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The conversation between human and AI assistant. [|Human|] Hi I was told recently that I have a fatty liver and that my diet was the cause. I was wondering what I should stop eating and what I need to eat to stop this. Also what other than the test I was given does this fatty liver make me feel like or do I need to worry? [|AI|] Hello, Welcome to Chat Doctor. It is now very easy and will helpful in prevention and treatment of fatty liver. Do regular exercise and yoga with meditation. Make exercise schedule fix. Minimum 1 hour brisk walking is necessary. Take fresh fruits and green veg more. Chat Doctor. Also take protein rich diet, beans etc. Strictly avoid spicy and oily diet. Avoid fast foods including bread, jam, pow etc. Also take help from nutritional specialist. Hope these all will be helpful to you. Thanks for contacting us. Take care...

The conversation between human and AI assistant. [|Human|] Hi have this rash under my breasts, in my hysterectomy scar and in my butt crack that I can t seem to get to go away. My doctor has given me antifungal cream, which did nothing, nystatin which helped a little and B&C Cream which helps some but then it comes right back, it s starting to cause a perm discoloration of my skin, please help! [|AI|] Hello, Thanks for the query, You might be suffering from fungal infection only, But the medication might not be working on you. There can be two reasons. First is that the fungus is resistant to the Chat Doctor. Second, you might have used the medication for short period. Any antifungal cream must be applied for at least a month. Please meet a dermatologist for final diagnosis and treatment me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/

The conversation between human and AI assistant. [|Human|] my mom is an alcoholic and diebetic and used to drink really heavily for years. SHe went to treatment several years ago and got healthy. Well now she has started drinking again. She has had 3 or 4 episodes of random swelling of her lips neck or tounge, what does that mean? should i be worried? is that a sign of liver diease? [|AI|] HiT hanks for writing to Chat Doctor Usually swelling of lips, tongue and neck and seen in allergic conditions (angio-oedema). In liver disease there could be parotid gland (salivary gland) swelling. The swelling if occurs as a part of whole body edema then it could be due to liver disease with hypoproteinemia and fluid retention. Anyway get checked with a gastroenterologist. It is better to avoid alcohol as this would further damage the physical, mental and social health. Get LFT (liver function tests) Longshanks and regards

The conversation between human and AI assistant. [|Human|] Hi doctor my name is Gagandeep Singh from New Delhi, i am suffering from psoriasis(skin deasease).I have a lot of red patches on my entire body and these are getting worse.Scalp is also infected like a thick layer on the head.Can you please suggest me what to do like the treatments and diet as it has become very embarrassing for me to come in front of anyone.Please help me. [|AI|] Hello and welcome to Chat Doctor. Psoriasis is an inflammatory skin disease characterized by well-defined erythematous scaly plaques with silvery white or candle wax type of scaling. Chronic plaque psoriasis is the most common type. It can affect sites like scalp, arms, and legs, (specifically elbows and knees), palms and soles etc. Other types of psoriasis are: Erythrodermic psoriasis, Pustular psoriasis (generalized and localized), Nail psoriasis and Scalp psoriasis. There are various precipitating factors for psoriasis: Infections(sore throat, dental infections etc.), Chat Doctor.

The conversation between human and AI assistant. [|Human|] hey so i have afew things going on and im wondering if they are connected, i get this insane pain in my left breast sometimes and it feela like it starts in my nipple amd spreads out around the entire breast and then i feel sharpe pain in my ribs below, i also get weird splotches that come amd go uner my right breast but ive noticed they get bigger and more red when i drink , what could this mean? it literally could be nothing but its been going on for a bit longer than a year now [|AI|] Hello, I have studied your case and I think that it can be either any inflammation in the breast or chest which can cause such problems. I would recommend you to get an ultrasound examination of the chest and also a chest x-ray. I would also suggest you to see a physician. If there is any nodule in the breast then it can cause such inflammation and pain. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks

The conversation between human and AI assistant. [|Human|] Hello doctor am raghavendran 19 year old boy... My problem is i am getting sex mood or intention frequently... I cant able to control this.. I tried and failed in controlling myself.. Please help and guide me to relieve from this problem... Because of this i cant able to concentrate in anything esp. In my career.:) Thanks and am waiting for your reply.:-) [|AI|] HIT hanks for using Chat Doctor I think, you may have repetitive sexual thoughts, and it is towards obsessive compulsive disorder. In that case, you need antidepressant that could help to control these thoughts. You can also try some relaxation exercise like JPMR or deep breathing that could help to anxiety due to these thoughts. Better to consult a psychiatrist for proper diagnosis and management. In case, you need further help, you can ask. Thanks

The conversation between human and AI assistant. [|Human|] Sirs, I have fever & head Pain for Past one week, on Checking with our Doctor & blood test, Report says my Liver SGPT is 271 now ( 3 months before i had Piles & on that time on check up my Sgpt is only 43 , I took Siddha treatment & get Cured ) ...I M really drunker for past 10 years but for past 1 year i left it & Consumed very rare , once in month ). my Age is 41 Weight 68 Height 5.4 ... my Doctor advice me to avoid liquor & Non veg , oily foods. & also informed i have Typhoid in intial stage. Kindly advice me in this regard. Mukunth Kumar [|AI|] Hello Month Kumar, Welcome to Chat Doctor, and thanks for your query. I understand your concern and problem. You have hepatitis; an inflammation of the liver. There are several possible reasons for hepatitis. One and the most likely is alcohol. Viral infections, certain medicines are other common causes. Does the SIDA medicine that you took for hemorrhoids contain any heavy metal powders or extracts? You should avoid alcohol now and also fat containing food if you have difficulty in tolerating them. Was the diagnosis of Typhoid based on blood culture? The method to diagnose typhoid in the first week of illness, is identifying the organism in a blood culture. Wish you a quick recovery! If you have further queries, I am available on the web Chat Doctor.

The conversation between human and AI assistant. [|Human|] HI, Im 24 years old and had my 4 wisdom teeth removed Monday, july 8th, so this is now my 3rd day after surgery, and I am experiencing more pain around one area than the others. When I swallow I get pain/sting where my lower left wisdom tooth was, and there is also a little flap of skin that looks like its on or next to my second molar. Could this be dry socket? its not unbearable pain but it is very uncomfortable, especially in that one spot. Besides that, I just have very bad swelling. thanks. [|AI|] Hello friend, thank you for sharing your concern. As per your clinical presentation and your symptoms you can rest assure that it's not Chat Doctor. As you have extracted your wisdom teeth it sometimes needs a bit of invasive method to pull them out depending on their angulated position and how deep inside the bone is the impacted tooth present. Saying that there are few other reasons that includes there can be a root stump left; this can be confirmed by an intro oral radiograph...it can also happen during the procedure your mandibular nerve was hurt; well it can only stand true when all other reason for your pain is eliminated, now cure for nerve injury totally depends on the degree of the injury, as per your case if this reason holds correct then it will take 3-5 months to recover completely. To overcome the pain have an analgesic for 3 days and if it doesn't subside then visit to your treated dentist and do the radiograph. Get well soon

The conversation between human and AI assistant. [|Human|] I have an inch-sized cut on the back of my hand (right over the knuckle below the ring finger). While I can ball up my hand into a fist slowly with minimal pain, I cant seem to fully extend my ring finger. Its like its just lazily laying there. Is there anything I can do at home? (cant afford a trip to the ER) [|AI|] Cellophane You for contacting Chat Doctor. It will take some time to heal. As the healing process will progress, movement will become possible. Meanwhile, I would suggest you following things:> Keep wound clean.> Apply poly fax plus ointment thrice a day> Wash hands before and after applying.> Take acetaminophen for pain Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health.

The conversation between human and AI assistant. [|Human|] Hi dr. my name is surbhi. I am 25years old, am married. now a days m feeling very tens and feeling headace.when i have headace am feeling very angry, i cant control my self....for long time....after that i feel weakness also.please suggest me....thanks surbhi.. [|AI|] Hello Sushi; thanks for the query. I would also like to know how is your mood most of the time, your energy levels (rate both out of 10); do you enjoy routine pleasurable activities, how is your sleep & appetite?? Too many times, headache, fatigue, difficult to control anger which are of recent onset (over a few days-months) are in fact manifestations of depression. Hence, you should consult a Psychiatrist or revert to me for detailed evaluation. Secondly there are many safe, rapidly effective medications available for treatment of depression which can take care of your symptoms (including headache, anger). Escitalopram (SSRI class); Dothan, amitriptyline (TCA class) are very effective for headache & anger control. Plus certain lifestyle changes like 30 minutes daily exercise, doing daily yoga-pranayam will also help. Good Luck

The conversation between human and AI assistant. [|Human|] Hi im 22 we have two daughters who r 4 and 2 and want another baby but are struggling to concieve after coming off the depo injection in june was on it for nine months how long will the injection take to come out my body so we can concieve also cant find my most fertile time because i nleed on n off throughout every month please help [|AI|] Hi, I think it takes around 6 months to 1 year to get your ovaries back to normal after stopping demo injection. So, I think you can 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 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.

The conversation between human and AI assistant. [|Human|] I am having a chest pain in mid of the upper chest since 3 days due to smoking, also the amount of cough is higher , each and everytime i spit ,i spit cough on it. Can u suggest me some solution , of some medical test and all to be assured that everything is normal. Also, please suggest me a remedy to improve my immunity. [|AI|] Thanks for your question on Chat Doctor. In my opinion you are having bronchitis and chest infection. As chances of both are high when patient is smoker. So better to get done 1. Chest x ray2. Pulmonary Function Test (PFT). This will help you in diagnosis of bronchitis and also to rule out infection. Treatment of bronchitis is antibiotics and inhaled bronchodilators. But first and foremost you need to quit smoking. About improving immunity, you should go for pulmonary vaccines like pneumococcal and h.influenza for prevention of lung infection. And quitting smoking will also boost your immunity.

The conversation between human and AI assistant. [|Human|] hello Doctor, I am a 22 year old man with no previous medical issues in regards to my testicles. however at the moment I am a little worries about the tails of both my right and left epididymis. after ejaculation they both become hard and a little swollen. My ejaculations have always been consistent and full with no pain. In addition I have no pain urinating or in general in regards to my testicles and penis. any idea what the issue could be? sometimes when I feel my testicles everything feels fine, the tails of my epididymis both feel fine- soft squishy and relatively small. however, during or post ejaculation they feel hard and swollen. In addition they feel swollen sometimes just out of the blue Thanks for your reply I m just very curious as to what can be going on down there [|AI|] HelloThanks for query. During sex and ejaculation there is increased blood flow to all genital organs including testicles and epididymis. This increased blood flow results in congestion of genitals organs. The hardness of epididymis that you have observed is due to congestion of epididymis and testicles which gradually gets resolved over a period of few hours. It should be considered as normal physiological process. There is nothing to be worried about it. Chat Doctor.

The conversation between human and AI assistant. [|Human|] I have a microadenoma pituitary tumour. My last MRI noted it was smaller than the previous 6 months. My neurologist is very concerned that I am taking Hormone Replacement Therapy. I am 70 years old, feel wonderful except when I go off my hormones (Last time was 6 months of hell). Any suggestions? [|AI|] Hi, dairy have gone through your question. I can understand your concern. If you have pituitary fibroadenoma then no surgery is required. Just hormone therapy is adequate. If you pituitary adenoid increase in size and causes pressure effects then surgery is needed. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.

The conversation between human and AI assistant. [|Human|] hi my sister had a lump on her left butt cheeks couple years ago and took it for nothing,now it feel like its growing and its painful.doctor doesnt know what it is untill the cut it. have you any experience with that.what can it be? am scare for my sister [|AI|] Hello! Thank you for the query.First do not be scared. From your description the lump is benign soft tissues lesion. The pain indicates some inflammation. If the lump is close to the butt crack, most probable reason if this lump is colonial cyst. This condition is caused by ingrown hair which irritates the tissues and leads to inflammation. If it's located in other part of butt, hair follicle inflammation or sebaceous cyst can be the case. The best she can do is to consult general surgeon. In case of any doubts, soft tissues' ultrasound can be done. Hope this will help. Regards.

The conversation between human and AI assistant. [|Human|] A friend of mine was diagnosed with secondary bone cancer nearly 3 years ago. she had a grade 3 tumour removed from her breast. Her bones seem to be getting worse, she is in hospital at the moment having had a hip replacement op due to the cancer. she is also having radiotherapy at the moment for spots on her brain. we have been so worried for the last 3 years and still dont know really whats ahead - we would like some honest answers so we can prepare [|AI|] Hi, dairy have gone through your question. I can understand your concern. She has breast cancer grade 3 with multiple bone metastasis. Tobit is stage 4 cancer. It is last stage of disease. She also has brain metastasis. So only treatment options are chemotherapy and radiotherapy as well as symptomatic treatment. No treatment will cure the disease. Despite any treatment prognosis remains poor. Life expectancy is not good. Sorry to say but it is fact. So you should plan accordingly. In my opinion no treatment should be given. Only asymptomatic treatment is given. You should consult your oncologist and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.

The conversation between human and AI assistant. [|Human|] I am suffering menstruation to long period it is stay 10 to 12 days and being with blood clot from 8 to 10 years, after my missed abortion, i did wash out it .after washing first Menstruation from first day being too pain in Left side Lower Abdomen my doctor prescribed me Femilon . my age now 22 years. I have Migration - pain in Head left side it is stoped after vomiting. If I take now Femilon , can it make obstruction to being a Baby in after 10 to 12 month? what kinds have of disadvantages due to take Femilon? [|AI|] Tithe pill has no impact on your fertility, and it just might take a couple of months for your cycle to get back to normal. You may or may not get pregnant during the first cycle after you stop the pill. Dizziness, fatigue,abdominal cramps, irregular bleeding, mood disorders, headache are some side effects of the Chat Doctor. Not all side effects occur to every woman. Side effects will reduce in a couple of cycles after stopping the

The conversation between human and AI assistant. [|Human|] I have bronchial asthma & when I cough my nose bleeds. I never had a nose bleed until I had my pacemaker put in 7 years ago. I woke up from recovery after my surgery & my nose was pouring blood. I will also wake up from nose bleeds.Why would I now start having nose bleeds? [|AI|] Thank you for your query....well nose bleed may be due to various reasons...most common of those are1.local reasons which don't seem the cause here2.vascular reasons like high blood pressure etc3.lung cause snow there are a few points i would like to know before prescribing medicine....are you hypertensive?is your blood pressure under control?since when do you have bronchial asthma? How severe is that?do you have acute attacks frequently?what medicine are you taking recently?anyway nowadays prophylactic treatment for bronchial asthma remains inhaler puffs and oral medications depending upon the severity...also get a chest X-ray pa view done...that would reveal the present scenario...and also get a complete blood count and an allegory profile done...inform me about these reports and questions and I can provide you with medications you need to take....however if acute nose bleed happens severely, you should waste no time and consult a doctor immediately...hope this was useful....regards

The conversation between human and AI assistant. [|Human|] Hi. I am married and its almost two years now. I am trying to concieve. But i have the PCOD complication. When i consulted my doc she first gave me Dronis that was before marriage. After marriage she suggested me APCOD. But there was no improvement. Recently i consulted her and she has given me Ovacare forte with APCOD. I keep on putting weight though i go for walking (not ver regular) but have food control. Is there any chance of me concieving? Am worried [|AI|] Hi, thanks for using Chat Doctor It is possible to conceive with PCs, it is just more difficult, but with the technology and procedures that exist today, conception is definitely possible. You are right in trying to lose weight, this would increase the chances of conception. It is easier to lose weight by modifying your diet because usually by altering a few things that are use calories can be reduced by 500 calories. It would take a lot of exercise to achieve this same amount of calorie deficit. Exercise is important in general fitness and keeping weight off. To lose weight you would need to cut out all sodas and fruit Chat Doctor. Use low-carb fruits and vegetables as snacks. In terms of your other meals you can choose the low fat or low-carb route. In the low-carb route you would:Increase the amount of low-carb fruits and/or vegetables that you use with your main meals and at the same time reduce the amount of carboy

The conversation between human and AI assistant. [|Human|] I am a 63 year old. And I am Diebeted 2 with vascular decease and also high blood pressure. I just had bypass on my upper left leg two vascular arteries. since then I had problem urine, I have been wearing this foley cat. I notice blood and puss coming thru the clear hose. My G.U. wants to do surgery in a month is there any thing I can do, while I am waiting. [|AI|] Hello. High Food pressure can be house of bleeding from nose. You are probably using Aspirin or some other pills against blood clots. Concerning your problems about Foley catheter, if there is puss inside and itching, you have to visit your doctor and remove that catheter. After that the doctor will insert new catheter and give you antibiotics for urinary infection.Also, you should do lab tests to see the extent of infection. All the best.

The conversation between human and AI assistant. [|Human|] hi, i have had pinfull burst of pain in the top right part my rib cage near my shoulder. it huts to press on the area also to inhall in and out there is a pain but its quite a firey type pain. this has been going on for about 7 months. it affects my arm aswell.i tend to get bit pn and needels and it hurts aswell. i have been to the doctor but she said? it was just a inflamation on the ribs. does this sound normall? [|AI|] Thanks for your question on Chat Doctor. I can understand your concern. No, this is not normal because this pain is for 7 months. Better to get done chest x-ray to rule out internal pathology for such pain. If chest x-ray is normal then get done calcium and vitamin D 3 levels because deficiency of these can also cause similar kind of pain. You may need supplements for faster recovery. Avoid movements causing pain. Apply warm water pad on affected areas of chest. Take simple painkiller like paracetamol or ibuprofen. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

The conversation between human and AI assistant. [|Human|] 14 year old girl suffering from spina byfida at lower part and sometime shivering hands [|AI|] HelloThanks for your query. I will try my best to provide you with the best possible professional recommendations to your questions. Myelomeningocele is a birth defect in which the backbone and spinal canal do not close before birth. Most child Chat Doctor. Shivering hands might be due to neurological losses. It should be treated accordingly. For patients of spina bifida Follow-up examinations generally continue throughout the children life. These are done to check the children developmental level and to treat any intellectual, neurological, or physical problems. So I advise you for regular check up of your girl from physician. Yet again, I do hope that you have found something helpful, and I will be glad to answer any further queries. Regards

The conversation between human and AI assistant. [|Human|] I am a healthy 52 year old women and I just had my annual check up and my doctor called me and said my liver enzymes were high. My GGT is 203, AST is 43 and my Alkaline Phosphate is 203. I am going back for another blood test, she is checking for Primary Biliary Cirrhosis. I don t know anything about this disease and the info on line was pretty scarey. What else could cause elevated enzymes? What do you know about PBC? [|AI|] Hi, dairy have gone through your question. I can understand your concern. You have elevated GGT and alkaline phosphatase levels. It suggests homeostasis. Some injury or stasis in biliary tract can lead to this. In primary biliary cirrhosis there is bile stasis and cirrhosis. You should go for complete liver function test with ultrasound abdomen. Search for the cause and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.

The conversation between human and AI assistant. [|Human|] My 11 yr old daughter have been suffering from chronic otitis media since her 1.6 years. Eardrum of both ears, as said by an ENT Dr, have been eroded. He suggested for an instant operation, failing which, he opined, irreparable damage may cause to hearing nerve & CNS. Xray Mastoids says that Sclerosis of mastoid air cells on both sides of ear are detected. Kindly tell me about the treatment and the operation. Is it recoverable? [|AI|] Howell come to ChatDoctorI really appreciate your concern, if the condition being treated for infection, and allergy and no satisfactory result found, and it is the investigations suggestive of surgical condition then it is to be given try, and it may not have any bad consequences, and if infection and allergy not being treated then This has to be given try first, in investigations MRI is the test can is advisable, it is also advisable to have second opinion, hope this information helps.

The conversation between human and AI assistant. [|Human|] My baby is 2 and half years old. Last couple of days he had cold. Now he has whooping cough. Yeasterday night that was terrible . difficult to breath .I heard a sound also. I just want to whether its veezing? He is always playing and chatting. Sometimes he acts like a hyperactivebaby.Always running here and there. pl help. I want confirm he is having veezing problems. [|AI|] Hi As per your query, your child has symptoms of severe cough which could be due to allergic bronchitis. Need not worry. I would suggest you visit pulmonologist once and get a chest X-ray done. Go for blood and sputum test first and get it examined. Start treatment after proper diagnosis. Take steam inhalation as well. You should take cough expectorants. Take a proper course of antibiotics. You should take a combination of anti-allergic and antihistamine medications for immediate relief. Go for pulmonary function tests as well. Sip on warm water. Avoid cold Chat Doctor. Hope I have answered your query. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] I have heart issues. Previously I had a quadruple heart bypass (2003) and a open heart aortic valve replacement (2015). I just was weaned off Warfarin, and my doctor just prescribed Clopidogrel. The doctor has me take some aspirin every day (even when I was on warfarin). I was just reading the article on this website about Clopidogrel and it states that the Prilosec that I have been taking daily for 15 years might be a problem with this medication. (If I forget to take it one day, I get horrible heart burn) What do you think???? [|AI|] Hello, Firstly, why were you weaned off of Warfarin, was it a bioprosthetic aortic valve? And what was a need to change from aspirin. Yes, sometimes Prilosec decreases the efficacy of Clopidogrel in some patients. This is not universal. You can have Sanitizing 150 mg twice a day instead of Prilosec, which doesn't have this problem. If there is no compelling need it better to continue aspirin. Hope this helps you and get back if you have any doubts. Take Care

The conversation between human and AI assistant. [|Human|] Thank You ! My question is what medications are best for treating Bi-Polar 2? I have been prescribed Lithium,Seroquel,Reperadol and have experienced bad side effects like diarrhea, bad stomach pains and these meds make my feel like I am floating though cream of mushroom soup. Lorazepam seems to work pretty well without all the side effects although it is not much help with with depression or mood swings it is good for a short term fix and it does help me to eat, I have also tried Clonzepam this seems stronger than Lorazepam and just makes go to sleep, my doctor seems hesitant to prescribe Lorazepam. What is your advise? Also I have been diagnosed with Anorexia Nervosa .Thank You for you time. [|AI|] ! I have read your question carefully and from that it appears that you have bipod disorder, have been on several medicines for that, but had one or other side effect and prefer lorazepam. Your doctor does not agree to give you much of lorazepam, and you have asked what should you go for? From my clinical experience I can say that your doctor is right in hesitating in giving you lorazepam or may be clonazepam, because-1. They are just symptomatic managers and will not help in taking care of the disorder 2. Both have good addiction potential 3. If taken for long time irrelevantly, can lead to multiple body problems, like liver disorders4. They just relieve anxiety or help sleep, nothing more, I can understand that you have had varied side effect with bipolar medicines, but there are still good choices yet to be tried and one has to try out Chat Doctor. It is seen many times that the psychiatrist have to change the main

The conversation between human and AI assistant. [|Human|] I have a rash on my face I noticed a few days ago. My skin is red and blotchy with what looks like tiny white heads all over the area. I have been using my typical acne treatments and I have popped some of the tiny white heads. They look like mini clogged pores and against the sides of my nose, mouth, chin and against my jawline. Last break out like this was 10-11 months ago and i noted this was triggered from a water enhancer I was using. Is this an allergy to a type of food dye? [|AI|] Hi, Thanks for using Chat Doctor. Since your symptoms are recurring after 11 months there may be chance of allergy, but your description on the lesions suggests more of acne. Redness may be due to infection. Don't pop anything, wash regularly with cool water for 5-7 times a day, use oil remover soap, don't rub your towel on face just press it to absorb water, can start topical antibiotic to prevent infection and anti acne ointment. Consult your doctor for examination and management. Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards

The conversation between human and AI assistant. [|Human|] I have been having left upper teeth pain for three months or more. I had a root canal but pain didn t go away. So I had it pulled. Imstill have pain and can see root exposure and a tiny hole beside upper left canine that I think exposes a nerve because I get shooting pain there. My dentist doesn t see anything in X-rays. I m on medicine but it doesn t help the pain. [|AI|] Hello and thank you for your question. I think you should go into another dentist for a second opinion about your symptoms. It sounds like another tooth is in need of a root canal or restorative therapy due to the pain not being alleviated by the extraction of your tooth. Not all cavities are seen on radiographs and can be found intraorally upon inspection. Please find someone in your area and have it looked at. You may also have sensitivity due to root exposure and should use Sensory to see if it removes the pain. Best wishes

The conversation between human and AI assistant. [|Human|] Hi, I am a 35 year old women. Have had total abdomal hysterectomy and cholecystectomy. I am having sharp sudden pain right above and around my navel. Also it radiates straight down to my pelvis with pelvic pain. Also pain during urination. Please help. Thank you. [|AI|] Hi, Thanks for your question. After going through your question, I can understand your concern. The pain is most likely related to urinary system. Most likely a right ureteric calculus (stone in tube connecting kidney to urinary bladder). But other causes like pain of colitis should be considered. You should consult your doctor for detailed clinical examination. Depending upon it following investigations help in making appropriate diagnosis. - Complete Blood Count. - Urine examination.- Ultrasonography of abdomen and pelvis. - X-ray abdomen in standing position. Depending upon clinical examination and above test results further evaluation can be planned. Till that time use some painkiller with antispasmodic like diclofenac and Tuscan. Hope this helps you, if so do vote as helpful.

The conversation between human and AI assistant. [|Human|] Hi I fell heavily on my knee just under the kneecap area. It hurt like hell but after a few minutes of rubbing I could bend & stand up. The area was numb & still is 4 hrs later. If I press on the area it feels like a massive sting. I have had an operation which involved micro-fractures approx 4yrs ago. Do you think I need any medical help? [|AI|] Dear sir/ madam based on your description I would examine your knee for local bony tenderness. Most likely it could besot tissue injury to knee for which I would recommend rest, immobilization in a knee immobilizer, some analgesics, ice fomentation for 1 week. Then when the pain and swelling subsides examine your knee ligaments and then decide on further management. Numbness might be due to direct injury to cutaneous nerves or edema in that area, so after giving rest for 1 week further examination is recommended.

The conversation between human and AI assistant. [|Human|] I have been sick with bronchitis and sinus infection for about 3 weeks. On my second set of antibiotics and now taking prednisone. I do have asthma. Went back to my allergy asthma specialist yesterday, and they sent me for a chest x-ray. They called me with the results today saying it looked normal except for some calcification in the lungs. Kind of worried. I was a smoker. Quite in 2006. [|AI|] Thanks for your question on Chat Doctor. Calcification in the lung suggest healed lesion. Calcification on chest x-ray can be seen in1 old TB2. Old pneumonia. 3. pulmonary contusions etc. In lung tissue once TB or pneumonia or anything occurs, tissue reacts against it and produce healing. This healing can be seen as either fibrosis or as calcification. And this remains throughout the life. So no need to worry about this calcification. It denotes old inactive disease.

The conversation between human and AI assistant. [|Human|] 20 Year ago suffered from seizures and diagnose with neurocysticercosis, Doctor advice 2 Tab Albendazole for continious 3 months with Eption 100 Mg - 3 Tablets after 3 months I stop taking Tab Albendazole and continue taking Eption 100 Mg - 3 Tablets. Later on reduce the dose of Eption 100 Mg to 1 Tablet a day and from past 17 years no any seizure, as well latest CT Scan and MRI reports does not deduct any abnormalities in brain , so please advice should I stop taking Eption 100 MG - 1 Tablet . Presently I am taking every night One Tablet only, does not suffer any seizure from last 17 - 18 years Please advice [|AI|] Hi Mohit, Thank you for posting your query. It is good to note that you have not had seizures for 17-18 years. Also, you have had adequate treatment for neurocysticercosis. Your MRI and CT brain are also normal. Based on this information, it is alright for you to stop taking option. Since you are taking a very small dose of 100 mg daily, you can stop option straightaway. Best wishes, Chat Doctor.

The conversation between human and AI assistant. [|Human|] I have what I have had several time in the past. It need relief although the dentist said there was little to do about it. I get terrible pain in my mouth that roams from one part to the other. Nothing wrong can be seen by dentists after exams. Cannot take Advil. [|AI|] Hello, As per your query, you have symptoms of severe pain in the mouth which seems to be due to TMJ dysfunction and locking of the jaw in a particular position. It could be an infection in multiple teeth in different qua Chat Doctor. Need not worry. I would suggest you rest properly and don't bend frequently forward. You should take light food and avoid hard food from that side. Take Tramadol for pain removal. Take ice creams and suck on ice pops. Visit the dentist once and take the combination of Ibuprofen and Diclofenac medicines. Maintain oral hygiene by brushing and flossing. Do warm saline and Betadine gargles. Try to relax jaws and consult ENT specialist as well once. Hope I have answered your query. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] I had a crown put in three years ago. I had not noticed any pain or problem with it, yet the dentist says he needs to replace it because there is decay under it. Is this unusual? I thought crowns were permanent. Should I get a second opinion, and how do I go about doing that?? [|AI|] Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it is possible that if the margins of the crown is not intact and there is a gap between crown and tooth, water and food debris along with bacteria can seep into the tooth and leads to secondary Infection. In this case if the decay has not reached the nerves present in the center of tooth then you may not have pain, but the tooth can continue to decay. If this is the case you will have to get the crown removal, get the tooth filled or Root Canal treatment has to be done followed by replacing the crown. You can take a second opinion if you wish as well as you can send me a scan of the x Ray of the crowned tooth so that I can guide you how you should proceed for treatments. In case if tooth is decayed then the treatment advised to you is appropriate. Hope this information helps. Thanks and regards. Chat Doctor.

The conversation between human and AI assistant. [|Human|] Hiam 28years and i have been having lower back pain on my spine for the last 6years i have attended physio but there is no improvement and sometimes the part that i feel pain swells and thepain goes up to my shoulder which swells to .What is wrong with my back? [|AI|] Howell come to ChatDoctorMost of the backache happens because of the degenerative disease of the spine, and some time this may long last, and medical therapy would be option to get rid of pain, if you have not done the MRI study then it is necessary to get done the MRI test, keep continue the physiotherapy. Medication:- Tab Ibuprofen 400 mg three times in day, Tab Acetaminophen 500 mg three times in day, hope this information helps.

The conversation between human and AI assistant. [|Human|] i have very light throbbing pain on my lower right side of my belly button i have GERD but never had pain in that area before due to it. i have no other symptoms of appendicitis so i dont know if its that or not. the pain increases when i sit in a chair, and fades a small amount when i lay down. [|AI|] HI Greetings from Chat Doctor. Thanks for posting your query. I need more information regarding your problem. Since how long you are having this problem? Is the pain continuous or intermittent? Does the pain increases after eating food? Your sex ? Any burning sensation or pain while passing urine? Kindly revert with these details. The possibilities could be Kidney Stones, Appendicitis, Liver infection, Infection of gut, Pelvic Inflammatory diseases (infection of Ovary, fallopian tubes or uterus) , Partial intestinal obstruction, Kidney infection. I advise you to get Ultrasound Abdomen pelvis, Urine routine test and revert. Hope this was useful to you. Any further queries feel free to ask. Regards.

The conversation between human and AI assistant. [|Human|] My son is round 30lbs and is almost 4 years old. Today he woke up puking, puked like 5 or 6 times. he still feels little nauseous,hes had diareah all day greenish and watery. now im noticeing tiny red dots all over his face. hes non alleric to anything as far as we know and is currently not on any meducation. please help whats wrong with my son,this is out of the blue has been just fine. [|AI|] Hi, Thank you for asking question on Chat Doctor.stools may be green if he consumes green leafy vegetables usually. May be infective diarrhea, and it is worth trying ofloxacin+ornidazole combination 2 times daily. You may also add Sporadic one sachet daily. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics

The conversation between human and AI assistant. [|Human|] my child (12 years old) has a kidney stone, is very fatigued and also today got a bloody nose out of the blue. He is active normally and plays sports and in the neighborhood. He has been real fatigued the last couple weeks along with finding the stone after a CT that was looking for stones. [|AI|] Hi, dairy have gone through your question. I can understand your concern. He may have kidney stones. It generally causes kidney pain. Fatigue is very uncommon with kidney stones. He should go for complete blood count and peripheral smear examination to check for anemia. Fatigue can be caused by low hemoglobin. Moreover, his platelet count should also be checked. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.

The conversation between human and AI assistant. [|Human|] I have a small pea size lump in my tongue that is moveable, hurts when I press on it and has been there for a few days. Prior to the finding my tongue was sore in that area but no bump. My central tooth had chipped and I thought it was causing the tongue discomfort. [|AI|] Hi ! Good morning. I am Chat Doctor answering your query. Even though it is difficult to ascertain the nature of the lump without a physical examination of the lesion, from your description, it seems that it is a benign lesion possibly due to an unnoticed chronic irritation by the chipped teeth causing a papilloma (excess growth of the soft tissue). I would advise you to take appointment with a dentist and a general surgeon together who can opine on the cause and further management by a physical examination and related investigations like a possible biopsy of the lesion. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor.

The conversation between human and AI assistant. [|Human|] My husband is in a coma subdural hematoma which was diagnosed as well as a stroke that led to his state now the doctors want to embark immediately as he has not improved but is stabilized they want to have a tracheostomy tomorrow .what are his chances of recovering was told his brain stem was affected and thus his sight might be affected? Is there ever going to be a chance he might pull through as this happened about a week ago? [|AI|] Hello! Thank you for asking on Chat Doctor! I am really sorry about your husband! His clinical conditions seem to be really serious. The tracheostomy is needed for the respiratory assistance as the brain stem is responsible for the respiration. We can not determine if he will recover from this medical condition. Time will show it. Even though the brain stem has been damaged, as blood is absorbed there are still chances of recovery. I would recommend giving him another chance with tracheostomy, as otherwise it will be the end. Hope you will find this answer helpful! Kind regards,

The conversation between human and AI assistant. [|Human|] Hi I am on the pill however last week was my week off and have not had my period yet I took2 preg test whicChatDoctore back negative, I am so moody And emotional of late I just dont no whats wrong could I still be pregnant even though I have had a negative result? [|AI|] Degree understand your concerns went through your details. I suggest you not to worry much. There is nothing to become moody and emotional. If you are pregnant, so be it. If you are not, so be it. Why become moody? Wait for another two days or so and you will see for yourself, and then you can be sure. Becoming moody and emotional is foolishness and is going to harm your self. You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck.

The conversation between human and AI assistant. [|Human|] hi am 29yrs old and am married for 2years and we are planing for children we underwent all routine checkups and everything came out that we are fine but still not able to conceive and am advised to take fertyl tablets from my second day of mensurable cycle [|AI|] Hello routine tests for wife and husband are normal. I do agree with you. But fertility or conception or pregnancy require certain parameters as maturation of follicle, rupture of dominant follicle, release of ovum, entry of ovum into fallopian tube. After this meeting of sperm in fallopian tube, fertilization of ovum and sperm. Implantation of fertilized ovum in endometrium (at least 11 mm of thickness require for successful implantation) . So ferry i.e. clomefene is uses in ovulatory infertility. It helps in maturation of follicle and maturation of ovum and release of ovum. So deal as I mentioned above.

The conversation between human and AI assistant. [|Human|] I felt an electric shock in my left front thigh while doing knee lifts with my right leg. I was standing up shadow boxing and when I bent backwards and threw out my right knee my left leg had an incredible electric shock and I felt a tear in the front muscle in my left thigh. [|AI|] Hello, The electric shock feeling can be due to nerve and not due to muscle. I think you have a nerve entrapment in the lumbar spine and that's the cause for electrical shock feelings. As any Injury to the nerve may lead to abnormal sensations. When it's related to muscle there will be a dull ache and not the sharp shooting pain. Take the McKenzie maneuver position while the shocks come and see if reduced. If so than it is nerve pathology. McKenzie maneuver you can find online easily. Do core stability, spinal muscle strengthening exercises this should help reduce the symptoms. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor.

The conversation between human and AI assistant. [|Human|] was cooking liver for dinner and the smell made me start coughing, it was not burning there was little or no smoke, it felt deep in my lungs and was painful. never had this reaction before I like live and have cooked it many many times before. guess I just want to know what caused this type of reaction? [|AI|] Hi thanks for using Chat Doctor ... The cough developed could be due to reactive airway. Any irritation in the respiratory tree can cause Bronchospasm (construction of small airways)Cough is the first sign of airway irritation. Sometimes it will be relieved by its own or will have to give some inhalers. Anti-allergic tablets can help in this situation....Some ingredients must have caused the irritation.... Next time try to wear a mask while preparing the food.....thank you....

The conversation between human and AI assistant. [|Human|] ive been dx with general anxiety disorder and major depressive disorder in the past, I am taking Ativan 1 mg twice dly, I am experiencing mood swings, and wondering if I am bipolar as well, I have researched the bipolar s/s and they do not seem to fit my mood swings. [|AI|] Greetings ! Well while Bipolar disorder may develop in a person who has past history of anxiety and depressive disorders, but you should also take into account the fact that based on a single premise of mood swings one cannot be diagnosed as Bipolar disorder as there need to be a cluster of symptoms present together for formalization of this diagnosis. I am mentioning below some core symptoms and signs of Bipolar disorder which will help you to understand better about this condition.1) Elevated, expansive mood, also called as infectious gaiety.2) Inflated self-esteem and increase sense of self-worth.3) Overconfidence in one's abilities.4) Delusion of grandiosity and feeling superior over others.5) Over-familiarity and dis-inhibited behavior.6) Hyper-sexuality and promiscuity7) Decreased need for sleep (sleep only for 3 or fewer hours) but still one is able to get up with full energy8) Hyperactivity9) Flight of ideas and pressured speech that is ones ideas are produced in the mind at a fast rate so much so that ones speech is not able to complete one topic but before that jumps to another topic thereby making the speech incoherent and incomprehensible.10) Poor judgment and lack of insight, investment in doomed business ventures and going on spending sprees.11) Mood swings So you see you got to have few of these symptoms to be able to get diagnosed with Bipolar disorder, one single symptom does not support the diagnosis. I hope this helps. Regards

The conversation between human and AI assistant. [|Human|] So I think I have PCOS. Im 15, and havent had a period since I first got them 3 years ago. At first I just thought they were really light, but now I realize they are nonexistent! I have a lot of the symptoms, hair on my face, excess arm fat when Im not overweight, smaller boobs, etc. And Im scared! Infertility isnt a big deal for me because Ive always wanted to adopt, but I dont want to get cancer or something. Im afraid to tell someone, me and my mom arent close and she hates me. And Im scared of telling a doctor because then theyll check me out and see my self injury scars (I have hundreds). What do I do?! [|AI|] HiT his is geddit am a POD patient, so I know about all the complications associated with it. U won't like to conceive, but I am sure u want to be on the safer side as high BP, diabetics and ovarian cancer is concerned. Don't worry go to the doc and get ourself checked. Doc is the right person who can guide you. And as per as the tests are concerned s/he will ask you to make the sonography and some other blood tests.no detailed physical check up is required. So please don't make any further delay and don't push ourself towards dark. Make it as soon as possible.

The conversation between human and AI assistant. [|Human|] Mifepristone,misoprostol,contraceptive pill I wish to know how is the mankind s unwanted kit? And whats the preferred procedure to consume it? As from the kit, I got to know that mifepristone should bt taken orally (through mouth, by water) and after 1-3 days 4 tablets of miseprostol are... [|AI|] Hello misunderstand your concernMifepristone plus bisoprolol is not contraceptive pill. It is abortion pill and use to terminate the intrauterine pregnancy up to 9 weeks of pregnancy. It should be used under the advice and observation of gynecologist after confirming intrauterine pregnancy by USG scan. Do not use at home as self-medication as it cause serious complication like excessive bleeding, incomplete abortion and abnormal development of pregnancy. Mifepristone should be taken orally after meal. After 48 hour, misorpostol 800 UG should be taken vaginally or orally under the observation of gynecologist. It should be put under the tongue and do not chew till it dissolve, and after 30 minutes chew the remaining tablet. So if you are pregnant and want to terminate the pregnancy then use it under the advice of gynecologist. Post abortion USG should be done after 14 days to confirm incomplete abortion. It should not be used for regular contraception. For contraception, you can use condoms, I pill and oral contraceptive pill. Hope this may help you Best regards

The conversation between human and AI assistant. [|Human|] My foreskin is discolored and has lost its elasticity, making it difficult and painful to retract over the glans. I have hadthis problem for about two months and it doesnt seem to have gotten better or worse. I have not been tested for stds but have not had sexin over a year and always use a condom. [|AI|] HelloThanks for query. Based on what you have described discoloration of foreskin with loss of elasticity is mostly due to what is called as Atlantis Erotica Obliterate (BXO) However the diagnosis can be confirmed only on clinical examination by a qualified Urologist. This is progressive disease and is a variant of Lichen Plans. There is no treatment that can cure it permanently. You can slow down the progress by using steroid cream. Chat Doctor.

The conversation between human and AI assistant. [|Human|] My son is 10 months old and he had a fever of 101-102 for the past 4 days and now that it is gone he started having red little spots on his face, down the neck and back and some on his legs. It got worsen since morning. And I was also giving him baby tylenol because he is teething and had fever. Do you know what could it be and should I go see his pediatrician? [|AI|] Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.

The conversation between human and AI assistant. [|Human|] I recently had a cholesterol test and my LDL was 130.When I made the appointment they didn t tell me about not eating the night before (test was done in the a-m) 2 years ago my level was below 100.I wonder if eating dinner and breakfast affected the outcome? Please let me know if you think it may have so I can retest.Thank you. [|AI|] HIT hanks for posting your query. NO for LDL food intake will not affect the results. Food affects the results of Triglycerides and not LDL. So your LDL is high, but there is no need for medications as of now unless you have any heart problem or Diabetes. I would advise you to start doing Aerobic exercise like Brisk walking, Jogging, Running, cycling, Swimming for at least 30 minutes a day. Also avoid sweets, Carbonated Chat Doctor. Eat more of Fruits and vegetables. Repeat your Lipid Profile test after 3 months. Hope this information was useful to you. Any clarifications feel free to ask.

The conversation between human and AI assistant. [|Human|] I have a hernia left side L4/5 much pain x I have 2 weeks medication that have not helped I am due for mmr scan tomorrow and am now on gabapentin x I dont really want an op x would like to know is there some herbal treatment that will help x also is this something I now have to live with or can it heal with yoga x [|AI|] HAI, Disc herniation can be treated with ayurvedic system of medicine(herbal medicine). Along with oral medication some external application procedure (panchakarma) will be included. Depends upon the pain, mobility,severity of your condition it will be recommended. Yoga will also help in solving your problem. Certain yoga posture should be contradicted to disc herniation. Consult the nearest ayurvedic specialist for examine your condition for proper advise and management. Thank you hope I answered you.

The conversation between human and AI assistant. [|Human|] My child has a temp of 104.2 rectal - thats 3 hrs after I had given her motrin. She has hsving these temps since yesterday morning. Last night it was very high - I put her in a bath 98.6 bath h2o and motrin given it brought temp to 101 and @ 730this am she was boiling hot. Her others s&s are as follows: headache, stomache, sinus congestion, watery eyes, and very tired. She has a loss of appetite, I push fluids h20 and yesterday she had 1/2 of soup. I gave her some pediasure, which normally she loves to have-but ony had a few sips. She now tells me shes having some double vision. I called her md but they cant see her until 2pm- pls advise My child is 6y/o otherwise healthy kid. She weighs 59 lbs. Her history is adhd and taking procentra. She takes a daily vitamin and a an omega 3 vitamin. Nkda. [|AI|] Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. But double vision is not something which can be ignored. I suggest you take her to the nearest Emergency Room immediately and get her examined by the physician. Regards -

The conversation between human and AI assistant. [|Human|] My maid has rashes on the skin, which starts as a small spot and then on itching,it becomes a big rash spot @ 1" -2". It also becomes black in color. The spot does not have any swelling. This condition seems to be exists for 6 months now. It has started to show more prominently since last 2-3 months. She has seen a couple of doctors. She was prescribed Tri-o-bloc cream. She used it for 2 -3 weeks and stopped it since its expensive. The next doctor prescribed Tenovate NM cream, Laveta tab, Betnesol tab and AF 400. The condition has not improved. Please advice. [|AI|] Tithe data you have provided is insufficient. The most important data here is site. Where is the black spot located? If on face then we are dealing with plasma. But from what I can guess from history you have provided is that the patient has Tina incognito. But ti tell with certainty I need the location of the lesion and if possible a photograph. Treatment of this condition is oral and or topical antifungals for appropriate duration. Incomplete treatment will lead to relapse. Hope it helps Regards Chat Doctor.

The conversation between human and AI assistant. [|Human|] NAMASTE SIR MY HUSBAND TAKING EPELEPSY MEDICINES SINCE 30 YEARS AS PER MY KNOWLEDGE JUST SIX YEARS BACK HE FELLDOWN AND HE GOT PERALASIS TO HIS LEFT SIDE AND HE GOT FRACTURED HIS RIGHT HAND AND HE IS HAVING PSYCHOLOGICAL PROBLEM, WE MET SO MANY DOCTORS AND THEY HAVE GIVEN SO MANY DRUGS TO CURE HIS HEALTH PROBLEMS. BUT NOW HE IS TALKING TOOMUCH AND SHOUTING TOOMUCH AND TALKING WULGER LANGUAGE TO HIS CHILDREN AND SERVENTS. HE WILL BEHAVE VERY NICE WITH GUESTS AND TALKING NICELY . NOBODY KNOWS HE WILL DO MISBEHAVE WITH FAMILY. NOW TELL WHAT TO DO AS EASY AS TO RECOVER. HE CANT MOVE. [|AI|] Hello and welcome to Chat Doctor. Thanks for your query. Your husbands symptoms could be indicative of an underlying mood disorder. However, he needs a detailed psychological assessment to make a definitive diagnosis. I would advise you to take him to a psychiatrist for a detailed evaluation and further treatment. If he does have a psychiatric disorder, then there are effective treatment options available - in the form of medication or counselling / psychotherapy which will help him overcome these problems. Wish you all the best. -

The conversation between human and AI assistant. [|Human|] Hi sir , I have 16 years old , I started masturbating from I was 10 , every day , and twice a day and maybe a 3thd time , new I feel weak , my heart beats sometimes fast beats , and I have a little pain in my stomach can ejaculate this time , cause any problem ? thank you very much [|AI|] I do not see this as being an issue, however if the symptoms continue it may be. A temporary alteration in blood-flow due to ejaculation and masturbation may cause shunting and or altered blood-flow to your gut temporarily, causing the symptoms of pain you are describing. Nonetheless, this should be very temporary, and relieve within a few seconds to minutes. I suggest you HY Chat Doctor. If symptoms worsen and or new symptoms progress please contact emergency services! I wish you the best.

The conversation between human and AI assistant. [|Human|] Hello! My name is Melinda. Last Monday I had both of my bottom wisdom teeth extracted. Yesterday as I was brushing my teeth my hand slipped and poked the hole of the extraction sight and started bleeding. Im afraid I may have dislodged the blood clot. That was around 10 PM (Monday) and it is now 2:56 Am (Tuesday). If I am developing dry socket how long does it take before the pain begins? If it wasnt the blood clot being dislodged then what was it? Also how does a blood clot develop? And last but not least, I have been eating. If food gets stuck in the holes does my body naturally push it out or will the gum heal over it? I have been doing the salt water rinses but I dont feel like its enough. Thank you for your time! Have a great day! [|AI|] Hi, Thanks for asking the query, A wound healing occurs after 2-3 weeks, Chat Doctor. According to your symptoms I suspect that bleeding seen can be due to irritation caused to the granulation tissue of the healing socket. I would suggest you to follow the post extraction instruction given to you carefully. Take complete course of antibiotics and analgesics. Take lukewarm slain and antiseptic mouthwash rinses. Hope this helps out. Regards...

The conversation between human and AI assistant. [|Human|] What does a blood cortisol level of 563 nmol mean? I had Crainiopharyngioma as a child and have symptoms which are getting worse over the years such as extreme tiredness, light headedness, back ache, tummy ache, ibs , shakes. I wondered if the bit of the tumour that was left might be causing my pituitary gland to produce extra cortisol? [|AI|] Hi, Cortisol levels have diurnal variation - meaning the levels of hormone vary according to the time of test. Presuming the test was done early in the morning cortisol level of 563 MOL is in limits. If rest of the hormones are within limits, then craniopharyngioma has no direct relations with your current symptoms. Discuss with an endocrinologist who can get rest of the hormone assay done to rule out endocrinopathies. Hope this answers your query. Regards

The conversation between human and AI assistant. [|Human|] We were travelling on a train and in the night, my son aged 4yrs was bitten by bed bugs which were there on the berth. Both his ear lobes are swollen and feels heavy. We have applied an ointment called T-bact and have applied cold press. Kindly advise if anything else needs to be done. Thank you [|AI|] Hello there, Since your son is young therefore a small bite may appear much worse than him than an adult. If there is no fever than you can give him Exocet(half a tablet) once a day. Also, Also BECAME/BECKER ointment can be applied on the red/swollen area twice a day. If the swelling does not go down in 3 days you need to take him to a doctor and get him examined further, thank you for your query, Chat Doctor.

The conversation between human and AI assistant. [|Human|] Earlier this evening I tripped and hit my head on a metal beam. The head ache is a dull ache. My vision is fine. About an hour and a half after I hit my head that s when the my stomach got queasy. This lasted for a half hour. I ate supper and have had no issues of upset stomach but do have a dull head ache. With these symptoms do you think I could have a concussion? [|AI|] Hello, The diagnosis of a concussion is best made after a visit to a doctor knowledgeable in such injuries who can solicit the proper history surrounding the events that occurred just prior and just after the fall. If you are still experiencing the dull headache then, my best suggestion to you is that you be seen at an URGENT CARE center or even an ER. I cannot know without examining you further what may or may not be happening to your head and there certainly is the possibility that you suffered a CONCUSSION. Therefore, my advice is to be seen as soon as possible. I would not stay home to rest or relax unless you have absolutely no headache or head pain and have perfect recall of everything that happened before and after the fall. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.

The conversation between human and AI assistant. [|Human|] I have a pain in my abdominal area. Its in the center (not left or right side at all). It hurts to take a deep breath/cough/yawn and is quite tender to the touch. It problem starts at about the end of the sternum (is that the bone in the rib cage?) and is about the length of 3 fingers starting from the top to the bottle. It feels like a sore muscle (as if I had been doing a lot of crunches but hadnt). I dont have any symptoms related to digestive issues (urine is normal, stools are normal, no gas, etc). I just lost my job so Im in the process of getting my own insurance. i am trying to see if this is something to be concerned with. It started yesterday. The pain has been consistent since I started yesterday. [|AI|] Hello, Thanks for the query to Chat Doctor. Forum. As you mentioned that pain is just below the sternum i.e. pain in the epigastric region. The reason of this pain may be due to stress (tension) of job. Hyper acidity develops more acid secretion and this causes pain and there develops gastritis. So don't worry and don't take tension. Take antacid syrup (tetracaine with it), you will get quick relief. Still, no relief then take proton pump inhibitor after consultation of your doctor. Good luck.

The conversation between human and AI assistant. [|Human|] My husband has had a problem with skin for a year now. He has patches all over his body of red bumps that itch so badly he breaks the skin. We originally believed it to be scabies my neither me or my son are affected. We also treated with premethrin and ivermectin and it has not changed. So what ski. Conditions could appear like scabies but are not contagious... I just want to help him, the itching drives him insane and I am at a loss, [|AI|] Hi. Thanks for the query. As per your complaint the symptoms of small patches of red bumps all over the body that are itchy too can be due to allergic reaction or Contact Dermatitis that can occur due to allergic reaction to any Food, medication, poison ivy, latex, leather etc. Other cause can be generalized hair follicle infection caused by Staphylococcus bacteria. I would suggest you to consult an Allergist or Immunologist and get him evaluated and proper investigations of the lesions and blood tests like complete blood picture and allergic tests like LAST test, Patch test, Food challenge test can be done to rule out the cause. In case if it is due to allergic reaction then he can be advised oral anti-allergics like Allegra or Levocetrizine along with topical application of Ben Chat Doctor.

The conversation between human and AI assistant. [|Human|] My 5 1/2 month old daughter is in pain when she tries to have a bowel movement. I gave her 4 oz of apple juice yesterday and last night we gave her a small portion of a Glycerin Suppository to try and help her, after about 20-30 mins, she was able to a small bowel movement. She shreeked in pain and wimpered, but passed a very hard, clay-like stool. We have started solids, but only rice cereal and oatmeal cereal, she seems to be starting to teeth as well... Any suggestions on what might help her and what might be causing this? Not sure if it is just the solids or?? Thank you. [|AI|] Hi... Thank you for consulting in Chat Doctor. I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? You can get back with answers at the following link -www.ChatDoctor .com/doctors/ Chat Doctor. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.

The conversation between human and AI assistant. [|Human|] My dauter In law yells all day at her children. She seems very frustrated and my own psyciarist thinks she could have borderline personality disorder. I take medication for my mental problems. I know that its not OK for her to continue being so stressed out. Its greatly affecting my granddaughters. My eldest granddaughter is already on prozac and has total negative feelings when yelled at and other reasons.she is twelve.my 7 year old granddaughter is 7 and is beginning to show signs of nervous behavior. How can I tell my daughter in law that she needs help without making her angry. She says that the girls are her children and she can do what she wants with them true but not telling negative thing constantly. What to do help [|AI|] Degree understand your concerns went through your details. I suggest you not to worry much. This authoritarian way of behavior stems out from being stressed out. Borderline personality disorder is different. I quote Wikipedia - Borderline personality disorder (BPD) (called emotionally unstable personality disorder, emotional intensity disorder, or borderline type) is a cluster-B personality disorder, the essential feature of which is a pattern of marked impulsivity and instability of affects, interpersonal relationships and self-image. The pattern is present by early adulthood and occurs across a variety of situations and contexts. Other symptoms usually include intense fears of abandonment and intense anger and irritability, the reason for which others have difficulty understanding. People with BPD often engage in idealization and devaluation of others, alternating between high positive regard and great disappointment. Self-harm and suicidal behavior are common. Therefore, anger and irritation alone cannot be termed as BPD. This could be stress. We need to find out the origin of the stress and motivate her to either adjust with it or to avoid that circumstance. In any case, she needs the intervention of a counselor or a well-wisher whom she trusts. Let the reality enter inside her mind that her behavior is ruining the future of her own child Chat Doctor. Definitely you shall see the change. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.

The conversation between human and AI assistant. [|Human|] I have a lump of skin on my right middle finger, in the corner of my nail under my cuticle. At least I think its skin, it could be a wart, thats what I always got told. Its been there for a few years now, it has never bothered me or seem to get infected. It does bleed if its ever cut open. Ive attempted to remove it with finger nail clippers, but its painful if I try to cut it too deep. Ive been putting wart remover on it for the past few days, and the skin has been flaking. Is this working? What is it, and how can I get rid of it? [|AI|] HI, Dear, Thanks for the query from you for your painful lump of skin on rt middle finger, which you thought it to be a wart, and was there for few yrs, which hurts with deep removal attempts.1-I am happy that you are serious to know why this painful warty swelling on the rt middle finger in the corner of the nail is bleeding with pain when deep removal was attempted.?2-In my opinion this painful warty? Lump at the corner of the nail of the rt middle finger is -in actual a -" Neurovascular Sublingual Corn" caused by the chronic infected repetative-nail injury to rt middle finger nail.3-I would advise you not to attempt the incomplete removal -with the wart remover-as it's not helping for its removal from the root.4-I would suggest you to go to ER Surgeon for the "proper debridement of the nail-plate bed along with the removal of the corn from the root in the chronically infected nail -plate.-AS such this painful warty bump is the "Corny sublingual lump-arising out of the chronic repetitive injury tithe infected nail-plate of the middle nail finger.5-So debridement under antibiotic cover from ER surgeon is the advisable treatment.6-Hope this would resolve the causative worry of the patient in question .7-If treated on this line, the fearing patient, should not worry you much.8-Hope this would solve your worry of the painful warty lump in the corner of the nail of the rt middle finger.9-So ugly take -the advice from the ER Surgeon.10-Wellcome to Chat Doctor for any more query.

The conversation between human and AI assistant. [|Human|] Hi, my contraceptive patch fell off three separate times in the first month of use - I had a period the second week of use then the next two weeks it came off during sex once and sometime before the second time. After the last instance of falling off I bled lightly for a day and half bright orange and now I m concerned I m pregnant but unsure when is too early to test. [|AI|] Hello, You are suffering from irregular vaginal bleeding, and it may be due to adverse effect of contraceptive patch or other things (uterine cause/hormonal imbalance). Do a fresh USG of lower abdomen to rule out underlying pathology if any. If anything rule out, then treat accordingly with consult of gynecologist. And if there is nothing, then choose different contraceptive patch with less adverse effect or failure rate. Use in correct method and periodic check up to your doctor if any abnormal bleeding. Avoid stress, take healthy diet, do light exercise and proper sleep. Be well.

The conversation between human and AI assistant. [|Human|] hi sir,i am24 i had cough 1 month back i got it cured but after that i am facing problem for breathing lot of congestion in throat and chest . the doctor took PFT TEST as it showed normal.and told me to take odimont-lc tablets . .for 10 days... but nw i still face the same when i stop using the tablets..please tell me the reason why is it so.... [|AI|] Welcome to Chat Doctor You seem to be having allergic disease which can cause swelling in the throat like angioedema and swelling over face. Better to keep away from dust, pollen, any specific food which causes these problems like nuts, shellfish. The medicine will prevent allergic attack. Continue taking the medicine. Eat plenty of fresh fruits and green leafy vegetables. Chat Doctor. Avoid stress.

The conversation between human and AI assistant. [|Human|] I GOT USG AND DOCTOR SAID THAT I HAVE TWO SMALL HYPERECHOIC SOL(MEASURING 24.9 MM X 24.5 MM & 24.2 MM X14.8 MM) ARE SEEN IN THE RIGHT LOVE OF LIVER. IS IT HARMFUL ? PLEASE ADVICE IT IS CURABLE.I AM DIABETIC AND GAVE SOME GYNAE PROBLEM THATS WHY TAKING REGESTRONE SINCE LAST 4 MONTHS. PLEASE ADVISE. [|AI|] Hello Thanks for writing to ChatDoctorSmall hyperechoic lesions in liver are generally due to hematoma. These are benign incidental findings and doesn't require any treatment. Haemangioma is benign lesions and formed of blood vessels. You need proper clinical examination and investigations. CT scan of abdomen can be done after proper evaluation. Hope I have answered your query. Take Care Chat Doctor.

The conversation between human and AI assistant. [|Human|] Hello I m a 23 year old female been having sharp chest pains. Started a few months ago I would get them randomly and then it would go away. Just last week it started but hasn t went away went the to the er last Friday and they said it was pleurisy never gave me any type of x ray or ct scan just diagnosed me n sent me home w a shot and prescription for naprosyn500mg. I have yet to get the medicine due to money issues at the moment but the pain hurts so bad when I breath and I just took 4 200mg ibprof. N still feel the pain [|AI|] Thanks for your question on Chat Doctor. In my opinion, you should rule out cardiac and pulmonary causes first for your intermittent chest pain. So get done ECG to rule out heart related causes. Get done chest x-ray to rule out pleurisy (inflammation of pleura) and lung related causes. If everything is normal then mostly you have anxiety and related chest discomfort. So better to consult psychiatrist and get done counselling sessions. Try to identify stressors in your life and start working on it. Avoid stress and anxiety. Be relax and calm.

The conversation between human and AI assistant. [|Human|] Hi doctor.. I am getting excited even when my girl friend just holds my hand and walks with me. i have no intention of having sex with her now. But when ever she is with me or even when she holds my hand and walks, my penis gets hardened and i have this itching sensation in my balls and an hour or so a pain in my balls and penis. Ijust have to leave from ther giving some excuse. I am truely in love with her. Initially i thought since this was the first time i touch a girl i feel so. BUt this happenes everytime i am with her. My penis leaks at times then. i browsed net is this called premature ejaculation?? I used to mastrubate before (say a year back )but now i dont do that. Has it some thing to do with it.?? I need ur help doc. Please help me overcome this. Is this curable.?? i just want to spend some time with her with our all these pain and problems.!! [|AI|] Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. No this may not be a premature ejaculation. It's normal for a boy to get stimulated leading to some pain and seminal leakage. There is no need to worry. Masturbation is also safe and there is no problem. This thing will settle down with time. You may even masturbate before meeting the girl which will reduce the stimulation, and you will be comfortable. Team is the best healer in this case.... Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or want to further details about your query, you can use the below-mentioned link:bit.ly/ Chat Doctor.

The conversation between human and AI assistant. [|Human|] Hi I have had two dark spots appear on my wrist and my face for a little more than 2 years.I went to 2 dermotologists and they said it was pigmentation and hair dye dermititis.All of the medications they gave me do not seem to work and have the made the spots appear almost black now [|AI|] Hello. Thank you for writing to us at Chat Doctor You have a condition known as post-inflammatory hyperpigmentation /PIN. It is hard to explain how a hair dye could cause pigmentation on wrist?Therefore, I would like to keep another differential diagnosis of Fixed Chat Doctor. FEE presents as red colored or dark spots at various body sites in response to certain Oral medications like antibiotics, anti-inflammatory, antiepileptics etc. The eruption is called Fixed

The conversation between human and AI assistant. [|Human|] ive had miscarriage with out knowing it. I stop menstruating for 3 months I thought its just because of stress and exercise, I usually jog and bike at morning. two months later I started having rashes in the shoulders, and breast. Is it because of missed miscarriage? Thus the dead fetus in my womb infect my immune system that started having rashes? [|AI|] Hi, Miscarriage is usually not associated with rash. But any bleeding abnormality can cause rash. As you have not mentioned the characteristics of the rash, it would be difficult for me to arrive at a provisional diagnosis. So, I request you to consult your Dermatologist for arriving at a proper diagnosis and for initiating the treatment. Hope I have answered your query. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] Hi,Doctor has suggested me to take Lupigest-200 (Progesterone soft gelatin capsule 200mg) as I have not got Periods from 2 months and Pregnancy test seems to be negative. During afternoons I am not feeling well for 10-15 min. May I know what are the side effects..? May I know the reason for my problem? Thank you in advance. [|AI|] Hi, Lupigest is a natural female sex hormone, progesterone. It is used to treat menstrual and pregnancy related issues that are caused due to hormonal imbalance. The most common side effects of this medicine include fatigue, dizziness or Chat Doctor. Initially after starting hormonal pills, due to raised hormone levels, these side effects occur. Your body needs time to adjust to the new hormone levels. The side effects will reduce in the further cycles. Hope I have answered your question. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] I have noticed a white coat at towards the back of my tongue for about a year now it s kinda hard to reach with my toothbrush without gagging. a couple years ago I had a bad staph infection and took some antibiotics and every so often the boils will come back they only come on my thighs and about two months ago I was on like 3 different antibiotics [|AI|] I have read your problem, Looking to your Oral health, you are not maintaining well. This is not your fault, because of less knowledge of oral hygiene care. So go to the dentist place, He or She will guide you about proper method of brushing (twice a day morning and night)and use antiseptic mouth wash once a day, in addition to this one should clean tongue with tongue cleaner twice a day while we are brushing. Take some good antibiotic, b -complex, antioxidants,riboflavin(For 1 month) and use antiseptic mouth wash.

The conversation between human and AI assistant. [|Human|] Im having abdominal pain my the middle of my stomach near my belly button. Im also really nauseas. The pain is crampy but sharp at times and hurts more when i lean forward while sitting up. wondering if this is an emergency type pain or if i can probably wait till the morning to be seen. [|AI|] Hi, Noted the history and understood the concerns. Such a severe pain in middle of abdomen near belly button that it causes cramps but sharp at times, increasing on leaning forward while sitting can be due to the following reasons: Pancreatitis, Colitis affecting transverse colon, Gastritis and or duodenitis with or without ulcer formation, Obstructed epigastric or umbilical hernia. This can be well diagnosed by the following ways: Consult your doctor, preferably a General Surgeon or a Gastroenterologist for clinical evaluation, examination and relevant investigations. Ultrasound of abdomen, CT scan of abdomen to confirm any positive findings as discussed above. Tests of stool, urine and blood. These will give a probable diagnosis so that a definitive further investigation and proper management can be done. Till then take a PPI, Risperidone and an antispasmodic to relieve pain. Take only fluids orally. You may better rush to ER, earlier the better. Hope I have answered your query. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] I just had a physical and had blood work done. THe test results showed that my liver enzymes were elevated to a little over 100. I am a 24/yr male. I have been using the pre-workout supplement Jack3d and post workout Dark Matter. My doctor told me it could be hepatitis which makes me nervous. . . [|AI|] Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Liver enzymes are reasonably sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common case is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additional done Then appropriate treatment can be started. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.

The conversation between human and AI assistant. [|Human|] hi, i have a shaved head and the last couple months i have had dry skin appear on both temples. It can be quite itchy, i tried E45 skin cream but it made the area really red and sore. I also tried simple skin cream but it does the same thing, is there anything else i can try? [|AI|] Hello. Thanks for writing to us at Chat Doctor I will keep a possibility of scalp seborrhea dermatitis. It usually presents as Chat Doctor. The condition is a result of interplay between factors like overgrowth of Malaysia fur fur, a yeast and scalp inflammation. The cream that you have been using is just a moisturizing cream and not specific for seborrhea dermatitis. If I was the treating doctor I would have asked you to use an antifungal antigen

The conversation between human and AI assistant. [|Human|] my husband has had a triple bypass 3 years ago, Has congestive heart failure now heart is beating at 30 percent, 2 days ago we went to the VA hospital for out patient surgery which they cancelled because his pulse rate kept dropping to 32 then back up to 60? They sent him to the ER where they xrayed his lungs and found he had fluid in them gave him a diruretic sent him home ? with no answers as to what to expect or what is going on? Can you tell me what to expect please? [|AI|] Thanks for your question on Chat Doctor. I can understand your situation and problem. Congestive heart failure is failure of pumping action of heart. And 30% beating means his heart is working only 30% to pump out blood. So efficient pumping of body fluids is hampered in your husbands case. This causes fluid retention in dependent part of body like lower limbs, abdomen and lungs. When fluid accumulate in lungs, it is known as pulmonary edema. This is not a good sign. This indicates more worsening of heart function. Along with this his pulse are also very low (32-50). Which is again indicator of failing heart. So I advise you to consult cardiologist and get done repeat 2d echo to know heart function. He needs diuretic and cardio tropic Chat Doctor.

The conversation between human and AI assistant. [|Human|] I had irregular periods till feb 2011 I used tablets to get my periods as per the doc advice Doc advised me not to take any more tablets due to my health From then i got the periods almost properly 38days 35days 30days 33days July 3rd was my LMP Due you think my periods are regular now I am trying to get pregnant Nothing good has happened till now Any advice I had irregular periods, till feb 2011. I used tablets to get my periods as per the doc advice. Doc advised me not to take any more tablets due to my health. From then i got the periods almost properly. 38days, 35days, 30days, 33days. July 3rd was my LMP. Due you think my periods are regular now. I am trying to get pregnant. Nothing good has happened till now. Any advice? [|AI|] Welcome to Chat Doctor you were having irregular periods, and now you can say you are having 33 to 38 days cycle.these are also delayed periods treatment for infertility is a continued process and both the partners to be evaluated for you, it is to ensure that ovulation occurs and there are patent tubes in you.husband should have normal semen report and normal sexual activity in the periovulatory period so that sperm can penetrate ovum, and you be pregnant please consult your doctor and follow advice and treatment till you get the result

The conversation between human and AI assistant. [|Human|] Hi, may I answer your health queries right now ? Please type your query here...hii... my uncle had typhoid last month..about 2 weeks after discharge he is now suddenly having low grade fever(99-101C) from noon to night..it starts at around 12pm and leaves by 12am..he also has headache at the time..couldit be a relapse?His blood culture was normal at the time of discharge [|AI|] Hello, thank you for posting your query here. Did your uncle take the complete course of antibiotics for typhoid ? From the symptoms you be described with low grade fever and headache, my opinion is that he is having a viral illness now. You can ask him to wait for 2-3 days, and if fever persists, to do a blood culture and start on a course of antibiotics (what he took last time for typhoid). Importantly, ask him to take a vaccine for typhoid a month after recovery, as infection with typhoid does not protect against typhoid recurring in the future. Hygiene and handwashing before eating food, after using the toilet is to be stressed upon. As is Chat Doctor. Hope he gets better soon.

The conversation between human and AI assistant. [|Human|] My son is 6 months old now. I have started with mashed foods like carrots, apples, vegetables and cerelac. The doctor also asked us to start with lactogen. But he does not drink lactogen at all. Is it really necessary that he takes lactogen? If yes is there an alternative? [|AI|] Weaning with semi solids is recommended from 6 months of age. You can give mashed rice boiled along with pulses and the vegetables that you mentioned. Basically it is a transition to adult food and practically any adult food low on spices can be introduced gradually but in the mashed form. Lactose or milk is an accessory and may not be given if other nutritive principles are included. If the child is not taking lactose, it is not a cause of concern, and you need not worry and there is no need to look for alternatives.

The conversation between human and AI assistant. [|Human|] hi sir i am a diabetic patent from 4 year ,tomorrow my blood pressure is 180/120.and my suger lebel is only 59 p.p,then i am very scrade plese tell me what i can do ,i olso chek my kidenys today they are normal but i have very difficulty to sleep at night.i olso take b.p tablets from tomorrow. ples suggest me.i have olso urick acide 6.4. [|AI|] Hello, you need to take a proper control over your blood pressure readings. You need to reduce salt intake and Chat Doctor. Be regular with intake of your BP medicine and do not leave taking them. Regularly monitor your blood pressure readings. Measure your BP after few days regularly and keep a BP track record in a diary so that you can show the same to your physician. If your sugar levels are that low maybe you are taking more insulin or other anti-diabetic pills than you need. Consult your physician for that. Take food regularly and take small frequent meals instead of a heavy meal after longer duration.

The conversation between human and AI assistant. [|Human|] my daughter is 25 weeks pregnant ,she is 39 about 16 stone,5ft 4in has asthma and felt unwell all the time with being breathless even using inhalers and feeling weak and sick ,tests at the hospital have come up with nothing,can you ? thanks from a worried mom....... [|AI|] Hi, I had gone through your query and understand your concern. It seems that your daughter has poor asthma control. This is very important to have good asthma control during pregnancy since it may affect the child. If you could mention the name of the inhalers, it would help me to give you a precise suggestion. If I were the treating physician, I would first confirm the diagnosis by objective test, check for triggers and follow up thoroughly for any abnormality related to pregnancy. Then I would, I advise steroid inhaler twice daily and albuterol inhaler as required for asthma and other medications if required. Since this is a prescription medicine, so my opinion is :please consult with a respiratory medicine specialist to confirm the diagnosis and get treatment accordingly. Please do not worry. Asthma will be under good control with proper medication. Wish your daughter safe pregnancy.

The conversation between human and AI assistant. [|Human|] My brother affected spinal card cancer(the name of medical term - anjio circomo). 1 year before surgery done and remove the tumour . But till now every 3 months once he taken spinal CT Scan only. He s age is only 36years. Further what treatment doing next, tell me ur opinion. Do u suggested pet scan How much cost of pet scan, which institution take the pet scan. [|AI|] PET scan is a sensitive investigation for many tumors. Angiosarcomas can also be picked up by PET scan. However, a PET scan (about Rs 20000) is relatively expensive compared to a CT scan (5000 - 10000) or MRI (~10000). If the sequential CT scans are normal and if your brother does not have any complaints on regular follow up then he might not require a PET scan. If on the other had there is some abnormality on the CT which is difficult to make out then you can go for a PET scan especially to see if there is active tumor or fibrosis. Lot of places now offer PET scan. An idea of your location would help give a specific answer.

The conversation between human and AI assistant. [|Human|] My mum has history of decayed tooth in almost all of them (all are black and eroded), she used to chew clay pots in early days and used tobacco based Red tooth powder. She brushes regularly but doesnt use any mouthwash, Few days back we figured out a severely damaged tooth and visited dentist, he had root canal of it and suggested that we should go for tooth cap as nothing is left in it. Since that root has been done My mum has regular pain in gums of next tooth in the area she had RTC of, and few days back gum had a pus formation, antibiotics are already going on but pain is unrelieved. please suggest [|AI|] Hi, Thanks for asking the query, According to your clinical history I suspect that your mother is having generalized infection in her teeth. Pian in the root canal treated tooth can be due to re-infection or spread of infection to the adjacent tooth leading to abscess formation. I would suggest you to take an OPG radiograph to determine proper diagnosis and appropriate treatment plan. If required act has to be performed in the adjacent tooth also. Stop the use of tobacco based tooth powder. Use a soft bristle tooth brush and desensitizing toothpaste. Use antiseptic mouthwash rinses. Maintain a good oral hygiene. Hope this helps out. Regards.....

The conversation between human and AI assistant. [|Human|] Ive just found a pea sized lump under the skin on my shin bone, just below the knee. It moves/ slips around under the skin when I touch it about a inch. Going to doctors asap but just wondered what you thought? Im 20, female and have no history of lumps before. [|AI|] HI, Dear,Thanks for the query to Chat Doctor. I understood your concerns about the shin lump. In my opinion its -Sebaceous Cyst ? Or could be Lipoma. Treatment-a-Take opinion from the ER Surgeon b-He would do Surgical Excision and Biopsy to rule out any fear of cancer that worries you. Hope this would help you to plan the treatment with Your family doctor. Wishing you early recovery. You are always Welcome for further query to Chat Doctor in this regard. Have a Good Day...!!

The conversation between human and AI assistant. [|Human|] I have been advised to have an aortic valve replacement. My symptoms I can not walk for more than 2 hours and I suffer from erectile dysfunction other than that I feel fine. Do you think these symptoms will improve after the operation.I live in Thailand is there any American hospitals that offer medical tour services that can do this operation? [|AI|] Hi, Erection problems can have many causes. These include Physical problems, such as injury to nerves or loss oxblood supply to the penis. Other health problems, such as diabetes, high blood pressure, anxiety, and depression. Side effects of certain medicines. Stress. Chat Doctor. The exam, lab tests, and sometimes mental health tests can help find out the cause of the problem. Treatment is based on cause and includes avoiding tobacco and

The conversation between human and AI assistant. [|Human|] Hi im a 21 year old female. i recently notice a hard lump under my left collarbone. i went to the doctor and she told me it was a muscle. but it feels swollen. i do press on it alot. is it normal to have an upper uneven chest with muscles even if i dont work out? i also started to press on my right side too and i feel a lump. it feels like a bone. but i dont know. if i keep pressing on my upper chest, is it possible im just causing harmless pain to it. do i have anything to worry about? [|AI|] Welcome to Chat Doctor .1. You said that a doctor has examined and said its muscle mass, but you still feel that there is something there. 2. In this case what I would recommend is get a chest x-ray (PA view / Picogram) and ultrasounds scan of the muscle / lump area (gives us exact content and involving structures)3. No uneven muscle without workup is not possible.4. If it is not painful and not causing discomfort - you can ignore.5. If you do have symptoms, get the above-mentioned investigations done - They will help you to conclude and confirm. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.

The conversation between human and AI assistant. [|Human|] hi i am a 33 yr old fem. and have a kidney infection caused by proteus and I am on my 5th day of anitibiotics (Cipro). The pain is almost gone as well as the high fever, but i have been extremely dizzy. I was expecting that to subside with the other symptoms, is this normal? i just dont quite feel right. [|AI|] Dizziness is not likely to be due to the infection unless OT is so severe that it had reduced your BP, but that is now unlikely considering that you feel the fever had come down. Ciprofloxacin is an excellent Chat Doctor. You can take a multivitamin preparation for whatever it is worth as well. I suggest you take plenty of fluids and eat well for the next couple of days till you complete your antibiotics course but if you are not comfortable, please stop the antibiotic and get yourself examined by a doctor.

The conversation between human and AI assistant. [|Human|] my wife have bp problem and she want concive ,her treat by a gyine but main problem bp so suggest a mediceni for bp contol.at this time she take eslo2.5mg and telmikind40 but she not feel good [|AI|] Hello. Thanks for writing to us. The medicines she has been prescribed are to lower her blood pressure. If the blood pressure is not getting adequately controlled, or she has some other related symptoms then she needs to consult a physician for a re-evaluation. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor.

The conversation between human and AI assistant. [|Human|] I have suffered cardia arrest last month. My one arterie was totaly blocked. stenting as done for the same.There is one more arterie which is 60% blocked. I ant to find out if stenting needs to e done for te second arterie also or it can be cured with medication. I am 40 years old. I am 62 tall and weigh 80 kgs. I am phisically active and used to run on the treadmill for 45 minutes every day. [|AI|] Thanks for your question on Chat Doctor. I can understand your concern. Yes, 60% blockage can be treated medically. Do following things for better outcome. 1. Continue exercise and trade mill. 2. Avoid stress and tension, be relaxed and calm. 3. Start blood thinners, aspirin and clopidogrel. 4. Also take low dose of lipid lowering Chat Doctor. 5. Strict salt restriction in diet. Avoid oily, fatty and spicy food. 6. Avoid saturated fatty acids in food and start omega 3 fatty acids, monounsaturated fatty acids etc. All these things are needed to take care of 60%blockage artery. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

The conversation between human and AI assistant. [|Human|] I recently had a spell the evening after I had a tooth extracted and did not eat much. I felt week, dizzy, was pale and sweaty. My wife says I lost consciousness. After some food I felt fine and the EMTs did not take me to the hospital. Was this low blood sugar? I am not diabetic.Thanks [|AI|] Hello, As per your query, you have symptoms of dizziness and excessive sweating after tooth extraction which seems to be due to dental phobia and sudden lowering of blood pressure and sometimes sugar level as well. I would suggest you to stay relaxed as much as possible. Chat Doctor. Visit oral physician once if symptoms keeps on persisting and get blood tests done and start treatment accordingly. It could be due to medications you are taking which could leads to these symptoms, and you should take your medication properly before coming for extraction. Hope I have answered your query. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] I just took my blood pressure and it is 101/74 and I have a heart condition and had an angio done 2 years ago. I do exercise daily n I am eating right. I feel giddy all the time. I am on metformine reunited 20mg simvastatine and aspirin cardio. What is wrong with me? [|AI|] Thank you user for your query understand your concern at Chat Doctor. As per your history all I can suggest you is that simvastatin causes generalized muscle weakness and metformin causes only gastrointestinal symptoms mainly nausea.Hence, as per my advice you can start taking atorvastatin instead of simvastatin. Rest your blood pressure is doing fine, though the systolic is a bit towards lower side. If you want then you may contact any endocrinologist before going on with what I'm suggesting. God bless

The conversation between human and AI assistant. [|Human|] Hi, I am post op day 4 from open bilateral inguinal hernia repairs with mesh. I have developed an area of penile edema and am interested in knowing I this is normal, and is there anything that I can do to releave this? I also. Have some scrotal edema as well. The penile edema doesnt go all the way around, isnt painful, doesnt affect urination. [|AI|] HelloThanks for query. It is not uncommon to get penile and scrotal edema after surgery of inguinal hernia. This is due to spread of inflammatory fluid along the facial plane of Carpal fascia. Normally it fades away gradually over a period of 2 weeks. Take antibiotics like Augmenting along with anti-inflammatory medicine Diclofenac and Serropeptidase twice daily. There is nothing to be worried about. Chat Doctor.

The conversation between human and AI assistant. [|Human|] I have a severe spinal stenosis of the T3 T4 parts of my spine. I am going to hospital on Sunday 30 for an anaesthetic test and will presumably be admitted for surgery. I am now experiencing extreme and almost constant leg shake in my right leg an some in my left leg. Is there any medicine I can ask my GP to give me for this final 10 days or so? [|AI|] HIT hank for asking to ChatDoctorI really appreciate your concern if you do not have any major problem like sever pain, fever, then you can ask for the medicine otherwise no need to take any medicine for the problem that you have stated here, constant shaking of leg, this could be because of the, functional elements that you might be having, try to keep your stress level very low and no need to worry about this, take care and have nice day.

The conversation between human and AI assistant. [|Human|] my 2 year old niece gets these white spots usually in the mid section of her arms nd the mid rear section of her legs where she sweats the most, my brother in law said its acxema or something like that, but from what i read thats way different, what could it be and could it be somehting serious? [|AI|] Hi, Thank you for asking question on Chat Doctor. White spots over the skin may be B complex deficiency, fungal infection of the skin and even vitiligo. One has to see and decide. Better consult dermatologist. You may try B complex syrup and /or antifungal skin cream. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics

The conversation between human and AI assistant. [|Human|] My husband had to undergo medical examinations required for their job onboard...he was diagnosed to have 108 sgpt level the normal should be 80 what should be the best thing to do for him to reach the normal level required for the test?Despite the exercise and strict diet he did accompanied by medication prescribed by the attending physician because this was already the 2nd time he went for a test the first one was pending he did have a 140 sgpt level...Could you please give me any possible things to do to lessen it in just 3 days he will be back again ob Tuesday for a test..thanks looking forward for an answer soon..God bless. [|AI|] Hello! Thank you for the query. Unfortunately it is impossible to make Sept level normal in just 3 days. SGPT is a liver enzyme which gets elevated when some liver cells get damaged. And it takes about a month for liver cells to regenerate. So it takes at least a month to decrease SGPT level. To do that your husband should modify his diet (avoid fatty foods, spicy foods, fried foods), avoid alcohol intake and do not take painkillers (like Acetaminophen). Hope this will help. Regards.

The conversation between human and AI assistant. [|Human|] The other night, I got some stiffness in my neck and got really dizzy like I had been drinking but I dont drink. Then I got slow of speech and started smelling old engine oil. what could have been the problem? I had the stiffness in my neck and head all day. [|AI|] Hello! Welcome on Chat Doctor ! Your symptoms could be related to chronic degeneration of the cervical vertebral column. Anyway, it is really hard to connect all your symptoms together with a neurological disorder. The dizziness and neck stiffness could be related to chronic degeneration of the cervical column. But the weird smells do not seem to be related to such issues. Anyway, if the problem persists, I recommend performing a brain MRI and a Doppler ultrasound of the cervical arteries. Hope you will find this answer helpful! Best wishes,

The conversation between human and AI assistant. [|Human|] Hello i have an allergy looking hotspots some the size of a 2p on my inner thigh, shoulder blade, buttocks, lower left knee, kneck andouter buttocks also a few on my leg smaller... they are hot to touch and itchy ++ this is a recurrence of2011. when they first appeared..they have all appeared in the same locations as they did over 2 years ago... i find thenquite distressin and on my upperright leg there is a log whelt like lesion across the back of leg.. they raise when i itch and irritate and leave marks of which i thought i was rid of until last night..i have been given anthihistimane (piriton and hydrocortisone. i have done nothing or been anywhere out of my usual routine to pinpoint an allergy can you help.... [|AI|] Hello, Thanks for posting on Chat Doctor, Your most probably suffering from an allergy condition, and it must not necessarily be caused by an external environmental factor but by an underlying condition from within your body. Allergies can occur:- Spontaneously with no external stimuli-Weather changes (cold or hot)- Type of food-Clothing- Insects/pests/parasites (even those that can be seen like bugs)Your symptoms could be manifestation of an autoimmune diseases condition that will have to be investigating for ruling out by your doctor. You will have to continue taking the antihistamine medication prescribed by your doctor, but you can also call him, to find out if he/she could investigate further into other possible causes of your skin manifestations. Hope this helps

The conversation between human and AI assistant. [|Human|] Hi I am a 53 year old female. I have no heart disease that I am aware of. I do take metoprolol 25 mgs daily for a fast heart rate. It usually runs about 90 bpm, so doctor suggested this medicine. But last few nights, as soon as I lay down at night, I can feel and hear my heart beating. Is this normal? I do not have any caffine at night, however I do have wine, and I tend to have sweets. I immediately feel my pulse, and it feels normal and regular, and it doesnt feel fast. But it keeps me up as I can distinctly feel and hear the thumping. Should I be worried? Should I up my metoprolol at night? Thanks for your answer. [|AI|] Hi, Usually it is not dangerous if you feel your heart beating when you are lying. I would advise you to check your blood pressure for a week in the evenings, as sometime people can feel their heartbeats because of high blood pressure, but if it is normal before going to bed, there is nothing to worry.Also, I would advise you to avoid sweets and alcohol in the evening, and try to be in the fresh air much. Hope I could help nourishing you good health In case of further questions don't hesitate to ask