text
stringlengths 68
11.8k
|
|---|
<s>[INST] hi . i am 32 years old. we are trying for baby. i had my period on 9th jan 2014. usually i will get my period exactly at 30 days. but last month it was late by 37 days (we did nt try). this month also it is delayed by 37 days. till now i get my period. i am very much tired for the past 4 day. whther am i pregnant? [/INST] Hello dear, I understand your concern. In my opinion the delayed period in a sexually active woman gives a suspicion of pregnancy. It needs to be confirmed by doing a urine pregnancy test. Usually the urine pregnancy test gives accurate results if done a week after missed period. So you can consider doing a urine pregnancy test. The other symptoms of pregnancy like nausea, vomitings, increased urination, sore breasts start 2 weeks after missed period in case of pregnancy. So the delayed period, tiredness might give a suspicion of pregnancy but needs to be confirmed. Kindly consider doing a urine pregnancy test. Other tests to diagnose pregnancy are blood Chat Doctor test and ultrasound. Blood Chat Doctor test gives results well before the expected periods time i.e.., around 10 days after ovulation. Ultrasound helps in diagnosis of pregnancy around 5-6 weeks of pregnancy. Hope this helps. Best regards....</s> |
<s>[INST] Hi I have been feeling very sick since yesterday morning and not really had an appetite due to feeling so sick. I was woken up at 5 this morning will a sharp ache in my right neck/ shoulder and I could not settle because of the pain. Eventually I found a position it didn t hurt in. But it is still giving me a lot of pain today. My boyfriend thinks its muscular but I don t know. It is making ne feel sick and it is hurting when I stand, move, and breathe but only stood up. I was due on my period Thursday and still have yet to come on. I am new into a full time job and can sometimes be a little stressed. Is all this connected? [/INST] Hello, As a first line management, you can take analgesics like paracetamol or diclofenac for pain relief. If symptoms persist better to consult an orthopedic and plan for an MRI neck to rule out possible causes like cervical spondylitis. Hope I have answered your query. Let me know if I can assist you further. </s> |
<s>[INST] Hello how long does it take to stop coughing after champix i took them for 8days my noise started running like badly then I thought my asthma start I thought I had a allergic reaction. No it was Champix I rang my chemist,and they said Champix does not do that? [/INST] Hello, Champ ix is a brand name of penicillin, and it is used to help people to quit smoking. It will not stop coughing. You might be having an allergic cough, as a first-line management you can take over the counter available expectorant cough syrup and antihistamine for symptomatic relief. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care </s> |
<s>[INST] I went to doctor for a general chk up for getting mild cramps during ovulation ,we haven t planned for baby yet and I told her I will plan for a baby soon so she advised me if ur anxious to get pregnant take siphen and duphaston , my periods are regular and nothing serious medically. Can i take those tablets .? [/INST] Hi Welcome to Chat Doctor Tablets prescribed by your doctor will increase your chances to conceive. Sphere is ovulation induction Chat Doctor. If it has been prescribed by your doctor then there is no harm because she knows your health condition well. Take care.</s> |
<s>[INST] I am having some nausea and stomach acid after VHL brain tumor surgery 1-8-14. Home now, couldn t find Mylanta in store, coulda I use Tums extra strength anti acid on occasion. Post surgery drugs are Ondansetron 4 mg 8 hrs PRN, I am tapering it off and have taken only 2 does in the last 36 hours. Also on Dexamethasone stepping it down too. Should I just forget about taking Tums, it warns of drug interactions thank you [/INST] Hi, Welcome to Chat Doctor forum. The main Chat Doctor. If you have heart burn, or pain in the stomach you can use Atlanta, or tums, with a gap of 1/2 an hour, with other </s> |
<s>[INST] Hi, I would like to enquirer about pressure pain in my right arm, and I feel it is related to my fast heart rate when I wake in the morning. I am under a lot of stress at the moment. I went to the Dr yesterday, he did not give me any blood pressure test nothing just said it could be anxiety. Please could you tell me what you feel this is? [/INST] Hello and, Fast heart rate is caused most commonly due to anxiety. The other causes include hypertension (raised blood pressure) and heart diseases. Since, your blood pressure is within normal limits, the possibility of hypertension is ruled out. To rule out heart ailments you need to get examination of your cardiovascular system. An ECG will determine any problem of the heart. However, if all the investigations turn out to be normal, anxiety is the most common cause. Pain in the right arm can also be associated with the spells of anxiety. Management of anxiety is primarily behavioral and social. You need to find out the cause of anxiety. Once the cause of anxiety is found out, you need to manage it with support of family and friends. Thanks and take care Chat Doctor. </s> |
<s>[INST] Hello doc, During summer there are itchy red allergy that appears on my both hands, the moment i scratch it the swelling start and it become bigger round with water inside, but after summer they disappeared.I want to know the cause and remedy or does it have something to do with food intake,Waiting for reply.thank you [/INST] Hello.thanks a lot for your query on Chat Doctor, looks like you are allergic to sun.it does happen to some people like that...better as a matter of precaution, do be protected from direct sunlight...wear long sleeve clothes.apply sunscreen lotion with good SPF, apply some cream to it.food also may lead to such a thing, but as it does not happen to you in winter rules out that possibilities.try out the safety measures.things will improve gradually</s> |
<s>[INST] I used to take asthalin for asthma.Recently another doctor prescribed Lmontus for 3 months.I have asthma problem only during the winter but now if discontinue the medicine then i have breathing problem.should i continue with LMONTUS or take asthalin. [/INST] Hello mentioned that you are having asthma and taking Stalin (albuterol) and now one doctor prescribed months (levoceterizine+ montelukast) . Asthalin causes bronchodilator, while months only an anti-allergic (these both Chat Doctor. You are having ASTHMA, so in my opinion Stalin will be more useful than months. When as asthmatic patient visit my clinic I advise my patient to take montelukast+ albuterol one tablet in the night and also whenever an attack of allergy or asthma. Once relief in symptoms stop the </s> |
<s>[INST] I suspect I may have a pinworm infection, but am not sure as one website stated that my symptoms. Loss of appetite, restlesness, itchy rectal area, and random stinging/burning pains on my arms legs and back.... I am very worried as the website suggests visiting the hospital emergrncy room immediately [/INST] Thank you for using Chat Doctor .com I suspect you to be infected wit worm infection that cause such symptoms to you. Start albendazole 400 mg as a single dose if your age is above 12 years and repeat it after 6 months a should concern your physician for proper management. Hope I might be helpful to you</s> |
<s>[INST] Hi im 33 weeks and 5 days pregnant. The past 2 days of so ive been having severe period like cramps, my legs hurt really bad they feel extremely heavy, also ive developed severe diarrhea.. should i be concerned? I just know if i call they are going to tell me to come in and I dont want to go in the hospital unless i have to. [/INST] Hi there, It looks like you are having a gastrointestinal infection. This is a serious matter in pregnancy and it's best to get checked by a doctor immediately. Any fever, diarrhea, deny Chat Doctor. So, it's best to checked to see that you do not have any infection, if need be done not hesitate to take antibiotics, as the maternal wellbeing is very important for fetal wellbeing. Also get a fetal heart rate tracing done. Hope this helps. Regards.</s> |
<s>[INST] I had gallbladder surgery 2 weeks ago and i ve continued to have severe abdominal pain , both times ending up in the ER. They take my blood and things seem fine, give me IV pain med and send me home. My surgeon has not returned my phone calls and I see him this Tuesday. I m completely frusterated and want to get this pain managed and NOT take a 4th trip to the ER. The last couple of days i ve noticed my urine is very dark yellow. I ve been drinking water by the gallon as i m also breastfeeding my 8 week old. Why isn t anyone concerned? I m so tired of the pain, it s so depressing. [/INST] Hi Genera. Pain associated with dark urine can be serious complication. It can be caused by bile duct obstruction which isn't very rare after such procedures. Your blood tests should show raised bilirubin level if I am right, but I think that repeated lab and ultrasound is at least what needs to be done. Second cause can be abscesses formation or intra-abdominal collection. Especially if you have fever and feel fatigue. Just go to ER if you feel that it is necessary. If I were your doctor I would do CT scan and complete lab tests to rule this out. Wish you good health.</s> |
<s>[INST] Hi! So there is a boy in my class and I am very curious about what his disorder is so I can be more understanding of his outbursts. Sometimes, he will make random comments, have loud, uncontrollable laughter, or be quiet and rock back and forth. He doesn t have friends but is extremely intellegent and can hold an intellectual conversation. Although, today he was punching himself in the face. Do these symptoms lead up to any disorders? Please let me know. Thank you. [/INST] Hi.well this may be an impulse control disorder, a form of seizure disorder or a rare disorder called Tourette syn Chat Doctor. .whatever it is, he requires a detailed evaluation by a psychiatrist or neurologist.because these are curable although jeopardizing.you can talk to him about the issues if he is ready to listen.thus you can help.thanks</s> |
<s>[INST] Hi I am a 28yr old woman with an implanon implant in my arm. I have had 2 children and urinary reflux since i was born. The reflux seems to have settled down and i have had quite a few kidney infections in my life. usually it starts as a urine infection for a few days if i dont get onto it it can turn into a kidney infection. I had pains all of a sudden like kidney infection last night and went to the doctor today and there were no signs of a urine infection a fter i had taken ural but i had very high levels of protein in my urine. I undrstand i may need a blood test to test my kidney function but with my history it has never shown this before... can semen from the night before affect the urine sample i gave thedoctor? My doctor has been blazare about my condition before and am worried he isnt being thorough enough considering i have rather bad scaring on my left kidney. [/INST] Hi, It seems that you might be having chronic renal infection and might have affected your kidneys. To know position of kidneys and type of infection, you might require,1, Routine urine with culture and sensitivity test,2, Blood for S. creatinine, urea,3, Ultrasound of kidneys. Consult urologist and get examined and investigated. Ok and take care.</s> |
<s>[INST] Hi im 18 I ve been trying to get pregoo but i cant! people say its because of my weight but i have seen fatter people having kids. My height is 5 1 and weight 220 pounds yes I know I m over weight.my period is unregular. And is not due for another week but I ve been farting ALOT. like it doesn t smell or anything but alot of air sometimes I can t help it and I fart every second like one fart after the other!! Please help me? [/INST] Hello, you need to visit a gastroenterologist for fart problem. But as far as conception is concerned you should definitely decrease your weight to have hassle-free conception In case you have any questions in future you can contact me directly on http://bit.ly/ Chat Doctor. </s> |
<s>[INST] I have a pain in my left back just below the shoulder. then I always must deep breath because I cant breath if there is pain at my back and to my chest. sometimes i just stop breathing like seconds then i breath again with chest pain. what is the possible cause of my situation? [/INST] Thanks for asking your question I completely understand your problem chest pain associated with respiratory movements can be seen in pleural effusions and variety of other diseases.u need to consult a pulmonologist who can get a chest X-ray done and rule out such causes for now you can take an analgesic for pain thanks/ regrdsfeel free to ask more questions may god bless you with good health</s> |
<s>[INST] i get cold that is in the form of allergy (that is running nose and sneezing) almost after masturbation or even if i get night fall. I am 100 % sure about it , if i dont do masturbation for say 7 - 10 days then i dont get cold (allergy that is running nose and sneezing) for that period of time . Sneezing continouly for 20-25 times is too much to handle for me . Allergy last for 2-3 days if i dont take any medicine . so i take anti allergy drug and get relive many times. is there any cure for it that is permanent [/INST] Please be assured that there is no allergy caused by your sexual stimulation. Allergy is caused when the body is exposed to a foreign substance that reacts with bodies antibodies and release chemicals causing symptoms of allergy. The sneezing you get is because certain foreign substances (allergens) enter your nose and respiratory organs to cause cold etc. You have to avoid allergens to prevent runny nose and sneezing, and if they happen, take recourse to antihistamines Chat Doctor. </s> |
<s>[INST] yes thank you doctor sab, i have suffered active duodonal 3 cm ulcer before 30 months , for the diagnosis, i consumed omerprazole 2 months, antibiotic 15 days & avoid food , around 12 months i avoided the food like oily, hot & sour, drinks , but sometimes i want to drink al;cohol during party , is it ok or .......... [/INST] Hello and welcome to Chat Doctor. Alcohol is a known causative factor for peptic ulcer. As you are a known case of peptic ulcer, whenever you consume alcohol you will have relapse of your symptoms. So, now it is up to you weather to have symptoms or not. Wishing good health for you.</s> |
<s>[INST] a couple of years ago I slipped and fell in the shower and I think I broke my tailbone. I never went to the doctor but every person that I ve talked to including my mom who had her tailbone broke sad I broke my tailbone. Today I went pee and as I was pushing my tailbone popped should I be concerned [/INST] Ho thanks for your query. Brief answerFracture coccyxDetailed answer You had a direct fall on your tailbone. You have fractured your coccyx. Avoid lying supine, either prone or on sides. Use ring pillow to avoid pressure over coccyx region. May use Site bath hot water fomentation to reduce pain. Get an X-ray coccyx app and lateral at the earliest. Best luck</s> |
<s>[INST] Can I take rantac and ocid 20 for acidity.iam now breast feeding my baby who is only 2 months old.i have severe acidity and gas [/INST] You should not take any medications when you are feeding the baby without consulting a Pediatrician. You should be very careful as it does affect the babies health condition.</s> |
<s>[INST] my father is 65 years old .He is suffering from paralysis on right leg and right hand since five months. Recent MR Angiography of brain and neck vessels showed acute haemorrhagic infract in left hemipons. please suggest to clear the infract in left hempions.Due to this he is still not able to do his actvities by himself .He walks with difficulty using a walker and is not able to use his right hand . [/INST] Hi, Thank you for posting your query. Infarct in the brain occurs due to lack of blood flow to that part. Any attempt to clear it successfully can only be done in the first 4-6 hours after the onset of paralysis. After that, it is not possible to clear the clot. However, recovery and improvement can occur slowly over time, with good physiotherapy and exercises. Best wishes, Chat Doctor. </s> |
<s>[INST] I have a hard bump on my leg. It s pretty small but I m worried that there might be somthing in my leg. The skin does have a scratch or scab. When my leg is relaxed you can t feel it but when I flex it or put weight on it you can feel it. And when I walk I can feel it pushing on the skin [/INST] Hi.based from your description, it could possibly be a cyst (sebaceous or gelatinous type), a fibrous (fibrous tissue formation) or a lipoma (a fatty tissue deposit). Other tumor lesions must also be ruled-out. An x-ray or MRI may also be recommended for further evaluation. It is best if you consult with a doctor, preferably a general surgeon, for clinical evaluation. Management (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. </s> |
<s>[INST] Hello, i am going for an operation on 4th sept 2012 as i have pre cancel cells that need removing and treating. I started with a light chesty cough on thursday but im hardly coughing at all and just feel it in my chest. Also i have hot sweats too. Ive been taking day and night nurse from the chemist and seems to be helping. Would i still be ok To go ahead with my operation or do i need to ring the doctor and ask or cancel? [/INST] The information that you have provided is insufficient to give you reasonable advice. First, there is no surgery to remove pre-cancerous cells from the body. Second, none of your symptoms suggest that you have cancer or even pre-cancer. You seem to be suffering from a bout Cory and common cold. If you could provide information regarding any investigations that you have undergone or the nature of the surgery that you have been advised, I am may be able to enlighten you further. It would be a good idea to ask your doctor about this</s> |
<s>[INST] My 6 year old daughter has been complaining for a considerable while now (over 6 months) on a regular basis ie. usually once a day, that she has a HOT tummy, and for the last couple of days has also been describing it as SORE (she specifically mentioned it was from her lower tummy up to just under her ribs). She frequently feels the need to lie face down on a cool surface to try alleviate the symptoms. About 3 months ago when I took her to the doctor for a check up relating to another ailment (to do with feeling like she needed to go to the toilet again to do a wee immediately after doing one - this had been going on for over many months too). At the time I mentioned the hot tummy problem and the doctor felt around her stomach for any obvious lumps but could not find anything. At the time she had two urine tests whicChatDoctore back negative for any urinary infection and so far she does not seem to have any noticeable problems with that original complaint, however, I am planning on taking her back to the doctor again because of the stomach pains but wondered if I should try this Miralax medication first although as we live in Spain, am not sure that particular medication is available here. My daughter insists her tummy problems are not because she needs to go the toilet although I have not kept an actual record of her regularity in passing stools . Any advice greatly appreciated thanks. Jenny [/INST] Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. Your 6-year daughter since 6 months complaining of hot abdomen, and since 2 days had pain abdomen. Before when she was sick you have used MiraLax. Previously you have used MiraLax(Composition is poly ethylene glycol) it is a laxative for treating constipation. If there is constipation, you can use it as constipation also causes abdominal pain. Still you should consult a pediatrician for diagnosis and treatment. Avoid giving her spices, junk foods, and oily foods. Wishing for a quick and complete recovery. Best regards.</s> |
<s>[INST] I have pain since I woke up this morning in my left back just above the waist. No fever. It goes to my waist and wraps around ever so little. Cold seems to work better than heat. I am taking Advil. 2 at 11 ans 2 more at 4. Does not feel muscular. Would kidney pain come in that quickly? Do u think it is muscular? Thank you. [/INST] Hi, From history it suggests, There might be having muscular spasm, Having some urinary tract infection. But as there is no h/o urinary problem it is likely of having muscular. Take analgesic, muscle relaxant medicine for a day or two. If problem persisted then go for routine urine check up to rule out UTI. Take plenty of water. Ok and take care.</s> |
<s>[INST] I was diagnosed with a yeast infection. I took the one pill of fluconazole and it seemed to have worked for about a day, then my symptoms came back: vaginal itching, burning and swelling around the vaginal opening. I let my dr know it wasn t working, and he prescribed me a cream, terconazole cream to use for 7 days. Along with my symptoms mentioned, I noticed bump like nodules near my vaginal opening, which seem to be symmetrical on both sides. I looked it up and they look exactly like squamous papillomatosis, which makes sense because I was told at my last annual pap that I had hpv. Are these harmful? And when should my yeast infection go away? [/INST] Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that HPV in long run has potential of malignancy. So I are diagnosed with HPV you should look for its treatment. There are some cases which is stating that cervical carcinoma has potentially threat in women who have HPV infection. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you.</s> |
<s>[INST] I have been having extreme pain and my dentist has not yet been able to figure out what because I have had a few issues with a few teeth that have been recently filled for cavities. Now the spot where I had a wisdom tooth pulled years ago is very swollen and tender and gives me ear aches and head aches. what could this be. Where my wisdom tooth was pulled is now even with my other teeth where the other side has a large space still. what could it be ? [/INST] Dear friend. Thanks for sharing your concern.First I would like to explain to you that, if your wisdom tooth was extracted years ago and was asymptomatic all these days then it might not be the cause. The swelling that you have, could be due to adjacent teeth which is infected. In present case good clinical examination with diagnostic x-ray will give you exact diagnosis. Every single tooth should be individually tested clinically by palpation and percussion techniques. This will give you exact diagnosis. In present scenario if you are not satisfied with your dentist please go for second opinion for clinical evaluation. I am sure one of the filled tooth is deeply involved and causing pain to you. Hope it helps. Thanks. Take care.</s> |
<s>[INST] hello Dr I am a house wife 44 old and I am studding firs time Online from Aug 2013 first time my pain low back without frozen legs last Dec 2013 and my MIR showed multilevel degenerative disc with the most sever disease at the level of L4-5 . then I took methylprednisolone for 1 week and backed my healthy I really was so happy for 1 month and I Continued swimming up to now and but second time last week ago No Reason again pain my back start with frozen legs up to now and with swimming or Exercise relieve pain for 15 and again starting Difference pain and then I don t want to use methylprednisolone again . Also I never use Physiotherapy because of donot believe physiotherapy treatment What do you think I am ? Thank yo [/INST] Hi it seems you have slip disc problem.in your query you have mentioned frozen legs what does it actually mean do you have numbness/tingling sensation in legs?please clear. As far as backache is concerned all you need is exercises for back. Take care.</s> |
<s>[INST] I am 42, 5;5, 115lbs, I m pretty active. I have for the past two days had a soreness, or tenderness between my butt cheeks that is causing some serious pain. The pain is at the top of the butt cheeks right in the center where the cheeks split. What is this? Help [/INST] Difficult to say without examination. It is a common site for boils. The spine and surrounding structures can get irritated just by sitting in the wrong position. But, all the likely causes are quickly fixable.</s> |
<s>[INST] I have gained 45 pounds in about a year and a half and every time I eat, even if i just swallow something as small as sweet peas only, my stomach swells and makes me look as tho I m about 6+ months pregnant. I feel hungry sometimes but soon after eating I get full quickly, I get nausea frequently, sometimes dizzy, hot flashes, diarrhea, bloating, stomach pains in the center and right side of my stomach. I don t have regular bowel movements, usually just diarrhea when it actually wants to function have properly to pass the digested food. I m getting worse rather than better. I don t have insurance. What can I do? What could this be? How can I get relief? Relief is imperative, Thank you, Desperate Jennifer [/INST] Dear Jennifer congratulations coming to your question to avoid the feelings you are getting take small meals. Avoid fried foods, avoid peas, cauliflower, beans, radish, peanuts.take freshly cooked food get your t3, t4 and TSH done remain active practice relaxation technique get your stool test done</s> |
<s>[INST] Hello Iam laxmi, we are planning for pregnancy from 1 1/2 yr, am not able to concieve, dr suggested me go for Laproscopy, but am afrid of that & want go for natural medicines, she doubted that I may have endometriosis....I am very afrid, please suggest me. [/INST] Hello. Welcome to Chat Doctor. I have gone through your question. Endometriosis treated according its severity medically or surgically. And for final diagnosis laparoscopy is must. So consult gynecologist for this and for further treatment. Hope I answered your question. Would be happy to help you further. Take care.</s> |
<s>[INST] Hi, I torn my frenulum about two weeks ago and I have it a couple weeks to heal. I checked it about 15-20 mins ago and it looked healed. So I tried to have sex with my girlfriend and I felt the stretch when I tried putting it in. Is there any way to best treat this for it to heal completely? Plus I noticed my foreskin has been dry lately. What caused it to be dry because its never been really dry. Would great appreciate what kind of treatment I would need. Sincerely, Oscar [/INST] Thanks for asking in Chat Doctor forum Frenulum tear can be due to rough/ Chat Doctor. So, if you are getting it frequently and not healing, please visit a doctor to rule out balance posits. By this you will get complete cure from your problem. Till then apply any antibiotic cream over there and give rest. All the best.</s> |
<s>[INST] I have emphysema which has caused right side ventricular heart failure with cor-pulmonale, I have mild twinges on the left side of chest, they are stronger with exertion, but can feel movement when sitting still. I become short of breath with very little exertion, tire easly [/INST] Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should rule out left sided heart failure in your case. Right sided heart failure and cor pulmonale can lead to left sided heart failure. And this can cause left sided twinges, breathlessness on exertion and tiredness. So get done ECG, 2d echo and stress test (trade mill test). You may need diuretic Chat Doctor. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.</s> |
<s>[INST] im male, 28 yo. i have a hard immovable lump (no more than 2cm in diameter) located in the inner side of my upper arm. I just noticed this 3 days back. but it could be there for at least 4 months since my massage therapist noticed this first at that time. im having this surgically removed this saturday. what could this usually be? i hope to read ur reply soon. thank you. [/INST] Hi, Welcome to Chat Doctor. There are quite a few possibilities for that lump. It could either be a lymph node, a sebaceous cyst, a Desmond cyst, a soft tissue tumor, or a Charon Chat Doctor. Without a clinical examination it is not possible to come to a diagnosis. But at your age a malignancy is a rare possibility. So don't worry much. Get it removed and have it sent for histopathological evaluation to know its exact diagnosis. Hope I have been helpful. Regards</s> |
<s>[INST] I have as willed left cheek and vertical raised lines running down it. The gums around my left bottom wisdom teeth are also sore and swollen and its been like this for 2/3 days. Im 19 and as far as I know Im healthy. Anything I can do? Or should I make a doctors/dentist appointment? [/INST] Thanks for using Chat Doctor. Read your query. The swelling in relation to your wisdom tooth can be because of peritonitis which occur during it eruption and when it gets inflamed. I would advise you to take a painkiller like ibuprofen (if you are not allergic to any medicine) and amoxicillin. Do warm saline gargling. Keep the area clean and avoid food debris. If still persistent visit your dentist and get an X-Ray done to know the exact location if the wisdom tooth. Hope this was useful. Thanks and regards.</s> |
<s>[INST] HiMy name is abdi. I have few queries today my brother 17 years I had a motorbike accident three weeks ago He suffered severe head injury and damage to the brain. He currently sedated but he suffer bad chest infection and is not making sign of improvement in term of his breathing after been giving antibiotics. [/INST] Check if it has sustained rib fractures and hemothorax(Collection of bloody do in pleural spaces)... If so, Intercostal tube insertion and Chat Doctor. . Culture sensitivity report of </s> |
<s>[INST] Hi, may I answer your health queries right now ? Please type your query here... I am a 42 year old male and found a lump on the left hand side of my nipple since last august, the lump is not round in shape more like a small oblong shape. I have have 3 GP s look at it and they said its very unlikely to be anything concening. I also get pain on my left rib cage as well and very worried this might be linked to the lump. I visited my GP again and he referred my to have an ultrasound. Please advice I am worried that I have cancer. The size of the lump has not changed in size since i discovered it [/INST] Hi, Thanks for query to My Chat Doctor virtual Clinic. I studied all details of your query. Your query information is insufficient to comment on whether its cancer or not. In this background I would suggest consulting Surgeon, who would be the right consultant to check and opine about the suspected lump near left nipple and who would treat it properly. If need be he may do FNAC biopsy to fix the cause of your chest lump. In My Opinion you seem to have problem of Confusion and obsession-anxiety of having cancer, and hence the over handling of your so-called lump, (which could be Sebaceous Cyst or a normal fat lump) is giving you lump and the pain in the ribs under the suspected lump.Hence, Second opinion from Surgeon would remove your worry. Hope this satisfies your query.Don't forget to hit thanks and write excellent review comments to help needy visitors at Chat Doctor. Welcome for any further query in this regard. Chat Doctor. N.M.S. Genl- CUTS. Senior Surgical Specialist.</s> |
<s>[INST] Hi I have felt small chest pains for a couple of days lately, comes on intermittently, and not really painful. Tonight I was having it every few seconds. It s a dull pain, and it seems to be mostly my right side, though a few times on the left. Should I be worried? I m 20 yrs., female, 145 lbs. [/INST] NO, NOT TO WORRY precautionary go for X-ray chest PA...........................................................................</s> |
<s>[INST] My gums were sore yesterday and today I have small white spots on the gums of two of my back teeth. I also have had shooting pain on the same side of my head today near my ear. It comes and goes. Any ideas of what is going on and are the two related? [/INST] Hello, it cannot be suggested as what could have caused your problem. It may be because of tooth or gum disease. In addition, you also have complains of headache which could actually be a referred pain due to the offending tooth problem. Please visit a dentist as soon as possible.hope you get well soon.</s> |
<s>[INST] I have a titanium plate and screws in my ankle. I changed my blood pressure medication from Lisinopril-HCTZ 20/25Mg to Lisinopril 30 mg. Since i started taking the new medication...my ankle is stiff and is very sore. Could the medication be the cause or could it be something else. [/INST] Hello, It is not related to your blood pressure medicine. Other causes like contusion or sprain must be ruled out. Consult an orthopedic and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. </s> |
<s>[INST] Hello Doctor, I have two questions to ask. 1) I have a reddish or pink round rash on my biceps , it tends to itch sometimes. Is it some serious symptoms which leads to any particular disease. 2) I am sorry to ask this question. But i also have rash black in color,it is surrounded by a white color substance or coating on the inner skin of my penis . Is it anything serious I am little scared. Could you please help me with this problem? What i should do to solve these problems. [/INST] .hi reddish pink rash on the biceps can be fungal infection.it is only superficial fungal infection.it does not lead to any dangerous disease. And the white colored coating on the inner side of penis can be candidiasis which is also fungal infection.it can be cured by Atari 25 mg at night, use of fluconazole 150 mg weekly once for 4 weeks. And application of on abet cream over the lesions</s> |
<s>[INST] I had total knee replacement 8/13/2012. I had an infection when staples weere removed and my knee came open wirh infection. I was a long painful process Since then I have had two episodes of minor infetion in same leg I recently had an indo bone can which saw infection on or near artificial knee . What can I expect from Dr Goytier? [/INST] HelloWelcome to ChatDoctorIts very serious that you are suffering from infections after such a sophisticated operation. There may be problems with operation procedures or may be ignorance towards infection control measures or may be antibiotics were not taken properly by you or may be due to resistance to antibiotics. Your doctor must properly examine your knee with lab tests and serial x-rays. Please take advises about appropriate painkillers and antibiotics and after that proper physiotherapy.Don't worry and take care...</s> |
<s>[INST] Hi Doctor.I am feeling pain in my chest and back and also left hand and shoulder. I have checked with a local doctor who examined and removed an ECG. the ecg report and blood pressure was normal. Doctor said its bcoz of acidity and gave me a medicine. I am thirty years old. Can you please advise what is causing the pain??? Is it something to do with my lungs??? [/INST] Hi. The pain in your chest back and arm area could be originating from your neck. If upper neck bones are not free to move enough then there will be associated tightness in the muscles connecting neck and shoulder...which might be referred to chest and back if untreated... It is not necessary that you should have pain in your neck as well, you might have stiffness sometimes... If I were your treating doctor... I would like to examine your neck for intervertebral mobility and find out the facet joint or nerve getting irritated..... Mobilise your neck muscles and improve intervertebral mobility... I would recommend you to Keep icing your neck shoulder area especially around side of the neck... shoulder frequently... Gently knead the area to make out painful area over neck and shoulder and concentrate on kneading those areas... Keep your neck supported while sleeping... Maintain posture while working... especially if you happen to do desk job.not to bend too much time take frequent breaks. Ergonomic adjustments to be made to workstation to avoid prolonged neck bending... Gently stretch the neck and shoulder... to receive spasm and regain length of the muscles... If you have an Anti-inflammatory medication prescribed to you earlier than have them for 3 days... Take rest. Avoid lying on the affected side.... shoulder... Once pain reduced you can start with neck isometric exercises...ABD shoulder strengthening.... Hope this is helpful for you... Kindly revert in case you need any further assistance....</s> |
<s>[INST] My baby is having loose motions from last 4 days.. We are keeping him hydrated.. He is taking his food. and giving him mixture in water like ORS.. is this because of teething. ? what are your suggestions. can any antibiotic is required for making the motions stop? [/INST] Hi... It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. </s> |
<s>[INST] Hello, Im male, soon to be 20. After masturbating I got this underskin pimple and it hurts sometimes. I went to the Doctoer and he asked me if I had sex or masturbated. I didnt have sex but I have been masturbating like everyday, I was to shy to tell him so hes like its either from masturbating, having sex or you got cut on your toes so he gave me Augmentin. I had it twice and still have that pimple but its only on the right side now above my pubic are. What is it? should I be worried? I masturbated yesterday too. I weight 74, height 64 I guess [/INST] Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, need to worry dear. Sometimes while masturbating you may pull the hair in the surrounding area which causes pimple. I advise you to continue the medication prescribed by the doctor. In worse case if it won't respond than you can go for Doxycycline 100 mg twice a day for a week. This will surely cure your problem. In future if you masturbate please wash your hand before you indulge in the act. Also shave the hair regularly this can help you in maintaining the cleanliness. Please wear cotton undergarments until you are clear of the situation. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.</s> |
<s>[INST] HI I am sunil kumar from delhi. I have some problem from last one year I have pain. the pain always. The pain is left side arm and chest. I am very scared. I fell beats in my whole body. I do these tests:ECG, ECO, TMT, Daibities, Chest Xray. Lipid Profile these all tests are ok I notice before some time my pulse rates are 90-100. is there any symptoms of heart attack or any other heart disease?Please suggest [/INST] Hello Sunil and thanks for writing. I can understand your concern and would try to help you in the best possible way. First relax and do not stress yourself with UN necessary diagnosis. You have undergone all recommended tests and no cardiac anomaly has been found(as per the question information). You pain seems to be musculoskeletal in nature, or it may even be due to psychological stress you are taking. Furthermore, you may consult a doctor and get yourself evaluated for cervical spondylosis and vitamin D deficiency as these are two common causes of such musculoskeletal pain. If that is the case suitable management plan would be started for you.In the meanwhile relax and focus on things other than illness and be cheerful always.</s> |
<s>[INST] My. father in law has been suffering fron multiple myeloma for which he is on Thalidomide chemotherapy due to which he was having severe hiccups all throughout the day. for hiccups he has been prescribed Tab. Nupenta twice a day, Fedrx and Folvite since past 5-6 days. this has really helped to control his hiccups , however from two days he is having severe dizziness . as per what i have read on internet overdose of pantaprazole can cause dizziness, however according to his doctor this drug cant cause dizziness. we do not know what can be done .please advise. [/INST] Thalidomide can cause autonomic neuropathy which in turn would cause blood pressure fluctuation, try to monitor the blood pressure ESP in lying down and then standing position. This be responsible for dizziness.</s> |
<s>[INST] I have an allergy to acyclovir there is blistering and skin feels on fire dwellings on throat area ear broken out up into hair line Got antihistamine but doesn t seem to be working can t touch skin really painful I am sensitive to all medicines is there anything I can do to relief pain and burning [/INST] Hello, Welcome to Chat Doctor, If antihistamines are not controlling the rash and blister caused by acyclovir. Some individuals may be allergic to acyclovir. I would suggest you1. Stop taking the Chat Doctor. You can apply cold packs on the lesions3. Moisturizing Creams like calamine lotion4. Oral steroids for 4-5 days. If your symptoms are not improving you can consult your doctor for further suggestions. Hope you find the answer in it. Thank you.</s> |
<s>[INST] Hi, I seem to have a pressure like feeling that is on my right side some what above my hip area. It comes and goes. I also have lower back pain. I did just have a child 2 months ago, so I don t know if it is just my body trying to re-coup or if it is something else? [/INST] Hello, See your doctor for an exam. That is the best way to make sure that there are no serious problems. It is very possible that this discomfort is from some stretching that occurred during pregnancy and as you say, just your body getting back into shape. Regards</s> |
<s>[INST] i am 38 years old.my height is 167 cms & weight is 96 kgs.My sgot is 80 & sgpt 190 rest all liver function test ok, hapt.A,B,C are also ok,CERULOPLASMIN,ASMA,ANA,AMA,are also ok ,BUT IN ULTRA SOUND-------MILD HEPATOMEGALY,FATTY INFILTRATION PLZ HELP ME WHAT TO DO [/INST] Hi thanks for contacting Chat Doctor...Don't worry. You have nothing serious problem.... Follow below instruction and regular follow up done.... Measure your serum cholesterol also. Take low fat diet... Avoid refined food and fat... Cheese, butter, non veg, pizza taken very less. Better to avoid... Use good oil in cooking like sunflower oil. Use very much less oil in cook Do regular 30 minute running or swimming like exercise. Strickly avoid alcohol. Fruits and green veg like good carboy Chat Doctor. . Take Adílio tablet for prevent gall stone formation... With these mostly you will recover in few months..... Hope your concern solved...If you need further advise ready to help you. Take care</s> |
<s>[INST] Yes, I am 16 years old iam over weight i weigh 220lbs; but i ve always been chubby since i was a baby...i have black stuff under my arms and in between my legs also in my neck...what is that? how can i get rid of that? i ve had it since i was 9years old. [/INST] Hiii.I think you have hyperpigmentation in that area. Just apply mellow ointment in the area twice daily. Mix 2 teaspoons lemon juice in half cup water and scrub the black areas often using this solution. You will get better results. Thank you.</s> |
<s>[INST] Hi, i am a male 29yrs old, I have this lower abdominal and pains in my testicles. I also have white discharge from my penis. My stool is very dry and i feel pain while having bowel movement . I visited the clinic and Doctor asked about my sexual life. i told him i have unprotected sex with my partner but that happened a month and some days before i noticed the white discharge and pain while passing urine. He gave me some antibiotics, after that the discharge continued and he gave me another one. I had a urine and blood test but nothing was found. Now i do not feel any pain when passing urine but i still have this pain in one of the testis with lower abdominal pain and some times lower back pains. I still have dry stool. Something i must mention; I have never had sex for 5 yrs but have occasional masturbation. And i had oral sex/long masturbation before i ejaculated just some days before i saw those symptoms. Please i need your professional advice. [/INST] Stop unnatural sex habit. For Chat Doctor. Do daily morning walk and exercises. Yoga can help you in solving this problem. Can take husk of soph GUL soaked in warm milk. With this see the changes in 15 days.</s> |
<s>[INST] My mom is cancer patient,previously we consulting doctors in Tata hospital Mumbai but due to low weight and over age they didnt given chemotherapy after once.they installed a plastic pipe to pass jaundice.n now she is not having any meal or proprietary food not using toilet also.what should we doshould i go to a doctor.if there is a hope to see her back goodplease tell me. [/INST] Hi, welcome to Chat Doctor forum. I am sorry to know of your mothers' health, I can't give you un necessary hopes, and unnecessary advises, by taking her in and out of the house. I suggest some homemade remedies for just to prolong for some days, I advise you to give her fresh juice of palatable vegetables twice a day. Also give her glucose 10 spoons, in 50 ml of water as frequently as possible. Wishing for a quick and complete recovery. Thank you.</s> |
<s>[INST] I have been unusually active the past two weeks and started to feel pain in my ankle a kind of gout pain. Now I am experiencing general over all pain in both legs that spikes when I cough or sneeze. Both legs feel like over stuffed sausages as well. Any idea on what is happening? [/INST] Hi, Since you were unusually active for past 2 weeks there chances you might have hurt your back or had any previous injury that has led to disc prolapse (pinched nerve) in your back. Coughing or sneezing increases pressure on your lower back, so you out get more pain (increase in intervertebral pressure). You need to get an MRI done for the diagnosis Also need to take rest, prevent from straining your back. Avoid flexion movements. Take Hot packs in the center of your lower back. Also hot water bath on legs will help you to relieve symptoms to some extent. If the pain is unbearable you can take over the counter medicines like Ibuprofen or Diclofenac. Hope I have answered your query. Let me know if I can assist you further. Get well soon.</s> |
<s>[INST] I have this ball like thing in my right cheek near my jawline that can be moved around but it doesn t hurt unless I push it really hard. I ve had it for years but I never thought anything of it. Lately my jaws has been cracking a lot. What can this be? Should I have my doctor check it out? [/INST] Hi. Thanks for your query and an elucidated history. Not only should you get this checked, but also you should request your Doctor for a referral for a surgeon to get this excised. Why would you wait for this to become big and then cause more problems at a later date.</s> |
<s>[INST] I had my period nearly 3 weeks ago. Soon after my boyfriend and I had sex( protected with BC and a condom) two times in that week. Everything was fine. A week later we had sex again...about two weeks into my BC pills( protected with BC with condom) and a day later I started bleeding. at first it was dark and a little clumpy but now a week later... One my third week of pills it still persist but is light. What is going on. Am I pregnant? Just experiencing spotting? I used two forms of birth control so I find it hard to believe that I could be pregnant when I took so much care [/INST] Hi, Thank you for posting your question here, I will try to answer it to the best of my abilities. The chances of you being pregnant are pretty small, after all you used condoms and contraceptive pills. It is very well possible that you're period is early this month, that can happen sometimes. Another reason could be because of the contraceptives, they are known to cause irregular bleeding in some women. So the way it stands, I doubt you're pregnant. But to be on the safe side take a home pregnancy test. I hope this answered your question.</s> |
<s>[INST] hi I have to have a ggt test done along with a cbc and liver panel. My question is will any of these be affected if I over the last six months have had about three nights of going out and drinking a little to much. maybe 5-6 drinks and a few shots. it is not something I normally do. although i do enjoy a glass of wine with friends or a beer during happy hour on occasion. but never more than 5-8 times a month [/INST] Hello and thanks you for your query. I am Chat Doctor and I will try to help you as much as I can with my answer. Yes it can affect and probably is since alcohol leads to liver damage and raises get levels. You should do liver ultrasound to rule out more serious conditions and reduce alcohol intake. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health.</s> |
<s>[INST] I have been experiencing brain fog. Light headed, unable to concentrate. When out I experience anxiety because I feel I cannot concentrate on what people are saying. Headaches, fatigue, bloating , are also symptoms. I had blood work and ct and MRI were all normal. I am scheduled to see a neurologist this week. [/INST] Hello! Thank you for asking on Chat Doctor! Your symptoms seem to be related to the beginning of depression or just anxiety. Lack of concentration is typical of anxiety. As all your tests have shown a normal brain structure, many serious neurological disorders have been excluded. That is why I would recommend consulting with a psychiatrist instead of a neurologist, who is specialist of this field. A psychotherapist could also help improve your situation. Meanwhile, I recommend avoiding caffeine and perform a lot of physical activity (Yoga, sports, swimming, tennis, etc.) which can improve your situation. Hope you will find this answer helpful! Wishing all the best!</s> |
<s>[INST] we had a chest xray that says... apico lordotic view shows faint left upper lobe opacity wchich may represent prominent interstitial markings or increased density due to overlapping bone (scapula) however, parenchymal infiltrates are not totally ruled out. is this a caused for concern? because this person is currently caring for a newborn baby [/INST] Hi welcome to the Chat Doctor You have not mentioned your age and clinical history... Clinical correlation is necessary in such doubtful condition.... Because from this chest x-ray finding infection cannot be ruled out... CRP and CBC done for further work up if needed Is you have fever, cough like symptoms than suitable antibiotic course given... Consult physician or pulmonologist for examination and clinical correlation of your case Take care</s> |
<s>[INST] my daughter has minor asthmatic allergy her doctor has already prescribed her clenil-a inhaler but unfortunately i forgot her inhaler back in Pakistan and now she is suffering from minor stroke though clenil 250mcg is availbe here in UAE but i dont remember the prescribed strength please guide me what to do or tell me any alternate. [/INST] Hello sanali25. If your daughter is having what you believe is an asthma attack please take her to your nearest emergency facility for evaluation and treatment. Do not allow her symptoms to become severe as asthma can be life-threatening. If she is not in an attack, I would advise either trying to call her doctor at home and see if she can take the clinic strength available where you are staying OR take her to a doctor or urgent near where you are staying now to get a prescription for the appropriate dose of her medication. The dosages on pediatric medications are usually based on weight and age of the patient. Be well, </s> |
<s>[INST] MY daughter is one year 5 months old. for the past one week she is passing motion frequently. that is daily atleast 5 to 6 times. the motion is normal sometimes and constipation sometimes.. is there any problem is passing like this? And her stomach seems large.. pls kindly advise me [/INST] Hi, I can understand your concern. Infant gets intermittent diarrhea till the age of two, but it is mostly viral. Passing motion five to six times a day doesn't need any medication when not associated with any other symptoms like vomiting, refusal to feed, fever, lethargy, excessive crying etc. Watch for signs of deny Chat Doctor. </s> |
<s>[INST] I had my last periods on December 15. Thereafter on December 21, I and my boyfriend got close. We had our clothes on. He sucked my nipples and I sucked his penis . He smudged his semen on my nipples and rubbed it. Little semen spill on my shirt. He did NOT finger my vagina . I took an unwanted 72 within 48 hours. My periods are generally regular. But this time around i have not been in periods and it is already 20th of January. This was the fourth time i had taken an emergency pill. Is it due to the pill or are there any chances of pregnancy. From Jan 1 i am on my exam leave and therefore did not have a hectic lifestyle in this month. [/INST] Hello, As your boyfriend sucked your nipples, and you sucked his penis and his semen was smudged on your nipples and not into your vagina, even your boyfriend does not insert his penis into your vagina, and he only wipes his hand on your nipples pored with semen, if he puts his finger even after wiping the semen, evener than pregnancy is not possible, because pregnancy is possible only after intercourse completed and proper sperm motility into the vagina and Fallopian tubes and by reaching the sperm into the ovaries which are too faraway from Vagina in your body. So you don't worry about your pregnancy, which is not at all possible as you described the situation in between you and your boyfriend. So you definitely forget the fear of pregnancy and take care.</s> |
<s>[INST] my 19 year old son who has high blood pressure for years due to solitary kidney , with only small amount of kidney damage is complaining of left side back pain along with urine frequency, but no pain to urinate.... a complete feeling of not well..... he tested his sugar ( 15 ) but after a light meal..... im very concerned as there is a strong history of diabeties in the family .... he is also spills a lot of protein in his urine..... im trying to get him to call his kidney specialist but he refuses and says he will test sugar in morning.... concerned mother [/INST] Hi. Welcome to Chat Doctor. Looking to your sons' history, it seems that he has high BP due to kidney problem. Protein leakage in urine require quantification by 24 hour urine protein measurement. Check S. creatinine and sonography. Diabetes can be ruled out by fasting blood sugar and HbA1c measurement. Back pain may be due to other problem also-like spine related. If sonography of kidney is normal, you can do spine X-ray and consult orthopedic for that. I think this would be helpful to you. Best wishes. TC. Chat Doctor. </s> |
<s>[INST] My semen analysis report: Abstinence : 5 days Phsyical examination : 2 ml Viscosity : Normal Colour: Opaque white Liquefaction : Sample liquified when recieved Odour : Musty Turbidity : + pH: 7.5 Fructose: Present Sperm Count : 70 million/ml Sperm motility 1. At liquefaction time : 50% 2. 1 hr after liquefaction time : 40% 3. 2 hr after liquefaction : 30% Abnormal sperms : 25% 1. Abnor of head : 10% 2. Abnor of Middle pieces : 10% 3. Abnor of Tail : 05% Sperm Kinetics : Grade III Agglutination : abesent Precursor cells : Present Pus cells : 1-2 hpf Erythrocytes : Nil Hammen s semen quality classification : III [/INST] Hello, welcome to Chat Doctor Firstly, color, odor, turbidity all are within normal limit. The sperm count is within normal limit (Normal is >20 million /ml as per WHO 2009). The motility of the sperm is quite ok (normal total motility is >40% as per WHO 2009). The sperms with normal morphology is also quite ok (normal is 4% as per WHO 2009). All others are within normal limit. Overall, your semen report is within normal limit.</s> |
<s>[INST] I recently had 5 moles removed by a dermatologist . They were removed approximately 4 weeks ago. Last night I woke up and all of my mole removal sites were extremely itchy. They all seem to have red elevated itchy welts around all of the scars. I have not been putting anything new on the scars, and I ve avoided all sunlight to these areas. [/INST] HiT hanks for your query at Chat Doctor . The elevated reddish itchy welts what you are talking about is mostlyHypertrophy scars or keloid formation. The reason for this is mostly your tendency of wounds to heal by hypertrophy our forming keloids. There have been various treatment modalities which needs to be done in a proper methodical manner by a trained and qualified plastic surgeon after confirming the diagnosis by seeing you in person. The treatment includes :Injections triamcinolone with in 5 Flour Uracil into the lesionsSilicon sheet application over the lesioning pulsed dyed laser over the lesions (PDL)The entire treatment will be done in sittings done 4 weeks apart. And complete duration is usually 6 to 8 sittings. Good bless</s> |
<s>[INST] I am a male...41 years old....I have extreme tenderness in both breast....when touched it feels like needles sticking me in the center with pain radiating out across my chest.....it has gotten worse over the past few months....it has been an issue for at least six months....some days worse than others....but lately always painful.....the only medication I am on is Methadone and i am probably 50 lbs over weight....with a lot of it in my breast area.....what does this sound like...is it common.....there seems to be some hardness in the breast maybe swollen glands or lumps of some sort [/INST] Hello, Possibility of a mastitis or inflammation must be ruled out. However, an ultrasound can be taken to rule out any cystic lesion. Hope I have answered your query. Let me know if I can assist you further. Take care </s> |
<s>[INST] I have had pain in my right side low down for months, its getting worse, its now starting to hurt on left side, my lower back hurts, and my stomach, the pain on my right side is making my right leg hurt, I am in constant pain, I have seen a consultant at hospital year ago he said it was my lower bowel, im in so much pain, fed up going doc, s I know my own body and think and I think it, s something elsealthough I dont know what please can you help [/INST] It may be wise to undergo tests. Use hard bed, avoid lifting weights, hot fomentation of back. Take anti-inflammatory painkillers and take high fiber diet</s> |
<s>[INST] Hello, My husband had his widsom teeth removed on Thursday and he experienced several complications. When they removed his widsom teeth they cut a part of his gum and the side of his lip. They had to give him stitchs and he is supposed to return on Friday. They prescribed a antibotic every 8 hours but I am concerned of the possible long term effects. I have read online where people have died from getting their wisdom teeth removed and I am very concerned and I am not sure if he should go to the same office or see a specialist as they dont seem to know what they are doing. [/INST] Antibiotics are very necessary after extraction of any tooth most commonly it is given only for five day its may be two times in day or three times in day it is depends on the types of antibiotics .in the case of wisdom tooth extraction there is some complications are seen most common are swelling on the respected side it may be subsided with in two to three day .if you take proper medicine at the time and worm saline rinses done 4-5 times in day there is no requirement to meet the specialist for this case.</s> |
<s>[INST] I have a very sore tounge, it is on the right hand side on the edge a little under and a little on top, it stings and is like a burning feeling, i see little red dots when i look in my magnifying mirror, hurts to eat cant touch it, probably because of the salt on my skin, i have never had such pain on my tounge, i rinced with salt water, not to bad, but now im rinceing with water and baking soda and that makes it sting also, not sure how to get relief, went to a medi clinic and they dont know, are going to send me to a specialist but i may have a 1 month to 6 month wait, untill thn how do i get rid of the pain? [/INST] Hello and welcome, The sore tongue may be due to- Traumatic bite. Vitamin deficiencies. Oral habits like tobacco chewing. I would suggest you to avoid hot and spicy foods. Vitamin supplements can be administered. Stop using tobacco if you practice. Apply pain relieving gel on the affected area. MeaNWHILE, clean your tongue with great care using soft flossing materials. Take care.</s> |
<s>[INST] tightness or pressure in chest areaIm on Atenelol, they say I have A fast heart rate caused by stress because all my test have come back normal. My vitals have been fine but am feeling occasional tightness, pressure and pain in the chest. Should i be worried and what should I do? Ive tried to limit my caffeine. Thanks [/INST] Thanks for your question tightness or chest pain can be due to cardiac issues like MI, angina, or anxiety and others or lung issues or gastritis you need to visit a physician who can request for a chest X-ray and an ECG and a 2 d echo if required to evaluate and rule out the organic diseases or cause sin my patients I usually give them aspirin and a proton pump inhibitor and then evaluate them thanks feel free to ask more questions</s> |
<s>[INST] i have a metal bar in my arm after an accident, its been there for 3 years now and i have had no issues with pain. As of 2 nights ago there is a bulge in my arm where the plate is and i am getting an annoying pain, especially to touch, what does this mean? [/INST] Hi, The way you have described, it appears like a muscle tear of long head of biceps. Diagnosis can be confirmed by clinical examination and MRI/ ultrasound examination. Just apply ice packs 2-4 hourly for 5-7 days and continue with all your routine work except heavy weight lifting. Hope I have answered your query. Let me know if I can assist you further. Thanks. </s> |
<s>[INST] d ear sir,i am 28 year old women.i am treating pcod with metformin 500 bd[started on 17/may/2011]duphastone also taking now,this is started on 15/june..last period is 28 may.this month i am trying to conceive,but today i am cheaking tourine test negative result will shown.suggestion please.my wt 70kg,ht 168 [/INST] Hi, I think you should take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after your injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Chat Doctor. </s> |
<s>[INST] Hi, DOC, I have cough with Phlegm and difficulty to breath specially at night, i took so many sirop for cough but doesn t work, i think i need strong medicine like antibiotics but i don t like it because some of them i took before give me skin allergy , please can you suggest any antibiotic without this side effect?? Thank you [/INST] Hi, Welcome to ChatDoctorYou are having cough with sputum more so in night, there is possibility that you have chest infection along with bronchospasm and inflammatory reaction (Bronchitis). I suggest you to visit a Physician who will examine you and this is very easy to diagnose and if required Blood count and X-ray chest and Lung function test may be performed. Then proper treatment of antibiotic, bronchodialators, steroids oral if required may be prescribed to you, and you will improve in few days. If Asthmatic reaction is there inhalation therapy is of great help. You can always say which antibiotic you have allergy as there are many other groups from which safe antibiotic may be given. It would be unethical to advise Chat Doctor. Please visit a Physician you will be taken care. Good Luck</s> |
<s>[INST] I have had what feels like a dull or faint heart rate today. After lunch I felt strange and a bit dizzy. It lasted for about an hour. I feel ok now 8 hours later, just get concerned when it s your heart. Not the first time it s happened. Bout 3 times in last 5 months [/INST] Hello there I understand your concerned need to get an EKG done and based on that we will go ahead with the solution for your problem Hope that helps</s> |
<s>[INST] I have 2 small reddish bumps under my left eye. It almost goes away and then returns. I have never had any skin problems, do not take any meds. I hadan extensive outbreak of cold sores earlier this summer due to the sun. I did not realize that was the root of my problem at first and have avoided that situation. They have all cleared up but I now have this prob could it be related? They do not come to a head and are not weepy but they do burn at times and itch. [/INST] Hi, Welcome. Based on the facts of your query-You don't seem to have any relation of the reddish lump under your eye to the cold sores few months back. Mostly you seem to have acne as they burn and itch and are reddish and are on the face Hope this would help you to plan further treatment with your doctor. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVTS</s> |
<s>[INST] Hi, I have a small bump corner of my left knee and i feel like it has slightly reduced in size when compared to last month. But when i kneel down at a certain point below my knee cap i feel like needles are pricking and it feels very bad for few seconds. I also have pain around my knees when i stand or walk for few mins. Pain is not severe. What could be the problem. I didnt have any issues in my knees or legs so far. Im 30 yrs old homemaker, 5ft6inch and 58kg. Please help. [/INST] Hello, From what you have described it seems you have bursitis around the knee joint which is secondary to osteoarthritis of the knee. It is a common condition in which the fluid contained sac around the knee which is present to decrease the friction when you are moving the knee joint becomes inflamed All you need rondo is to take it easy for a few weeks and avoid kneeling and squatting. You can apply a local pain relieving gel and hot fomentation. If it does not decrease in a few weeks, get an x-ray of the knee joint. Hope I have answered your query. Let me know if I can assist you further. </s> |
<s>[INST] Hello, I have been fighting what I thought was just a common cold since thursday morning and was just feeling really tired out on friday. Saturday I stayed home from work and slept off and on throughout the day. Yesterday I was outside with a friend and was coughing throughout the day also coughing up muccos and had mild chest pain while coughing... Today at work I was couging and had times I had to stop to catch my breath as I was short of breath. Now was woundering what this may be and should I go see my doctor or go into urgent care? [/INST] Hello, Yes, you should definitely consult pulmonologist because possibility of bronchitis is more likely in your case. Bronchitis is inflammation of airways. It is very common after viral upper respiratory tract infection (common cold). It causes bronchospasm and this in turn causes chest pain, coughing, mucus expectoration and breathing difficulty. So, get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Hope I have answered your query. Let me know if I can assist you further.</s> |
<s>[INST] My CPK was tested an it is very high its 1073 and CK MB is ok at 05. I have had this for sometime now. I find it a bit difficult to walk. My leg musles are weak. How can I get over this. I know its not going to asimple solution. I will be happy if you can direct me towards a solution. Thank you Franklin [/INST] Hello, High CPK can be there due to following reasons:- Some medicines like statins, vibrates, antiretroviral, beta blockers etc.- 24 hr after severe exercise- Polymyositis, dermatomyositis and other connective tissue disorders-Cardiac problems like infarction- Endocrine disorders like hypo or hyperthyroidism- Viral infections If muscle weakness is only symptoms you are not getting relief from any treatment then you should get a complete evaluation including endocrine disorders and should have a muscle biopsy to rule out myopathies. Meanwhile, you can do following:- Take a good analgesic like ibuprofen.- Chat Doctor. - Take supplements of vitamin E with L Carnitine. Hope I have answered your question. Let me know if I can assist you further. </s> |
<s>[INST] Good afternoon sir. I am suffering levever serosis since 5 months. my SGOT 127 SGPT 174 ALKALINE 814. M y legs are swelling and stomach is also swelling. I am under treatment by Dr. K. Raghuram in Best Hospital since 4 months. I am requesting you to suggest me for treatment. Hope you will help me by suggessing me for consulting or where i have treat for my lever problem. THANKS [/INST] I am suffering from lever cirrhosis problem since 5 months, I have been taking treatment by gerontologist, my legs and stomach are swelling during sitting in chair and sometimes pain also in legs, my GOT TEST shows 127 SEPT 174 ALKALINE 814. Requesting me to suggest where and home to consult for treatment,</s> |
<s>[INST] Docter,I am 58 years old, and having bp and sugar and 5 years back coroary heart disease one vessel stent put. As per dr. advise I am taking prolomet am 50 mg, avas 10 mg, olmzest h20 and gemer 1mg. Now days I am forgetting very frequently and staircase above two floor difficult to climb. plesae suggest it is due to medicinal effects. (my bp leve/90/150, fasting sugar average140 to 160) [/INST] Hi, After going through your case I want to know - 1) You are unable to climb stairs it is because of breathing difficulties or chest discomfort or because of leg pain. 2) Any habits like smoking, alcohol. 3) 2DEcho report done at the time of stenting. 4) Any puffiness of face or swelling over body. 5) Imbalance while walking, slurred speech. 6) Forgetfulness is for short time or longer duration. Following investigation are advisable in your case-1) ECG comparison with old ECG is important. 2) 2DEcho to know pumping capacity of heart and any abnormalities of heart wall motion. 3) Fasting and postprandial blood sugar levels, HbA1c level to know your Diabetes control. 4) Lipid profile to know cholesterol levels. 5) Kidney and liver function tests including ultrasonography. Difficulty in climbing stair may be due to impending heart failure that might be due to new heart disease if leg pain is there may be claudication due to complications of diabetes on blood vessels of legs (peripheral arterial disease) Forgetfulness might be due to side effects of Medicine like proposed, hypoglycemic (low blood sugar levels) episodes or impaired blood flow to brain. So it is advisable to consult cardiologist and also neurologist for neurological Examination.</s> |
<s>[INST] Well I am trying to figure out what is wrong with my boyfriend every couple of months he has these spells Where he starts Sweating really bad but he is really cold at the same time he can t hold down and fluids and he vomits these spells usually last a1 to 3 days... No matter how many time we go to the ER the can t figure out what is wrong with him... The just keep asking him if he does any drugs or drinks which HE DOES NOT... What could it be? [/INST] Hi, Thanks for writing in. It is possible that he is having rapid cycling vomiting syn Chat Doctor. Cyclic vomiting syn</s> |
<s>[INST] hello kidney transplanted seven years back recently there was urine and stool iritation .age 55 years .my doctor changed sirolimus level was 5 to tacrolimus and level is 9.7. urine culture negetive twice .stool sterile .urine ph 5. non diabetic . amorphus deposit is +1 still iritation persist i am male [/INST] Hello balbirwelcome to Chat Doctor The presence of crystals(amorphous deposits) of chemical substances in the urinary deposits is influenced by acidic or alkaline reaction of the urine.it indicates the presence of stones in urine.u need to go for ultrasound scan to confirm the diagnosis. And consult urologist with the reports. Good luck</s> |
<s>[INST] I am suffering from wheezing issue from four months now. I am adviced to take Montek LC tablet. I get itching sensation and also I think it does not help as still I have bad cold and cough. I cough so much that again wheezing starts. Nibulization is also not helping me. I am tired of meeting doctors and changing medicines. Please help. [/INST] YOU ARE ALLERGIC TO SOME AILMENTS.THE CAUSE.IT MAY BE INDOOR PLANTS, ANIMALS,DUST,Housefly, EGG,MILK, ANIMAL, SMOKE, FUMES,BLOOD TEST FOR, TOTAL EOSINOPHIL COUNT, IGE, SUGAR,URINALYSIS.STOOL EXAM.FOR OVA & CYST.IF NOT CURED, I WOULD ADVISE TO GO FOR ALLERGY BLOOD TESTS, SKIN TESTS, TREATMENT DEPEND ON CAUSE.MONTE CAC FOR LONG PERIOD IS NOT EFFECTIVE RATHER HARMFUL.YOU CAN TRY BEN Chat Doctor. CONSULT YOUR DOCTOR FOR MORE OPTIONS.FEEDBACK TO Chat Doctor.</s> |
<s>[INST] I have been having a burning sensation in my face and tingling teeth and gums for 5 days. My blood pressure was normal until yesterday when it went up to 175/89 with a 90 pulse rate. I went to my doctor and the blood pressure was down to 151 over 69 when his nurse took it and then down to 140 over 79 when the doctor took it. I stop taking a new multi vitamin ( take a variety of other vitatmins including fish oil, calcium and vitamin c, etc), thinking the new multi vitamin (it was a new brand for me) might be causing an allergic reaction. Today my bp was 122 over 77 with 84 pulse at 7:30 a.m. and then 117 over 79 with pulse of 90 at 10:30. Then I took it again at 12:30 on a different monitor and it was up to 156 over 85. My face is hot again and tingling is in teeth even though it has been over 24 hours since I took any of the new multi vitamin. I was a little dizzy this morning when the blood pressure readings were low. The doctor thinks I am having anxiety issues over this hot face and tingling which he feels is caused by the allergy to the new multi vitamin and the anxiety is causing the spikes in my bp. I am hopeful that he is right but am worried as the dizziness started this am. Any suggestions you may have for me would be appreciated. [/INST] Your blood pressure numbers aren't too worrisome, and I think your doctor is correct about the anxiety issue</s> |
<s>[INST] My daughter is 18 months old and is suffering from asthma symptoms. Last time when she had severe problem breathing, pediatrician has advised to use Kidpred syrup - 5ml for 3days, Montair granules 1 sachet for 30 days and Inhaler: Budate 100mg, 2 times with 12 hour interval, Salbair 3 times with 8 hours interval. We followed all suggestion but discontinued Montair granules after 15 days. Our baby is again suffering from severe cold, cough and asthma kind of symptoms now a month after previous episode. Is it suggested to use the same medication again as used earlier? [/INST] Hi, Since your child was alright after using the treatment, you should adhere to your doctors' advice. It's very difficult to diagnose as asthma at this age. But meantime proper treatment to prevent any symptoms will help in intellectual and physical development. So adherence is must. This may be common cold or due to asthma. For asthma, you can continue montelukast granules once daily and bu date. This will help in preventing any further symptoms and saltier to relieve symptoms. I hope this information helps you. Feel free to ask for any further queries. Regards</s> |
<s>[INST] hello, i am a young mother and i have a son two years old. I am worried because he has a cough,and a noise when he breath.He is very skilful, a movable children and very smart.i have visited him and the doctor said he is allergic from milk and meat but i am not so sure because for a long time i put him on diet but ith no result he still becomes ill.The doctor said the illnes is part of the family of asthma bronchial.thx [/INST] Hi... Thank you for consulting in Chat Doctor. Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does he cough or feel breathless?2. How many nights per month does his sleep get disturbed due to above symptoms?3. Does he feel breathless when he runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? Please get back to me with answers so that I can guide you better. You can approach me at the following link - www.ChatDoctor .com/doctors/ Chat Doctor. </s> |
<s>[INST] Hello, Im concerned for my for my 12mo old nephew. Hes had a consistent cough for a few weeks now. At one point the docotors said he had pneumonia and just gave him antiboitics. At his last check up they said he didnt have it anymore but hes still coughing and cant catch his breath, weezing, lots of mucus and fever. He was taken to an urgent care yesterday just to be turned away...Please help! [/INST] Hi, If cough persists for more than 2 weeks, we should be cautious and need to evaluate the child. As the child had pneumonia, which itself can cause a persistent cough. The last symptom to settle in pneumonia is cough, which usually takes a week to settle. I would be worried if the child has a fever, fast breathing, chest in Chat Doctor. There are many causes for persistent cough, some are: Post viral bronchitis, Pertussis, Tuberculosis, cystic fibrosis, primary ciliary dyskinetic, Bronchiolitis obliterate, some cardiac causes like congenital heart disease with a left to right shunt lesions can have Persistent cough. Looking at the history you have given, it seems the child has post-viral bronchitis, which will settle in some time and the child requires supportive care and adequate nutrition. Hope I have answered your query. Let me know if I can assist you further. Take care </s> |
<s>[INST] I am currently being treated for carcinoid which started in my colon with mets to liver. On the last MRI there appeared a 1.3cm nodule on the upper portion of the pancreas. Although it has not grown within 6mo. would you recommend an ERCP to evaluate/biopsy or keep it on the watchlist ? It s possible to do an octreotide scan but that would only rule out if it was an endocrine tumor. [/INST] Good morning Sorry to hear about your ill health would definitely not put you to ERCPInfact, I would like to perform EUS and FNAC of the nodule detected on MRI scan. This would clinch the diagnosis. Octreotide scan would highly suggest an endocrine tumor but cannot confirm ITECH is usually used to evaluate and/ or bile duct obstruction and pancreatitis hope this would answer your question wish you speedy recovery</s> |
<s>[INST] I have been taking 2 capsules in the morning on an empty stomach for 3 months for high blood sugar readings hovering around 250, and A1C 7.4. Since taking Ip6 Inositol my blood sugars now hover around 100 and my most recent A1C is 6.2.How does this product reduce sugar levels? [/INST] Hello, Inositol is a vitamin-like substance which helps insulin work better. It is commonly used in diabetes with pregnancy. It can cause nausea, stomach pain, tiredness, headache, and dizziness. Hope I have answered your query. Let me know if I can assist you further.</s> |
<s>[INST] I donated plasma yesterday and the machine started beeping saying no flow they left me like that for 20 to 30 minutes then someone finally came over and said that I should have not been left like that and that I had clotted she tried the other arm n still nothing so they werent able to put my blood back into me they took the needle out gave me an ice pack sent me on my way and not even 5 minutes after I left I believe I had a seizure is this normal I have never had one before [/INST] Dear, you have nothing to be worried about. It is likely that you have experienced shivering than seizure. Anyway if the episode will happen again you should consult your neurologist, and do an Electroencephalogram. Wish you all the best, don't hesitate to contact me for further question</s> |
<s>[INST] My 20 month old has had a red rash around her mouth for the past couple of months. She s been to 3 different pediatricians and gotten 3 different recommendations. One said it was impetigo and gave her a topical antibiotic. Turned out not to be impetigo and the antibiotic ointment didn t help. The second one said it was just from a runny nose and saliva from having her hands in her mouth ( she s cutting back molars). She said use hydrocortisone but in limited amts. That helped for awhile but doesn t seem to be effective anymore. The 3rd pediatrician said it was perioral dermatitis from having her hands in her mouth but said to use some type of barrier to seal out wetness. We ve been using Vaseline but haven t noticed any improvement. I almost feel like it s getting worse. Any other thoughts on this and what to do?? It does seem to be consistent with things I ve read about perioral dermatitis. It looks awful [/INST] Initially use a steroid like mometasone for a few days twice a day. And after that shift to an aloe vera based lotion 3 times a day</s> |
<s>[INST] hi,my fiance has just been diagnosed with emphasima,he 44..smokes heavily,also they found a 5mm lump in his lung,hes to go for yet another ct scan..he wont stop smoking,and is very breathless..a year ago he was at the gym 5 times a weeknow he cant walk up stairs without bein out of breath..is 44 very young to have this disease.thanx [/INST] Thanks for your question on Chat Doctor. I can understand your concern. Yes, emphysema can be seen at the age of 44 years. Since he is a heavy smoker, emphysema is common at young age. He should get done PFT (Pulmonary Function Test) first. PFT is must totally know the severity of emphysema. And treatment is based on severity only. He may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Enroll him in smoking cessation clinic. Hope I have solved your query. I will be happy to help you further. Wishing good health to your fiancé. Thanks.</s> |
<s>[INST] My husband is 57 years old, 179 kg., 6 5 who has had pneumonia over the past 4 or 5 winters. He was diagnosed with non-Hodgkins B-cell mediastinal lymphoma. The tumor begins at the base of his diaphragm and extended into his neck, compressing on his neck in several places causing him to feel as if he were being strangled. He also has SVC syndrome with the SVC being 95% occluded. His left arm and chest were greatly swollen with swelling in both legs as well, but less severe than in his left chest and arm. He was given one round of chemo using the R-CHOP, but in less than 48 hours he started feeling a tightness and pain in his left chest. He was given pain medicine and a CT was done. Cardiologist, Pulmonologist, and Radiologist were consulted. Multiple PEs were found in the lungs and a DVT was found near his left ankle. Previous testing before R-CHOP showed heart to have no problems. After chemo, PEs, and DVT, testing showed right side of his heart was enlarged due to PEs, entire body, including face swelled tremendously -- his face was unrecognizable for several days. Doctor started heparin for PEs and DVT. Also, his neck became swollen and had what we called a doughnut around it -- it eventually resolved along with the choking sensation. Within a day or two of the heparin being started, he developed a bleed in his back, near T-10 -- as if the pain in his chest went straight through to his back. This caused him tremendous pain. As the pain increased in his back, it decreased in his chest. Before the second round of R-CHOP two weeks later, my husband expressed his concern that if he were given the chemo before the hematoma in his back resolved that he would bleed again expanding the bleed. The doctor said he did not think that would be a problem, but that if it did, he would give zinecard to avoid muscle damage. The morning following the second round of chemo (a Sunday), my husband had a severe burning pain in his back (he was still on pain meds due to the pain in his chest) and he felt and we could see a huge mass in his left lower back that was very warm to the touch. Dr. on call said zinecard would not be helpful and refused to give it and only authorized increased frequency of pain medicine. This, of course, did nothing for shrinking the mass and did little for the pain. The blood began tracking down his back and a new bleed started down low, just above his backside crack and then began spreading below that onto his bottom. His entire lower back was black, blue, and deep red and then it started tracking to both sides. He felt like he was on fire. Nothing else was being done for him. We were horrified and aghast and no one had any answers for us, but they wanted to do chemo again in two weeks. Needless to say, my husband was NOT agreeable to that as he feared he would bleed again. His red blood count numbers dropped to 6.4 and 18. In the hospital, we put large hospital ice packs on his back and sides -- it took 12 of them and we had to keep refilling them about every 5 to 6 hours. The cold would bring on muscle spasms, so he was given a muscle relaxer as well. That was 6 weeks ago -- the mass in his back is still the same size and my husband is still in terrible pain. Some of the swelling has gone down in his left arm and chest and tremendously in his feet and legs. He has not received any other treatment and the doctors seem to have no clue as to what caused the bleed in his back or how to proceed. After the second round of chemo, we were told that the tumor shrunk by 30% and that the SVC had opened up some, but no one knows why he is still swollen or why the huge hematoma is not resolving. The tracked blood in his back has mostly resolved, but the area is darkened where the blood had been. The lung has created new pathways through the PEs and there is no word on the DVT. After 32 days in the hospital, my husband was released and is still on large doses of pain medicine, Zofran, and Lovenox. He is nauseated, in terrible pain, and is not eating. Four weeks ago, his blood tests showed that he has low protein and low albumen. Nothing is being done about this and my husband now has hanging skin from losing too much weight too quickly. I have brought this to the doctor s attention several times, but he has done nothing about it. My husband has dropped almost 30 kg in 2 months and the doctor has not adjusted his Lovenox dose, which is weight based, and he has not even gotten a weight on him. Our last visit was 3 weeks ago. My husband lies in bed all day feeling sick and in pain. He was once a very strong man who endured lots of pain without a word of complaint. In 30 years of knowing him, he used pain medicine only when his wisdom tooth was extracted years ago and when he broke his RIGHT (NOT LEFT) ankle 25 years ago. He says that it is a burning, searing pain in his back and he and I believe that the chemo is in his muscle and affecting his nerves as well. It is very difficult for him to walk because he can t lift his legs. I have to physically help him move his legs. Can somebody please tell us what to do BEFORE he becomes paralyzed and the tumor starts growing again from lack of treatment. We are getting NO HELP from the doctors. The doctor now wants him to do radiation and we have an appointment scheduled for Thursday with the Radiation Oncologist. I doubt that he will even be able to get out of bed to get there. For the last 2 weeks, he has become incredibly nauseated and for no apparent reason, he has started losing his hair again -- it is all over his pillow. This seems to us to indicate that he still has that chemo sitting in his body. He also has lost all of the hair under his left arm (which is the side that is still quite swollen). His bowel became impacted last week and our doctor told us to go to the ER and said that my husband would get a neuro work-up while he was there. He indicated that my husband would be admitted because he asked us to go to a different hospital than the one we wanted to go to because he preferred the Oncology service there -- there is no Oncology in the ER, only on the Oncology/Hematology floor of the hospital. After spending 15 hours in the ER with no water given to my husband (even though I had requested that the nurse give him some as he could not urinate for them to test it and he was losing a ton of fluid through his bowel), the ER released him with only running an MRI, but he was NOT admitted nor was any neuro testing such as a nerve-conduction study done or recommended. My husband was taken out of our vehicle when we arrived at the ER directly onto a bed because he is so incredibley weak and wasted. We were told that the MRI showed no change and I asked no change from what because my husband had never had an MRI before. The nurse could not answer the question. My husband now has no control over his bowel --his stools are liquid and just runs out of him. He is wearing diapers to be on the safe side. We fear that the chemo has damaged his bowel, which we wonder is what maybe caused the impaction in the first place. He has lost all sensation in his left arm, hand, and fingers and his chest and arm are still swollen on that side. He has lost the sensation in his right arm, hand and 3 fingers on his right hand. He has lost sensation in both of his legs and feet. He feels numb and has tingling sensations in all arms, hands, legs, and feet. We feel he is becoming permantently paralyzed. We also fear him getting radiation because we do not know if he still has chemo agents still in that swollen mass and muscle in his back. Is it safe to have radiation if chemo is still in the body? Is radiation 5 days a week for 5 weeks straight safe or usual? Also, since chemo was injected directly into his vein and was carried through the blood and the bleed in his back restarted within hours of the second round of chemo and chemo was still in his blood, can you please explain why the doctor insists that there was no chemo leaking into my husband s back? Does it somehow magically disappear? We fear that my husband has been chemically burned on the inside and that his muscles and nerves and maybe tissues have been and are still being destroyed by the chemo. Is there anyway to get that stuff out of his back at this point? Is there an expert out there that can help us? We are so DESPERATE!! He needs to be seen by someone who can help him!! He feels like he is slowly dying. PLEASE, PLEASE HELP US!! We still have children at home and we do NOT want them growing up without a Daddy (like both of us had to). Thank you so much!! [/INST] You can opt for HomoeopatChatDoctorode of management. As Homeopathy is side effectless and very mild to act in oncological cases where immunity gets very heavily deranged. Homoeopathy treatment needs a thorough Case taking to select proper Medicine which needs thorough detailed Case history and reports. HOMOEOPATHY MAY WORK WONDER IN THIS CASE IF TREATED CAREFULLY.</s> |
<s>[INST] hi, I am pregnant and currently taking prenatal vitamins and folic acid. However, due to an infection, Ive been prescribed Augmentin 625mg twice daily. I also have a cold and have been taking vitamin c tablets and dequadin for my sore throat. The problem is that I have now developed a rash all over my body even on my feet. I am itching terribly. What could be the cause of this? I also drink a glass of cranberry juice everyday. [/INST] Hello.I think your rash is only due to cranberry juice. First avoid that juice a.use an antihistamine and apply calamine lotion all over the body</s> |
<s>[INST] dear doc, my baby is five months old and had started teething. she is passing motion almost four to five times in a day. in her potty i see red pinkish spots sometimes. she is on formula fed and takes only dal water. is she alright? [/INST] Red spot in stool is an alarming sign before giving any treatment confirm that is it blood or not. Get stool microscopy presence of RBC or significant amount of pus cells needs to be treated with antibiotics.</s> |
<s>[INST] I have a hard painful lump in my cheek (mouth). At first I thought it was my jaw, so maybe an abscessed tooth, but my gum area is not sore. I can feel the lump in my cheek tissue (for lack of a better description) and it is very sore like a bruise. [/INST] Hi. Thanks for your query. As per your description of the lump: hard-painful lump which is sore like a bruise can be an inflammatory in origin. The cause could have been a bitten cheek or a small injury which has inadvertently gone into infection. I would advise:A course of an antibiotic and anti-inflammatory for 5 days should solve the problem. If no response within 2 to 3 days consult an ENT Surgeon / Oral Surgeon to make sure that there is no serious underlying problem</s> |
<s>[INST] hello Dr. ! I am married since 2 years and my age is 30 years. My period was delayed for 3 Months in Jan 2017. so Dr. suggested me to take Reg flaw for 3 months and then try to conceive. but I didn t take it and took Rajah Pravatrni Vati - Ayurvedic pills now. my period cycle is 35 days. and we are trying for last 1 month. So, what you suggest to conceive fast. should I take medicine to regulate my period or not. [/INST] Hello, Thanks for sharing your health concern with us. I have gone through your query and here are your answers: 1. If you have regular cycles, there is no further need to use any medication to regulate cycles. 2. Establishment of regular ovulation and timing of intercourse properly is necessary. 3. If you want to conceive quickly, you have to get further evaluation and plan management. Hope this helps.</s> |
<s>[INST] hi im having abdominal pain but i have been having this pain for a while i have went to the hospital n they did ultra sounds and ct scans and didnt find anything but the past couple of days i havent had any pain maybe because i was on my period but the day it was over the pain came back [/INST] Hi. Good thing is son and CT is normal. There are many diseases which do not show on these investigations. You may please try a full course of an antibiotic and metronidazole and antispasmodic tablets as advised by a Doctor as this needs a prescription. What are the other symptoms you have?</s> |
<s>[INST] if my boyfriend and i had sex twice in one day , approximately an hour and a half apart; he pulled out the first time but only had a little bit, and then ejaculated inside the second time. but only felt a drop of sperm come out. what are my chances of getting pregnant? [/INST] Howell come to ChatDoctorThe chances of pregnancy is very likely, and you have to be careful about this and if you miss the period then better to get done the test and Ultrasonography test is the best way to confirm this, hope this information helps.</s> |
<s>[INST] I did quite a bit of activity, that I am not used to doing, over the weekend and woke up stiff and sore. When I sneeze, laugh, or tense my muscles in any way, I have horrible pain in my upper abdomen and around the middle of my back. Could this be a pulled muscle? [/INST] Hello, The symptoms can be related to a pulled muscle. I suggest using muscle relaxant such as Baclofen three times a day. I also suggest using magnesium supplements for muscle relaxation. Furthermore, I recommend resting and avoid activities that can trigger the symptoms. Hope I have answered your query. Let me know if I can assist you further. </s> |
<s>[INST] I am experiencing tingling and pin and needle feeling in my hands and arms. Thought I noticed it in my legs the other day? I am female, 47, overwieght (205pnds) ,5feet 8 inches. I drive a lot for my job, I do have horrible posture. I have liposis so there is a lump in the middle of my shoulderblades. I am eating healthy and trying to exercise more. Shaking and flexing my hand seems to help this numb feeling subside. I do not take any medication. My first thought was I was having a heart attack or stroke, but I am hoping it is carpal tunnel or a pinched nerve. [/INST] Hi and thanks for the query, this requires a careful evaluation of specific aspects of the past medical history and a complete physical examination. The causes are numerous, and could range from simple vitamin deficiencies to complex ones like problems with nerves or nerve compression. A proper consultation with a neurologist for an examination, and appropriate laboratory and neurological investigations would be most welcome. Kind regards</s> |