathic remedy correctly. I hope he will feel better with this remedy. Let me know if you have any questions or else report back in 15 days. Take care. | Hi doctor,My son is 15 years and medium built. He recently has some concentration problem. What homeopathy medicine can I give him? Please suggest the recommended dose. Thanks. | Hi. It is essential to understand the cause of a concentration problem. Based on the limited information provided here I can think of a few remedies. If your son has taken too much stress of his studies and due to which he is not able to perform well or unable to concentrate, then you can give him Kali Phos 6x two tablets twice a day for 15 days. If Kali Phos 6x is not available, then get Phos 30c three pills once a day in the evening for seven days. You can give him Five Phos 6x if he is generally not able to concentrate and the cause is not known. Five Phos 6x two tablets can be given twice a day for 15 days. I would suggest you seek help from professional homeopath either face to face or online consultation on ChatDoctor. It is very important to understand the details of his problem to prescribe any homeopathic remedy correctly. I hope he will feel better with this remedy. Let me know if you have any questions or else report back in 15 days. Take care. |
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Hi doctor,I have severe ankylosing spondylitis since 19 years. I am a 28 year old male, married and would like to have a baby now. I am taking Indomethacin 75 mg and Omeprazole twice a day. My left hip is completely fused, but I have no pain. There is pain in right hip and lower back. Please let me know, can I have a healthy baby. What should we do to get healthy, fit and fine baby? I do not want baby to be defective. Kindly give me suggestions to improve my health. My wife is completely fine and healthy. I have attached my Hb, CRP and ESR reports. Please guide me.
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Hi, Welcome to Chat Doctor forum. Do not worry about your condition and your future baby. You are fine and your baby will also be fine, as genetic transmission is rare in this case. Again you should change the painkiller if you are not responding to it. You can start tablet Rofecoxib 50 mg daily for five days and let me know the condition of your pain. Apply Dolopar gel (Diclofenac) topically. Go for active physiotherapy exercises. Take a capsule Nutrolin B plus (multivitamin) daily for 15 days. | Hi doctor,I have severe ankylosing spondylitis since 19 years. I am a 28 year old male, married and would like to have a baby now. I am taking Indomethacin 75 mg and Omeprazole twice a day. My left hip is completely fused, but I have no pain. There is pain in right hip and lower back. Please let me know, can I have a healthy baby. What should we do to get healthy, fit and fine baby? I do not want baby to be defective. Kindly give me suggestions to improve my health. My wife is completely fine and healthy. I have attached my Hb, CRP and ESR reports. Please guide me. | Hi, Welcome to Chat Doctor forum. Do not worry about your condition and your future baby. You are fine and your baby will also be fine, as genetic transmission is rare in this case. Again you should change the painkiller if you are not responding to it. You can start tablet Rofecoxib 50 mg daily for five days and let me know the condition of your pain. Apply Dolopar gel (Diclofenac) topically. Go for active physiotherapy exercises. Take a capsule Nutrolin B plus (multivitamin) daily for 15 days. |
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Dear doctor,I am having pain above my right hip. It feels a little swollen and a little pain in my lower back above the right hip. I can feel the pain more when taking a breath. My lower back feels like it is burning. Give me any advice.
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Hi, Welcome to Chat Doctor forum. I have studied your case. As per your history, there can be hip arthritis which can be degenerative or due to avascular necrosis of femoral head (AVN). I will advise you to take an x-ray of hip again and you can consult me with the reports or with your doctor. After clinical examination, if AVN (avascular necrosis) is suspected, then you will need MRI. Till that time, you can take analgesic and cartilage protecting medication like Glucosamine sulfate. For hip arthritis, joint flexion, extension and rotation exercises will help. If required intra-articular injection can be given. Diet rich in calcium and protein will help. If the pain is in pelvis then, ultrasonography or MRI spine may be required. Hope this answers your query. If you have additional questions or follow up queries, please do not hesitate in writing to us. I will be happy to answer your queries. An expert physiotherapist online will help you better to learn more exercises in proper protocol | Dear doctor,I am having pain above my right hip. It feels a little swollen and a little pain in my lower back above the right hip. I can feel the pain more when taking a breath. My lower back feels like it is burning. Give me any advice. | Hi, Welcome to Chat Doctor forum. I have studied your case. As per your history, there can be hip arthritis which can be degenerative or due to avascular necrosis of femoral head (AVN). I will advise you to take an x-ray of hip again and you can consult me with the reports or with your doctor. After clinical examination, if AVN (avascular necrosis) is suspected, then you will need MRI. Till that time, you can take analgesic and cartilage protecting medication like Glucosamine sulfate. For hip arthritis, joint flexion, extension and rotation exercises will help. If required intra-articular injection can be given. Diet rich in calcium and protein will help. If the pain is in pelvis then, ultrasonography or MRI spine may be required. Hope this answers your query. If you have additional questions or follow up queries, please do not hesitate in writing to us. I will be happy to answer your queries. An expert physiotherapist online will help you better to learn more exercises in proper protocol |
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Hi doctor,I have been suffering from the derealization symptoms for the past 5 years. I believe they were caused by B12 shots I was taking to treat autism. After my brain scan I got to know that my inhibition was too high. I do not find any safety net to keep my mind from deconstructing things. A part of me have a dislike for anything involving neuroplasticity. There are too much dichromatic thinking and lack of magical thinking. Currently, I am on Adderall and Prozac.
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Hi. I read your query and understand your concerns. I am sorry to know that you are suffering with multiple problems related to thinking and inhibition. Before saying anything I must assure you that vitamin B12 is not known to cause any of the mentioned symptoms and we need to find out the alternative reason for causation of these symptoms. They can be due to autism itself or may be due to other psychopathology that has been arising due to autism. It is also possible that you are excessively sensitive to minor changes in thinking process. Before we make final decision, I would request you to post follow up query with the following details. I will be glad to assist you in recovering from all kind of problems related to mental health. Revert back with the information requested above to a neurologist online | Hi doctor,I have been suffering from the derealization symptoms for the past 5 years. I believe they were caused by B12 shots I was taking to treat autism. After my brain scan I got to know that my inhibition was too high. I do not find any safety net to keep my mind from deconstructing things. A part of me have a dislike for anything involving neuroplasticity. There are too much dichromatic thinking and lack of magical thinking. Currently, I am on Adderall and Prozac. | Hi. I read your query and understand your concerns. I am sorry to know that you are suffering with multiple problems related to thinking and inhibition. Before saying anything I must assure you that vitamin B12 is not known to cause any of the mentioned symptoms and we need to find out the alternative reason for causation of these symptoms. They can be due to autism itself or may be due to other psychopathology that has been arising due to autism. It is also possible that you are excessively sensitive to minor changes in thinking process. Before we make final decision, I would request you to post follow up query with the following details. I will be glad to assist you in recovering from all kind of problems related to mental health. Revert back with the information requested above to a neurologist online |
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Hello doctor,I had chest pain very lightly in different areas of the chest. The pain was not continuous but occurs only sometimes during day or night but not in the sleep. I have taken an ECG and lipid profile test, but both are normal. My doctor advised me to take Ecosprin on daily basis life long. Kindly advise on this. I have a habit of smoking 7 to 8 cigarettes per day.Due to gastric problems, I felt this pain, but after taking gastric medicine, it will disappear. The gastric drug that I used was Atorva for cholesterol, but not now. My cholesterol level is in the normal range. Total cholestrol is 191 and triglycerides are 177.
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Hello, Welcome to Chat Doctor forum. For chest pain, I advise you to have treadmill test and exercise tolerance test (ETT), in which you have to walk and run on a treadmill and simultaneously your ECG and blood pressure recorded. If chest pain is due to heart, it will be confirmed. Keep taking Statin (atorvastatin) but no need of Ecosprin (aspirin) according to new guidelines. For on and off chest pain, take pain killers such as Paracetamol. Have an ETT done and send me the report so that further planning can be done. | Hello doctor,I had chest pain very lightly in different areas of the chest. The pain was not continuous but occurs only sometimes during day or night but not in the sleep. I have taken an ECG and lipid profile test, but both are normal. My doctor advised me to take Ecosprin on daily basis life long. Kindly advise on this. I have a habit of smoking 7 to 8 cigarettes per day.Due to gastric problems, I felt this pain, but after taking gastric medicine, it will disappear. The gastric drug that I used was Atorva for cholesterol, but not now. My cholesterol level is in the normal range. Total cholestrol is 191 and triglycerides are 177. | Hello, Welcome to Chat Doctor forum. For chest pain, I advise you to have treadmill test and exercise tolerance test (ETT), in which you have to walk and run on a treadmill and simultaneously your ECG and blood pressure recorded. If chest pain is due to heart, it will be confirmed. Keep taking Statin (atorvastatin) but no need of Ecosprin (aspirin) according to new guidelines. For on and off chest pain, take pain killers such as Paracetamol. Have an ETT done and send me the report so that further planning can be done. |
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Hello doctor,I am a female nearing 40. My partner and I are sexually very active. A year ago, I was diagnosed for PID, and pap smear revealed nothing else. We both got treated and were fine for a few months. I am very clean, often wash before and after the act. We are both into oral too. Since a few days, I am having excessive discharge (no smell or pus) which is almost white, burning at the tip of my left labia and pain in the lower abdomen.There is no burning sensation when I pass urine. After meeting the burn comes up. I do not use perfumed soaps, but I use a feminine wash. Is this PID again or something else? My partner is fine, and we use protection during this time. Can you suggest some medication? And what could this be?
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Hello. Based on the symptoms you described, it appears you must be having yeast infection like candidiasis. I would suggest you take a tablet Fluconazole 150 mg by mouth single tablet for you and your husband. Clingen forte vaginal pessary to be kept vaginally every night for six nights. If there is still no improvement, you can consult your gynecologist for examination and do pap smear and ultrasound if abdominal pain persists. Take care. | Hello doctor,I am a female nearing 40. My partner and I are sexually very active. A year ago, I was diagnosed for PID, and pap smear revealed nothing else. We both got treated and were fine for a few months. I am very clean, often wash before and after the act. We are both into oral too. Since a few days, I am having excessive discharge (no smell or pus) which is almost white, burning at the tip of my left labia and pain in the lower abdomen.There is no burning sensation when I pass urine. After meeting the burn comes up. I do not use perfumed soaps, but I use a feminine wash. Is this PID again or something else? My partner is fine, and we use protection during this time. Can you suggest some medication? And what could this be? | Hello. Based on the symptoms you described, it appears you must be having yeast infection like candidiasis. I would suggest you take a tablet Fluconazole 150 mg by mouth single tablet for you and your husband. Clingen forte vaginal pessary to be kept vaginally every night for six nights. If there is still no improvement, you can consult your gynecologist for examination and do pap smear and ultrasound if abdominal pain persists. Take care. |
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Hello doctor, I am 19 years old. I weigh about 70 kg and my height is 5'7\". My semen has been yellow color for the past one week and now it seems like it has urine in it (but it has no foul odor). And my penis is quite itching, also sometimes I experience discomfort when urination. I wonder what is this condition I am having right now and what is the possible treatment?
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Hello. According to your statement, you are 19 years old sexually active person suffering from discharging of yellowish colored semen, itching of penis and feeling of discomfort during urination and all your symptoms indicates STD (sexually transmitted disease). Your STD is either chlamydia which is caused by chlamydia trachomatis, most common or gonorrhea which is caused by N.gonorrhea or both. Both diseases present similar clinical symptoms and treatment is almost the same. Single dose of Azithromycin is the treatment of choice. By collecting urethral swab, it can be specified either chlamydia or gonorrhea. In gonorrhea, urethral swab shows the presence of gram-negative diplococci and in the case of chlamydia, swab shows non-specific urethritis. Urine for C/S can also be done. After undergoing the investigations, please inform me about the results. | Hello doctor, I am 19 years old. I weigh about 70 kg and my height is 5'7\". My semen has been yellow color for the past one week and now it seems like it has urine in it (but it has no foul odor). And my penis is quite itching, also sometimes I experience discomfort when urination. I wonder what is this condition I am having right now and what is the possible treatment? | Hello. According to your statement, you are 19 years old sexually active person suffering from discharging of yellowish colored semen, itching of penis and feeling of discomfort during urination and all your symptoms indicates STD (sexually transmitted disease). Your STD is either chlamydia which is caused by chlamydia trachomatis, most common or gonorrhea which is caused by N.gonorrhea or both. Both diseases present similar clinical symptoms and treatment is almost the same. Single dose of Azithromycin is the treatment of choice. By collecting urethral swab, it can be specified either chlamydia or gonorrhea. In gonorrhea, urethral swab shows the presence of gram-negative diplococci and in the case of chlamydia, swab shows non-specific urethritis. Urine for C/S can also be done. After undergoing the investigations, please inform me about the results. |
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Hello doctor,I just went to an optometrist yesterday and they gave me a contact lens prescription of -6.00 for both eyes. For 30 years, I have always had different strengths, both with astigmatism usually going up a bit each year to the last one 18 months ago which was
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Hi, Welcome to Chat Doctor forum. If someone has an astigmatism and that too upto 2.5 diopter, it is rare that it is reversed. But sometimes optometrist can add astigmatic power in spherical power that is called spherical equivalent. In such cases half the power of cylinder is added to spherical power. For small astigmatism, it works well that you can use simple spherical lens but if astigmatism is higher then spherical equivalent will not give optimal visual correction. For right eye which has 0.75 cylinder can be added to spherical and it will work but in left eye cylinderical power is 2.5 diopter. Now, if you are comfortable with simple spherical glasses then it is okay. But if it is not working then you should shift back to cylinderical contact lenses. You can visit to your optometrist or ophthalmologist again for accurate refraction and I hope your problem will be solved. You are welcome for any queries. | Hello doctor,I just went to an optometrist yesterday and they gave me a contact lens prescription of -6.00 for both eyes. For 30 years, I have always had different strengths, both with astigmatism usually going up a bit each year to the last one 18 months ago which was | Hi, Welcome to Chat Doctor forum. If someone has an astigmatism and that too upto 2.5 diopter, it is rare that it is reversed. But sometimes optometrist can add astigmatic power in spherical power that is called spherical equivalent. In such cases half the power of cylinder is added to spherical power. For small astigmatism, it works well that you can use simple spherical lens but if astigmatism is higher then spherical equivalent will not give optimal visual correction. For right eye which has 0.75 cylinder can be added to spherical and it will work but in left eye cylinderical power is 2.5 diopter. Now, if you are comfortable with simple spherical glasses then it is okay. But if it is not working then you should shift back to cylinderical contact lenses. You can visit to your optometrist or ophthalmologist again for accurate refraction and I hope your problem will be solved. You are welcome for any queries. |
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Hi doctor,Daily after my shower, my face turns red with rash. This has been happening since years. I have changed my soap and face wash several times. Besides, I have lived in many cities; this happens every time and everywhere. What could be the reason? What should I do for it? Please help.
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Hi, Welcome to Chat Doctor forum. From your history it appears that, you are suffering from cholinergic urticaria or heat hives. This condition of being hypersensitive or extremely sensitive to heat or the response of sweating. People with this condition often wonder why they feel itch when they exercise or any time they seem to get hot. It can be sensitivity to cold water also. Heat hives can occur at any age and can come and go often without treatment but in some it persists. As you said, after exposure to hot or cold water the skin will become red and sometimes itchy lesions will appear. Itching or burning sensation during the initial attack is common, and normally goes away when the overall body temperature has cooled. No effective treatment is yet available to cure cholinergic urticaria except avoidance of trigger factors. Tablets like Levocetirizine or Desloratadine are only helpful for short periods. Avoidance of trigger should be your first priority. Oxyhive treatment is sometimes helpful. | Hi doctor,Daily after my shower, my face turns red with rash. This has been happening since years. I have changed my soap and face wash several times. Besides, I have lived in many cities; this happens every time and everywhere. What could be the reason? What should I do for it? Please help. | Hi, Welcome to Chat Doctor forum. From your history it appears that, you are suffering from cholinergic urticaria or heat hives. This condition of being hypersensitive or extremely sensitive to heat or the response of sweating. People with this condition often wonder why they feel itch when they exercise or any time they seem to get hot. It can be sensitivity to cold water also. Heat hives can occur at any age and can come and go often without treatment but in some it persists. As you said, after exposure to hot or cold water the skin will become red and sometimes itchy lesions will appear. Itching or burning sensation during the initial attack is common, and normally goes away when the overall body temperature has cooled. No effective treatment is yet available to cure cholinergic urticaria except avoidance of trigger factors. Tablets like Levocetirizine or Desloratadine are only helpful for short periods. Avoidance of trigger should be your first priority. Oxyhive treatment is sometimes helpful. |
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Hello doctor,I got married before a month, and we are unable to have sex because of my very hard hymen. Yesterday I got bleeding during sex, and we thought it broke, but it was like a small tear from the side. My husband\\s penis is above average, and it is very hard, so I get unbearable pain every time, and he is unable to penetrate as I force him to stop. Is there any medicine to tear the hymen or only surgery is the option? Please help us.
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Hello. I can understand your concern. Hymen will not be hard, and your partner needs to understand your vagina, proper foreplay will dilate the vaginal region for easy access. Ask your partner to masturbate for you and increase foreplay. The hymen does not generally break in the first penetrative sex. If your pain persists, it can be due to injury, wait for a week for the hymen to heal. If your pain persists, you can use a painkiller. Increase the foreplay time or masturbation will lubricate the vagina for less painful sex. Use K-Y gel (water based lunbricant), or painkillers if you have any doubts regarding masturbation and foreplay. If all these basic things are fine, we can think of other surgical causes. | Hello doctor,I got married before a month, and we are unable to have sex because of my very hard hymen. Yesterday I got bleeding during sex, and we thought it broke, but it was like a small tear from the side. My husband\\s penis is above average, and it is very hard, so I get unbearable pain every time, and he is unable to penetrate as I force him to stop. Is there any medicine to tear the hymen or only surgery is the option? Please help us. | Hello. I can understand your concern. Hymen will not be hard, and your partner needs to understand your vagina, proper foreplay will dilate the vaginal region for easy access. Ask your partner to masturbate for you and increase foreplay. The hymen does not generally break in the first penetrative sex. If your pain persists, it can be due to injury, wait for a week for the hymen to heal. If your pain persists, you can use a painkiller. Increase the foreplay time or masturbation will lubricate the vagina for less painful sex. Use K-Y gel (water based lunbricant), or painkillers if you have any doubts regarding masturbation and foreplay. If all these basic things are fine, we can think of other surgical causes. |
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Hello doctor,I have shoulder tendonitis, and it has been three months already without significant results. I want to know the fastest way possible to heal it, I tried physical therapy, but it did not have much of an impact.
### Response:
Hello. It will be useful if you share the MRI reports. Well, I would like to know what movements are so painful for you and in which position the pain is highest. Once you let us know, we can provide you the accurate exercise prescription. In general, for any tendonitis, it is must that the shoulder girdle stability exercises are to be done. Post which there will be a set of passive or active-assisted ROM exercises. As once we get a good range which comes closer to pain-free, we can look forward to holding relax activities and contract to relaxation exercises. On the later stage, we need to look forward to deltoid strengthening exercises, scapular muscle strengthening exercises, and arm strengthening exercises. Also, if the MRI report shows that there is a partial or complete tear of the tendon, then the treatment has to be changed. In most cases with proper physical therapy guided exercises, the improvement should come in 2-3 weeks. In case if you have more queries, please feel free to contact me, and I will assist you for the same. | Hello doctor,I have shoulder tendonitis, and it has been three months already without significant results. I want to know the fastest way possible to heal it, I tried physical therapy, but it did not have much of an impact. | Hello. It will be useful if you share the MRI reports. Well, I would like to know what movements are so painful for you and in which position the pain is highest. Once you let us know, we can provide you the accurate exercise prescription. In general, for any tendonitis, it is must that the shoulder girdle stability exercises are to be done. Post which there will be a set of passive or active-assisted ROM exercises. As once we get a good range which comes closer to pain-free, we can look forward to holding relax activities and contract to relaxation exercises. On the later stage, we need to look forward to deltoid strengthening exercises, scapular muscle strengthening exercises, and arm strengthening exercises. Also, if the MRI report shows that there is a partial or complete tear of the tendon, then the treatment has to be changed. In most cases with proper physical therapy guided exercises, the improvement should come in 2-3 weeks. In case if you have more queries, please feel free to contact me, and I will assist you for the same. |
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Hello doctor,I just had my acromioclavicular joint separation (grade 2 or 3), AC ligament torn. I am ready to accept the recovery time. My question is can I do pull ups again in my life? Or any permanent disability may occur?
### Response:
Hello, Welcome to Chat Doctor forum. Sure the X-ray looks kind of AC joint separation due to the ligament injury. With the image, the injury looks between grade II or III. I will advise you to take the call for the MRI shoulder to focus on the AC joint. This will help us understand the extent of the ligament injury as from outside examining will be a little tough. Once we get the MRI, we will be able to see the internal soft tissues including the ligaments and muscles. Post which your query of doing pull-up can be answered. But for now, do not do any movements of the shoulder and let all the healing to occur. Meantime, please take the MRI so we can judge the trauma to the fibers of the ligament. Once we get hold of the MRI we can plan the exercise prescription if the ligament is not completely torn and in future can prepare you for the pull-ups. In case if found complete tear then can advise for the next course of action. I will wait for your response. | Hello doctor,I just had my acromioclavicular joint separation (grade 2 or 3), AC ligament torn. I am ready to accept the recovery time. My question is can I do pull ups again in my life? Or any permanent disability may occur? | Hello, Welcome to Chat Doctor forum. Sure the X-ray looks kind of AC joint separation due to the ligament injury. With the image, the injury looks between grade II or III. I will advise you to take the call for the MRI shoulder to focus on the AC joint. This will help us understand the extent of the ligament injury as from outside examining will be a little tough. Once we get the MRI, we will be able to see the internal soft tissues including the ligaments and muscles. Post which your query of doing pull-up can be answered. But for now, do not do any movements of the shoulder and let all the healing to occur. Meantime, please take the MRI so we can judge the trauma to the fibers of the ligament. Once we get hold of the MRI we can plan the exercise prescription if the ligament is not completely torn and in future can prepare you for the pull-ups. In case if found complete tear then can advise for the next course of action. I will wait for your response. |
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Hello doctor,I am a 51 year old male. I have diabetes. My fasting is 150 to 160 and PP is 250 to 300. I am taking Amaryl 2 mg morning and Janumet 50/1000 after lunch and dinner. Please suggest.
### Response:
Hello. You are already taking Amaryl (Glimepiride) 2 mg and Janumet 50/1000 (Sitagliptin and Metformin) twice but still, your blood sugar is not under control. Are you following dietary restrictions properly? Your weight is on the higher side. I suggest the dose of Metformin can be increased to 1000 thrice daily but then you have to take Sitagliptin 50 twice separately. Amaryl 2 can be made twice daily. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. If even after making this change, your blood sugar levels are not controlled within one month, you may have to take Insulin. With this, strict diet restrictions and weight reduction have to be followed. If you have any further questions, please feel free to write. For more information consult a general practitioner online Take care. | Hello doctor,I am a 51 year old male. I have diabetes. My fasting is 150 to 160 and PP is 250 to 300. I am taking Amaryl 2 mg morning and Janumet 50/1000 after lunch and dinner. Please suggest. | Hello. You are already taking Amaryl (Glimepiride) 2 mg and Janumet 50/1000 (Sitagliptin and Metformin) twice but still, your blood sugar is not under control. Are you following dietary restrictions properly? Your weight is on the higher side. I suggest the dose of Metformin can be increased to 1000 thrice daily but then you have to take Sitagliptin 50 twice separately. Amaryl 2 can be made twice daily. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. If even after making this change, your blood sugar levels are not controlled within one month, you may have to take Insulin. With this, strict diet restrictions and weight reduction have to be followed. If you have any further questions, please feel free to write. For more information consult a general practitioner online Take care. |
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Hello doctor,My friend has white tongue since 20 days, used probiotics from 10 days but problem did not solve. But no sore throat and no discomfort while eating anything. He feels lymph nodes near right side of neck, back side of ear and near arm ankle from last one week. Got some pimples on his face and one or two on chest and stomach. Fourth generation HIV duo tests (p24 and antibody) done on 6th, 20th and 35th day and came as non-reactive. He is in a little worry as symptoms are still there (white tongue and nodes). A kid kissed on his blood wetty pimple of him, did that kid get infected? It was done 24 hours back. Is it good to go for PeP? Please suggest.
### Response:
Hi. White patches on the tongue can be oral thrush caused by candida albicans seen in severe imunosupression especially stage 3 or 4. Pain on swallowing can be from involvement of the larynx and oesophagus of the thrush seen in stage four. Persistent lymph node is also common. The kid should be put on PeP very important just to avoid getting infected, because there could be an open wound in the child\\s mouth through which the virus can gain entry. | Hello doctor,My friend has white tongue since 20 days, used probiotics from 10 days but problem did not solve. But no sore throat and no discomfort while eating anything. He feels lymph nodes near right side of neck, back side of ear and near arm ankle from last one week. Got some pimples on his face and one or two on chest and stomach. Fourth generation HIV duo tests (p24 and antibody) done on 6th, 20th and 35th day and came as non-reactive. He is in a little worry as symptoms are still there (white tongue and nodes). A kid kissed on his blood wetty pimple of him, did that kid get infected? It was done 24 hours back. Is it good to go for PeP? Please suggest. | Hi. White patches on the tongue can be oral thrush caused by candida albicans seen in severe imunosupression especially stage 3 or 4. Pain on swallowing can be from involvement of the larynx and oesophagus of the thrush seen in stage four. Persistent lymph node is also common. The kid should be put on PeP very important just to avoid getting infected, because there could be an open wound in the child\\s mouth through which the virus can gain entry. |
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Hello doctor, I had my wisdom teeth pulled out a couple of times back, now I am putting on braces. My orthodontist said that I have to remove my premolars in order to make room, but I feel like you could just push back my molars somewhat where the wisdom teeth used to be. Is it possible? Very similar to the bottom except he wants to remove one front tooth to make room but I feel like you could just push back the molars a little bit to make room.
### Response:
Hi. First of all, you have to understand the fact that not all wisdom teeth are functional. What I mean is most of the wisdom teeth are removed not to create space but it does not serve the purpose to chew well instead of harm the surrounding gums. And in orthodontic treatment, the molars cannot be shifted because that will collapse the whole contacts between the teeth. There is a rule that the molars have to hit each other at certain points only then it helps you in chewing your food efficiently. Hence, there is no harm in pulling out the premolars in order to gain space, because there would not be any gap left behind after the treatment is completed. So, I advise you not to panic because you are losing your premolar tooth but that is definitely going to help the treatment become a success. Take care. | Hello doctor, I had my wisdom teeth pulled out a couple of times back, now I am putting on braces. My orthodontist said that I have to remove my premolars in order to make room, but I feel like you could just push back my molars somewhat where the wisdom teeth used to be. Is it possible? Very similar to the bottom except he wants to remove one front tooth to make room but I feel like you could just push back the molars a little bit to make room. | Hi. First of all, you have to understand the fact that not all wisdom teeth are functional. What I mean is most of the wisdom teeth are removed not to create space but it does not serve the purpose to chew well instead of harm the surrounding gums. And in orthodontic treatment, the molars cannot be shifted because that will collapse the whole contacts between the teeth. There is a rule that the molars have to hit each other at certain points only then it helps you in chewing your food efficiently. Hence, there is no harm in pulling out the premolars in order to gain space, because there would not be any gap left behind after the treatment is completed. So, I advise you not to panic because you are losing your premolar tooth but that is definitely going to help the treatment become a success. Take care. |
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Hello doctor,My husband and I have been trying to conceive for five months now. The past few months I have been noticing severe breast pain throughout my entire breast and fullness of both breasts from ovulation until the time I get my period. I read that this could be indicative of a hormone imbalance? My periods are regular and I typically have 30 days cycles.
### Response:
Hi, Welcome to Chat Doctor forum. Symptoms you have described are effects given by hormones produced before menses and after ovulation. As you are trying to conceive as well and active sexually, the body tries to respond to that too. Attempts for trying to conceive stimulates and activates hormones more efficiently. So those hormonal presence gives effects as well, like breast tenderness. If the pain or tenderness is there all over the cycle and on a specific side only then you need to worry and consult breast specialist. Hot fomentation, warm baths and then oil massage could be helpful. Have folic acid daily. Try to have a complete treatment of any health issue you have. A daily walk and exercise to have normal BMI. Have recreational activities and quit recreational ChatDoctor. Hormonal changes of the cycle. Massage, hot fomentation, warm bath. Can have tablet Postan 500 mg for severe pain. Folic acid, sex in the fertile period. | Hello doctor,My husband and I have been trying to conceive for five months now. The past few months I have been noticing severe breast pain throughout my entire breast and fullness of both breasts from ovulation until the time I get my period. I read that this could be indicative of a hormone imbalance? My periods are regular and I typically have 30 days cycles. | Hi, Welcome to Chat Doctor forum. Symptoms you have described are effects given by hormones produced before menses and after ovulation. As you are trying to conceive as well and active sexually, the body tries to respond to that too. Attempts for trying to conceive stimulates and activates hormones more efficiently. So those hormonal presence gives effects as well, like breast tenderness. If the pain or tenderness is there all over the cycle and on a specific side only then you need to worry and consult breast specialist. Hot fomentation, warm baths and then oil massage could be helpful. Have folic acid daily. Try to have a complete treatment of any health issue you have. A daily walk and exercise to have normal BMI. Have recreational activities and quit recreational ChatDoctor. Hormonal changes of the cycle. Massage, hot fomentation, warm bath. Can have tablet Postan 500 mg for severe pain. Folic acid, sex in the fertile period. |
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Hello doctor,How to relieve muscle soreness? What works on Epsom salt baths? Foam rolling? Using a Theragun or a similar tool? Hydrating? Eating foods that are high in antioxidants? Sleeping a lot? Eating foods high in antioxidants? Cryotherapy? Active recovery? Lacrosse ball fascial work? Stretch? For each reason can I ask you to explain how exactly that helps the sore muscles? What are the signs that your sore muscles are something more serious than just sore muscles? Anything else you would like to say about DOMS?
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Hello, Welcome to Chat Doctor forum. Muscle soreness or DOMS (delayed onset muscle soreness) generally occurs if someone does strenuous physical activity in any form. Strenuous physical activity means when one\\s body is unable to do more physical work but that person pushes his body to do that. It can occur within 24 to 72 hours. It occurs due to small scale damage in the muscle fibers. The best way to get rid of it is to increase any physical activity gradually because it will help in increasing the strength and stamina. Epsom salt bath, massage or sauna, etc. are helpful in muscle soreness because first they relax the muscles and second they increase the blood flow. The clear role of cryotherapy is still not understood. I hope this helps. | Hello doctor,How to relieve muscle soreness? What works on Epsom salt baths? Foam rolling? Using a Theragun or a similar tool? Hydrating? Eating foods that are high in antioxidants? Sleeping a lot? Eating foods high in antioxidants? Cryotherapy? Active recovery? Lacrosse ball fascial work? Stretch? For each reason can I ask you to explain how exactly that helps the sore muscles? What are the signs that your sore muscles are something more serious than just sore muscles? Anything else you would like to say about DOMS? | Hello, Welcome to Chat Doctor forum. Muscle soreness or DOMS (delayed onset muscle soreness) generally occurs if someone does strenuous physical activity in any form. Strenuous physical activity means when one\\s body is unable to do more physical work but that person pushes his body to do that. It can occur within 24 to 72 hours. It occurs due to small scale damage in the muscle fibers. The best way to get rid of it is to increase any physical activity gradually because it will help in increasing the strength and stamina. Epsom salt bath, massage or sauna, etc. are helpful in muscle soreness because first they relax the muscles and second they increase the blood flow. The clear role of cryotherapy is still not understood. I hope this helps. |
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Hello doctor,I would like to know an orthopedist opinion about my mother\\s situation. She had femur plasmacytoma 20 years ago and 4 prostheses, because she had many infections after the operations. She remained with her external popliteus paralyzed. Now, she began to feel his knee mobile, and she could not walk because of it. There are some noises too. A few doctors said she needs Megasystem-C Link prosthesis, which would totally replace her hip and knee. What is your advice? Is there any intermediate option, like replacing only the actual prosthesis and adding pieces of bone? We heard that, in case of choosing the Megasystem-C, that can lead to amputation. So, we are looking for a second opinion. I have attached the radiograph links, please check.
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Hello. The entire femur seen is grossly osteoporotic and the knee is showing evidence of osteoarthritis though I could not see the knee in the AP view. She needs a knee replacement but with the large hip prosthesis and very weak bone stock, I would support the use of a total femoral replacement. This, in reality, would need the whole femur to be removed but is not equivalent to amputation. The knee would have to be a constrained variety of her knee ligaments. | Hello doctor,I would like to know an orthopedist opinion about my mother\\s situation. She had femur plasmacytoma 20 years ago and 4 prostheses, because she had many infections after the operations. She remained with her external popliteus paralyzed. Now, she began to feel his knee mobile, and she could not walk because of it. There are some noises too. A few doctors said she needs Megasystem-C Link prosthesis, which would totally replace her hip and knee. What is your advice? Is there any intermediate option, like replacing only the actual prosthesis and adding pieces of bone? We heard that, in case of choosing the Megasystem-C, that can lead to amputation. So, we are looking for a second opinion. I have attached the radiograph links, please check. | Hello. The entire femur seen is grossly osteoporotic and the knee is showing evidence of osteoarthritis though I could not see the knee in the AP view. She needs a knee replacement but with the large hip prosthesis and very weak bone stock, I would support the use of a total femoral replacement. This, in reality, would need the whole femur to be removed but is not equivalent to amputation. The knee would have to be a constrained variety of her knee ligaments. |
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Dear doctor,I am a 19 year old male. From the last three years, I have been facing the symptoms of Patulous Eustachian Tube with the eustachian tubes partially open few times in a day. My own voice becomes distorted and sounds like it is coming from a vacuum.Breath sounds are enhanced and swallowing and chewing becomes disturbingly loud as they vibrate inside my own ears. I had previously consulted a doctor and after following his medication there was a temporary relief but after 3 to 4 months, those symptoms have again started occurring but not severe and, it occurs for a short time and when I suck air by closing my mouth and nose, the heaviness of sound diminishes.The problem with my left ear is more severe than the right one and left ear shows disturbing signs more frequently. Please help.
### Response:
Hi. I feel a naso and otoendoscopy is first necessary to confirm the diagnosis. The condition is not dangerous unless it leads to some middle ear problem. If you can manage by doing a manoeuvre like how you described, it might help in symptom control and you may not need any intervention. Tuboplasty can be done for this condition but the diagnosis has to be established and assessed before attempting anything. Revert back to an ENT otolaryngologist online Take care. | Dear doctor,I am a 19 year old male. From the last three years, I have been facing the symptoms of Patulous Eustachian Tube with the eustachian tubes partially open few times in a day. My own voice becomes distorted and sounds like it is coming from a vacuum.Breath sounds are enhanced and swallowing and chewing becomes disturbingly loud as they vibrate inside my own ears. I had previously consulted a doctor and after following his medication there was a temporary relief but after 3 to 4 months, those symptoms have again started occurring but not severe and, it occurs for a short time and when I suck air by closing my mouth and nose, the heaviness of sound diminishes.The problem with my left ear is more severe than the right one and left ear shows disturbing signs more frequently. Please help. | Hi. I feel a naso and otoendoscopy is first necessary to confirm the diagnosis. The condition is not dangerous unless it leads to some middle ear problem. If you can manage by doing a manoeuvre like how you described, it might help in symptom control and you may not need any intervention. Tuboplasty can be done for this condition but the diagnosis has to be established and assessed before attempting anything. Revert back to an ENT otolaryngologist online Take care. |
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Hello doctor,I am a diabetic patient for two years and currently entered the third month of pregnancy. And till now, I did not consult any doctor. Is my baby safe? I am taking iron, calcium, and zinc tablets for six months. Please tell me about the precautions and healthy tips.
### Response:
Hello. First of all, diabetes with pregnancy is a high risk pregnancy. The blood sugars should be checked before getting pregnant. In case a woman gets pregnant with high blood sugar levels, then there can be a risk of miscarriages, and certain congenital disabilities in the baby. Please check your blood glucose levels and HbA1c level to see for your glycemic control. Also, I am assuming you are taking folic acid supplements because that is a vitamin that helps prevent certain birth defects (neural tube defects - in other words brain and spine defects) in the baby. It would have been good if you had mentioned the medications that you been taking for your diabetes to check if you could continue them, also if any dose modifications are required. Because pregnancy-induced hormonal changes can disturb the glucose control as the pregnancy advances and it needs close monitoring. Please get back to me with the necessary details so that I can help you better and guide you through your pregnancy. I hope this helps. Have a great day. | Hello doctor,I am a diabetic patient for two years and currently entered the third month of pregnancy. And till now, I did not consult any doctor. Is my baby safe? I am taking iron, calcium, and zinc tablets for six months. Please tell me about the precautions and healthy tips. | Hello. First of all, diabetes with pregnancy is a high risk pregnancy. The blood sugars should be checked before getting pregnant. In case a woman gets pregnant with high blood sugar levels, then there can be a risk of miscarriages, and certain congenital disabilities in the baby. Please check your blood glucose levels and HbA1c level to see for your glycemic control. Also, I am assuming you are taking folic acid supplements because that is a vitamin that helps prevent certain birth defects (neural tube defects - in other words brain and spine defects) in the baby. It would have been good if you had mentioned the medications that you been taking for your diabetes to check if you could continue them, also if any dose modifications are required. Because pregnancy-induced hormonal changes can disturb the glucose control as the pregnancy advances and it needs close monitoring. Please get back to me with the necessary details so that I can help you better and guide you through your pregnancy. I hope this helps. Have a great day. |
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Hello doctor,I am a 25-year-old female, weigh 67 kg, and height is 5\\4\". I am not sexually active but on the fourth day of my period, I and my partner were feeling each other and he accidentally ejaculated on me. The semen landed on the side of my stomach and front of my thighs. I do not remember if it went near my vagina. I was wearing a sanitary napkin at the time though and was fully clothed with jeans. Because I had my doubts I had an emergency contraceptive pill within 48 to 72 hours and am on birth control (having since five to six months because of PCOD). I started the pill on the same day of the incident. Is there a possibility of me getting pregnant? As I am taking birth control pills and had the emergency pill, will my period be delayed? How soon can I get tested for pregnancy?
### Response:
Hello, Welcome to Chat Doctor forum. I went through your post. Firstly, he had not ejaculated inside you which means you cannot become pregnant because of that. On top of that, you have used emergency contraceptive which has a success rate of 99 %. There is no possibility of you getting pregnant with that episode. For more information consult an internal medicine physician online | Hello doctor,I am a 25-year-old female, weigh 67 kg, and height is 5\\4\". I am not sexually active but on the fourth day of my period, I and my partner were feeling each other and he accidentally ejaculated on me. The semen landed on the side of my stomach and front of my thighs. I do not remember if it went near my vagina. I was wearing a sanitary napkin at the time though and was fully clothed with jeans. Because I had my doubts I had an emergency contraceptive pill within 48 to 72 hours and am on birth control (having since five to six months because of PCOD). I started the pill on the same day of the incident. Is there a possibility of me getting pregnant? As I am taking birth control pills and had the emergency pill, will my period be delayed? How soon can I get tested for pregnancy? | Hello, Welcome to Chat Doctor forum. I went through your post. Firstly, he had not ejaculated inside you which means you cannot become pregnant because of that. On top of that, you have used emergency contraceptive which has a success rate of 99 %. There is no possibility of you getting pregnant with that episode. For more information consult an internal medicine physician online |
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Hello doctor,I am 26 years old male, for the last month and a half, I feel a pressure on the back of my head. It sometimes causes mild pain in different parts of my head, like the sides of my head. It makes me feel hot sometimes as well. I also have some neck pain, but it is not much. This headache is not very painful, but it is just an annoying pressure that has not gone away in six weeks. When I wake up in the morning, I do not feel anything, and then around 11 AM, the pressure is, there, and it will get worse until I lay down in the evening. And it pains a lot at night. I think about it all the time, so I am sure that does not help with the feeling. I think that I have a brain tumor. Should I see a doctor? I do not want to waste my time and have them say do this or try this without doing an MRI. I have only taken Ibuprofen a few times to help with the pain, and that seems to work.
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Hello, Welcome to Chat Doctor forum. I would like to know some details about your problem. Revert with investigations mentioned above and response to this medication. Revert with more information to a neurologist online | Hello doctor,I am 26 years old male, for the last month and a half, I feel a pressure on the back of my head. It sometimes causes mild pain in different parts of my head, like the sides of my head. It makes me feel hot sometimes as well. I also have some neck pain, but it is not much. This headache is not very painful, but it is just an annoying pressure that has not gone away in six weeks. When I wake up in the morning, I do not feel anything, and then around 11 AM, the pressure is, there, and it will get worse until I lay down in the evening. And it pains a lot at night. I think about it all the time, so I am sure that does not help with the feeling. I think that I have a brain tumor. Should I see a doctor? I do not want to waste my time and have them say do this or try this without doing an MRI. I have only taken Ibuprofen a few times to help with the pain, and that seems to work. | Hello, Welcome to Chat Doctor forum. I would like to know some details about your problem. Revert with investigations mentioned above and response to this medication. Revert with more information to a neurologist online |
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Hello doctor,I am a female, 32 years old. I do not understand what my ultrasound report means. My gynecologist and PCP both felt a large mass on the right side of thyroid and told me that they have to refer me out and I need another biopsy. The last biopsy was a year back and it was benign. It was a solid dense nodule measuring 1.3 cm. All thyroid tests are normal.Can mixed spongiform nodules be malignant if they are hypoechoic, vascular, lobular and with peripheral calcification? I cannot find anything regarding other abnormal feature with mixed spongiform nodules.
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Hello. I just read your query and from what you have mentioned it appears that you have a thyroid nodule. According to the guidelines, if the nodule is more than 75 % of spongiform appearance, then they are benign and if less than 75% then there is a chance of malignancy which must be confirmed by FNAC (fine needle aspiration cytology). In your ultrasound, there is no percentage depiction of the spongiform portion. Secondly, the malignant nodule has hypoechogenicity and microcalcifications which is present in your report. Please, it is my advice to you to not come to any conclusion before an FNAC. For more information consult an endocrinologist online | Hello doctor,I am a female, 32 years old. I do not understand what my ultrasound report means. My gynecologist and PCP both felt a large mass on the right side of thyroid and told me that they have to refer me out and I need another biopsy. The last biopsy was a year back and it was benign. It was a solid dense nodule measuring 1.3 cm. All thyroid tests are normal.Can mixed spongiform nodules be malignant if they are hypoechoic, vascular, lobular and with peripheral calcification? I cannot find anything regarding other abnormal feature with mixed spongiform nodules. | Hello. I just read your query and from what you have mentioned it appears that you have a thyroid nodule. According to the guidelines, if the nodule is more than 75 % of spongiform appearance, then they are benign and if less than 75% then there is a chance of malignancy which must be confirmed by FNAC (fine needle aspiration cytology). In your ultrasound, there is no percentage depiction of the spongiform portion. Secondly, the malignant nodule has hypoechogenicity and microcalcifications which is present in your report. Please, it is my advice to you to not come to any conclusion before an FNAC. For more information consult an endocrinologist online |
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Hello doctor,My daughter is 16, and she has been having periods since she was 10. They always came regular, but she almost always has mid-cycle spotting (around ovulation). Recently the spotting has become heavier (she has to wear a panty liner). She has been stressed out, and she lost some weight (on purpose) we joined weight watchers.She has also been exercising (including running). We are very close, and I am 100 % sure she is not sexually active. She is overweight started at 240 lbs and now is down to 224. Does this sound normal? Or does she need to be seen? What can we expect at the visit? She is scared.
### Response:
Hello. With the symptoms mentioned here, I do not see any problem with her periods as long as she is having spotting for 1 to 2 days, and I suppose she is not bleeding like periods. And regarding her weight, reducing weight is good for cycles and getting overweight sometimes interfere with cycle regularity, but she must make sure that her BMI remains within reasonable limits as excessive weight reduction will also result in her cycle disturbance. I hope it has helped you. If you require any further queries, please do not hesitate to contact me. Take care. | Hello doctor,My daughter is 16, and she has been having periods since she was 10. They always came regular, but she almost always has mid-cycle spotting (around ovulation). Recently the spotting has become heavier (she has to wear a panty liner). She has been stressed out, and she lost some weight (on purpose) we joined weight watchers.She has also been exercising (including running). We are very close, and I am 100 % sure she is not sexually active. She is overweight started at 240 lbs and now is down to 224. Does this sound normal? Or does she need to be seen? What can we expect at the visit? She is scared. | Hello. With the symptoms mentioned here, I do not see any problem with her periods as long as she is having spotting for 1 to 2 days, and I suppose she is not bleeding like periods. And regarding her weight, reducing weight is good for cycles and getting overweight sometimes interfere with cycle regularity, but she must make sure that her BMI remains within reasonable limits as excessive weight reduction will also result in her cycle disturbance. I hope it has helped you. If you require any further queries, please do not hesitate to contact me. Take care. |
### Instruction:
Answer this question truthfully
###Input:
Hello doctor,My partner\\s periods date is 23. Last periods was on the 23rd two months ago. My partner and I were intimate on 10th last month. It was unprotected. So, she took an I-pill on the 12th. She bled on 22nd. Again we had sex on 9th this month. It was protected but the condom slipped. So, for protection, I gave her Unwanted-72 on the 10th. Till now, she did not bleed and her period date is also due. Please help.
### Response:
Hello. Although you have rightly taken the emergency contraceptive pill both the time well within 72 hours after intimacy, so considering that she had her first bleed on time, it is likely that her next menses would anyhow be delayed by few days as a side effect known with I-pill. Now that you have taken an I-pill again, the bleeding should be expected by seven to 10 days ideally, but you can wait another week for with ChatDoctor. If no bleed in next seven days then get a urine pregnancy test done to rule out pregnancy, possibly due to I-pill failure and if the test is negative then you can opt for a progesterone-induced with | Hello doctor,My partner\\s periods date is 23. Last periods was on the 23rd two months ago. My partner and I were intimate on 10th last month. It was unprotected. So, she took an I-pill on the 12th. She bled on 22nd. Again we had sex on 9th this month. It was protected but the condom slipped. So, for protection, I gave her Unwanted-72 on the 10th. Till now, she did not bleed and her period date is also due. Please help. | Hello. Although you have rightly taken the emergency contraceptive pill both the time well within 72 hours after intimacy, so considering that she had her first bleed on time, it is likely that her next menses would anyhow be delayed by few days as a side effect known with I-pill. Now that you have taken an I-pill again, the bleeding should be expected by seven to 10 days ideally, but you can wait another week for with ChatDoctor. If no bleed in next seven days then get a urine pregnancy test done to rule out pregnancy, possibly due to I-pill failure and if the test is negative then you can opt for a progesterone-induced with |
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