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Mole on head getting bigger and painful - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2582 Questions
User :   hi my name is AAAAAAA 22 yr oldi got some pimple like thing on my head called "massey" in hindi.
its a brown color dry skin and i am feeling pain now.
any idea what is that problem.                                                                 
Doctor :   hi
User :   hi doctor
Doctor :   Dr. XXXXXXXX here.
User :   hi Mr...
Doctor :   since when have you had them there?
User :   this is regarding my brother and he is facing this problem from last 3-4 month
Doctor :   has it grown in size since it first appeared?
User :   yes
Doctor :   since when he is getting the pain?
User :   from last 2 months
Doctor :   the change in size, color, appearance of the mole or 'massey' or appearance of pain or bleeding indicates possibility of cancerous changes in it.
Doctor :   has he got them examined anytime while it was growing? or when it started paining?
User :   today he has consulted with a doctor and according to doctor we need to cut that mole or mussey because now it is in the upper layer and growing upward
Doctor :   ok, was skin lesion test done for it?
User :   no
Doctor :   did they do a biopsy from the junction of skin and mole to see what changes have happened?
User :   no
Doctor :   the biopsy will show if there are any cancerous changes
Doctor :   and if found to be with such changes
User :   should i ask to doctor to do so
Doctor :   then the excision done should be deep
User :   ok
Doctor :   and with examination of the draining lymph nodes of that area
Doctor :   i would recommend you to take a second opinion on this
User :   ok
Doctor :   such that you can take informed decision of what next step you should take
User :   is it dangerous to cut the mole using laser without test
Doctor :   after the test it will be more specific whether to do a simple laser excision
Doctor :   or a extended laser excision
User :   ok
User :   what was the test name
User :   sorry
Doctor :   its called a skin biopsy test
User :   ok
User :   thanks doctor , i will do that
Doctor :   is there anything else i can help you with?
Doctor :   you can opt for taking second opinion from our panel specialists
User :   ok
Doctor :   WWW.WWWW.WW User :   oh gr8 thanks dr...
Doctor :   is there anything else you would like to ask me?
User :   no i have one more problem about the pregnancy test
User :   who will help me to get the answer
Doctor :   ok please proceed
Doctor :   Please fill the feedback form say done when done, while I answer your next query
User :   ok
User :   this is regarding to my girl friend
User :   we have a merrige schedule in dec
Doctor :   ok. please proceed with your query
Doctor :   ok
User :   hi
Doctor :   hi are you back?
User :   yes
Doctor :   please proceed with your next query
User :   her last period was on 11 april and we ahd sex at 21 and 23 april but i dont think some thing went wrong
User :   she missed her period now
Doctor :   was it a protected intercourse?
User :   no
User :   but i am sure everything was out
Doctor :   what is her usual length of menstrual cycle? i mean to ask after how many days gap she gets her period once?
User :   30 days
User :   yesterday we did one test
Doctor :   ok
User :   she passed all the urine but could not test that
User :   after that she again tried and use more then 3 drops on the strip
Doctor :   if her last period was on 11th APril and you had unprotected intercourse around 21st, then the chances of pregnancy are high
User :   and result was positive
Doctor :   since at that time she will have her egg release
Doctor :   which is also known as fertile period for women.
User :   ok
Doctor :   repeat the urine pregnancy test again on a early morning first sample
User :   what should we do now
Doctor :   and see what it shows
User :   that was positive i mean two lines were there
Doctor :   if it shows positive that is 1 dark line and another dark to faint line, it will mean that she is pregnant
Doctor :   ok.
User :   there are two dark line
Doctor :   you have two options, either prepone the marriage and get married earlier than dec
Doctor :   or inform at home and wiat
Doctor :   *wait
Doctor :   the other option is to go for abortion, but it is a known fact and study that 90% of the abortions (of first pregnancy) result in infertility problems later in life
User :   we want to get rid of that situation because prepone is not possible and will put bad impact on her mother who is a serious patient
User :   ok
Doctor :   making it difficult/impossible for her to concieve again
User :   its a one month pregnancy
User :   if every thing is positive
User :   right?
Doctor :   well it is a serious issue, and you should inform elders such that necessary action can be taken, as anyways you both are engages and to be married
Doctor :   and yes, it will be almost a one month pregnancy by now
User :   we can't doctor that is an accident i hope you can understand
Doctor :   the exact gestational age can be made out by doing a ultrasound scan
User :   ok
Doctor :   in that case it is upto you both to decide what you would like to do, as abortion though it will save the current situation
Doctor :   but ahve a lot of impact on her mental state
Doctor :   since her mother is also not well
User :   yes
Doctor :   and also lead to future problems in getting pregnant again
User :   we want a abortion and preparing ourself strong for that
User :   i dont have other chioce
Doctor :   if you are ready to face the later consequences of not having a child or having a delayed pregnancy for her, you can go ahead with the abortion
User :   what technique of abortion will use here
User :   any pill
Doctor :   by consulting a gyne doctor who will examine her and suggest what best can be done
User :   ok
Doctor :   whether pills or D&C
User :   what is D&C
Doctor :   the pill also should be taken under strict supervision as sometimes it can lead to life threatening complications
User :   ok
Doctor :   D&C is dilatation and curettage, where the uterus is cleaned
Doctor :   even if pills are used and it does not lead to complete abortion, she wil need to undergo D&C.
User :   we are going to consult with any gyne doc tomoroow
Doctor :   have you followed what I have said?
Doctor :   ok. that is good.
User :   for what
Doctor :   that you are going to consult tomorrow itself
User :   yes
Doctor :   take the urine pregnancy test result with you when you go
Doctor :   is there anything else you would like to ask me?
User :   ok
User :   no thanks doc
User :   time is up
Doctor :   Please fill the feedback form once again and say done when done
User :   ys sure
Doctor :   Thanks for consulting me. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service
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