I have heard that women can ovulate at any time?

(…), on mirtazapine, quetiapine, zopiclone, citalopram.
I had unprotected sex three weeks ago, when my period was already 3 days overdue. Is it at all possible that I could have been ovulating then? I have heard that women can ovulate at any time, and some women, twice in a month. I completely missed my period after that, and I have had other pregnancy symptoms such as severe menstrual cramps, pink blood spotting and extra vaginal discharge.
Is there any chance I could be pregnant?
I hope so.
Thanks





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I had a CT scan, I have gallstones, my gastroenterologist is acting like I’m terminal?

I had a CT scan due to a kidney stone 2 months ago which also showed that I have gallstones. No other problems with my gall bladder were noted at the time. Last month I had another scan for the kidney stone and this time the radiologist (not the same one) noted that my gall bladder was contracted. From what I read on the internet this isn’t exactly a life-threatening thing but my gastroenterologist is acting like I’m terminal. I had an ultrasound while fasting which confirmed what the CT scan showed. Now this doctor wants me to have another scan, I’m not sure what it’s called, he’s sending me a prescription in the mail. So the way he shakes his head and says “we have to get this handled” has me worried. I have no symptoms at all, no pain. So, while I’m going to do what he says I want some assurance that this isn’t something that’s going to end up being a huge problem for me. So my question is, just how serious is this? Is it more likely to end up with the removal of the gallbladder or just the stones? I started a gallbladder-friendly diet that was the consensus on the internet. Is that worthwhile? Can statins reduce gall stones? I just started statins, by coincidence, two days ago. If I continue to not have any symptoms does that mean I can just live with this? Thanks.





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My 4 month old boy is having seizures, is Eptoin (Phenytoin) the right treatment?

Hello doctor,
My son 4month old having weight 8.3 kg. Is this over weight according to age.
My son had a seizure 3 times in 15 days.
On 15th Eve he had 3rd seizure of approx. 1 min. On 16th day morning he had 4th seizure of 1 and half min. After that we took away to doctor ,he asked for blood test in which calcium was little bit more. Then they asked for EEG and at that time another seizure took place of same duration. Then they admitted for a day for observation.but only 3-5 second of seizure took place. Then they discharge and told us to give 3 and half ml of eptoin twice a day for 15 days now.

Details of seizure – eyes went up, strengthens the body, strengthens hands and legs straight, body shakes.

Does their any serious problem. Is this eptoin syrup OK for my son





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I have had chest xrays, blood work, a heart monitor and a few other things done to check my heart and everything came up normal…but?

I am a 27 year old female.[signinlocker] I have had heart pains in the past with dizzy and light headed [/signinlocker]spells. I have had chest xrays, blood work, a heart monitor and a few other things done to check my heart and everything came up normal. Last test was done summer of 2015. The last several months I still get off and on a small pain under my left breast or it could be in the middle of chest. It can last for a few mins or all day off and on through the day. I am tired of getting this and sick of going to the hospital as it comes back fine. I am wondering what it is. I always think I’m having a heart attack or its something else serious the tests arnt seeing. I was diagnosed with anxiety when I was 17. But I don’t think it’s anxiety though. Any help would be great.





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I have been experiencing various types of allergies from childhood?

Hi, I am a female, 28 years old. I have been experiencing various types of allergies from childhood. Due to increase in heat, stress or dust I get itchy & red eyes often, also frequent bouts of sneezing due to dust or cold weather.

During the past 2 years, I have been facing itchy & flaky scalp & these days, I get granular pieces from my scalp and a hell lot of hair loss.

Also, I have been facing from itchy vaginal fluid that sometimes becomes very thick. These days I get sudden hunger pangs, grumbly stomach & heartburn when I eat food which vanishes when I drink water.

Since I have a history of allergies, I wonder if all these are connected and I’m worried it it is somerhing serious.

I approached many doctors. I used candid creams, took terbimine tablets etc. No luck. I was tested for sugar, HB content & it is all normal. Please let me know what I should do.





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I have had long term constipation with several episodes of impaction?

I have had long term constipation with several episodes of impaction. I have been treated with movicol and enemas and am awaiting a colonoscopy .
I started taking magnesium citrate and last night experienced intense spasm and burning pain in my lower back and rectum. Foul smelling gas and diohorea. My stomach feels very painful and I felt very dizzy and sick
I had also taken 4 movicol sachets
I have been diagnosed with low b12 at 200 could this also be contributing to my symptoms ?
I have no appetite and cannot taste well.
I have been given Prozac to manage the symptoms of feeling very low with all of this
Should I just stop all laxatives and give my bowel a chance to settle down ?





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I have been experiencing headaches that are throbbing primarily in the back/top of my head?

My name is (…) im 25, I have been experiencing headaches that are throbbing primarily in the back/top of my head sometimes it will travel to my forehead and eyes, I been having dizzy spells, being forgetful and sometimes it’ll stop me in me right in my track, joint paines in my wrists knees ankles and underside of feet usually follows by a shock like pain traveling though out the areas. I have troubling sleeping most nights and sometimes I get these cold chills. This has been going for a few months and doesn’t seem to get better. Could someone tell me what they think it could be?





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I had a really bad accident and my horse flipped on top of me?

Hello I’m a 24 year old female. I am 5’5″ and weigh about 260lbs. I know I need to loose weight but I have a BIG problem that conflicts. I also have PCOS.

The main issue though is my back. I have been an Equestrian for about 21 years now but for the past year I have not been able to ride or compete.
When I was about 8 I had a really bad accident and my horse flipped on top of me. Didn’t notice much pain in my back til I started marking band. When we got it checked they said that I had Scoliosis with a 19° curve of my spine and at that time I had 2 bulging disc in lower back. Well then 2 years ago I slipped and fell on ice.
I did 6 weeks of physical therapy and then got a Epidural Steroid Injection. It worked a little then the following year I twist weird at work dealing with a large dog ( I am a dog groomer) and then saw Dr again and he did an MRI.
He found out that the 3rd disc that was going bad….has now herniated the whole way out, and the disc above it herniate half way and the one above that isbstill bulging.
The only thing Dr did was put me on 75mg of Diclofenac twice a day. Worked at first but has not done too much good recently.
Recently I have so much pain in my lower back, hips, knees, and ankles. It is affecting my job and my life. I can barely walk, sit, or stand, and I have an extremely hard time sleeping. It is mainly on the left side but I get some pain on the right. I also have numbness on my right calf and foot.
So my question is ….
What are my options? The pain is very extreme and almost to the point where I can’t do much of anything. I DO NOT want to take a bunch of pills or do physical therapy again. But I also don’t wanna jump into surgery.
I’m just trying to figure out my options and go from there .

I plan on talking to a different back specialist very soon.

I have in closed a picture of the left side is my back in 2012 and on the right side is my back now in 2016.

back-pain-accident





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I have had a loud high-pitched ringing in both of my ears for the past year now?

Hi, i have had a loud high-pitched ringing in both of my ears for the past year now. it starts out of nowhere and leads to ringing and then slight loss of hearing. It sounds like a dog whistle and heaviness in my ears. I am a 15 year old Female, healthy and no medications. I told my mother and she said, she thinks it’s Tinnitus. What could it possibly be? It has been getting worse. and after the ringing happens my ears ache. nowhere. I could be walking or sitting and it still happens. I have had my hearing checked when i was little because the doctors thought i had a problem with hearing. Turns out i didn’t have a problem until now. Could i be losing my hearing? i’m getting worried about the ringing. What could it be? Thank you.





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I recently had an xray: ill-defined patchy mixed air space, interstitial, no focal consolidation?

I am a 49 year old male. I recently had an xray that came back saying. There are some ill-defined patchy mixed air space and interstitial opacities seen in the left perihilar region. Notably adjoining the left upper lobe pulmonary artery. No focal consolidation is seen. the remaining lungs are clear, as are the pleural spaces. No bony abnormality is seen. I have had a ct scan the other day, and get the results next Tuesday. As this is concerning me, I am looking for more information as my doctor couldnt explain the xray report to me. I have recently had whooping cough, would this have anything to do with it. The doctor put me on Curam Duo Forte 875gm/125gm





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Partner in hospital 7 days (on a gastroenterology ward under the care of a gastroenterologist!). They have admitted they haven’t a clue what is wrong with her?

My partner is a 47 year old female who had major abdominal surgery (mesh repair of failed linea alba) just under 6 weeks ago. Prophylactic Clexane wasn’t give first 2 days by mistake then given for four days thereafter. She developed a small blue lump under the second toe on the right foot the day after the op. 2 weeks after the op, she developed distended veins in the left side of the neck – external jugular, anterior jugular, some small veins joining the two. A few days later she also showed distended veins up into the temple and between her eye and the bridge of her nose. Coincident with the veins becoming obvious, she started suffering pre-syncope when exercising (e.g. 10 minutes walking) culminating in a full syncope episode at 4 weeks post op. She was re-admitted to hospital at this point. d-Dimer significantly raised (more than would be expected from prior surgery). No other markers for inflammation or infection – surgical wound site appears infection free. Chest X-ray clear. CT Angiogram also clear. ECG clear. Monitoring shows BP is high (at least for this patient) and does not drop during syncope events. Pulse also high (100-110 resting and pushing 150 with low level exercise). Patient feels OK when lying down but gradually develops pre-syncope over 5-10 minutes when upright and walking. Has now developed pea-sized lump in back of left leg around 1.5cm above knee and slightly lateral to the centre line. There is a 2cm diameter bruise adjacent to this and oedema distal to it. We are told Doppler ultrasound of the neck area was clear but weren’t massively impressed by the skill/knowledge of the ultrasonographer. She has now been in hospital 7 days (on a gastroenterology ward under the care of a gastroenterologist!). They have admitted they haven’t a clue what is wrong with her. She has been given a cursory exam by a vascular surgeon who seemed uninterested because the Doppler of the neck was clear. I’d really appreciate suggestions for what possible diagnoses might fit this pattern. To me there’s one obvious suggestion (which I won’t mention because I want to confirm whether I’m going mad or not) but I’m also interested in possible alternatives so we can try to guide the staff into doing something about this. Many thanks in advance for your help.

My mother is diagnosed with (G2) adenocarcinoma stomach, is chemotherapy the best option?

Hi. My mother is 44 and has been recently diagnosed with (G2) adenocarcinoma stomach. There is no visible bleeding. Just internal bleeding through stool.
I’m posting her PET scan review:
bove scan was reviewed and the following comments were offered.
Finding:
Stomach shows irregular wall thickening involving cardia, fundus & body along lesser curvature of stomach
(thickness 4.0 cm, SUV max 14.6). It is abutting the inferior surface of spleen. Fat planes between stomach
and spleen appears lost at places.
Few mildly metabolically active perigastric lymphnodes are seen (largest 1.6 x 0.7 cm, SUV max 4.3).
Increased tracer uptake was seen in level VI lymphnode. This appears unrelated to primary disease process.
Right lung upper lobe shows a calcified nodule. Rest of the both lungs are unremarkable. No metabolically
inactive or metabolically active nodules or infiltrates are seen.
Trachea and main stem bronchi appear unremarkable. There is no evidence of pleural effusion or metabolically
active pleural abnormalities.
A subcm metabolically active superior mediastinal lymphnode is also seen (SUV max 5.2).
No metabolically active lesions were seen in nasopharynx, oral cavity, oropharynx, larynx and hypopharynx.
Major salivary glands appear unremarkable. No metabolically active lesion was seen in the thyroid.
No significant metabolically active cervical lymphadenopathy was seen.
Liver shows physiological tracer distribution. No significant metabolically active lesions were noted in
both lobes of liver.
Gall bladder is visualized. No significant metabolically active abnormalities are seen in gall bladder.
Spleen shows physiological tracer distribution. No metabolically active lesions were noted.
No metabolically active abnormality was seen in the pancreas.
Bilateral adrenals and kidneys are unremarkable and show physiological tracer distribution.
Small and large bowel shows physiological tracer distribution.
No metabolically active abnormalities were seen in the mesentery.
REVIEW OF OUTSIDE PET-CT
Rectum shows physiological tracer distribution.
No significant metabolically active pelvic lymphadenopathy was noted.
Both axial and appendicular skeletal system show physiological tracer distribution.
Urinary bladder is not well distended and show physiological tracer distribution.
Rest of the body shows normal physiological tracer uptake.
IMPRESSION:
1. Metabolically active stomach wall thickening (with extension & involvements) with perigastric lymphnodal
involvement as described.
2. No other metabolically active disease elsewhere in the body.

Her haemoglobin count is 6.6 due to which doctors suggested to go for chemotherapy.
I wanted to know if it’s the best option? What would be the success rate of the treatment. Is there any other alternative?
Thank you.
chemotherapy-scan





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Numbness, burning sensation, cramps in both legs, no significant issues identified?

Patient : Female aged 74 years: Height about 5ft, Weight around 90Kgs

(1) Severe burning sensation in the feet (been there for 5-6 years but now has increased and becoming intolerable)
(2) Feels numbness in both the legs if she stands for few minutes (been there for few years, have consulted both Neurologist, Cardiologist – EEG, Brain MRI, Doppler of Carotid Arteries, Holter Tests done. (No significant issues identified)
(3) Cramps in both the legs
(4) IBS – Irritable bowel syndrome (for last 10 years, treated right from peppermint oil capsules to psychosomatic disorder, all of them only have very temporary relief). No clear solution to address this issue till date.

Patient History:

Hypertension – Was very mild until last couple of weeks (only 1/2 tablet of Prolomet XL 25 daily) for many years. Recently it became very high (now normal with medicines Telma 20mg & Amlong 5 mg daily).

Palmar Plantar Psoriasis – For last 4 years (Dermatologust treatment only external application ointments)

Treated for peripheral neuropathy with Maxgalin 75, etc. but no improvements.

Nerve conduction test, ECG, EEG – Normal
Venous & Arterial doppler of both the legs – No major issues
Blood tests, Thyroid, Renal, Hemogram, etc. – Normal
Vitamin D total (low, 9.02ng/ml, taking supplements now)
B12 high – 1258 pg/ml (high, may be because of supplement Nurokind OD she took for a week prior to blood test)
HbA1C – 6 and average blood sugar 125mg/dl

Total Knee replacement surgery for both knees done 6 years back.

Please advise.

Thanks





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—

I have SpondyloArthritis.I am taking medicine for more than 6 months?

I am 31 year male and I have SpondyloArthritis.I am taking medicine for more than 6 months.
But from last 15 days I am feeling extreme pain in my right knee and left hip.The pain exists in the right side of my knee.Though I have no fever but there is too much heat in that area of the knee.There is also little swelling in that side.

For last 9 days I am taking Aceclofenac 100mg twice daily but I am not getting much relief.

The medicines that I am taking right now are-
Methotrexate – 20mg on Sunday
Folic Acid – 5mg on Wednesday and Thursday
Sazz – 1.5gm – twice daily
Shelcal 500mg – twice daily
Pantop 40 – everyday before breakfast
Aceclofenac – 100mg – twice daily
Calcirol granules 60,000 IU one sachet – once in a month

At last I visited my doctor and he has told me to take Defcort 6 mg – once daily for 1 month.I have heard this is steroid and taking steroid is very bad for health.
So I visited to another doctor who is near to me.He has suggested me to take Alanz for 5 days,and Retoz 120 mg for 20 days followed by 90 mg for 10 days.But he has changed the dozes for Sazz from 3gm to 1.5 gm daily and Methotrexate from 20mg to 15mg.
Now I have got confused and can not decide what should I do.
Please help.
Thanks in advance.





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I got hit by a car.I have two big holes in my leg around my knee. They haven’t healed?

29. Female. I take lamictal/lamotragine and adderall when I remember, probably way too much ibuprofen this month. I got hit by a car 1 month ago yesterday. I have two big holes in my leg around my knee. They haven’t healed and for a week the top hole smelled weird. There was a half baseball looking lump below my knee that hurt, 7 level pain. It was basically a pocket of blood and when I pushed it out, it was bad smelling chunky craisin looking. It smelled nothing like the way blood normally smells. I’ve been resting, cleaning and icing my knee but the area around ithe bottom puncture is oddly firm, discolored, swollen, ……..numb and painful at the same time. Almost as soon as I got hit I started feeling like I’m getting a UTI. Could that be related? Do I really have to go in? If go in what will happen

leg-accident





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