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hi, im female 28 years old... im on venlafaxine its been almost a year knnow.. and i just found out im pregnant i must be one month along and im so scared that this pills will hurt my baby i dont know what to do pls help me can i stay on venlafaxine i have bad anxiety or do i have to stop pls help me tks
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"Venlafaxine has been shown to be associated with lung complications in the newborn when used in pregnancy. However, stoppage of this medication also can lead to relapse of depression. Therefore, you should discuss with your neurophysician as to the appropriate management to be undertaken. Do not start or stop this medication on your own. Please use folate supplements and take adequate rest."
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"If you do not want this pregnancy because your child is very young, you may go for termination of pregnancy by Tab. Mifepristone and Tab. Bisoprolol. These medicines are not over the counter medicines. They should be taken by an Obstetricians prescription and advice only. They are very safe and effective medicines to terminate the pregnancy up to 9 weeks of gestation. These medicines are known cause developmental abnormalities in the baby. Hence, once these medicines are taken, you should not change the decision to continue the pregnancy. In the future, to avoid such situations, please practice reliable birth control method like birth control pills, condom or intrauterine contraceptive device",
"All medications are advised with caution during pregnancy. But remain is not known to cause any complications or side effects. Only concern is it could be habit-forming, and you could get dependent on it. But if you have pills and constipation, it is advisable to take remain rather than suffer from the pills. You can get definitive treatment for piles after delivery."
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Status post kidney transplant , 17 years ago, due to PKD. Now having recurrent UTIs (14 in past 15 months), being followed by ID with plan to only treat if symptomatic since recent UTIs have been ecoli, resisitent to all oral meds and most IM/IV meds. However, patient does not have classic symptoms of urgency, buring, fever . Typically she starts to feels tired, becomes discoordinated and for falls. Then typically has decreased appetitie and fluid intake then has sypmtoms. Currently dipping urines daily. When uine s positive for nitrites, at what point should we be concerned about the presence of leukocyets - any, 70, 250, 500?
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"Need to check if UTI is occurring due to native PKD kidneys. Detail sonography and urological evaluation need to be done. If recurrent UTI (14 in past 15 months), Consideration should be given for removal of nonfunctional native PKD kidneys. Recurrent UTI will affect your transplanted kidney, and you may develop decreased urine output. As the patient is on transplant medications, he may not have classic symptoms of UTI like feve"
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"Thanks for your query. This is almost 10 days that you are suffering from the symptoms. You also have headaches daily-pee- no appetite, tired and nausea. This can be due to severe urinary infection. I would advise you to go for the following tests:Blood - the routineUrine- Routine, microscopy, culture and sensitivity to get guideline if there is no response to a particular antibiotic ; Tidal for typhoid. This needs to be done before you start the antibiotic as a single dose can alter the pathology picture. The treatment will be composed of an antibiotic which acts the best for a urinary tract infection. The antibiotic can be changed by your Doctor is there is no response to one antibiotic and as per the reports of culture and sensitivity of the urine examination",
"e is a patient of recurrent Units he is a diabetic patient he is more prone to recurrent infections. I would advise you to get a USG of abdomen and pelvis along with liver and kidney function test. these tests are to rule out possibility of kidney stones/ cysts and immune compromise due to various causes. it is better if you can get him evaluated by urologist for RECURRENT UTI. after the necessary workup he may have to a long term antibiotic therapy and any other treatment as advised by urologist his sugar levels should be monitored and maintained at recommended levels. hope my answer helps you if you have any more queries I would be happy to answe"
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hello sir .. my sister age 23 married suffering from lower back pain . i have taken the X-ray from the hospital and the Impression is shown in that is Loss of normal curvature of the spine - mostly due to para-spinal muscle spasm .... Sir plz tell me is it so serious and what treatment should be given to this disease...?
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"Welcome to Chat Doctor According to your X-ray report it looks like the right diagnosis, as age is 23 years only. In this age loss of normal curvature is not decorative process, so don't worry. Due to heavy exercise or weight lifting para spinal muscles get hurt and spasm. Just take muscle relaxant tablets like MySpace or consult your physician and take rest. If she has chronic pain for long duration then we can think for investigation like MRI spine. Thanking you"
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"Based on the description of your symptoms, it is highly suggestive that you have suffered a Lumbar disc prolapse (due to fall) that is causing pressure over the adjacent nerve roots resulting in articular pain (sharp & tingling pain) down the legs. An MRI scan of the Lumbar spine which help in diagnosing the severity of the problem. The initial management for this condition is by conservative measures as follows - Usually 1-2 days of bed rest will calm severe back pain. Do not stay off your feet for longer, though. - Change your daily activities so that you avoid movements that can cause further pain, especially bending forward and lifting as it will worsen the disc protrusion. If you want to bend forwards, do it with your hips and knees flexed. - Avoid lifting heavy weights as it imparts more strain on your back-Use a lumbosacral back support to stabilize your spinal muscles-Use analgesics like Advil or alive and muscle relaxants to relieve pain and muscle spasm, as needed. Vitamin B12 supplements & Pregabalin may be helpful in controlling the neuropathic pain. - After the initial pain has subsided, remedial exercises to strengthen the spine are very important to restore normal spinal movements and muscle strength. The main aim of exercise is to encourage mobility, reduce muscle spasm, prevent further deterioration in the muscles and speed recovery. If your fail to improve with the above measures, an Epidural steroid injection may provide good symptom relief for a few months. There is good evidence that epidural injections can be successful in 60-70% of patients who have not been helped by 6 weeks or more of conservative management (nonsurgical care).",
"Thanks for your question at Chat Doctor. Straightening of lumbar spine(as seen in your x-ray) indicates spasm of the muscles around your spine. The muscles of our back go into spasm after any painful stimulus(the stimulus can be sprained muscle or a pinched nerve or slip disc). This spasm of the muscle around the spine is responsible for straightening of spine. So it is the effect of the pain and not the cause of pain. X-ray is an investigation for the bony structure of your spine. It does not give a y information about a pinched nerve or a slip disc. MRI will give a better idea about the source of your pain. If you have numbness in your legs, and you have completed 6 weeks of treatment with medicines and physiotherapy, it would be prudent to rule out the cause of pain by getting an MRI of your lumbar(lower) spine."
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Hello, My sister in law back in Bangalore, INDIA is pregnant with her second baby and is 32-33 months pregnant. She started having itching in her palms and legs 2 weeks back and it didnt go away. She also gained weight of 6 Kg in a month. Doctors did some test and found elevated levels of SGOT (56) and SGPT (92) on 24-Jan-13 and prescribed her Udiliv 300 MG. However it didnt go away and Doctors repeated test and found very high levels of SGOT (194) , SGPT(289) on 3-Feb-13. The immediate diagnosis of fatty liver does not seem to hold true because her other levels are normal and there is no jaundice or vomiting etc. Viral Hepatitis Test is also negative. One of the options being discussed is to give steroid injections to fast develop baby lungs and get the baby prematurely out. What is best course of action for her and the baby including but not limited to medicines, natural foods , avoidance etc. Is it necessary to have the baby prematurely out with help of steroid injections ? Are there any side effects of steroid injections ? Can she take Liv 52 Syrup for liver health while taking Doctor prescribed medicines. Any pointers from you will be appreciated , please advise. -Sincerely
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"The patients need to take liver protective agents like orbiting containing preparations along with sorbitol or trampoline citrate. Adílio will not help. Steroids will have deleterious effects on the Hi tract rather than the liver. A close watch needs to be kept on the liver function. Liv 52 is an ayurvedic liver tonic which may not be of significant help. I would advise you that she should be kept under close supervision of team of doctors comprising a gynecologist, pediatrician and a gastroenterologist. This will reduce the chances of missing out on any complication. I hope this answers your quarry"
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"GOT is non-specific, and it increases in many conditionsIncreased SGPT may be due to hepatitis, altered lipid profile, autoimmune causes, medicines etc. You need clinical examination and few other investigations. You need few more investigations like random blood sugar(RBS), renal function test(RFT), Lipid profile, viral markers, complete liver function test, urine RE/ME. You should avoid red meat and high fat milk products. You should avoid fried and junk food and avoid alcohol completely if you take it. Medicines should be prescribed after complete investigations. I suggest my patients to take tablet ursodeoxycholic acid 300 mg twice daily after food for three months. This help in regeneration of liver cells. It may take 2-3 months for complete recovery. Get well soon.",
"Increased SGPT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake,autoimmune causes etc. It may be due to hepatitis in your case. You may need few more investigations like routine hologram, viral markers, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. I suggest follow-up test after one month. Avoid alcohol if you take it. Get well soon. Take Care"
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My 3rd old has had a little big of blood after wiping, we were told to change his diet. More fibre etc, today him after he had a BM there was bright red blood & quite a bit... Really worried any advice?? We are making an appointment with his DR tomorrow..
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"Bright red blood and increased quantity is not suggestive of infection alone, and I am thinking of a surgical cause a possibility. Most probably due to some injury at the exit point of the stools. You Need to consult doctor at the earliest, and you might need to meet a pediatric surgeon too. Wish your child a good health. Take care"
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"Its especially common after DPT vaccine given at the age of your child. So don't worry. Infants show great variations in color, consistency and frequency of stools. Also, most infections of gut in this age are due to self limiting viral infections. So, is your baby is feeding well, active, alert and passing at least 6-8 times urine per day. Then there is no need for any further medications. Just ensure regular feeds to keep him well HY Chat Doctor. Antibiotics such as Cefuroxime may be used in case the child looks sick with blood in stools. It needs to be given after pediatric clinical examination.",
". . The symptoms as mentioned suggest that the red blotches around mouth were caused due to any particular food products. Bena Chat Doctor. But it is always better to administer a medication as per advise of a Pediatrician. . . otherwise it may lead to side effects. So. . . if such episodes occur repeatedly, then it will be better to consult a Pediatrician & find out the exact cause of development of red blotches around mouth and lips. Wishing your daughter a good health. Thanks & take care"
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Hi. I have a blood clot in my right lung post surgery in August 2013. I am now having severe lower back pain and my physician is suggesting that I get cortisone shots. She stated this should be safe for my blood clot because they will not fully anesthetize me during the procedure. I am nervous about getting the shots because of the blood clot. In your opinion is this a safe procedure in my situation.
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"I can understand your situation and problem. Yes, it is safe to take cortisone shot while having pulmonary embolism (blood clots in lung). But following things should be noted. 1. You must follow your blood thinner medicines. Regular PT, INR report should be done to titrate blood thinner medicine. 2. Make sure your doctor is giving cortisone in the joint and not in the vessels. Intra-articular steroid injection is treatment of chronic joint pain. So it is safe, just make sure that it is intra-articular and not intravascular. And continue your blood thinne"
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"Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Well this could be blood clot, and you should do Doppler ultrasound to rule this out since after surgical procedures, there may be higher risk of closing disorders, so it should be evaluated more detailed. It may also be septic embolus if you had pyelonephritis, so investigation is definitely required. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.",
"Thanks for posting here. I have gone through your description. 60% blockages are considered non-critical. The carotid arteries supply the brain. When you had a TIA a small clot may have been formed at the blockage area and later traveled towards your brain. So you need to be on antiplatelet medications which will prevent the clot from forming. Endarterectomy is usually not done for 60% stenoses. In the future if the block increases in severity, a carotid stenting can be offered. Endarterectomy is a surgery and usually is done if angioplasty fails or is not possible. At present, you need to be on medical management. Also, the RCA has a 60%stenosis which again is non-critical and should be managed on medications. You should be prescribed antiplatelet medications and statins which lower the cholesterol to prevent these cholesterol deposits in your arteries from increasing. You have many risk factors for heart disease like smoking, high BP, diabetes, so you have to continue your BP and diabetic medications along with the above and try to quit smoking. Wishing you Good healthRegards"
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I am suffering from bone TB with infection and inflammation in my left sacral bone. The diagnosis was done after open biopsy. Therapy: Taking antibiotics from last two months. Started with Rifampicin, Isonizid, Pyrazinamide and Ethambutol. As the organism was found as fully sensitive/susceptible, Ethambutol was stopped after two weeks and the therapy continued with three medicines mentioned above. As, I have completed two months, now the plan is continue with Rifampicin and Isoniazid and stop Pyrazinamide. Observation: I felt a lot of improvement in the first two weeks of treatment but the condition detoriated rapidly after discontinuation of Ehambutol. Pain retuned back and much higher this time. However, new MRI and CT scan showed that the infection was not spreading. So, I was advised that the TB therapy is correct and I should continue with the three antibiotics. Now after completing two months of therapy, I am still in pain and way behind the improvment I was noticing after first two weeks of treatment. Bone abscess: Abscess is formed at the infection site, which is supposed to be treated by the immune system of my body and no external interference is done. Nerve involvement: I have severe pain and weakness in my left leg due to the pressure on the nerve roots caused by the inflammation at the infection site (left saclral bone). I took a lot of pain killers and was on a steroid (prednisone) course also for 20 days but pain and weakness returned back once I stopped taking the steroid. Can you please tell me whether the TB therapy is correct and how long will it take to get relief from pain? Also, how long the bone inflammation will last so that my nerve can get a relief and my left leg will feel better? Thanks a zillion in advance.
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"I appreciate the way you have explained your symptoms in detail, it is very helpful for a physician. The regimen for TB of the bone (whicChatDoctores under extrapulmonary TB) is 2 months of Isoniazid, Rifampicin, Pyrazinamide and Ethambutol. This is called the Intensive phase. This is later followed by the maintained phase of 4 months of Isoniazid and Rifampicin only. Total duration of therapy is 6 months. This is the regimen recommended by WHO in DOTS and is also followed in India where TB is very prevalent. We have observed very good results with this regimen in patients with bone TB. Though Ethambutol has side effects affecting the vision, we donor generally stop it only after 2 weeks. Even though it does not kill the TB bacteria but only stops it from multiplying, it is considered an important Chat Doctor. Since it was stopped for you, I presume that it was according to the guidelines which are followed in your country. Generally, it would not be significant, but in the light of reappearance of your symptoms, I would consider it significant. Abscess which is formed due to TB bacteria is called a cold abscess as it does not have any active inflammation. It will gradually disappear with the same treatmen"
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"Rifa-I6 Kid contains this combination and may be given. It is expected the that the infection would be controlled within the tenure of 6 months of treatment but may occasionally take some more time when another 3 months of treatment might be required with appropriate medicines. With proper treatment, TB is fully curable. Please visit any Revised National TB Control Program (RNTCP) center and the doctors there can treat it effectively",
"It can be due to weak thigh and hip muscles. For this you need physiotherapy in form of walking and other exercises. This pain will improve with physio in six to seven months. I would also suggest you to take vitamin B 12 and calcium and D 3 tablets that will improve your bone and muscles strength, I hope these steps will take care of this pain in 3 months"
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i have been taking metronizanole and eyrytromycin for 3 weeks for abdominal pain constant, have green white discharge just had swab results have stapylococus aureous infection will metronizanole and erythromycin treat this dr has been testing for 10 wks now pretty fed up
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"I can understand your concern regarding the effectiveness of the mentioned antibiotics to eradicate the staphylococcus aureus infection. Well, based on the culture and sensitivity of the white discharge the most commonly used and effective antibiotics are Flucloxacillin or Clindamycin. Metronidazole is effective in mixed bacterial infections, whereas Erythromycin is less effective in the treatment of staphylococcal infections."
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"I can understand your concern. She may have upper respiratory tract infection. Augmenting or azithromycin is useful. Pantoprazole is given along with these antibiotics to avoid gastric side effects. Warm saline water gargle are very useful. Consult your doctor and take treatment accordingly.",
"The pain in lower abdomen along with backache with associated history you have provided is suggestive of PID meaning pelvic inflammatory disease. Ultrasonography and actual per-vaginal examination will prove this. Get a course of an antibiotic with metronidazole to get a complete relief. If you have a sex-partner, he too needs to take the same treatment. Review ultrasonography after one week to see the results. If there is no relief, further tests needs to be done under the guidance of your Gynecologist. Diagnostic Laparoscopy may be required"
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hi, suffering from aching back and neck, headache all over, sinusitis symptoms....hard to breathe especially at night.....2nd bout in 2 months.....debilitating because of tiredness .......I have been swimming in chlorinated indoor pool for 5 consecutive days leading up to this bout......would this trigger the bout and would antibiotics work?
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"Swimming in chlorinated water might have precipitated the infection. A course of antibiotic for 5 days will give good relief from your all symptoms as it will clear the infection. Meanwhile, take Ibuprofen, paracetamol combination and decongestant to give you symptomatic relief from all symptoms. Take plenty of water. Take complete rest. Ok and take care"
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"I studied your query in depth. In my opinion-dear, you appear to have pharyngitis -, which needs to be treated. I would advise you to -Add-Tb-Antibiotic and Tb-NSAIDs, with Tb pantoprazole-, which would relive the -Lump in throat feeling. Cause of lump in throat is the pharyngitis with Eustachian salpingitis-as you had -ear-pain on the same side of throat -lump feeling while swallowing. .",
"The symptoms you have mentioned can be caused by pleurisy. Pleurisy is an infection of the outer covering of the lungs called the pleura. It can cause pain along the ribs increasing on deep breathing, fever, breathing difficulty and cough. It takes about two weeks to be cured hence you may feel weak and dizzy. Another reason here may be due to antibiotics. Some people do not tolerate antibiotics and have dizziness after antibiotic use. So keep taking the medications you have been prescribed and if you don't feel fine after three more days (total 5 days on antibiotics, you must visit your doctor and get your antibiotics changed. At this point of time just two days after pleurisy, you need not be worried. Just give your body and antibiotics time to fig"
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I had a bad spell of vertigo along with pain and tightness in right arm. I went to emergency and all blood tests were good and EKG was good. However the vertigo has gone with medication. I had a CT of head and report says that a questionable small focal hypo density is noted. The arm pain still exists if I start doing things. Once I rest it subsides. I do have a mechanical heart valve. Had this since 2003. I am now 64. My question is ....... What is this and is it serious. What can I do to ease the arm pain when I get it?
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"I think the hypo density found in CT scan can be cerebral infarction probably from heart thrombotic embolic due to your mechanical valve. I suggest you to consult a local Cardiologist and to discuss the possibility of transesophageal ethnography. If there is evidence of thrombus in your heart, you need treatment with anti arrogant Chat Doctor. If the infarction on CT scan is located in the corresponding arm area on brain, that is the cause of your arm problems, if not then you have to check other causes like cervical disc herniation etc. So I suggest you to consult a Neurologist as well."
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"Understanding your concern. As per your query you have pain in right arm. Well there can be many reasons for symptoms you mention in query like angina, brachial plexus injury, bursitis, carpal tunnel syn Chat Doctor. I would suggest you to consult general practitioner for proper examination. Doctor will check vitals, order blood test and urine test to check diabetes along with ECG. Doctor may prescribe medicine like metformin. Doctor may refer you to endocrinologist for diabetes or to orthopedic surgeon for muscle and bone pain. For now do not sleep in right arm, give your arm proper rest, take ibuprofen or acetaminophen for pain and decrease sugar and fatty food consumption.",
"I can understand your situation and problem. Since you are having chest tightness with arm discomfort, it is better to rule out cardiac cause first. So get done ECG to rule out cardiac cause. If ECG is normal, then no need to worry much for cardiac cause. Other possible cause for your symptoms are vitamin b12 deficiency, thyroid problem and anemia. So get done b12 level, thyroid level and hemoglobin levels. If all are normal then your symptoms are mostly due to anxiety. So avoid stress and tension. Be relax and calm. Don't worry, you will be alrig"
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How can I take to lose weight in the stomach area? I have hypothyroid, had a pituatoy tumor that was removed w/o being maligment, diagnosed w/breast cancer last July...but caught it early. I did not have to do chemo nor radiation. Only takes tamoxifen daily for 5 yrs. Please help!!!!!
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"As you describe it appears to be the hypothyroidism, which is causing the bulky stomach. As you are taking tamoxifen since 5 years, the uterus should be screened regularly, as it may cause the uterine cancer. I advise you to consult a gynecologist for diagnosis and treatment. You may need to have an M. R. I. for diagnosis. Avid taking fatty foods, junk foods, oily foods. Wishing for a quick and complete recovery. Thank you"
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"For conformation of cancer you need to go for further investigation like biopsy of throat scrap and Ct Of Abdomen. But I am sure this will be only gastritis. Better for you to quit the smoking. Take antacid, multivitamin and proper regular diet to improve your fitness.",
"That's why it is surgically removed, and adjuvant treatments are offered to prevent its recurrence and father progression to breast cancer. Coming to your question, Having dense breast tissue, fibrotic disease and saline implants leads to varying tissue density, the shadowing can be a result of that. An MRI with contrast and breast coil is recommended to get complete information as the normal tissue is disturbed by surgery and implants. Nevertheless, a 50 % chance of malignancy is present in normal woman with such findings. Risk of recurrence in your case is very low. I would also advise you to consult your oncologist regarding continuation of tamoxifen for 5 more years. If you are post menopausal, petamole/anastrazole is advised"
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hi doctor ,my husband is diagnsed as ?cacified granuloma( tiny calcified subpleural nodules in right upperhemithorax posteriorly and right mid hemithorax laterally) by mri scan of chest.what is the treatment of this? he can be medically fit to go abroad for his carrier?kindly give me a complete answer
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"I can understand your concern. Calcified granuloma in lungs is mostly due to previous healed tuberculosis or lung infection. No treatment is required as it is inactive lesion. Yes, he can go abroad, but we need to first prove that this Calcified granuloma is noninfectious and inactive. So consult pulmonologist for this. He will need CT thorax and bronchoscopy. Of both these are negative for active infections then he can definitely go abroad."
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"I can understand your situation and problem. Coughing out blood is known as hemoptysis. Hemoptysis with right upper love lesion on chest x-ray can be seen in following conditions. 1. Tuberculosis2. Pneumonia3. Lung cancer. So better to consult pulmonologist and get done1. CT thorax2. Sputum examination for tuberculosis and pneumonia. CT thorax will give you more idea about tuberculosis, pneumonia and lung cancer then chest x-ray. So consult pulmonologist and discuss all these",
"Thanks for an elucidated history. This is a classical case of Umbilical Granuloma. If this has appeared for the first time, consult a General Surgeon. On deep inspection he can confirm the diagnosis. If this is small, local cleaning and application of HY Chat Doctor. The larger ones are excised. This is treatable. Only thing to differentiate this from has to be umbilical sinus or a Fistula which is connected to the internal structures"
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hey i have a rash that started a couple weekes ago as one little spot on my hand and now all the itching ive done it has spread to me arms and elbows and the other hand is starting to get bad as well, they are small pimple like spots, very itchy especially at night and when i think about it it itches more of course lol. i itch them and the scab and i itch them ans they bleed and then there are some that just stay read and dont scab, but they are definitely multiplying more and more, and the doctor today gave me hydrocortisone hyderm 1%, do you think that will help or do you think it could be scabbies???
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"It is possible that this might be scabies, sometimes diagnosed by the visible little tortious lines in the skin, caused by the parasite tunneling. The problem with most rashes, if they have been present for a while and scratching has taken place, is there is secondary infection and the diagnosis is more difficult. Cortisone might help for the itch, but will not treat scabies and can aggregate bacterial infection. For that reason I feel you should see a dermatologist whom can examine your skin under magnification and thus diagnose and treat appropriately. I trust this information helps you"
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"After reading your query it appears to be due to the closest possibility of \"Urticaria\". This is a condition caused by bursting of allergy producing cells known as \"mast cells\". As the chemical inside them is released causes the kind of rash which you mentioned. Kindly follow the suggestions below:-Apply over the counter calamine lotion 3-4 times a day. -You can do cold water compresses to reduce the intensity of itching. -Do not scratch or rub the skin as it can lead to further aggravation. -Kindly stop taking oral steroids as self-medication as it can lead to side effects. So you can take oral anti histamine like loratadine or levocetrizine under medial advise. Despite above measures if the problem is not getting better than it is better to consult a dermatologist for best guidance.",
"Appearance of similar lesion in daughter further supports the diagnosis of scabies, as this is contagious. For treatment of scabies, steroid shot may not help. I used to give anti-scabies creams like 5% permethrin to be applied all over body below neck overnight two times, one week apart. Antihistamine tablet like levocetirizine 5 mg at night for 5 days can relieve itching. All members in house need to be treated simultaneously, and all garments hot washed, sun Chat Doctor. Kindly discuss with your doctor."
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I am having lit pain in lower abdomen ( kidney ) area. I have gone through stent removal process 2 days back which was inserted to create passage in urator since I had kidney stone of 3 mm size, stone was also removed 2 days back. First process was done 15 days back.Is the pain normal ?If yes, how long it will take to normalize ?
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"1) YES - the pain is normally felt at the sight of instrumentation and the pain in the lower area of kidney is a referred pain, and it occurs in such cases of kidney stone. 2) This is a minor operative process will usually take about 10 days from the closure and removal of the stent to heal completely provided the healing was without any complication."
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". . The first three days of pain is absolutely normal . . . you need not worry about it. . . . You need to have a check on the duration and intensity of pain. . . is it the same since the day of removal or has it come down? Increase in the pain intensity is factor to worry. Pain for more than 4 days with increased intensity could be a Chat Doctor. Infection would set in only after 1 weeks time. . . . if the sterilization procedures were well maintained at your clinic infection wouldn't set in so fast. . . the abscess your doctor was talking to you would get cured by the antibiotics and atmospheric oxygen. . . Consult your dental surgeon in case of pain even after 4th day. . .",
"Pain after stent removal can be due to recurrence of stones, stricture in the ureter or inflammation. As you have fever and pain, it might be due to mild infection. I would suggest that you get an ultrasound done to check the possibilities. In case of stricture immediate action needs to be taken to prevent scarring. I would suggest that you visit your urologist and discuss the above-mentioned possibilities for further advise. A urine culture and course of antibiotics might be necessary"
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Hi,My platelate count is around 6lacs n blood test shows iron deficiency. Dr advised me to take livogen 1 hr before lunch n dinner. Sometimes it happens I couldn t take before lunch. Can I take after lunch. How much time will it take to reduce the level of platelets.
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"It takes about 2 months for hemoglobin to normalize after you have started iron replacement therapy. If you find it difficult to take Limoges before food, it is OK to take it after food. There is some reduction in absorption when you take it along with or after food, but is fine. You have to take iron tablets for total of 6 months."
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"I can understand your concern. If you don't have any other symptoms then it can be due to platelets aggregates that happen due to sampling error. So you should repeat your platelet count after two days. If it becomes normal then nothing to worry. If it is low then you need further investigations.",
"I understand your health concern, if I am your doctor I suggest you should start with oral iron therapy. Tab Liven Z is the good treatment tablet you should initially be started with two tablets than with the one once the hemoglobin increases above 12 gm. Continue the treatment for additional 3 months to replenish the load further. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best heal"
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My 5 year old son collided with his sister(heads) full speed over a week ago and knocked him back on the cement and he blacked out for a few seconds. He recovered well but now has a half baseball sized squishy bump on his head near where he hit the cement. He has not complained and it is not terribly sensitive to the touch but I am concerned because I feel an indentation in the bones of his skull around the squishiness. He has acted completely normal and energetic.
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"The bump on the head that you feel is most likely due to local swelling following the hit. The indentation of bones however is not likely as the bones of a five-year-old are not normally supposed to be soft enough to give way to local swelling. Also, if your child is playful, eating well and not complaining of pain, serious consequences can be ruled out to a great extent. Having said that, if you still feel that his skull is showing some bony depression, I would suggest a medical consultation and if required at least an X-ray skull may be done to rule out skull fracture. If you have any more doubts, do write back"
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"You have no signs of a head concussion. So relax and do not worry about it! You should know that after a head trauma the soft tissue in that region swell and can cause a temporary loss of sensation because of the nerve compression in this area. But everything will turn to normality in some days. You should just be a little patien",
". . this boggy swelling is not due to fracture of the skull. Do not worry. I appreciate your knowledge about the danger signs of a head injury. What you are feeling as the mushy swelling is soft tissue swelling in the area at the point of contact. As your doctor has said it might take 6-8 weeks to completely settle down. I reassure you that it is not a fracture. Regarding your concern that it is increasing in size it might happen like this, but eventually it will settle down"
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I got kicked in the testicles ten days ago and the bruising has not gone down. My left teste feels odd - like it twisted or the cord has become loose - but not much pain. Basically, just a dull ache sometimes, especially when my scrot is relaxed. I want to know if its possible to detach my testicle from the cord and if it would be more painful if I had.
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"You have sustained injury to your scrotum resulting into bruising of the scrotum. It is practically impossible to get spermatic cord detached from testicle with any sort of injury. The pain and discomfort that you have is mostly due to soft tissue injury Consult qualified General Surgeon for clinical examination and get Ultrasound Scanning of Scrotum done to be rest assured about any major internal injury (Which is most unlikely). You need to take broad spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. It should get cured"
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"This can be due to recurrent testicular torsion with a referred pain on the left side of the abdomen. During the next attack consult a Surgeon / Urologist and get an urgent ultrasonography and color Doppler done of the scrotum as well as the abdomen. Also get a Standing X-ray abdomen during the attack. Once the diagnosis is made, it is easy to treat. Another possibilities are of sigmoid volumes",
"I can understand your concern. If there is any history of injury to scrotum then most likely it is a hematoma or infection post trauma. The pain could occur because of pressure over testis by tight underpants. This sometimes results in a picture similar to an infection. I would advise you to get USG scrotum done. This will rule out any hematoma or infection. A urine analysis should be done to rule out the cause. Please provide the reports for further assistance. Thanks and take care."
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I have known trigeminal neuralgia (bilateral) for which I have gone through several surgeries on the right side in 2011 and 2012 and 1 surgery on the left side in 1995. I also had meningitis from a shunt being placed in 2011. I have been experiencing the feeling of fluid running along the inside of the side of my head. What could this possibly be?
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"My name is Chat Doctor. As you underwent shunt surgery you might be experiencing CSF running in the shunt. . . As the shunt might be ventriculoperitoneal shunt which is placed subcutaneously placing ventricular reservoir under scalp and peritoneal end in the subcostal region. Due to passage of excess CSF from shunt reservoir to peritoneal the pressure exerted by CSF in the shunt tube."
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"From the explanation that you give it looks like a central neurological problem in year head. It may from many causes such as encephalitis, meningitis, stroke, aneurysm in the brain, tumor, epilepsy etc. etc. Also, another cause may be from kidney problem that you have since creatinine level is high. I recommend you to see a specialist in neurology, and he will order blood tests and imaging test such as CT scan, MRI, ultrasound of kidney etc. If neurology specialist clears your sister he may send you to nephrology specialist to ad Chat Doctor. Wish you quick recovery",
"This can be a serious problem of bleeding diaeresis as you have a history of blood dots on the body. The pains on one side of the body and a flu like symptoms can be due to the same blood spots affecting the brain on the left side hence you have problems on right (opposite side). I would advise you the following:Take a consultation of a Neurologist as soon as possible. Get an MRI of the brain with contrast. Blood tests including bleeding time, clotting time, platelet count, prothrombin tests, The treatment will depend upon the diagnosis"
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I am Debendra, 37 years from India. I am an epillepsy patient . The first fits stoke I had in 1988. Generally the fits strokes were happening in the month of January and August, only and only during the first stage of sleep. Never ever I had a stroke when I am awake. As per the CT scan repot there is a calcified focus in the left posterior parietal region possibly old healed granuloma . Since 1997 till 2002 I was taking Zen Retard 400 mg 1 tab/day. Then till 2005 I took Zentard 200 mg 1 tab/day. During these days though i was feeling the pre stroke symptom such as blinking of eyes for few seconds, feeling confused, stress , an odd feeling of flying the body in air, feeling of the hands are too long etc, during the months of January and August only, but never had a fits stroke. Then the doctor advised to stop medicine. 1 month after stopping the medicine, i had a fits stroke. Ofcourse it was followed by sleeplessness for 2 days and intese work pressure. Then the doctor advised to continue Zen Retard 200 mg 1 tab/day again. I was frustrated and did not see the doctor after that and continued Zen Retard 200 mg 1tab/day till April 2009. Then stoped taking medicine. But 15 days after stopping the medicine, I had a fits stroke. I saw the doctor. The EEG report was normal. The advised it may be because of extra mental stress and lack of adequate sleep. I was prescibed Lonazep 2mg 1tab/day. Since then I have been taking that medicine. Now I have no pre stroke symptom anytime expect feeling very uneasy sometime when lack of sleep due to stress. But perhaps due to impact of medicine I get severe body pain in the morning. My previous doctor did not respose good on my last visit. So I dont wish to see the same doctor. What should I do now? By nature I am very calm, more patience but now a days because of family and personal tensions I feel irritated and loosing the patience. I am physicaly very fit and atheletic. Please advise.
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". . Thanks for this query. As a patient of epilepsy you must know that before stopping any antiepileptic Chat Doctor. Secondly by nature AED are CNS depressants & hence abruptly stopping any AED without dose reduction & proper taper may cause recurrence of seizure which evidently happened in your case. Third & most important point is Epilepsy either controlled or poorly controlled is an independent risk factor for Psychiatric problems; most common of which is depressive illness. Your current symptom profile of feeling excessively stressed out/overwhelmed, irritability, body pains, fatigue etc. are indicators that you are probably suffering from mild-moderate depression. Hence, you need to consult a Psychiatrist for a full formal evaluation & treatment of your stress related problems followed by evaluation by an MD (medicine) or DM (Neurology) doctor to decide upon whether you need further continued treatment with AE"
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"epression has low mood and lack of interest and sleep disturbances, and it should persist throughout the day for 2 weeks. You should consult psychiatrist for better outcome. This kind of condition can be treated with SSRI . SSRI like Escitalopram is very useful in young age. Beside this exercise, meditation, diet, proper sleep all can help. if you have a sleep problem then holiday 5 mg is beneficial to restore good sleep. Still have a query then feel free to ask. Happy to help you. Thank you",
"I have read your message. I think I can help you. The symptoms of the query are quite suggestive of a stroke. The sudden onset of the symptoms, the motor weakness, the swallowing and speaking difficulty, the shaking of hands. All symptoms are suggestive of the diagnosis of stroke. The fact that he had been having similar episodes over the last 3 months is suggestive of mini strokes that we call TIA medically. These are usually warning signs of an impending stroke. I am unaware from the query about the duration of the symptoms. Within 4 to 8 hours onset should be treated urgently and should be visiting an EMR as soon as possible. He will need urgent treatment. If it is more than that, he needs to meet a neurologist who will probably perform a CAT scan of the brain with or without the angiogram (depending on the protocol of the hospital). As per the report of the CAT scan, medicines may be initiated. I think a low dose statin and antiplatelet should help. I would suggest a scan prior to the initiation of the medicines because the closest differential is a possible cerebral hemorrhage (less likely in view of the mini strokes) where these medicines are not to be given. Meanwhile, I think you should start him on physiotherapy for the motor weakness. Another chance I want to consider here is possible diabetes and hypoglycemia attacks. If the GP has thought about this as a possibility and tested sugars, there is probably nothing to worry about. Otherwise, hypoglycemia in a diabetic patient would explain the brief episodes. And a hypoglycemia can also explain the prolonged symptoms. In such a case, sugars need to be well monitored. The third possibility I need to consider is a vasculitis. This is a common cause of stroke, but usually is thought of in young patients. The last 2 causes I have considered in the view of preexisting foot ulcers which cannot be explained by TIA or current stroke as the ulcers predate the stroke. I think you need to get the scan and meet up with a neurologist. Unfortunately, as explained, I cannot suggest medications without the scan. I have tried to make it as simple as possible. Please feel free to contact me for any further clarification"
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I noticed a small red spot on my upper gum directly above the gum line of my tooth. I noticed it about a week ago while flossing . There is no sign of infection,bleeding or any discomfort etc. What might cause this and should I have my dentist check it out ?
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"The small red spot on the upper gum can be because of the trauma secondary ti the use of floss or any tooth brush injury, or it can be because of gum infection. Consult an oral physician and get it evaluated. If it is gum infection get your teeth cleaned. If it is secondary to trauma, then you can apply chlorhexidine gel over the red area. If you have pain, then you can use topical anesthetic like lidocaine gel 2%. I hope my answer will help you, take care"
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"It looks that either the wisdom tooth is erupting behind the last molar or if it is erupted then there must be some apical cyst or gum infection, which is causing this problem. Better once you should visit a dentist and get an x-ray done of that area, as it will show the source of infection. As sometimes this bony infection causes soreness of soft tissue above it,",
"Welcome to Chat Doctor. I read your query. Swollen and bleeding gums can be due to various reasons. Is there plaque or calculus on teeth? Gum disease is main reason for bleeding. Or there can be tooth cavity and infection if the gum swelling is in particular area. I suggest your friend to visit a dentist and get checked. If there is gum disease, scaling will help. In case of tooth infection (confirmed with x-ray), RCT is the treatment. Dentist may also prescribe antibiotics and painkillers. Maintain good oral hygiene. Do warm saline rinses. Take healthy diet and multivitamins. Headache could be pain in tooth radiating to head. If it persists after treatment of tooth and gums, see a physician for further investigation."
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MY 85 YR OLD GRANDFATHER HAS SUFFERED A HEART ATTACK AND APPARENTLY 3 OF HIS ARTERIES ARE 90 PERCENT CLOGGED.HE JUST FOUND OUT HE IS ALSO DIABETIC AND HAS BEEN FOR OVER A YEAR AND DIDN;T KNOW.HIS DOCTOR SAID HE IS A CANDIDATE FOR A TRIPLE BY PASS BUT HAS A 50/50 CHANCE OF SURVIVAL AND HE WOULD PROBABLY ONLY SURVIVE FOR 2YRS AFTER SURGURY. HE IS VERY SCARED OF THE RECOVERY AND OF DIEING.WHAT DO YOU THINK HIS CHANCES ARE OF SURVIVAL?
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"Nonetheless, I think it's fair to say that without surgery; 90% arterial occlusion (depending on one which arteries are involved - there are many arteries and their location around the heart and effect in blockage varies); can indeed lead to even worse outcomes if not repaired. Unfortunately, if the physicians are describing Triple Bypass surgery as opposed to a less invasive option (catheterization), than according to medical treatment guidelines, it is very likely these are very important arteries, which must have adequate blood-flow for survival. Thus, surgery may be the only option to prevent the inevitable (a full-fledged blockage and heart attack which may lead to death). I would assume, and certainly speak to the physicians about this to assess its validity, that his chances for survival in the near future may be improved with surgery, though for an individual of your grandfathers demographic, there are great risks to surgery as well. You must weigh your options. 90% occlusion of ones triples vessels will not reverse without intervention, and are not conductive with a positive outlook for continued lifespan. I'm sorry for you and your grandfather, and trust you can all come to a decision which you believe is best and most comfortable for his comfort and well-being"
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"Am sorry about your mother. A person with massive stroke with a poor prognosis/chance of recovery can survive anywhere from a week to a year (occasionally longer) if there are no further complications. More commonly 3-6 monthsKidney failure, sepsis, heart failure, overall health condition (diabetes, hypertension, coronary disease, obesity, age) before the incident all factor in. Recommendations :-Proper nutrition through a feeding tube, parenteral feeding should be given with adequate calories, proteins. - Position must be changes every two hours to prevent bed sores. -Personal hygiene maintained by a trained personnel or family member. -Passive physiotherapy of the limbs to maintain circulation and muscle tone should be done- neuroprotective Chat Doctor. The aim is to keep her as comfortable as possible",
"The survival rate of 5 years is considered to be 15 to 20 %, means 20 patients among 100 patients survive 5 years. Out look is better if the lesion is in the distant part, and in the lymph nodes than in organs. And if lactose deny Chat Doctor. Besides giving treatment give him fresh juices of palatable vegetables, to have an UN explained little recovery. Wishing him good health. Thank you"
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My Girl friend had menses from 7th of Dec 2012 to 11 th of dec. We met on 12th Dec. had sex and we continued sex till 15th and she have taken unwanted 72 on 15th afternoon.But after 1 week she is bleeding slowly and heavyily randomnly and vomitting also.Kindly tell Why after menses this bleeding occurs after a week again? Do we need to take pregnancy test and if yes, Red line will come in both case means mis carriage or pregnant or only in one case if pregnent .Is it mis carriage or what?Pls tell Ad also suggest if found pregnent we want to avoid it.Pls answer asap.
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"e. in safe period with taking unwanted 72 on 15th Dec in correct time. The bleeding occurs due to with Chat Doctor. Here pregnancy chance is almost nil. So don't be much worried and stay cool. This bleeding stops automatically and if persists for more than 5 days, then consult with gynecologist to rule out underlying pathology if any. Pregnancy test is done with urine for Chat Doctor and two pink line indicates positive test whether one pink line indicates negative result. Wait for the next coming period and if missed do pregnancy test after 1 wk. Practice safe sex in the future. Be well"
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"I have gone through your query & understand your concern. You had unprotected sex 2 weeks before your periods. That falls in fertile phase of menses. You had very light bleeding during your periods at scheduled time. . . but it was scanty. Such bleeding is most likely to be implantation bleeding. So yes, such bleeding can be sign of pregnancy. Please confirm after 8 days delay in your menses",
"So this intercourse does not pause any threat of pregnancy. You may have some bleeding after few days and your menstruation may be delayed by few days to a week. However, you had one more unprotected intercourse on 12th Jan was not protected at all and hence this intercourse may result in pregnancy. You are not sure of the dates of menstruation. Moreover, you have taken Progesterone pills which will delay your menses. So you cannot figure out whether you have missed your period or not. Hence, the options to detect your pregnancy status are:1. Perform Beta Chat Doctor test on the blood after 29th Jan. 2. Perform pregnancy test on overnight first morning urine sample after 10th of Feb. I hope this resolves your dilemm"
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my grand father is a non alcoholic and is at the final stage of liver cirrhosis. Now his bilirubin level is 7 and he is most of the time unconscious. We are all informed about his disease and prepared for his death. but i wud like to know that if he will get a painless and noble death without blood coming out and intense pain NB: He has no portal hypertension instead his hepatic veins are under thrombosis
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"Sorry to hear about your grandfather who is in end stage cirrhosis. We cannot predict the method of death in any person having chronic condition like cirrhosis. If he is unconscious most of the time then it might suggest hepatic encephalopathy. This is a condition when the toxic metabolites are not getting cleared by liver and are accumulating in the brain. This gives rise to occasions when he might have altered consciousness. It is difficult to know his pain and his doctor might put him in pain relief if required. Please do not worry"
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". . Here your father might have cirrhosis as having ascites. . If splenomegaly associated then portal hypertension can be there by cirrhosis. . . For headache paracetamol can be given. But not excessively. . . Cirrhosis needs to be treated. If portal hypertension more beta blocker can give. For ascites diuretic can be given. . . . Ultimate treatment is transplantation for cirrhosis. . . Take low salt diet. In morning take grinned spinach and carrot juice. . . . If your father having associated sleep disturbance, behavioral abnormality serum ammonia estimation done to rule out encephalopathy. . . .",
"I can understand your concern. You have cirrhosis. It leads liver damage, and it will increase the bilirubin level. So don't worry it's just a part of cirrhosis. Take treatment of cirrhosis. Nothing to worry much about bilirubin level."
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Hello, I have a blister on the roof of my mouth that my dentist is saying is a toric bone. I have taken bone suppliments for some years now and this problem started when my plate broke and a blister started. Could you fill me in on what this condition is.
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"You did not mention why your palate broke. Is it an accident or any other reason. You also did not mention your age. Tori appear in early adult life. This is extra bony growth and is not infection. It must be removed if it is disabling to the patient or causing discomfort while eating, etc. Sometimes presence of torus runs in families. This cannot be due to the bony supplements. Do not worry. If it is a torus, then there is nothing to worry. If the swelling is painful, tender or grows in size, you must be worried. Feel free to write to us in case any further queries."
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"Read your query. Considering the mentioned location and description, I would have suspected it as a Tori, which would not usually require any treatment, if I was your consulting doctor. Mandibular Tori are small bony growths that are present on the lingual aspect of the mandible. Removal of the Tori is usually recommended if they are interfering with tongue positioning, speech, denture placement, as well as with poor oral hygiene around the lower posterior teeth. Relax and have it checked with your dentist and have it excised if needed.",
"Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint a white blister inside the mouth of your son that has a red surrounding area seems like an Authors ulcer or canker sore or a traumatic ulcer caused by chewing or biting the lip and does not seem like Cold sore as cold sores appear as fluid filled blisters commonly present over the lips. I would suggest you to consult a Periodontist or an Oral Physician and get evaluated and in case if it is an authors ulcer he can advise him to apply a numbing gel but to be precise to apply only over the ulcer. You can be advised to apply a steroid ointment to reduce inflammation. Vitamin B complex in syrup form can be given. Tylenol can be advised to reduced pain. Applying cold compress or ice over it can relieve. Give him soft diet, more of fluids. Avoid spicy and citrus foods."
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my child is 18 month old, his tooth are become black in colourin the upper front jaw,suddenly his cheek become swollen we discussed with dentist he advised to remove the affected teeth is it need to remove the teeth are is it possible for any other ayurvedic or siddha treatment. pleace our question
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"As there is no any ayurvedic treatment you should consult dentist and go for restoration if possible, if cant be restored go for extraction of tooth."
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"It could be bleeding under. I would request you to get exact situation of the condition at present. Any herniation, IVD space reduction, any degeneration etc. should be excluded. On getting reports do physio, Yoga etc. constantly. For medicine part only Ayurveda will have an answer and not the Allopathic painkillers (these will help for momentary brief but not for long run). So pl inform later for Ayurveda treatment which will be advised as per present condition after diagnosis at hospital.",
"Syringes are seen clinically as small raised bumps on the upper or lower eyelids and less commonly on the cheeks and temples. Usually syringe is removed by laser surgery or electric cauterization. In Ayurveda, ALOE VERA gel is known for its healing properties and can also be applied on the scars. Do this regularly for best results"
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Hi Doctor! I was wondering: I have an odd bump on the bottom of my foot that is mostly painless but, when poked or pressured in the right way, hurts, just like my other lipomas. Is it possible to get lipomas on the bottom of ones foot? Thank you!Samuel
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"Yes, it is possible, but this site is rare to have a lipoma. If it is freely mobile, not painful on pressure and not having problem with the surrounding structures, it goes more in favor of a lipoma. I would advise getting this removed before it enlarges or causes local problems. If this lump is on a pressure point it is advisable to get it removed. This helps in two ways. You get rid of the lump and get a tissue diagnosis"
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"There are no known medicinal treatment an any path (system of medical practice) to prevent lipoma. You have to get removed all the lipomas. You can request your surgeon to remove all. The principals of which ones to remove are:*If they are on joints*if they are pressing in muscles*if on the pressure points of the body like back and buttocks. *Unsightly-meaning not looking good to eyes, socially embarrassing",
"I am Chat Doctor. I can understand your concerns and I will be answering you . What is your age. ?? Are you diabetic or do you have its family history. ?? Any history of chronic disease. ?? There are lumps anywhere else or not. ?? Lump is painful or not . ?? Do you have fever . ?? If I were treating you in my clinic I would have palpated that lump to look for its consistency. I would have looked for its mobility under the skin. I would have done skin pinch test to rule out sebaceous cyst or lipoma. according to the information you presented it seems that you have developed a sebaceous cyst. These cysts are most common in hairy areas. These cysts develop due to blockage of the duct of sebaceous glands. Thus the gland is unable to empty its secretion(sebum) and it enlarges with the passage of time. Sebum helps in the lubrication of hair. The diagnostic point of sebaceous cyst is a puncture(hair follicle on the surface of the cyst). the definitive treatment of sebaceous cyst is its surgical excision which is a minor procedure done using local anesthetic such as lidocaine or bupivacaine. You will be able to home right away. 2nd on my list would have been a lipoma. Lipoma is freely mobile under the skin and one can pinch skin overlying it. If lipoma is causing problem i. e. cosmetic problem or in your case interfering with you sleep, then it needs surgical excision. It is also a minor procedure. 3rd on my list would have been an abscess. Abscess fluctuates when one puts two fingers on it and presses one finge"
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I have fibromyalgia and am looking for an exercise regimen to get me moving and build my core. Because of my pain, I ve become sedentary and need to move more. Can you recommend some exercises to start me out slow and then progress to a moderate plan? Due to weather, I prefer to stay indoors.
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"Well for fibromyalgia there is very limited access for each and every thing. But a continuous variation and modification of exercise will always be of help for making core look with doing Pilates. Along with it please look forward with breathing exercises. As breathing is the first one to focus. Try doing strengthening of the antigravity muscles. I mean to say, the muscles of your back. Them look for upper limb strengthening and lower limb as well. Focus on strengthening but without weights. That might not sound sensible. But yes I mean to say same thing. And I spoke exactly what I meant to. Strengthen while using no weights. Well, a guidance from a professional physical therapist always words to an extent a better. For my personal experience with fibromyalgia patients I prefer to divide the whole program into different variations like meditation, yoga, breathing exercises, fitness training, strengthening conditioning, etc. There will be a lot of fora about the fibromyalgia and lot of patients are benefitted with various things. What I mentioned was a rehabilitation package which can be fluctuation on a basis of demand and supply. I wish you a speedy recovery"
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"I have seen many patients with fibromyalgia and all have improved. All you need to focus is on doing regular exercise under supervision. Second thing to look forward is the yogic breathing. The third step comes here is the meditation. Now let me explain you in little detail here. The fibromyalgia is a condition which arises due to the inflammation in the muscle fibers. As the name states. Fibro-myal-gia means the fiber muscle pain. Now you have RA as well. For RA the importance is to keep the muscles and joints active as it should never trouble the Respiratory system. So for that a breathing exercise is advised. Now why I talk about the guided exercises here is because some therapist who can understand you fatigue levels and help you modify all the exercises. Now working out in this situation looks somewhat an odd. But making an understanding to the body how to cope up with all the possible activities it will always take u to some possible good direction. Now how far I have successfully treated. Well I have seen all chronic fibromyalgia and RA cases. But timely modifying and keenly observing the patients progress I grade the exercise. I hope I have helped somewhat to your query. If anything further you want to discuss I will surely stand up. I wish you a blessed recovery",
"Although treatments are:you can take hot/cold therapy:apply hot water fomentation for 20 mins. Hot therapy reduces the spasm and numbness or induce the blood circulation. Cold compresses or therapy reduce the swelling over nerve and numbness. Apply ice cubes within towel over your back for same time and don't exceed this therapy more than 20 mins to avoid skin burn. You can apply massage with mahanarayan oil 3 to 4 times a day. it reduces the muscle spasm and increase circulation and range of motion. Exercises:Do isometric spinal extension exercises 3 times a day as ankle stretching, lie on your back bend your knees and raise your waist and hold up to 20 secs than release and repeat it again for 10 times. Avoid forward bending, weight lifting, long sitting and standing it will increase the pain. Stretching do hamstring stretching so that sciatic nerve got relax"
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I m a 29 year old male and I have a few questions. I have made an appointment with a dermatologist but I am curious to a few things I have going on. I have quite a few flat moles that aren t raised above the surface but are irregular in shape/borders. I have noticed a small amount of possible discoloration in them. The largest one is on my back and what I thought was numb from a previous mole removed, I just realized is no where near the area of the mole I had removed. The numbness is about 1-2 inches around the mole. I m wanting to know if numbness and itching is a characteristic of cancer or not?
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"ncer symptoms in a mole are1. Sudden increase in size2. Appearance of hair3. Discharge in a more4. Change in color of motif the numbness is around 2 inches away from the mole then cancer is unlikely a possibility. However, it is safe to consult your dermatologist and get is examined clinically. After examination, if your dermatologist suggests a biopsy to be done then it is required for confirmation. Please do not worry"
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"I can understand your concern. Your mole may be benign nevus, malignant melanoma or some pigmented skin lesion or cancer. You should go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. You should not wait. Consult your doctor and plan accordingly.",
"In my opinion you are having infection mostly. As tenderness and swelling suggest inflammation. So better to consult dermatologist and get done clinical examination. And no need to worry about prostate cancer as it is common in old age and not at your age. You are too young to have prostate cancer. So better to stop worrying about it. And hormonal imbalance can be another probability. But infection appears more. Better to get done clinical examination"
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I ve had a kidney infection before (about two years ago) currently my back and side hurt (it s just the lower right side of my back and my right side) It burns when I urinate and it smells a bit. I think I may have another kidney infection, but my arm has been tingling as well. Could they be related?
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"Kidney stone will hurt the back . but there is no direct relation between tingling sensation in arm and kidney problem. Tingling sensation in arm may get other cause like neurological cause too. Kindly do urine routine urine culture and ultrasound abdomen and visit a physician to rule out the cause. Regards"
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"It could be radiating pain sore muscles and ligaments of the lower back on the left side. 2. secondly it could be related to kidney stones, but I suggest you to get an ultrasound and urologist opinion. I suggest you to visit first local orthopedic doctor who could further guide you for a X-ray and ultrasound of abdomen if necessary. I hope it could have helped to sort the query. If any doubt you are free to post follow-up queries. Wishing you a good heal",
"Such symptoms are most likely caused by urinary tract infection. Intercourse can trigger such infection. Frequent urinating, burning while urinating and lower abdominal pain sometimes radiating to the back are characteristic for these conditions. I suggest you to have urinalysis, blood work and abdominal ultrasound performed. Antibiotic seems necessary. You should also Chat Doctor. Hot baths should ease the pain."
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Hi Dr. Grief, my sister was diagnosed with cervical cancer less than a year ago. She received chemo which ended in Dec.. Last week she went for her check up and the cancer had spread to lymph nodes near her liver. I ve always heard that once cancer has spread to lymph nodes it is really difficult to treat. Is this true? Also my brother said that since it s so close to the liver, it may spread to her liver which may cause her liver to fail.
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"Local lymphatic spread of cancer can be removed by DN block surgeries (removal of whole uterus, ovaries and Chat Doctor. But once distant lymph nodes are involved like in your sisters' case hepatic nodes, then chances of cure are decreased and one can not do surgery as tumor has spread in the body. So involvement of liver nodes suggest distant spread in cervical cancer. And yes, chances of liver involvement are high if surrounding nodes are involved"
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"I can understand your situation and problem. Breast cancer when metastasize to liver and nodes, it becomes stage 4 cancer. It is inoperable and incurable disease. The only treatment available is palliative treatment which includes, palliative chemotherapy, palliative radiotherapy, painkiller Chat Doctor. All these will not treat you but can increase your life expectancy and sufferings. So better to consult né and discuss all these",
"It is good to know that your brother has completed treatment for Hodgkin lymphoma. It is important for him to closely follow up with his doctor every 3 months as recommended. He might be free from disease, and it is possible that he is cured of cancer. Usually cancer is cured if a patient survives for 5 years from detection of cancer. It is probable that your brother has shown good response to treatment, and he might lead a normal disease free survival. The recurrence of Hodgkin lymphoma cannot be predicted and in most patients the disease will not happen again. Please keep in mind that if he has weight loss, fever or lumps anywhere in the body then he should consult his doctor immediately and take treatment. Please do not worry"
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Hi, I am a 30yo female and am still waiting on the results of a recent CT scan but my GP said I likely have a cyst on my spleen (something showed up on my spleen from an Abdominal Ultra Sound ). I have been experiencing some abdominal pain, fatigue , nausea and vomiting for nearly 10wks. Is a cyst likely the culprit? What are the most likely next steps?
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"Spleen cyst is a very common disease and can give no symptoms. Only if large enough to squeeze surrounding tissues can cause unspecific symptoms. Symptomatic cyst can be treated with laparoscopy. However, your symptoms can be caused by some other diseases like peptic ulcer. That is why before any decisions you should have upper GI endoscopy to rule peptic ulcer out."
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"I am Chat Doctor answering your query. Even though it needs a clinical examination of your abdomen to arrive at a tentative diagnosis, from the history alone of your symptoms, this seems to be an inflammatory condition of the intro abdominal organs and if it is on the right side, appendix and gall bladder top the list. If I were your doctor, I would advise you for a complete blood count, a stool test for ova and cyst, a urine routine and microscopic test, and an ultrasound of the abdomen to rule out such and other related conditions so that appropriate treatment could be planned. Till then, you could go for an anti-spasmodic along with a proton pump inhibitor Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery.",
"Have you ever considered stomach issue? This sounds like gastritis, gerd or hiatus hernia. You should do gastrostomy to evaluate this. Gallbladder may cause such symptoms too. But if they don't see stones or polyps I doubt this is causing your symptoms. You should also do CT scan, there might be cyst in spleen, liver or pancreas which can press your digestive system. If your symptoms persist you shouldn't ignore it, and you should insist on those diagnostic tests. Wish you good heal"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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IAM 47 YEAR OLD WOMAN. MYSELF AMD MY HUSBAND HAD SEX AFTER TWO AND A HALF YEARS GAP.BEFORE 3 YEARS MY MENSURAL CYCLE WAS 30 DAYS. BUT FOR THE PAST TWO YEARS IT HAS BEEN CHANGED (ie)26,27,28,29 LIKE THAT MY LAST MENSURAL DATE WAS 17TH OCTOBER . WE HAD INTERCOURSE ON 10TH NOVEMBER. IS THER ANY POSSIBILITY OF GETTING PREGNANT?
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"In regular menstrual cycle, the egg is released 14 days prior to the next expected menses. The Egg has a life of 24 hours while sperms are active for 72 hours. Hence, a period of about a week around the day of egg release is fertile period. Considering your period of about 28 days, your expected period was around 14 November and the day of egg release (ovulation) would be around 31 October. This calculates fertile period from 27 October to 4 November. Thus, your unprotected intercourse on 10 November falls way outside the fertile period. Thus, according to this calculation, you carry very minimal risk of pregnancy due to this intercourse. However, we have to consider your age factor. Your age is 47 years; nearing menopause. Variation in your menstrual pattern is due to the premenopausal changes. During this period of life, the ovulation is very unpredictable and irregular. Not all the cycles are ovulatory. Moreover, the menses also may become irregular. Thus, it really becomes difficult to calculate the safe period. Even if your menses are delayed, you cannot figure out whether these are premenopausal irregularities or possibility of pregnancy. Hence, during this phase of life, it is always advisable to use reliable contraceptive like condom. I feel, with this menstrual history and history of intercourse, you stand very minimal, almost no chance of pregnancy. You should get your menses. However, if at all you do not get menses even 40 days after the last menstrual period; i. e. 26 November, perform pregnancy test on overnight first morning urine sample. I hope this helps you"
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"You said you were on demo for 3 years. This might have changed your normal hormonal pattern. But you have stopped it in 2009 and moreover for past 6 years, you are not at all on contraceptives, so this has nothing to do with. You haven't shared how old are u now? What is your exact age? Women from 18-40 years are of reproductive age group, where chances of pregnancy are high. I suggest you and your husband to have sex/intercourse in the fertile period. Try doing this for next 5-6 months. fully you will get result. 2. If you are in a hurry to get baby, I suggest you to visit a nearby gynecologist or infertility specialist to get expert opinion. It would be wise if you take your husband along with you.",
"By date calculations, it is very difficult to derive about the probable intercourse responsible for the conception as the prediction of pregnancy dating varies by few days to a week by ultrasonography in early pregnancy. The due date also is derived by ultrasonography which may have such variation. If your due date is considered as April 27, 2017, your last menstrual period date would be 20 July 2016 and intercourse in the first week of August would be responsible for the conception; however, this calculation is again not the perfect one. On September 6th, 2016, your ultrasound has calculated the pregnancy to be about 6-7 weeks duration. This infers that the conception would be due to intercourse around middle to third week of July; however, this is not a perfect calculation due to the variation of ultrasound calculations. However, if your menses are regular, you may tentatively guess about the probable intercourse responsible for pregnancy. The egg is released 14 days prior to the next expected period. Calculate which intercourse was on or nearer to this day. However, this also is not a foolproof method. The foolproof answer to your dilemma would be DNA test which will give you the scientific answer. I hope this helps you"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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I HAVE ADENOID CYSTIC CARCINOMA CANCER OF THE LUNGS...THIS COMING FEB 3-2015...I Have a meeting on the subject of CHEMOTHERAPY...AT THE PRINCE,MARG.HOSPITIAL..I I REALLY DON T KNOW WHAT THEY ARE GOING TO TELL ME ABOUT CHEMOTHERAPY...IF A DECSION IS MADE TO GET CHEMOTHERAPY ...WILL I HAVE A CHANCE TO LIVE..?I DON T KNOW WHAT KIND OF ANSWERS THAT I SHOULD ASK ON THIS CHEMOTHERAPY...I M VERY NERVOUS AND SCARE...
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"I can understand your situation and problem. Adenoid cystic carcinoma of lung is rare malignancy. It is affecting secretory mucus gland. It is having good prognosis. And early chemotherapy should be started to achieve good regression. It is highly chemo sensitive tumor. So go for chemotherapy. You may need 4-5 cycles of chemotherapy. And further need of chemotherapy is based on CT thorax report at that time. Usual five year survival rate is good with this kind of cancer. It is approximately 50-60 %. And life expectancy after chemotherapy is 5-6 years. About chemotherapy, you should ask your doctor about side effects, dose, frequency of dose, concurrent radiotherapy is needed or not e"
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"Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. It is hard to predict, but generally prognosis is 6-12 months. It all depends on chemotherapy efficiency and general health of the patient. If this was removed with surgery than prognosis is favorable and may reach 1 or even more than 1 year. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.",
"I can understand your concern. He has colon cancer with metastasis in liver. So it is already in stage 4 where surgery is not possible. Only treatment of choice is chemotherapy. And despite treatment prognosis is very poor. Sorry to say, but his life expectancy is not good. So consult your doctor and plan accordingly."
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Hi doctor.I am 30 years old. I am facing hairloss problem. I have consulted a dermatologist and he prescribed me to use MX-5 lotion twice in a day and Foliglo tablets daily one and KZ Lotion/Shampoo twice in a week. I heard MX-5 lotion and KZ Lotion/Shampoo may cause serious side effects. Is it true? Also want to know about Foliglo.
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"Few other side effects are slight burning and redness at the application area, but they are minor once. And KZ lotion (ketoconazole) is an antifungal agent. Don't worry about it, it doesn't have any serious side effects. You can use both of them very effectively. I hope this was helpful to you"
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". . dear Lilith. , Thanks for choosing Chat Doctor. , H OH term should not use for fairness. . . BCO it is steroid. , you will get side effects like atrophy, losses of texture. , steroid acne. , About Boundary, I don't know the composition. . . , without knowing . , how can I suggest ? Ok. . . For fairness use. . . 1) Morning use SUNSCREEN LOTION. ,2) Night times use. . . Good moisturizing cream. like. . . OSIsoft, LOVER, ALLOVER. ,3) Take plenty of fresh fruits and vegetables. , ok good luck",
"If you provide some more information than it will be more helpful. How is the pattern of hair loss? Is it more on crown and frontal area? Do you have increased facial hair growth? If yes then it can be most likely female pattern hair loss. In such case using minoxidil solution 2 % for long term use on scalp and capital gel will be helpful. You can also use ketoconazole and zinc parishioner shampoo twice-weekly. It is better to rule out hypothyroidism and anemia by doing blood test - thyroid profile and hemoglobin levels respectively."
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I had my gallbladder out a week ago today. I was told that I had black, muddy sludge in my gallbladder. What exactly does that mean? I also hear that most patients who have lap chole s are back to normal in just a few days. I am exactly a week post op, and I still feel terrible. I am 34, no medical problems, 5 2, 110 pounds, and very active with my two children. Thanks!
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". . ! Many thanks for the query. I have gone through your mail thoroughly and could understand your position. Muddy sludge is a powder like material formed and seen in the gall bladder which eventually get hardened to form gall stones. Sludge is more dangerous than stones as this material can get into the bile duct and can cause jaundice and pancreatitis due to obstruction to passage of pancreatic secretions. Pain and abdominal discomfort are not common after a laparoscopic cholecystectomy after 2-3 days after surgery. Pain abdomen a week after surgery would suggest a retained stone in the common bile duct or some pancreatitis due to residual sludge in the CBD, gastritis, duodenal ulcer etc. . . You need to see a doctor and get some blood tests and an ultrasonogram of the abdomen to rule out any ominous cause of your pain"
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"it is best if you take your son to a doctor, preferably a general or a pediatric surgeon, for physical examination and clinical evaluation. He may be experiencing cholecystitis (inflammation of the gallbladder) secondary to his sludge. This, in effect, causes fever and vomiting. Diagnostics (such as imaging and liver function tests) will be recommended as needed. Medical (proper antibiotic regimen) and surgical (cholecystectomy, laparoscopic or open, if indications are found) management will be directed accordingly.",
"nks for posting query at Chat Doctor. Read your question thoroughly and understood your concern. Gall bladder primary role is to store \"bile\". when gall bladder is intact, bile is usually secreted after having a meal rich in fat; bile plays a vital role in fat digestion. After gall bladder is removed, bile is continuously being secreted in small intestine and may reflux into stomach. As a result, gastric inflammation may occur causing pain and discomfort. Moreover, high fat meal induces more bile synthesis - further affecting gastric mucosa as well as bile is less concentrated and Chat Doctor. Advise:NO fat intake or decreased fat intake few weeks trial of OTC proton pump inhibitor (omeprazole/pantoprazole)to combat gastritis (after discussing with treating physician)mebeverine maybe used for cramping pain small meals Add soluble fiber, such as oats and barley, to your diet. But be sure to increase the amount of fiber slowly, avoid dairy products and caffeine post cholecystectomy pain maybe due to stones in common bile duct OR increased fat intake OR functional pain. advice:- get an ultrasound (abdomen) to rule out any stone remnants in common bile duct-also get a complete blood cell count(CBC) test-avoid eating stomach full and mouth full-avoid spicy food - add plain yogurt (Yogurt contains bacterial lactase, so you can tolerate it)hope to answer your concern wish you good and sound heal"
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I am 31 and have had an etopic pregnancy at 29yrs...with the etopic the right tube was partially blown and the left is there...(slightly in tack)...what are my chances of concieving again naturally......I have extremely normal periods but wild hormones...testerone level is high...............(misdiagnosis) with PCOS .........really want children and all I have been told is keep taking birthcontrol ...you are still you......have been trying to concieve since the etopic in 2010
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"You have been trying to conceive for 3 years now. Firstly, consult a reputed Infertility practitioner. Evaluate cause of your high testosterone (mostly it should be PCs) - have complete hormonal profile done including Day 2 FSH and LH, SBG, RHEAS, Fasting insulin, Glucose tolerance test, Prolactin, Thyroid hormone profile, AMH (to check ovarian reserve - because even the ovary might be damaged in ectopic pregnancy). With just one patent tube, your chances of natural conception are less than normal. Have your husbands' semen analysis done. You might require a diagnostic laparoscopy or an HSG to evaluate current status of your fallopian tubes. Ovulation studies should be done and documented. I think you should take recourse to GUI (intrauterine insemination) if natural conception has not yet occurred, but that is after your tubal patency testing. Take care and all the bes"
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"I will suggest you the best possible treatment options. As you have stopped taking demo injections, and also you have started getting regular cycles, it is for sure that you have resumed your fertile ability. As you might be aware that in a woman with regular cycles day 10 to 20 of the cycle is the most fertile period of cycle. If you have unprotected sex act in the fertile period of cycle, then you stand chance to get pregnant. At least try to have unprotected sex act on alternate days in this period. If you happen to get your cycles after following this advice then please get post menstrual HSG - hysterosalpingography done, to know the patency of the fallopian tubes. Husbands semen analysis after 4 days of abstinence period, to know about quality and quantity of sperms. You can get ovulation study on USG from day 10 of the cycle, to know about the day of ovulation. You can simply opt for unprotected sex act on and around the day of ovulation, or opt for GUI - intrauterine insemination, on the day of ovulation. Please opt for a healthy diet and regular exercise regimen. Start on Folic acid, vitamin B 12 and Omega-3 supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. Please be patient. Think positive. All things will be fine in the due course of time. May God bless you with a bundle of joy. I hope this answer helps you. . Thanks",
"No matter which side the ovulation occurs, the egg will fall into the peritoneal cavity and moves into the available open tube through which it enters the uterus. Since you had one ectopic pregnancy, you have a higher chance of repeat tubal pregnancy. But since HSG (hysterosalpingography) shows a patent tube, you also have a high chance of normal uterine pregnancy. The only chance is to have a pregnancy and have an early scan to confirm pregnancy inside uterus. I hope I have clarified your query, do write back if you have any more questions, for feedback. Take care."
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Hello doctor,I started the process of getting four implants. Last week I went for bone grafting. It has been a living nightmare ever since. I was completely fine, pain-wise, until three days after the grafting. Out of nowhere, I was in excruciating pain. Like deep in the nerve type pain. At that point, it was only my lower right side that was in pain. One of my stitches busted, and the bone grafting material was oozing out. The dentist saw me that evening on an emergency basis and cleaned it up and stitched me back up. Reassured me that my pain would end. He also switched me to a stronger antibiotic. Well, not only did the pain not go away, my left side started in on the same excruciating pain on the next day. The pain is that sharp, stabbing, throbbing pain that increase with each heartbeat. Worst pain of my life. It seems to be coming from teeth next to where the grafting was done. I should also add that I have a bridge on my lower front four teeth, with teeth as my anchoring teeth. No one knows where my pain is coming from, so no one knows how to treat me. I am miserable. Have not eaten anything in three days. Talking, drinking, and eating cause immediate, intense throbbing. It feels like nerve pain to me. Similar to the way I have felt in the past when an infection has reached my nerves. I am wondering if something is now touching my nerves in the teeth next to where the grafting was done? I am at a loss and would love to hear what anyone else thinks.
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"Do you have X-rays of teeth that caused you pain? You seem to have an infection either due to bone grafting procedure or abscess of the roots of those anchoring teeth of the bridge. Get an OPG x-ray done to find out more. Continue antibiotics and painkillers. Use warm salt water gargle twice a day for a week or two. Please attach an X-ray for analysis of your problem. You may need root canal treatment. Do not get an implant done until everything clears up."
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"Thanks for the query. Fist thing that is clear from your explanation is that the nerves of the tooth are exposed causing severe pain due to nerve inflammation. Secondly the tooth looks to be a case of poor prognosis as mostly fractures in the roots of the tooth are not repaired, and the tooth generally needs extraction in such cases. So my suggestion is to consult an Oral Surgeon or a General Dentist and get the latest x-ray done. If tooth cannot be saved better get it extracted/ removed. Also yes, you can take HY Chat Doctor. . You can also take Tramadol or Motorola for severe pain.",
"1. Long term micro trauma or hypersensitivity. 2. Deep traumatic bite with lower teeth. 3. Tooth decay not visible to naked eye. 4. Sinusitis referred pain. IOPA and pulp vitality test. Pulpal inflammation. After investigations, depending on results treatment plan can be formed. You might require root canal treatment and capping. Revert back with the x-ray to a dentist online. -"
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yes I know a person who has been on a breathing machine 14 times in less than a year. He has severe copd. He has been using a cpap at night but they are going to put him on a bipap. Will this help him get rid of his bad oxygene or carbon dioxide YYYY@YYYY
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"PAP means continuous positive airway pressure. In this mode a constant positive pressure is generated throughout the respiration (inspiration as well as expiration). So for expiration will be difficult for patient As he has to expire forcefully against the positive pressure. So expiration will not be completed, and therefore carbon dioxide level is rising in body. In BiPAP (Bilevel Positive Airway Pressure) we can adjust positive pressure in both inspiration and expiration. So inspiration pressure can be set high to improve oxygenation and expiration pressure can be set low to decrease carbon dioxide level. So BiPAP will be more beneficial to him than CPAP. Also ask him to enroll in pulmonary rehabilitation program for chest physiotherapy and deep breathing exercise. This will help in COPD symptoms"
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"It is advisable to start him on Klonopin for sleep and anxiety. Please provide some more details about jerky movements and panic attacks whether he has breathlessness symptoms or hyperventilation attacks associated with chest discomfort ? Fear of having another attack? Etc. Buspirone is definitely helpful to treat his anxiety and panic attacks instead of Ben Chat Doctor. It definitely works well for his anxiety, so I can prescribe your son to take in the morning time, as it may have some sleep disturbances",
"me have evaluated your query thoroughly. * This is in relation with acute exacerbation of chronic obstructive pulmonary disease. * Recommendations for better outcome-Immediate hospitalization. - Oxygen by mask, back rest. - Intravenous bronchodilators with or without steroids as per the concern of the clinician. - Evaluation with x-ray chest, pulmonary function test."
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Hi i am a 42 year old male. The past month or so i have been having tightness of my chest, beart beat fluttering, and dizziness. I have in the past had similar syptoms, but here latly they have been so bad they are starting to really scare me! The feeling is of some one squeezing my heart.
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"Thanks for writing to us. Following may the cause of chest tightness, heart beat flutter and dizziness:1. Ischaemia and myocardial infarction. 2. Paroxysmal supraventricular tachycardia(PSVT)3. Atrial fibrillation or flutter4. Indigestion and belching of abdomen5. Maniac disorders of the above-mentioned causes requires some underlying predisposing cause behind them. Only MI and PSVT can occur in an apparently normal subject at any time. Recurrency of such attacks is noticed in case of PSVT. Therefore, I would request you to go for an EKG whenever you experience such an attack. Then you can consult with your doctor with the EKG report in hand."
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"I can understand your concern. Since your extensive cardiac work up is normal, no need to worry about heart related causes. By your history and description, in my opinion, you are mostly having stress related symptoms. Stress can cause chest tightness, pressure and chest pain due to HERD (gastroesophageal reflux disease). Stress is also a cause for tension headache and vertigo. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. So avoid stress and tension. Be relax and calm. Don't worry, you will be alright. Wish you good health. Thanks",
"I can understand your concern. Yes, you should definitely worry about your symptoms. You're all symptoms like chest tightness, racing heart rate, swelling in legs, breathing difficulty in lying down position etc. are suggestive of heart failure. You are having congenital valvular heart disease. And this can cause congestive heart failure. So better to consult cardiologist and get done clinical examination and 2d echo. You may need valvular replacement surgery. So don't wait at home, rush to the hospital."
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I had a stent implant last October and in December I again had angina attacs. My doctor said it was unusual and does not quite know what could be causing it. I had a additional CAT last week and it showed muscle spasms after the position of the stent. any other reasons for the angina attacks, they usually happen between 6 and 10 am. Nitro does help, but do I have to take it for the rest of my life?
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"Usually it s diagnosed with coronary angiography with a special method. Early morning is a common time for such angina. Treatment is with nitrates and/ or calcium channel blockers. You should initiate the treatment, and it will be better if you take long-lasting nitrate before going to bed and not only nitroglycerin during an angina attack. There are chances that the disease may stabilize in 6 months, and you can wi"
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"As such if angioplasty was an elective procedure and all the blocks have been treated. You can start working from next day itself, and light exercise from 5th day. If you had a Heart attack and angioplasty was done as rescue treatment, take a weeks rest for safety. 70 % lesion are border line and can be treated both by medical therapy or angioplasty, the decision about that is taken by doing FFR (functional flow reserve) during angiography. Hoping I could help. Regards",
"Muscle spasm is a condition and not a pathology. All you need to do is to rest, avoid forward bending and weight lifting. Do warm saline fomentation, and have some over the counter painkillers for 3-5 days. If the pain not relieved in a week you need to get an MRI done, to evaluate your condition further. Take care."
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My husband was in the hospital for 2 months and now he is dealing with diabetes. They put him in insulin when leaving the hospital. Never had blood sugar problems before. Know a number of serious diabetics and they all take pill form medication. How do we get him off the insulin that cost $450.00 a month? What pill form medication can we get the doctor to switch him to?
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"It is true. There are lots of serious diabetics that take oral anti-diabetic Chat Doctor. But as endocrinologist I want to say that the choice of treatment for each diabetic is specific, and it is decided taking into account patient values and lots of other elements like age, other chronic concomitant conditions and the respective treatment of these diseases. If her treating doctors has decided to leave him on insulin therapy even at home, this means that this is the right choice for your husband, for the moment. Anyway don't work, if your husband adopt a healthy lifestyle, eat healthy and exercise regularly, im sure that soon, her treating doctor will put him on pill form medication and the problem of the cost of insulin each month for your family, will be resolved."
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"You can help by getting the family together and try to have someone there at mealtimes to encourage feeding. Check to see if he is still on blood sugar medicine or if it has been decreased or discontinued with respect to his blood sugar. If it hasn't been adjusted, make them adjust it. Contact the State and file a complaint if you observe them sitting the tray in front of him with no assist or if you find his medication has not been adjusted to his blood sugar, or you find pressure sores worsening. Discuss tube feeding or in between meal supplements per family/pts wishes. Your loved one deserves quality of care, and it is the law in the US. Document everything. Please feel free to contact me should you need any other help with your father-in-law or in dealing with the facility. Also, by law in the US, reports on quality of life and care should be hanging by the facility door or in another public place where you have access to it. Review it to see if they were cited for similar lacks of care in the previous survey. So sorry for your situation. Kathryn J",
"This happens when patient has severe infection/ sepsis; or patient with kidney failure takes metformin tablets. In your case the doctor changed your diabetes Chat Doctor. Hence, he stopped the combination Janet and put you only on metformin with glipizide. As long as your kidneys are normal you need not worry about lactic acidosis"
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I had a failed ivf. Doc told me that due to genital TB i was having poor quality egg. So my ques is that is there any process/medicine to improve quality of egg. Pl tell me about that
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"I would recommend you to consult a gynecologist to properly evaluate the concern. It is difficult to understand why did you undergo an IVF if you had genital TB. This is a costly procedure and apart from that it is a traumatic experience to have a failed IVF. Please consult an actual expert to rule out all possible obstacles to a successful IVF. However, you should understand that IVF success rates are not very encouraging"
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"You should have testing of ovarian reserve. This is tested by measurement of a hormone called AMH (anti Mullein Hormone). It is also measured by AFC (astral follicular count) - counting number of astral follicles on ultrasound on day 2 of your cycle. Also, your capacity to produce good quality eggs can be judged easily by your response to the stimulation injections given for GUI and IVF. If your doctors have opined that your ovarian reserve is poor, you have to accept that. Supplements like DHEA might slightly improve this, but it is not proven conclusively. Yes, the answer for you is egg donation / adoption. Of course, the alternative is following your heart and going for more costly attempts at IVF knowing fully well that the odds are in favor of failure, not success. Hard as it is to arrive to terms with this, the earlier you do, the better. Take care",
"Read your query and understood your health concern. Based on facts of you query, you seem to suffer from-Testicular fatigue with Suppression from Testoviron-over dosage. Stop Testoviron. Continue with Tamoxifen Prolactin. Consult Urologist to review your treatment. Use of these Chat Doctor. You seem to be recovering your testes function well, but the prolonged and high use of Testoviron lead to suppression of this upcoming testes functional recovery. In this the review of treatment on suggested lines would improve sperm quality and quantity over next 2-3 myths time. Let the testes functional recovery build up on its own, as microvascular Varicocelectomy would help in this testicular functional recovery."
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Given a question with context from online medical forums, retrieve responses that best answer the question
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when i circle my shoulder or even just move it back, i hear pops, cracks, grinding, all sorts of loud noises. there is some dull pain and progressively throughout the day it gets worse. when i move my shoulder back, a rib feels like it gets stuck and i have to push my shoulder down to release it
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"As you written, there is some sound during shoulder movement so do not need to worry, shoulder is a ball and socket joint, bone head moves in many directions while u move it in a circle. Muscle those surrounding around the joints, restrict the motion and hold the bone to get displaced. Your ribs are getting stuck might be due to shoulder blade mule tightness. Just go for some general shoulder and upper back stretching. It will help you. If condition not get improve, consult orthopedics. I hope you this will help you"
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"First is osteoarthritis and second is any previous injury. In both these cases there is a loose fragment inside the joint which gets stuck in the joint while moving and this is a reason you get this popping sound. This can be confirmed under an x-ray. Application of hot packs and elbow strengthening exercises will help you to relieve pain to some extent and if the pain is uncontrollable and the presence of a Loose body is confirmed on X-RAY minor operation needs to be done. There are no medications present that will give permanent relief from this pain.",
"Joe Ann for your question. I got from your question that you have had trauma to your rib cage a year ago. Now feeling pain on both sides of chest wall. Well. . . To consider the causes of pain, there may be musculoskeletal, neuropathic, and others. Are you sure you dding have trauma (to both sides)? Did you take a complete rest and received systematic and proper treatment after your trauma? Do you lift heavy weights very often? Do you feel pain in other areas of bone? Are you sure the pain does not come out from inside the chest? Any respiratory problems? What investigations have you done? I want to advise you to take a rest and avoid heavy weight lifting for about a month, and if symptoms not relieved, please do some investigations, such as Chest X-ray etc. I'm looking forward to discussing that in detail. Thank you so much. Have a nice day"
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My husband age 41 was involved in a car accident two weeks ago. No broken bones, just torn ligaments and sore all over. The only pain that is bothering him is his left side lower back. Today he had a bowel movement and had a lot of red blood in the toilet. The stool was soft and we know it is not hemorrhoids. Should he be concerned and take a trip to the ER or wait and see if it happens again.
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"Since he had met an accident. It will be recommended you get him checked once at least. It is only a safer side. There is no harm getting checked. Also, to mention since you said he had torn ligament I am not able to understand what location it is torn. Also, for back pain you can initially take hot water fermentation and muscle spasm can come down. Incase if the pain is not coming down you should take an X-ray or an MRI which can help if he has not injured his spine. Also, for suspected torn ligament, you can get assessed by or tho and undergo an MRI or X-ray to confirm the same. Post any accident it is better to get checked once, because one can really not expect what injury can be caused. Any injury during the accident should not be taken lightly, before it becomes big one should act. There is a saying that - prevention is better than cure. I hope you will understand this small thing. With the grace of god I wish your husband a good health. RegardsJay In"
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"I am Chat Doctor answering your query. Possibly it is a perianal hematoma which could form due to excessive straining during passage of stool. It is a benign condition. If I were your doctor, I would advise you for a site bath (sitting on a bowl/basin containing Luke warm water) for five minutes, two to three times a day, an anti-inflammatory Chat Doctor. This would control the problem. If not, I would not hesitate to refer you to a general surgeon for a physical examination and further needful. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery.",
"It could explain most of the symptoms. But if you are having fresh blood in stools sometimes it can be commonly due to constipation induced hemorrhoids. Do Yoga, Panama to relieve stress. Eat fresh fruits and green leafy vegetables. Eat soft, bland, cool diet like Yogurt and see improvement. Chat Doctor. Exercise by brisk walking for 40 minutes a day. Better to get examined by a Surgeon and receive appropriate treatment after required testing"
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my chest x-ray says that i have an unfolded aorta. i am 47 years old and in good health. i did a chest x-ray because i was getting mild pains in the left side of my chest that have lasted for about 3 weeks now. what does an unfolded aorta mean, and is it serious.
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"I can understand your concern. Unfolded aorta is an anatomical variation of thoracic aorta. Normally thoracic aorta arising Fromm heart, going upwards and right side between two pulmonary veins and turn around left pulmonary vein and goes down. But in some individuals, instead of going towards right side, thoracic aorta goes straight up or left sided and then comes down. This is known as unfolding of aorta. It is not a disease. It is anatomical variation which is present due to developmental defect. Furthermore, it does not cause any symptoms. So it is not serious problem. So unfolding aorta is not a cause for your chest pain."
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"As you mentioned you had developed incredible pain on your left side approximately midway on your rib cage which was sudden in onset. It seems very localized and intense as per your complained. You went bowling yesterday for the first time in a long time, and you lifted a lot at work. Your pain was that intense that you need to take painkillers frequently. Now as per your history and your presentation of pain, I would say it is very unlikely related to heart. Now there are few possibilities1. It can be muscular pain due to heavy lifting which leads to muscle spasm and causes intense pain2",
"I can understand your concern. In my opinion, we should first rule out heart diseases in your case. Left sided heavy chest pain with arm heaviness and sweating are commonly seen in heart diseases. So get done ECG and 2d echo. If both of these are normal then no need to worry about heart diseases. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm."
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Hi,I am 26 yr old..got married in July 8...till now no issues..no pregnancy history..my HSG shows that Bilateral free spill..what does it indicate??
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"You have not mentioned the year of your marriage. If you got married in 2011, then it is too early to worry about pregnancy. Bilateral free spill on HSG, means your Fallopian tubes are patent and there is no obstruction in them. This is perfectly normal. The tubes have to be patent, to be able to conceive naturally. Fallopian Tubes are the two tubular lateral extensions of the uterus, through which the ovum traverses. Wish you all the bes"
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"Being such a small opening tube can get blocked easily, So check with HSG(X-ray with dye), or SSG (Scan with dye) or Laparoscopy As you had a baby previously, it only means your ovulation was normal, but tubes can get blocked after the delivery",
"In my opinion the deep cervix cannot be a in Chat Doctor. Overflow is seen usually only minimal amount enters cervix. Infertility treatment is needed when pregnancy doe snot occur even after full one year of unprotected intercourse. As you are married just 3 months back and age is also 27 you can try for natural pregnancy. Avoid stress as it might delay fertility causing hormonal imbalance. Regular intercourse increases the chances of conception. If overweight try to decrease weight for better results. Best regards. ."
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My boyfriend has been diagnoses with stage 4 non small cell lung cancer squeamish cell second round of kemo not succesful so he just finished more radiation. Has matastisised to brain which is in remission. 1st question last chemo was like six weeks ago he has constipation still hasnt had a bowel movement in six days now and dr keeps giving him meds but all they seem to do is give him pain and bloating. He also is not scheduled for a ct until feb 17 and follow up with oncologist a week later to set up next round of chemo he has just recently had a new onset of coughing up blood. Should I call his oncologist or may bee even get a second opinion?
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"You should call an oncologist and yes you can have a second opinion with seeking gastroenterologist help. Meanwhile, Increase fluids and electrolytes replenishment with fibrous diet and some laxatives are advised. Good luck and take care of your boyfriend"
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"The treatment is off course CABG(surgical revascularization). no doubts in treatment option. But urgency depends on your symptoms. If you were already on antiplatelet and stations and u developed NST EMI then u should go for surgery early. if this NST EMI is recent, and you were not on Chat Doctor. . if u can do your all household activities without chest pain and heaviness, and you started your medicine then you can wait . but this is your choice",
"I can understand your boyfriend s situation and problem. In my opinion, he is having HERD (gastroesophageal reflux disease) due to smoking and poor eating habits. But better to rule out cardiac cause first for his left sided chest pain. So get done ECG. If ECG is normal then no need to worry about cardiac cause. He is having HERD mostly. It is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause the symptoms of burning and stating chest pain. Smoking further damages the sphincter. So first ask him to quit smoking. Avoid stress and tension. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Start proton pump inhibitors. Don't worry, he will be alrig"
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Hi. I was wondering if u can find out whats wrong with my head or brain. i have tingleing in the middle of my brain, which i can hear and knid of feel i also have grinding in the back of my head and am having problems with my memory. i dont remember as much now as i used to. i got tested for lime disease by a doctor, but dont have it and i also had a CT Scan, but nothing was found and its worrying me. i regurarly get the tingling and grinding, but its mostly my memory im worried about and one time i was driving and i got disoriantated and didnt know were i was for a few seconds on a road i always drive on and somtimes i feel like i have internal bleeding in my brain and i hear ringing especially in my ear somtimes, my vission has gotten blury a few times, but it hasnt happent for ages and a few months ago i nearly completly lost my vission for a few seconds, im 20 years Help Please.
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"I can understand your concern about memory loss at a very young age. However, the good news is that your CT scan of brain is normal, which rules out any major brain disease, including internal bleeding. As of now, we need to exclude vitamin B12 deficiency and thyroid hormone deficiency as possible causes for your symptoms. Both of these can be diagnosed by blood tests. In addition, anxiety and stress could also produce similar symptoms. So, if you are stressed or anxious, get treated and reduce them. If the symptoms persist, MRI of brain may be required after consulting a neurologist. I hope it helps. Please get back if you require any additional information. Wishing you good health,"
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"GOING BY YOUR CLINICAL HISTORY, I WOULD LIKE TO TELL YOU THAT YOUR SYMPTOMS NEED FURTHER CAREFUL ASSESSMENT. HEAD INJURIES IN NO CASE HAVE TO BE NEGLECTED OR MISSED. THE WORRYING SYMPTOM IN YOUR CASE IS \"CONSTANT HEADACHE\". FEW HEADACHES ARISE DUE TO BLEED WITHIN THE BRAIN PARTICULARLY \"EXTRAMURAL HEMATOMAS\" ARE KNOWN FOR THEIR NOTORIOUS Behavior OF LATE PRESENTATION. SUCH UNATTENDED INTERNAL BLEEDS CAN BE CAUSING SERIOUS OUTCOMES OF RAISED INTRACRANIAL PRESSURE LEADING TO INTERNAL HY Chat Doctor. ALL YOU CURRENTLY NEED IS A PLAIN /NON CONTRAST CT(COMPACT TOMOGRAPHY) SCAN OF YOUR HEAD WITH BONY WINDOWS. THIS CAN QUITE ACCURATELY DETECT BLEEDS AND CAN QUANTIFY THEM AS WELL. CLOTTED BLOOD IS REMOVED THROUGH \"SURGICAL BURR HOLE\"IN SKULL. MEANWHILE PAINKILLERS -ANALGESICS. CAN BE OF HELP. CONSULT AN EXPERT NEUROLOGIST FOR FURTHER HELP AT THE EARLIEST. THANK YOU. TAKE CARE",
"izziness can also occur due to stress related anxiety or overflow of emotions. However, before saying that your symptoms are due to anxiety, the following other causes of dizziness and nausea must be evaluated. Short duration of dizziness can also happen due to decreased blood flow from heart to brain. When it happens, the blood flowing through the vessels from heart to brain might have a reduced flow. These are by the carotid and vertebral arteries on either sides. This is more significant when you are standing upright and doing any moderate to heavy physical activity. You might require a CT scan or MRI scan of the brain. The best way to analyze if the reduced blood flow to the brain is causing your dizziness is by doing a carotid and vertebral arteries Doppler ultrasound. It will show the flow of blood from the heart to the brain and if it is adequate. Clinical examination of inner ear and vestibular system in the ear is also required. For this you might have to consult the ENT specialist. After clinical examination if there is suspicion of inner ear problems then detailed investigation is required. It might help to do an Electronystagmography (ENG) or videonystagmography (VNG) done to record abnormal eye movements while the head is placed in different positions or your balance organs are stimulated with water or ai"
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I was in an car accident 2years ago, I didn t have any problems until the last month or so. I can not get out of bed without extreme knee buckling pain/pressure. when I extend my right foot or reach certain directions I get a sharp pain in area down my leg. I have also gained over 65pnds in the last 12months. could this be caused by pain or accident or both
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"urrent problem is likely related to your weight gain with stress on knee. Buckling and imbalance may be due to ligament injury in the knee. I would like to advise MRI of the involved knee joint to check for ligament and meniscus pathology. Please get it done from radiology center nearby you. Meanwhile, wear knee brace. If pain is severe take tablet Attract P twice a day can be taken. Visit to orthopedic surgeon for detailed clinical examination is recommended."
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"As per your complaint knee pain can occur due to causes like over exertion, aging while can also be due to certain disorders like Anterior Cruciate Ligament injury, torn meniscus, knee bursitis, tendinitis, arthritis, gout, infections etc. I would suggest you to consult an Orthopedic and get evaluated and a thorough clinical evaluation and investigations like x-ray, MRI Scan, blood test etc. can be done to rule out the exact cause of the pain and treatment can be done accordingly. As of now you can take anti-inflammatory painkiller like Ibuprofen, muscle relaxant like Chlorzoxasone, apply an analgesic gel over the knees and put knee braces. Limit exertion as it can add up to pain.",
"e. synovitis-Loss of cartilage at knee leading to arthritis There are also various other reason for such pain. I shall advise you following to have relief:- Avoid frequent up or down on stairs. - Avoid cross leg positions. - Start doing some exercises like qua Chat Doctor. - Take a mild analgesic off and on like acetaminophen for relief from pain. If this all does not resolve your problem then you may consult to your doctor and get yourself investigated including X-ray and blood investigation like CBC, blood sugar, thyroid functions, serum uric acid etc."
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Hi, my adult son is a type 1 diabetic, also a dialysis patient. He ALSO has gastroparesis, and his body is nothing but skin and bone. The endochrinologist remarked last week that we may have to consider a feeding tube for him! Are there different stages or categories of gastroparesis? If so, what are they? THANK YOU SO MUCH for any insights you can share! I m sorry, I ve only just realized I must pay for your answer. I don t have my card with me today. SORRY to have wasted your time.
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"Gastroparesis is a condition that affects the normal spontaneous movement of the muscles in your stomach. If you have Gastroparesis, your stomachs' motility is slowed down or doesn't work at all, preventing your stomach from emptying properly. Diabetes is a major RISC factor that increase the RISC of Gastroparesis. Many people with Gastroparesis don't have any noticeable signs and symptoms. But depending on the cause, the situation can aggravate and Gastroparesis can produce lots of symptoms like nausea, vomiting,a feeling of fullness after eating just a few bites, acid reflux, lack of appetite, changes in blood sugar levels, weight loss and malnutrition. My answer for you is:Yes, there are two grades of Gastroparesis. Grade 1, or mild Gastroparesis, is characterized by symptoms that come and go and can easily be controlled by dietary modification and by avoiding medications that slow gastric emptying. Grade 2, is characterized by moderately severe symptoms."
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". . Thank you for consulting in Chat Doctor. There are several issues in your kid which needs to be clarified. I have certain questions and possibilities for you. Questions:1. Is there any abdominal distension?2. Did you observe that he is pale?3. Does he have any bone pains or extreme limb pains?4. Does he have any easy navigability?5. Does he have any bleeding manifestations? You can approach me at the following link. Please find the link below - www. ChatDoctor . com/doctors/ Chat Doctor. Typhoid or Enteric fever2. Prolonged viral illness or ABV infection3. Scrub Typhus3. Lymphoreticular malignancy.",
") any difficulty in passing stool/loose stools2. ) any complaints of belching/regurgitation. Considering your age and your symptoms and with history of sudden onset, and your blood and urine sample is with in normal limits, it's highly suggestive of disease called acute gastritis . My advice is to Chat Doctor. I usually prescribe my patients T. pan 40 mg 1-0-1 (before food) spy. genus (antacid) 2teaspoon Thrice daily for 1 week . if symptoms persists I prefer to do endoscopy and to consult general surgeon. I would be glad to provide answers to any further queries"
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my daughter had typhoid in this feb with igm positive and was treated with antibiotic. now she again having fever and igm positivr again. i heard that igm remain positive fot atleast 6 months in blood after the infection....is i true or she again having typhoid God forbid?
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"I read and understand your concern. I am Chat Doctor answering your concern. No it is wrong belief. Once the active infection is gone IGM will gradually disappear. As your daughter is having IGM band again than you are having the infection again. Typhoid is notorious for its recurrences. I advise you to take the blood and stool culture for the Salmonella type. Taking the"
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"I sincerely advise her to not take anything. Any infection produces two types of antibodies. They are IgG and IgM. IgG is from infections which occurred many years or decades ago. It is not harmful as it will not cross the placenta and will not affect the baby. IgM is an acute infection. It means she has an infection now. It will be dangerous to the baby. Usually, these infections occur once. Now if she has IgG, then it only means that she had infections sometime in the past. So, no need to take medicines unnecessarily now. Please share this with your treating doctor.",
"I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. Only rising titles of Tidal are important. They can rise or can persist for months even after an acute infection or subclinical infection. It is not like that if you have got treatment for typhoid your tidal test would get negative. It might be positive for few months even after you have been successfully treated. So, don't look at them, let us know if you have persisting fever. This is my best advice for you with the available details, if you have any further query, please ask me"
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My husband can t focus and is having trouble functioning and concentrating. He has a stent, is taking aspirin and thyroid medication. He has a ringing in his head that sometimes causes dizziness. He s been to his doctor and yesterday the emergency room. They did a CT of his head and found everything normal . His blood work is normal, a chest X-ray was normal but he is laying on the floor and I just don t know what to do. I m using his email address.
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"In my opinion he should have thyroid hormones' analysis. Difficulty in concentrating is a common feature in thyroid hormones' disbalance. A stroke has been ruled out, so you should not worry. I would also recommend a cervical vessel ultrasound to see the blood flow to the brain. He has a stent and this means that other vessels must be checked for narrowing. These symptoms can also be caused by low blood flow to the brain because a carotid or vertebral stenosis. Although these disorders cause much more problems than just difficulty in concentrating and dizziness"
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"Your father's dizziness might probably due to hypoglycemia as a result of insulin. Kindly check the blood glucose fasting as well as post radial and HbA1c. Do mention the units of insulin your father is taking. Also get his TMT done. Are there any other symptoms like shortness of breath, pain in chest etc. Kindly get an opinion for angiography from any cardiologist. Regarding loss of balance or lack of strength in one leg do consult a neurosurgeon as that might be related to bleeding from ear. Kindly tell the CT scan findings als",
"Anyway, I would recommend consulting with his attending physician for a physical exam and some tests: -a resting ECG-complete blood count, PCR, ESR for inflammation- thyroid hormone levels for thyroid gland dysfunction- kidney and liver function tests for possible dysfunction- cortisol and aldosterone for a Chat Doctor. You should discuss with his doctor on the above tests. Meanwhile, it is necessary to closely monitor his blood pressure values during the day."
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Doctor, my new born baby has got a neonatal bilirubin of 20.00mg/dl when he was born since 10days ago. Doctor said it may affect baby`s hearing and brain, does it true as doctor said? For this level, what is the risk actually and how to prevent it from increasing ?please advise. Thank very much, doctor. From :mr. asher.
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"Although at the age of 10 days, it might require Double surface phototherapy only and not an Exchange transfusion. Yes, A high value of serum bilirubin causes Sensory neural hearing loss and Kernites(brain damage and encephalopathy). Your child will Require intensive DSPT for some time and will need admission into a nursery care center. Get a Serum TSH done for your child. The only treatment for high bilirubin is phototherapy or exchange transfusion(if criteria fulfilled or any complication). Put your child under a fluorescent blue light as of now and consult a Neonatologist. He will require admission. Also get a ERA and Ultrasound Skull done to rule out any hearing damage or brain damage"
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"Bilirubin level does not increase for no reason. Usually there is something causing it. So if you want to decrease it, you need to find the reason first. To do that, some tests are necessary. You should have abdominal ultrasound (to rule fatty liver and gallstones), liver tests (AST, ALT,GTP, AP), direct and indirect bilirubin levels, blood work, HBO, HCV tests.",
"Thank you for posting your query. I can understand your concern for your son. A direct bilirubin of 0. 4 is not a thing to worry. The recurrent episodes of vomiting and diarrhea are a thing to be concerned of. He could have Gastroesophageal reflux disease, gastritis or gall stone disease. It is difficult to point out a diagnosis without actually examining him. I would suggest you to - not worry-Get an ultrasound of the abdomen done-Get his blood Liver function test, Hemoglobin, total count, ESR, amylase, lipase done-Get an upper GI endoscopy donged him to visit a gastroenterologist. He/she can examine him and correlate clinically."
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My father just had his right lung removed 3 weeks back due to lung cancer. The doc said all is clear for him and the nodes is not affected at all after biopsy before the major ops. Was wondering how to prevent it from coming back...he quited smoking 2 months back. Can a person live with one left lung? My doc also told me his left lung also damaged due to smoking but all test shown he is able to cope with that. Thanks
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"I can understand your concern. Yes, person can survive with only one lung, but he can not live like normal individual. He gets shortness of breath, coughing, chest pain, palpitations, chest tightness etc. even with mild exertion. So he can live normal life on bed but as soon as he does any activity he will have breathlessness and coughing. Your father wad a smoker and damaged his only lung too. So he should do Complete bed rest if he wants to live longer. You can enroll him in pulmonary rehabilitation center where chest physiotherapy and deep breathing exercises are done. These will improve single lung functions. You should also vaccinate him with pneumococcal and influenza vaccines to prevent recurrent respiratory tract infections. Don't worry, he will live longer with all these."
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"I can understand your concern. Yes, this can be symptoms of lung cancer. Since you are a active smoker, your symptoms can be due to 1. Bronchitis 2. Lung infection (pneumonia) 3. Lung cancer. So consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Quit smoking as soon as possible. Treatment is based on diagnosis. So consult pulmonologist, diagnose yourself and start appropriate treatment.",
"Thanks for the query. Cancer is the last thing to think of. It sounds to me more like COPD or emphysema especially if you smoke. Also, it can be some other lung disease, but cancer is not usually manifested with these symptoms. You can also have some chronic bacterial inflammation. So I suggest doing lung ventilation test and more detailed microbiologic testing. Wish you good heal"
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hi. I had my gallbladder &gallstones removed 14 months ago. yesterday, I got a sudden sharp pain on the righ hand side of my stomach. after about 10 minutes I started to vomit badly. in total I vomited 6 times in 30 minutes. the pain continued for 2 hours and then gradually eased. today my side is tender. please could you tell me what this might be.
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"Sudden sharp pain with vomiting may be due to acute gastritis, acute GE or obstruction. Since you have right side abdomen pain the chance of duodenal ulcer is more. I hope there is no blood or green fluid in your vomits and not suffering from fever. If your bowel movements are normal. Take tab pantoprazole with metoclopramide and tab. Dicyclomine. Since you got your gall bladder removed and if symptoms persists take your doctors' opinion once."
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"You are not alone as following gallbladder removal, there can be the dumping of bile which is now not as easily regulated and can send someone running to the bathroom immediately after eating. A more common side effect is a decrease in the secretion of bile. If the bile produced by the liver becomes thick and sluggish, painful symptoms and bile stones can occur. Bile stones can form in the liver as well as the gallbladder. The pain can occur even in the absence of stones any way in the biliary",
"First I personally don't feel it as pancreatitis. Pancreatitis pain is more on the left side of abdomen and the pain increases on having food. I feel you might be having infection around your liver or base of lung which is a post-operative complication of gall bladder surgery. I advise you to start taking antibiotics after consulting your surgeon. In case pain is severe to get ultrasound abdomen pelvis done and meet your doctor. If no fever or pain is not severe you can wai"
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am an 18 years old female i was diagnosed with ITP and i was treated with prednisolon ....but am still wondering which type of ITP i had since there is two types of ITP ??and is there any chance for this disorder to come back again ???and is it normal to still have a heavy menstrual flow although my palatelets count is normal again ??? thank u
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"I can understand your concern. You have ITP. Mostly it is of chronic ITP. There is definite chance of recurrence. It can occur at any type. It is not cured by steroids. Your heavy menstruation may be due to some gynecological because You should consult gynecologist for that."
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"Your child was born normally, got her period normally and then stopped at the age of 16She resumed her cycles after 5 years and found to be heavy, but regular 2. At the outset It's important to understand that unless proven with blood tests - we cannot confirm ovarian failure In athletes and women doing heavier exercises like dancing and underweight, the periods might stop. It will be suggested that you meet your GP and get a few basic tests done like an Ultrasound of the pelvis and hormones if needed to see that everything is normal",
"All other symptoms like nausea & vomiting, frequent urination and the breast symptoms like engorgement with tenderness, dark discoloration of nipples & areola with widening of areola and secretions through nipples appear subsequently, usually 10 to 15 days after missed period. Though you had some vague symptoms, ultimately you have got your menses. Probably after having the menses, the symptoms also might have vanished. When in doubt, urine examination for pregnancy gives clue. That also is negative in your case. So Madam, no missed period and pregnancy test negatives confirms that you are not pregnan"
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Ive had an upper respiratory infection and I was taking antibiotics and steroid, Finished steroids yesterday and today I feel like im tingling all over my body. Almost like nervous in a way. Could this be from the medicine or should I go back to the doctor for revaluation. Im still having respiratory issues, from allergies.
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"me have evaluated your query in details . * Steroid is an immune suppressor and reduces inflammation. * Once you stop the consumption of steroid, body takes certain time period to produce adequate levels of natural cortisol, due to which there is tingling sensation in the body. * So there is no need to consult doctor for tingling issue, but for respiratory issues have to consult doctor if annoying."
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"As per your query you have symptoms of chest rash and sores with itching along with mouth sores which seems to be due to impaired immune system after flu and medication after effects. Need not worry. I would suggest you to Chat Doctor. Use oral numbing gel to avoid soreness of mouth. Keep chest area clean with soap and cold water and apply petroleum jelly. Apply moderately potent topical steroid of triamcinolone acetone 0. 1% cream twice daily at affected sites. You should visit dermatologist once and get it examined and start treatment after proper prescription.",
"Understanding your concern. As per your query you have swelling and weird feeling in forehead. Well there can be many reasons for symptoms you mention in query like viral syn Chat Doctor. Such symptoms can also appear due to allergic reaction or sun stroke. I would suggest you to consult neurologist for proper examination. Doctor may order certain test to confirm the diagnosis like CT scan MRI. Doctor may order blood test along with checking vitals. Doctor may prescribe antiviral like acyclovir along with anti-inflammatory, grosgrain, beta blockers, furosemide and physical therapy of neck. Doctor may also refer you to ENT specialist for sinusitis like problem. For now take paracetamol along with taking proper rest."
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I had a ganglion removed from my left wrist 10 days ago. The op notes mention filing down the scaphoid ridge. Since the dressings came off on day 3 I noticed a larger lump than previously. I do not have the full rang of movement with my hand and the tendons along the back of the hand feel painfully tight. Is this all okay and part of the healing process? I have motor neuropathy which affects the stability of the wrist joint.
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"A thorough musculoskeletal assessment is advised. As post removal of ganglion, you may face some muscle weakness and pain. Decrease in Joint ROM is also possible. You need to slowly start undergoing physical therapy, as with physical therapy, your pain, swelling, lumps, etc. questions will come down, and later you can have a full ROM of the wrist. In fact you can make it stronger than before. In my clinical practice I have seen such patients, they respond well to physical therapyRegardsJay In"
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"Pain & inflammation are normal after surgery, not to bother much. Take the medications as prescribed, if you have been suggested to do wrist exercises after surgery, do it under a physiotherapist. If you are in unbearable discomfort, visit ER for follow-up examination. Sometimes, pain can be felt 6-8 weeks post surgery.",
"A thorough neuromuscular assessment is advised. As you had surgery 10 years back with screws and plates in the elbow, my first doubt here is, is the plate and screws removed. If not than it has to be done for which you can discuss in person with an or tho. Also, when you have pain in the wrist and not able to even pick a ball then the motor and sensory nerves needs an assessment since you had a past injury which was treated with the screws and plates. As the muscles must have been weaker. Also, usually with simple physical therapy the strength is regained back, and muscle re-education is provided by physical therapy. In case if the screws and plates are not removed I will strongly recommend getting it removed as it will lead to restrictions in the overall growth of the bone and muscle system. RegardsJay In"
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Hello doctor,I got in a scuffle. Near my fingernails, I saw blood. I am not sure if it was mine or the offenders. I have no deep wound. Just small marks from biting nails or from handcuffs. I am worried if the offender was infected with HIV and it was his blood. Any advice?
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"I have noted your concern. HIV is only transmitted through a fresh, deep, and actively bleeding wound. A scratch or a paper cut would not provide direct access for the virus into the bloodstream. Regards. For more information consult an HIV AIDS specialist online"
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"You didn't take proper care of the cuts, and they have now become infected. You should have had proper cleaning and Chat Doctor. 2. Second possibility is that you might be diabetic as non-healing wounds are common in diabetics",
"I can understand your concern. No need to worry about that dear. It is not spread by needle pricking. So no need to worry. However, if she has HIV, Bag or HCV then there is a risk of infection. However, chances are very low. So just be relaxed."
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I had lithotripsy for my 14mm kidney stone. Prior to surgery. I had an upper UTI that led to a kidney and sepsis infection. How long will my recovery be from this surgery with the prior setback in my health...and how much debris should I be seeing after 3 days form surgery?
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"A 14 mm stone is fragmented into small parts after lithography. A double J stent is usually put during the procedure to allow the small fragments to come out. After 3 days you might find few grains of crushed stones in your urine and this can cause slight pain in the process of expulsion. It will not be continuous and at times can only be a fragment or two. If you are on medications like alpha blockers which cause smooth muscle contractions and forward movement of the stone fragments then it is possible for the pain to be less and more fragments to be expelled earlier. Recovery from surgery can take time as you had sepsis and infection of kidney, however you should be normal in 4 to 6 weeks"
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"And needs to know the following: 1. Do you get it plastered if yes for how many days?2. Do you take any surgical treatment for it3? Is this a displaced or comminuted fracture Clinical union start in 3wks after injury and in 6 to 8 weeks hard callus forms around the fracture site, but it is not clearly visible as a bone in the X-ray. So even after 6 weeks, you will see a fracture there, and it seems that it is not united. However, it is already united. Start taking physiotherapy now. Do the range of motion exercises. Give hot fomentation. Take painkillers when pain is not tolerable. Take calcium supplements.",
"Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Post-fall Hematoma on buttocks and Loin(kidney) region. The pain and lump in Loin-kidney and buttocks -needs to be assessed for the size and resolving status. Remedy-Do clinical assessment of Lump and the tissues related to it by a Surgeon. As you don't have any hematuria, You seem to have only Muscle injury of the loin region. This would resolve over next 2-4 weeks depending on the damage to the muscles from the fall. Tab Motrin- 1 x 3 times a day x 10 days Tab Cipllox-5oo mg x 1 x 2 times a day x 10 days -as the lump of hematoma is huge - to control any super added infection Choral Forte-1 x 3 times a day x 10 days Tab Zirconia 1 x 10 days timeVoltaren gel locally over the painful areas on buttocks and Loin area. After SOS/ or / 10 days time-get USG/ CT evaluation of the big lumps you have. Plan for-Wide Bore -Aseptic Needle Aspiration witChatDoctorpression Chat Doctor. IF relieved ok"
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Given a question with context from online medical forums, retrieve responses that best answer the question
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My wife has a brain tumor which was operated on last October, followed by 6 weeks of chemo and radiation. Then for the last 7 months she is taking Temodar pills 5 days a month. She is to start this next regimen tonight but has a bad cough and her chest is tight. Should she take her chemo pills?
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"Yes she can definitely take chemo pills. But we need to rule out chest infection first because chemotherapy makes person immunosuppressive and more prone to infection. So chest infection must be rule out first. So get done chest x-ray first. If this is normal than no need to worry about lung infection. Take antihistamines and simple antibiotic for her cough and chest tightness. Continue chemo pills"
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"You can continue the same for the time being. In case she doesn't respond even after 3-5 days or runs a high grade fever, breathlessness, fast breathing, ear discharge or lethargy, then in my opinion an antibiotic will help. You may start amoxicillin or azithromycin after a clinical check-up. Also, chest X-Ray, Ear examination advisable. In case you have any questions, do call back",
"I would suggest you take a course of Tab. Amoxyclav for 10-14 days. You can take tab. PCM if you have high fever spiked anytime. Also get a Chest X-ray done to see how severe your chest infection is. Before you start antibiotics it is advisable to get your sputum tested for gram stain and culture sensitivity and Acid Fast Bacilli. These tests give an idea as to what organism has caused the infection and what antibiotic will work against it and cure the infection. This result will be a good guide in regard to the right choice of antibiotic for you."
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I am currently at day 23 in my cycle with Basal Temp of 36.7, ovulated on day 12, today I have a funny burning sensation in my stomach. This is my second cycle since a miscarriage with my first pregnancy in December. During 2010 I had undergone 2 unsuccessful IVF cycles.
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"Thanks for your query and an elucidated history. The cause of burning sensation in the abdomen on 23rd day of your cycle can be due to :- Acidity, meaning gastritis problem. This occurs due to increased or retained secretions in the stomach. -Enteritis also can cause such a pain. I would advise you the following:Take Ranitidine-ANTACID GEL AT 3 HOURLY INTERVAL. -Soft bland diet. -Small frequent meals. If this is not helping, you can opt for ultrasonography of the abdomen to rule out other causes responsible for your symptoms. Get an upper GI Endoscopy done and get treated accordingly"
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"Thanks for your query. Passing of the clots followed by light bleeding can be periods called oligomenorrohea, or you have missed abortion. But at the same time you have central abdominal pain, bloody diarrhea hot flashes to the point of sweating, light headdress can all suggest the possibility of severe enteritis causing septicemia causing all the symptoms you have. I would advise in such a patient the following:Ultrasonography to rule out uterine or tubal pregnancy and to see for the status of abdominal lymph nodes. Test of blood, urine and stool to see for the possible diagnosis. Get the treatment according to the reports, and you will be fine",
"It is possible to be pregnant if you had intercourse during your fertile period (ovulation day and 3 days prior to that). This is usually in the middle third of your cycle. The spotting, vomiting don't seem related to pregnancy. It could be an isolated incident. A sure sign of a possible pregnancy is a missed period and positive pregnancy test after you have missed your period. Please take a home pregnancy test to check, once you have missed your period. If negative, I recommend :- basal body temperature monitoring & using ovulation prediction kits to detect ovulation day. This day and the three days before that are your most fertile period. -regular intercourse (every alternate day) in the middle third of your cycle (day 10 to 20 in a 30-day cycle, for instance). -minimize caffeine -maintain healthy diet and weight. -exercise regularly. Don't stress too much while trying. It doesn't help and In fact can negatively impact fertility. -take a folic acid supplement every day. -if below 30 yrs, try for a year and of above 30,for 6 months before seeking professional help. It will happen. Keep trying. Don't get frustrated. Take a break of the pressure of trying to conceive gets too much."
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hi i have anxiety disorder for almost 10 years now,also hv shoulder and neck muscular inflammation and about 4 months ago my bp raised up to 170 over 110 then became normal 3wks after..my last bp was the other day 120 over 100.is this an indication that i am high blood too?or just because of the vein inflammation?pls i need some advice..tnx
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"I would like to tell you BP more than 140/90 is an indication for high blood pressure. But, what time you are checking your BP that matters. During any inflammation, temperature, anger and anxiety BP raises up to some level. It's advisable for you to check your BP at different times every day after relaxing yourself for 10 min. If it generally stays more than 140/90 then you need to start with dietary modifications and Antihypertensive meds."
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"High values of ESR indicate an inflammatory situation of your body. Antibiotic use usually after the treatment the ESR low down till in the normal values. If it does not normalize despite the right medication it is necessary to do some other blood tests to see if there is an autoimmune disease or other cause that not allow the ESR to normalize. For example:ANA, ANCA, RF, CEA, Hole blood count, CRP,Ca 125. So my opinion is better to consult a GP after all",
"I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that we talk about hypertension if we have mean value that exceeds 140 / 90mmHg. A person might have high value during emotional and physicals trees so It's mandatory to judge on mean values. Usaly hypertension does not give any symptoms but left untreated he slowly modifies heart muscle. During a hypertensive crisis a person might experience headaches, blurredvision, dizziness,tachycardia ewe recommend to a person to rise up the legs during low blood pressure not high blood pressure because rising the legs increases venous return and helps to rise low blood pressure. In your husband case it might be a sporadic or emotional high value. Even though, as we have this high value, if I was the treating doctor I will recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function and walls, a full blood analyze to check renal function, and the most important one holder blood pressure monitoring to evaluate values during day and night. After all this we can better judge if we have hypertension and how to treat it."
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Hi doctor,Today I visited a dermatologist for facial dryness, dandruff, boils and itchy scalp. I was prescribed Episoft cleansing lotion, Cetaphil cream, Fusirose lotion and 8X shampoo. Fusirose lotion is out of stock near my place and online. Can you please suggest a substitute lotion? I bought Fucidin cream instead of lotion. Can I use it?
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"Getting Fusidic acid in lotion form is difficult. You can use the Fucidin cream for the boils on the scalp. For scalp folliculitis, I suggest you try Betadine AD shampoo twice a week. For facial ChatDoctor. Consult your specialist doctor, discuss with him or her and start the treatment with consent. Take care."
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"You should wash the affected area thoroughly. Pseudocode Chat Doctor. You should take antihistamines medicine like Fenofexadine or Cetirizine for relief. Application of Calamine lotion will help in decreasing the itching sensation, but local application of steroid cream will be more beneficial. You should get yourself examined clinically at the Emergency Department and take the appropriate medicine. Donor apply the post-wax treatment oil in the future, as your skin is sensitive to it. I hope this is helpful to you. Thanks",
"These patches are due to fungal activity. Let me suggest you some medicines. You should apply and give me feedback. Moist wet skin. KOH (potassium hy ChatDoctor. Tinea versicolor. 1. Wash with Ketoconazole lotion once daily. 2. Apply Terbinafine cream twice daily. 3. Take capsule Fluconazole 150 mg once only. For more information consult a dermatologist online. -"
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Hi iv had pains in my stomach for nearly a week now and they seem to be getting worse not better. The pains started just above my belly button moved to the left and have been in the right ever since. Iv felt reAly sick and havent been able to eat anything yet I dont feel hungry. Iv also had a pain under my arm. I was taken i. Hospital the weekend with suspected appendicitis but they believe its not that. They left it down to a cyst on the ovaries, should I be feeling like this? And do u think it is?
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"Thanks for your query and an elucidated history. The indication for the severe lower abdominal pain and loss of appetite may be :Clinically with your history, this is more suggestive of appendicitis. It is unlikely to be due to ovarian cyst unless it is twisted or so. I would advise you to go for the following:The tests of the blood, urine and stool. Most important is the CT scan of the abdomen and pelvis as this would confirm or rule out the possibilities to get a proper diagnosis and a plan for further treatment. By this time you could have taken a course of an antibiotic, metronidazole and supportive medicines like probiotic and painkillers"
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"If the size of the ovarian cyst is > 5 cm it needs urgent attention. On a cautious note it would be better to visit the ER asap, as the cysts are prone to complications like rupture or bleeding into the cyst, and infection. All of these can produce vomiting and pain. The bloating sensation is Not a very good sign, if it is associated with diarrhea. It could also be due to certain painkillers u must be taking",
"The pain you described in the lower left abdomen is suggestive of an ovarian cyst- It looks it has got twisted, so the exudate material got escaped, to the under surface of the diaphragm. The irritation of the diaphragm causes the referred pain to the shoulder. This is sufficient reason for the exploration of the abdomen by laparotomy or laparoscopy urgently. By then go for :Blood-complete blood picture, kidney functions tests, blood sugar fasting and post-lunch, Urine-routine, microscopy, culture and sensitivity (before start of antibiotic)Ultrasonography of abdomen"
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Hi, I have hypothyroidism which was found out when I became ill with depression , it was realised it was due to tiredness & shift work including nights. I have not be doing nights for 7 years they are now wanting me to return to nights which I say is detrimental to my health. Is there anything I can do or any information I can source to proof this will be the case?
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". . . . . . . Thanks for your query. Hypothyroidism can mimic depression in many cases, and they share common symptoms that may augment each other. Regular sleep wake cycle is required to avoid precipitating mood disorders and in that sense night shift may not be apt in your case. You can request your authorities with necessary medical documents to sort out the issue. You can use information from NIGH (National institute of mental health), USA website to augment your treatment records and to demonstrate that adequate sleep is mandatory considering your medical history."
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"Short answer is yes you are suffering from depression. Long answer is you are suffering from a chronic low grade depression known as dysthymia where one tends to feel low, tired, non-energetic most of the time but not to the extent that it would severely hamper a persons work performance. In addition, stress from a non-helpful relationship, job etc. usually adds up the woes of a dysthymia person causing an episode of major depressive disorder superimposed on dysthymia known as double depression. Good news is this condition can be treated fairly easily by a multimodal treatment approach. There are Chat Doctor. Next up, a Psychiatrist or Psychologist will take up with you lifestyle modification; how to manage job & relationship stress, doing daily physical exercise to keep mental as well as physical health at a premium & ;lastly factors unique to your personality, environment & possible stressors to avoid preventing a relapse will also be dealt with. Do consult a Psychiatrist & if required; revert to me for further help",
"Thanks for posting here. you're complaints of fatigue and tiredness seem to be because of it d deficiency. Please check your it d levels. It is quite possible that you are suffering from a deficiency of it D. if you are found to be deficient u need to be on it d correction course following which you will feel better. Also get your hemoglobin checked."
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hi i just had my marena removed...: birth controll ..and i started bleeding the next day and i had it for a week..but its really heavy and extremly painfull cramping..i have been using tampons...and big globes of blood have been coming out...is this normal
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"Since IRENA is a hormonal device, removal causes with Chat Doctor. The amount of bleeding depends on the endometrial thickness present prior to the onset of the bleed. Cramping is mostly an after effect as the uterus contracts during the process. You may use a uterine anti-spasmodic for relief. To reduce the bleeding you should use styptics and report the matter to your gynecologist for proper management. If there is no respite, you may need hormone supplements to arrest the bleeding. Avoid using tampons to know the exact amount of bleeding and also to reduce cramps and chances of infection."
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"IUD removed, and that chapter closed now. Now we are talking about your problems that nausea, burning sensation in stomach, anxiety. Blood spotting is normal so don't think about that. This is the nature of an individual that how he or she reacts to things around him. Over reaction to surrounding is a form of anxiety and that is in your case. When IUD was inserted from day first you were not feeling comfortable with it and that was an anxiety. IUD removed and still you didn't come out from that dilemma and that is anxiety. Due to anxiety you are feeling hyper acidity (gastritis) like symptoms. So control yourself, if not, than consult a psychiatrist and take TT. You will be right within a short period",
"I understand your issue. Bleeding after copper T is common and is usually in the form of heavy bleeding during periods. White discharge is also common. Continuous heavy discharge may occur in some women, but it needs to be investigated to rule out other causes. Also, backache and heavy discharge indicate an infection. I suggest that you get a gynecologic examination done and also check to see if the copper T is in place. If it is an infection, it will get treated by antibiotics."
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hi doctor I am suffering from cold from 1 month. from last two days I am getting bad smell in my nose and my breath also. what should I do ?please give me suggestion.
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"There could be several reasons for bad smell in the nose and breath. It could be due to poor oral hygiene. A second reason is a non-allergic, non-infectious inflammation in the sinuses that can linger after a cold. A third reason is chronic sinusitis. In your case, it looks like you have developed sinusitis after cold. Inflammation in the sinuses can block sinus Chat Doctor. This can cause the mucus to collect in your nose and sinuses. Over time this collection of mucus can smell awful. If the mucus is thick, a nasal wash may be needed to remove it from your nose and sinuses. Steam inhalation will help you. Do maintain good oral hygiene. You may have short-term relief from the bad smell, but it may return again if the blockage is not completely cleared"
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"Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. If Months cannot give relief for running nose and sneezing, in such case, I usually prescribe intranasal corticosteroid (Mometasone or Fluticasone) sprays to my patients for 1 week or so. 2. Were I treating you, I would prescribe you albuterol or levosalbutamol as inhaler for treating spasm. Please continue Doxycycline as suggested by your physician. 3. As you have had problems since childhood, I would suggest you regular breathing exercises including Yoga & Panama which will increase your lung capacity over time. 4. I would also suggest you allergy testing which will help you identify the substances you may be allergic to and also to know the measures to avoid their exposure. Based on the report, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms.",
"you swelling and pain around cheeks? You are most likely suffering from common cold (Acute flu fever) with secondary bacterial infection. There may also be involvement of maxillary sinuses. This may cause persisting infection with blockade of nose. You should consult with physician and ENT surgeon and get thorough nasal check up. You should take complete antibiotic course, decongestants, and anti-inflammatory medicines for relief of symptoms. You should also perform gargles three times in a day with lukewarm water and a pinch of salt. You should also take hot steam inhalation for relief of symptoms. Take care,"
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Hello doctor,I have spastic paraplegia. Everything I have tried has not worked. I was told to try a medication called L-Dopa. Will this medication help me?
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"L- Dopa is Levodopa and is a ChatDoctor. It will help you in spastic paraplegia in case there is a deficiency of dopamine in substantia niagra of your brain. It is definitely going to help you if there is any deficiency. But if there is no deficiency, it will be of no help. In my clinical experience, Baclofen helps mostly in resistant cases."
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"I have noted your brothers' diagnosis of SSE- subacute sclerosis pan encephalitis. Unfortunately, there is no cure for SSE today. Despite medications, the disease continues to progress, however, the rate of progression differs in different people. Isoprenosine is a commonly used medication in SSE. For control of seizures and myoclonic jerks, sodium valproate can be used. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health,",
"The symptoms you have described are related to the muscle spasms. Muscle relaxant like chlorzoxazone or cyclobenzaprine are helpful. Cyclobenzaprine is available in 5 and 10 MG and is supposed to be taken 3 times a day. Physician supervision is necessary to monitor for side effects. If oral steroids (prednisone) are not helpful epidural injection of a mixture of a steroid and local anesthetic can be tried. These are done by spine surgeons or pain specialists."
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changes in face after masturbation hi there im a 26 year old male,the problem is whenever i masturbate my face shrinks and would become ugly,but will be normal after 5 to 6 days if i dont masturbate.what is the cause and pls let me know the treatment..im very very depressed. thanks
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"I had gone through your query. Masturbation does not cause any abnormality in face. It just you're thinking or may be due to depression. Masturbation is normal physiological function of our body It is one of the method to satisfy sexual pleasure in absent of partner both sex and masturbation has same and has same end result to get satisfaction. So thinking or Hyperion Chat Doctor. Need to evaluate psychological status and thought processes. Counseling and treatment can help. Consult psychiatrist for better evaluation. I hope I have answered your query. Thank you"
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"Based on the facts that you have posted it seems that you have been indulged in frequent masturbation since many years and now worried about problems related to sexual activities in the future. First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are anticipating to face in future now are mind related and due to anxiety. Following measure will help you to boost up your confidence and getting good erection and delay ejaculation. 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E. and Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking. The increase in size of your tummy can not be due to masturbation but may be due to over eating and sedentary lifestyle.",
"First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Following measure will help you to boost up your confidence and to reduce the frequency of masturbation 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E. and Zinc3)Take anti oxidants like Almonds 5-6 every day. 4) Avoid alcohol and smoking. 5) Get yourself engaged in some activities like reading, sports. listening to music so that you will not get free time to masturbate."
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I got robbed and got hit on my face my eyes are fine but i got a swelling around my eyes and my cheeks. I have a swelling on my cheeks and its purple around my eyes. I have been applying Ice pack is there any other suggestion to quicken the process
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"Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that due to hitting over the cheek there has been trauma to the soft tissues leading to inflammation and swelling that occurs due to accumulation of inflammatory exudate that is released from inflamed tissues. The purple appearance is due to rupture of small blood vessels due to trauma and there is spillage of blood into the soft tissues leading to purple appearance. I would suggest you to continue icing the area, and also you can take anti-inflammatory painkiller like Ibuprofen. You can apply Heparin gel as it help in faster fading of bruise but keep it away from eyes. In case if there is no improvement in the area or there is pain and discomfort, consult a General Physician and get evaluated, and he can also get x-ray done to check for any bony fractures and treat you accordingly."
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"Apply frequent ice packs to subside swelling. Once the swelling subsides, lips will seal as usual. Please do not take medicines until the numbness disappears. Take medicines After consulting with your physician. Meanwhile, plenty of fluids as well as nutritious food has to be taken. Avoid biting on your lips.",
"Initial 24-48 hours after any injury, it is best to use an ice pack intermittently. However, now the injury is almost a week old, in which case hot fomentation would be ideal. Apply a small quantity of pain relief gel like voting(diclofenac gel) to the affected region of the back. Do not massage or rub the gel too much. Just apply it lightly. After half an hour or so apply a hot water bag/ hot fomentation to the affected area. Do the above at least 3 times a day. Reduce the oral intake of ibuprofen gradually. Too much of this pain relief medication can cause gastritis. fully you should be completely okay in another week or so. If the pain persists or increases in intensity, please visit your physician at the earliest. . ."
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Hi doctor,I have back pain for the past three days. I do not know the reason behind it. I usually sit in front of a laptop for 10 hours daily. I have the pain while sitting or standing or when I bend. I do not have it when I sleep at night on the floor. Please help.
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"Back pain comes from fatigued muscles. Your back muscle gets relaxed at night. So you do not have the pain at night. Sitting for long hours can aggravate back pain. Poor posture while sitting can also lead to back pain. Do back extension exercise, and sit only for 25 to 30 minutes on the chair. Sit in a chair which is having lumbar support. Take NSAIDS (non-steroidal anti-inflammatory ChatDoctor."
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"This will help you to improve the strength, stamina and flexibility of your spine. Here you have mentioned sometimes morning when you get up you feel pain at your back. It tells me two things. Either your back is weak or there is a problem with your bed as well sleeping posture. If your back is weak again there could be two region. Either its spinal muscular weakness or it may be related to disc problem. The only way to conform is by doing MRI and checking out your self do you feel any radiating pain from your back to legs ? If yes then it could be related to disc problem. And if there is only spinal muscular weakness Don't worry that will recover once you start following proper spinal exercise program. But I must suggest here do check your bed level (it should have even surface)and it should not be too soft or too hard. You can also use hot and cold pack at your painful area to have more of relaxing and nothing effect which will also help for relieving pain if there is any pain. At anytime if you feel the pain have increased in intensity and more frequent as well radiating to legs than do consult specialist for that. Understand one more thing pain is a symptom so Don't treat the pain treat the cause of the pain which will help you to have permanent relief. Taking some time paracetamol is ok but Don't make it your habit. Take care",
"I have read complete details of your question. It looks from your details that you are having pain in back which increases on sitting. Such type of pain can be most probably due to disc problems in spine or due to arthropathy or joint problem at spine. If you are over weight then this can also be one of the reason for that. Muscle weakness aggravate this problem. Pain due to kidney problem radiate from back to groin. There may be associated burning during urination or blood in urine. At present you should do following to have relief in this- -Avoid lifting heavy weight. -Start doing exercises as described in following web link- http://orthoperson. blogspot. in/ -Do warm fomentation over the back with red rubber bottle which is available OTC. This will give muscle relaxation. -Take a mild analgesic like paracetamol. -Have complete investigation including x-ray of affected part to rule out any problem. The MRI will be best for this."
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My husband has had two recent episodes of rather violent vomiting preceded by some coughing. He says the coughing relievespressure in his stomach whichhurts. He did visit his doctor after the first episode and nothing was found but a mri was recommended which has yet to be done. Any ideas? He is 71 and in generally good health but with a history of ulcers and has had stomach surgery for them with the pyloric valve removed. This happened 30 yrs ago.
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"Thanks for your query. Considering the age of the patient of 71 and the history of vomiting and coughing which relieves the pain, I would think about Hiatus Hernia as the first cause. Get upper GI Endoscopy done before any other investigation. Additional X-ray of the chest in supine (lying down) position, barium studies for the esophagus, stomach and duodenum (history of gastric surgery notes). Coughing looks to be due to reflex due to pressure felt in the chest due to hernia. Both coughing and vomiting relieve the pressure means there is fullness which develops over time"
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"Thanks for your query. Read the history and understood the problem. I am sorry to know that you are suffering from such a severe stabbing pain with vomiting for the last 4 years. It is difficult to understand why have you not investigated or consulted a Gastroenterologist. This is occurring only during nighttime and makes you curl on, meaning it is so severe. The most probable causes are:Vascular insufficiency to the intestines after the dinner-the requirement of blood supply increases many folds. Internal hernia, again very difficult to diagnose. Volvulus of some part of the intestinal tract. To get a proper diagnosis you should be seen by a Doctor / Gastroenterologist- preferably - during the attack. The investigations done when not in attack may turn out to be normal. I would advise the following investigations strictly to be done during the attack of pain. -X-ray of the whole abdomen in standing position, this helps to have a suspicion about the intestinal obstruction and the cause of it. This is followed by CT scan next time to confirm the diagnosis. Exploratory Laparoscopy or Laparotomy. This helps tremendously for the diagnosis and treatmen",
"I can understand your problem and situation. In my opinion you should consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test). In your husbands' case we need to rule out bronchitis and infection. Because cough with lack of energy is seen commonly in both of these. So chest x-ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. So consult pulmonologist and first diagnose your husbands condition and then start appropriate treatment. Don't worry, you will be alrig"
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I ve been having chest pains for a couple of hours now. I am 30 and I ve had some issues with chest tightness due to psoriatic arthritis. I did start synthroids 50 mg today. My blood pressure is normal 126/76 Are there any signs I should look for about this pain to know if its not just the arthritis?
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"I can understand your concern. Psoriasis arthritis can cause lung complications like bronchitis and lung fibrosis. Both these cause chest tightness and chest pain. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is screening tool for lung fibrosis. PFT is must for the diagnosis of bronchitis. If both these are normal then no need to worry about major lung diseases. Take simple painkiller and muscle relaxant Chat Doctor. Apply warm water pad on affected areas. Don't worry, you will be alright."
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"I have reviewed your query and here is my advice. It's unlikely to have chest pain with 30%, now there are two possibilities, one is gastritis which mimic heart disease and do respond to nitroglycerin spray. For that try tab pantoprazole once a day before breakfast. Also avoid hot, spicy, oily food. Avoid heavy meals instead have multiple small meals and don't lie down immediately after meals instead have walk for some time. Second possibility is blockages small vessel disease which is difficult to pick on angiography which will also respond to nitroglycerin spray.",
"I can understand your concern. Chest pain and tightness in chest and neck are commonly seen with heart diseases. And heart diseases are common in hypothyroidism. So better to consult doctor and get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes stress and anxiety can also cause similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright but first rule out heart diseases."
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Hi 1 1/2 yrs ago mymom was diagnosed with advanced cirrohsis of liver caused by Hep-B.her ascites has become unresponsive to the diuretics .Doc has suggested for the TIPS procedure.Could you tell me about it,its sucess rate ,risk involved and the cost for it.
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"TIPS for ascites has an excellent success rate, with 90% of patients having a good response and decreasing the amount of paracentesis they have. The most significant risk is worsening of encephalopathy (altered mental status). This can vary, but usually can occur in up to 20% of patients with cirrhosis. Again, this depends on how advanced her disease is. Another complication is that the stent can become thrombosed (clotted) which would require another procedure. Finally, there are risks such as bleeding and infection, but significant bleeding and infection risks are low, likely under 5%"
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"Your father was on medication and has history of urine retention in the past. Currently, he is on catheter. Chances of medical management will not be successful. He needs surgery of either TURP (transurethral resection of the prostate) or HoLEP (Holmium laser enucleation of the prostate) for prostate. Size is never a criteria for surgery. Enlarged prostate can shrink by 30% if Dutasteride is given. But, this does not guarantee that the patient will become catheter free. However, it reduces blood vessels in prostate and helps decrease blood loss in surgery. Dutas-T (Dutasteride and Tamsulosin) also contains similar medicines as Silodal D (combination of Dutasteride and Silodosin). His ITP needs to be tackled and with all due precautions and keeping platelet concentrates on standby. He can undergo endoscopic surgery with due risks. Laser surgery - HoLEP will be better for him if available.",
"Esprit AV which contains anti-clotting (blood thinner) Aspirin and cholesterol-lowering agent Atorvastatin commonly prescribed for the treatment of patients suffering from high cholesterol levels and those who are at an increased risk of complications such as a heart attack and stroke. It should be taken for life long. Generally, Esprit AV is well tolerated by most of our patients. However, it may cause heartburn, upper abdominal pain, vomiting, muscle pain or weakness and liver dysfunction. If you develop these side effects you must report to your treating doctor. Your LDL level is high, so I recommend increasing the dose of Atorvastatin to 20 mg along with Aspirin 75 mg."
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just had a dentist appointment about a week ago. I have braces and they broke my wire! So the back brackets dont have a wire on the bottom. Now the place I go to is Western Dental and its also a Orthodontist place. They said they couldnt fix it until my next appointment which is on December 11. What should I do? Is this bad?
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"When you are taking an orthodontic treatment it is better to keep in touch with the dentist as these type of problems arise commonly. If the wire is broken at the time of treatment it will delay the treatment as the wire will not be able to put pressure on the teeth and there will be no effect of the treatment. It is better to consult you dentist and get it fixed because visiting other dentist will be difficult for your treatmen"
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"Anti-inflammatory medication can help your treat your discomfort. A prescription rinse with an anesthetic could be requested. Your symptoms should resolve, but increased inflammation is common while braces are on your teeth. Accelerate your professional cleaning schedule to every three months instead of six months. Call your orthodontist and report your level of discomfort. The doctor will advise you if this is unusual for your specific treatment and schedule an appointment to adjust your braces if needed. Thank you for your inquiry. I hope my suggestions are useful, and you begin to feel bette",
"Thanks for the query. As per your complaint as you have lower front teeth forward to upper front teeth, it is very clear that you have a case of \"ANTERIOR CROSSFIRE\" and it can be very well treated with braces, although the treatment can be planned only after knowing the following:1. Age of patient. 2. Adequate space in the arch to reposition the tooth3. Sufficient overbite to hold the tooth in position following correction. 4. Position of the tooth in cross bite that is the same as it would be in normal occlusion. 5. Type of Occlusion. If all of the above factors seems satisfactory by the Orthodontist he can very well correct the misalignment of teeth by using braces and surgical treatment is considered as a last option. You should however consult a trained specialist known as ORTHODONTIST and get yourself evaluated so that he can do all the necessary evaluations and do the fixed orthodontic treatment accordingly."
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Hello doctor,My baby is 6 months old (9.50 kg) and is suffring from cold. Doctor has prescribed Wikoryl 1.5 ml three times a day, L Montus suspension 5 ml once at night. Please advise whether the dose of L Montus is fine considering age of the baby.
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"Yes, for 6 months old baby, I will not advice any cough medicine. L Montus contains Montelukast used for treatment of asthma and allergic rhinitis. Safety and efficacy at 6 months of age is not yet established. I consider these medicines are higher for the age group and should be given with due consideration. Your doctor might have strong reason and better experience with these medications. Cold can be just because of nasal secretion block, can be relieved with saline ChatDoctor."
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". . the history suggestive of common cold, that is simple viral illness. If she doesn't have wheeze or noisy breathing, ambrosia S or leveling Neb does not help the child. Use levocetrizine 5 mg half tablet twice a day. It takes 5 - 6 days to subside. If cough persists, then child may have wheezing problem and then consult your doctor. Steam inhalation and gurgling doesn't help much. If you are happy with my answer kindly rate me. Regards-",
"ntinue the prescription by her doctor. Ambrolite-s syrup will help ease her symptoms. I suggest you give her montelukast or singular sachet daily in the evening for a month. Further, protect her from cold and consult her doctor for snoring to confirm whether this is due to adenoids enlargement or this is some wheezy sound. Best of luck for your child"
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What is the difference between the symptoms of a knee sprain and a torn ligament(acl) - I fell a week ago and I can walk on it with a brace, it hurts when I turn it, I can t bend it back all the way and i all most can straiten it. I heard a pop when I fell?
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"In a sprain, there will be pain and swelling which will subside after some days and the knee function will resume. In torn ligament, there will be no movement in the knee even after some time. After the torn ligament there will be grinding of the knee. Doing MRI scan will help reveal the status of the knee internal structures and help to plan the next course of action. In ligament sprain, there is conservative management and in a torn ligament, there is surgical management."
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"As you mentioned you have pain and swelling of the knee. Also, the painful area is behind the knee joint, it appears to me as the ligament injury. Besides, if you have an arthritis it may lead to such pain and symptoms of swelling. I advise you to do the MRI of the knee and expose the internal structures of the knee joint. Which will help us look more deep into the knee joint. Also, taking a physical therapy like - Therapeutic ultrasound therapy and TENS therapy will help you with relief of pain. If there is ligament injury confirmed on the MRI then avoiding the knee bending for time being will be of choice. As to avoid further damage. Also, to understand that if you have any vascular symptoms then a Doppler will help look deep into the matter and the medical management will be guided accordingly. Performing exercises at the later stages of life is of due importance to understand the needs of the muscle Strengthening and functioning of the knee joint muscles. Usually patients recover with 99%, as I have seen with proper conservative management. With the grace of God I wish you a speedy recoveryRegardsJay In",
"Because cancer cannot be just predicted by all such soft lumps. For now, I will advise you to do icing and simple exercises for the lower limbs to have a balancing strength on both sides. Usually, you get pain and aches if there is any ligament injury like a sprain in the knee and the swelling of the adjacent joints as they take maximum stress for the weight-bearing. Your pain should be fine after icing and simple exercises. In my clinical practice of over 12 years, most cases have a ligament injury in the knee and the symptoms of the tibiofibular joint are examined. With icing and simple exercises for correction of muscle, an imbalance has regained full functions."
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