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<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am an 18 year old female and the pappilae on the back of my tongue are enlarged and sore. there is also white film that will not scrape off. Ive seen many doctors. the infectious disease specialist said he has never seen pappilae look like that and referred us to an ENTspecialist. my dentist said they are big and hard whereas they should be soft. The ENT said they are fine and normal. Two other doctors agreed with me that they are not normal. Ive tried antibiotics, fungal mouth rinse, different gargles, and had every blood test under the sun. Do you have any suggestions on how to fix this and give me relief? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Thanks for consulting Chat Doctor, Read your query, as you have enlarged papillae on back of your tongue these are circumvillate papillae present at back portion of tongue, this is not a serious condition this is enlarged papillae seen in some patients and this can be enlarged and inflamed due to bacterial or viral condition, poor oral hygiene, vitamin B 12 deficiencies or due to acid reflux don't be worry I will suggest you to consult dentist for evaluation and go for mouthwash like proxy by consulting with your dentist and vitamin B 12 supplements also. Hope this will help you. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi i am male 18 yrs old i use to masturbate once in a weak .this time for a change i masturbate with a cucumber by making hole at the centre .after i masturbate i noticed that there are several scratches in my penis head head.its so painful when i pore water on it.can any one help me.say some natural medicine to cure it.... <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for writing in. Looks like there has been small mucosal injury to your glans penis (head of penis). There is nothing to worry as it is due to friction between the inside of cucumber and the head of penis which has made scratches (physical injury). If left alone the mucosal injury in your penis head will repair by itself in 2 - 3 days. If it is bleeding, please consult a doctor and apply Newsprint ointment. Hope this helps. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I had an oophorectomy 2 weeks ago. I have developed a breakout on my scalp. red bumps on several different spots on my head since surgery. I also, typically, have a breakout on my face after surgery. I also had a lumpectomy on my right breast and bilateral breast reconstruction on Sept. 19. I am almost done with radiation, I did not undergo chemotherapy. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for writing in. It is possible that you might have developed allergy to any medicine or Chat Doctor. There is no obvious connection between rashes on the scalp and oophorectomy or breast lump surgery. You might have got the procedures done under anesthesia and taken cover of antibiotic and pain relief medicines. It is difficult to point out the exact cause unless it is clear that you have been having the symptoms right after using or taking a particular medicine. Please do not worry. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi Dr, I have a query on dealing with public speaking or performance anxiety... My major fear is about my hands shaking, when ever I m nervous my hands shivers which in turn makes my fear too recursive and stop me from performing or completely I ll get in flight mode. There is only 10 percent chance I can get back to perform at the spot. I started to feel this trauma from the day I started to give a speech at my job some 3 years back. However I was pretty much improving till that time. My confident has gone down only when it comes to public speaking but my will to overcome it is always strong in mind. I took proponal after a dr advise some 2 yr back, that really helped my nervousness and allowed me to talk clear. However this drug took me in to serious side effect , mild pinching chest pain and depression moods(mood change last for 2 days but pain got permanent). I m still experiencing pain but hardly I ll use this drug only on high need. So far I had taken 9 times in 2 yrs and I knew the consequence of it and try making my self prepared to overcome the pain by exercising. I have tested my chest pain( Cardiogram, TMT, chest CT, x ray, ECG) all shows good with out any trouble on my vital chest parts. Can you please help me in this situation, what should I do as this pain is just staying in my body for 8 hours a day continuously. Thanks for any advise <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Degree understand your concerns went through your details. I suggest you not to worry much. I see you have two problems. One about the public performance and the second about the chest pain. As the investigations of the chest came negative, then you have nothing to worry (already you are aware). Still you feel the pain. That is anxiety and thought process. The pain false (imagined by you). This happens due to psychosomatic illness like Hyperion Chat Doctor. Psychotherapy should help you overcome. Thoughts are there to come and that is the duty of the brain. Let the thoughts come. You need to divert the thoughts to more priority ones. Means be busy and divert thoughts. Relaxation and meditation plays an important role in controlling Hyperion <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have really mild pain on both sides of my belly, I have fever for 5 days everyday after 4pm. in the mid night the fever will up to 104 F, normally goes away in the daytime. I have been taking Advil 200mg when I was very cold and shaking. My urines color is very very very light brown. But I have no problem and no pain to go to the restroom. Could you tell me what do you think? Thanks for your help. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Thanks for the query to Chat Doctor. Forum. Fever 104 F, from last 4 day and urine brown color may be due to ketone body in the urine. Usually due to breakdown of R B Cs there develops rise in bilirubin level and this raised level of bilirubin develops brown color in urine. 2nd reason may be due to some infection in kidney as there is fever also. Get in blood for bilirubin level (direct & indirect), serum creatinine level for kidney, Urine complete examination is very important. Consult a physician and get his opinion. Good luck. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello, My Name Harinath 6 months back my wife delivered a baby girl, during her pregnancy she sufferer from breathing problem so she has taken mibilizing during that time it was controled, doctor told that during pregnancy it will be common, but now also some time my wife is getting breathing problem as she is taking tablets as suggested by doctor but it is repeating for every 15 days can you please provide any solution. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of bronchitis is more likely in your wives case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. She will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, she will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> MY daughter is 31. She has two boys 4 and1 years old. She had low platelets ect. and had C-Sections both times. After the last c-section she had an infusion of platelets. Her platelets were checked about 6 weeks after the birth of her last child. They were 160,00. She sees a psychiatrist for anxiety and is on LEXAPRO. For some reason, the Psychiatrist wanted a platelet count because of her history with pregnancy. She had the test done at a different lab then the first. Time frame now is 1 year after the last c-section. This test result was 120,000. Normal being 140,000. What should she she do? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, dairy have gone through your question. I can understand your concern. Your platelet count is slightly low. There are many causes of slightly low platelet. Even mild viral infection can lead to this. So if you don't have any symptoms of low platelet then no need to worry. Just be relaxed. Just go for repeat test after few days. It will come back to normal 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. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have been taking clindamycin since tuesday night. My dentist gave me tylenol 3 with codeine also. I stopped taking that because It wasnt helping and I was getting bad headaches. I went back to the advil with antibiotics. I have a fever still and a lil tingling in my lips. Nervouse that I might be having a reaction. Sorry this is for an absessed tooth <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of fever and tingling of lips post intake of antibiotics for abscessed tooth is mainly due to high grade of infection in oral cavity. Presence of abscessed tooth is site for accumulation of bacteria and there build up which is causing infection and leading to fever. Tingling of lips occurs due to over use of antibiotics and poor immunity of oral cavity. Need not panic about anything. I would suggest you to visit dentist first and get IOWA i.e. X-Ray of tooth done to access the level of infection. Go for root canal treatment along with scaling in that area if it is possible to save tooth. Go for extraction if tooth is not restorable. Take medications prescribed by dentist only and explain your symptoms first. Maintain proper oral hygiene by brushing and flossing. Use antimicrobial mouth wash. Chat Doctor. Hope your concern has been resolved. Get Well Soon. Best Wishes, <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> i have been getting a darting pain (lasting no nonger than a second) on the left saide of my chest for the past 16 hours. Sometimes 3 per minute and then a gap of perhaps two hours. The dart is halfwaw between my left nipple and centre of chest. Have you any suggestions as to what it may be? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. Darting pain on left side of chest should always be looked for heart diseases. So first get done blood pressure monitoring, ECG and 2d echo. If all these are normal then no need to worry about heart diseases. Sometimes pulled muscle can also cause similar kind of pain. So apply warm water pad on affected areas of chest. Take painkiller and muscle relaxant Chat Doctor. Avoid movements causing pain.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. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Started with pain in hands and wrist with the first three digits in my right hand going numb while driving. Over time got more pain in arm then in shoulder and neck. At night arm would go numb and be very painful. Recently On two different occasion I felt first pain on the inside of my palm and shortly after a vein popes leafing my palm blue and the same happened to one of my digits. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi Hope this message finds you in good health. I have gone through your query in detail and understand your concern. You are suffering from a slipped cervical disc causing compression of the spinal nerve in the neck. This causes pain in the upper limb and numbness in the hands and finger. I would suggest you to get an MRI of the cervical spine done. Methycobal and pregabalin tablets with use of cervical collar will help. Avoid using a pillow while sleeping. Get an MRI of neck done and consult an orthopedic. Hope your query has been answeredNothing to worry about, You should eventually get back to normal. Get back to me for any FOLLOW-UP QUERIES anytime. Kind <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, may I answer your health queries right now ? Please type your query here... Hi, I was told I may have mycosis fungoides, and wonder if I can still have any surgeries with this? I was told if you get open up , it make cancer spread. Also, I have a lot of fatty tumors and wonder if there is any other procedure to get them out beside surgery? Thank you.. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello multiple swellings on body can be dermatomes, lipomas etc. which are benign tumors and may need observation without any treatment unless they increase in size and cause trouble like pain, bleeding, ulceration etc. As you told your diagnosis of mitosis fungoides is not confirmed. You can show it to surgeon and consider for biopsy. Biopsy is small surgical procedure which can be done in OLD and requires no admission. Biopsy does not spread cancer. It helps in differentiating benign versus malignant tumor. If tumor is benign and not causing any trouble no treatment is required. If its malignant then depending on type further treatment is indicated. All tumors do not require surgery. For example mitosis fungoides can be managed with steroids, PVA therapy, local radiation or topical chemotherapy. Hope this answers your query. Thanks for posting <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi my yr old son is suffering from cough doc has prescribed mox suspension 3.5 ml thrice a day for 5 days and omnacortil suspension for 4 days and nebulisation with asthalin ,but after giving him these medicine he is not eating anything .passes loose watery motions and is not active <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Mox suspension can cause loose stools or gastrointestinal upset as a side effect. This antibiotic can be stopped and other groups of antibiotics can be started if cold and cough persists. Antibiotics can kill the beneficial bacteria in the intestine which can cause diarrhea in many patients. Probiotics can reduce such antibiotic induced diarrhea. Hope I have answered your question. Let me know if I can assist you further. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi i m 29 yrs old,when i thought having sex in sleeping automatically my sperm leak out. i m not yet married but i used to have sex with my girl friend. i have no stamena very quick my sperm leak outs cant satisfy my lover. please give me an suggestion <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Degree understand your concerns went through your details. Automatic sperm leakage during sleep is called nocturnal emission. Nocturnal emission is a natural process of body on which you have no control at all. Semen is produced whenever you are sexually aroused and this produced semen is stored within the body. This semen is a waste product and body should find a way to throw the semen. Body does it through nocturnal emission. No health problems due to nocturnal emission. You could be having premature ejaculation problem which you term as lack of stamina. In reality stamina is not the criteria for premature ejaculation. In most of the cases, mental health issues like anxiety, apprehension and obsession are the reason for premature ejaculation. I suggest you to consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> i have 2 small haemangiomas in the liver found on ultrasound around 11=14mm in size. have had raised ggt and alt recently and presented because of abdominal pain and a feeling of fullness and changed bowel habits receently over last 2 months. 2 yrs ago had similar sysmptoms that went away upon removal of a 2.5 cm bowel polyp. this time no polyps found in bowel. i am 44 female otherwise feel well. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> 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. This hematoma is very small, and this cant be related to your symptoms and generally hematomas should not be treated if smaller than 10 cm. Other findings and symptoms are concerning and there is obviously liver damage which should be evaluated. It may be viral hepatitis or fatty liver disease, you need to do ultrasound and check viral markers for a start. Then further therapy can be planned. Polyps in bowel may have caused abdominal discomfort and digestion issue, you should repeat colonoscopy to evaluate if this has grown in meantime. 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. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My baby is 14Months old and he is not walking yet. I have been teaching and training him since he was 8 months but still he isnt walking, he crawls and walks arounding holding onto furniture he can even stand on his own but he just isnt showing signs of walking. What can I do? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi dear welcome to the Chat Doctor, Walking is an important milestone for the growing babies. Quite variables. Depends upon many factors like nutrition, genetic factor, constitutional. Enviormental, seasonal, socio-economical, any chronic disease prenatal or postnatal. For most is Rickets in the current living scenario.Sometimes walking may start at the age of 15 months. Improve his nutrition, add vitamin D, multivitamin etc. Hope he will start walking.thanks <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> HI, My daughter is 5months old. Her weight is just 6.5kg. It s the correct one. In one day, giving two times of cerelac[3 tablespoon] and also giving Lactogen Stage one[6 tablespoon per day]. Night time breastfeeding? Is the enough one for the 5months old baby? Some time, my baby is difficult to breathe.My mother-in law having asthma disease. It will affect my baby. Can i put pneumococcal conjugate vaccination to prevent this breathing problem. Please suggest me. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, 6.5 kg for a 5-month-old child is completely normal. The amount of feeding that is being given is also correct. Mother feed is best till the age of 6 months of age. Pneumococcal vaccine prevents infection from Pneumococcus and does not prevent respiratory problems due to other causes like Childhood Asthma, other respiratory infections or bronchiolitis or WA LRI. The vaccine is still recommended in child Chat Doctor. Keep good hygiene and prevent the child from excessive cold conditions. Thanks and regards. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi I think I may be allergic to Harissa, I am definitely allergic to horseradish. However I am concerned that Prozac may have been causing me to have frequent stomach upsets. I hope not because I was hoping to be rid of a recent depressive phase. Can you advise. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, You should understand that virtually any medicine can cause stomach upset. Depending upon the type of stomach upset, we can attribute it to whether that specific medication causes that particular side effect. In your case, you have not mentioned what type of upset you have. Prozac is an anti-depressant medication. It can cause a wide variety of side effects including stomach problems. Most common are vomiting, indigestion, loose motion and nausea. So if you can't tolerate the medicine, consult the doctor who have started the medication. He may change the dosage or change the medication. Hope I have answered your question. Let me know if I can assist you further. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi,I think I have an impacted wisdom tooth - Ive had one tooth removed earlier this year, and I was told to keep an eye on this one as it was likely to need extraction too.Over the last 2 days Ive been developing flu-like symptoms - headache, ear ache, sore throat and general achiness. Ive also started getting night sweats...Are the above due to the wisdom tooth or something else? I didnt have these with my last wisdom tooth so Im a bit worried!Thanks. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi. Welcome to Chat Doctor. I read your query. Impacted wisdom tooth may cause pain and general unwell feeling when they are erupting or infected. But mostly they are also accompanied by local symptoms as well. You have not mentioned the area. Check for any redness or swelling around that tooth area or pus. Usually pain from upper tooth may cause headache while from lower ones are radiated to neck and lower jaw. You can get an x-ray of that area to know if there is an infection of wisdom tooth and get the treatment. Else I suggest you to see a physician and get yourself medication for fever and flu like symptoms. Maintain good diet and HY Chat Doctor. Hope the answer helps you. Thank you! <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi Doctor, I am a patient of Psoriasis from Last 10 years , It has began from head and then spots on the body...the same was cured 5 years back but now the spots had started again appearing on my body, nails and hair. Is this disease is permanently curable.... <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, I very well understand your concern for psoriasis. Psoriasis is quite long-running problem and with proper treatment remains in control. It is not at all life endangering condition and is due to simple fast proliferation of skin within 4-5 days. For the treatment and control of this condition Methotrexate is the main of the treatment. It should be taken only under dermatological supervision with proper blood tests as it has its own blood and liver related side effects. I suggest you to take dermatological advice and take proper treatment accordingly. All the best. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Im 31. About 5 month ago some blood came from my chest and after two month again but this time with cough. I went to a doctor and did some test. In my chest X-ray there is a small nodal found in the left mid zone of my chest. I smoke for 10 years. After this I didnt. In last 5 months it happened four times. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi thanks for asking question. This nodule should be concerned as you have also history of smoking since 10 year. First possibility of common infective condition has to be thought like pneumonia or tuberculosis. Chest x-ray and sputum examination along witChatDoctorplete blood examination seems to be useful for rule out this two condition. They are treated accordingly. Second it could be hematoma like lesion. Third it could be benign or malignant tumor. For above two condition USG guided FNAC useful for further work up Fourth it could be fungus ball infection. For it also sputum culture and FNAC useful. Wish you good health. Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi , I think I have an acute prostate inflamation . I did a urine test and culture , and the result was high white blood cells ( 40-45 ) but no bacterial growth . Im on Ciprofloxacin 500 mg twice daily and analgesics ( voltarin ) . What is the best solution and treatment <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> What is your age? Have you any burning in passing urine? If the urine culture did not pick up any growth get a semen culture done. Best would be to take antibiotics according to the culture report. Ciprofloxacin is good, but then you should take it in higher dose of 750 mg twice a day for at least 14 days. An ultrasound of the Prostate and bladder will also help in finding the cause for the infection. Take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am a 28 year old female and have a dull ache in my lower right abdomen. It is just to the right, below my belly button. I get a small bulge that goes up and down after I eat dinner, before I go to bed and am lying down. It feels somewhat like a gas bubble but only lasts for a few seconds and happens a couple of times.This doesnt happen any other time of the day (only at night) but I feel some pressure on the spot during the day. I have loud gurgling noises and I feel some pulsing when it is happening.I had a neurofibroma tumor removed from my spine 15 years ago. Do you think it is a tumor growing back? Or Irritable bowel syndrome? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HI. This is not a tumor growing back or Irritable Bowel Syn Chat Doctor. This is a form of an intestinal obstruction. Easily confirmed by a Standing X-ray abdomen when you have this attack (if possible as this lasts for a small-time). The best way is to request for a diagnosis called Enterocolitis (barium contrast study) and/ or a Contrast enhanced CT Scan... The treatment can be decided on actual findings. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi there. Iv been taking Microgynen 30 for over ten years- i was due to start my next packet 3 days ago but have run out of supply- I won t be able to get any more for at least another week- I understand my contraception is jepordised, but just in terms of restarting a packet- should i wait/skip the whole month?or just start taking them again the day I get some more... and start the packet cycle from there... Is this good for my body? or should I just have a clean break now, seen as I am missing 2 weeks worth anyway. For the record I have just turned 36- not sure if this affects anything. One day, I would like to get pregnant! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, I have gone through your query and understood the concern. Since you have already missed two weeks of your medication now, there will not be any protection in this cycle should you ovulate, even if you start taking the pill the moment you get it. Thus, it is ideal to use some form of barrier protection, preferably double, during this cycle and go for the pill from the next cycle so as not to jeopardize the hormone rhythm. Further, you should use additional protection for the next couple of cycles for added benefit. Considering your age, you should think of conception in the next couple of years in order to avoid chance of infertility as hormones dwindle with advancing age. Hope this helps. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My daughter had severe case of poison ivy on the back of her legs and a few small places on her arms. We were having success in treating it and it healed up completely before she took a tumble and sprained her wrist. The following day, she woke up with a rash on her hands and legs that has progressive gotten worse. The rash is raised, red, almost solid, warm to the touch and itches. Looks almost like a sunburn, but is a rash. The rash is only from her shirt sleeve down to her hands, and from her short line on her leg down to her feet. She also has blisters on the palms of her hands/fingers and on her feet. The hand of her sprained wrist has stayed very swollen. She has taken ibuprophen, for the swelling and then took benedryl for the rash which has progressively gotten worse over the past three days. She has no other symptoms. No fever, no nausea, no headaches, no shortness of breath, nothing. The rash is no where else on her body. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, As per your query, your daughter has rashes on hands and legs which is mainly due to an allergic reaction. Need not worry. I would suggest you keep this area clean and Chat Doctor. You should apply warm compresses with a soaked towel and apply vitamin C serum at night. If the condition doesn't get better than consult a dermatologist for proper examination. The doctor will examine physically along with blood test and sample for a lab test. The doctor may prescribe immunosuppressants, antibiotics like clindamycin along with anti-inflammatory medications. Hope I have answered your query. Let me know if I can assist you further. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> yes i started with a bump that was small on the back of my head, that grew larger in 3 weeks. it had a redness around. Went to the doctors, and he said it was a reactive lymph node. He said not to worry it will go down. It is still there, and now (not to get dirty ) i shaved my below region, and a bump formed around my groin. same hard feeling that was in my head. i thought it was a ingrown hair so i kept shaving but now it has gotten worse. and is red and swollen. i have no idea what it is! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged inguinal lymph node. It is mostly due to reactive hyperplasia. Other rare possibilities are tuberculosis, lymphoma or metastatic lesion. However, for that your symptoms and history needs to be evaluated. You should take a course of antibiotics. If it doesn't respond to treatment then biopsy diagnosis is advisable. 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. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi, i had sex with my gf on her 16th day after her period , and she took ECP just after 49 hours , using pull out method , and i do it correctly in as i ejaculated after pulling out usually 6-7 second after pulling out .. What may the % of getting her pregnant? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello,First, you did sex close to her ovulation day or fertile days, and she took emergency pill after 49 hrs which gives more than 58% protection. Pull out method has high failure rate (15 to 27%) and pregnancy may occur due to pre-cum or pre-ejaculatory fluid. As she took the pill, she will get a with Chat Doctor. She must undergo one home pregnancy test if her period is delayed more than 1 week. Practice safe sex with condom in safe period and good luck. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> my daughter get infected after every third week coughing chest infections fever etc. As suggested by the pedestrian chest X ray & montoux were examined & found normal all this is happening from last three years. Now she is 6 year old weighting 16 kg. & born as a pre -mature baby. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> There are other reasons for repeated chest infection or repeated chest symptoms, first we have to establish whether it is infection or not. It could be allergy, like asthma. Do you have a family history of asthma or hay fever? Was she ever suggested inhalers by doctor? Did it help? It is better to get a diagnosis before starting any medication. Consult a baby doctor and get diagnosis. Other problems could be foreign body or cystic fibrosis. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hello my name is harry ... i went to my doctor this morning and found out i have hepatitis c..after she had told me my mind just went blank ..she also gave me a application to fill out for a drug that can help me.. i was told the faster i bring it back the faster she can fax it... i believe i didn t fill it out correctly...is there a cure for this hep.c?? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Sorry to hear that you have diagnosed with Hepatitis C, that feeling must be very scary and uncertain. However, you are in luck that there is a new medicine that has a very high cure rate for hepatitis C. Harmony (Ledipasvir/sofosbuvir) has a 94 to 99 percent cure rate. The treatment is generally 1 pill per day for 12 weeks. Hope I have answered your query. Let me know if I can assist you further. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi my name is diomhel my sgpt is 132 and diagnosed with fatty liver. And hve high cholesterol my doctor gve me ursofalk for my sgpt and pravaz for my cholesterol. My ask doctor because im going to hve my repeat sgpt test for my medcal abroad in two weeks. Can i stop my pravaz for a while then contenue after i lower down my sgpt? Because i am worried that it might affect the results. :( <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Welcome to Chat Doctor Hope you are doing good. Well if you are going through Medical test required by the embassy or home office, you should stop it for a while because if you studied the literature of Prada one of its side effect is it give you Abnormal liver tests. You can, should continue it after for your high cholesterol level, during discontinuing the medicine, avoid junk food, do regular exercise and take care of your diet and health. I hope have answered your query, feel free to ask if you have any query. Wish you good health. Regards <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I rain into something about 10 weeks ago and hit my right femur, near the ankle, really hard. The hit was directly to the bone. It hurt a great deal at the time. I now have a lump on my shin bone, about the size of a small egg. Sometimes my leg hurts at night but typically I continue with my regular lifestyle (which is not terribly strenuous as I have a desk job). I am a 57 year old white female. What is the lump? Why does it still hurt? Do I need to worry about it? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, It can be a hematoma after the injury. It is nothing but a collection of blood underneath the skin after the trauma. Generally, it will settle by itself without treatment. You can apply ice packs and can take analgesics and anti-inflammatory combination for symptomatic relief. If symptoms persist, better to consult an orthopedic and get evaluated. Hope I have answered your query. Let me know if I can assist you further. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi I have an 8 year boy who had a bowel abstraction and know complains of perching pain on different parts of his stomach area. He has had all the test done EKG ct scan ex rays he had an ultra sound test today. We live in the er lately and were looked at like crazy people. What else should we ask for <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi.... 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? Suggestions:1. 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. Wish your kid good health. You can approach me at the following link. Please find the link below.www.ChatDoctor .com/doctors/ Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I had all four wisdom teeth removed 3 weeks ago and for the past week have been getting very severe tension headaches are the two things related.The oral surgeon said it was a very difficult extraction as they were all impacted. My jaw still aches and I havent regained full range of movement yet <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi! Welcome to Chat Doctor. I read your query. Post extraction of impacted teeth, there can be discomfort for following month. There can be pain or numbness or restricted movement of jaw due to nerve injury during injection or extraction. However, it reduces and go back to normal in 2-3 weeks. As for your headache, post extraction abscess or misalignment of jaw can lead to headache. I suggest you visit your oral surgeon and get checked if there is some secondary infection or MAL occlusion. Ask him for oral exercises for stretching and opening jaw. Do warm saline rinses. Relax oral muscles by putting a warm cloth from outside. If after all corrections headache persists, contact your physician for further investigations. Hope the answer helps you. Thank you. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Are my cholesterol levels good bad, what do I need to Improve on?My HDL is 0.93 My LDL is 3.35 Weight is 206 pounds Height is 6ft 3 I am a Canadian. How are my levels, are they dangerous, safe, what should I do to fix them. My age is 55 <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, the cholesterol targets depend largely on your medical history. If you're healthy (no diabetes, no heart events, no hypertension, etc.) then your HDL and LDL are fairly OK. Your HDL would be better if it were higher though.I'll mention a few things you can do to raise it:- quit smoking (if you smoke)- consult your cardiologist for approval and start a mild daily exercise program-avoid saturated fat-prefer olive oil (when using oil for cooking)- avoid fried food-loose some weight hope I've helped! Contact me again, if you'd like further clarifications. Kind regards! <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I had my 3rd and 4th metatarsal broken in the center of the bone and had to have surgery. Number 4 healed fine, but the 3rd is not healing. The doctor after 7 weeks said I could start to walk without my boot/cast around the house to help with keeping the range of motion ok. I returned again at 9 weeks and he say s the bracket is all twisted, the screws are coming out, and the bone is not healing. He wants to do surgery again, or wear the boot for 3 more weeks with no weight bearing at all. Is this normal since one bone healed fine and the other one didn t? Could it have been that when they put the bracket on #3 bone they didn t have the bone close enough to promote healing of bone between the break? Thank you, Chris <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, thank-you for providing the brief history of you. As per your history I agree with the surgeon, that the healing has not occurred and might require another surgery. This is the commonest thing which occurs in foot injuries. Also, the bone healing is totally individual physiology induced, so a surgeon will not be able to do much except to regain the alignment of the bone by which there will be a normal physiological healing. If the healing doesn't occur there might be a need bone graft by which healing occurs. Regards Jay In Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My husband was diagnosed with CLL in 2005 and has been in remission for the last 5 years or so. He seems to be coming out of remission.. He is being treated with IVIG and Retuxin. Hes running a fever that comes on and then breaks after taking tylenol, but it was 105 today before it broke. He doesnt seem to have much energy and is frequently short of breath. Whats going on and what can I do about it? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, dairy have gone through your question. I can understand your concern. There are high chances of infection in CLL. He may have some secondary infection. He should go for x-ray chest also. Furthermore, he needs higher antibiotics and antipyretic to control infection. 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. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi - i have sciatica with pain going down my right leg when it occurs! i did a mantoux test that says i have Mycobacterium TB of the spine. Have been taking pyrazinamide-rifampicin-isoniazid-ethambutol for about 6months now!! Please, any suggestions to ease the leg cramps and sciatica?? Thanks, Aminu, nigeria. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi Amino, thanks for asking from Chat Doctor. I can understand your concern. You are suffering from Potts spine (TB of spine). You are already taking 4 first line anti-tubercular therapy, which is ideal treatment of Potts spine. The therapy is long, around 9 to 15 months. There is no standard treatment guidelines. The duration can be decided based on your physician decision and your symptoms. Now coming to your symptoms, leg cramps and sciatica. These symptoms are most probably due to compression and collapse of vertebrae, collection of pus in spinal canal and compression of nerves. To get relief, you should-Avoid any kind of weight-bearing- Avoid flexion and extension at spine-Wear back supporting belt like thoracolumbar corset.- For pain relief, you can take tablet pregabalin after proper prescription. Usual adult is 75 to 150 mg twice a day. If still no relief, you can take tablet amitriptyline after proper prescription.- For cramps, do physiotherapy and take tablet baclofen after proper prescription.- Also increase your protein and calcium intake for strengthening bones. If still no relief and symptoms worsen, repeat MRI spine to rule out any progressively increasing compression of spinal cord or nerves. Sometimes surgery (less than 10% cases) may be needed to relieve pressure symptoms. Hope it will help you. If still in doubt, do let me know. Thanks. Take care. Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> i have a strained ligament in my knee and was wondering if heat would hurt i strained it on friday may 30 i slipped down our steps in the rain and it twisted underneat me a little i have no bruising and minimal swelling after the fall i can put weight on it and walk just when i first stand up its light the ligament is tight and have to stand a few seconds and let it stretch . i can walk on it and put weight on it it jus pulls when i bend that knee to walk not really hurts jus uncomfortable. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> With such presentations in my clinic, I would first rule out the fracture by doing X RAY knee joint and then ill diagnose. If there is no fracture based on clinical examination ill diagnose the cause, and mostly it should be a ligament injury, if so ill go MRI knee joint. If any tear diagnosed then ill suggest for arthroscopic repair. Kindly consult an orthopedic surgeon regarding this. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I rolled my left foot playing basketball I jumped and landed on someones foot and rolled mine its been a couple of days the swelling has gone down alot but I still can t bend it the way I filled it I can walk on it but I can t make any cuts or moves on the foot there is a spot on the left foot that is buldging out it was bruised at first <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, As you have a foot injury and now difficulty in making any kind of normal movements like - plantar flexion, dorsiflexion, version and inversion I would advise you to take up an x-ray first or an MRI. MRI is far better than x-ray to rule out any ligament injury. Usually, ankle ligament injuries are common in sports and get unnoticed at times which may, later on, shows its reaction. Take up and MRI and following the ankle rehabilitation program - like balance board training should correct the muscle imbalance and improve the overall functions of the ankle joint. Balance board training have an effective outcome score for most sports injury of the ankle. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am a 64 years of and have been diagnosed with fibromyalgia. The worst symptoms of this disease is, my body hurts all over when in movement, sleep deprivation, joint pain, and various other. But, the very worst until recently was sleep deprivation going literally 3/4 days and nights without sleep. Approx five weeks ago I was sitting on the couch and a friend was sitting on another in the opposite direction, and whilst talking to me I became despondent. She called out and I did not respond at first...she paniced thinking I was having a seizer and called the ambulance. I came-to within minutes, seeing the ambo officers walk in the door. However, after a recent appointment with a neurologist he seems to think it might been related to an epilepsy. And as a result had my drivers licence suspended for approx 12 months or so in order to make sure. I dispute his findings and, believe its in relation to severe sleep deprivation. Is it possible to get a second opinion hopefully a more accurate one? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, thank you for providing the brief history of you. As you have mentioned the complaints of the fibromyalgia pain, first you may need to understand that what exactly is fibromyalgia.fibromyalgia = fire - fibers - muscle - pains now you got? Fibro-myal-gia is the pain in the fibers of the muscle. Okay, now let me give some symptoms, pain is high all the time, may travel from one place to another, as a result your Activities of daily living Chat Doctor. Now to help you out with fibromyalgia like how I deal with my personal cases. First to sit and plan the short and long term goals. Post that learn about the condition for which a physical therapist will be of help to make you understand. Later on for pain management using the therapeutic ultrasound therapy and TENS therapy will be of help. Later on, proceeding to slow exercises and then increase slowly and gradually. Along with this, try doing two more things - meditation and breathing exercises. Meditation to have a control on your inner self. Which will help you get good sleep, reduce frustration, irritation, mood swings etc. Breathing exercises - this has an important role to play. What it is? It is about providing the good oxygen to the lungs and there by purifying the blood. Since with more oxygen the, blood caries more oxygenated blood to cells and the metabolism of the cell is maintained. Next, exercises to focus on strengthening the muscles. Improving the muscle endurance and improving the <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi i have been trying for a baby for over a yr now. i started taking pregnacare conception tablets this month and i am not due on my period for another 7-9 days. I seem to have a very small amount of brown discharge very very small amount today and it has stopped again could this be an effect from the pregnancare tablets? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Dear kcpocknellwelcome to Chat Doctor.Please do a UPT (urine pregnancy test) which u can do it at home by ourself. If It's positive, then the spotting (brown discharge) which your getting is because of the implantation of the placenta in the uterus, which means there's further development of the fetus is happening in the womb. This has to be good news for you:-)If pregnancy is negative, the tablets do have these side effects because of the hormones in them. Kindly do not panic. Thank you:-) <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have physiologically distended gall bladder shown in my sonography in October when I had similar lower right abdominal pain and lower back pain. No Cysts were found any where and everything was normal. The pain subdued after some medication given by physician. Now it has come back again. And it is more painful than last time. Should I get a CT Scan done? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello! Thank you for the query. Gallbladder rather gives upper right abdominal pain radiating to the back with nausea and vomiting. Lower right abdominal pain and back pain can be caused by urinary tract infection or urinary tract stones. Frequent urinating and burning while urinating can be also present. Lower right abdominal pain should be always checked with possible appendicitis. With this condition nausea appears, the pain can aggravate while coughing or walking, heart rate is accelerated (above 100/min). Other possible reasons of such pain are ovarian cyst, ectopic pregnancy. Abdominal CT is not a necessary test. More valuable can be urinalysis, blood work, CRP, pregnancy test and abdominal ultrasound. Hope this will help. Regards. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My son is 4 years old tomorrow and he is toilet trained apart from going for a poo. He has loose stools with undigested food sometimes present. This has been going on for since he was little. I have taken hime to the GP who believes it is Toddler Diarrhoea and have been told he will grow out of it. I have tried him on Argent Nit which is a homeopathic remedy and this has helped but I m concerned there is an underlying reason. He is a healthy eater and is growing normally for his age. Can you advise a course of action? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Thanks for choosing Chat Doctor for your query. I have gone through your problem. As you mentioned that your son have Toddler Diarrhea, with no other complaints of low weight or stomach ache, telling some diet habits you can follow for your son.1. Give him fresh fruits rather than canned or fresh juices. You can give diluted juices if he wants.2. Give him whole milk rather than skimmed milk. Yoghurts, Cheese and other dairy products.3. Give him a healthy balanced diet which include appropriate amount of fiber not too high or not too low.4. Encourage him for more outdoor games rather than indoor games. Argentum Nitricum is a good homeopathic remedy for diarrhea. You can continue that. You just follow all these & see what changes you observe. Hope this will help you. Welcome for further queries. Take care <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, my grandfather is on regular Tylenol#2 every midnight. He also has a PRN Tylenol#2 to be given every 4 hrs. Sometimes, after an hour of taking his regular Tylenol#2 he complains of leg pain again. Is it safe to give him his PRN that soon even if he just had one? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Regular Tylenol#2 contains acetaminophen (325 mg or 500 mg) and is commonly used to relieve pain and fever. Whereas PNR Tylenol#2 is a combination of acetaminophen-300 mg and an opioid pain reliever codeine-15 mg which is used to relieve mild to moderate pain. Yes, PNR Tylenol#2 may be given safely as needed basis to relieve the pain but remember the total dose of acetaminophen should not exceed 3.25 g per day. Hope I have answered your question. Let me know if I can assist you further. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am pretty sure I am pregnant but need a little help. I have taken many tests and all of the clear blue digital tests say I m pregnant but the ept and first response say I m not. However, my breasts are killing me and my nipples are already changing. I am over a week late and have been cramping on and off for about two weeks. I m exhausted and go to the bathroom every half hour. What do you think? (I also can t go to the doctor until next week...but would like a little advice to help me figure this out now...if possible) Thanks! Alex <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello dear, I understand your concern. In my opinion the sore breasts, frequent urination can be symptoms of pregnancy. But it needs to be confirmed by doing a urine pregnancy test. Usually a urine pregnancy test gives accurate results a week after missed period. The first sign of pregnancy is missed period. Other symptoms of pregnancy are nausea, vomiting, increased urination, sore breasts start 2 weeks after missed period. I suggest you to do a urine pregnancy test to check for the pregnancy. The urine pregnancy test can be done at home by urine pregnancy strip method. Hope this helps. Best regards... <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have a soreness in my back and chest on the left side only. I saw the doctor and had an EKG and a check x-ray which were both negative. He prescribed an antibiotic which I took for 5 days the back pain has went away but I have a tightness in my chest. He believe I have a virus that has settled in my muscle. It is not related to my breathing. It seems to be a muscle spasms that happens when I am not active. What should I do to heal? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Howell come to ChatDoctorI really appreciate your concern, if this is the muscular pain of chest region then it may not be due to virus, but it could be due to hyperacidity because it is the common condition seen, here in your case the EKG and chest x-ray are normal one, so the possibility of acid reflux disease is more likely, and I would suggest treating this condition with Tab Omeprazole 40 mg once in day and Risperidone 20 mg once in day for three weeks, try to low down the stress hope this information helps. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My husband had a massive heart attack a month ago & thankfully survived BUT now seems to have no desire to do anything & seems to get confused alot. I know that depression is a side effect after an attack but does it also effect your mental state ? We are always together when we visit the doctor so its difficult to ask these questions in front of him. Im not sure how to pull him through this - any suggestions? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Degree understand your concerns went through your details. I suggest you not to worry much. As you mentioned, depression arisen out of that traumatic incident could be one angle of approaching it. Motivation and counseling given by the heart specialist should help. Other complication for MI regarding mental state are possible due to so many physiological reasons. Do consult your doctor for other possible complications. 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 the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am a type two diabetic on insulin . I have been purposefully slowly losing weight. Now my Endroc. Doctor tested my liver funtion and it was abnormal it was GOt 43 and GPT of 66. Is it due to losing weight? I do not have a gall bladder and only have one kidney. The diet I am on is two High Protein drinks based on Whey protein 30 grams of protein with vitamins approved by the diet person in the clinic and then I eat a nice very healthy salad of all kinds of veggies with vinegar and two teaspoons of olive oil dressing. I also have some sort of berry or apple for snack as well as 5 oz of V8 and maybe a very small handful of pinenuts, almonds, or walnuts as snacks. what am I doing wrong? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, I have read your history. You have marginally elevated liver enzymes, these could be related to fatty liver. I would suggest you get tested for hepatitis B and hepatitis C. I case the above tests are negative I would suggest to keep following your diet and keep the diabetes under control. Furthermore, I would suggest regular exercise 20 to 40 min per day. Furthermore, I would advise you to repeat the shot and Sept after 3 months and if heavier still high. Consult a gastroenterologist who will guide you furtherHopenthis helpsRegards Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> i think i may have ovairan cancer, i have had consistant pain in my lower abdoman for over a year now, i had a blood test to check for ibs ect and nothing came up i have a appointment on monday for a vaginal swab. im affraid my doctor isnt taking me seriously a few of my family members have had ovarian cancer so it runs in the family <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for writing in. Since there is ovary cancer in your family, it will help to get investigated in detail. Please visit a cancer unit of a nearby hospital in your place and request for a complete cancer screening check with special emphasis on cancer ovary. Cancer screening includes basic investigations like blood tests, ultrasound examination abdomen and pelvis, mammography if required and a general check of head and neck and gynecological organs in females. For ovary cancer, it will help to get a detailed ultrasound scan of pelvis including a transvaginal scan which will help evaluate the pelvis in detail. You might also get your blood tested for ovary tumor markers and if found high go for more detailed tests to evaluate for ovary cancer. Please do not worry. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi doctor, i feel like just to hate myself now a days. reason is now i get very irate and have no control on it and this is affecting my dear ones very much. they think that i am a good person and they forgive me every time and this is a limit now that i even cannot say sorry to them, because this situation had gone much worst now. i think i am mentally immature and i think i don t have ability to handle my relations with my friends and family. please suggest me something so that i should stop all these non sense things. about myself : i am a 25 years old guy who works in a private firm and i support my family with my earnings. i had never been in a relation with any girl in the past, i know i have interest in girls but the age i started working and supporting my family was a bit early and i never distracted my goal to support my family. my father left us when i was 10. and from that day onwards we became very poor, nothing to eat, no roof to hide, and lots and lots of problem. i think to do something good, but it goes opposite. i was in a great depression in past around 3 to 4 years ago and i think i had never came back normal. please suggest me. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, From your description following are possibilities which need assessment and management:-Over expectation from self-Personality issues-Chronic depression-Anxiety-Poor coping skills-Excessive family stress For treatment get personality assessment, detail psychometric assessment, stop substance use (if any) morning walk and healthy diet will be helpful. Sometime effective time management solve several interpersonal issues. Final management can be planned after assessment in your case. I hope this information has been both informative and helpful for you. Wish you Good Health. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My 15 yr old son noticed a lump (about 1/2 to 3/4 inch in size) which suddenly appeared on his lower left ankle. The lump seems to disappear at times, and is occasionally painful; it reappears randomly throughout the day, especially when seated. Had ultrasound today; saw a black circle which the tech took measurements of. What would appear so quickly? Cyst? Blood clot? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You should go to your doctor as You mostly seem to suffer from-Varicose Veins lump above the ankle left-for your age without DVT-or blood Clot. This is not Cyst and Blood Clot either. Color Doppler Scan would fix this diagnosis-after Second Opinion from Surgeon. Cause could be leg Vein Varsity with Valve incompetency or by Chronic EXertional Stress Syn Chat Doctor. This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello my brother is 30 and he beat and got both his thyroids out due to thyroid cancer and now he after 6 yrs for the last 3 months has severe headaches that r 24hrs a day and very severe nose bleeds he finally had a MRI done and all we know right now is it showed some abnormalities on his brain and spots and they used the word texture on his as well he has numbness in legs and on his head he has passed out from this vomiting could this possibily be a brain tumor and cause he had thyroid cancer and had it removed could this be causing all his head issues <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> I am assuming that your brother is on Tab thyroxine (replacement hormone for thyroid) ever since the surgery, and that he has been following up regularly with his treating doctor. Also, after removal of thyroid cancer, it is routine to get thyroid scans done to ensure that there is no cancer remaining in the body. Since you have not mentioned any such thing, probably it has not been done. If no scans have been done, then it is possible that your brother is suffering from a recurrence of his cancer which I would say is good news since it can be treated with medicines. So, I suggest you get a thyroid scan done on your brother. If it shows disease in the brain, then that explains everything and the cancer can be ablated with tablets (radio iodine). If the scan is normal, then it is unlikely to be related to the thyroid cancer, and you need to consult a neurologist. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi i injured both my shins just over 4 weeks ago i have very bad bruising and it was painful when i walked, the bruising has gone now but its still painful and i have a lump on my shin and wghat feels like some dents what could this be and should i be concerned? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Welcome to Chat Doctor. 1. The possible cause of painful lump in a previously injured site - the possible cause infective collection.2. In this case it needs to be examined and an ultrasound to assess any vascular involvement and blood supply and nature of lump, its extensions.3. The treatment in this case will be a small incision and Chat Doctor. 4. As a remedy do not squeeze or press, scratch the lump as it can further complicate, clean the area with antiseptic liquid.5. Sugget to get in touch with your GP, get examined and treated accordingly. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am ok during the day , the movement I go to bed at night I face difficulty in breathing(slightly) and cannot sleep. was diagnosed a bronchial asthma a couple of years ago and had theoasthalin. I took the same for the last 2 nights but no relief can u pl help <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Welcome to Chat Doctor, As you are a known case of asthma patient, there will be narrowing of the bronchioles which leads to difficulty in breathing. The symptoms are exacerbated by the triggering factors like dust, pollen, mite and other factors which may leads to the narrowing of the bronchioles and worsen the symptoms of the asthma. As the symptoms are getting worse it should be managed properly otherwise it will have a very bad outcome. As you were given theoasthalin which helps to dilate the bronchiole and reduce the symptoms, as the symptoms are not improving you need In HY Chat Doctor. I would suggest you to consult your doctor at the earliest to reduce the symptoms. Thank you. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> A straying dog kept his feet accidentally on my feet while I was going through the toad. I am not sure dog nail has scratched on my feet or not .Because I am having old scratch spot on my feet .DOg has not bitten me.So what to do in this situation because I am not sure about the scratch. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HiT hanks for posting your query on Chat Doctor. I appreciate your concern for the suspected scratch on your foot by a stray dogs nail. Nothing to worry about it. Rabies virus is mainly present in the saliva of the rabid animals like dogs. Dog bite can transmit the virus if it is present in the animal. Since the alleged dog has not bitten you, and it seems you are sure of the scratch on your feet. There is no chance of getting rabies from such encounter with the stray dog. If at all, this scratch can be treated with cleaning of the wound with soap and water or providing solution with a booster dose of In Tetanus toxic. Hope this clarification has cleared your doubt. Your feedback is highly appreciated. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I got 5 weeks vaginal scan found sac but no heartbeat through doc suggested sustain 200 through vaginal which way it will give good results by orally or vaginally my progesterone levels ar 26.2 at 4 w5d and at 5th w 0d 23.2 which it is decreases slightly. Previously 8 weeks miscarriage happened 1.5 yrs back d&c done. I am diabatic with irregular periods <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hallow Dear, You had previous miscarriage of 8 weeks. Hence, you have been prescribed Sustain 200 for being on the safer side. Sustain 200 is a progesterone preparation which helps to stabilize the pregnancy. In the scan, sac was found without heart activity. At 5 weeks, probably it is rather too early for cardiac activity to be noted. A repeat ultrasonography after one week may note the cardiac activity. If cardiac activity is noted, please continue Sustain to keep the pregnancy stabilized. However, if the cardiac activity is not noted even after one week and the margins of the sac are irregular, it is a pregnancy without baby in the gestational sac. This condition is known as Blighted ovum. Such pregnancy does not grow and needs termination of pregnancy if it does not get terminated naturally. So at this stage, continue with Sustain 200, repeat the scan after a week or more and then let the Obstetrician take further decision. I hope, this clarifies your doubts. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have severe abdominal pain in the middle of my stomach, and on the right hand side and on the left side of my stomach my right arm gos numb completely the pain come and gos it seems to me that when I m upset I get a attacks when I get the attack the pain is severe sometimes it lasts 5 minutes sometimes it lasts longer when I get the pain I can feel like a big ball is poking out of my side I don t know how else to explain what should I do <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi ! Good evening. I am Chat Doctor answering your query. If I were your doctor, after a clinical examination of your abdomen, I would advise you for an ultrasound of whole abdomen, and also an ECG. In addition, I would also get a serum amylase and lipase done. Till then, I would advise you for an anti-spasmodic and a proton pump inhibitor for a symptomatic relief. Further management would depend on the reports of investigations. 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. I wish you an early recovery. Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, I have an under active thyroid and take 100 mg daily. Presently I am getting dizzy spell light headed, thirsty, soreness around inside of lips.... feling tired alot also even though getting decent sleep... have tree children 6 4 and 14 months. wondering should i be concerned or will symptoms ease. thanks Imelda <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, If it's been awhile since you've had your thyroid checked then, I would recommend not only a TSH but also an FT4 to see if the amount of replacement you are taking is truly adequate for your needs. I would also look at a HbA1C and fasting blood sugars to screen for possible prediabetes or diabetes itself. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My daughter in laws dad had a heart attack today.. He was rushed to hospital with no pulse, she said that they induced a coma, bc he needs bypass surgery and have to see if he is responsive, it needs 48 hrs. they wont know until monday. He is critical, tomorrow he will be 68. he is not responsive now, and was put on a respirator, now she thinks he is breathing on his own.. what does all this mean, and why do they induce a coma, <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HIT hank for asking to ChatDoctorLook you have wrongly understood, in medical come is always the bad consequences of disease, medicine does not push the patients in coma, but of course medicine can induce the general anesthesia which is reversible and safe too, while coma is cerebral pathology and most of the time it is irreversible, your daughter must have been induced GA for some procedure, Respirator does not induce the coma it is life support machine, hope this information helps you have nice day. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> i have been having abnormal liver bloods since i have been pregnant.My little girl is now 4 months,with my first i had no problems.It started out with being sick ,abdominal pain,tireness.I was on steriods. My consultant doesnt know what i have. yesterday i had a biopsy my Alt was 1040 its been gradualy going up since i stopped the steriods my hair is falling as well.Im clueless as to what i have and so is my doctor. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi. Thanks for your query and an elucidated history. I have read and understood your problem, which is related to the high liver function tests which started since second pregnancy. Pregnancy induces liver function derangement in many patients but get corrected automatically after delivery. I would suggest you to go for MRCP as there may be an underlying problem related to the liver, gall bladder, pancreas or the bile ducts. The treatment will be according to the report and will be specific. This may be a medical treatment or a surgical one if something like a choledochal Cyst. Gall stones or such things are found on the investigations. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Dr, My brother is diabetic & hypertensive, His creatine level is 7 now .Can we do anything for this. In his kideny scan everything is normal except a calculus 3mm showing .Waiting for your advice.His medications r minipressXL,amaryl for pressure,statixF for cholestrol. Nebiguard, antioxidants, shelcal , insulin for diabetic. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HelloThanks for query. Your brother who is known to have diabetes and hypertension is detected to have raised creatinine 7. Raised creatinine that he has is due to what is called as Diabetic Nephropathy and needs to be investigated further. Please consult qualified Nephrologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Renal function tests 4) Excretion of protein in 24 urine sample 5) Renal Biopsy (If required) to confirm the grade of Kidney disease. Further treatment will depend upon result of these tests and final diagnosis. Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My cousin has a resting pulse of 40-50 bpm and a blood pressure of 110/70 however anytime he sits or stands up, his pulse jumps to 170-180 and blood pressure of 160/130, there is pituitary or thyroid problem and his heart is healthy. Any explanations? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. Sundenly rise BP from sitting to standard condition is called orthostatic hypertension in which systolic BP increase more than 20 MMH than resting.it can be due to autonomic system problem, pheocromcytoma, DM etc.if u were my patent i would like to take detail history that u have other features like headache or palpitation that point toward pheochromocytoma, <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have a what I would describe as a pulsating in my right lower chest , right around the rib cage. I m not experiencing shortness of breath or intense chest pain, but there s a throbbing pulselike thing that s very rapid in my lower right chest, the best way to describe it would be it feel like a hiccup in my chest, i.e something spasming, <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. In my opinion you should first consult pulmonologist and get done chest x-ray to rule out lung abscess or pneumonia. As pulsating feeling with chest spasm can be seen in both. So chest x-ray is needed to rule out lung abscess and pneumonia. If chest x-ray is normal then get done ECG to rule out cardiac cause. Arrhythmia can cause pulsating feeling. So ECG is needed to rule out arrhythmia. If ECG is also normal then you are mostly having anxiety and related symptoms. So avoid stress and tension. Be relax and calm. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am 13 wks pregnant. I have had pneumonia 2 times over the last 3 years and am familiar with the symptoms. I currently am very week, and have a tickle in my chest that makes me want to cough once or twice a day. When I cough hard I can taste the congestion in my chest. This is the same taste as when I had pnemonia in the past. I have no fever, but when I went to the clinic the doctor said my lymph nodes are swollen but my chest dosen"t sound congested. I believe this is the beginning of Walking Pneumonia. Do I have to wait until I get more sick before they will prescribe antibotics?! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. Since you are pregnant, it is advisable not to take antibiotics by your own because the majority of antibiotics are contraindicated in pregnancy as they can harm your developing baby. So don't take any Chat Doctor. In my opinion, you should consult doctor at present and ask for prescription. Tell your doctor that you are pregnant. So that he prescribe <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi my name is khushi ........plz i wanna know a fairness cream to use daily and also which cures whiteheads problem....and also a cream to lighten my dark lips and underarms.... <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi...dear sushi., Thanks for choosing Chat Doctor., White heads problem is due to ., Hormonal imbalance., use... Clidamycin and Darlene combination.,cream 2 times daily., There is no fairness cream...if there, only temporary give., good result., so don't use it., use Morning times ...SUNSCREEN LOTION... Suncote (Cu ratio).,Uncross(Reddy lab)., Lover SPF 50 (Grace well)., Uvagurd(Milford)., Night times use It E and Moisturizing cream., thanQ <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am being treated for hypothyroid and went to the cardiologist with chest pain/discomfort. I was given an EKG that had an abnormal result which prompted a nuclear stress test. I took the first part of the test today and the doctor said everything looked good. Is it possible that the new onset of pain/discomfort is just a new normal for me without any underlining cardiovascular issue? Thank you so much for your help. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. Since your nuclear stress test is normal, no need to worry about heart diseases. Yes, it is possible to have non-cardiac cause for your chest pain. Most likely cause in such situation is musculoskeletal pain. So avoid stress and tension, be relaxed and calm. Avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Avoid bad postures in sleep. Apply warm water pad on affected areas. Take simple painkiller like ibuprofen. Don't worry, you will be alright. Don't worry about heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Yes please, I m pretty sure I suffer from depression , when I feel down I drink to excess, although I am a reasonably heavy drinker anyway. Also I do take drugs casually, mostly cocaine but most weekends. Anyway I ve had a problem with going to the toilet for a number two. I seem to need to go very regularly, and often there is blood , lots of blood, not in the stool but seemingly afterwards. And if I sit there it will just drip for ages. I ve just split up with my girlfriend and am drinking to massive excess, I ve not eaten for 4 days and this problem is worse than ever. Im pretty sure it s alcohol related and I know I need to go to the doctor, but can you tell me what you think it is? I m scared, both sets of grandparents died from cancer , also my father. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> I would have liked to know your age and what cancer did your father and grandparents die from. Certain types of cancers of the colon and rectum do have a hereditary component and the risk is further compounded by alcohol abuse and poor dietary habits. The good news is that the type of bleeding you have described is most commonly due to hemorrhoids particularly in the young age group. However, there is only one way to find out whether you have cancer or not and that is to show it a surgeon or cancer surgeon who will examine your anus and rectum in the old and remove your dilemma. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I always have a hive(s) on my face, jawline, or scalp. Ive had allergy stick tests and blood work for food allergies. The testing was ordered because I developed a polyp in my sinus cavity. Everything came back just fine, except that my immunoglobulin (spelling??) was slightly elevated-120 units. It was suggested that I see a specialist for further testing. When I went off my zyrtec for the allergy testing, I noticed even more hives. Any thoughts as to what else could be going on? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HI, thanks for using Chat Doctor It would be best to see an allergist for additional testing. You may also want to expand the profile to include other types of foods, environmental allergens and medications. It is possible that your symptoms may be related to chronic urticaria-the recurrence of hive/urticaria for 6 weeks or more. There are a number of different possible causes including(1) physical causes (pressure, cold, sun, water, heat, exercise, pressure to the skin, stress), (2)associated with other illnesses-lupus, thyroid disease, infectionWhen you are reviewed by your doctor and additional testing done then it is possible the cause may be found. I hope this helps <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> every time I put my 1 year old daughter in her highchair or car seat, she will push her bottom against the center restraint and keeps rubbing against her groin area as if it itches, there are no rashes at all. Her doctor says she is just uncomfortable, but now she would jump on my stomach and do the same type of rubbing. What is going on and how can I stop it? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, itching at anal region could be due to worms infestation at perianal region, anal tear, infection at perianal region. You should do stool for routine microscopy and stool for ova/cyst test. Deworming should be done by giving Albendazole. If there is no improvement then and examination by surgery specialist doctor should be done to rule out perianal tear, infection. Also, history of loose stools should be taken, because loose stools if acidic in nature can also cause itching. Have a good day. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I had phimosis where the foreskin wouldn t go back and it left terrible scars I kept masturbating and the scars got worse finally they healed and I m able to pull the foreskin back but all of a sudden bumps have formed where the scars where at and they tooken the form of the scar that was there <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Thank You for consulting Chat Doctor ! I do not think that the scars got worsened by masturbation. You need a physical examination to know why bumps have been formed. You need an evaluation by a Urologist to check the presence of infection and treatment accordingly. Stay healthy, and thank you for consulting! You can contact me again anytime, if you need clarifications or further assistance in the future. Kindly rate the answer if you are satisfied. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi I have a red rash that is under my nose and is pretty bright red my other symptoms are chest tightness, my chest is burning, my tonsils are swollen, I have what it looks like white hair on my tongue when I brush good they go away but 5 mins later my tongue is as white as before the rash is also on my chin but not as bad as under my nose and when I wake up in the morning where the redness is under my nose is really dry and flaky <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello. Rash under your nose, swelling tonsils, burning chest;ares signs of infection(upper airway infection/lower airway infection). You must go to your doctor, he will examine you and, if he deems it necessary, will request additional test to establish correct diagnose and treatment. Now you can take paracetamol or ibuprofen to improve your symptoms. I wish you good health.(In case the answer would have been useful please indicate this) <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am a 58 year old woman. I have a spinal fusion from T2 to S1. T10-12 are no longer fused. I am experiencing major muscle spasms all over my back but the worst is in the thorasic area. These spasms are like huge contractions and stop me in my tracks. I can t breathe during them. They wake me during the night an often prevent my getting to the restroom before an accident. No medication seems to help. After a bout of these cramps I am sore for days. I have noticed I stand bent forward & to the right. what could be causing this? I have an internal spinal chord stimulator, but it seems to make things worse, <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, I have studied your case. You may need to do MRI spine again to see for nerve compression Muscle relaxant like baclofen can be started consulting your doctor. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and TENS therapy will help will advise checking your it B12 and it D3 level. Continue gabapentin consulting your doctor. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I got bitten by a dog on the upper calf..he never broke the skin but there was alot of bruising and later bleeding under the skin.. i have very bad circulation as well....I have a hard lump in the area I was bitten in, which is slightly itchy is it something to worry about? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Welcome to Chat Doctor, As you were bitten by a stray dog over the calf which has led to bleeding from the site of bite, dog is known to transmit rabies, which is 100 % fatal, but it is 100% preventable by proper and adequate treatment. As there was a bleeding from the site, according WHO categorization it is categorized into Cat III, Which requires following treatment.1. Wash the wound thoroughly with soap and water to wash out the rabies virus if it is present in and around the wound.2. Active immunization with anti rabies vaccine on days 0,3,7,14 and 28.3. Passive immunization with rabies immunoglobulin in and around the wound.4. Inj TT, if you have not received in last five years.5. Oral Tab Augmenting, 625 mg, twice daily for five days. The aforementioned measures will help to prevent development of rabies. Thank you. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, I have stuffy nose and congestion from past many days now and it does not seem to be common cold/flu as I was suspecting it. It seems like alergy to me which is common in Bangalore during this time. Last year my doctor prescribed Tab Montek LC (1 at Bed time for 3 days) and Tab Montek 10mg (1 at bedtime for 7 days). Along with this she also recommended Capsule Mucolite SR (three times a day for 3 days). And after three days, she asked me to continue the Montek LC for another 5 days. Unfortunately she is out of town now. Can I take the same medicine and dosage? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi there!I agree with you over the fact that allergy is common to Bangalore, however all attacks of cold/flu cannot be attributed to allergy. Morever indiscriminate use of anti allergic is not advisable. What I have seen in general is intensive steam inhalation using capsules of Karol plus along with tab ivory will bring you good relief. To confirm an allergic etiology to your cold you should check your serum IG e levels. If elevated they need to be monitored and specific antigen needs to be isolated for long term precautions and benefits.I would also recommend you getting yourself evaluated for chronic sinusitis as this also contributes to chronic cough and cold in many cases. Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I m suffering from jaundice ,25 years old male , pure vegetarian, unmarried, this is my forth time suffering with this disease since birth. I want to know is it a step towards liver Damage badly however my bellirubin not excedded more than 2.0 thrice n 5.0 once at age of 18. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, I can understand your concern, having jaundice from birth can be because of several reasons (congenital causes, metabolic causes, viral causes, autoimmune causes), if this is the case, you should be consulting your doctor, and should be thoroughly investigated with all the tests and see what is the reason for this (such as viral markers-Hepatitis B or Hepatitis C, serum copper, serum ceruloplasmin levels, ophthalmologist check up, autoimmune markers, USG abdomen, complete liver functions tests including PT/PTT/INR and if everything is negative then liver biopsy) please kindly consult your Gastroenterologist and get evaluated. Hope I could help you. Thank you. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi doctor, my daughter who is 4months old has some pink rashes on her face. earlier it had come once but within days it had gone.but this time its almost 15days and its increased more.initially it looked like white patch surrounded by pink rash. one of the doc suggested imograf but i felt it increased the rashes. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi... I sympathize with the kid and understand your concern. The trick of the management is keeping the skin moist and never allowing it to be Chat Doctor. For this oil massage and lotions like Hiatus will help. Regarding cure options - eczema is a sort of allergy...allergies can only be controlled and can never be cured. But usually kids grow out of it...that is as the age progresses, they become better starting from 6 months. 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. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, may I answer your health queries right now ? Please type your query here...i have a sharp stabbing pain in the middle of my chest under the thyroid gland that only lasts for a second and it leaves me with a dizzy spell and sometimes a head spin .. Sometimes i feel a fast pulse in my lower throat after the sharp pain that happens in the middle of my chest . <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Localized chest pain is rarely cardiac. But stabbing chest pain can be because of abnormality in integrity of aortic wall. Considering the dizzy spells, the possibilities of it is pretty high. So to rule it out, I will recommend you for a 2D Echo of the heart & aorta. If that is normal you can get a TMT done to rule out coronary disease as other possible cause. Come back if you need any more help. Thanks <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have had a lump in my lower right jaw line for awhile now, I can move it around with my fingers. Its around the size of a small jelly bean and is hard. It doesnt hurt or bother me at all but wonder if I should be concerned. What could it be, and should I have it looked at? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint a small moveable lump under the jawline is a swollen lymph node, and it is commonly due to Infection in the regions Chat Doctor. . For the lymph nodes under the jaw line which is sub-mandibular group of lymph nodes, the lymphadenopathy can be due to infection in the head and neck region like teeth and gums, ear, throat, infections in mouth, nose etc. At times infections in distant regions cause swelling and infection in distant lymph nodes. You should consult a physician and get evaluated and in case of infection antibiotic course can resolve the swelling. In case the swelling does not subside even after treatment or in case if there is no pathology found in any part of body a Biopsy has to be done to rule out for any malignant condition sprouting in the lymph node known as LYMPHOMA. Hope this information helps. If you find the answer helpful please give me a Five-Star Review and click on found the answer helpful as a token of appreciation. Thanks and regards. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> a 5 year old chil having blood in his urine and stool for atleast 1 month which is of bright red colour, and he also having fever and cough with sputum for 5 to 6 months, he is having treatment but its not seem to be work on long term,, please help me as soon as possible <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> From history It's seem that he had CHRONIC RESPIRATORY DISEASE WITH SECONDARY GASTROINTESTINAL-GENITO URINARY DISEASE.your child may have fever and cough with sputum for 5-6 months suggestive of PERSISTENT OR PROLONGED COUGH which may have one of the following causes:pneumonia(bacterial, viral,fungal), bronchiectasis,anatomical airway defect, accidental foreign body ingestion, immunodefeciency disorders, but we can not directly jump to conclusion.history of recurrent infections, associated symptoms, past and current Chat Doctor. If I had such type of patient I would advise for investigation like, complete blood count, ESR,MT(Monte test if any contact history of Tuberculosis patient), Chest X RAY, Sputum microscopy and culture for gram staining and AFB, USG thorax. On the basis of report I will decide to do either bronchoscopy, CT scan or Special investigation for Cystic fibrosis or immunodeficiency.I would start antibiotic short course like third generation cephalosporin and Caroline like azithromycin till I will get all my report. After that I would do further management. You have mention that your child is currently taking some <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My boyfriend had liver abscess nearly three years back. His liver is sensitive. He doesn t eat junk food but last night he had loose motions and he suspects little blood in the vomit. He passed a lot of loose stools.Help me know what s the matter and what can be done. He is 21 years old. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Welcome to Chat Doctor forum. As you describe it appears to be the food poisoning, means infection of the foods, they need not be the junk food related. Sometimes the home foods also get infected due to storage problem. I advise you to consult a doctor for diagnosis and treatment. He may need to have infusion of I.V.fluids for correction of deny Chat Doctor. I usually prescribe to my patient with such symptoms injections of metaclopramide, cefotaxime, tablets of lactic acid bacilli, ofloxacin, and risperidone, and operative. Wishing for a quick and complete recovery. Thank you. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My girlfriend is not getting her period for the last 4 months. Her weight is increasing and she is getting all the symptoms of pregnancy. But still we didnt go for any test or check up, as she is on vacation with their parents. As we are student we cannot tell anyone and she is scared to go to doctor. Can you please suggest me any possible ways for getting abortion. How long does it takes and how much is the cost. Further suggest the best abortion clinic in bangalore where it can be done confidentially. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hallow Dear, Four months pregnancy is a second trimester pregnancy. Though WHO advocates the termination of such advance pregnancy by Mifepristone and Bisoprolol, it has to be done under expert supervision of an Obstetrician & Gynecologist. Otherwise, the assured way is surgical method like intrauterine use of acridine lactate. The cost and hospitalization will depend upon the country where you are, and the method used for terminating the pregnancy. One thing is sure, at this stage of pregnancy, please do not attempt termination of pregnancy at home by any unscientific methods. I hope you got the message. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi i have a small almost movable lump behind my left ear that left after i got rid of an ear infection but came back but is now going back down, there is a hard lump behind the right ear that came up really fast, but is now shrinking a lot and isnt very larger anymore. I have a lot of sore throats in the mornings that go away, and smoetimes have a cough. Should i be worried? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello and welcome to Chat Doctor, A history of ear infection followed by lymph node enlargement behind the ear suggests reactive hyperplasia of the post-auricular (behind ear) lymph node. The lymph node behind the right ear could also be reactive in nature. Investigations- especially aspiration cytology of the lesion is required to confirm the reactive nature of these lesions. Soreness of throat could be due to infection and this could lead to lymph node enlargement. Thanks and take care Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi,I am trying for baby but suffering from PCOS problem. I am undergoing treatment and doctor is advising Fertomid from last 3 cycles and from this cycle i have started with Oosure. I have did ovulation study for 2 cycles. Ovulation is happening on 20th day bt i am not conceiving. Please help. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Yes.I can understand your concern. In my opinion now u should stop Fatimid as u have taken it in the 3 cycles, and now it might have become resistant.u better stop this only for one cycle and then in next cycle u start it from 2nd day of your menses and this month u take tab polite 5 mg once daily, syrup eve care 2 spoons daily and tab ova bless once a day(it is good in PCs pts).then in next cycle Fatimid for 5 days and go for follicular study and when your follicle size becomes 18-20 mm and endometrium min 10 mm then u try and let's hope for the best. If even then no result then decide for medical procedure <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have a temp of 99 degrees every other evening for 3 times now, back spasms for 2 months which were just when I turned over but now are with other activity also such as walking. Today began experiencing neck tightness. What is wrong with me? Thank you. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello ! I read your question carefully and understand your concern. I would recommend you to consult with a GP as soon as possible and have some tests done. In your situation I would think of infections, which could be located in the cervical column or meningitis. These two disorders have similar clinical patterns. A full blood work for infection and a good neurological examination are very important. You may need further tests like a cervices-thoracal column CT scan or a lumbar puncture to establish the cause and the wright treatment. Hope to have been of help! Thank you for using Chat Doctor! Best wishes, <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello I have been getting a clear lump forming on the top of my mouth just behind my jaw line. It s non painful but anoying, I scratched it and it popped with bloody discharge . It was gone a few days then reapeared.. also there seems to be a harder lump in the same area about the size of a bean split in half but more deep under the tissue of my skin. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello and welcome, Lumps seen in the oral cavity can be of various types. They can be infective lesions related to tooth like periodontal abscess or gingival abscess Chat Doctor. Lumps are also formed due to being or malignant swellings of the jaws. Cysts of the jaws, related to tooth or bone may also lead to swelling. Parotitis or parotid gland swelling may also form lump behind the upper jaw line. Exact diagnosis can be made only after clinical examination and evaluation by taking radiographs. I would suggest you to get and OPG radiograph done which will help in diagnosis and accordingly treatment can be planned.consult an oral surgeon and get the examination done. I hope this helps, take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have been taking Anastrozole for almost 2 months now and have experianced extreme pain in my joints My doctor says that is normal and to tough it out and take Aleve I understand that the joint pain because of the side affect on the bones Just wondering when it should be a concern for me after toughing it out thanks <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Pain in back, bone or muscle are one of the side effects that may occur with consumption of Anastrazole. However, these effects are mild and reduces down or are completely gone with the discontinuation of the Chat Doctor. Also, minor side effects should not bother much to cause discontinuation. Besides, pain experienced is not extreme, so it might be some other reason like a reduced bone density, as commonly seen in patients with breast cancer. Go for a bone density test and get treated from an endocrinologist or a PMR physician. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> MY 8 YR OLD GREAT GRANDDAUGHTER HAS HAD A EAR ACHE WE TOOK HER TO THE DOCTOR TODAY NO FEVER AT 2PM EARS SHOW INFECTION , WE STARTED HER ON ARITHOMYCIN, ABOUT 3:30 SHE VOMITTED, NOW AT 5:30 SHE HAS A TEMP OF 102 AND SAYS HER NECK HURTS. ANY SUGGESTIONS WE DID GIVE A TYLINOL AT 5:20 <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, In the care of child Chat Doctor. While an acute middle ear infection is usually serious, it is not dangerous. Your great-granddaughter has a high fever and neck pain. These symptoms can be caused by meningitis which is a dangerous infection of the coverings of the brain. The best advice I can give you is that she needs to be seen by a physician now to make sure she does not have a dangerous infection like meningitis. Take her back to her doctor immediately or if his/her office is closed, bring her to the nearest emergency room as soon as possible. Few child <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello for the past three weeks I have had a pain in the left back side of my head which is not consistent. It is just a second at various times during the day feels like someone is pulling at the inside of my head. It is located in the back left upper back side of the head. Then on Thanksgiving I had vision problems and I saw a dr and he said it was a migraine. I now developed a pain in my left throat area which is like a jolt. I have this pain in my throat and back of head yet. I have an appointment with my dr on Monday afternoon. Not sure what is going on and I am scared. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello ! Thank you for your question ! I understand your concern. Your troubles seem to be from migraine. The vision problems and throat can go with migraine attacks. The unilateral feature, the throbbing feature of your pain go with migraine too. I would like to know more about your age, lifestyle, past medical history. Although I would also recommend you a brain CT scan o MRI to rule out any other disorders causing these symptoms. Wish to have been helpful! Thank you for using Chat Doctor! Best wishes, <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Dear doctor, I am 33 yrs old female having anti tubercular medicines for asymptomatic acites with mantoux test positive for 4 months, i am now taking Rcinex 600. i have to take it 2 more months according to my physician. Now i want to know if i can concieve during taking this medicine , is there any harm being pregnant? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hallow Dear, Tuberculosis affects the fertility by:1. Reducing general health. Mother nature has arranged our body functioning in such a way that whenever there is any risk to life, the reproduction function is jeopardized first. However, Tuberculosis is sucChatDoctormonly widespread disease in India and still the population is increasing. By and large, Pulmonary tuberculosis in early stage does not affect fertility. 2. By affecting the Reproduction Organs: When there is Genital tuberculosis, the tubes and uterine lining (endometrium) get affected. Affected endometrium is not conducive for implantation of the fertilized ovum and hence pregnancy is not possible. When the tubes get affected, there is tubal block. Along with the tubal block, tubal musculature also gets affected causing dysfunction in the tubal motility. Therefore, even after the surgical correction of the tubal block, if the tubal peristaltic movements are affected, conception is not possible. This is called as Functional Tubal Block; i.e. physically patent still functionally blocked tubes. You are suffering from Tubercular ascites. There is a good chance that due to ascetic fluid and peritoneal tubercular infection, the tubes and uterus also may be affected. Even, affection of the ovaries will affect the egg release function of the ovaries. Once your anti-tubercular treatment is over, and you are declared completely cured of the tuberculosis, you should undergo some investigations like Hysterosalpingography (X-ray of uterus and tubes with radio-opaque dye in it) and/or Laparoscopy to assess the status of endometrium and tubes. Ultrasonography also will be of use for the purpose. These investigations only will inform us whether your reproduction organs are in a state to offer you any successful pregnancy. Madam, your first aim should be to get cured of Tuberculosis. Once you are cured, get investigated for fertility potential. Even if you are unable to conceive, you can adopt a child - this will give you a desired child, the child will get parents and still the population will not be increased. I hope this helps you with relevant information. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, I feel sharp pain for about a couple of minutes in the left side of my chest right after smoking. I am 30 years old and 85 kg weigh. what kind of tests should i have done in order to know the performance of my heart. and is there any test that predict the probability of heart attack smoking related disease? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi Thrive read your query and understanding your concern. See, in young age It's unlikely to have heart disease until unless you smoke heavily, or you have very strong cardiac family history. Pain right after smoking doesn't indicate to have heart disease, but you can see a physician who can prescribe some routine test like your cholesterol level, hectogram, ECG and Echocardiography to check your heart function. To avoid Heart disease you should avoid smoking. Because the more you smoke, the more calcium deposits in arteries and can be reason for heart attack. Hopefully I answered all your queries Good Luck <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, Thank you for taking my question. I have a red patch on my palate. At first it was just small red bumps, but now it s changed shape and gotten bigger. It s been there for about six months. I actually forgot all about them until I went to the dentist. They do not hurt. They are just there. Thank you for any input. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your query, I have gone through your query. The red patch could be because of the fungal infection like candidiasis, or it can be erosive lichen plans, or it can be Memphis. Consult an oral physician and get your self examined to rule out the above-mentioned conditions. You can use topical steroids like triamcinolone acetone (0.1%) if it is erosive lichen plans or Memphis. If it is candidiasis then you can take topical antifungal agents like candid mouth paint. If it is not healing for more that 3 weeks then you have to get a biopsy done to rule out any malignancy. I hope my answer will help you, take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> i was diagnosied with as about 3 years ago ish, i had a flare up yesterday which was a bad one, when i woke this morning i had a tingling in my left hand, i didnt think anything f it but it still has gone away, its now 5 hours after i first noticed it, the tingling is in my thumb, little finger and middle finger, it comes and goes further up my arm. thanks <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello! Thank you for your question on Chat Doctor! Regarding your concern, your symptoms don't seem to be related to the heart. The most probable cause would be a cervical disc displacement, which is causing a articular pain, or a pinched nerve. Another disorder which could cause this symptomatology would be a possible stroke or TIA. I recommend consulting with a neurologist for a careful physical examination and perform a routine check up (resting ECG, chest x-ray, routine blood test, blood electrolytes, kidney and liver function tests, thyroid hormone levels). A cervical spine x-ray and a brain CT scan may be necessary to exclude the above-mentioned causes. Hope to have been of help! Best wishes, <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I injured my lower back 2 weeks ago. The pain went into the inner thigh and now extends in part down the inner leg to the foot. I am unable to properly bend the leg, and a dull ache remains in lower back and buttock. Most noticable thing however is swelling of leg and foot and what feels like muscle knots in places where the most intense pain is. Age 40, Average weight/height. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Welcome to Chat Doctor I have gone through your query and understand your concern. At present, you need analgesic such as ibuprofen for pain relief. Physiotherapy will be helpful. You are also advised to get your vitamin D3 done and if found low you can get vitamin D3 supplements. You can further investigate the case by doing MRI of lumbar spine. Swelling of both foot can be also due to heart related condition, so you can get your heart condition examined. You can discuss with your treating Doctor about it. Hope I have answered your query. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. Wishing you good health. Take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, I have a pinching pain in the right side of my chest which started yesterday morning and has now spread across my chest into my left shoulder, it comes on and off sometimes every few minutes and sometimes will not happen for an hour or so, its quite painful when it comes taking my breath away for a second, I have not hurt myself doing any exercise, however i did take a small amount of cocaine at the weekend. Do you have any idea what it may be? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of musculoskeletal pain is more. But better to rule out lung related causes for your pain. So get done chest x-ray. If chest x-ray is normal than no need to worry about lung causes. And your pain is mostly due to musculoskeletal cause. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Take painkiller and muscle relaxant Chat Doctor. Warm water pad application on affected area is also helpful in such cases. And avoid contain intake as it is not good for health. So don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi i have been on finasteride for years have breething problems shortness of breath,testcale pain,swollen and painful breast weak ejaculint. have been to lung doctors.never considered it could be from medication have been complaining of beathing and chest pain for years.is it the medication <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi thanks for contacting Chat Doctor... Here you have to examined in detail and respiratory examination needed by auscultation.... As you have pain since years rule out chronic obstructive pulmonary disease, restrictive lung disease Or other resp causes by chest x-ray ad spirometry.... According to cause treatment needed.... You might be prescribed with bronchodilator or steroid according to cause.... Avoid aggravating factor for chest pain like stress..... Avoid smoking if habit. As you have muscular breast pain with some soreness viral infection can be there it might lead testicular pain as well.... Maintain HY Chat Doctor. ... If condition worsen and no cause found then CT scan or MRI like higher investigation done.... Take care <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> About 8 hours Ago I ran full force into a cupboard door and hit the top of my forehead hard. I have a small bump and bruise but that is not what s bothering me. I did not blackout but have been a little dazed and out of it. I am having a severe headache all over my head towards the back and my neck. Im dizzy nauseous, have a full head and ear feeling and pressure feeling in my head. Should I go into be evaluated or are these symtoms expected after hitting your head? As a side note I have a history of pseudotumor cerebri that was sudden onset last year said to be caused by possible birth control pIlls I was always at spinal tap pressure of 25 borderline high and severe headaches. I have been doing well and off all meds for last 5 months and have been headache free for last 5 months. Could this history have caused more complications when hitting my head? I m just not getting any better with max doses of over the counter pain relievers, ice and rest. Could I really have hit my head hard enough to cause a problem? What do I do? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Thank you for using our website,First, you need to be put under a medical supervision for 24 hours. If there is no deterioration in the level of conscious, you should take a painkiller and a bed rest for 3 days. But, if there is a deterioration in your level of conscious, you should do an CT Brain to exclude intracranial hemorrhage. The history of pseudo tumor cerebra could make the treatment of intracranial hemorrhage more difficult. Let me know if you need more information. Hope I have answered your query. Let me know if I can assist you further. Take care <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I slammed my thumb with a large safe door at work yesterday. Went to a doctor and had xrays done. Nothing is broken but I do have blood pooling under the nail. Since my doctor visit yesterday at 9 am and today 3pm the blood has increased from a third of my nail to the whole thing and now the pad of my thumb has a swollen pressure and a slight numb pain. I can live with the pain but my brain is making up worst case possibilities like: I damaged part of my thumb ans the pressure is cutting off circulation to the tip and they will need to amputate. Is this just pressure from the blood behind my nail? If I don t have a hole poked into the nail what is the worst that could happen? I already know I will lose my nail. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that you will lose your nail. But pressure from blood in the close compartment can cause gangrene. I advise you should visit nearby doctor and get your self Chat Doctor. Usually gangrene won't appears in all cases. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am a 28 healthy male currently deployed to Qatar. I noticed a rash around my genitals and it itches really bad. This has never happened before. I haven t been sexually active for 6 months. The rash is in the creases of my legs, on my penis and my scrotum sack. What could this be? I have also had throat soreness along with neck, and jaw pain. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi! Sorry to inform you that you got some infection that needs immediate medical attention it might cause infertility in future! As per your description, I would like to consider few possibilities in your case as follows:1. Genital mumps infection2. Systemic viral infection3. Fungal infection around scrotal region Therefore you some tests, clinical examination and necessary steps; please see a physician right now!take care... <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi. I just ate some hot popcorn then laid down now Im having heat burn and my left arm feel weird. But this isnt my first time feeling this way. I Google heart attack symptoms and it freaked me out so now im even more scared. Can i be having a heart attack, panic attack or just regular heart burns? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello! Thank you for asking on Chat Doctor! Regarding your concern, your symptoms seem to be related to gastroesophageal reflux or gastritis. These disorders could also explain the feeling in your arm (irradiated pain). I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x-ray and a routine blood check up (fasting glucose, complete blood count, kidney and liver function test, blood electrolytes). It is necessary to perform a gastrointestinal endoscopy to rule in/out the above-mentioned disorders (gastroesophageal reflux, hiatal hernia or gastritis). You should discuss with your attending physician on the above issues. Hope to have been helpful! Greetings! <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello! My Name is Alyniece. I am experiencing a lot of symptoms that seem to line up with early signs of cancer. I m only 19 years old, and so I know that cancer is probably not the issue, so I am emailing you to see if you think that my symptoms merit my going to the doctor. Here are my symptoms: Sweating heavily, especially at night, abdominal pain at least once a day, nausea every other day for extended periods of time, loss of appetite--I haven t been able to force myself to eat regularly for the past 3 or 4 weeks, fluid retention in the form of bloating(a few times a month) and swollen ankles for no reason(almost every day), I ve also been unusually pale, I ve experienced dizziness and vertigo 1-3 times a week for the past few months, I ve been getting really overheated randomly and for no reason, especially at night but also throughout the day, blood in my stool, which I attribute to rectal bleeding, for the past few months, extreme lack of energy and fatigue for the past several weeks, I am easily tired and find myself out of breath. I also have something that feels like a lump in the ball of my foot, which has been there for over 2 years. I assumed it was a Morton s neuroma, but that was never confirmed. Recently at night the ball of my foot has been throbbing and so has my ankle, and the pain sometimes shoots all the way up my leg. Do you think that this combination of symptoms is cause for concern? and if so what should I tell the doctor I see to ensure that he understands the entirety of the problem? Thank you so much for your help and advice, Alyniece S <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, There are some things of concern that require for closer assessment. You report rectal bleeding with lack of energy, unusual pallor and repeated dizziness. This may be due to anemia (reduced blood amounts) with multiple other symptoms being part of that (swollen ankles, breathlessness). I think you need to see a doctor to see why you are bleeding from your rectum. They may identify the problem just by a physical examination or may need a colonoscopy. As for the swelling on your foot, it could be a Morton's neuroma, but you would need either an ultrasound or foot MRI to confirm this. All the best. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Our mentally challenged daughter (age 45) has been having dry heaves intermittently over the past 14 hours. Gravol was taken 6 hours ago (every 8 hr.) She is not verbal and complains very little unless pain is substantial. Past episodes of 2 - 3 hours of apparent discomfort, occurring 2 - 3 times annually. X-rays via our family doctor and consultation with a Proctologist have not rectified the problem. When complaints are made, her hand motion is on her right side approximate to the liver. This occurance, complaint of pain during these dry heaves is from the front of her stomach. If the heaving continues another few hours, a hospital visit will result. Any input is welcomed. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, welcome to Chat Doctor forum. As you describe it appears to be due to the gastric pain, may be related to the indigestion, or irritant foods. If the pain continues you may consult a physician for diagnosis and treatment. I usually prescribe to my patient with such symptoms' omeprazole, risperidone, and anesthetic antacid gel. In such events I advise you to avoid nonvegetarian foods, spices, junk foods, and oily foods. Wishing for a quick and complete recovery. <\|eot_id\|>