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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|> Hi, I have been feeling forgetful recently. I don t know whether it s something I should be worried about or not. I m a teacher so I have a hectic work life but today for instance, I left my laminator on and forgot to turn it off. I forgot that I was on first aid duty too! I forgot twice about a meeting I was supposed to have with other staff members yesterday. I also feel like I ve forgotten conversations I ve had from years back when others can remember them well. Is this something I should be concerned about and what do you think could be the cause? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Degree understand your concerns went through your details. Hectic schedule is stress and due to stress and over burden, the brain signal could become cluttered and body also gives negative signals to the brain. The main requirement of your body and mind is REST for the time being. Memory problems due to busy life and stress and anxiety are normal and there is nothing to worry about. Take a week break to regain your lost wits. 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. <|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 AntiHCV positive. In my first report it was 1.33 and just after 4 days i tested again it was 1.13. And my AntiHCV is positive with 1.13 and HCV Qualitative PCR said it is "Not Detected" I am confused. Why is this contradiction? How I should interpret these results where my LFT attached with this message also showing abnormal results but no HCV PCR detected. Am I infected with Hepatitis C??? What should I do? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello and thank you for your question. The screening test for Hepatitis C is an antibody test (Antioch). Anyone who has been exposed to Hepatitis C will then form antibody to it and be antibody-positive the rest of their life. Many people that get exposed to hepatitis C through a blood or other body fluid exposure clear the virus. If your Quantitative test was negative then you have been exposed to hepatitis C in the past, but you do not have a current hepatitis C infection. If your Lots are elevated then it is not from the hepatitis C exposure, it must be from another cause. You need to work with your doctor to figure out the cause of you abnormal Lots. Thanks for using 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 recently acquired a rash on my upper extremities and torso and went to the doctor and was given a week of prednisone. The rash went away but after 3 days off the medication is now coming back. It is very itchy and is spreading. Will acupressure help me? <|eot_id|><|start_header_id|>assistant<|end_header_id|> **1. Since rash is recurring, make sure to check with Dermatologist for further investigation and examination.2. Since persistent [chronic] urticaria tends to come and goes thus make sure that common stimuli like heat, cold, menstrual periods, stress, or emotion may make the rash flare up worse than usual.3. Steroids are not a usual treatment due to side effects related with them, thus anti histamine tablet orally and calamine lotion for local application is suitable 4. Since the site involved is locally thus contact allergic dermatitis and/or lichen simplex could be possibility.5. Acupuncture is based on belief that fluids flow through channels and inserting tiny needles open the channels, allowing fluids to flow better thereby might decrease pain and improve healing. Always see a caregiver for acupuncture. Do not try to give this treatment to yourself. <|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 friend has stage 4 tonsil cancer. he went by way of alternative treatment and did radiation and hyperthermia treatment. This started in Fall of 2009. It worked until February of this year. He was given a high dose of steroids that made him very ill. While he was being weaned off the steroids for two months his tumor markers went up. He is stage four and cant eat or drink. He is in Los Angeles and just wanted to know where to go from here. They are looking at taking him to City of Hope. Thank you for your time. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, dairy have gone through your question. I can understand your concern. He has tonsil cancer, and it is of stage 4. So surgery will not work. Chemotherapy and radiotherapy remains the treatment of choice. However, it can not cure the disease. Despite treatment prognosis remains poor. Life expectancy is not good. Sorry to say, but one should not expect much from this case. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. <|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 59 AND HAVE WORKED HARD DURING THE PAST YEAR TO GET OFF MY TYPE 2 DIABETIC PILLS, LOWERED CHOLESTORAL, BLOOD PRESSURE. GOT A VER GOOD REPORT EXCEPT MY EKG SHOWED AN OLD ANTERIOR INFARCTION. I HAVE A SCHEDULE NUCLEAR STRESS TEST NEXT WEEK. I HAVENT BEEN TOO WORRIED, BUT SHOULD I BE? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your concern. Honestly speaking, no need to worry much if your nuclear stress test report is saying good heart function. So all depends on you nuclear stress test report. But better to start blood thinners like aspirin and clopidogrel. Also take low dose lipid lowering Chat Doctor. Avoid excessive salt in diet. Avoid fatty and oily food. Do regular aerobic exercise like running, cycling, swimming etc. Don't worry, you will be alright. No need to worry about this old anterior wall ischemia. 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|> I just got my ultrasound report and it says.....Both kidneys are of normal size with good cortico-medullary differentiation. No clyceal dilatation in them......Right kidney measures 9.66cm in length with cortical thickness of 1,29cm...Left Kidney measures 10.26 cm in length with cotical thickness of 1.4cm...Both kidneys show fullness of its calyces and teh lkeft kidney shows an echogenic focus in the midcalyx (crystal)... Urinary bladder is normal shape and capacity... prostate is of normal size (16.28ml) with uniform schogenicity.....Impression: Fullness both KIdneys? cause....i was supposed to see a nephrologist 2 weeks from now but my cardiologist ask me to see him as soon as possible.This has caused some panic in me...what could have been teh problem based on this result? Would appreciate any help and advise. Thanks so much! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello! Thanks for being with us. Normal adult kidney size is around 9-12 cm in length,6 cm breadth and 4 cm thick.Hence, your kidney is of normal size. You need not worry about your kidney size. Echngenic focus in left kidney at midcalyx could be due to renal calculus. Rest of the findings are normal. Get a renal function test and urine test done. Chat Doctor. Consult with the nephrologist if you have symptoms like Liguria, abdominal pain, hematuria and abnormal renal function test. Hope this could help you out. 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|> Ive had stomach pain for years that feels like being punched in the stomach, along with a bloaty feeling. For the past few weeks, its been more frequent and is bloated all the time. Ive also gained about 20 in the last three weeks(which has never happened before) and its been 60 days since my last period. Im not sure whether to be concerned or not. Any advice is welcome. Thank you. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. Thanks for your query. Surely you should be concerned as per the history of pain in abdomen, bloating, gaining weight. You need to consult a Doctor to get a clinical evaluation, physical examination, investigations of ultrasonography, x-ray and CT scan along with the investigations of blood, urine and stool... The treatment will depend upon the reports of the clinical examination, and 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|> Been seeing blood in my saliva for sometime. Ive not thought much of it till now cause Ive been presuming its because of one of my wisdom teeth which isnt sitting firmly in my gum. do you think this the case or could there be other complications? Think you! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for consulting ChatDoctorRead your query blood in saliva can be due to some reason like not having proper oral hygiene due to deposition of sublingual calculus or due to periodontal problem. For this I will suggest you to consult oral surgeon for examination of oral cavity and if needed go for oral prophylaxis. Inmeantime do warm saline rinses, maintain proper oral hygiene, use mouthwash regularly. 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|> yesterday all of a sudden i felt like my heart is beating fast and i was feeling fatigue and sweating.....i went to doctor ,he said it was because of svt they gave me treatment and prescribed metpure-xl 25.this i have to take life long .why this happened to me.is it risky? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for using Chat Doctor. I have gone through your query. If your symptoms are due to condition called SVT you need to take medication for long time. I would like to see your ECG at the time of palpitation. There is procedure called RFA (Radiofrequency Ablation) for Extra pathway in heart which may eliminate need for permanent medication.However, I can guide you only after examining your ECG, My best wishes 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.Age-20 yrs.height-166cms..weight-58kgs.Problem-Asymtomatic kidney stones in both kidneys since 2 years.I have no pain and no symtoms.Some doctors say it is a parenchymal calcification or some deposition in my nephron area.Both the stones are of 4 mm and are in midpole.They say it cant be operated by lithotripsy .I am totally confused .Please help me out. <|eot_id|><|start_header_id|>assistant<|end_header_id|> HelloYour findings suggests small doubtful calculus in mid-pole of both kidneys. As there is diagnostic dilemma, I suggest for non contrast CT scan of PUB region. CT scan can assess exact position of calculus. If it is diagnosed as parenchymal calcification then you may not need further treatment. If it is found in collecting system then you may need treatment. It may be in the form of conservative treatment. You may also need routine hologram, random blood sugar, urine RE/ME. As size of doubtful calculus is small in your case, it may be flushed out with HY Chat Doctor. Get well soon. 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 brother has autism and has been severly agitated lately. He is currently on ucerax 12.5 ml x 3 times a day/, abilify 15ml in the morning,5ml at midday and 5 ml at night/. risperdal 1.5 ml x 3 times a day/ and biperiden 2ml once a day. do you think this combination could be affecting him. He cant talk to let us know. <|eot_id|><|start_header_id|>assistant<|end_header_id|> HIT hank for asking to ChatDoctorI really understand your problem, but I am little afraid the role of medicine in autism is very limited or nothing because this is genetic base problems not any single management will helpful as long as the quality of life and dependency is there, just having hope from the medicine is not good idea patient will need series of management, and it is a long way to go, you have to see the qualified person in this field, but the prognosis is excellent some time, depends on how case being managed, take care have good time <|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 bump on the outside of my upper lip about 3 centimeters before the crease that connects my upper and bottom lip.. Its not a disease, and it doesnt hurt unless i try to pop it. Ive had it for some time now but i just want it gone. Quick easy and painless any suggestions for what it is? Or how to get rid of it? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. Thanks for your query and an elucidated history. You have got a lump on the lip. There are no medicines which can cure such lumps. You should not pop such lumps as it increases the complications, makes the skin around more diseased and can cause a permanent blemish. I would advise you the following:First get this checked from a General or Cosmetic Surgeon. Get a clinical diagnosis. Get this operated for 2 reasons:1> your get rid of the disease and 2> you get the histopathological diagnosis-makes you tension-free <|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 question about possible pregnancy. Today is tuesday and this weekend I had unprotected sex. I had it on friday, saturday and sunday morning. Friday was my first day of the period and the guy also pulled it out. Though he did have some pre cum and im not exactly sure if he did pull out the last time. It was also my first time to have sex. On monday morning I took a plan B. Is it possible that I could still become pregnant? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hallow Dear, Since you had intercourses during menstruation, there is no possibility of any pregnancy. There was no need of plan B pill also considering then timing of your intercourses. The egg is formed 14 days prior to the next menses. Egg has 24 hours life and the sperms are active for 72 hours. Hence, a period of about a week around the day of egg release is a fertile period. Your intercourses were far away from this period. Hence, there is the least possibility of pregnancy. However, I would like to advise you to avoid sex during menstrual period lest the risk of infection. I hope this helps 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 blood work just came back and I have high ferritin 358. I am female. Everything else is in the normal range. I do drink alcohol on the weekends. Want to know what to do to get my ferritin level down. Also, if I have liver damage due to alcohol consumption, is there anything I can do to reverse it? Thanks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, dairy have gone through your question. I can understand your concern. Ferritine is a storage form of iron. But it is also increased in inflammation. You should check your CRP level. If high ferritin is due to inflammation then you need only anti-inflammatory Chat Doctor. Avoid alcohol. If you have reversible damage then it will become normal by itself. If irreversible damage is there then no treatment is there for that. Avoid alcohol to avoid further damage. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ <|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 low left stomach pain from last 30 days, i have seen doctor, he described it is because of my stress i am feeling acute pain at my stomach. I have done sonography , als0 full stomach scan..nothing is found in my stomach..but it is hard for me. when i use some medicines prescribed normaxin RT .. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. I think you are under the right treatment, just see if it is helping you or not. Other probable reason can be colitis due to an infection. I would advise such a patient to take an antibiotic like Ofloxacine and metronidazole for 5 days (if not yet taken) under the supervision and prescription by your Doctor. IF still no relief, then I would advise colonoscopy for diagnosis and further management. <|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.I have been in contact with a sick patient for the past few days. He is nowing having a bad sore throat n fever. Hence, i am afraid his illness is contagious during the incubation period. How may i prevent or minimize possibility of contracting the vius from him? Does it help if i take regular dosage of vitamin c? Thank you <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have viral fever along with bad sore throat which could be contagious, so you have to booster your immunity to avoid catch of infection. Need not worry as most of the viral infection will subside by itself without any treatment as most of the viral infections are self limiting and most of the viral infections are highly communicable. You should take antiviral 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 hava had pain in my right groin area which goes down my hip and the front of my shin for weeks. So I went to OBGYN . Ended up having a laposcopy surgery done to find acute appendicitis and took out appendix. Now after a week I am having the throbbing pains which sent me to the Dr to begin with. Thought they were gone. Up all night uncomfortable for two day now. Should I have a exray done? Could it be neves healing? It won t stop. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You got operated for appendicitis. But now again getting pain in the right lower abdomen, back and low up to the knee. The pain could be due to urinary tract infection, stones in the urinary tract, tuberculosis of the illogical junction, or may be due to post-operative adhesions. I advise you to consult a general surgeon, for diagnosis and treatment. You may need to have M.R.I. besides other routine tests for confirmation. 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 had something on the left side of my head between my eye and my ear pulse rapidly several times due, possibly to a flickering screen I was sitting near for several hours. I became very dizzy while this occurred. I became very warm immediately after and cold after that. For about a week afterwards I had a fuzzy not all there feeling. Paramedics could not determine my issue and I went to the ER who could not detect anything wrong with me (blood or EKG). I went to the doctor for a follow up and complained of the fuzzy feeling and another dizzy spell which occurred in the exact same place as the original symptoms appeared (the screen was replaced). The doctor said to wait to see if it came back and to see him again in a month. My back, especially my upper back, neck, head, and shoulders are exceptionally tight even after getting a masssage. My heart feels odd at times. Got any ideas? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases because you are ECG is normal. Possibility of migraine is more in your case. Your symptoms start with problem in head part. It is pulsating. So migraine is more likely in your case. So consult neurologist and get done clinical examination for migraine. You will need propranolol and flunarizine combination. Avoid stress and tension. Avoid fasting and take your meals timely. 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 1.5 year daughter was suffering with recurent UTI and after undergoing few test we came to know she is not having any physical disorderness, it is simply infection. Is it possible? Also after IVU test the Doctor said she is having 3nos. of kidneys. Is it acceptable. Will it create any problem in futhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for consulting in Healthcare. Your daughter has microanomaly of kidney. You did ICU, I think it showed that all kidney work normally, function is normal, then don't worry. But you should know what kind of infection she has. Do please urine culture and sensitivity to antibiotics, that you can be confident in treatment, because we have antibiotic resistant forms of E.cold and PS.aeruginosa, in addition do blood test for IGM, G to CHL.trachomas, Myc.trachomas and You’re.urealiticum, which can create problems in kidneys. She should Chat Doctor. One more things they can do cystogramma for excluding influx. Teach her to urinate every 2-3 hour. Wash her genital organs 2-3 times a day, iron her underwear, because urethra is very short at girls-2-3 cm and infection can go easily.Don't allow urinating in rivers and sea, pools infection can come during urination in water. 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 95 years old, and I get bruises quite frequently and all over my body. Recently I had them on my legs, and before the bruises appeared, I had this terrible itcht on the bottom of my legs. The following day my carer pointed out the bruises to me. I think it is important to let you know that I do have Kidney problems, for that I go two times a week for dialysis . I am physically well, what do you think is causing the buises to appear and then later go away. Thanking you <|eot_id|><|start_header_id|>assistant<|end_header_id|> In patients suffering from chronic renal failure, the platelets usually develop a dysfunction. They are responsible for preventing small bleeds. But if they cease to function then the patient develops a propensity for small hemorrhages which usually develop spontaneously. As soon as the dialysis session is completed the platelets will function optimally for some time. If the problem goes beyond control then a particular medication is given which is a synthetic analogue of desmopressin. You should consult your nephrologist who will guide you in this respect. <|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|> What is SAM, is it important to have surgery ? What happens when your aorta valve is flapping? I have been told i have arrhythmia and cardiomiopathy , months ago and today told i have SAM. Are these serious enough to have surgery soon or can it be put off until July 6 ? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, I have gone through your query. Thanks for using Chat Doctor. From your information you provided it seems you have hypertrophic cardiomyopathy. There is disproportionate thickening of wall of left ventricle involving septum underlying aortic valve.in this condition there is forward movement of mitral valve while heart is contracting i.e. systolic anterior motion (SAM).the majority of patients do well with beta blocker group of medicines.I need to know your detailed echo report to guide you regarding surgery and need of any intervention Best wishes 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: lower right back pain, headaches, hungry, lower abdominal pain, hot flashes, small fever, fatigue, insomnia, discharge, but no bleeding. I feel like my period is coming but it wont started having unprotected sex on Feb. 5th up until last week. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, If you have had unprotected intercourse around the fertile period, then you have very good chance of conception though your symptoms are not clearly suggestive of the same. Please wait for your next period and go for a home pregnancy test with a fresh early morning sample of urine 3-7 days later if you miss your period. Else, you can get the serum beta-ChatDoctor titles assayed coupled with a trans-vaginal sonogram and see a specialist for further appraisal of the situation. 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 a my thyroid removed 8 months ago due to papillary thyroid cancer and was told I was cancer free. About 8 wks afterwards and a dosage of 100mcg Synthroid I started feeling the same symptoms as before the surgery. I had an abnormal ultrasound which showed a neck mass or possible lymph node enlargement, a later CT scan with contrast showed normal. My dosage was raised to 150 mcg Synthroid plus 5000 units D3 daily. My GP is forwarding a copy of the reports to my surgeon. Why would the reports be forwarded to my surgeon? Does this mean there could be another surgery? I m confused.and still have pain on both sides of my collar bone ? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, dairy have gone through your question. I can understand your concern. You have papillary carcinoma of thyroid. Now you have enlarged lymph node. You should go for lymph node biopsy. Lymph node metastasis is very common in papillary carcinoma of thyroid. So go for biopsy. It will give you exact diagnosis. Then you should 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|> MY 20 YEAR OLD DAUGHTER IS COMPLAINING OF PAIN IN HER CHEST AND SAYS IT HURTS TO TAKE IN A DEEP BREATH. SHE HAS HAD THIS PROBLEM FOR 5 DAYS. I TOOK HER TO THE ER AND THEY GAVE HER A ANTI INFLAMMATORY AND AN INHALER AND STATED IT WAS MOST LIKELY PLURSEY, THEY COULD NOT FIND THE PROBLEM. SHE IS 130 LBS, VERY ACTIVE AND NEVER SICK. SHE DOES NOT HAVE ASTHMA OR ALLERGIES. SHE IS FATIGUED AND GENERALLY JUST DOES NOT FEEL GOOD. IM NOT SURE WHAT TO DO AND IM VERY WORRIED. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi welcome to the Chat Doctor Here as your doctor could not found any specific cause it most likely related to muscular, or we can say musculoskeletal pain For which ibuprofen can be prescribed for five days Warm compress beneficial Avoid strenuous work and heavy exercise... Take proper sleep posture Avoid stress... Check her HE level to rule out anemia as she is complaining fatigue also Take care Consult physician or pulmonologist for examination and further work up accordingly if needed To Hope your concern solved <|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 1 year and 1 month old. Her weight is 11.34 Kg. She had a lot of congestion in chest. The doctor gave herMonocef - o and Prospane cough syrup for 5 days. I completed that 5 day course but she had lot of loose motions and vomits. Now, doctor has given cepodem-xp for another 5 days. Is it recommeneded. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi...the diarrhea or loose stools your kid is having might be due to the initial antibiotic, and I suspect that it could be antibiotic associated diarrhea. The other issue which I feel is that what your kid is having is not infection - it is allergy related wheezing. I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. No point in using antibiotics every time. It will do more harm than good by increasing bacterial resistance. 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|> hello sir,I am 22 years male. I think there are sperms in urine. I am facing this problem from past few months. I have read answers here. Yes, I have mastrubation furiously some 8-10 months ago. I guess this problem I am facing is due to same reason. Please suggest me how can I increase my sperms and live a healthy life.?Thanx in advance <|eot_id|><|start_header_id|>assistant<|end_header_id|> HelloThanks for query. You have doubt that your urine contains sperms. Please note that urine contains semen or sperms only in two conditions 1) One has undergone endoscopic surgery for removal of prostate 2) One is taking medications like Tamsulosin. What you think sperms is most likely to be a thick mucus secreted by mucus secreting glands located in urethra which get stimulated during sexual arousal during masturbation and sexual intercourse. This can be confirmed by microscopic examination of urine done immediately after ejaculation which will reveal absence of sperms. Please restrict frequent and habitual masturbation to enjoy normal healthy life. 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 my name is mike , my day was bite on yhe neck not sure by what we dont know. we live in minnesota he had joint pain now has a rash on left side of face and his head hurts to the toutch on the left side and a tooth hurts also had a sore throt also the bite was on the left side bite was as big a a golf ball <|eot_id|><|start_header_id|>assistant<|end_header_id|> Cellophane You for contacting Chat Doctor. These symptoms are due to allergic contact of fly with your skin. If a patient comes to me with similar symptoms then I would suggest cetirizine 10 mg at night for 5 days & acetaminophen for pain. Apart from that take a cloth piece and warm it over flame and then place it over the area of pain. It will give soothing effect. Report to hospital if:> Condition starts to deteriorate.> Condition does not improve in 2-3 days> Any unusual symptom appears.> There is difficulty in breathing. Hope I have answered your query. If you have any further questions I will be happy to help. If you do not have any clarifications, you can close the discussion and rate the answer. Wish him 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 am a 45 year old women in good health..But lately I feel like I am wearing my heart out. I feel a pressure on my chest when I sleep on my back. I feel like I have to a take deeper breaths to get good air. My heart beat seems very strong and forceful like It is straining. I have no other symptoms. I have been to the doctor and they are doing tests... Thyroid, allergies and a halter monitor for my heart soon. When ever I have gone to the doctors, they always see a normal blood pressure, EKG and blood work for me. Will they be able to detect a week valve or heart disease with any of these tests? I am anxious of the process to weed things out. I dont know what to do for myself because I think it is something serious with no time to waste. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, the symptoms you are trying to explain are called orthopnea and paroxysmal nocturnal dyspnea in medical terms, as age progresses sometimes the valves in our heart withers away, so the blood which has to be pushed forwards moves backwards also, while it regurgitates back it flows back to lung ....as the space in the lungs which was meant for air is filled up by fluid which is regurgitating back from lung ...there is shortage of air available...so you feel breathless would suggest you to go ford echo tread mill test and pulmonary function test for ite kg can be normal 2 d echo is a specific test to see any valve leakage or any motion abnormality of heart walls <|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|> Chest x-ray returned following finding: "Extensive increased bronchovascular markings seen in both lung fields with fibro calcific changes within. Areas of collapse - consolidation seen in the left upper zone with shift of mediastinum and trachea to the left. Crowding of left sided ribs noted. Emphysematous changes seen in right lung field." What does this mean? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your concern. This x-ray report is suggestive of left sided fibrotic lung due to previous infection like tuberculosis or pneumonia. There is left sided crowding of ribs and right sided hypertrophy and emphysema. This clearly suggest that patient is having non-functioning left sided lung since long time. There are fire calcified lesions also. This suggests possibility of old infection like tuberculosis or pneumonia. Healing from these diseases produce fire calcified lesions. So to summarize, this chest x-ray is suggestive of old, healed scar lesions with fibrotic left lung and hypertrophic right lung. Patient may need inhaled bronchodilators and inhaled corticosteroid. So consult pulmonologist. 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|> I take Junel Fe 1/20 every day, and have been on it since August. However, I have only gotten my period once in january since I have been taking it! I didn t take it at the same time every day a week before my boyfriend and I had sex about a month ago, but we used condoms. Now I am still missing periods and have been urinating more frequently the last few days, and it s been painful but has gotten a little better. I also have a low bmi of 18.7, which could stop me from ovulating and having a period. My boyfriend and i had sex a week ago and i was supposed to start my next pack at 8 am the next morning, but i took it at 5 pm instead. We used condoms that time too. I m scared I might be pregnant, is there a possibility I could be? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Your history suggests the possibility of pregnancy since the hormonal pills have not been regularly and also at the same time of the day. It is essential to rule out pregnancy by taking a urine pregnancy test or blood beta Chat Doctor test to detect pregnancy. Urine tests can detect pregnancy by 10 days of missed period. Your BMI is low and should be corrected. Lower body weight, Anemia and other nutritional deficiency and crash dieting may also contribute to irregular or delayed periods. Hope I have answered your query. Let me know if I can assist you further. Regards 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|> Sir i am suffering from jaundice from past 7 days my bilurbin level is around 5.5% i am feeling fine apart from a pale yellow urine and bit pale yellow eyes i am maintaining a strict diet and having salads and fresh vegetables sir is it ok for me to go to college in this condition? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, It is not advisable just now to go to college. Rest is important for a fast improvement in jaundice. To extend your leave for further at least one to two weeks. The sugar cane juice, apple juice, mango juice useful. The low-fat diet took. Avocados, beet, lemon juice, garlic, dandelion, spinach, Indian gooseberry are some good food in such a condition. Avoid strenuous activity. 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 Doctor, My Son is 4 Years 4 months old. At age 4 years 1 month one day he suddenly got fever, severe cough, spams in chest when his chest was going inside and wheezing. he was diagnosed with LRTI and was treated in hospital for 5 days with nebulizers and antibiotics.HIs IGE serum and count was higher than normal. After 5days doctor discharged him from hospital and prescribed to give him budecort 100 2X2 puffs and motair lc kid 5 ml everyday for 3 months. He was very fine for 1 month and we stopped medications as we were unsure about steroids. again after 2 months he had severe dry cough and spasms.no fever now. We took him to hospital emergency where doctor nebulized him once and told he can be treated at home with levolin puffs every 6 hours for 4 days, budecort and montair to be continued for another 3 months... We wnated to know if this is asthma and he said he can t say now. This are allergic colds and he shuld be on montair lc and budecort and this may go away after child is 5 years. We are not sure if these steroids are safe....and if we can give him this for 3 months...is this asthma or can this be a different underlying disease? are the medicines safe and ok ? should i reduce his milk or egg intake? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your query on ChatDoctorFrom history it seems your child has "multi trigger wheeze". It may be asthma, but asthma usually diagnosed if this episodic wheeze persist even after six year of age.There are more chances of persistent of this wheeze even after 6 year if child has food allergy, allergic rhinitis, atomic dermatitis, or parents or other siblings have asthma. Treatment of multi trigger wheeze is similar to asthma and include salbutamole/levosalbutamole to control symptoms and inhaled steroid to prevent episodes. Inhaled steroid is safe and usually have only local side effect like oral thrush which can be prevented if child do gargle after each puff. this medicine is necessary otherwise child may have recurrent episode Your doctor is treating in right direction, so I suggest you to follow his all direction and don't leave medicine without his advice. Regular followup with doctor is necessary because this condition require modification of dose according to response. For more queries you may contact me at this site. Regards- 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|> two weeks ago I had a lump removed. supra-clavicular, left side. biopsy showed cancer...the theory is that I had an abcess removed from my scalp...feb or march of 2013.....crown of my head that was always getting banged when I d get into the buses and vans here. That removal in a simple Dr. office never had a biopsy. dumb. I know. While working and not wanting to take time off etc. I had this lump grow....assumed it was a giant lipoma. HA! should have done some internet looking back then....but I ve always felt that one way you can convince yourself you have a really weird, morbid disease, is to go looking for trouble. So I finally get this lumped checked out....I first had sonograms of the neck, shoulder areas, thyroid etc. and a chest xray. they take the 3cm mass out. and once I was told it was cancer I went to the local cancer institute here in Cochabamba Bolivia. I have had sonograms of breasts, arm pits. intravaginal....plus regular exams like pap smear etc. The icing on the cake is when I had to get the tomography. of my head, sinuses...and then of the abdomen. no other lumps nor bumps found....(just confirmed that my gall stone hasn t gotten any bigger...that I have some yucky problems with my back bonedegenerating. (I m 62 yr old ) female. Had one pregnancy and normal delivery when I was 33, nursed for two and a half years. Periods were always like clock work but quite heavy. tomorrow I go in to get the decision of the team.....I m pretty sure it will be to have radiation from my clavicula up the side of the neck. That is what the oncologist said Friday when I turned in all my films and lab. oh ya. lab. great lab. no markers out of wack etc. my question....Why would radiation help something that maybe is floating around in all my body at this point....The abcess process was over a year and the lipoma another year nearly. If everything is clear then why go thru the traumatic radiation..... might the diets....vegetarian type, no sugar, chocolate, junk etc be as useful? Will I not have to continue to go in for checkups from time to time with or without the radiation anyway? We do not have insurance here. We have been doing some school teaching....but there are no benifits there either. well, I should have just sent you my diary I guess.....didn t know the novel-itis was lurking in my finger tips. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, dairy have gone through your question. I can understand your concern. You have mass in supra curricular region. As you say it is cancer. Treatment depends on type of cancer whether it is lymphoma, soft tissue sarcoma or metastatic carcinoma. You should go forbbiopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. If you have already gone through biopsy then send me that report. Your other clinical conditions or diet has no relation with that. Radiation treatment or chemotherapy or surgery can be done depending on type and stage of cancer. 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 am 18 old boy i done mistake when i was 14,15 old that is i done masturbate but since from 2 year i stop doing it and now and now i am suffering from neck pain and and back pain and also i am not able to concentrate in the class pls pls help me to get my states back. is it possible to get my energy back by YOGA if so tell me and also pls tell me what i have to do pls really u are the god for me because i am poor student please....... <|eot_id|><|start_header_id|>assistant<|end_header_id|> 1. masturbation by no means result in neck/back pain, but the guilt results in believing/associating your symptoms with your act.2. It is the Act by which our body relieves itself of sexual urges/desires, so in no way its harmful.3. Because you are unable to concentrate has resulted in aggravation of these symptoms, resulting in a vicious cycle of masturbation-pain-low concentration.4. Regarding your pain: rule out with your Physician about possible X-rays of cervical and lumbar spine and treat accordingly.5. For your concentration: avoid ginger-garlic-onions in your diet, eat fresh vegetables (avoid peas, kale, cabbage), 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 ve prescribed to use Doxypal-dr , Ascazin , Acutret 10 , crixan gel & Acnemoist , Acne aid soap for my acne problem , but after using it for 10 days I ve now problems with my lips , my lips cracks like winter cracks & it also burns , is it the side effect of these medicine please help me. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi!, Welcome to Chat Doctor, yes dear its is side effect of the ACUTE (10MG) which you are taking for acne. It a common side effect which usually occurs after 2 was of the therapy. But this side effect goes off once you stop the medicine. Usually it is given for approx 6 months depending upon your body wt. It is good and very effective medicine. There are other precautions which needs to be taken while one is on acute.some investigations need to be done... Kindly talk to your dermatologist about these precautions. You can apply DETAIL MOISTURIZING CREAM on lips as and when required or any lip balm to keep it moist. 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 was diagnosed with anemia on march 5 and they prescribed me iron which I taken3 times a day. They determined it was due to my periods. I went to obgyn and pap smear is normal but they did a pelvic ultrasound and saw a mass on my uterus and they said my uterus was enlarged. They have referred me to obgyn oncologist which my appt is monday. I have cramps my back and leg hurt every time I stand and my ca 125 level was 300. Is there a good chance this is cancer. I want a hysterectomy because for the past year I have dealt with my periods being so heavy I have to sit on toilet <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, thanks for using Chat Doctor. Ca 125 as you already know is a marker for cancer. It increases in cancers of the digestive system and those of the reproductive system including the ovaries, fallopian tubes, endometrium of uterus etc. It is highly used in the diagnosis and follow-up of ovarian cancer. Ca 125 is not specific to a particular disease and does not necessarily indicate a malignant disease. It could be elevated in benign conditions such as uterine fibroid as well. From your history; heavy menses, anemia, enlarged uterus etc., there is a good chance that what you have is a uterine fibroid. The only problem is that the ca 125 level is far above the normal which is 35 (300 in your case). The appearance of uterine fibroid on ultrasound is particular, and you should see your ultrasonographer to say if the mass was not well round and with borders and characteristic of fibroid. If it's a fibroid or none metastasized cancer, hysterectomy will be just fine. Best regards and hope this helps. 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, My wife is currently 7 months 2 weeks pregnant. She is epileptic and had seizures 3 or 4 times before. The last she had a seizure was in Oct 2008. She had very mild seizures yesterday night and today morning that lasted about 30 seconds each. She didnt hurt herself or fall on the ground or anything like that. She is using Carbamazepine 200 mg + 200 mg currently. The local doctor suggested to increase the dosage to 600 mg per day citing the reason of increased weight. Is there anything I need to be worried about? I am very tensed. Please help me. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi there,Epilepsy attack during pregnancy cannot be ignored and should be an indication to meet a neurologist immediately. Epilepsy can affect the mother and baby. The mother can have repeated attacks and her epileptic medication need to be increased also rather than increasing the dosage addition of another anti-epileptic Chat Doctor. But this would depend on her disease status. Epileptic attacks need to be controlled as they can hamper the growth of baby. Also, these attacks are common during labor and proper precaution against them need to be taken during delivery. The baby needs to be evaluated for malformations such as neural tube defects and heart problems more so as she was on antiepileptic medications as these also are known to cause defects in up to 2% of patients. Get a detailed ultrasound and fetal Echo. Also change of epileptic medication under advise of a neurologist to be done immediately. Hope this helps. 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 am a 25y/o female and i have a knot/lump on the back of my neck below my hairline. I have had it for a few days now, it came out of nowhere. The size is smaller than a pea and sometimes I feel a slight burning sensation coming from it. What could it be? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, dairy have gone through your question. I can understand your concern. You mostly have posterior cervical lymph node enlargement. ITIS due to some infection in head and neck area. You should complete a course of antibiotics. If it doesn't respond to treatment then biopsy diagnosis is advisable. 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|> Hello Doctor, I am suffering from unexplained secondary infertility and taking treatment since Nov 2010 but not successful. I just changed my doctor after examination she told me i have swelling in uterus .So she gave me CCQ 50, Trypsin Chypsin (Chymec Forte) and Doxycilin 100mg for 10 days. I just need to know am i on right track. As i have already taken enough and almost every treatment. Kindly help a stressed patient. Regards, Shelly <|eot_id|><|start_header_id|>assistant<|end_header_id|> HelloThanks for your query. From your statement it looks like that you have unexplained infertility. It seems that you have been taking medicines without getting investigated properly There is nothing like swelling of the uterus that should be the cause of infertility. Please consult some Infertility Specialist who will carry out some blood test to find out cause of infertility and treat you accordingly. Do not worry what you need is to have proper evaluation. <|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|> doctors discovered that 20 years old friend of mine had brain tumor and surgery was conducted to solve the case,2 years after surgery he started drinking alcohol a lot i guess he is an addict ,when we have just a normal chat it takes almost a minute to respond to me.i remember one day he fainted. what does those signs show?,do you mean the problem still exits? please elaborate what could be the problem. thanks in advance. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thank you for posting your query. There are several reasons that could cause problems in your friend:1. Recurrence of the tumor-some tumors can grow again after surgery, this can be found out with a repeat brain scan.2. Seizures-brain tumor and surgery can leave a scar in the brain, which could cause seizures and result in fainting.3. Alcohol relatedPlease show to a neurologist for opinion. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/ <|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 Doc.. my fater had undergone Cabg + stenting in kidney too. for last few days he has loss of appetite. also has cough n water coming out oftenly. today he is complaing dizziness. does these symptoms shows some criticality? does it require an urgent consultation in hospital? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello! Thank you for asking on Chat Doctor! Facing his medical history (CABG & kidney stenting), the current clinical scenario should be taken in consideration. I recommend a medical check up without a delay. A physical examination coupled wit ha resting ECG and some blood tests would be necessary to determine the exact reason for his actual complains, and to avoid any serious complications of his primary diseases. How 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|> sir, my uncles age is 80 years. sufferring with prostite problem and doctor kept separate pipe for urinating. from that day he is not taking any food and taking only juices and surviving on glucosebottles only.at present he is sufferring with loose motions.please suggest any medicine for fast relief please. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, As I see the history it looks like the aging factor and also some infection in the body. Since he is having loose motions this is due to the heat in the body. Which is good to allow it to pass on. Of course, there will be a fluid loss but too much heat in the body may not be good for the physiology to function. As prostate cancer does not lead to multiple troubles unless and until the grades are higher. This can be helped with medication and if required surgery. Also, you need to monitor the heart rate, blood pressure, oxygen saturation levels. Giving external oxygen supply through the oxygen saturation machine will be of benefit to help further. Control of blood pressure and blood glucose levels is also advised. Make sure he doesn't develop any respiratory issues as that may make him weaker. Giving a good diet which is kind of Grace will be easy for absorption and also giving electrolytes will be good to have some strength. In bed, do some passive physiotherapy to help the muscular system to be active. As this plays a good role in be Chat Doctor. Also, see to that the catheter is removed after 2-3 weeks of time as this may not be good for the physiology to continue for a longer duration. Chances are heavy on the side of infection. Take the medication as prescribed by the doctor. Hope I have answered your query. Let me know if I can assist you further. Jay In <|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 27 yrs old and wanted to get pregnant and for this purpose doctor has prescribed me dubagest 200 tablet everyday for 15 days after my follicle got ruptured on 15th day of my period.Now for past 3 days i am feeling unconscious after having the tablet.I have alreadly taken 8 tablets for 8 days now m not feeling good after having the tablet.what to do? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Suggest is the same Progesterone hormone your body makes after ovulation. It has few side effects like bloated feel, giddiness, mood swings, depression, sleepy feel so on. But this hormone also helps the baby to settle in the uterus. This could also be a good sign of pregnancy. When you get pregnant, your BP falls as a compensatory mechanism to improve blood supply to baby. You will feel giddy if BP falls. I would advise you to continue the medications. Have good sleep & rest. Avoid going out in sun, avoid deny 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 been feeling light headed, dizzy, and tired lately. At first I thought it was my period coming, but I started spotting 9 days before it was supposed to come. It has been 4 days now and I am still spotting and feeling extremely light headed. I don t have any lower abdomen pain or anything like that... what could it be? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, I have gone through your query and understood your concern. If you have never had a disturbance of the menstrual cycle earlier and if you are sexually active, please confirm/exclude pregnancy first. This should be done in the current scenario through an estimation of the serum beta-ChatDoctor titles as the urine test may not read well at this stage. A trans-vaginal sonogram also helps to know the status of the pelvic organs and thereby helps to know if you are pregnant. If positive, you can attribute your symptoms to this and the spotting could be an early implantation bleed. If negative, this spotting is likely to be due to hormone deficiency and can be corrected with supplements. This may be a transient defect only. Hope your query has been answered. 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|> yes, i am 36 years old male, Married 3 years back, I dont have kids, i get Semen Analysis report normal in USA,After i come to Indian start treatment my wife One of doctor asked me for Semen Analysis in reports showing NORMOSPERMIA WITH EVIDENCE OF INFECTION, What does it Means,please can you Asnwer <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for writing to Chat Doctor. Normospermia means you have normal count of sperms with adequate motility and good quality fluid to nourish sperms. Normal pus cells will be 0-5. More than that is considered as mild infection. This infection could be anywhere from the organ which produce semen over its path. Any infection in these organs cause pus in semen . Treatment for this is one-week course of antibiotics and maintain good hygiene. Repeat semen analysis after 2 months. If infection is still there then further it should be investigated to know the cause. In majority, it subside by antibiotics like definite and ofloxacin combination. You can discuss this with for doctor. Till infection subsides maintain distance from your wife. Hope I have been helpful. Regards 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 a dialysis patient for 3 years now. Dialysis 3 times a week for at least 3 hrs. my Creatinine remains not more than 800 every time that they do a diagnosis and urea is between 10 to 20 and not over. Do you think there is any treatment whereby i could stop doing dialysis or may doing 1 or 2 session per week? I mean any natural treatment or whatsoever? I dont wish to do any transplant. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, I would advise you to immediately increase hemodialysis duration to 4 hours x thrice a week, as presently dialysis is inadequate. Coming to your specific question of stopping dialysis, the only substitute available is kidney-transplant. There is no natural treatment to avoid doing dialysis. I would also like to caution you to not get misled by false claims of many quacks promising the same. 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|> I noticed a small red spot on my upper gum directly above the gum line of my tooth. I noticed it about a week ago while flossing . There is no sign of infection,bleeding or any discomfort etc. What might cause this and should I have my dentist check it out ? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your query, I have gone through your query. The small red spot on the upper gum can be because of the trauma secondary ti the use of floss or any tooth brush injury, or it can be because of gum infection. Consult an oral physician and get it evaluated. If it is gum infection get your teeth cleaned. If it is secondary to trauma, then you can apply chlorhexidine gel over the red area. If you have pain, then you can use topical anesthetic like lidocaine gel 2%. 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|> 1-i have a nodules in left chest since 2 year.it is of constant size. i can feel it by placing hand there. when i press it, it pain a little.2-my semen also get discharged when i go in latrine. and my errection and sex desire has decreased a little. this is also from 3 year.3-before 1 year i met a doctor who told me about low testosterene. please tell me what is solution to my case.is that nodule an indication of cancer. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for writing in.1. If there are nodules in the chest wall which are relatively stable for two years then it is from a benign condition. If the nodules are in the lungs and visible only on X-ray and CT scan then also they are from a benign cause going by Fleischer recommendations.2. Your semen discharge during passing motions is probably from over activity of parasympathetic nervous system. Please maintain relaxation and avoid anxiety. Your erection related problem might also be due to increased stress related anxiety.3. Please repeat testosterone level in blood and if it is in the lower range then please change your diet to include high protein food. Have daily 2200 kcal diet and take vitamin and mineral supplement. 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 , i am 32 and i have grey of hairs and hair loss problem. The grey of hair is started 5 yr back and and now its showing in my beard and even the nose hair. And the hair fall is also started 6yr back even sometime the eyebrow hair started falling in number. I have checked with dermatologist but none of them suggesting anything they only suggest to go for meso therepy or hair transplant. Please suggest for the same. Thanks Bajaj <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Graying of hair in your case may be the part of aging process. It may be influenced by genetic predisposition also. Stress, tension and worries are other factors promoting graying of hair. Malnutrition or deficiencies of vitamins and minerals may also affect the color of the hair. Hair fall may also be increased. To find out any internal morbidity, investigations may be needed. So, consult the dermatologist. There is no need to take any treatment. Just, change the lifestyle and have a positive mind by meditation, yoga,exercise etc. Take enough nutrition to fulfill the deficiencies of vitamins and minerals. 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|> Hello Dr., I was bit by something in the woods on Vancouver Island on June 16. Now I am back in California and as of last Friday 7/11 my eyes are blood red, I am very tired, have slight fever, headache, can barely move, have stiff neck and my right knee is very swollen, I am not able to walk. I am very athletic and did not injure myself. I read about Lyme disease symptoms and it seems that most of mine just fit in. What should I do? Thank you. I am 57 years old healthy man. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi there. Welcome to Chat Doctor. This is Chat Doctor. You should immediately see specialist doctor for this. He will decide what type tests should be done and give treatment accordingly. This seems to be vectored borne. If you had provided what thing bite you then picture would have been more clear. You should be going for detailed blood tests for general counts and markers and also go for immunological tests for rickets, Lyme disease and other disease prevalent in California. I hope this will be helpful for you. Do not hesitate to buzz again if you need further 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|> hello sir my father having brain hemerrage problem and MRI and ct scan report has following remark 1.large intercerebral bleed involving right gangliocapsular , thalamic , mid brain and temporoparietal regions with perilesional edmean and interaventricular extension causing severe mass effect resultant obstructive hydrocephalus small vessels ischemic changes in bilateral deep peri ventricular white matter . CT scan remark - large intraparenchymal hematoma in the right parietal lobe with intraventricular extension and subfalcine herniation. sub arachnoid hemorrhage . sir in this case what best medicine treatment i can go for ? please note i am from india - pune . can you suggest some good treatment to save my father life ? my mail id is YYYY@YYYY <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, As you have mentioned that CT scan remark - large intraparenchymal hematoma in the right parietal lobe with intraventricular extension and submarine herniation. Subarachnoid hemorrhage. Your father had hemorrhagic stroke. It can be caused by hypertension or aneurysm (out pouching of blood vessels) and trauma. Location of bleeding sometimes give the cause, in your case it's probably from an aneurysm. At present, it is important to stabilize the patients condition, control the bleeding by controlling hypertension. TH also mentioned HY 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 three year old was bit by a friend dog. It wasnt nothing serious just enough to break the skin a little. Cleaned it right after it happened and this morning, now she is running a 101.0 fever and there is an infection in her hand which Ive been cleaning it also. The dog has had all of his shots, so why is she running a fever? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Welcome to Chat Doctor, Rabies is 100 % fatal, but it is 100% preventable by proper and adequate treatment. As your child was bitten by vaccinated pet dog, but it is necessary to give at least 3 doses of antirabies vaccine to your child. As you cleaned the wound thoroughly with soap and water it will wash away the virus if it is present in the biting site. The symptoms of fever are may be due to presence of some other infection in the body. I would suggest you to consult your pediatrician at the earliest. 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, a while ago I got the birth control shot, I only got it a total of 4 times, I ve gotten my period since but they are never regular and when I get my period I reallly got it. Its been 4 month since I got my period and sometimes I have rectal bleeding , no pain and it only bleeds when I sit on the toliet, usually. I don t know what s wrong, can anyone help? There is also no chance of me being pregnet, I am gay and have not cheated. <|eot_id|><|start_header_id|>assistant<|end_header_id|> The rectal bleeding in the irregular periods are not related. They are two separate problems. The most likely cause of rectal bleeding is hemorrhoids however it is important to rule out cancer. Some hemorrhoids cannot be seen externally because they are inside, which is why you may not be aware of them except by bleeding. You need to get this evaluated by a doctor. Onto the irregular periods. If your cycle was irregular before you started Devi then there is no reason that they would be regular now. However, if your cycle was always regular without birth control pills or other medicine prior to starting Demo it can take a full year for regular cycles to reestablish. If it has been more than a year since you had a get demo shot then the most common reason for regular menses to become irregular is significant weight gain. Other common reasons are thyroid abnormalities or an elevated prolactin level. Those two can be evaluated by laboratory tests. Regular menses will resume when the underlying problem is treated. Untreated irregular periods can eventually lead to endometrial cancer especially in overweight individuals but even in regular weight ones. I suggest that you follow this up. Thank you for your confidence and I hope these answers are helpful. <|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 need to get a prescription for a pain killer for my back. i want to avoid synthetic opioids like oxycondone and ibuprofen or aceitametafin. I thought maybe codine would be good because I have a friend who took some and he said it was all natural,non addicting and effective. what do you think? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Dear patient codeine can be used for back pain but not used primarily for it. Codeine mainly is part of antitussives means cough suppressant syrups. Onother common use is spinal headache. If you have back pained we need to search for the cause of it so that appropriate treatment can be given. Like if u have muscular backache you should take muscle relaxant moral. I would like to do X-ray of the lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities. You need to consult orthopedic surgeon nearby your area with report. <|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 names Kaitlin. I m suffering with sore pain at the lower part of my ribs and which hurts my stomach I dont no what it is. But I have it the last few days. My stomach and lower part of my back is swollen. And it s painful. When I try sleep. Walk and I can t Really eat with it. I m just wondering can you tell me what it is. <|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. This may be due to pleuritic or some neck nerve being pinched causing the symptoms. Take analgesics, local hot fomentation, apply rib belt. Get chest X-ray done 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 Chat Doctor. .(MBBS, MS,MCH) <|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 an unusual neck pain last night along the back or side up to his head. today he feels dizzy and said the light on the electric blanket indicator was rising ...ie moving, which it could not...he had a visual episode. is this a stroke warning? He had been doing some work on a ceiling, looking up. He is 73, active. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Welcome to Chat Doctor.come am Chat Doctor. I have read your question with care and understand your concerns. Let me try to help you have mentioned the following complaints1. Severe Dizziness2. Neck Pain along the back or side up to his head3. Said Light on the electric blanket indicator was rising Neck Pain can be a manifestation of Cervical Spondylosis or some other problem of Neck Dizziness and the next complaint may signify reduced blood flow to brain which can occur in Cervical Spondylosis Left unattended, this can even lead to stroke Lawrence I would suggest that you consult a Neurosurgeon at the earliest Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. 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|> HI MY NAME IS DEBBIE I FELL ON A WET FLR. AUG 8-10 HURTING MY RT HAND,LT , LT KNEE XAYS SAID I HAVE A VERY BAD SPRAINS, I HAD HERNIA SURG 6-10-10 AND MY STOMACH HAS BEEN RELLY HURTTING THAT NIGHT OF THE FALL COLUD I HURT THE MESH IN ME OR THE HERNIA? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Debbie. Thanks for your query. Read and understood your problem. On felling the muscles of the abdomen also go into sprain and spasm, stretching over the fibrous tissues around the hernia repair and the mesh. It is likely to get healed well provided you take proper treatment. The right hand and left knee will also heal well as there is no fracture on them. I would suggest you the following:Strict bed rest-this is the most sure shot way for early recovery. A course of an anti-inflammatory medicines like Ibuprofen in proper full dosages as per your body weight and after full stomach. You will be fine soon. <|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 IM 20 YRS OLD AND MARRIED. NOW IM TAKING TREATMENT TO GET PREGNANT FROM THE LAST MONTH.MY MENSURAL CYCLE IS 25-35 DAYS CYCLE.I WANT TO KNOW WHEN THE OVULATION WILL HAPPENING IN MY BODY AND WHAT ARE THE SYMPTOMS FOR OVULATION ALSO I WANT TO KNOW WHAT ARE THE TIPS TO BE FOLLOWED DURING OVULATION LIKE(AVIODING ANY FOOD ITEMS,REDUCE TAKING MORE STAIN BY CARRYING WEIGHT ETC...).SOME DOCTORS SAYS AVOID INTERCOURSE AFTER 25 TH DAY FROM MENSURAL CYCLE BCOZ IT MAY AFFECT OUR EGG IF OVULATION IS COMPLETE WITH SUCCESSFULL LIKE THAT...IS THIS TRUE OR NOT... <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for the query to Chat Doctor. Forum. Let me explain when ovulation occurs as, Menses date 1 September (bleeding starts) now ovulation occurs any time 14th September, 15, (in 95 % cases). When ovulation occurs there develops mild elevation of temperature (99-99.5 F). Mild degree tenderness either on left or right side depending upon the site of ovulation. Release of ovum is not effected by intercourse at all, all these are myth. Release of ovum depends upon maturation of ovarian follicles and their (its) burst. So deal according to your need, everything is scientifically proved. 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|> How I can reduce SGPT & SGOT level ? I used to drink & smoke which I stopped since last four months , however I am not able to see any improvement ? I am suffering from Hepatitis B since more than 10 years , but i those ten years , I have not find any complication in my daily routine or health. Can you advise how can I be sure that it will not affect my personal life / <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, nuts_on_line, You have been diagnosed with Hepatitis-B for ten years now. You continue to show abnormal liver enzymes eventhoughyou say that you are functioning normally. The problem with chronic hepatitis is, it can gradually progress to advanced liver disease including cirrhosis and lead to liver cancer. You have not been on any treatment for the condition. You don't want to wait till it is too late. I advise you to see a gastroenterologist or an infectious disease specialist who takes care of hepatitis patient sand has a large group of them. You need someone with experience on how to handle the complications or side effects from the good medications that are now available. The sooner you get the treatment, chances for cure are better. Hope you do this soon for your own sake. I wish you well. <|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 40 years old and believe I have ADD. All of my siblings are nurses and they tell me I have all the signs of it. I have taken quizzes and they said that I have ADD. My question is how do I start the process of seeing a doctor about it. It is very embarrassing for me, but it is really starting to hurt my life on several levels. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Degree understand your concerns went through your details. You did take quizzes. You did go through the details regarding to ADD. Furthermore, you are almost sure that you are showing signs of ADD. But let me tell you an intricate opinion. The more you dwell into ADD information (in the beginning) the more you will find the symptoms of ADD in you. That is called internship syn Chat Doctor. No problems. You should consult a psychologist who assess you impartially with his own assessment tools, and then he will give you your diagnosis. If you are confirmed ADD you should request his advice. He may ask you to consult a psychiatrist or to take his psychotherapy treatment. Do as he tells you. God bless you. 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. <|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 just been diagnosed by grade 3 fatty infiltration of liver. How serious is the matter?and what kind of treatment is required? I am also suffering from thickend bowel paraumblical region and left renal cyst. I am non alcoholic. Please advise as soon as possible as my family and myself are quite worried. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. Thanks for posting query at Chat Doctor. Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty liver disease. Fatty Liver disease is reversible. Advice for fatty liver:- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound. Any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, 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 had many episodes over a period of five years which I have thought has been normal and never seeked professional medical advice. I suffer fundamentally on extreme high moods of the point of just my hands are going so fast I have to say in my mind to stop - my down moods have got me into trouble which has concerned me very much. I had a fantastic career which progressed to 2nd nationwide for business to business sales and I just gave my resignation letter for no reason but my mind said leave this place. I just don t know what to put into words <|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 think you are guiding the doctors towards bipolar disorder. Your current symptoms do have some resemblance to bipolar disorder. But there are so many other symptoms along with high and low. Also, high and low moods are extreme and mostly rungs into days, not minutes or hours. Simple mood swings, exhilaration and distress, are normal with every career oriented, successful person. Talk to your friends and they shall also tell the same story. In case if you still want a confirmation, you can visit a psychologist for a psychometric test. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. 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 constantly bite my lower lip when eating. Its very painful and I would like to knnow why this is happening. One thing I would like to mention that it strted happening after I had three back teeth pulled and two upper front teeth cracked. Could my teeth shifted thus causing this to happen? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello thanks for consulting at Chat Doctor. You can blow air with mouth closed.so that your lip and cheek gets away from the sharp teeth surfaces.if empty extracted space is there, teeth tends to move into those spaces resulting shift in occlusion.please have a consult with an oral physician for a check-up and treatment. For empty spaces you can get teeth restored removable or fixed crowns, or you could also go for implants. You need teeth for chewing food also, thereby it will improve your general health also,Hope it 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|> Hi, one of the bumps right at the back of my tongue (lingual tonsil area) is a yellowy colour, not pink like the rest.i was looking because i have a bug at the moment and a congested throat/nose...now i am manically googling tumors! Any idea what it could be? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. Welcome to Chat Doctor. I read your query. In tongue there are naturally larger taste buds at the back of tongue as compared to front. Also, there is lingual papillae As you mentioned you have an infection, chances are it could be an enlarged taste bud or papillae due to infection, medication or some allergy. It can also be an ulcer. Normally This happens with fever and infection and regress on their own. I suggest you to check if it is discolored, enlarge or have uneven borders, then get it checked. Else you can wait for healing up of your infection. Take your prescribed medications. Take multivitamin tablet one per day. Maintain God oral hygiene. If warm water is tolerated, do warm saline rinses. Maintain good diet and HY Chat Doctor. If it burns while eating, you can apply oral anesthetic gel 5 min before eating. 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|> I have noticed about a month ago, a dark vein at the back of my 6yr old son s leg, just below his knee joint, right at the top of his calf. He has been diagnosed with environmental asthma and is on a daily medication called Singulair. Is this vein normal or could it be a side effect of his asthma meds, or could it be something different all together. Kind regards, Worried Mother <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thank you for posting your question. The location on the leg that you have mentioned does harbor a major vein. It is most likely that this prominence that you have noticed is a normal occurrence. Also, the Chat Doctor. Having said that, I would suggest you keep a watch for appearance of any new symptoms like swelling of the legs or appearance of new prominent veins. If so, consulting a doctor would be necessary. If you have any more doubts regarding this case, do write back. <|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 mom has Brown sequard syndrome and has been stable on several nerve and pain mess for years. Tonite she is having some mild abdominal fullness, muscle cramping/spasms in legs and neck, and slightly nauseated. No new mess on board. Any ideas? Been eating and drinking fine. Just came on this evening. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello! Welcome on Chat Doctor ! You should know that Brown square Syn Chat Doctor. It can not cause such symptoms, as it is a past lesion. For this reason, I recommend bringing your mother to the ER and having some tests to investigate for the possible causes of her symptoms: - an abdominal ultrasound-blood electrolytes for possible imbalance-complete blood count, PCR, ESR for inflammation. Hope you will find this answer helpful! 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|> For about 2 months I have been having pain and numbness down my right arm. There is tingling in my arm and hand often like is asleep causing bad itching. It feels, at times like it runs from the back of my neck down to my hand. It s hard to tell if it s a nerve or muscle issue. What does it sound like ? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Dear patient it seems you're having nerve compression at the level of cervical spine with articular pain in the right upper limb and hand. This happens mostly due to disc prolapse in cervical spine. Diagnosis needs to be confirmed by MRI of the cervical spine. Please get it done from radiology center nearby you. Meanwhile, start tab regain x 75 mg one at bedtime. You need to consult spine surgeon nearby you with report. <|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 surgery on L5 L4 S1 and have been diagnosed with failed back spinal surgery.i can barely walk my posture is bent @ a 45 degree angle.I suffer from extreme spasitiy which is very painful.my pain consultant has requested a spinal block operation and said I would be in hospital for 3 weeks,can you explain the process and the recovery .thank you <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. You need to do a repeat MRI LS Spine The further treatment will be decided based on that Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask <|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, am aged 26. LMD: 22 Jul 2013, Last unprotected sex: 4 Aug 2013. Am not sure i the pregnancy test kit give correct result considering the date.Does ipill today on 9th Aug help? Any over the counter medicine to be consumed as a means of precaution? pls suggest, much worried. <|eot_id|><|start_header_id|>assistant<|end_header_id|> HelloThanks for writing to us with your health concern. First o fall please take a pregnancy test once you skip your periodBefore that do not worry.5 days after unprotected sex, there is no point in taking the pill. Just have protected sex in the future. Take medication for medical abortion, if the pregnancy test out to be positive, and you do not wish to continue with the pregnancy. All the betake 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 prolapsed discs in my neck and lower back problems over the last few months my arms have been itching terribly is this anything to do with my problem? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Jayne, Since you said you have Prolapsed Discs, there might be some amount of Nerve compression of nerves which are arising from the spinal cord. The itching which you are suffering from is indeed due to this nerve compression and is called Brachioradiales Pruritic which happens if there is nerve damage. Kindly consult an Orthopedist at the earliest as he shall examine you and prescribe medications like, anti depressants, anti consultants, creams for Local application or Local anesthetics. 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, I ve been on antidepressant pills for 12-18 months and stopped taking them about 4 weeks ago, and I am taking duromine for a month now. I also had my tubal clamps removed 7 months ago, this was not a reversal it was due to savere abdominal upper and lower pain. I have now in the last 7 days done about 10 pregnancy tests and I have had 4 come back with faint lines and the others negative. So I m really unsure what is going on. I also have had a lot of continuous discharge, sometimes clear sometime with a snit kind of colour. I just went to toilet and had a long string of discharge that I ve had to manually get out. (Yuk yes I m sorry). So I guess I m wondering if there could be a chance that the duramine is having an effect on the home pregnancy tests ? Because I was told that the tubal clips made my tubes dead and I can t and won t fall pregnant. I m a mother of 6 kids and am 32 years old after some answer. Thank you Lisa <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Bromine would not be expected to affect a pregnancy test. While it would be unlikely to get pregnant after your procedure, it would not be impossible. However, since you are mostly having negative tests, I would suspect you are not pregnant. If you are, the tests should be more consistently positive as time goes on, so I would check again in a week, and if you are still getting negative then, it would reliably rule out pregnancy. Hope I have answered your query. Let me know if I can assist you further. Take care. 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|> My BP has been a little high but going to 180/90 even though I just started Lisenopril 10 mg per my primary Doc.is bothering me, I am 63 very healthy no meds. except the one I am taking for BP for the last two weeks. Could there be anther ossue that is causing the BP to be so high? I am Dash diet for the last few years. Thanks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Ideally, your BP should be 130/80 mm Hg or below. Hence, you need to add preferably CCB (calcium channel blocker) Chat Doctor. This can be considered only as of the second opinion. Your doctor remains the best judge. With DASH (dietary approaches to stop hypertension) eating plan i.e. consume a diet rich in fruits, vegetables, low-fat dairy products (saturated & total fat), expected SBP reduction (range) is 8-14 mm Hg. 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|> My husband has had a laminectomy then a discectomy and a spinal fusion 5 weeks ago. All 3 of theses ops in 18 months. Now has elevated liver function tests. After 1st two ops doctor said there was lots of scar tissue. Is it possible it may have travelled and rested on liver. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, dairy have gone through your question. I can understand your concern. Your laminectomy, discectomy and spinal fusion has no relation with elevated liver function test. It can be due to some viral infection, Chat Doctor. Scar tissue has no relation with it. Hope I have answered your question. If you have any doubts then feel free to ask me. 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 sharp stabbing pain in my left breast are that travels on my left shoulder up my neck and right under my left ear. I hurt when I take a deep breath or move too quickly. Laughing hurts so much that it brag tears and I have a pretty high pain tolerances <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, thank-you for providing the brief history of you. As you are having these symptoms of radiating pain a thorough clinical examination is advised. As per your history to me, it appears to be more of pain arising due to neck region and needs a thorough examination. Also post which an MRI of cervical spine might be taken and correlated with the clinical symptoms for diagnosis. Treatment Physical therapy should be helpful to you for reducing pain. 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|> - I have a pain just below my rib on the right side it hurts when I sneeze or cough. ... So what is it that you do for relief. it actually takes mine a few days to go ... and took a deep breath, the pain felt like a bruise-type pain that wouldn t go away. ... on right side under lower rib was a dull pain feeling like a bruise <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your situation and problem. You may have pleurisy (inflammation of pleura). Because chest pain on coughing and sneezing is characteristic feature of pleurisy. So wended to rule out causes for pleurisy first. Following are the possible causes for pleurisy.1. Pneumonia2. Tuberculosis3. Pleural effusion. So get done chest x-ray to rule out above possible causes of pleurisy. If chest x-ray is normal, then no need to worry much for all these. It is just due to muscular pain. Coughing and sneezing can cause over activity of intercostal muscles. So they can produce pain on coughing and sneezing. So take painkiller and muscle relaxant for relief. <|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 aged 5 years and weighs 17 kg. He had fever on Friday with vomiting and doctor has diagnosed it as a viral fever. However yesterday night he is having fever continuously. We dosed Meftal at 12 pm and it subsided but again now at 5 am it is 103 deg F. We have dosed him with 5 ml Crocin DS now. Can we also give MeftalP now or how long should be the interval <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, thank you for choosing Chat Doctor. Regarding your son if he is having fever first give any paracetamol preparation for his fever to settle down. Kindly note that if your child is comfortable during fever there is no need to decrease his temperature to normal range aggressively with fever medications, but as your child is having high grade fever you can give him metal suspension one hour after giving paracetamol if it is not coming down. Do tepid sponging with lukewarm water and give him plenty of fluids as they tend to get deny Chat Doctor. Hope this helps you, kindly feel free to contact again for any 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|> my daughter was suffering from typhoid since 25 days but every day fever was coming 3 times in a day 5 days back we found widol 320 last 4 days we are using cepodem az and alm-80 but fever was coming my daughter age was 14 years please give me your suggestions <|eot_id|><|start_header_id|>assistant<|end_header_id|> HelloTyphoid fever is caused by salmonella bacilli and in your daughter case it is POSITIVE. She took cefuroxime +azithromycin and ALM 80. Till now not responding treatment because fever still present. The first line of treatment is CIPROFLOXACIN 500 mg twice in day and most of susceptible organisms are responding to this treatment. Few cases are not responding, so the other most important Chat Doctor. So consult your treating doctor and get his prescription. 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, My husband is suffering from high fever and severe cold. he is sneezing hundreds everyday. I took him to doctor and after doing blood test doctor said that its bacterial infection causing sinusitis. And Doctor gave Augmentin antibiotic. My husband started taking medicine and this is second day. But fever is not reducing at all. Its 101.5. Pls. suggest what should I do for fever to reduce. Pls. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Please ensure he is also taking Paracetamol 650 three times a day or 1g twice daily to lower the temperature. It is unusual for acute sinusitis to cause such high temperatures, so a Chest X-Ray is important to ensure there is no other cause such as pneumonia. It appears to have started with a viral infection and super-added bacterial infection is a problem. If he smokes, he must stop altogether. Viral infections per se can cause high temperatures, so if the Chest X-Ray is normal, continue the Augmenting and Paracetamol. 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|> 16 month old baby boy, vomiting after drinking fluids and soft food. Was in the hospital Cardinal Glennon here in St. Louis, Mo. was discharged yesterday. Had rash-hives, found out purple dye in the liquid tylanol was causing that but also had neumonia in both lungs. But was sent home with meds, but now cant keep much down. What are some things a parent can do at home to help his little belly? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi...there are no specific dietary restrictions for a kid who is suffering from pneumonia. As the kid is 16 months old, and is having pneumonia I suggest giving good proteinaceous diet. Add 1-3 eggs per day. Other home-made food options will be - 1. Deal and rice well cooked and made into a oatmeal along with ghee2. Boiled apple or banana and mashed into a paste.3. Any made cereal oatmeal preparation with additional ghee added. 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 sir i am 23 years old male,i am in serious problem on last year april 4th i have started hand job before dis i never done hand job,but unfortune i cont able to control it i am doing daily,i am became so weak and stressed pls help me to stop dis habit ,is der any problem for me in my sexual life after marriage bcoz of doing like dis <|eot_id|><|start_header_id|>assistant<|end_header_id|> Welcome to Chat Doctor .1. Only thing will help to stop is your self-control, your mental strength.2. Other case you have to visit psychiatry for a counselling, i don't thing you need it, you should try hard to control or minimize at least the frequency. 3. Try to get engaged in different things to give less time to think of it.4. If you are so frequent, generalized weakness is seen and it's common.5. No, it not affect in the future, almost every individual go through this phase.6. But Try to control - anything excess is not good for health. Anything to ask ? Do not hesitate. 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|> We cannot get my grandson to eat. When he was a toddler he would eat a variety of foods, small variety, now he only eats cereal, waffles, bananas, pbj, grapes, crackers and friut juices and strawberry or chocolate milk. The only meat is chicken nuggets from McDonalds. If we try to get him to eat real food, or eat food near him he covers his mouth and moves across the room . He is tall but thin, his doctor has been no help. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi...these are called food fads. Some kids develop undue attraction to junk food than regular diet and I agree it is a difficult situation. But with regular habit changing attitude towards the kid we can change it. There is another viewpoint too - At his age interest in play increases and interest in food decreases. This is quite natural. If he is active and playing around you need not worry. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed his and also make whatever you feed him calorie dense by adding good amount of ghee to it. PLEASE DO NOT GIVE ANY SO-CALLED APPETITE STIMULANTS AS THEY ARE NOT VERY SCIENTIFICALLY PROVEN AND THEY HAVE THE SIDE EFFECT OF EXCESSIVE Chat Doctor. 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 my son recently was released from prison, he was fine so it seemed he died two days later I was told it was mrsa, there were no signs I dont think he knew he was sick, I think he may have thrown up in his sleep and aspirated. should there or could there have been signs. should I contact that facility ? he did have tattoos he got while in prison <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi & Welcome. The suspected bacteria Methicillin resistant Staphylococcus aureus ("MRSA") is resistant to most of the commonly used antibiotics such as penicillin, oxacillin, amoxicillin, cephalosporins, azithromycin, etc. Based on the history given, your son seems to have acquired MRSA infection through the tattoos that he got in the prison. He should be examined by a doctor for proper clinical examination and possibly a culture and sensitivity of the skin lesions. Based on the result of this test he would be given an effective antibiotic like Vancomycin, Ninefold or Caroline. Hope I have answered your query. If you have any further questions I will be happy to help. 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|> had stent put in the left wall. was good for 3 months, was doing some moving , caught the flu, now , stomach feels full of gas pressing on lungs and heart, dr increased water pill and this made it worse, this morning i had plain yogurt , some pressure went away, i know meds cause these symptoms, try to burp , can t. I m wearing the zoll life vest but it don t go off ,so i assume the heart is beating right, maybe i just have to rest and exercise slowly. <|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 HERD (gastroesophageal reflux disease) is more. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause burning chest pain, fullness in stomach and burping. So better to avoid stress and tension. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Avoid stress and tension. You may need proton pump inhibitors and prokinetic Chat Doctor. Since all these are prescribed medicines, you need to consult your doctor. So consult your doctor and discuss all these. 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|> I tripped and fell over a suitcase about a week ago and my left wrist (about 4 inches from the bone that sticks out) and my hand (from the middle of my hand)turned purple (still ugly looking). It hurts some (dull ache) and swelled a little and is still slightly swollen. About two days ago my wrist started aching and just burns. I can move my fingers, grasp but hurts a little. Was wondering if this is a sign of a broken wrist or a bad brusing. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Based on your description of your complaints you seem to have suffered an injury to your wrist and forearm. The fact that you can move your wrist and hand with minimum pain indicates that your bones may have not suffered any fracture, however the best way to confirm this is to get an X-RAY done if it is easily accessible. In the meantime, you can keep you injured arm elevated over a sling and take paracetamol for pain relief and see how it goes for a few days. If the pain increases or swelling increases best is to get an X-ray and rule out bony injury. 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|> my mum is neither diabetic nor hypertensive but recently complains that her right side of the body sometimes feel numb. Could this be a sign of stroke? Her cholesterol levels are very abnormal, shes not on any chronic medication. Please help, im worried. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi & Welcome. I appreciate your concern for your mum. I went through her symptoms described in your query. It seems to me that she is most probably having features suggestive of transient ischemic attack (pre stroke or impending stroke). Since her cholesterol level is abnormal hence there is a possibility of atherosclerosis (fat deposited into the blood vessels of the brain) being responsible for the impending stroke. I would advise you to take her for a complete neurological evaluation and possibly a CT or MRI scan may be required to confirm the diagnosis. 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|> Hello, I m a male and can t ejaculate when having sex. We want a family, and I heard that mastabation doesn t effect it. Since I was 16 I felt turned on wearing pantyhose during mastabation, which is a rough surface, but I reached climax all the time. How do I ejaculate in sex with my wife? Is there a cream I can get to make me cum? Or something? Very personal question, so hard to tell a doctor face to face if you can understand? Hope you can help Kind Regards Annonamous. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Degree understand your concerns went through your details. I can understand. But you must understand, there is nothing you cannot tell your doctor. You must tell everything to your doctor. Regarding your present problems, premature ejaculation is mainly due to psychological reasons. Performance anxiety is the base of these problems. You did not mention your age. Masturbation has very little effect directly on sexual performance if your masturbation practice is medium. You may consult a sexologist for further counseling and advise. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. 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|> My mothers mri reportLigamentum flavum thickning present at l4-l5Pll thickened opposite l3-l4Straightening of lumbar curvature seen with multilevel small anterior marginal osteophytesGrade 1 anterolisthesis of l3 over l4 is presentDisc desiccation changes seen in lumbar spine at l3-l4 l4-l5&l5-s1 levelsDiffuse postero and paracentral disc bulges are seen at l3-l4, l4-l5Axial imaging feveals diffuse posterocentral as well as paracentral disc bulges causing ventral thecal sac compression with canal stenosis and encroachment of the neural recesses with neural foremen narrowing and compression of thetraversing nerve roots.The effective I/v discs show decrease in height and altered signalPlz suggest how serious is the matter? <|eot_id|><|start_header_id|>assistant<|end_header_id|> That's is the narrowing of space in respected spaces as you mentioned that causes compression of nerves and patients after that experience pain in the lower limb and backache and bulging of disc is protection of intervertebral disc that due to some disease or overweight or weight lifting leaves its normal place and cause compression of nerves and third osteophytes are the abnormal erosion formed in spaces <|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 play hockey about 3-5 times a week and in recent events I went to a practice on monday and felt a lot of pain on the front of my foot by my ankle. I went to 2 more practices that week and pushed my self through the pain, but on wednesday before practice I was in way to much pain to skate and got off the ice. My coaches told me it was lace bite and that I should ice it. Since Wednesday I have been icing it like crazy and it has not gotten better at all, I am still in the same amount of pain as I was on wednesday. I even bought a lace bite pad to put in my skates so i could get back on the ice, but when I tried my skates on at home and did some movement it was still in a lot of pain. Do you know what I could do so I can get on the ice as soon as possible? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thank you for providing the brief history of you. A thorough Neuromuscular assessment is advised. As the pain is in the front of the ankle, it can be related to an anterior tibiofibular ligament sprain. For which you may have to first immobilize the ankle, as ligament injury takes a little longer time. Proper rehabilitation and training is needed to get the efficient torque. As you an ice hockey player, the chances to get the ligament sprain are high and needs a thorough musculoskeletal assessment, so the sport can be continued with high scale of fun. I will recommend you to undergo an MRI of the ankle post musculoskeletal assessment by which the soft tissue status is noticed. As there is a saying -"prevention is better than cure" so why not come to the proper diagnosis and get helped. Also, later stages you might need to visit a sport physical therapist for proper retraining of the ankle to get the maximum torque during the play. For detailed suggestion/queries/inputs/rehabilitation plan - contact me and I will be happy to help you. RegardsJay 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|> Please tell me first, how much is your fees? The Drs online Always charge at least $25-100 payment. I can t afford it(sorry). I got hurt in car accident few yrs ago & lost job-No pension, nothing! Lay on back numbness, but no pains. I can(old) move easily,but do so..Sleep is 3-4 hrs/night. Lost some wt I went to Int.Med=Nml lab, but MRI l/s, thorax=5+ HNP ( old) now. It takes effort to walk,etc.. Thanks for helping me..MEDI-CAL Drs don t help here... <|eot_id|><|start_header_id|>assistant<|end_header_id|> Welcome to Chat Doctor I have gone through your query and understand your concern. This question of your is posted in free question section, so I want to clear you that you have to pay nothing for this. You got accident due to which you may have got injury to spinal cord due to which you may be having numbness in the part lower to injury and back. Mecobalamine is helpful in reducing numbness. Multivitamin and trace elements supplements are of use. Further medical advice can be given by seeing your investigation such as x-rays and MRI. 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|> im currently 27 weeks pregnant and due to coughing have pulled a muscle under my ribs. is heat rub safe. I know it can contain some form of asprin which can be deemed unsafe but i have been prescibed asprin as my bmi is 30. However i have not actually taken the asprin. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Greetings on approaching Chat Doctor .com website. I appreciate your choice of online consult. You should take Steam inhalation. Also Keep a Vaporizer ON in your room where you spend most of the day and nighttime. It will help open the airway and will also possibly reduce irritation and so the cough. Hot fomentation is good technique in home remedies and is a natural way to get the muscle sprain treated. You can alternate it with cold compresses. The combination of both makes the treatment even better for pregnant females with any kind of muscle aches. Any salicylic acid containing ointment or gel should be avoided as we categorize it as category C and is usually non-recommended Chat Doctor. So to be on the safe side I usually recommend Capsaicin Topical to apply on the affected area. Do gargles with Lukewarm water with salt in it. I hope you may get an eventless pregnancy and a normal delivery. Continue consulting at this Chat Doctor if you ever need us in future too. Good day and Healthiest 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|> Sir, We have married before 10 years. In 2004 my wife got pregnant and after one week on further scanning it was identified as an ectopic and on the same day she undergone a laporoscopy to remove it . during surgery due to the bleeding left side tube was removed. Next year she conceived again in right tube(ectopic) and laproscopy milking of right tube with removal of corps luteal cyst . However in 2009 we tried with IVF but it also failed. In 2012 an HSG report said the right tube is not showing any block and we tried in natural way and IUI but no result till date. Now I am 42years old and my wife is on her 33. We hope a good advice from you.(except IVF). Regards. Satheesan <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello Satheesh. It's good to know that right tube is patent on HSG. There are other causes of infertility even though tubes are patent like kinking of tube due to adhesion. I recommend your wife to get a diagnostic laparoscopy done. All other medical causes to be ruled out like thyroid and pituitary. Repeat your semen analysis. Get folliculometry to detect ovulation. If everything is fine, I recommend your wife to take closed with GUI for 5 more cycles. Chances of conception are as high as 20-22%. Good luck, regards, 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 been married for 10years , but we were unable to get a child, I am the 1 with the problem. I have been tasted and given herbal medicine to take for years but no results. After doing microbiology all the past years, the result always are::::( oligospermia with poor viability & motility) & ( severe oligozzospermia. I have used all my savings but no results. Am asking if I will ever be a father? Or I just let my wife go & get married somewhere else, instead of wasting her time. Sometimes I feel like committing suicide <|eot_id|><|start_header_id|>assistant<|end_header_id|> HelloThanks for query. You have been diagnosed to have Oligoasthanozoospermia meaning there by that your sperm count and sperm motility which is the main cause of your infertility. Truly speaking there are no medicines that can increase sperm count and sperm motility . Consult qualified Infertility specialist to explore possibility of conceiving your wife with the help of newly assisted reproductive techniques like IVF or CSI with sperm concentration technique. 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 went to doctor because of fever and swollen lymph node and the doc said that it was post nasal drip and gave him amoxicillin. My husband was also concerned about his sore gums but the doc that he had never seen said it was gingivitis. We called out dentist and he confirmed that my husband has never had gingivitis. Should we be concerned about any possible problem with this? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for consulting ChatDoctorRead your query, as your husband had history of fever, swollen lymph node soreness in gums can be due to viral fever related it can be Viral dermatitis causing inflammation of gingival or desquamative gingivitis. Don't worry I will suggest you to consult dentist and go for visual examination of gingival in Meantime you can apply ointment Civil for soreness, and you can take medicine like Civil tablet by consulting with your dentist, do warm saline rinses, you can take vitamin B supplements with medication. Hope this will help you. 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|> about an hour after eating scrambled eggs i became very bloated and developed an abdominal pain which became severe . Felt I was going to faint. Lay on the floor in a flow of cold air and it passed in 15 min . Was fine afterwards. I sweat so badly from my forehead during the episode that it soaked my shirt where my head was resting. Any ideas <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. Hi. It sounds to me like gastritis attack especially if this already happened. Also, HERD or hiatal hernia. You can do gastrostomy to evaluate how serious it is. Till that just avoid hard food and alcohol, coffee. Eat milk products and fruit. Also lay with your upper body elevated. You can try taking some other antacid Chat Doctor. Also, your IBD should be considered. You simply need to find what food triggers these symptoms and avoid it. If pain persist then some more serious disorders need to be ruled out. 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|> A few days ago my front teeth started becoming very very sore...This morning I woke up with my left side of my top lip numb and my left side of my nose completely numb and very sore..my teeth are no longer sore just my to the left side of my nose and right above my lip...help <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your query, I have gone through your query, the soreness in teeth could be because of the gum infection or tooth infection leading to periapical or periodontal abscess formation, you can take a course of antibiotic.....because of any pressure over the nerve you might be having the numbness particularly over the infraorbital nerve.consult an oral physician and get yourself checked completely to rule out the above said conditions...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|> My brother,s heart stopped for 15 mins while under high bp and afib. Now he is under heavy sedation and bp is normal. Could he have had a brain damage. Yesterday his body kept shaking twitching and now is better but he is also sedated. He started a fever today. Is this life threating Thanks <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, High blood pressure is one of the most important risk factors for stroke and heart attack. Brain damage may have occurred from lack of oxygen due to the heart stoppage. I would need more information in order to assess his condition. However, you should be able to speak with the doctor in charge of his case and get this sort of information just as well since they also have the advantage of being able to physically examine him, look at test results, and call in specialists to help guide treatment. 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|> Hello doctor, my child is 4years 6 months old.She has nasal block, snoring and decreased appetite. Recently it is diagnosed that she has enlarged adenoids.We have consulted a pediatric ENT surgeon. Is there any possibilities that because of this problem they get temper tantrums frequently and for longer durations like 45 minutes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Welcome to Chat Doctor. Thank you for your question. Yes, usually toddlers get cranky and throw temper tantrums whenever they feel uncomfortable. Your child is more likely to be irritable due to lack of sleep and hunger. If I was your children treating doctor I would have given medicines for symptomatic relief such as saline nasal Chat Doctor. Give your child lots of fluids, soups. I would suggest you to discuss with your doctor regarding further treatment options. I hope this answers your query. Good luck. With 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|> my son is suffering from dipolar disorder and he is being given medicines for last eight months to control his anxiety .but during the treatment he is suffering from migraine . The names of medicines prescribed recently are tablet DESVAL (1gm),tablet TOPAZ(50mg),capsule ROLMIZAC-D, tablet CLONIL(25mg). I need your help as my son is suffering from severe migraine. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are worried about your sons problems. Reviewing the medication that he has been prescribed:Deal (Valproate sodium) and Topaz (Topiramate) are mood stabilizersClonil (Clonazepam) is an antianxiety / sedative medicationRolmizac-D (Omeprazole) is an anti-ulcer medicationBipolar disorder is treated with mood stabilizers, and so, the treatment he is receiving currently seems to the appropriate treatment. Regarding the headaches / migraine, I would suggest that he needs to be properly evaluated before prescribing any medication for the same. So, please consult your doctor for a detailed evaluation and further treatment. <|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 would like to purchase some diazapam or something like it as I am receiving panic attacks which I have had all my life but am controlling them with great pressure . i am an retired beauty therapist who had a breakdown in 2000 and cannot sem to recover from the other person perspective I have been sent back to work as a cleaner in pubs and factories and the panic is returning as i am sure you must be aware anyway it is late and I wondered if you could help me <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi and thank you so much for your query. I am so sorry to hear about these panic attacks that have taken a great toll of your life. I hope we get to find a long-lasting solution to this. The best thing to do in this context is to get consulted by a psychiatrist. After careful interview, clinical exam and investigation, you would be proposed a treatment plan that satisfies your needs and greatly improves your quality of life. It would also be the duty of your doctor to monitor your response to treatment and modify the Chat Doctor. From this, you clearly understand why it is necessary to seek help from the experts. Based on these, I strongly recommend that you seek the help of a psychiatrist. I hope you find this helpful. I wish you well. Thanks for using our services and feel free to request for more 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, ive been nauseas everyday for over 3 months now and i vomit sometimes too. I went to the doctor and they did blood work and my WBC was low i think 35.5 and My doctor found 2 swollen lymph nodes on the left side of my neck and one in my grion so she put me on amoxicilin and nothing happened and i got blood work done again and my WBC was normal but my platelets were high and they said my swollen lymph nodes and my neusea were too different issues should i be worried about something serious like cancer? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello and welcome to Chat Doctor, WBC count of 35.5 is high and not low. High WBC count is commonly seen in cases of infection. High WBC count along with lymph node enlargement further potentates' presence of infection. Thus, you need to consult your doctor to look for focus of infection. The enlarged lymph node also needs to be investigated. An aspiration cytology of the lymph node needs to be done wherein cells are aspirated with a needle, spread on slide and stained with appropriate stains. The stained cells are studied to know the site of origin and nature of the lesion. Thanks and take care Chat Doctor. <|eot_id|>