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Hi, My name is DHIRAJ SHETTY.I was diagnosed with adenocarcinoma of pancreas in july 2013.Since then I have undergone 9 sessions of chemotherapy.First 3 being gemcite + cisplatin Second set of 3 chemos being gemcite + oxyplatin + xeloda And the last 3 chemos of folferinox. I have handled my chemos very well. And over the period got my ct scans and blood tests done regularly. The tumor has remain stable through out and has not spread at all. But surprisingly my CA19.9 reports have suddenly shot up in the last reports. I feel confused, as the tumor has not spread but the CA19.9 levels are significantly elevated. Kindly advise and please let me know if it can be a case of NEUROENDOCRINE TUMOR (NET) | If you are a doctor, please answer the medical questions based on the patient's description. | CA 19-9 levels are increased in pancreatic adenocarcinoma and not Nets. They may be elevated in a number of other conditions such as jaundice. But you don't have jaundice and the picture that you have mentioned, it definitely goes in favor of the cancer coming back. Sometimes, a small recurrence is not visible on a CT scan. Also, CT scan only scans a certain area of the body like the abdomen, while the disease can recur anywhere. It will be worthwhile to do a PET scan as that will show any small area of tumor recurrence anywhere in the whole body |
I experience vertigo-like symptoms (heart races, cold sweat, dizziness and tense muscles) when driving over bridges. Once I crest the highest point of the bridge and begin my decent, I feel a major rush of relief. Is there a medication I could take to control these symptoms and still be able to drive? | If you are a doctor, please answer the medical questions based on the patient's description. | His am Chat Doctor. I have read your query. I think I can help you. The symptoms of the query are actually quite suggestive of anxiety, and possibly fear of heights. Do you have a fear of falling, or similar vertigo when standing at the top of a building? The best treatment for this is behavioral therapy. You will need to meet a behavioral therapist in your area for the same. I have tried to make it as simple as possible. Please feel free to ask a further clarification. Best of luck |
I have had a prostrate problem for over two years. My local hospital prescribed dutesturide and tamsulosin about two years ago and I do not think it has made much difference. I just believe that I am becoming accustomed to the problems and in the main control it myself. I consulted my doctor who has referred me back to the hospital where I am going to ask for the operation to get my normal flow back. They did previously say there is a risk in this. Can you tell me about the risks or is there a stronger medication that I can take in its stead to get me back to something like normal? My age is 70 and in most other areas am fit and well for my age.Thank you. | If you are a doctor, please answer the medical questions based on the patient's description. | Tithe maximal amount of medications that can be given has already been given to you and the next step would be operation called TURN. The main risks during operation are bleeding and infection and risk of giving spinal anesthesia as for any other operation. After surgery again there is bleeding risk, risk of urine infections, risk of loosing erections in 10% of patients, formation of scar tissue in 1 in 10 patients requiring reoperation. 2 out of 10 patients may require another TURN operation in 10 years Overall the complication rates are low unless you have other medical problems that can increase risk of an anesthetic. |
I get these stabbing pains in my chests often. That seems to pass right through into my back. Breathing hurts, but I can breath. I know its not gas since its above my chest on my left side mostly. Rarely on the other side. Or sometimes right under my breasts. Its scary when I get it, especially when Im driving, because I tend to ball up when it strikes. What could be causing this? | If you are a doctor, please answer the medical questions based on the patient's description. | Thanks for your question on Chat Doctor. I can understand your concern. Since your chest discomfort is associated with specific position (Chat Doctor. But better to first rule out heart related diseases because left sided chest discomfort is common in heart diseases. So first get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Follow these steps for better symptomatic in muscle spasm. 1. Avoid movements causing pain. 2. Sit with proper back support while |
Does depression ever go away? It started when I was 24 when I had my first knee surgery . Which lead to severe arthritis in my spine and whole right side of body. I have to have a knee replacement . I am 31 yrs old. My dad past away 2 yrs ago and my depression is bad around his anniversary. My husband is in prison so I am alone with 4 kids. I have alot of Dr. I have my primary, rheumatoid , back specialist, and knee specialist. I have fibromialgia in pain constantly. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello bdlw2008. Thanks for visiting Chat Doctor .com. Unfortunately, depression is a difficult disease to treat. In some people, depression goes away but in others it does not. I would advise talking to your physician about your treatment options for depression. Chronic pain makes depression harder to treat, so I would advise talking to your rheumatologist and your primary care doctor both to see if they can work together to help you. Be well |
I have TMJ disorder and I was wondering if there was anything I could do about the left side TMJ getting inflamed besides just letting it be and relax, as it is pushing on the inside of my ear. I can feel/hear it making a crackling wet noise when I push my jaw forward, or a painful pushing feeling inside my ear when I clench my teeth. It started yesterday and is better now that I\ve slept and it\s relaxed, but it\s still bothering me and the crackling/pushing is still there. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi! For a TMJ dysfunction you can consider the following advice Spasm in the muscles around the joint can be the reason for this probable dysfunction. It will take around 4 weeks for the muscle to get back to normal but chiefly depends on how much precautionary measures (mentioned above) you have followed. I hope I have answered your query. If there is anything that I can help, please do le me know. Get well soon! Warm regards! |
one of my elder sister was suffering from renal cell carcinoma .Four months before doctors completed nephrectomy of her right kidney.A completion of nephrectomy one oncologist completed 20 radiotherapy course. Now it is showing recurrence of carcinoma near the right kidney.At this moment dr. suggest to eat tab-surafenib 400mg twice daily. we are not rely on this doctor.There is any better treatment for her. cancer still not spread another part of the body. Please suggest. Thanks Rabiul Islam. | If you are a doctor, please answer the medical questions based on the patient's description. | Since you said your sister has recurrence it is important to confirm whether recurrence is confined to local region only or if there is spread to distant parts of the body. If the recurrence is solitary, resection of the lesion would help. Sorafenib is for metastatic disease. Since her disease has come back in just 4 months, you need to understand that she has got aggressive cancer and whatever treatment is offered the responses are short lived |
My wife is recently dignosed for PCOD with Hypothyrodism. And she is taking the prescribed tablets of Thyronorm. She is been advised to take these tablets life long. She is also taking some meditions for PCOD also. We are planning on a baby since we get married, no sign of concieving. 1.) Are we still able to make baby along with the treatment my wife is undergoing?2.) But after Three weeks she started taking the thyronorm tablets, she is complaining about her breast pain. The pain is lot. Can tell me the reson? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi dear, I have gone through your question and understand the concerns.1. Both hypothyroidism and PCs are causes of an ovulation and hence inability to conceive. Therefore, if these two conditions are properly treated, then the chances of conception are increased. You can try to conceive with these medications.2. Breast pain is unrelated to the thyroid medication. It can be due to fibroadenomas. Consult a surgeon for proper examination and treatment accordingly. Hope you found the answer helpful. Regards Chat Doctor. |
Good morning, My son had an MRI done for arachnoid cyst . His MRI states a mild degree of cerebral volume loss in suggested, characterized by prominece of the third and lateral vetricles and cerebral sulci. Questiion is raised of enlargement of the lest and to lesser extent right endolymphatic duct-sac. Correlation with sensorinueral hearing loss is recommend. What does this mean? YYYY@YYYY Kim | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, He initially needs a detailed clinical evaluation and based upon that only MRI can be interpreted. In addition, we need to know if he has any other medical problem. If you want, you can visit the website of Chat Doctor and consult any doctor of you choice. Chat Doctor. , MD(Medicine)., DM (Neurology)., Post-doctoral fellowship (Epilepsy)Consultant Neurologist & EpileptologistNarayana Hrudayalaya Multi-specialty HospitalBangalorehttp://www.ChatDoctor .com/doctors/ |
we are trying for a baby since 14 months...many tests like foliculometry,HSG,LH test,prolactin, my semen etc have already been done..doctor says there is no such problem. This month doctor given HUMOG injection on 3rd day from last period started. As doctor advised to have a self-test of Ovulation through "ovulation test strip" from day 11 up to day 18. But there are no indication of Ovulation... What can we do? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi Dear, The description given by you is not complete. Evaluation of an infertile couple also includes their age, occupation, how long married etc. On one hand you says that all reports were normal and on the other hand you were put on ovulation induction medication but than too there was no ovulation. Perhaps you are having difficulty in ovulation which require treatment in form of oral medicines and injectables with dose adjustment each month depending on the response. In your case may be the dose need to be increased next month. This treatment requires time. Believe in your doctor and continue with the treatment |
Hello i recently noticed I have a small lump on my forehead right where my hairline is near the center. Yesterday it felt like somewhat of a bruise, but today it doesnt hurt. Im not sure if this is something serious or if it could be normal. I also have another little tiny bump (feels like a scab) more up into my head that itches like crazy sometimes. I am female, 24 years old. Healthy from what I know. These bumps are on my skin of my head not underneath the skin they move if i move my skin. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Dear I went through your query.1-By the facts placed by your query, I feel it to be- a lump due to the urticaria-or contact gallery to any cosmetics, or may be due to insect bite-as its itching.2-Hope this would solve your query,3-Thanks for your query to the Chat Doctor You are welcome for any further treatments if required. I would love to help you out of Your lump and cough. Thnks. Wellcome. |
I feel mild thickness on my right cheek and sometimes radiate on my jaw,and same sensation on my right shoulder. I had bells palsy on my right cheek last January 2014.I m now ok,my face is symmetric,corners of my mouth are also symmetric but my right eye is still tearing.My question is,the thickness in my cheek is still sign of my bells palsy,but why I fell thickness(sometimes mild pain) in my shoulder? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I can understand your concern. The thickness in the cheek and jaw you are feeling is because of the residual effects of the Bells Palsy just like you have tearing right eye. It might go away eventually like other effects of Bells Palsy. In addition, the thickness you are feeling in the shoulder is not actually due to the shoulder problem, but it is referred pain. Referred pain is always felt in the area that is far from the area of disease or injury. As the feeling of thickness in jaw and cheek with tearing eye will resolve, the feelings of thickness in shoulder will also go away. I hope this information helps you. Thank you for choosing Chat Doctor. I hope you have faster recovery from the Bells Palsy. Best, |
I get depressed really easily and feel worthless it doesnt take much to trigger it my mum and two siblings has been diagnosed with it too | If you are a doctor, please answer the medical questions based on the patient's description. | Hi. I think myself you need to find a counselor to talk your feelings out with. I don't think you sound depressed just down and out. I felt this way a couple of months ago and the best thing I ever did was seen a counselor as directed by my doctor. Most doctors prefer you to you talk then take tablets. Talking is much better than going to a GP than getting antidepressants which don't resolve the problem. You need to find someone to talk to. |
My Father s hemoglobin level was 8.2 at last Drs visit. we are choosing to stop all chemo treatments and I would like to know, how long can a person survive with this level and how fast it can go down from here and what happens when it goes lower? Will a heart attack be the most likely to happen or do other organs shut down first. He started out with skin cancer and then it has spread to his brain. He falls down like a rag doll at any given moment. How low does the level get before we know he is close to the end? If we start Hospice care I, believe they don t administer any shots to boost it so, what can we expect? Please, be frank and I thank you for your input and time. Sincerely, Wendy | If you are a doctor, please answer the medical questions based on the patient's description. | Hemoglobin (Hub) is the major substance in red blood cells, and its level indicates the bloods' ability to carry oxygen throughout the body. Studies have shown that low hemoglobin, which may result in anemia, is more common among patients with heart failure than it is among people in the general population. As many as 25 percent to 60 percent of heart failure patients have anemia, defined as hemoglobin less than 12 grams/deciliter in women and 13g/DL in men. Studies have shown that if you have anemia and heart failure, your risk of death and complications are increased appreciably with as much as 30 percent to 60 percent additional risk of death and hospitalization from heart failure. When hemoglobin is below 8 g/DL, death is not far from occurring thus a transfusion is required. I suggest your father takes 2 unit of packed red blood cell transfusion immediately as his hemoglobin is already 8.2 g/DL, so it is maintained above 8 g/DL.1 unit PRBC transfusion increases hemoglobin level by 1 g/DL. Regards and take care |
My belly button has been getting infected on and off since my lyproscopic surgery a few months ago it gets red and swollen but there is no discharge. My belly button is very deep but I m concerned that it could be internal and not just in need of external cleaning | If you are a doctor, please answer the medical questions based on the patient's description. | Hello there I am Chat Doctor. This type of picture is usually seen in two type of condition.1.structural abnormality2. Infection. If there is structural abnormality like proper suture healing is not done, or belly track is connected with some inner body tissue which causing adhesion. To rule out you need to see doctor who have operated. And ask to rule out any problem. If it is nothing structural we need to rule out infection. If infection is there it is along with fever, redness, discharge and pain. Any of these may be there. Few are present here. So you need to go for culture examination of discharge. After such a log time postoperatively mostly by some infection. Which may be hospital acquitted or may be you have acquired infection after complete healing which is not from hospital. Because u have spent long time after operation this may be acquired from other source. So just follow your operative surgeons guidance while keep these things in mind. Hope I have given a good guidance to YOY. Givee star rating according to your satisfaction level. Thanking you. |
from last one week i am suffering from back pain and it is specially left buttok. it is like pin pain. secondly sometimes back to knee also. i m working in office and always working on computer. more sitting. can you tell me if it can be Sciatica pain. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi Welcome to Chat Doctor After going through your query I concluded that you are having acute backache with radiation to limb. Yes it is sciatica pain. This can be due to muscle strain due to long sitting, or it can be due disc prolapse. It can be confirmed by MRI of lumbar spine. Treatment of it is rest in lateral position. Analgesic such as ibuprofen for pain relief and vitamin B and C is useful. You can discuss with your Doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. |
Hi, I am going through a tough break-up and was prescribed Novo-Lorazem (Lorazepam) I am having a very tough day at the office this morning. Can I take one or will it knock me out at work. I am 42 and have lost considerable amount of weight. I only weigh 148lbs right now. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I think if the situation is that bad, then inspire of taking lorazepam, take sertraline or Escitalopram to treat depression. Lorazepam will only be symptomatic treatment but not help the real cause behind it. Moreover, lorazepam is addictive in nature and harmful in long term use. You should take the right Chat Doctor. This will also bring back appetite and feeling of well-being. Lorazepam is very sedative and may give you sleep all day long, and it becomes difficult to work and |
I had a dental procedure yesterday with nitrous-oxide used. I have never had the gas before. A few hours after the procedure it seems I started developing a head cold with dull headache. I woke up this morning with the same. Is this a coincidence or is it possible? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that you have side effects of the nitrous oxide gas leading to headache and cold like symptoms while it can also be due to viral infection that might have co-incidentally occurred with nitrous oxide inhalation. Nothing to worry as the symptoms will resolve soon in case if it is due to nitrous oxide anesthesia it will gradually improve as the side effect of gas will wean off from the body. In case if it is due to cold then taking supportive treatment like decongestant nasal sprays, steam inhalation and using a humidifier in your room will help. Oral intake of decongestant like Phenylephrine, Multics like aerosol and along with it antihistamine like levocetrizine can help. Hope this information helps. Thanks and regards. Chat Doctor. |
Hi Doc, I am dark colored man from india, age of 28, Last year I consulted a skin doctor for lighten my skin color,He suggested me to apply Melalite Forte cream + Flutivate (fluticasone)cream (mix) and apply in the night time.and he suggest photoban sunscreen lotion for daytime..and I apply the whole face...It is working for me,my dark color lightens...But Iam facing a problem of pimples..every day pimples are coming,and cheek part is full of pimple marks.I used to apply Peroduo(hydrogen peroxide) cream for removing marks ,but no effect.. Doctor Can u suggest me a treatment to prevent pimples popout and removing pimple marks from my face...what should i do ,Stopping the melalite forte + Flutivate treatement? or continue....I need the skin lighten and stopping the pimples and marks Please give me a solution,Now Iam too disappointed with this problem | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Thank you for posting your query in Chat Doctor, I understand your concern. Acne could be really disappointing, the cream you are using right now is a steroid cream and I strongly suggest you to stop using it. Using steroid applications on your face for a long time is not good, it can make your skin photosensitive, and it causes thinning of your skin. This can also cause your skin to become extra sensitive and can give way for pimples, For acne try using Retinol-A Cream 0.025% or Clindac-A solution 1% over the pimples. Wash your face 3-4 times in a day. Once the acne reduces use Kongo (Comic acid 2%) to help you with your complexion. Apply it at night and if required in the morning. Use a sunscreen which has SPF 30 or SPF 50. Avoid oily food, spice and junk. Hope this helps. Write back to us if you need further assistance. Wish you good health. |
I have been suffering with joint pains, particularly in my groin area, sometimes radiating down my leg. I have had to start walking with a stick. I have had a diagnosis of arthritis in my knee, but I was told there was no arthritis in my pelvis. I find that very worrying as the pain is unbearable, especially at night, it is continuous, and worse in the cold, if it is raining, I can barley walk. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi you have been suffering from joint pains esp in your groin area which sometimes radiates to leg. Pain is more at night and on rainy nights. In my opinion you have problem in your spine called spinal canal stenosis(where the passage inside your spinal cord is narrowed). I would recommend painkillers at night, muscle relaxants and Lumbosacral belt. If there is no relief in 10 days then go for an MRI spine. |
My son is 16 months old..since 4 months due to teething he is passing lose motions with severe stomach contractions and has fever till 102 every month..as per the doctor suggestions i gave him econorm and crocin and meftal alternatively during first 2 visits and within 2 days he recovered and last month he had same problem i continued the same and since yesterday he again started motions with temp rising upto 102. But this time he had vomitings(3) followed by fever and motions(3) with contractions of stomach. I gave him same medications. So my Question is can i use these medications every month are they safe or do i have to take him to hospital? Last month my doctor said to wait for 2 days and get if not recovered but he recovered. So please suggest me what to do? | If you are a doctor, please answer the medical questions based on the patient's description. | Thanks for consulting at Chat Doctor. Fever, diarrhea and vomiting suggest your son is probably suffering from gastroenteritis. Gastroenteritis may be caused due to bacterial, viral or protozoal infection, but viral infections are more common. Since it's been four months your son is having sucChatDoctorplaints, it will be better if you consult a Pediatrician. Pediatrician may advise investigations like Stool Examination, USG Abdomen, CBC etc. to find out exact cause of sucChatDoctorplaints Treatment may include antiemetic like Ondansetron for vomiting, ORS solution to prevent deny Chat Doctor. |
Hi I have recently been getting pain throughout my chest which seems to travel to the shoulder front and back. At the centre/bottom of the ribcage it feels like someone is turning and pushing inside making me feel like I want to be sick and I become hot and clammy. Sometimes, when the pain becomes more severe it feels like it travels up my neck and my neck becomes achey. I recently visited A & E regarding this, which they gave me an ECG (which was clear), and X-ray (which was clear) and 5 lots of bloods were taken (which were all clear). They say its a few things it could be and have put me on Omeprazole for now but am awaiting an ultrasound before they suggest an colonoscopy (if i ve got it right). Is there a chance it could be Gallstones??? | If you are a doctor, please answer the medical questions based on the patient's description. | Most people who have gallstones do not have symptoms. If you have symptoms, you most likely will have mild pain in the pit of your stomach or in the upper right part of your belly. Pain may spread to your right upper back or shoulder blade area. Sometimes the pain is more severe. It may be steady, or it may come and go. Or it may get worse when you eat. You may decide to go to the doctor because of pain in your belly. In this case, your doctor will ask you questions about when the pain started, where it is, and if it comes and goes or is always there. Your doctor may order imaging tests. These take pictures of the inside of your body. An ultrasound of the belly is the best test to find gallstones. This test does not hurt. Your ultrasound may not show gallstones. But if your doctor still thinks you have a problem with your gallbladder, he or she may order a gallbladder scan. In this test, a doctor injects dye into a vein in your arm. Then a machine takes X-rays as the dye moves through your liver, bile duct, gallbladder, and intestine. If you do not have symptoms, you probably do not need treatment. If your first gallstone attack causes mild pain, your doctor may tell you to take pain medicine and wait to see if the pain goes away. You may never have another attack. Waiting to see what happens usually will not cause problems. If you have a bad attack, or if you have a second attack, you may want to have your gallbladder removed. A second attack means you are more likely to have future attacks. Many people have their gallbladders removed, and the surgery usually goes well. Doctors most often use laparoscopic surgery. For this, your surgeon will make small cuts in your belly and remove your gallbladder. You will probably be able to go back to work or your normal routine in a week or two, but it may take longer for some people. Sometimes the surgeon will have to make a larger cut to remove the gallbladder. It will take longer for you to recover from this type of surgery. Regards and take care |
I have disc protrusion and impingement of sciatic nerve for 10 months. I have tried lyrica, tramadol 2x anti inflammatory drugs, injection (steroid) and endone with no relief. Pain is so bad I cannot bear to stand and I need some pain relief before i go crazy. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, You are having sciatic nerve radiculopathy which causes pain of burning type along distribution below the level of compression associated with tingling and numbness. You don't get relieved from oral analgesic at these stage you should take fentanyl analgesic patch to control your pain. But if the pain persists despite treatment then operative decompression should be thought. So in my opinion visit pain clinic to get patch under their guidance for symptomatic management or orthopedic clinic for definitive management. |
Hi, may I answer your health queries right now ? Please type your query here...hello sir my sgot is 66 and my sgpt is 119 what are the reasons for it and is their any big threat to my life and how could i control it can you please suggest me something . | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, These indicate some type of liver damage or disease. So the next step is to look for certain liver damage and most common cause is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additionally done. Then appropriate treatment can be started. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards, Ivan R. Rammstein |
My mom aspirated & had to be recessitated. Docs said she was out for 8-15 minutes. (2 different docs each say different times) She has 2 CT scans done and they eacChatDoctore back negative for any bleeding, swelling or a stroke. She s been on a vent for 6 days now. All vital signs are normal. BP is normal. Doctors say she s using the vent at minimal settings. But she is not showing signs of improvement such as foowing basic commands. She has been diagnosed with encepalopathy. What are the chances she will wake up from this? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I have gone through your question and understand your concern. If your mother experienced cessation of cerebral blood flow, it is very probable that she suffered cerebral ischemia as well. The CT scans should have revealed if such eventuality. Still, MRI is the best exam to rule out any cerebral damage. This can be done once she is out of mechanical ventilation. If there is no cerebral damage I would expect conscience recovery, still no one can tell to what degree. Hope this answers your questions, please feel free for any further questions. Wishing your mother fast recovery |
I have been having some what I think is stomach problems since jan. 11 2014 when I was taken to the ED for smoke inhalation. Also I have been having pains in my left chest what I think is gas. I can move or belch and it will go away shortly after. Some days I keep a dull pain in my left chest. The pain doesn t go anywhere as far to my arm, neck or jaw. I am just really concerned. I seen a cardio about two months ago he done EKG stated he didn t think it was my heart. I am a Firefighter/EMT I had my partner do a 12 Lead couple days ago when I was having the pain and it showed some possibly elevation in v3 and v4 not hardly enough to note | If you are a doctor, please answer the medical questions based on the patient's description. | Thanks for your question on Chat Doctor. In my opinion you should get done holder monitoring. Holder monitoring is continuous ECG recording throughout the day (24 hours of recording). You may have angina. So at the time-out chest pain you may have ECG and when you reach to the hospital by that time pain subsided and ECG comes normal. So holder monitoring can pick up ECG finding at the onset of pain. You can also go for angiography to rule out coronary artery narrowing. It is the best gold standard test to rule out coronary artery disease. So if possible consult cardiologist and discuss all these. |
Hello dr, my name is rob. Ive been in allot of physical,emotional,and mental stress. Im not very good lately with explaining my self,do to what is going on in the world. Ive had an eray of accidents from two pretty serious car wrecks,one in which i broke my femur.the second i hit my head pretty bad and now suffer from what i think could be from whip lash. and i also hurt my back by compressing my lower discs in the gym. so i have developed a addiction to meds.that is also a long story. my stress level was so bad i had almost had a stroke. I tell my doctors lately and im looked at like a drug addict. i dont have a job, and im doing things that are putting me in jepordy. i wear my heart on my sleeve and ive always tried to help people. but its me this time that needs help. so im crying out for help. ive pretty much aileinated myself in my hometown and need to figure something out. can you get ahold of someone where im from to help me confidentially. i really want to stop the path im heading. my story is long sad but can be considerd amazing to i geuss. plse help | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. From what you have stated it is quite clear that you are having a depressive episode. Depression can occur with regular stress, and it can also occur biologically without any stress as well. You need proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or Escitalopram, and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep. If you are averse to the Chat Doctor. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ |
Yesterday I was walking and saw this big icicle I then ran up to it and I tried to hit it but as I jumped I realized there was a patch of ice I slipped on the patch and landed on my lower back/butt area it hurts standing up and walking. Do I need a docter? What do I do? | If you are a doctor, please answer the medical questions based on the patient's description. | Dear patient Well said health is wealth. Since you have fall on back there might be muscle spasm, but possibility of minor fracture cannot be ruled out. I would advise X-ray of lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities. If its. Normal take rest for 3 days. Take tab diclofenac plus thiocolchicoside combination twice a day for pain relief for 5 days. Do hot water fomentation for 2 days. If X-ray report shows fracture need to consult expert spine surgeon. |
My whole body from scalp to toe has lost a sense of feeling/touch. It has been going on for a 3days now. An example, when I scratch my neck, I dont feel like I am scratching myself, though I can feel that it is being scratched. i am really feeling very uneasy i just cant feel anything especially when i touch my body cant feel the sense | If you are a doctor, please answer the medical questions based on the patient's description. | Hello dear, The symptoms as mentioned in your post can be attributed to:1. Entrapment of nerve fibers at the Cervico-thoracic region.2. Inadequate HY Chat Doctor. Dietary deficiencies of certain nutrients like Iron, Calcium, vitamin D, Vitamin B12, Folic acid, etc. which help in blood formation & nerve conduction.4. Peripheral neuropathy caused due to any fluctuation in blood pressure or blood sugar level. Symptomatic relief can be obtained by intake of cervicogenic agents (like Vitamin B6, Vitamin B12, Folic acid) as well as multivitamin & multimineral supplements including iron, calcium & vitamin D needs to be added in your diet. Physiotherapy & postural exercise will also be helpful. If symptoms still persist, kindly consult a Neurologist & get a complete Neurological examination done. Certain investigations like complete blood count, serum electrolyte estimation, fresh estimation of blood pressure & blood sugar levels & nerve conduction studies will be helpful to rule out any pathological cause for the symptoms.X-ray & MRI of Cervico-dorsal spine can also be carried out to detect any nerve entrapment. Wishing you a Good Health. Take care. |
I had chemo 2 years ago Cytoxin/Taxotere for breast cancer and am currently on Tamoxifen, Toprol 100mg,TriamtereneHCTZ 37.25mg. I was taking Lortab 7.25-500mg but that was currently changed to Lortab 7.5-325mg. Last night was the first time taking the new pills, and I keep get this fluttering like heart thing that makes me want to breath really deep or cough then I m fine. Now you should know I extremely sensitive to meds as changing from one brand of tamoxifen to another is truly a beast! | If you are a doctor, please answer the medical questions based on the patient's description. | Hello There After going through your medical query I understand your concern and I would like to tell you that palpitation can be a common side effect of chemotherapy but breathing difficulty can be due to cardiac arrhythmia, so it is recommended for you to get an ECG and an echocardiography done and consult your treating physician for medical treatment. Hopefully this information will guide you properly. Kind Regards Chat Doctor. |
i am having urinry infection for last 2 years n taking medicines..................i have pain in early mornings the maximum...................i m on medication for last 10 days................having ciprofloxin and adexim............can u tell some ways to permamnetly remove the infection | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, It seems that you might be having chronic urinary tract infection might be due to resistant strain of organisms giving this problem often. Go for routine and culture check up of urine to find out causative organisms and antibiotic medicine working against these organisms. After report go for long specific antibiotic medicine course. It is advisable to go for ultrasound of kidneys to rule out any other pathology. Take plenty of water. Ok and take care. |
One time this morning and one time this evening. Light headedness, at same time ripping burning shooting pain across upper back between shoulder blades,as well as left arm pain and cold/numb down arm into hand. Also same time have horrible right side lower jaw pain,burning, tightness, like can not speak or swallow. These episodes lasted 5-10 minutes each time. I have to lie down with legs bent to help ease pain. My e-mail is YYYY@YYYY . | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I have studied your case and I think that there can be nerve compression in the cervical spine. It is causing acute episodes. I would suggest you following.1. Get x-ray of the spine and if there is reduction of the disc space. If yes then you will need physiotherapy. 2. Intermittent cervical traction exercises.3. Tablet Pregabalin M one at nighttime. 4. Soft cervical cooler can be worn. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks |
Good evening I am 35 yrs married male - married since last 16yr. waiting for child, my wife have Poly-cystic ovarian disorder treated and getting periods not regular.we have done IVF- but failed. My friend suggested that i should take homeo treatment before next cycle, so my question is shall I get help from homeopathy | If you are a doctor, please answer the medical questions based on the patient's description. | Welcome to Chat Doctor This is Chat Doctor. I can understand your Concern & worry is that even after 16 years of your marriage, your wife could not conceive IVF treatment also failed. Though it is matter of concern, even then I will suggest you to have patience & take care of your physical as well as mental health as well as your wives. To increase the chances of conception, IVF should be done at least 3 times. The chances of conception are 25% to 30% first time, 30% to 45% second time and approximately 60% third time. Before that, I want to suggest you as Below, if it helps Both should do few Yogic exercises daily-- Do butterfly, Kandharasan, Pavanmuktasan , Deer - Noukasan, Gomukhasan, Bhujangaasan Shalabhasan till Conception . Alaskan for 4-10 seconds in between every San in essential to recoup & 5 mins Shavian for rest. Take Guidance from expert if any doubt. Also do Panama -Inhale -hold -exhale - hold deep breathing, Kapalbhatti don't ever over do. Keep Calm and don't take unnecessary tensions. Include in your food, vitamin E in the form of almonds, eggs, fish oil. Take wheat, black gram, almonds, eggs, fish oil, ginger, , lettuce , radish cooked with leaves, milk, refined butter, mango, melon. Out of these, take as many as you can in a day. Some of these you include in BF, some of them include lunch and some in dinner. And , take water prepared in copper glass twice every day. Fill water in copper glass and keep overnight, |
my 2year old son is suffering from severe cough and cold. he was asked by his doctor to take ambrolite-2s and bricanyl both 2.5mg......he has been having this cold and cough for the past 3weeks now and it keeps coming back...should i continue giving him these medicines? in between i also gave him althrocin liquid for 5 days and when i saw some improvement stopped it...now again his cold is back and he is vomiting mucous along with food | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Welcome to Chat Doctor, Recurrent episodes of cough, cold can be suggestive of reactive airway disease. Especially if he is again and again getting exposed to dust, smoke or some allergens which might be triggering his problems. You need to identify those and try to avoid those exposures in him. Few measures like dusting mattresses and Chat Doctor. Wet mopping of floors. Avoid smoke inside home. If such measures doesn't help, then it might be necessary to start him on preventer medications. For that a confirmation of the diagnosis needs to be done by a pediatrician. Hope these measures helps. Happy to clarify further doubts. Take care. |
Hi im 31 very healthy excercise about 2 hours a day. I eat very clean with lots of fiber and protien. I have abdominal distension right below my rib cage middle. Dosnt hurt but puffy. I have been bound up really bad for the last wek or so. I had an enemaat the ER yesterday. They couldnt see any organs in the x-ray. Ive been taking laxatives to try and get it to move. Im afraid their is something elso going on. Also they diagnosed my as being anemic with a 9.1 hemagloben. | If you are a doctor, please answer the medical questions based on the patient's description. | HI. X-ray is not a good investigation for diagnosis of abdominal conditions, although it is best for intestinal obstruction, xenoliths and a great corroborative evidence to go for further tests. You have a problem for abut a week, distension right bellow the rib cage middle. This is more indicative of a stomach problem or a problem related to the transverse colon. I would advise you the following:Upper GI and Lower GI (colonoscopy) endoscopy. CT scan of the abdomen. Blood, urine and stool tests. Anemia typing to determine the cause of anemia and get treated accordingly. These investigations will lead to a proper diagnosis, and we can then plan a proper treatment. |
hi there. husband had an ultrasound yesterday. fattly liver (diagnosed previously) but new is echogenic sludge within the gallbladder , no frank gallbladder wall thickening or pericholecystic fluid. Bile duct ULN at 5mm. PCP has recommended surgical consult. wondering if there are other options and how serious this is | If you are a doctor, please answer the medical questions based on the patient's description. | Hello! Thank you for the query. Bile sludge if it gives no symptoms is not and indication for surgery. So if your husband does not suffer from stomach aches, especially after a meal, nausea, gallbladder removal is not necessary. However, it is advisable to have abdominal ultrasound repeated from time to time (every year) as such sludge can lead to gallstones. Bile sludge is mostly composed of cholesterol crystals and calcium salts. The cause of it can be fatty diet. So it is advisable to reduce fatty foods. Hope this will help. Regards. |
Hi, may I answer your health queries right now ? Please type your query here...hion friday dr rx-ed me prometh/cod, z-pack and albuteral for the neb machine.my complaint was a cough with a wheeze, body aches, headaches. dr does a swab on my nose to check for flu came back negative.now I am coughing up a yellow phelgm and a fever the highest so far of 102.3 | If you are a doctor, please answer the medical questions based on the patient's description. | Thanks for your question on Chat Doctor. I can understand your concern. Yellowish sputum, fever, wheezing etc. are suggestive of lung infection (pneumonia). So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and sputum culture, sensitivity report. Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. You may need higher injectable antibiotic along with antipyretic (for fever) Chat Doctor. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
I was stung on my foot and on my leg by a wasp 10 days ago. A bit of swelling and now 10 days later the site of the sting are red and warm to the touch. They also itch like crazy. I tried hydrocortizone cream this morning but it didn t help the itching. What can I try? | If you are a doctor, please answer the medical questions based on the patient's description. | Welcome to Chat Doctor, IF it is a wasp or bee sing, the first thing to do is to remove the sting, if the sting is inside the skin, it will take a long time to heal. The next thing is swelling nothing to worry about that you can apply ice. The other one is itching in the bite area which can be managed by antihistamines.I feel that because of the itching only you have this swelling for such a long period. Mild analgesics can be used for pain relief. And antibiotic lotions can be applied. Hope this finds useful with regards Chat Doctor. |
hii doc..I am 24 year old guy I had sex(used condom) with girlfriend six month back now for last month i have been suffering from conjunctivitis and its not getting cure and in mean while i had viral fever which is fine now but i also got stomach problem due to which i lost some weight and now a feeling bit tired and uncomfortable at my back...so what is all this??Have got HIV infected or what,what should i do?? | If you are a doctor, please answer the medical questions based on the patient's description. | HI, thanks for using Chat Doctor The initial symptoms of HIV can vary, some persons have no symptoms, their may have flu like symptoms. If had protected intercourse then the chance of transmission of HIV is very small. If you wish to be sure that you do not have HIV, then you would need to do testing. This would be the only reliable way to determine if HIV is present. You may also want to consider a full blood count and ESR test. This would determine if you have anemia. The ESR is increased when there is any inflammation in the body which can occur from infection, inflammation, injury, cancer, autoimmune diseases. I hope this helps |
Hi i have an extremely uncomfortable pain at the back of my knee which runs down my calf and up my hamstring,i cant bend my knee properly and my leg feels stiff and like a tearing feeling at the back of my knee i would be greatful if u could give me some feedback on this thank you | If you are a doctor, please answer the medical questions based on the patient's description. | Hithanks for using ChatDoctorthis could be due to spasm occurring suddenly related to the hamstring muscle.it could be due to some trauma, or unnoticed injury, or excessive strain, obesityor any local infection involving the knee joint application of local pain reducing gels like diclofenac will be of great help. Please visit an orthopaedician to rule put any joint problems. X-ray knee or MRI can be of help take care |
MY boyfriend went to hospital last tuesday and they gave him several antibiotics for kidney infection and also testing for bacterial meningitus after antibiotics were in system and showed negative. i was concerned if i should be checked. sent him home today and he is still real sick. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I went through your query. It depends on the type of infection. If there is an abscess, Chat Doctor. Otherwise, a full course of antibiotics should be sufficient. Test for meningitis is preferably done before starting the antibiotics. But even if the test was done only a few hours after the dose the reports will be quite alright. Kidney infection is not sexually transmitted. But bacterial meningitis can be transmitted through |
I was prescribed venlafaxine hel er tabs to treat long term hot flashes. I have been taking it about 3 yrs. These disturb me daily - day and night - and have been ongoing for 20 years (I am 68). I haven t had any success controlling them since stopping hrt many years ago. I have always had trouble staying asleep and this has gotten worse. I am not and have never been depressed, rather upbeat and active. I was told to take the RX before bed. Any suggestions? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Welcome to Chat Doctor forum. The hot flashes might be due to the deficiency of the estrogen, H.R.T is discontinued due to some reason. There might be some other reasons, for hot flashes, may be underlying feelings of deficiency of estrogen, deficiency of vitamins, some chronic infections. I advise you to consult a physician for diagnosis and treatment. Take more of green leafy vegetables, pulses,sprouts, and protein rich foods to have blood, general health and resistance against infections. Wishing for a quick and complete recovery. Thank you. |
I have had a chest cold for a week. I have lots of phlem in my chest so I cough a lot trying to get it out. When I cough really hard (so hard that I sometimes throw up) my breasts get a tingling/painful sensation as I cough and for a few seconds after. It hurts. Do you know what this is? | If you are a doctor, please answer the medical questions based on the patient's description. | Thanks for your question on Chat Doctor. I can understand your situation and problem. Chest pain on coughing is characteristic feature of pleurisy. Pleurisy is inflammation of pleura. And it is seen commonly with lower respiratory tract infection (LETI) - pneumonia. In your case possibility of pneumonia is high. Because you recently had cold and pneumonia is common after cold. You are also having a lot of chest congestion, so possibility of pneumonia is high in your case. So get done chest x-ray for the diagnosis of pneumonia. You may need antibiotics, bucolic and expectorant Chat Doctor. Hope I have solved your query. Wish you good health. Thanks. |
Age-40 years female, mentally sound but continue wash her hands and force others to wash hands and everythings which is being used by family members, otherwise she ruin everythings. She has now become ferocious She has been treated for the last eighteen years in many mental Hospital in India but there is no used.We have frustrated for her behavious. Now we cant keep her with us and want a place to keep her permanently so that we can live our normal way. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, From what you have mentioned, the person in concern here seems to be suffering from a disorder termed Obsessive compulsive disorder (OCD). It is leading to her having obsessions regarding contamination and hence leading to repeated cleaning and washing and even forcing others to do it. I can understand the frustration of the family members with the current situation. But OCD is a treatable condition, and you should consider getting her treated adequately rather than putting her away permanently. Getting her admitted in a psychiatric facility for a short term can be good option as it can help in intensive treatment. Treatment with medications should be tried in combination of behavior therapy. There are multiple modes of treatment available even for resistant OCD. You can also try out specialist psychiatric centers like SIMIANS, Bangalore and PRIMER, Chandigarh for the same. I do hope I was able to answer your query. Best wishes. |
my wife is in her third trimester and has been having severe UPPER abdominal pain for the last couple weeks. it just recently got worse the last couple of days. doc says its heartburn but i have never seen heartburn like this in my life. any suggestions? | If you are a doctor, please answer the medical questions based on the patient's description. | HI, I understand your concern. Heart is not normal in pregnancy. it's because of over stretching of cardiac sphincter of stomach, allowing acid gastric juice to regurgitate in esophagus It can be managed well by few lifestyle change - - raise your head end while sleeping, dont sleep immediately after food. Do not take water or liquid before going to sleep. -Avoid forward bending. -Instead of eating two meals. Have small multiple servings of food. Avoid spicy food, - Avoid sour Chat Doctor. * Antacids / proton pump inhibitors will help in controlling severe symptoms. Thanks. -excessive burning can be relieved with freeze cold milk. |
Ok 3rd day now my neck has been hurting and it feels like it s on the left side of my throat. t s by my Adam s apple and it s really got me worried cause it doesn t feel like a pulled muscle. What are some possible scenarios that it could be like a swollen gland or clogged arteries , sign of throats cancer? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I have studied your case and can assure you that your case does not seem due to cancer or clogged arteries. It is most probably the muscle spasm. I would suggest you do rest, avoid keeping the neck in the same position for a long time and hot water fomentation is also useful. Take muscle relaxant like Moral or MySpace daily for three days. If you are thinking that it can be some swollen gland then the best investigation is an ultrasound examination. I hope this answer will be useful for you. Let me know if there is any other follow-up questions. Thanks |
I have OCD and depression which is now getting out of hand because I feel like I am going mad. An example of how bad it is: I looked on my bookcase, and noticed that ONE book had fallen down, resting on the shelf, and it sent me into turmoil. I have to constantly check that things are undamaged. I even hold new books in such a careful way, as to keep them in their brand new original condition. I dont even accept normal wear and tear of things. | If you are a doctor, please answer the medical questions based on the patient's description. | Degree understand your concerns went through your details. I suggest you not to worry much. If the symptoms you gave are true, then you should be under psychiatric treatment already. Also remember Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. |
Hi, My left hand is getting numb only during night time and few months back my wrist was hurting.I am lefty. Also little overweight.But do regular exercise pretty much 5 days a week.Also, sometimes I feel my heart palpatation is high. Please let me know what can I do. | If you are a doctor, please answer the medical questions based on the patient's description. | Good day! The most common answer to the symptoms you are experiencing is Carpal Tunnel. It is compression of a main nerve in your hand that comes from repeated movement and compression of the wrist. The symptoms can often occur at night due to accumulated tension throughout the day. As for the palpation, how high is your heart-rate? Common causes can be coffee, deny Chat Doctor. If you experience any other symptoms certainly see a physician for a Cardiac Check-up. As for the wrist, try taking breaks from repetitive tasks involving your hands. There are wrist splints that can be bought over the counter, they are very useful. Stretching exercises may also help: make a fist and then spread your fingers out. I hope this advice can be helpful, and leads you in the correct direction. You have my warm regards. |
hi! Im 33 years old, and i am having a difficulty to become pregnant. we tried for more than 1 year but no good yet.I have worried also because inoticed sometimes i have the spotting or sometimes i bleed after our intercourse.i underwent pelvic ultrasound ( transvaginal ) and it found that i have a bilateral polycystic ovaries. Do i still have the chance to conceive? -please help me | If you are a doctor, please answer the medical questions based on the patient's description. | Hello.thanks for the query. PCs produces symptoms in approximately 5% to 10% of women of reproductive age. It is thought to be one of the leading causes of female subfertility and the most frequent endocrine problem in women of reproductive age. Chances of conception with camphene is as high as 18-20%. Intermenstrual bleeding is due to hormonal imbalance in your body. I recommend you to get following tests to rule out pathology. Basal USG., thyroid function test, ovarian reserve volume tests, HSG, Your husband semen analysis. If everything is fine, your chances of conception is high even with PCs. GOOD LUCKREGARDS, Chat Doctor. |
My husband has sleep apnea. He wakes me several times during the night and doesnt even know it. He gets upset if I am not in bed with him. So I have been enduring the situation. Lately Ive been under a lot of stress. Now I am experiencing sometimes 4 regular hearbeats then a delayed one. This may happen all day or it may happen just a few times a day. I have been walking on the treadmill and this does not happen while walking. I have been taking Adivan to help with this. Sometimes it works better than others. My question.....could the lack of good sleep cause these strange heartbeat patterns? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi. I understand your concern. Stress and stressful life situation make you anxious. Sleep is our mind restoration function. If you can not get good sleep then it leads to several other psychological problems. Sleep can make you less anxious. Proper healthy sleep make you less stressful and so your heart beat is in control. Tab Asian is good for both sleep and anxiety. Use it only when required. Certain routines and lifestyle modification will help you like sleep schedule and stick on it. No daytime sleepExercise that makes you fatigue, and please continue treadmill.Stress-free activities and meditationsAvoid alcohol and smoking. Avoid heavy meal in dinners bed when you feel sleepy, read up to when you will sleepwalk and cool bed rainfall of this will help you to restore good sleep. Thank you. |
My husband had an ultrasound of his gallbladder.... there were no stones, but they said he had thickening of the lining ... He has altered his diet and he is experiencing no pain at this time. What does thickening of the lining mean and will it require surgery to remove his gallbladder | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Thanks for writing in. It is possible that your husband was having cholecystitis at that time. This is an inflammation of gall bladder wall and appears with thickening on ultrasound scan. If there is no stones or sludge then it is calculus cholecystitis and is a result of other medical or surgical illness. In an emergency, surgery is life-saving measure to prevent gangrene. If it is mild then medical treatment might be continued and if patient does not have recurrent symptoms then surgery might be avoided. Please do not worry. |
hi there after being bullied at work some 5 months agao by two of my colleagues I was told last week that I would I would be being moved out 2 days later I felt dizzy and have been told by my gp that I have vertico could this be work related Regards Alan | If you are a doctor, please answer the medical questions based on the patient's description. | ! After read your use question carefully I can understand that you have been facing a lot of issues at work lately. As you have mentioned that you developed vertigo after all these problems s at work, it is possible that stress is behind all of them. We see such cases daily, when a person is under lot of stress, which he feels that he is trying to handle, but unconsciously, the mind is troubled and person develops variety of symptoms. I think you should listen to your doctor, as your vitals and basic test if done, are within normal limits. I have seen such patients responding greatly to combination of cinnarazine and dimethyl Chat Doctor. Day) for some days for vertigo. Plus, try to get a good walk daily, and eat healthy. If vertigo still persist, you may get an X-Ray neck to rule out cervical. If along with vertigo, you have sadness or anxiety, please meet a psychiatrist for complete treatment. Hope the reply helps you in getting well soon take care, and feel free to ask more questions |
Tooth is turning black on the edge, I HAVE felt it and it doesnt seem to be a whole like a cavity would be... I have had a cavity on this tooth before and got it filled. It doesnt hurt and I have just noticed it. What is it? Do I need to worry about a cavity? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query as you have mentioned that you have cavity before you got it filled now you have again blackening of tooth it can be due to Secondary caries or due to not properly removal of caries during restoration, You consult dentist again and go for IOWA x-ray done then go for treatment if Secondary caries is there go for Restoration again. Hope this will help you. Wishing you good healthRegards |
hi docters myself dr. XXXXXi m a dentist .... i had jst 1 pt ...done simple scaling but patient s bleedin gums not stops since 30 mins ...pt ha no family history for bleeding disorders not on anticoagulant ...given pause wot should i do nw plz reply fast | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, you said patient does not have any family history, and no medical history.................still bleeding did not stop since 30mins...........but you did not tell that did you apply pressure, or topical application to stop bleeding..........and what type of bleeding like, profuse bleeding or blood was coming out slowly......before scaling what was the condition of gingival, is there sever gingivitis?.....if after application of pressure bleeding was there, and it was a severe bleeding, you should consult with a physician............do not get worried, be calm and handle your patient...........everything will be good......all the best...take care Chat Doctor. |
More and more often I m waking up at night gasping for air like I m suffocating and coughing and wheezing a lot, it eventually goes away but takes a while but only if I remain upright, I have to sleep sitting up a bit or it s worse but I m left for a while with a tired heavy feeling in my chest, what could this be, oh and sometime my heart feels like it s beating fast | If you are a doctor, please answer the medical questions based on the patient's description. | Thanks for your question on Chat Doctor. I want to ask you few questions first.1. Are you obese?2. Are you having diabetes, hypertension and ischemic heart disease?3. Are you having morning headache, sleepiness, tiredness?4. Are you overnight time gasping spells, suffocation, cough seen in 1. Obstructive sleep apnea (OSA)2. Cardiac causes3. COPD (chronic obstructive pulmonary diseases). So better to consult sleep specialist and get done sleep study (polysomnography). This will help in diagnosis of above-mentioned cause. Treatment of all are totally different. So you need to diagnose first. |
When eating breakfast this morning--it was a rather dry breakfast--my mother had a coughing fit where she coughed up most of the food with mucus. Later she had half a banana with oj and had no problem. For lunch she was eating a Healthy Choice meal with spaghetti and some chicken and garlic. She had another fit, much shorter this time, where again she coughed up what she had eaten. Both times she had the coughing fits she said her upper chest was tight which was relieved after she coughed up the stuff.My mother just turned 99, takes 50 mg metoprolol in the morning, 25 mg at night. She also takes 20mg of generic lasix and 10meq liquid potassium. She is supposed to start back on coumadin 3mg tomorrow. She was hospitalized in early january with coumadin toxicity and rectal bleeding, which turned out to be internal hemmorrhoids. She has had 2 banding procedures and tolerated that well.She is taking a baby aspirin until she starts back up on the coumadin, and I will give her that in about an hour. I took her blood pressure this morning right after the coughing fit and her pressure was up to 170 over 102. I took it again when she was coughing recently, and it was about the same. I figured I would take it again after she has sat quietly for an hour. When she came out of the hospital she was using only 1 of her pills, the metoprolol. Her nifedipine was added back in but was bringing her pressure too low. She was switched to generic Norvasc but that made her ankles swell and she was not able to lay down without feeling overwhelmed. She did have some fluid in the lungs. That drug was stopped and she was put back on her diuretic but at a lower dose. She improved with that. However, she says she feels blah and sleeps often during the day and then cant sleep at night. She will feel anxious in the morning but usually that improves in the afternoon. Because her ankles are not elevated her ankles swell. I asked her how shes feeling now and she said pretty good. Sorry to ramble like this but she never had 2 fits in one day. In the past she has had a fit if the bread was too thick or dry, but she never reacted to the chicken margherita before. The family too tends to run to dry sinuses and post nasal drip, which Ill use an over the counter saline solution for to open up the nasal passages.Any thoughts? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, it's possible that your mothers coughing fits account to be normal, since it was a Chat Doctor. I would advise giving her only semisolid food that will be easy on her food pipe and her gut since she is prone to hemorrhoids. It will be easier for her to swallow and digest if the food is more soft and watery. Her age is the reason her Gastrointestinal tract must be narrowing, hence sometimes when swallowed too fast, food can go to the wrong pipe(viz air pipe), causing a coughing impulse, since the epiglottis is sensitive, and it responds to touch by a cough impulse. Hence, I would say it is nothing to worry about, when she gets this coughing spell out her in a position where she can cough out everything she swallowed since it is necessary to avoid aspirating food. After the spell, and only after the spell has subsided, and she has thrown out all food, and she is in her senses, give her a glass of water that she can slowly sip n swallow, which will ease the healing. Take care. Good to know you care for your mother. |
my two year daughter has loose stools very frequently and peadilyte has to be administered regularly , as frequent as three to five days per week. she also suffers from upper respiritory problems very frequently, we have stopped giving her milk and milk based products and soy milk but to no avail, what could be the problem. | If you are a doctor, please answer the medical questions based on the patient's description. | Frequent occurrences of both respiratory and GI infections do point to something unusual. You should get her investigated for an immunological problem. One of the most common among these problems is common variable immunodeficiency (AVID), which can be easily managed with gamma-globulin infections and a few other interventions. If her immune functions are normal, you can still try some things like greater attention to hand-washing, giving her multivitamins and a protein-rich diet, avoiding going to crowd places, avoiding a crèche or a day-nursery where she is in constant touch with other, better-abled child Chat Doctor. |
sir i am 38 year old &Recently gone through sevear back pain.at baroda heart intitute baroda advice me your one carti is shown 99% blockage as per engography report.so i go per engoplasty on02-08-2010.now i have take medicine daily .i want to know what type of precaution required.please advise me regarding diet, walking &other precautions. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is persistently more than 140/90 MMH, then you should be on medicines for it. Regular exercises like brisk walking or just walking according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Most importantly medicine needs to be taken regularly as advised. Hope this helps you and get back if you have any doubts. |
i am on oxycodone 10mg have been taking this med for 3 months three times daily along with gabapentin 300mg 2 tabs 3 times a day as well, going to see a surgeon on surgery on the 15 of jan on herniated disc L1 & L3 but have researched the operation, leaning towards not having it done is there any other treatments that i can have done so i dont have to continue the oxy | If you are a doctor, please answer the medical questions based on the patient's description. | Dear User, Thanks for using Chat Doctor. For the herniated disc physiotherapy is another option before going for surgery. Talk to a physiotherapist about role of exercises in your case. Medicine as you are taking now is another option. There are other Chat Doctor. Surgery is the last sort of treatment and this is chosen when there is compression over the nearby nerves or danger of such things. Thanks |
I am 38 years old female, working in a private concern... I have neck pain (not severe) due to spondilyties. I have consulted an ortho and doing excercise. For the past few months, I am not able to write. I am finding it very difficult to write even a single line, due to pain in the fingers. My fingers are hard sometimes. Which doctor should I consult for this... Neuro or Ortho? please advise | If you are a doctor, please answer the medical questions based on the patient's description. | Hello. I read your question carefully, and I understand your concern. The fact that you've started to feel pain radiating to your fingers and weakness suggests that there is involvement of the cervical nerve roots and/or the cervical spinal cord. The medical treatment prescribed by euro or or tho I think would be similar with anti-inflammatory Chat Doctor. However, since there is the possibility of involvement of the above structures I think a neurological evaluation is necessary at this point determine whether an MRI is indicated, because depending on the degree of involvement at times a surgical procedure might be required. Hope to have been of help. Feel free to ask further questions. |
Hello! Today is Thursday, on Tuesday night my boyfriend was stretching in the car n felt something odd.... when we got home he noticed a lump in the center of his chest , closer to being locKed under his right breast.... could this possibly be a rib fracture? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, dairy have gone through your question. I can understand your concern. He may have fracture or hematoma or other mass. He should go for x-ray chest. It will give you exact idea whether it is fracture or not. Then he should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
Hi, My Age is 29 Years, I had my semen analysis .The Report is as follows : Quantity : 2 ml Colour : Milky White Viscosity : WNL Reaction : ALKALINE Liquefaction : 30 Minutes Deposits : NIL Total Count : 114 Million/ml Active motile : 15-20% Sluglish Motile : 20-25% Non Motile : 50-55% Marphology : WNL Normal : 82% Abnormal : 18% PUS Cells : 15-20/ HPF Erythrocytes : NIL Epithialial Cells : 2-3 / HPF I have been diagnosed with mild Varicocele on left testicle . Recently i have started drinking 6 lts waters daily and will be going through the varicocele operation soon, Please help if the report is normal and if my active motile will go up and the varicocele operation. Thanks RG | If you are a doctor, please answer the medical questions based on the patient's description. | Varicocele are dilated blood vessels in the scrotum. They are usually asymptomatic, although they may cause pain or a heavy sensation in the scrotum, and they may contribute to infertility. 90% of varicocele are on the left side because of the anatomy of the left spermatic vein and the increased likelihood of valvular incompetence. The cremaster and deferential veins are rarely involved. Diagnosis is by clinical examination. The cardinal sign is a scrotal mass that feels like a bag of worms. The precise mechanism for the harmful effect of varicocele on sperm quality or quantity is not known. Theories implicating increased pressure, temperature, oxygen deprivation, and decreased antioxidants have all been put forward. There is some evidence that a clinically palpable varicocele is associated with testicular atrophy, low sperm count, and poor sperm motility. Some of these parameters improve after surgery to the varicocele. The scientific evidence to support increased fertility, as measured by successful pregnancies after varicocelectomy, is porno treatment is required, but surgical intervention is required to manage symptomatic varicocele. Following surgical intervention the complete resolution of the varicocele implies a favorable prognosis, although it is not clear whether surgery improves fertility. |
I was given a Lupron injection a few weeks before Radiation for prostate cancer. Aprox 9 months after Radiation testosterone level is great but I m experiencing nervous trembling in my chests,arms and now legs. Along with the trembling,I m having nite sweats and a few hot flashes during the day. Am I going thru male menopause? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, A side effect of Lu pron can be reduced sexual interest or pain in the testicle, chest pain, weakness & fatigue. Lu pron also interacts with many Chat Doctor. Radiation therapy often results in Neurotoxicity. Neurotoxicity may affect the central or the peripheral nervous system which causes symptoms like trembling, fatigue & weakness of the limbs. Visit a neurologist & get all the nerve phi+unction tests done along with a cardiac check-up to rule out any developing pathology. Hope I have answered your query. Let me know if I can assist you further. |
Hello doctor,I have a burning sensation on top of my head. This happens after my mom disturbs me whenever I try to study. I get irritated and I do not get along with her because she does not encourage me to study. How can I get rid of this feeling? Please help me. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Welcome to Chat Doctor forum. First of all, you need to relax about your studies that for sure you will be able to manage it and be confident about yourself. The second important thing is that whenever you feel your mother is disturbing, you need to take a break for 15 minutes, go out to an open place and take deep breaths for 5-7 minutes and avoid thinking about your mother and continue study at that time. This will help you to vent your feelings out. You need to do deep breathing exercises four to five times a day which will include: Within 21 days, this will definitely help you. |
I have this little kinda shiny circle on my arm by my wrist. I can pick it then it bleeds and scabes over again usually once a week. But anyways it gets really red but now it seems to be getting slowly bigger. It doesn t ever hurt but im wondering if I should get it looked at. Ive had it for at least three years now. Could it be skin cancer? I am 21 and pretty much healthy except very tired and have very low vitamin d. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, dairy have gone through your question. I can understand your concern. In skin cancer there is lump or non-healing ulcer. Weight loss, weakness anorexia are common for all cancer. You should go for biopsy of that lesion. It will give you exact diagnosis whether you have squamous or basal cell carcinoma or some other lesion. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health |
Hi... I have been suffering with an Acute Respiratory Infection for several weeks, and have taken a full course of Amoxycillan (500). My breathing is a lot better, albeit still a little strained. My concern is that I am still feeling a little dizzy and breathless at times, and very exhasuted and I have an intermittant burning sensation that keeps coming duting the day around my left chest area. I can still feel on the left side that things arent as they should be, but there is a big improvement. The breast area on the left feels very bruised, particularly around the side and underside. If I press the underside it feels lumpy and as if I have been kicked. I have re called my Doctor and he has said that it is the aftermath of a bad infection. I just would like reassurance, and any advise as to how to speed up the healing process? The right breast is slightly sensitive at the right side, but nothing like the left. I am wondering whether the milk ducts in the breast area coulod have become blocked or infected? I finished breast feeding 12 months ago? I am also experiences intermittant tingling in my hands, which I have had since my first cold symptoms in January. Any advise is much appreciated. Thanks. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello rearward welcome to Chat Doctor.come have evaluated your query thoroughly.* This seems in relation with underlying lung inflammation still present, not blockage of mammary ducts or else.* Recommendations for better recovery - Ask for an x-ray chest with your doctor, and lab tests if not done. As you require further antibiotics and bronchi dilators to cover the condition early.- Regular walking in fresh air, deep breathing exercises, YOGA will help tremendously.- Avoid smoking or alcohol if using.- Avoid exposure to excess cold, atmosphere with pollen, dust.- Balanced nutritious diet. Hope this will help you for sure. Regards dear take care. |
My ex-boyfriend went from hot to cold. he used to have a heart, but now he doesn t even care about his 4 year old son. he said that God told him that we are no good for him. just last week he said I love you to his son and he misses him. and yesterday he said his son and i are bad for him and to not call him anymore. i haven t spoken to him for a couple of days cause he told me not to call him. but i called yesterday because i needed someone to watch out son so i can take my daughter to the emergency due to chest pain. he said to not call him and no he was not going to come over to watch his own son. its like he has split personality. he went from a very sweet person to someone who is just plain rude within a week. oh yes, i think he is paranoid and schizophrenia. i know he smokes and does marijuana. | If you are a doctor, please answer the medical questions based on the patient's description. | Degree understand your concerns went through your details. I suggest you not to worry much. The details are not enough. I think your version of the details are not enough to have a proper diagnosis. He uses marijuana in itself is enough to create euphoria and mood swings and depression. There may not be any paranoid ideation or dual personality or schizophrenia. Talk to him over dinner about these happenings and you might get a clear answers. Maybe he is also troubled as you are and searching for answers about your behavior? Talk to him in peace. Hope this answers your query. Available for further clarifications. Good luck. |
i have had abdominal pain in the upper middle part of my abdomen. it is constantly hurting at a four on the pain scale but escalates to a ten for hours. the only thing that helps the pain is percocets and vicodin. i have tried advil and tylenol but nothing seemed to help. i have had cat scans, ultrasounds, blood tests, urine tests, colonoscopy, endoscopy, m.r.i.s. eating doesnt make it worse or better. but it gets worse when i pick up something twenty pounds or more and when someone pushes on it. i have tried antacids, birth control, antidepressants, antidepressants for chronic pain, anxiety medication, muscle relaxers, but nothing seemed to help at all. im a female and i am nineteen years old. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi. Thanks for your query and an elucidated history. The cause of pain in the upper middle part where the ultrasonography, CT scan endoscopy and MRI, colonoscopy is normal, not responding to Advil or Tylenol, but only to percent and Vicodin can be due to :Neurological problem or an IBS. The IBS, Irritable Bowel Syn Chat Doctor. And try to get medicines against IBS. Neurological causes can be due to compressed disc at the thoracic level or an actual problem at the spinal cord level. MRI of the spine and thoracic spine level should help to get a diagnosis. Once the diagnosis is made it is easy to take a proper treatment. IT is wonderful to know why there is no effect of anti-depressant. In selected cases I would like to go for Diagnostic Laparoscopy and try to get a diagnosis and plan a treatment if feasible. |
Hi,My husband had a semen analysis done.The comments are as follows:marked oligoasthenoteratozoospermia.Morphological grading subfertile.My gyna is also treating me for PCOS .What does the test mean and what are our chances of having a baby? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Thanks for your query. I have read your query & I understand your concerns. From what you describe it appears to be a report of oligoastenoteratospermia (low sperm count with decreased motility & morphology). Minimum sperm count needed is 20 million per ml. Your counts are far less. I advise you see an infertility specialist to get prescription for antioxidant medication to improve your sperm count. With the present count only modality of conception is CSI (Intro Cytoplasmic Sperm Injection). Please ask details from your infertility specialist about the CSI procedure and other forms of ART. PCs in your wife is not a problem to conceive. All the best. I hope I answered your query. I will be available for any followup queries you have. Chat Doctor. |
my 1.5 year old daughter is having difficuly passing stools..she is 10.5 kg and avg height, and is now fed on Lactose free milk as suggested by PD.But still no change.she has solids, dal-rice,banana squash, all fruits, and drinks good amount of water. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi... Thank you for consulting in Chat Doctor. I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? You can get back with answers at the following link - www.ChatDoctor .com/doctors/ Chat Doctor. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily (I mean in squatting position) at the same time will help a lot. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. |
I had a spot That looked like a bite on the top far right side of my tongue almost two weeks ago. The spot has spread along the whole right side where it looks as if a layer of the right side of my tongue has eroded away. It is not bloody or painful, but is smooth and in shiney in places. There is also a small area same condition on the front of tongue. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Thanks for asking the query, As per your clinical history I suppose the papillae your tongue are eroded and inflamed resulting in smooth and shiny tongue, this occurs in the condition known as geographic tongue, vitamin B12 deficiencies. Start taking multivitamin supplements, use chlorhexidine mouthwash gargles twice daily. Maintain a good oral hygiene. Take complete balanced diet. Avoid eating of hot and spicy foodstuffs. Hope this helps out. Regards. |
last night in a softball game it felt like my arm was coming off when I threw. My bicep and tricep ached. I ve never had this issue before. I did a lot of shoulder exercises in the morning. I ve been playing extra baseball the past three weeks. How can I tell if it is a rotator cuff issue or a bicep/tricep strain? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, For differential diagnosis of rotator cuff injury or biceps sprain detailed clinical examination is needed. Rotator cuff injury becomes more common in old age, especially after 40 years. Below 40 years biceps or triceps sprain is more common. If pain is acute take rest for few days and pain will decrease. Avoid weight lifting exercises and throwing with involved shoulder. Diagnosis can be confirmed with ultrasound of the shoulder joint and muscles. Hope I have answered your query. Let me know if I can assist you further. |
My 2.5 y/o son started with a cough at night about 6 days ago. For the last few days (maybe 3 or 4 days)his cough is mostly better but he has had a fever (it has responded to tylenol) but he has not been eating or drinking much and the last temp just now was 103.5. What should my next step be? to the MD? / ER? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal |
hi , my son has been unwell .started with fever on 14 night which lasted for 2 days along with loose motion n vomiting, vomiting lasted for 2 days . gave him emeset for vomiting and baby gesic for fever and started him on gnorm 3 times a day. got a microscopic stool test done and result showed 2-3 /hpf. it has been almost 7 days but his motion has still not got well. how long can the problem last? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your son is having symptoms of fever with loose motion and vomiting which could be due to gastroenteritis which is infection due to poor immunity of body. It is due to increased susceptibility of body of getting infected. Need not worry. I would suggest you to do tepid sponging for immediate relief as you having high degree fever. Avoid oily and sharp food. Chat Doctor. You should take small and frequent meals and avoid large meals' intake. You should take proper antibiotic course in combination with Ibuprofen/ Acetaminophen. Visit pediatrician once and get it examined. You should get routine blood test done and start treatment after proper diagnosis. You should avoid intake of outside oily and fast food. Normally viral fever take one week duration to get recovered. Hope your concern has been resolved. Get Well Soon. Best Wishes, |
My almost five year old has complained of neck pain off and on for a good while now. His pediatrician ordered a neck x-ray and all was normal. He started complaining again a few days ago. He points to one of the bones in the vertebrae on the back of his neck and says it hurts on the bone. Last night I felt it and it feels larger than mine does in that same spot. What do you recommend I do from here. I am very paranoid!! | If you are a doctor, please answer the medical questions based on the patient's description. | Look if there was any abnormality with the vertebral bones it would surely have come up in X-ray, if its properly done. X-ray cervical region anteroposterior view and lateral views are required. If it's normal then there may be a problem with eyesight. Check a refraction for your child. Also give him SYR UpriseD3 5ml once daily for 15 days (its vitamin D). Also try to look into the posture the baby is sleeping at night which could also cause cramps in neck muscle. |
Hello doctor,I have light patches on my chin area that grew overtime gradually. I wish I could provide a picture so you could see. It started as a white patches, but it is light and reddish kind of. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello. Perioral hypopigmentation in your age group is most likely because of a condition known as Pityriasis alba which is seen commonly as light patches on the face. It is common in patients with ChatDoctor. You need to apply a moisturizer regularly for this. 1. Cetaphil moisturizing cream apply twice a day. I am sure it is not vitiligo. Other possibilities may be seborrheic dermatitis if with itching and scaling or simply post inflammatory hypopigmentation but not vitiligo. |
I am 68 years of age. Had extensive fusion to the lumbar spine in 2007. The pain is still severe. Especially the low back (numb) and the right knee and mid calf. I also get shooting pains down the back of both legs. Minimal ankle response and some knee response for refles. | If you are a doctor, please answer the medical questions based on the patient's description. | Dear patient I would like to know why fusion was done? Fusion at some spinal level leads to loss of movements at that level due to fusion. To compensate for that movement increase at non fused spine levels and which leads to degeneration and spinal instability at higher level. Degenerative disease at higher level leads to back pain and nerve compression with numbness in both legs. Decreased ankle and knee response might be due to previous disease or recent nerve compression. Kindly get yourself investigated for MRI of lumbosacral spine to rule out nerve compression. All the best. |
Hi, my 5 month old baby has buried penis, he was circumsized when he was a month old and it was normal till he was in his second month, now its been retracted and couldn t be able see until he push, i want to know what is the reason for this and what is the treatment? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, There are several reasons a penis may be buried in a child. One reason is related to lower hormone values in the blood. This or some other sex steroid problem may cause low testosterone or other hormone levels to be low. This can cause the genitalia to be smaller, and they may not be easily visible. Usually, getting an assay for enzymes related to these disorders would help, and a Pediatrician would be able to suggest the best tests. Alternatively, it is also possible for a local inflammation or injury to cause the penis to be buried. This may happen in case an infection has happened right after the circumcision. In case of an infection, the baby would be feeling pain and would be irritable, crying, and may not feed well. Seeing a pediatrician confirm this would be a good idea. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
I am currently taking birth control I have been taking it for two months straight now. I am two months late on my period and the white pills are supposed to make you start your period. I took a pregnancy test but it came out negative. I have most pregnancy symptoms Im gaining weight. My uterus feels popped out. I feel kind of like a lump in the center where my pelvis is located. Could I be pregnant ? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Thanks for the query. If you have regularly been taking birth control pills then pregnancy is unlikely. It seems from your query that you are taking pills for 28 days of these 21 are active and 7 inactive pills. Periods usually start after 3-4 days of beginning of the inactive pills. I suggest that you check your pack of pills to see if they are 21 or 28. If it is a 21 days pack you need to stop pills for 7 days. You must repeat the pregnancy test after 7 -10 days. If it is negative, and you use a 28 days pack, I suggest that you continue your pack for this month and see if the periods come during the inactive pills, if they do not come other causes of need to be ruled out. Check to see if you have been experiencing too much stress or have lost or gained weight. Also check to see if you have any discharge from the nipples as all these can cause absence of periods. There are certain other causes that need to be evaluated like thyroid problems or ovarian lumps. For this you will need to see a gynecologist. The weight gain may be due to the pills. The belly lump needs to be checked if it is due to fat deposition or due to an enlarged ovary. Your doctor will help you with this. Once again I think that the chances of pregnancy are low but if you continue to have absent periods, get yourself examined. Hope you find this useful, Thanks for using Chat Doctor. |
hi doc.. i am 33 years old female my height is 45 and weight is 58.....my problem is irregular periods and sever hair fall....for which i have been suggested usg lower abdomen...........and it shows my overy is bulky ..right overy measures 16cc and left overy 17cc.......i am not under any medication till now....this problem has started long back12 years ago................i am married for 4 years ...now i want to become pregnant...i want to know what r my chances and what medications should i take to get pregnant soon....my last period was 12days back...but it was scanty. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Thank you for choosing Chat Doctor. Your irregular periods need to be evaluated, you need some basic investigations like thyroid function, Follicular Stimulating Hormone and Routinizing hormone FSH: LH ratio, prolactin level and random blood sugar levels. Husband semen analysis is very important. As your married life is 4 years, you need urgent evaluation. I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups. If you like my answers kindly rate it, and write a review as well. Please do not forget to accept it. Thank you, Wish you good health. Chat Doctor. Chat Doctor .com/doctors/ |
My NP did an EKG which was normal listened to my lungs and heard a whistle. She gave me azithromycin for 5 days and recommended steam several times a day . She also said that I should continue with using fluticasone 2x day and saline rinsing. 2 days later, I am still feeling exhausted and dizzy and now have dull upper back pain. Any suggestions? I really need to get back to work, but I feel so lousy. | If you are a doctor, please answer the medical questions based on the patient's description. | Dear-thanks for using our service. I read the question in detail and will try to help you with my medical advice. If you had wheezing during the auscultation, you might be having an acute bronchitis. Azithromycin is a good antibiotic for it, but you might have the upper back pain from the irritation of the lungs. It is important to have a CXR to evaluate the possibility of a lung infiltrate. The back pain also could be related to pleurisy, which is an inflammation of the pleura or membrane that covers the heart. It can take few days until this improves. If it doesn't get better after few days of finishing the antibiotics, you high need further diagnostic test as a CT scan of the chest. I hope that my advice has been helpful Chat Doctor. |
Hello, I was having lower back pain and MRI report gives that L3-4 disc shows dehydration, bulge with small osteophytes causing mild impingement on theca. What causes this problem? What is the cure for this? Can I do spinal exercises? My pain sometimes recedes but comes back.I am having this problem since the past 4 months.Started taking doctor s help since a month.Do advise. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Thanks for your query. It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis. The main treatment of such pain is bed rest along with painkillers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get the appropriate Chat Doctor. Meanwhile, you can follow these measures:- If the pain is severe, you need bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments.- While resting, keep a pillow under your knees if it doesn't bother you.- Avoid lifting heavy objects.- Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist. |
Hi, I ve seen a new Psychiatrist due to deepening depression. His first suggestion was ECT, due to my long term nature and PTSD, I declined for now. He started me on Abilify 2mg in a.m./ cut my Zoloft from 100 to 50 mg (will d/c rest in three weeks) AND increase my Lexapro from 20 to 30mg. For first time in life, I have screaming migraines and severe muscle cramping in calves & lower back. Both cramps & migraines are new...what do you think might be cause? And relief ideas. Thanks | If you are a doctor, please answer the medical questions based on the patient's description. | The dosage of Zoloft reduced is not compensated enough by adding Abilify or increasing learn...your doctor should either increase learn or shift you to venlafaxine. Zoloft should have been increased inspire of adding Abilify initially.or increasing learn. We have a dictum that we raise the ongoing Chat Doctor. If that increase to maximum dose doesn't work, then another molecule is added or changed.so, most probably you are having with |
I have a high blood pressure problem and have been taking pill for the past 10 years. I am 58 years of age, a woman and married with twin boys who now live 7 and 14 hours drive from us. The doctor and elevated my pill intake of 1 ramipril (10mg - i think) in the morning and 1 at night and in the past 3 weeks, because my blood pressure came higher, he told me to take 2 in morning and 1 at night, after 2weeks of this, I asked him if I could only take one pill, another kind that would do the same, but only 1 per day, so he has given me Coversyl HD (8mg + 2.5) on trial to see what it will so. I have been on these coversyl for the past 10 days and my blood pressure is more normal than with other pills that I was taking. Last night after having people over for supper and when they left around 11pm, I was feeling bad and went to bed and my heart was pumpping real bad, at 114 per minute so I took an Ativan to relax and took deep breaths but I was so tired and was shaking with this. at 4am, I woke up and check by blood pressure and it was good but my heart rate was still showing 94 so we went to the hospital and I got out 1 and 1/2 hour later with only the doctor telling to rest that my heart beat should go down and I have to go for a blood test to check my Thyroid gland. Can you give me an idea of what made my heart beat go fast even at rest. By the way I had a glass of red wine with my supper and a small glass of Porto wine after supper with the desert....what is happening with me and tell me what I should do..... | If you are a doctor, please answer the medical questions based on the patient's description. | Hi and very pleased to answer you. The causes of tachycardia are multiple and can be:Alcohol consumption, Fever, anxiety, major effort, certain diseases such as pheochromocytoma (tumor of the Chat Doctor. There is a positive relationship between alcohol and hypertension, however, the form of the relationship remains controversial; It would be either linear or in the form of J or U. The pathophysiological mechanisms are multiple: direct action of alcohol on smooth muscle cells, indirect action by stimulation of the hormones involved in the regulation of HY |
sir, iam 47yrs old male and my h/w 170cm/68kg.my blood sugar level is fbs-120/pbs-160, and my HB level 12gm/dl. i do exercise morning daily.I feel burning sensation under foot and arm/inside of hands.dryness of mouth and tired why like this,is this symptoms of low level of hb. please give me replay and thank you sir,Vishnu | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Your hemoglobin is near normal and is not responsible for the above symptoms.2. Diabetic neuropathy could be the cause. It looks like a symptom of peripheral neuropathy. Good sugar control is necessary for reduction of symptoms.3. It B12 is helpful in control of these symptoms. If pain is severe, painkillers may be necessary. Hope it helps. Any further queries, happy to help again. |
Sir, I am a male aged 44 years. I am a regular blood donor. Today when I went to donate blood I was diagnosed that my HB level is 11.9.I was advised iron supplements. Which medicine I should take to have normal HB value. Further is it also necessary for me to take calcium supplements as I am already more than 40 years old.Thanks | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, thanks for using Chat Doctor. An HE of 11.9 is not that alarming nor bad though its at borderline of the lowest limit in normal range. It is important to know why the He is going down. You say you are a blood donor and if Thais the reason why your He went down then not a big deal.However, other possible causes of reduced He could be poor nutritional supply of Iron and vitamin B12 which are needed for Red blood cell formation. Calcium is not required in the synthesis of red blood cells, however it's an important element in the body and helps in blood clotting. Iron supplement of an average of 50 mg per day for a month would do you good together with vitamin b12. Hope this helps you. Chat Doctor. |
I m a 28 yo male. Quit smoking about a year and a half. I was out working on 8/12/14 late (was on vacation the prior week at a beach) and noticed my left leg going slightly numb. Woke up and still that way next day. It moved to my left leg. I started getting pins and needles all over my body. Yesterday and today my legs and arms are heavy and my legs feel as if I ve worked out but I haven t. I m getting muscle spasms/ twitching in my legs, no appetite and when I do force myself to eat it feels as if I m going to have diarrhea. Went to my sons football game today and was getting pretty nervous as I was getting tingling in my fingers, went to stand up and felt real weak as if I was going to pass out so panick came in and I made a dash to my car. I went to the ER ekg was fine and what blood work they did was fine. I know they can t do everything at a ER but what they do do was fine ad far as results were. I would like too know what could be going on as I don t know how I m supposed to function like this. (Also I laid down to take a nap earlier and my skin felt very hot but no fever, I did sweat a little while sleeping, stomach was also feeling very strange and uncomfortable). Any ideas? Thanks | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Thanks for your query. The abnormal sensations that you have such as pin and needles sensation, burning, tingling are termed peripheral neuropathy. Peripheral Neuropathy is a condition caused by damage to the peripheral nervous system [most commonly seen in diabetic patients]. Another possibility could be nerve compression in spine due to disc bulge. Change your diet and remove inflammatory foods such as citrus fruits, dairy products and wheat that may aggravate the condition. Simultaneously increase your intake of potassium and calcium-rich foods such as bananas and avocados and green leafy vegetablesVitamin B12 is important in the maintenance of health and normal functioning of the nerve tissue and deficiency of it can lead to numbness. You can increase B12 level by taking meat and fish, or you can take tab methylcobalamine. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care |
I have very severe pain in both of my legs and for this I have taken almost all analgesics I,m taking voveron tab, etoricoxib 90 mg, tramadol amd acetominophen , Hifenac tablet. even I had shot of voveron also but absolutely no relief. I m 75 plus. plz advice me ASAP to save me. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, As I see from history there is severe pain in both the legs. And you are 75 plus, so if you aren't diabetic then I will advise you to out cold packs in the lumbar spine. This will act as an analgesic and will stop pain sensation. But we still need to find a diagnosis now as this using of icing will not last long. So we need to see if you have any DVT or any degenerative disc injury. I will advise seeing a doctor who can assess you physically and recommend some clinical test only on based on it, we can help you better. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. |
My 4 year old has hit the edge of timber table and pushed her gum right up, leaving a semi circular 20c size shaped cut on her gum just above her teeth. The gum has come down and I have been giving her ice to help with the healing process. I was advised this afternoon when it happened that the mouth will heal this problem and not to worry taking her to get it stictched. The bleeding stopped and she was fine all afternoon, although when she smiled at me I could see a slightly brown cut line, and at the bottom of the gash it was a bit swollen. I am concerned that it may not heal properly and will distroy her gorgeous little smile for the period of her life, or perhaps she might have nerve damage and her teeth might die......... I need some advice, please, what should I do? should I take her to the jospital, should this be stitched, or have I left thie wound to long already? Thankyou.... Linda | If you are a doctor, please answer the medical questions based on the patient's description. | Hi Linda, I can understand your concern. As far as the bleeding is stopped, there is no need of stitches. Slight rash and swelling will heal in a week by itself without any treatment. Smile will also not be distorted. I would advise ice application over the wound to reduce the swelling and have relief in pain. Regarding injury to the tooth, it is possible that the tooth might have hurt, and it may die internally. For that, I would recommend that you visit a dentist after about a month and go for electric pulp vitality test for that tooth which will ascertain if the tooth is dead or living. If the tooth changes its color to brownish or black, then the tooth is definitely dead, and you should go for lumpectomy treatment for that tooth. You do not need to rush to the hospital and the wound is also not left for too long already. If she is in pain, toucan give her 100 mg Acetaminophen or 162.5 mg of Ibuprofen. I hope this information solves your concern. Thank you for choosing Chat Doctor. I wish the wound heals soon. Best, |
Hi, My daughter is 20 months and has been fussy eater. She eats only chapatti (stuffed with dal), rice (simple boiled rice), egg, cheese and French fries. No top feed only mine. She has no interest in foods and have to struggle a lot to feed her. Her every meal takes me 1 and 1.5 hour. And now since 3-4 days she has stopped taking everything. I am really worried. Please advice. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi... I take this opportunity to tell you certain scientific facts and relieve your distress - An active is a well kid even if she is not eating well. Development of a kid is as important as, or I would say even more important than growth alone. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it. I suggest you not to use appetite stimulants on long run as they may cause Chat Doctor. Hope my answer was helpful for you and if so kindly rate it. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. Wish your kid good health. |
hi i work for a online sex site. I have been masturbating alot with lotion lately,,,, now i have a red rash and it burns when i apply lotion now.....i know i am std free and i think its cause i do it so much with the lotion,,,besides stopping for a while what can i use to help healing process? thank you | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I can understand your concern for the red rashes in vagina. You are correct in your observation that the rash is caused by masturbating using the lotion. I suggest you to stop any sexual activity including physical sex as well as masturbation for at least few weeks of time to give some rest to the affected vaginal area. It will help you in healing of the inflamed mucosal skin of the vaginal walls. Do not try to apply any kind of lotions or creams for healing and during masturbation too as it can cause secondary bacterial infection as well as multiple other problems. Simply take paracetamol tablets with antihistamine tablet and maintain good hygiene and can do warm compression for early healing the best. |
Hello doctor,I am a 20 year old female. I have too much dry skin. I mean extra dry skin. I use almond oil and moisturizing soap, but it is not effective. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Welcome to Chat Doctor forum. The skin has to be moisturized well soon after a shower. Use a moisturizer which has ceramide in it like Eucerine moisturizer. Apply to body as soon as you come out of a shower. Continue using a moisturizing soap. Avoid hot shower, use warm water. ChatDoctor. The common cause of |
Sir, i am suffering from frequent fevers since 1 month. I have consulted the General physician and i have undergone for all the tests/scans as suggested by doctor My Ultra Sound System showing like the below Left kidney: Measures 120x54mm Normal in Size and exhotexture. Pelvicalyceal system in prominent Corticomedullary differentiation well maintained. No Calculi. IMPRESSION: Fatty Liver Left prominent pelvicalyceal system PUS CELLS- Plenty Could you pls help me and suggest on this regards. Also my Urine Examinations says | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, After going through your history, You have not said anything about urinary symptom like burning, frequency or pain during passing urine. Your ultrasound examination did not show any kidney stone. But why left pelvicalyceal system prominent? Some time a stricture or a reflux in urinary system may cause recurrent infection. Your urine report says plenty pus cells which indicate some kind of urinary tract infection was any Urine culture is done if not you should go for a good sample for urine culture and sensitivity of organisms. Sometimes it may be negative if taken after use of antibiotics. If organisms are resistant then you will get positive report. Urine report is incomplete because is there blood in urine or albumin is positive ? A sterile culture with positive pus cell may be Renal Tuberculosis should be ruled out. Consult a Physician and/or Neurosurgeon will help you Good Luck. |
HI MY NAME IS BHAVIK. I have lost the hair in the frontal side . i am using minoxidilin 5% . Should i go for hair transplant treatment or continue to use lotion ? what is the cost of hair transplant?i can send u my photographs for verification. pls give me yr email id . | If you are a doctor, please answer the medical questions based on the patient's description. | Hello batik. Thank you for writing to you seem to have an Chat Doctor. This type of hair loss mainly affects the frontal part and crown part of the scalp. Hair loss is also associated with receding anterior hair line and widening and deepening of angles of anterior hair line. The goal of medical treatment with minoxidil and finasteride is mainly arresting Or slowing down the progression of hair loss therefore the earlier the therapy is initiated the better it is. Hair transplantation is an option if your anterior hair line and the hair line above temples have receded. Hair follicles would be harvested from the back of scalp and transplanted to reconstruct the anterior hair line. Cost of hair transplant would vary from doctor to doctor and is usually calculated based upon the number of hair follicles that are required to be harvested. It might cost you anywhere between USD 850 to USD 1500 depending on the number of hair follicles that need to be transplanted. Besides hair transplant you would be required to continue with minoxidil and finasteride to prevent further progression of hair loss. I suggest that you visit either a dermatologist or a plastic surgeon in your vicinity. Your doctor will be able to visually assess the degree and pattern of hair loss and then decide on the cost of hair transplant. You can also upload images of your scalp depicting the pattern and severity of hair loss and contact one of doctors on this forum, either a dermatologist or a plastic surgeon. Regards |
Hello doctor,I want to tell you that I have sensineural hearing loss and tinnitus according to my reports.My doctor told me that I have mild sensineural hearing loss. I am sending you reports. I want to clear my doubts about sensineural hearing loss. Is my sensineural hearing loss progressive in future. Will my tinnitus cure of its own? Do I need any further testing like MRI? Please check. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Welcome to Chat Doctor forum. Since how many days are you having hearing loss and tinnitus? If it is since a few days you should try taking oral steroids. Your hearing loss can revert back. MRI or any other scan is not needed. But you do let me know if your tinnitus and hearing loss is sudden in onset or not. |
blood test results: High level of enzymes...i am 5 10 , Female, breast cancer survivor, (2009 &10) masectomy..chemo...diagnosed with copd...started gaining weight in 2009 uncontrollably...resulting in 70lb gain in 3 yrs. liver ultrasound came back normal. i suffer from itching...reddened fingernails, heat flashes, swelling, rash... | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Liver disease can cause severe itching which is called as Hepatic pruritic. Treatment of this condition is done by treating the liver disease along with antihistamine tablets. But as you have not mentioned clearly about the type and distribution, it would be difficult for me to comment about your rash and I advise you to consult your Dermatologist for proper diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. |
im 29, married for 4 years, still childless for now [were not planning anything] and i live in Malaysia where the climate is hot & humid all year long.my breasts usually gets swollen, heavier, more sensitive to touch and more tender prior to getting my monthly period but off late, those symptoms i mentioned earlier came right after my last period [last months] and it gets even weirder - my right areola is itchy all the time and i noticed that it gets flaky. even weirder its happening at the very same spot each time. tried applying olive oil but its still recurring. whats wrong with me? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor. I have read you question completely, I understand your concern and will try to help you in the best way possible.first and foremost you need to go through various tests to check if you are ok like your uterus ovaries every thing needs to be choked so that's the first thing you should do second your husbands has to go through tests as we like his semen analysis as we ....if every thing is ok than there will be no reason that you can not cncieveand you will cocaine soon....now coming to your second problem your breasts it happens before mensuration breasts get little heavy and sore its very normal, and they do get flaky you just need to apply almond oil and get you hormone levels held the rest is fine you will be ok soon.... I hope this answered your question. If you have more queries I am happy to answer.Otherwise, rate and close the discussionRegards. |
Hi doctor, This is Mearaj (31 year old ) . Few months ago I got a node developed over my neck which was surgically removed. The biopsy report revealed NHL , stage III, (low grade), And for its treatment I have been advised for R-Chop.(immuno therapy). I have received three cycles of R-Chop so far & within couple of going to receive fourth one. CT Scan revealed nodal mass in my abdominal mesentric muscles . Bone marrow aspiration test was clear , didn t show any evidence of lymphoma in my bone marrow. Now I am concerned , will R-Chop therapy cure this completely? Can I live again a new life ? Please advise , With thanks & Regards, Mearaj | If you are a doctor, please answer the medical questions based on the patient's description. | Hi. Thanks for your query. Sorry to know your diagnosis and the treatment you are going. It is saddening to know that you have mesenteric nodal mass too, and you are already taking R-Chop therapy. I would advise you to get the mesenteric lymph nodes removed and subjected to histopathology reports to confirm whether they are due to Non-hodgkins lymphoma - NHL or something else, as your bone marrow biopsy is normal |
i have had some pus pockets through out my throat right along my tonsils on both sides, now i can feel a lump when i swallow a little painful more annoying. but also since this has been happening my gums have been bleeding extremely bad when i brush. i need some help. | If you are a doctor, please answer the medical questions based on the patient's description. | Thanks for using Chat Doctor. Read your query. Please consult a ENT surgeon and get yourself treated regarding the tonsil problem. About the bleeding gums, it will be due to gingivitis (Inflammation of your gums). Visit your local dentist and get your teeth cleaned and checked up, maintain well and your bleeding will be cured. Please do warm saline gargling or use mouthwash. Please consult you rent surgeon and get the tonsils treated. Hope this was helpful. Thanks and regards. |
My 13 year old daughter has been complaining the last few days that her stomach hurts everytime after she eats. It doesn t make a difference what or how much she eats. I gave her some acid reflux medicine today to see if that made any difference. Is she too young to have gallbladder problems, as it seems most women in my family have had theirs removed. Thanks you in advance dor any advice. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello,.I can understand your anxiety but at this age common cause for stomach pain will be worm infestation also . If antacid has given relief to your child, then just try to modify her diet with fewer spices and more of bland diet and also more fruits and liquids to avoid further gastritis in the future,make sure she eats at regular timings . And give your child one Oriental i.e. albendazole 400 mg tab to combat worm infestation too.and coming to gall bladder problems .of course it has family predisposition but don't get tensed and modifying the diet also reduces the chances of gall bladder problem to great extent .at this age probability is very less unless your diet is full of spices and oily food,so take good diet and avoid the problem.all the best . |