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<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I ve been sick for a couple of days now... A couple of days ago, I woke up with a temperature of 100.6 and been having a bad cough... Since last night early this morning, everytime I cough, laugh, sneeze, blow my nose, and sometimes talk, I have pain in my upper chest and upper back... Could it be bronchitis? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, it seems pleurisy more. Pleurisy is inflammation of pleura. And chest pain on coughing is characteristic feature of pleurisy. Bronchitis will give wheezing, shortness of breath more, along with cough. So I advise you to consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test). Chest x-ray is needed to rule out possible causes for pleurisy (pneumonia, tuberculosis etc.).PFT is needed to rule out bronchitis. So better to first diagnose yourself and then start appropriate 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|> 18 month old more tired and cranky than usual. Other than the end of a cold, she s healthy. She normally sleeps 11 hours at night, with a 2 hour nap. For the past 2 days, she has slept 12-13 hours at night with an almost 3 hour nap. She s normally quite pleasant, but has recently been cranky and even laying around some when awake. She s asking for milk more...seems hungry. Growth spurt? Other ideas would be appreciated! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, thank you for choosing Chat Doctor.Sometimes kids are more hungry and cranky without an apparent reason. But just look for any ear ache or pain while passing urine which can make kids irritable and are usually missed. If she is not having these, then she is in the recovery phase from her cold which has increased her appetite. Just give her an extra meal for another week or so before going to sleep. Hope this has helped you. Your vote of thanks is appreciated, Good luck, 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 Dr. My upper back feel very pain everyday when I woke up. I ve consult a Dr and X Ray shows that my backbone is alright. However there s an incidental discover of thing suspect as bladder stone. I ve arrange an appointment for further consultation but it ll take a long while. What can I do at the moment? <|eot_id|><|start_header_id|>assistant<|end_header_id|> I think by upper back pain you mean pain in the thoracic back region, you do not mention your age, the causes are many and investigating are must, also not if pain is more in day or night, does sleep get disturbed by the pain, I would recommend an MRI of the dorsal spine with screening of whole spine, take rest, do not lift weights, take tab paracetamol 500 mg three times in a day to reduce pain. The causes of dorsal spine pain ranges from infection to secondaries, and thus getting diagnosed is a must. <|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 age 52 years, my wife age 40 yrs, married since 2 years. my wife reports normal including AMH. MY semen report shows 1 million count & 0% motility.one yr back one doc given siphene 25 bd for 1 mth, after which count 10 million, 30% motility. now again report as mentioned earlier. kindly suggest treatment. <|eot_id|><|start_header_id|>assistant<|end_header_id|> HelloThanks for query. Based on the reports of your Semen analysis I would say that you have Oligoasthanozoospermia.meaning there by that your sperm count and motility pf sperm is very low to have effective fertilization of female egg to result in to pregnancy. Truly speaking there are no medications that can increase sperm motility however following general measures do help to increase percentage of active grade one sperm 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.)4) Avoid alcohol and smoking. Consult qualified Infertility Specialist to explore possibility of having pregnancy with the help of newly assisted reproductive techniques like IVF or CSI. 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 m female, 51, never been pregnant and not pregnant now. I have a dull, achy feeling in my lower right stomach which I have had for a very long time, that comes and goes, but now it s more persistent and feels kind of inflamed. I also have pain in my sciatic nerve on the right side and pain in my right knee. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. Thanks for your query and an elucidated history. The possible cause of pain in the right lower abdomen with right knee and right sciatic nerve area is definitely due to a prolapsed intervertebral disc. Get an MRI to see for the discs and an ultrasonography to rule out other possible causes of lower abdominal pain at your age of 51 without the history of any pregnancy like:Appendicitis, ovarian Cyst, tumor, cancer or so. Cancer is thought about due to your age and pain related to the sciatic nerve which can be due to secondaries in the spine causing compression of the cord, <|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 WHO IS 55 YEARS OLD HAS SUFFERED FROM C DC CHOLITIS? I DONT KNOW IF I AM PRONOUNCING THIS CORRECTLY BUT HE EXPLAINED IT IS SERIOUS, IT IS A BACTERIAL CHOLITIS AND INVOVLES SPORES. HE IS TAKING SOME SORT OF MEDICATION FOR THIS BUT HAS LOST A TREMENDOUS AMOUNT OF WEIGHT AND STILL DOES NOT FEEL HIMSELF. HE ALSO INDICATED TO ME THAT HE COULD HAVE ANOTHER FLARE-UP BECAUSE THE SPORES ARE IN HIS SYSTEM. PLEASE EXPLAIN TO ME ABOUT THIS AND CAN IT BE CURED, IS IT CONTAGIOUS, WHAT MEDICINES WOULD WORK BEST OR ALTERNATIVE METHODS AND WHAT IS THE PROGNOSIS. THANKYOU, dH <|eot_id|><|start_header_id|>assistant<|end_header_id|> From the problems listed in your question the exact symptoms & signs are not mentioned. However, based on the information given like colitis, spores, significant weight loss etc. the condition may be due to ulcerative colitis. Ulcerative colitis is an autoimmune disorder due to production antibodies against owns cells in this case the lining epithelium of colon (the large intestine). He must consult a gastroenterologist for a proper workup like investigations, management and followup. <|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 fall as a child had obviously cracked my skull since there is an indention on my forehead right at the hair line. Anyway in the past month, I now have a hard lump just to right of it. It wasn t there before. My hairdresser and esthetician noticed it over the weekend and asked me about it. What is going on? I am 64 years old. No new incidents. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi ! Good evening. I am Chat Doctor answering your query. So far as you do not have any fresh neurological symptoms, there is no reason to worry. However, if the swelling increases or in case of any other symptoms like a chronic headache, or weakness in a particular area, then you might have to go for an MRI of brain and skull to rule out any other organic pathology which might not be related to your old history of fall. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have had pain for a few months on the left side of my pelvis just under my underwear line. I thought it may be a hernia and i also cut my dairy as when i was gassy it made it worse. a few times the pain went into my left testicle only. i also take lithium 1200mg and lisiniprol 20 mg. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Good Day, and thank you for being with Chat Doctor ! Pain in the left testis could be varicocele. This is located on the area that you have described. This is be confirmed by a Doppler ultrasound of the scrotum or if it is severe then by physical examination. This is felt like a bag of worms in the spermatic cord or the cord that connects the testis to the body. Other conditions could still be an inguinal hernia, a kidney stone (radiated pain) or a testicular tumor. Manuel C. See IV, M.D. DBU FPGA <|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 dad was suffering from eosinophilia which is cured now but that is cured now. he recently had a tlc and dlc test and the results were:- tlc(11200),polymorph(79%),lymphocytes(19%),eosinophils(1%),monocytes(1%),basophils(0%).he is suffering with lot of chest congestion and faces problem while breathing.could you please suggest something <|eot_id|><|start_header_id|>assistant<|end_header_id|> Cellophane you for contacting Chat Doctor. According to report mentioned, TLC count is at the higher level. Normal levels are less than 11,000. It shows that some infection element is going on in the body. It can be due to chest infection as well. I need to know some more questions before treating more efficiently. They are:1. Had your father suffer such problem in past? If yes, then how did they settle?2. Is your father asthmatic? If yes, then is he taking any medication for it?3. Is your father suffering from any other chronic illness like diabetes or hypertension?4. Does your father have cough or fever? Apart from this I would recommend following basic management for the time being so that his symptoms could settle:a. Defense Chat Doctor. .for cough. Acetaminophen 1 tablet after every 6 hrs if he has fever. Take hot water in a pot, add 1 tablespoon salt/glass into that pot, place a sheet over it and ask your father to take deep breaths in it. It will give soothing effect and improve the condition.d. If chest congestion continues then he would be needing "nebulization with Atrovent (ipratropium bromide) & clinical (Beclometasone propionate) which will improve it. Hope he will be well soon. Thank You <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> my mom recently underwent an angioplasty and she is diabetic. the doctor has prescribed the following medicines amifru, tazloc 40, lanoxin,ecosprin 325,clopilet 75 prolomet xl 25,aztor 40, mixtard with 14 units in the mornin n 8 units in the evening and full 365 wgich is a multi vitamin.... the problem is she also has dry cough due to increase in levels of water in her body, n shes not able to sleep properly in the night, are there any better ways of water retention in the body? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your concern. Yes, increased body water can cause Chat Doctor. Actually increased body water causes Pulmonary edema (fluid in the lungs). Pulmonary edema is common in heart failure. Since your mother had angioplasty, diabetes, possibility of heart failure is more. So better to get done 2d echo to rule out heart failure. Best treatment of heart failure is restriction of oral fluids (less than 1 liter) and diuretic <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Dear sir,Understand that the 1st dose of postinor 2 be taken not more then 72 hrs of having unprocteted sex and the 2nd dose in the next 12hrs.My question is during the course of 72 hrs before taking the 1st dose can i have more the one sex sessions?Thank you <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, I have gone through your query and understood the concern. You can have several sexual encounters during the period of pill coverage. Though the protection offered for each sexual encounter decreases with increasing time interval, the Chat Doctor. This means an earlier encounter may cause conception while the later one is protected. Instead, I would suggest going for regular contraception. Also, the high hormone content in the emergency pills makes them unsuitable for regular use. Their use can be down only once or twice per year. Hope you find this information useful. Take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have been dealing with depression and nervous stomach anxiety for some time now. It started when My Dad died a year ago. Was just beginning to feel better and my beloved Golden Retriever died 3 weeks ago, now I am worse than ever. I take 5 mg of valium in the morning and I was on 20 mg of citalopram but My doc raised it to 30 mg almost 2 weeks ago. My nervous stomach seems to be just as bad or worse. I cannot get out of bed in the morning and function. I take the citalopram in the morning when I take the valium. Any input would be appreciated. Should I take the citalopram in the morning or before I go to bed? <|eot_id|><|start_header_id|>assistant<|end_header_id|> ! I have read the query and can see that you have been through a lot in your life recently. You have been on citalopram no 30 mg with Valium, but it is not helping. When I have such patient, where there is a lot of ongoing stress and severe symptoms, I have seen excellent results with-sertraline or Venlafaxine. The dosage I started low and then increased after monitoring the response over a period of 2-3 weeks. Your doctor will know about it.# citalopram can be taken any time day or night, if it is not helping in morning, it is highly unlikely that just changing time will make effect. Changing the Chat Doctor. Along with the medicine, once there is some initial improvement- I think it will be helpful that you enter into a supportive psychotherapy sessions.these two will make you come back to life soon. Please take care of your diet and water intake, good nutritious diet is equally important...donor punish your self for what has happened, you never wanted any of this...if possible include all this in your daily diet-1. Three - four servings of salad, what ever you like2. Walnut 1-2 daily, may be almonds also3. Sprout4. Donot skip meals5. Please donor stay alone, this never helps6. Take a walk outdoors I can understand it is very difficult phase of your life, but please remember even this will pass.have courage. Hope the reply helps you wish you good health! <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi Doctor! Good afternoon... Can u give the dosage of Lorinase syrup to my 5 years old daughter? She has a colds right now. And this medicine was a left over from my 10 years old son when he had a cold. I hope u can give me an exact dosage. Thank you. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Syrup dominate contains LORATADINE which is used in cough as an decongestant. It is also used as an anti-allergic medicine. Dominate spy 5 mg per 5 ml should be given half teaspoon i.e. 2.5 ml once daily in the morning. This dose is recommended for 2to6 years of age. Side effects like sleepiness, Chat Doctor. It is always recommended to take medicine under Pediatrician guidance. If cough persists or there is fever then consult a Pediatrician. <|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|> Where can I find shoulder braces, or somethng that can help me sit and stand straight, I think it would help the pain, but sometimes wearing something tight above the betty can cause pain, I most likely need to try on something before purchasing it. Also, they say Lupus goes up to about 45, can a person of my age have it (59), or would it be, or turn into something else. Why would my forearms feel like they are burned. Thank <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi and thanks for the query, a greater characterization and understanding of the issue of burning is necessary to be understood. Conditions like inflammations with poorly controlled lupus, viral infections, electrolyte abnormalities and peripheral nerve disease could cause the burning sensation A clinical evaluation is mandatory to orient further testing. Consulting an orthopedic surgeon of a reference hospital could guide you on how to obtain what you want. However, a proper clinical reevaluation by a rheumatologist to confirm and elucidate evolution of lupus is important. Poorly controlled lupus could also contribute to such symptoms. I suggest you consult your orthopedic surgeon and rheumatologist for evaluation and advice. The neurologist might be important to exclude the nervous component of these burning sensations. Thanks and best regards, Luchuo, MD. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Dear Sir / Madam, I am suffering from Allergic Rhinitis since 16 years back. My symptoms of the allergy includes : Severe Itching in the nose, Turbinates gets fully swelled inside the nose, Watery Eyes alongwith severe Itching in eyes & nose, Sneezing , Saline Mucous, when allergy exaggerates, i feel perspiration & after sometime, body temp. goes down. I feel total loss of concentration, as i can t be able to open my eyes, feels heaviness in Head , Nose & eyes each. I feel emptiedness in the whole body. I have undergone Septoplasty (PNS) in the year 2004,but of no use. I undergo allergy test & found to be allergic to 14 things including ; Spores, Moulds, Fungi ,Algae, Air Pollens , Dust Mites , Wheat spores & few others. Enclosing the test report herewith. My Allergy starts in the Morning time & mostly in the summers & goes out of control unless taken Levocetirizine . In winters, sumtimes i feel better ,but during allergy my nose gets fully blocked, it gets opened in between, but again gets blocked. I often take medicine SOS including Flomist Nasal Spray & Levocetirizine. I feel hangover after taking Levocetirizine including sedation,lethargic & poor concentration & even small jerks during sleep. Nowadays I also took Nasivion Drops for last three days twice a day. But now stopped taking in order to avoid being habitual & long term side effects. Plz. advice the permanent cure for it, if any. THANKS A LOT. XYZ <|eot_id|><|start_header_id|>assistant<|end_header_id|> If the allergies are continuous, and they are not controlled like this it means your foods are interfering with allergies even if they are from dust and pllensstop milk and diary products completely no use of mustard coconut walnut groundnut almonds soda oils olive for cooking and application50% of symptoms will be reduced with this plan for pollen and dust go for sublingual immunotherapy you will get good responsefoor the time take fexofenadine 120 mg apply newsprint h eye ointment in nose put seawater 2 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|> Ive had hpv for over a year now, been told i had two types. One type has been cleared due to a normal pap, but the other that causes warts is still prevalent. I believe i have it orally as well, as i will get a hard white bump that comes and goes. Ive had a sore throat for the past two weeks and now my tonsil is swollen. I smoke too, do you think i could have cancer? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, dairy have gone through your question. I can understand your concern. You have HPV virus infection. It can cause wart. But sore throat and enlarged tonsil is not indicated cancer. You may have tonsillitis or other upper respiratory tract infection. You should take a course of antibiotics like azithromycin or amoxiclav. For symptoms, you can take antihistamines Chat Doctor. Warm saline water gargles are also useful. Consult your doctor and take treatment accordingly. 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 high blood pressure I take my meds .I wasn t the best at taking them regularly but I do now.Lately within the last few weeks I feel a numbness/tinglely feeling in my left hand that won t go away there is history of diebeties and high blood pressure in my family.What is that will I be ok. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, I understand that this cannot be related to high blood pressure. Because if its due to high blood pressure than it must start the pain from the shoulder and not only in the wrist and hand. This might be related to neuropathy and needs a proper physical examination. Also, you need to get the assessment of the cervical spine as the pain you spoke which is tingling in nature, so we may need an MRI of the neck. Just get hold of the Orthopedist and get it examined. Most cases respond well with proper and timely intervention. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, I am Christopher and in the past I have had paranoid feelings that people are watching me or that they can listen to me by a bug or cameras etc. I have had a couple of times of my life when I thought that I was being poisoned by toxins or radiation or something in my car or at my desk when I used to work as a computer programmer. I really feel the sensations and feel weak and disoriented with loss of immediate memory. Recently I have this delusional thought and I was on zyprexa in the past for maintenance. I noticed that one time when I had the delusional episode I was prescribed risperdal and the feelings went away but I developed anxiety disorders and panic attack. I still think that maybe the people that are trying to harm me might have just taken away the toxins or devices that were trying to harm me after they knew that I was on medication. I tried to take zyprexa 7.5 mg for a couple of days but the sensations are still there. Do you think if I took risperdal like I did in the past is the right thing to do since the zyprexa does not work, I also have stuffy nose from the risperdal but it is tolerable. I am afraid that I might have the panic attacks again and the zyprexa controls that well. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for using Chat Doctor. Zprexa is good anti-psychotic medicine as like Risperdal. Before starting any medication yourself on the basis of experience, you must consult your psychiatrist. Your doctor will decide the best medicine suitable to your current episode. Zyprexa takes time to have action on your delusional thoughts so better you should wait on single medicine before switching to Risperdal. Thanks. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi,I have had bad pain all through my pelvic area for the last 2 days now. It almost feels like really bad period pain, even bad in my lower back. I took some medication for constipation to see if that would relieve some of the pressure but it still hasnt improved. There is now an off brown coloured discharge. I can feel the discomfort when i sit down and also stand up and when i do a wee. <|eot_id|><|start_header_id|>assistant<|end_header_id|> HI. Thanks for your query and an appropriate history. The cause of pain in the pelvic region like a period pain, low backache, brown colored discharge and discomfort on sitting and standing and at wee can be :-Severe PID. Tubo-ovarian mass or cancer, which can cause the bleeding problem. - Endometriosis. And so on. I would advise you the following:Blood, urine and stool tests. Ultrasonography and CT scan if there is some finding to confirm the cause. Take a course of an antibiotic, metronidazole and supportive medicines for crams and so on. <|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 is in coumadin because of artificial valve in his heart. Heis also taking pain pill because ofhis back and joint pain. Is benefles good for him to alleviate the suffering from his back thus improve the way he walks. He can t walk more than 500feet without experiencingn excruciating pain. Help! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Dear patient What I'd your husband s age? Considering the history there are two possibilities 1. Disc prolapse with nerve root compression 2. Lumbar canal stenosis. If he is more than 45 year likelihood of 2nd diagnosis increases. I would advise radiograph of lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities. I also recommend MRI of lumbosacral spine with screening of whole spine. MRI would correctly lead to diagnosis and help in planning treatment. Start taking diclofenac plus thiocolchicoside combination twice a day for 10 days along with tab vitamin B12 plus pregabalin 75 mg at bedtime for symptoms relief. If report is abnormal take a visit to spine specialist. <|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|> Last night my bp spiked to 156/109 after coaching a basketball game. I felt dizzy, and flushed. Went home, checked it again, about an hour went down to 140/90. Checked it this morning 136/87. Should I be concern. I still feel alittle lightheaded, not much, but its there. Other than that, I feel okay. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. Sudden rise in BP is the cause of concern. I advise you to take your blood pressure done for at least a week for daily. If it shows the fluctuation than it s cause of concern, exact cause of this problem should be investigated thereafter. Slight rise in BP at evening time is normal phenomenon but if it rises to extend causing headache than the reason should be investigated. You can start the exercise on regular basis. Please start with low level exercise and once your system is adapted with the exercise start with high level of exercise. This will definitely help in the exercise. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/ Chat Doctor. Thank you, ChatDoctor <|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 lost flexabity and have pain in my right wrist. when I dont move it for even a short while it becomes so difficult to bend it normally and painful, I end up using my other hand to move it back and forth until it can sort of move more normally but for more than a week Ive not been able to turn or pull it back by itself without a good deal of pain. its a little swollen just at the bend of the wrist but thats kinda gone down and today it hurts when I m not trying to move it.????? thank you for your time but at this time I m unable to pay the cost so have a good day and thanks again. God Bless But I dont have to money even if you do satisfiy my questions thank you anyway, <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, thank-you for providing the brief history of you. A thorough clinical neuromuscular assessment is advised. As you have stiffness and pain in the right wrist joint, you need a thorough neuromuscular assessment as the flexibility cannot be disturbed by smaller issues. Understanding the complete mechanism of the wrist joint will help assist in helping you further. Trying out physical therapy will be of good choice, as it will help improve the ROM and flexibility. Also, strength can be achieved and the pain and restriction can be Avoided. In my clinical practice such cases care related to CTS, and they respond well to physical therapy. 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|> i am a 20 year old male. light smoker - 3 cigarrettes a day. recently i have been waking up in the morning with tightness/slight pain in the chest and a weird tightness in the stomach area. also a chronic cough/clearing of the throat. this morning i coughed up a small amount of bright blood, which was a bit shocking. what could this be a symptom of? there is no history of lung cancer in my family but i realise this might not mean much.. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your concern. Since you are smoker, possibility of bronchitis is more for your hemoptysis (blood in sputum). I don't think you are having lung cancer as you are too young (20 years) for lung cancer. But better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (pulmonary function test). Chest x-ray is must rule out lung cancer. PFT is needed for the diagnosis of bronchitis. You might need inhaled bronchodilator and inhaled corticosteroids (ICS). And please quit smoking as soon as possible as this is not a good habit. 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|> Internal pain in lower stomach, often have to pass gas. Also, pain in testicles, especially when running or moving quickly. I think I may have just strained something down there from squatting and doing heavy lifting last week, but the pain has been going no for about three days now. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi ! Good morning. I am Chat Doctor answering your query. Discomfort in the testis could be due to ignored repeated trivial trauma, which causes inflammation causing pain/discomfort in the same. Testis being an intra-abdominal organ embryo-logically, brings the nerve supply to it from above, and so the pain in the testis is frequently radiated/felt as a discomfort in the abdomen/pelvis area. If I were your doctor, after a thorough physical examination I would advise you for the following:1) Support your testes with properly fitting undergarments.2) Avoid standing for prolonged period, and avoid lifting heavy weight if you do.3) Advise you for a routine blood tests like a CBC, AEC, Bag, HIV test and a urine routine/microscopic examination followed by a culture and sensitivity report if need be.4) Avoid indulgence in any sexual activity if you are active sexually which would prevent further trivial trauma if any to the testes, apart from precipitating any kind of infection if present.5) Prescribe a broad spectrum antibiotic along with an anti-inflammatory Chat Doctor. The antibiotic could change after the report of the culture sensitivity test of urine. If your symptoms and discomfort do not subside with the above measures, then I would not hesitate to advise you for a Doppler ultrasound of your testes and an ultrasound of the abdomen if need be. Further management would depend on a physical examination and related investigations of the situation. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor. <|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 daughter aged 7 years . we have done one operation gall bladder removing three years back. because of this in future my daughter getting any problem or not . and what are the food items we avoiod for my daughter . height 118 cm weight 27 kg <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi thanks for contacting Chat Doctor ... The problem mostly noticed after gall bladder removal is diarrhea, stomach upset etc.... This is because bile reservoir gall bladder not present.... So bile in low concentration secreted in intestine... So if diarrhea occurs, high fatty food intake kept limited.... Fruits taken more.... Green leafy veg can be tolerated... Excess fried food avoided.... If still in future diarrhea if severe because of bile acid then after doctor consultation bile acid sequestrate like cholestyramine can be taken.... Hope your concern solved. 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|> went to the er on friday and they said i had the flu. They gave me a script for prednisone. I slept alot until Sunday afternoon and then was unable to sleep for the next 3 days. Getting only 6 hours total. Last night I began having extreme muscle pain but was able to sleep more. The pain has become worse and lasted all day. Every muscle in my body hurts. If someone touches me lightly it causes me to wince with the pain. The only other symptom I have is a headache. Is this part of the flu or should I see a doctor <|eot_id|><|start_header_id|>assistant<|end_header_id|> HI thanks for asking question in Chat Doctor. According to history given you have only muscle pain and headache. It seems most likely viral infection. But symptoms severe, so better you first do your CBC examination and LFT. If CBC show lymphocytes then it will be surely viral infection. But if neutrophil increased then possibilities of bacterial infection. The CBC can also reveal malarial parasite if present(associated fever present)LFT is to rule out early stage of hepatitis infection. Here if bacteria infection is cause then we will start antibiotic.Otherwise, for viral infection treatment is symptomatic. Chat Doctor. Eat more fruits in daytime. Heavy fatty meal is to be avoided. Take enough rest. And take healthy nutritional diet with green leaf vegetables. For pain relief take simple analgesic. Mostly within 3 to 5 days you will be recovered. If still no benefit then we will do further work up.Don't worry.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 am 58 years old and am presently suffering from Calcium oxalate kidney stone (which is in the lower ureter ) for which I am taking medicines, however I often suffer from severe pain in the leg which goes after I take a calcium tablet. I was taking Shelcal 500, however I understand that taking calcium tablets can increase the risk of forming more stones. Would like to know what needs to be done since I need to have calcium supplements for my leg paim as well. Please help, I live in Mumbai (India), am 58 years, Female and have suffered from kidney stones (calcium oxalate) once in 1986 and after that now. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for writing in. I would like to tell you that in people with calcium oxalate stones, calcium restriction is NOT NECESSARY. To prevent further stones, I would recommend the following steps:a. Chat Doctor. You should be consuming at least 3-4 liters of water in a day.b. Limit the amount of protein you are consuming: You should be having a total 2 servings of milk and milk products + fish/poultry/meat/legumes to 140 g per day. [Approximately, 1 deck of cards = 84 g] c. Limit Foods High in Oxalate like nuts, soda, carrots, beets, cauliflower, carrots.d. Limit your sodium and vitamin C intake. Avoid adding salt, pickles, papas, chutneys, I do not think that the pain in your leg is related to the deficiency of calcium. It needs an independent evaluation. You can continue taking Shell 500 as a calcium supplement would be recommended in post menopausal women. 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 have right lower abdomen pain, sometimes like a ripping sensation. I had an X-ray done today and there was a lot of stool in my intestine but then there was a dark circle about an inch and a half in that same spot where I have the pain. It appeared to have a smaller circle about the size of a marble in that dark circle (black circle) it wasn t a perfect circle but resembled a circle shape. It was my right lower side. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Welcome to Chat Doctor, From your history and report it suggests that you are having absolute constipation, loaded intestine full of fecal material, giving rise to lower abdominal pain. Possibility of having appendicular pain is there but in x-ray report it is not shown, so it is ruled out. Take plenty of water. Take plenty of green veggies.If you require your doctor may advise enema. Ok and bye. Ok and bye. <|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|> So I had sex with my girlfriend 9 days ago and that was 2 weeks after her last period. I wore a condom and it broke when i was outside and then we stopped. We were talking because i m a worry wart and she said she had bleeding for about two days this week and it stopped. Could she be pregnant I never finished and the condom broke outside of her but she had her period like a week early and it only lasted 2 days what does that mean? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello dear, I understand your concern. In my opinion as you haven't ejaculated inside the vagina and the condom did not break when you are in the chances of pregnancy are rare. So don't worry. Relax. But as the period came early, and it was lighter than usual a urine pregnancy test need to do just to rule out the pregnancy. The bleeding for 2 days makes the pregnancy unlikely, but it is better to test. If the test is negative the bleeding can be considered as period, and it might be due to hormonal imbalance. 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|> hi! i just had my apico xray for second diagnostic for my right upper lung fibrosis result..and it was still the same findings...but the remarks shows that i onbly have minimal fibrotic infiltrates..i just want to know if i still need to undergo the 6months prophylaxis treatment? <|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 this fibrotic lesions. And no treatment required for this. You are having fibrotic lesions. These lesions are suggestive of old, healed, inactive scar tissue. They are not active infectious lesions. And hence no treatment is required. But if you have cough, fever, weight loss etc. than consult pulmonologist and get done sputum examination for AFB (acid fast bacilli-bacteria causing tuberculosis) to rule out active tuberculosis. If you are asymptomatic than no treatment is required at present. 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|> Hello Dr. Planning to have Right Hip replacement surgery in January and 65 years old and good health at Bone & Joint Clinic of Baton Rouge LA. Would like to know the pro & con, success of surgery. Presently have bone to bone hip contact and taking pain medication. Appreciate your professional advise and would like get a website info showing the hip replacement surgery? Thank you so much and have a great week. Zoltan <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Total hip replacement is needed for hip arthritis. With recent advances in implants and techniques, it has a long life. Pros: -Relief from pain.-Improved gait and mobility which is pain-free.-Correction of limb length discrepancy. -No need to use sticks. Cons:-Risk of infection.-Cannot sit on earth and lifelong need to use chair type toilet.-Risk of dislocation. Overall it is very rewarding surgery and most complications are preventable. 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|> I get canker sores a lot and Ive been trying to figure out why. I love Pistachios and noticed that the last couple of times Ive eaten them, I end up with severe canker sores. I eat other nuts and have never had a reaction. Could I be allergic to pistachios and not to other nuts, or could it just be a coincidence that I broke out after eating pistachios? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, it shows that you are allergic to pistachios, but are you sure that you are not allergic to other tree nuts like almond or cashew, peanut and ground nut are not tree nuts. Even this is possible as some people are allergic to some specific nuts protein and least to others. But it can be diagnosed by patch test, and it can confirm where you are allergic to other or not also, so go for this and till then completely avoid its consumption. For the treatment of your canker you can take local glycerine borax, B complex forte tab, maintain good oral hygiene by aqueous chlorhexidine 0.2% mouthwash, can use triamcinolone local paste, for pain you can take lidocaine mouth gel or paracetamol tab 6 hourly. If your patch test comes negative for pistachios then you should meet an ENT specialist to rule out other causes and treat them accordingly. Thanks and take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain in my teeth back upper jaw from yesterday, Today I visit the doctor he did clining and polishing and tell everything is fine in teeth. It might be sinus problem and he advise for X-RAY, and written OFLOX OZ , Flexon and Vevoran. Does it sinus issue or anything else <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have pain in upper teeth and jaw region don't worry, yes it can be due to sinus problem or due to carious tooth, erupting third molar, impacted tooth also. Do warm saline gargle two - three times a day Do chlorhexidine mouthwash twice daily Consult physician check up for sinus, if won't get relief then consult dentist for investigations. 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|> I am a boy, I can do the front splits and I can also do the jump front splits. I was practicing and about the third time I did the jump splits I hit the ground and around my right buttox and right side of my hip made popping sounds. Like bones cracking, about 7 times in a row really fast. I felt light headed and like I was going to throw up. I could barely walk. It is now approxametly 3 hours after and I taken a bath, it hurts when I move it. And when I say hurt I mean HURT! Please help! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Snapping hip is a condition when inflamed muscle ligament or tendon move past a bone process or tuberosity you should :Reduce your activity levels and apply ice to the affected area. Use non-steroidal anti-inflammatory Chat Doctor. I recommend complete 3 days rest in extended hip position to keep your hip joint function from deteriorating if this does not help then I suggest visiting ER for possibility of hip head fracture Hope I was of help to you 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|> One side of my nose is sore inside and now my lower jaw on the same side is swollen and has a hard bump on my jaw bone. It is tender to the touch. Not real painfull but more annoying. I have prostate cancer that I had surgery for about 7 years ago. Now my PSA level has been gradually going up. I had radiation but it kept going up. Just had a bone scan, CT scan and chest X-ray which showed nothing. Went to the doctor who said it is a infection and gave me cephlex to take. Taken it 4 times a day for 2 days, no changes. Im concerned <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your query, I have gone through your query, the hard bumps on the lower jaw could be because of a tooth infection causing periapical cyst or an exocytosis(bony out growth) or most important thing it can be metastatic from the prostate cancer. Consult your oral physician to rule out these things, and you need to take radiograph of this region to rule out bony pathology and tooth infection. 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|> Hello. I am a teenager and have been having quite bad dizzy spells nearly everytime I stand up. I am healthy and have no other problems. I don t believe that I am standing up too fast but maybe I am. My vision blacks out when I stand up as well and I am forced to lean heavily on something. I am just wondering if there is any other besides being anemic that might explain this. This has been going on for several months now. Thank you. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello. I have been through your question and understand your concern. The complaints you are experiencing are quite common and are reported when standing up very fast. This happens because for that short moment there is less blood going to your head causing these symptoms. Generally you should not worry. Chat Doctor. But, if it persists and becomes troublesome then you should consider orthostatic hypotension. Basically, you should get your blood pressure measured by your GP while being fitted and once you stand up. This would just confirm such an eventuality. Still, I don't see anything to be worried about. <|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 found 3 lumps behind my ear on my bone they have been there for approx 3-4 weeks it started as one lump and has mulitplyed to 3, im worried as i have been un well sinse xmas and no has a period since march untill yasterday, now i am on a sligth period <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged lymph node or soft tissue tumor or skin lesions. You should go for fine needle aspiration cytology or biopsy of that lump. 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|> Hi, I have the flue, very blocked up sinus, sore ears, hot and cold chills, cough etc. my question is i am going into have surgery next Wednesday to get my wisdom teeth removed and an abscess removed from my jaw, i have a a course of Amoxil antibiotics, and was wondering if i should take them to help me get over this flue before surgery next week? Thanks, Abby <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint Flu or Influenza is a viral infection and treatment is mostly too symptomatic to relieve the symptoms of congestion, cough and fever. You can very well start taking Mobil which is antibiotic amoxicillin which will prevent bacterial infection which occurs commonly secondary to viral infection. You can take Tylenol for relief from pains and aches and fever. Take decongestants like Pseudopod Chat Doctor. . If there is phlegm formation you can take Multics like Aerosol. For congestion, you can also take decongestant nasal sprays, saline irrigation, steam inhalations and use a humidifier in your room. Do warm saline gargles and avoid spicy and chilled foods. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have been having chest tightness with numbness in left arm, back pain, and lots of other symptoms that something is going on with my heart, circulatino, etc. Doctors ran blood test, did an EKG, but nothing showed up. Doctor put me on betablocker, which is helping, but still having pain/tightness and other symptoms. Doctors are dismissing me because of age (33) and normal blood tests. They say it is stress. The tightness I feel usually comes on with activity or stimulation (smoking, caffeine) and is more like angina. My doctor hasnt given me a stress test yet, is making me wait two months, and gave me a prescription for anxiety meds. Two months ago I was healthy. I was able to run four miles a few times a week. Now I can barely walk across the room without chest pain and other pains. Im worries there is something more to my pain, possible heart problem, circulation problem. And Im frustrtated my doctor wont take me seriously. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello rearward welcome to Chat Doctor.come have evaluated your query thoroughly.* This amount of agony of symptoms does not sound to be stress related there must be underlying organic cause which has to be evaluated thoroughly as possible - valvular issue of heart chambers - respiratory insufficiency - low hemoglobin - deficiency of certain vitamins, trace elements - others. Hope this clears your doubt . Wishing you fine recovery. Welcome for any further assistance. Regards take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have a very tender abdomen with the most tenderness in the lower right quadrant, just inside my hip bone . I am 64 years old. Of course, I have no insurance and am not yet ready for Medicare . At first I thought my appendix might be causing the problem, but I have no rebound pain and can lift my right leg up without pain (clues from the internet). A friend thought it might be diverticulitis . I did have a fever of about 101 for around 18 hours, but it s gone. I just feel like someone beat me up. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Thanks for posting your query The signs you have mentioned as clues from internet are true for a retrocecal appendix, there are other positions of appendix where it can lie in abdomen and can have different symptoms For me diverticulitis is more concerning than appendicitis From your information I feel it is more related to appendix Under all circumstances do go for a complete blood count and an ultrasound before you stamp anything Hope this helps Am available for any followup queries there are no further doubts, do accept this reply and rate it Wishing You A Speedy Recovery <|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, Im a 25 year old female with no serious medical history. In the past 2 years I have had serious right flank pain that feels like someone is sticking a knife into my lower right back and it comes out my front. Its a radiating pain, that comes and goes with no noticible pattern. Ive been tested for Kidney Stones, had ultra sounds of my abdomin and bloodwork done. I dont know if its something internal or muscular. Help! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello and welcome to Chat Doctor. As a Urologist, I can understand your concern. Your pain appears to be typical of a right sided ureteric stone. You need to have a CENT(contrast-CT), to rule out a ureteric stone, easily missed on an ultrasound scan. You may take an anti-spasmodic tablet for pain. Once the CT scan is done, the cause can be easily made out and proper treatment advised. Chat Doctor. If you want my expert opinion, send the report to me, as a direct question. <|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 married for 1 yr and 3mths already... Trying to conceive since then. Im under treatment at the moment for 3 cycles, my doctor gave me clomid, decan n duphaston n glucophage ( i read a lot of successful pregnancy by clomid). Does my set of medicine a good combination for each cycle? 2) My recent blood test result lastweek shows high male hormone and i have pcos!! But doctor said not to worry n continue d glucophage. Does this will further delay my chance to conceive? 3) so at d same time doctor ask me to control my weight n sugar level (im not a diebetic). N im just a little of overweight. My question can i do steambath/sauna while trying to conceive?? Bcoz i used to sauna before i get married... -sue 2011 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello dear, I understand your concern. In my opinion you are on correct line of treatment.POD is one of the treatable causes of infertility. And weight reduction is the first and most important thing in POD. The main problem in POD is absence of ovulation. Clomiphene helps in ovulation in 70% of cases. And gluconate increases the chances of conception in case of POD. The phaeton helps in correcting the hormonal imbalance present in POD.POD is one of the treatable causes of infertility with good success rates. So relax. Adapt healthy lifestyle like exercise and healthy nutritional diet. Steam bath can be taken. Hope this helps. Best 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. Ive been having a skin rash for a few weeks now.. It comes and goes. In arms, chest, stomach and legs. Switched laundry detergent, did not work. I have on acrylic nails, it seems that scratchin with them makes the itch worse.could this be the cause? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thank you for posting on Chat Doctor. The condition you have referred to is called Urticaria or hives. It's an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues. Its proper management requires thorough history, clinical and laboratory work-up. You may have to go for specific tests like patch test, food prick test, IGE antibody levels etc. As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various antihistamines for long duration(at least 3 months) with or without oral corticosteroids. For non-responding cases there are many other Chat Doctor. Hope this will help you in resolving your query. Thank you <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, i am a female, 20 years old, and i have been experiencing sharp needle - like pain in my heart, or it feels like it is being squeezed, for the past year, however, recently i have been experiencing couple times a day every day. It lasts for about 5 - 15 seconds, but it hurts to the point that i instantly freeze and cant move or brethe. I am a smoker, and i do consume alcohol sometimes when going out. Should i be concerned? Thank you. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Pain in chest due to heart disease is very rare at your age. Chest pain due to heart disease is non localized, squeezing type & increase on exertion. Still you need to do an ECG & 2D Echo for cardiac evaluation. Chest pain at your age can be simple muscle pain or Costco Chat Doctor. Both are treated with painkiller. You should also go for a chest X-Ray to rule any associated lung causes. 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 developed a chest cold starting last Thursday or Friday. I may have a mild fever, but nothing serious. What s really bothering me, is that the muscles in my thighs and calves are super painful since Sunday night. Have taken ibuprofen and acetominophen for some relief, and taken hot baths and showers. Also massagingmy legs, doing some gentle yoga, raising legs with help of some wedges. These offer some relief, but the pain comes back again. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello I have studied your case. Fever with thigh pain suggests possibility of viral illness. You may need to investigate in form of complete blood count, ESR, CRP. You may need clinical examination also to confirm diagnosis. MRI may help to diagnose any structural abnormality. Till time, you can start medication and antibiotic consulting your treating doctor. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My fourteen year old child brushes her teeth everyday. And every day she get this thick orange ( like the color of cheese doodles ) all by her gum line especially in the front top. This as been going on for months. What does this mean. I am getting worried. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your query, I have gone through your query. The orange color over the GU like can be material Alba or plaque secondary to improper oral hygiene. This can occur frequently if you are a mouth breather. Nothing to be panic, consult an oral physician and get it evaluated. Meanwhile you can brush your teeth and maintain oral hygiene, use chlorhexidine mouth wash, clean the gums with either brush or a gauze dipped in saline. 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 2 year old fell off her sister s back and landed on the area under the chin. She has a small very dark bruise on the right portion of her chin but more alarmingly she quickly developed a large knot under her chin. This happened two days ago and the knot hasn t gone away. It is very pronounced and distorts her lower chin (double-chin-like). The swelling seems to now cover a lot of the area under the chin and is firm (like a firm double chin) Should I see her doctor or should the swelling go down? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi ! Good evening. I am Chat Doctor answering your query. From the history, it seems that she has got a hematoma formation which usually takes about 2- 3 weeks time to get absorbed unless it increases in its size. But she needs to be examined by your family physician/general surgeon of your area to rule out any chances of a submental infection, which could also give rise to similar findings and needs to be treated soon. So take care. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> my 14 year old experiences severe chest pain as soon as she swallows rice. I have felt this while eating but maybe not to the same severity. Even drinking water doesnt help. It feels even more painful and doesnt go down. Have had her blood tested for celiac but it came out negative. What else could it be? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi there, This sounds like Andalusia, which is failure of the lower esophageal sphincter to relax. The lower esophageal sphincter is a valve that separates the stomach from the esophagus, and it prevents food and stomach acid from going back into the esophagus from the stomach. Sometimes, the sphincter is too tight and doesn't relax very well, which is called Andalusia. The usual diagnosis for this is something called an upper GI, in which the patients Chat Doctor. Another test she should have is manometry, which tests all the pressures throughout the esophagus. The treatment for Andalusia is something called a Heller Economy, where the muscle fibers near the lower esophageal sphincter are cut in order to allow it to relax. This can be done laparoscopically with small incisions. Some medications can be used, but the best treatment, especially in patients who are healthy and of young age is a Heller Economy. I hope I have answered your questions. Please feel free to contact me if you have any further questions or if you feel I haven't ad <|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 finding when I eat something deep fried in Soybean oil. or one of the Ingredients in a food using soy bean oil is making me sneeze uncontrollably, scratchy throat and heart races. This leaves fatigued afterwards. Is this an allergic reaction?. <|eot_id|><|start_header_id|>assistant<|end_header_id|> HI, thanks for using Chat Doctor Yes, it would be classified as an allergic reaction. Allergic reactions can manifest in different ways but most commonly as rash, itching, sneezing, nasal congestion, itching eyes. In some cases gastrointestinal symptoms may occur such as nausea, vomiting, abdominal pain, diarrhea. If you notice this reaction to the soybean oil, then it would be best to avoid it. The use of an anti histamine would be helpful to reduce your response. I hope this helps <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, I have received back some blood test which appeared to be fairly ok....accept I noticed a test the doctor did not bring up that concerns me. The Immunofixation Serum test states a faint 1gG Kappa monoclonal immunoglobulin is detected. Should I be concerned? Ive not felt myself for a while and have a several cancer situations in my family in which two of my siblings passed. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Now your concern is pretty genuine, I suppose that you do not have any symptoms, this Egg K could be Monoclonal gammopathy of unknown significance you should make sure that 1 a bone marrow is done2 your Hologram and kidney function tests with serum ca is done3 please forward the value of IG G band now if this is GUS then there is 1 -2 % chance of progression to multiple myeloma all this but we need more details before diagnosing this condition 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|> hello doc. i had h pylori and got treated with antibiotics. now i am cured from it. my husband hasnt gone to the doc yet to get tested. can i get it back from kissing him and have sex with him? since then , i didnt kiss him and we use condoms , but how inconvenient !!!! please answer my question thanks Fafa <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello. Thanks for writing to Chat Doctor. I read and understand your question very well. I try my best to solve it. Possible routes for transmission of H.pylori infection include either oral-oral or fecal-oral, iatrogenic spread with inadvertent use of unsterile pH probes and endoscopes, and rectorial spread by flies. So is possible to get through kissing. And in sex if you're doing sex by just intercourse method than not possible to get, bub if you do pectoral method by taking organ in mouth than may be chances to get it. I hope my advice will help you a lot. Thanks and 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 had surgery for kidney cancer 8 years ago. They removed part of my right kidney. I am also diabetic. For the last week I have been having pain in my right leg where it is hard to lift my leg and it feels like it will give out some times when I am walking. Can this be related to my kidneys? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, As post surgery there might be weakness of the spinal muscles leading to nerve root entrapment and due to which there is weakness in the legs and abnormal motor control. Also, you being diabetic will make the nerve functions to reduce as well. I will advise simple low intensity exercises which will help you to reduce the symptoms. Exercises include - breathing exercises, core stability exercise, spinal muscle strengthening exercises, hip muscle strengthening exercises, static hamstring, static qua Chat Doctor. This should help the muscle strength and muscle physiology to regain its normal functions and help to have normalcy of life. 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|> My father has been diagnosed with stage 4 kidney failure. He has been very sick the last two weeks with abdominal pain. He has chosen not to do anything...including dialysis. How can we keep him comfortable if this is what he is going through at this time? He won t go to the hospital and he won t go see the doctor but is in a lot of pain. Not eating, not sleeping, just there. Is there anyway to let us know that he is indeed going through kidney failure and what to expect. He is 84 and is a diabetic. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. Your fathers are having diabetic nephropathy with CRF. The only treatment to consider at his age is, a maintained dialysis.He'll need to do some tests, to advise treatment and remain in good health.1. 24 hours urine protein, and culture.2. Blood routine, creatinine,FBS,HbA1C,electrolytes, LFT,and platelets.3. Ultrasound scan of abdomen, with a chest X-ray and an ECG. He should have low salt, protein diet, with fluids intake, as per urine output. If you want my expert opinion, send all reports, as a direct question to me. Chat Doctor. Manga. <|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 having knife pains in the left middle side of my back. sharp pain that stabs like a knife and releases. this has been happening now on and off for 3 weeks. so sharp I almost drop to my knees. It lasts only for a minute or less and I can be sitting or laying on my left side or standing and it all of sudden for no reason stabs me hard. what could this be? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, I have studied your case. It can be due to nerve compression in spine. You may need to do MRI spine. Another possibility of space occupying lesion for which also you may need to do MRI.Sometimes CT scan will give good image. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. If nerve compression confirmed later on then surgical decompression will give permanent relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Could the fact that i have chest pain/discomfort often but not all the time be an indication of heart problems I am just 50 years old, a woman, slightly over weight, active job (nurse) who plays tennis regularly. I have lots of cysts in my left breast, is it that causing the pain. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, I have gone through your query. Thanks for using Chat Doctor. Your pain is unlikely to be due to heart pain, because you mentioned that you play tennis regularly! Heart pain is aggravated by exertion and relived by rest, since your pain bears no relation to exertion it is less likely due to heart. Yes it can be cysts in breasts which might cause pain for which you may take simple analgesics along with it.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|> Sir, i got some white patches of around 1.5 sq inches on left armpit for around eight months. Now these are increasing in size gradually. i have been taking homeopatChatDoctoredicines. Recently i visited one dermatologist who prescribed for tacrolimus 0.1%, melgain lotion etc. i want to know how much time it may take to re-pigment the area if the medicines really work. Thanking you <|eot_id|><|start_header_id|>assistant<|end_header_id|> Your condition most probably has been diagnosed by your treating doctor as Vitiligo hence prescribed Tacrolimus and Belgian local applications. It takes about three months of regular applications before you start to see any improvement in the color of white patch. Tacrolimus is a Chat Doctor. It is better than steroids applications as IOT does not thin out the affected skin and fewer chances of harmful systemic effects of long term use of steroids.However, prolonged use of tacrolimus is not recommended as rare cases of skin cancer and lymphoma have been reported. 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|> Respected Sir, I am from from Kolkata. My father(56 years) is suffering from Severe Aortic Stenosis. All the doctors that we have visited recommended an Aortic Valve Replace (AVR).We are really worried about him.Sir will be grateful to you for your suggestions.. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Mr/MMR Xxx ! I have gone through your question and I understand your concern. Yes the doctors that recommended that are right, Your father need an Aortic value replacement. In the case that the Aortic stenosis is severe means that the heart is working hard to pump the blood into the vessels and this condition makes the heart muscles weak. The heart cant effort the obstruction caused by the aortic stenosis and in the end this will lead to heart failure and less and less blood in the vessels (all the body will suffer from leak of oxygen.) Its necessary to remove the obstruction in this case the aortic value to prevent further heart dysfunction cause if the left muscle ventricle gets to a point that they are weak, is nothing that we can do to repair. Fortunately the valve replacement are operations that the doctor are used to and its part of their everyday practice. Wish your father good health. If you have any other questions please feel free to ask me. Thank you 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|> Hi, I usually take my contraceptive pill at 12:15pm daily and have been doing so for the last 3 months. Yesterday I forgot to take my pill, which was the 13th active pill, and had sex about 13 hours later. Halfway through I realised I hadnt taken the pill and made my boyfriend stop and took the missed pill immediately. He did not ejaculate at all during intercourse and we stopped completely after I realised I had forgotten the pill. Today I took my pill at the regular time. Should I be worried? And should I take the morning after pill seeing as it has been 17 hours since intercourse? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thank you for posting your question here, I will try to answer it to the best of my ability. Since you did remember to take the pill on the same day, you're okay. You can continue taking the pill as you did earlier starting tomorrow. By the way good call to stop having intercourse, I recommend you don't have intercourse tomorrow either, wait till you are back to your normal cycle of 12:15 pm each day. Which means you can only have intercourse the day after tomorrow, sorry about that. But isn't it better to be safe than sorry? I hope this answered your question. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Dear Doctor,My name is Abdul Gafoor. I am from Abu Dhabi and planned to come to India with my family in Mid of December-2011 only to meet a>> specialized Pediatric Orthopedic doctor to tack his Opinion for my 3 years old son, who is having knock knee problem. I attached some photographs of my son for your reference.As advised by one orthopedic specialist, we used a special type ofmedicated arch shoe around 6 months, but no progress can identified.Dear Doctor, kindly advise me, what type treat we have to follow andwhere I can get the best treatment in India? <|eot_id|><|start_header_id|>assistant<|end_header_id|> I am not sure of the date and time frame in this question. If you meant 2011, that was over 4 years ago. If you mean 2015, I can help you. I was not able to understand what is meant by medicated arch shoe. I am quite sure this was not something done by an accredited doctor. You should consider going to any of the big cities in India, but I think Chennai or Hyderabad may be relatively easier on your budget than Mumbai or Delhi. Bangalore is another good option. You should visit a pediatric Orthopedic surgeon, and you will find one in any large corporate hospital. Lockhart/Forts has a large orthopedic center in Mumbai, for example. They would be able to guide you further, if you can afford private hospitals. If you wish to go to a public hospital, then that is fine too. You will need to carry all the previous reports of the child with you, including his special shoes, radiographs (X-rays), and photos or videos you may have made of his walk, stance, etc. to help the doctors reach a proper diagnosis. <|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 swetty is now 5 months +....doctor has suggested to start with cerelac rice(stage one) one scoop daily morning...From last 2 weeks we are trying..but seems she is not interested in it..just want to know if this is the case with others also..how to make the cerelac eating interesting..please suggest .. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Dear friend it's not compulsory to give Carla... instead you can start homemade food for baby... make rice and DAL that is watery initially for a month... then increase its thickness... initially child will not take it more than one or two spoons at each meal... but remember yes it is absolutely necessary to start complimentary feeding at 5-6 months age but don't stop Brest milk... so it's OK if baby don't take Carla... visit nearest pediatrician to ask about preparation of infant feed at home... in fact homemade feed is much better than any ready made infant complimentary feed... <|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 suffered a very bad case of bronchitis for about 3 weeks, which included blood mixed mucus for over a week. I had a Physical that was already scheduled just as I was recovering in which a blood test came back with low blood platlets, I was sent to a hemotoligist, and began taking predisone. Within a few days I felt great because the predisone finished clearing my chest. However my platlets went from 48000 to 38000. I haven t had any of the signs of Itp (my diagnosis) and there were no other issues with the blood test. Could the bronchitis cause the low platlets <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Infections anywhere especially, a viral infection can cause low counts; no doubt about this and your bronchitis might be a viral one. However, there are a lot of causes of low platelets count, and after your bronchitis is over, the count should have gone up, so there must be other things in mind.ITP (Idiopathic thrombocytopenic purpura) can well be the cause of your low platelets and ITP most of the time do not produce any symptoms and is not very uncommon. Whatever could be the cause (if other things are ok and the patient is stable), I generally ask such patient to repeat the count frequently if not improving seeing hematologist again is very necessary. They may think about bone marrow examination then. 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|> Hii i was due to give birth on the 5th of april but still no sign went to hospial and they told me i was 3 to 4 cm in slow labour then woke up this morning and there was a wet patch on my bed and water in my knickers is this my waters broke or what do i do please help got some tummy ache too <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi there, Yes you are in labor now, once the bag of water situated around the baby ruptures, labor is imminent, and you should go to the hospital immediately. The tummy ache is going to increase as the labor progresses, and it is likely that you will deliver soon. So please get to a hospital immediately, as sometimes after rupture of membranes the baby may require monitoring and labor progress rapidly. It is common to not be in labor on the due date and 90% of women deliver within 10 days after the due date. Do do not worry and get to a hospital. 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|> hey i had several bloodclots in my left upper arm after 9 monthes they took me off warfrian at the time the clots were gone i was off warfrian 30 days and they come back now i think there gone again i have been on blood thinner for 2 years they say my blood is ok this week it is 2.7 but my arm is killing me can you still get clots if your blood is that thin?m <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello and thank you for sending your question. You have indicated that despite the fact you are on anticoagulation you have significant pain in your arms. The pain could possibly be related to some musculoskeletal problems such as a pinched nerve but in light of your history it is important that your doctor rule out additional blood clots. It is theoretically possible to have a blood clot even if the blood is thinned with Coumadin. If that is the case the Coumadin needs to be changed to an alternative anticoagulant. While it is unlikely that you have a blood clot it is important that you review this with your doctor so that appropriate diagnostic testing can be done. Thanks again for sending your question. <|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 pain on the left side of my neck. It starts just behind my left ear and then stops about at the top of my shoulder. At times I can hardly turn my head to the left. If I put an electric massager on it for 15 minutes it feels better for awhile. Do you think it would be muscle related or something else? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello! You might be having a sternomastoid muscle spasm myalgic. Since you say that light massage relieves the pain it usually will be a muscle spasm. If it is the case the pain should gradually decrease over a period of 1 week to maximum 10 days. If it is not seeming to reduce I'd advice you to get an X-ray of the neck to see if your cervical spine has any problem. Visit a doctor immediately if the pain is unbearable or is causing symptoms other than pain like tingling sensation, inability to flex the neck, pain elsewhere below the neck. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I m a 21 yr old young woman and I have bronchitis, my doctor said. Each time I get cold or fever, I have symptoms like temperature rise, running nose, throat pain etc. These symptoms reduce and are eventually cured. But when cough starts, it doesn t reduce as fast as the other symptoms. If antibiotics are not used, then the cough can last upto a month or so before its completely gone. Doctor says I have bronchitis which is causing this. When I told him about my problem, he prescribed glemont F for three weeks. Is that the solution for my problem? What can I do to prevent this kind of long lasting cough again? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion, you should consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. PUT (Pulmonary Function Test). PFT is must for the diagnosis of bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. So get done PFT. You may need inhaled bronchodilators and antihistamines. Lemont is oral bronchodilators and having side effects so better to start inhaled bronchodilators. So consult pulmonologist and discuss all these and start appropriate 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 have been having pain under chin periodically since spring 2013. Tightness and burning, like inflammation. Had 2crowns placed upper 2 back molars, and started noticing sxs not too long afterwards. Dental x-rays have beenDone and dentist sees no problem. Internist felt maybe was nerve related. Sxs prevalent at night and will Awaken me at times. Ibuprofen does seem to give some relief. Periodically especially in am feel a lump in theback of my throat. After exam md notices no swelling of glands. Any suggestions? Thank you <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi thanks for your query. The problem you are complaining might be because of high points on the crown getting in contact with the opposing teeth or overzealous crown cutting resulting in exposure of nerve or recession of the gum line resulting in periodontal problem or in general crown is placed over a root canal treated tooth. If there is little amount of pulp tissue left behind these results in pain after crown placement. Treatment can be planned by ruling out these conditions. Visit endodontist. Hope this is 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 have been having intermittent chest pain for months. Ive noticed that sometimes the pain is accompanied by indigestion, but not always. It hurts worse when Im in bed and it often wakes me up at night. I was diagnosed with inappropriate sinus tachycardia about a year ago and take a beta blocker? Any ideas what could be causing this? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi welcome to Chat Doctor... As you have positive cardiac history, your case should be investigated through ....1. Blood pressure measurement 2.EKG 3. Echo (if needed)Is any significant cardiac cause present than treated accordingly ....Meanwhile, if you are suffering from gastritis like or acidity problem than also pain can occur as referred pain.... For that pantoprazole tablet given .... If still no significant cause found than pain can be musculoskeletal pain... Take care Advise : pulmonologist consultation <|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|> hey i need help with my teeth, i hate to smile couse of them, the problem is that my canine teeth stick out idk why? but i had perfect teeth when i was little i herd about Invisalign that are like braces can i still get them even though my canine teeth are sticking out? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your query, I have gone through your query. The positioned canine can be corrected by taking orthodontic treatment. The Invitation treatment can be taken to align your maltose canine. Instead of brackets and wires invitation provides a series of removable clear aligners which moves the teeth gradually. Take radiographs and opinion from orthodontist about the bone support around teeth, whether it is ideal to go for invitation or normal braces. 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 daughter is currently taking Paxil for anxiety and severe OCD. She recently found out that she is pregnant. She has been on 30 mg. for about 4years. She was told to take 10 mg. twice a day for a week and then 10 for one week. She could not deal with the change. What alternative drug could she take that is safe. Her OCDs and anxiety are pretty intense without the Paxil. Thank you for your time. <|eot_id|><|start_header_id|>assistant<|end_header_id|> HiT hanks for using Chat Doctor In that case, she could try fluoxetine. Paroxetine is not safer in pregnancy. It could lead to teratogenic effect. Fluoxetine is approved and safer during pregnancy. Try to avoid any benzodiazepine during pregnancy due to their sedative effect on fetus. Beside Chat Doctor. Rest, you can discuss with your psychiatrist. In case, you need further help, you can ask. Thanks <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My husband and I are trying to become pregnant. My period came on Dec.27th but we had sex 4 days prior. And also Dec.28th, no Dec Dec.30th but we did have sex Jan.1st till Jan. 5th. According to charts my fertile days was the 5th & 6th and I started ovulating the 10th. Today makes the 4th day past ovulation and I have been receiving white milky discharge . I was wondering what are my chances and when should we have sex to conceive. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, In a normal 28-30 day cycle, ovulation occurs around 14-16 days. Since the ovum remains viable for 24 hours after ovulation and sperms have a relatively better viability, intercourse around this period stands a very good chance of conception. The fertile period, as this is called falls around the 11-18 days of the cycle. Milky white discharge is often seen in the post-ovulatory phase of the cycle as well as in early conception period. Please get further instructions from your doctor. 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 just recently noticed a lump on my right pelvic area, about 2 inches above the penis and 3 inches to the right. It feels like a small ball, I seem to have the same ball on my left side but it isnt as inflamed or stuck out as the left side. Another thing different is that when I push down on the right side lump it hurts, feels like a bruise. I didnt hit myself or anything. Something else that might be linked to the pain; About two-three weeks ago I had a smaller pea sized ball above my right testical that was hurting me. I felt around and squeezed on it a bit to try and get an idea on what it was or could be exactly. The pain went away an hasnt resumed since. I really need help, Im worried on what it might be. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Welcome to Chat Doctor. 1. The history suggest that possible cause could be an inguinal hernia.2. In this case you need to get an ultrasound scan, that would help to assess the defect and contents of the lump and extension.3. Presence of any strangulation and blood supply will be assessed.4. The symptoms seem like strangulation is there, at the same time the scrotal scan will be done to evaluate the related causes.5. In this case treatment of choice will be operative to correct the defect. Good luck. Hope I have answered your query.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|> on the 2nd of last moth i was diagnosed & treated for e coli.the day i finished the meds i began haveing suvere groin lower back &abdominal pain.i waited a couple days before returning to the hospital only for them to treat me as though i was a drug seeker.i do have a history with cancer.i had a complete histerectomy 13 years ago??????pls help regina.f <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Regina. Thanks for your query. I can understand the plight you must be going through. E cold infection can be just a small part of the major problem as you are rightly suspecting. Since you have undergone the full course for E cold, you yet have severe pain in the groin, low back and pain in abdomen. I would advise you the following:investigations: Stool - routine, microscopy, culture and sensitivity, urine and blood. Colonoscopy.CT scan of the abdomen. The investigations will guide us for 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|> Hello I have a black mark (big dot ) on both my big toe nails. I went online and it seems that I may be havingPseudomonas bacteria on my big toe nail. Im concerned . Is there any herbal medicine . It appears I have to wait till next week before my dermatologist can see me . Please advise <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Welcome to Chat Doctor, Pseudomonas is bacterial infection which should be treated by proper antibiotics, herbal products cannot cure the disease. Herbal products only help to boost up the immunity, but it cannot cure bacterial infection like pseudocodes. You need to test the discharge coming out of the big toe to confirm the causative agent, and then you can take proper antibiotics for the treatment. If it is pseudocodes infection your doctor may prescribe antibiotics like beta-lactam antibiotic and aminoglycoside like gentamicin and niacin. Thank you. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> my father is 76 yrs old he is suffring some problem like Inflammation in legs Paws and any time coming fever so i check the doctor and says some test - these are haemoglobin 14.5gm/dl Total WBC Count - 16800/cmm differential count Neutrophils - 80% Lymphocytes 16% eosinophil - 02% monocytes 02% basophils 0% periphral smear examination malaria parasite Not seen in the smear studied platelets Adequate/cmm ESR - 50 mm/hr biochemistry results 86.0mg/dl method Sugar Random GOD,POD Serum Urea 63.0mg/dl serum creatinine 1.6mg/dl SGPT 36.0 IU/L Serum Electrolytes Serum sodium 137.8 m. eq./l serum potassium 3.58 m.eq./l serum chlorides 106.5 m.eq./l plz suggestive me .... <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Looking at your details it looks that your father is having infection with inflammation a legs. This needs treatment (maybe for long) from antibiotics and analgesic. Other reports are showing that his kidney functions are also not completely normal. I will advise you to consult to your physician for proper treatment. Hope I have answered your question. Let me know if I can assist you further. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> semen analysis of my husband colour opaque grey pH alkaline Liquification time 30 minutes volume 1.5 ml count 70 million/ml motility 60 % R.B.C 0-2 h.p.f. pus cell 2-4 h.p.f Concerned about the RBC and pus cell Trying to conceive for past 3 months. My tests are normal. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Thanks for posting your query An occasional RBC or pus cell may not be the issue, motility is marginal I would suggest get the test repeated after 4 days of abstinence and if the pus cells persist or increase ask the laboratory to perform culture report also If RBC persist or increase go for a sonography of Genitourinary system Hope this helps Am available for any followup queries there are no further doubts, do accept my reply and rate it Wishing You A Happy Parenting 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, I have been feeling very nauseous for the last 3 days. ive experienced vomiting within the first day and diarrhea by the second and continuing on the third. I have been very dehydrated and so I have had a headache. as well, ive had both subtle and piercing pain in my lower abdomen, been fatigued, and on the first day I had joint pain all over my body. what could this be? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have nausea, vomiting and joint pain all over body. Well there can be many reasons for symptoms you mention in query like food poisoning, diabetic ketoacidosis, gastroenteritis or peripheral neuropathy. It can also occur due to viral infection or allergic reaction. I would suggest you to Chat Doctor. If condition doesn't get well then consult general practitioner for proper examination. Doctor may order stool test, blood test, check vitals. Doctor may prescribe anti-viral <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, may I answer your health queries right now ? Please type your query here...I just had a baby boy that all seems to be well with, but we (and the doctor) cant feel his testicles anywhere. I had one undesended testicle that was brought down by surgery when i was five. Surely they are there some where, right? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, From history it seems that he might be having descended testes having scrotal empty. Many a time there might be having swelling in inguinal region due to presence of testes there. By the end of six months they might descend and if not then Orchiopexy operation should be done. Now due to new modern technology diagnostic laparoscopy can be done after six months. Consult pediatric surgeon and get examined. Ok and 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|> Hello, I m a 35 year old woman with problems with my hair. My hair has started falling out and it has also stopped growing. I have a very healthy diet and I don t know what s causing this problem. I had my boods checked and they re all fine except I was told that I have a low white cell count. I m waiting too see a haemotologist. My periods are also very irregular and I feel tired all the time. I would be very grateful for your advice. Regards, Mary D <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, thank you for putting up your query on Chat Doctor. Mam, as per your history you may have halogen effluvium due to iron deficiency anemia. Also, there may be a possibility of female pattern hair loss. Since you have irregular periods, I would suggest you to consult a gynecologist and get yourselves checked for hormones.my treatment advise would be:1. Stop all hair cosmetics which may cause damage to your hair like hair spa, rebounding, straightening, hair gel etc.2. Take multivitamin once a day which include biotin, zinc, amino acids.3. Take a healthy diet containing green leafy vegetables, fresh fruits.4. Other treatment modalities can be topical minoxidil, finasteride, Kantian 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|> Dear Dr i am married for one year but recently i came to know that my husband is having hbs positive so i am worried about that after my marriage i was with him for 10 days but he did not have any sexual relation with me so i am back to kuwait now it is almost one year what to do. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. Hepatitis B can be transmitted by Sexual Encounter with the infected person.Also, with contaminated blood. If you had no relationship with him till now, there are very fewer chances that you would have contracted Hepatitis B. Get Bag tested. If you are negative, then get Vaccinated for Hepatitis B. This is my best advice for you with the available details, if you have any further query, please ask us. Stay Healthy <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> my baby is 5months old.corrected age 3months. he is on Expressed breast milk.2 1/2ounces every feed after 2hrs. from morning he is vomiting his milk after having it. he is feeling hungry too.what to do? I have given him domstal 3hrs ago.yet he is vomitting <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for asking on Chat Doctor. I have gone through the details. You have not mentioned how long this problem has been present. If it is not present since birth, there is less cause of worry. Although vomiting can occur in spite of coastal, information on how much he is throwing up is also important. If he is throwing up less than 50% of the preceding feed, it is not something to worry about. But if it is more than 50% of the preceding feed, you may Chat Doctor. If it is still there, systemic causes of the vomiting needs to be looked into. Since you mention that the child is otherwise hungry, infection is unlikely. I also do not know his weight and so cannot comment on whether the dose of coastal is adequate for him. Hope that answers your query. Feel free to revert in case of further queries if any. <|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 having some pain in my lower left side of my back. The pain has moved to the inside of my left leg and from my groin down to my knee and sometimes to my foot, I am feeling sharp pulling type pains. I am really concerned. What could this be?I am 39 and am 6-2 245 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Welcome to Chat Doctor. After going through your query I think your You are suffering from lumbar disc prolapse with sciatic radiation. Treatment is rest in position of relief(generally lateral position with both knee bend), NUROKIND GOLD ONCE DAILY and analgesics (Diclofenac three times a day after meals is effective). It can be confirmed by MRI lumbosacral spine. I think your query answered. Welcome to any follow-up query <|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|> the other night i was laying down, my heart started to beat extremely fast and hard. i could hear it as clear as day and i could feel it pounding out of my chest. i couldn t breathe and then caught my breath. it hurt and it was really scary. what could this be? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Your symptoms could be related to anxiety. Cardiac arrhythmia cannot be excluded either. For this reason, I would recommend performing an ambulatory 24-48 hours ECG monitoring in order to examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia. Some blood lab tests are needed too (complete blood count for anemia, thyroid hormone levels for thyroid gland dysfunction and blood electrolytes for possible imbalance). If all the above tests result normal, you should consider anxiety as the main cause underlying your complaints. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> After having a colonoscopy, and having a hemroid banded, ive developed an anul rash, very itchy, red and weeps. I was prescribed fucidin HC and it almost went away, I had finished and using the medication, but now its gotten worse again. Could I have gotten an infection from the procedure? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Welcome to Chat Doctor, Fungal infections are more common in the genital and perineal area as these are the normal comedians of this area, which will be kept under control by helpful organisms whenever there is a change in the environment this yeast will activate produce their symptoms. As you are having the symptoms of fungal infection for which you have taken some treatment, but your symptoms has not come down, I would suggest you to undergo lab investigations like KOH mount, CBC and urine routine examination. For your symptoms you can try these measures1. Keep the area clean and Chat Doctor. 2. Apply antifungal cream over the lesions3. Tab Rifleman, 150 mg single dose.4. Oral antihistamines to reduce the symptoms of itching. 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, Im a 16 year old boy with abdominal pain that has been going on sic eye end of June. It will flee up occisionlly, and go awy for maybe a week before flaring up again. The pain from severe to discomfort, and feels like bloating sometimes and sharp pain the next. On two occasions it has been neer unbearable. On this occasions I worried that it my be appendicitis. The pin is lost lets on the right side. Now, Im beginning to feel a little ill, I m burping constantly and have a weird feeling in the back of my throat, I also feel like my arms and legs are light, as though Ive been sitting on them a awhile and blood is flowing back into them. Im starting to get pretty worried. I dealt with constipation from July to late August, it went away after I got on a regular diet. Right now it feels like gas is moving about in my abdomen. Im constipated since yesterday. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for the query to Chat Doctor. Forum. I would come up with these possibilities for this type of pain, This includes.1 Right side kidney stone, diagnosis can be confirmed by ultrasound of kidney. As burping, pain, bloating tiredness all are characteristic features of stone in kidney.2 Appendicitis as you mentioned in the query that pain is on the right side and pin prick. Diagnosis can be confirmed by ultrasound examination. Physical examination also important .3 One possibility may be of peptic ulcer disease, diagnosis can be confirmed by upper G I endoscopy. In my opinion consult a physician and get his opinion as physical examination is very important in this type of cases. 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 doctor, I have a dark purple rash that has appeared on my lower back that I am slightly concerned about. I noticed it for the first time a few weeks back but after a 7-10 days it disappeared. I have suffered with lower back pain for 3 years but never seen this. I am a 33 year old male who is generally fit and healthy and as far as I can recall have had no trauma on my back in the last day or so.please if you could advise it would be a great help. Seems to be either side if my spine <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, It could be a fungal infection or an edematous dermatitis. Fungal infection presents with an expanding skin lesion with central clearing and a Chat Doctor. I suggest you to kindly visit a dermatologist in your region for a confirmatory diagnosis. For a fungal infection I would suggest that you try an OTC topical antifungal e.g. clotrimazole 1% cream, twice daily whereas for an edematous dermatitis you would require a topical steroid cream. Both these conditions are usually itchy therefore I would also suggest adding an OTC oral antihistamine e, g cetirizine 10 mg tablet for symptomatic relief from itching. 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|> Why do I have sharp, sudden pains all over my abdominal region? Sometimes its right at the bottom of my ribs, on both sides, right on my stomach, or down near my ovaries. (Im female, obviously. eighteen years old.) It only lasts a few seconds and its not at certain intervals or times -- it just pops up randomly and it really hurts. The only way I can relieve the pain is to press on it when it happens. And when I do press on it, its a little bit sore. But like I said, it pops up all over my abdominal region. Its rarely ever in the same spot. Any help is appreciated. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, From history it seems that there might be having intestinal colic giving this problem. This might be due to Gastrointestinal infection or some digestive problem due to food habit. Avoid spicy and junk food.If you require go for one ofloxacilin, tinidazole combination medicine course for 3-5 days if this problem is since long.Meanwhile, take some antispasmodic medicine like Metal spa or Cyclops as needed. Ok and 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 ten year old daughter s face is flushing and she feels hot. This happens all of a sudden and then slowly goes away. She is in the maybe 3rd to 4th stage of puberty, no period as of yet, but starting to get pubic hair and under her arms slightly. I don t remember that far back, are hot flashes normal at this time for her? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Welcome to the Chat Doctor I have gone through your question and understand your concerns. The symptoms can occur due to pubertal changes that she is undergoing. But, I would recommend you to evaluate her for hyperthyroidism as well. Hyperthyroidism may give similar kind of symptoms. So, you may get her thyroid profile tested. You may post her reports for my review. Hopefully this 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 13 year old daughter is leaking greyish liquid from one of her just emerging breasts, and there is what looks to be a greyish bruise under & around most of her nipple. She has had only two periods and is scared out of her wits that this leaking might be cancerous. Should she see a doctor (she is very reluctant to consider this due to modesty issues)? Any help would be appreciated. Thanks C. Bowerman <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Welcome to Chat Doctor Dear this is your daughter s health issue Don't ignore it. Health is first than modesty issue. Show her to gone first and then see what she suggestion get panicked. For the time being take care of her diet. It should be more of fiber than starch include fresh fruit, a lot of soups and juice, green veges and Chat Doctor. And a lot of water. Should be regular in habits of taking food evacuating bowels Avoid fried, fast food, cakes & cookies .to remain awake till late at night Mental strain in any form, worry anxiety should be avoided. <|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 got some problem he cant walk properly for few days .. then doctors said he has some infection near spinal card and they took x ray and mri scan now they said some muscles near spinal card got infecteced and swell up.. what is the reason for this how it happens and they told to take blood test [ trp, rr ,hlad27 mantoux] <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for posting your query to Chat Doctor. If radiological investigation showing some kind of infection you should go for blood investigation as radiology only guide you about damage caused by infection not the cause, but you can confirm cause by blood test .no need to worry whatever would be the infection, can be treated by medication . It could be an infection or inflammation due to some unknown cause .so go for investigation .take care .thanks. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi.My name is Angie. I m a 45 yr old woman with metabolic syndrome, depression and IBS as well as mild hypertension and hyperlipidemia. Additionally I had my thyroid out in 2008 non cancerous.Last Tues. I was diagnosed as having a tension headache and had normal BP. Today I spent 45 min cleaning and my bp at stopping was 143/96. BTW I had the headache for a week and a half. My cardiologist released me because I only present as being out of shape. All tests were normal. Do I need to do anything different? <|eot_id|><|start_header_id|>assistant<|end_header_id|> HiT hanks for using Chat Doctor I think, you need lifestyle modification. It has been seen that patients of depression usually get multiple physical complaints due to sedentary lifestyle. Same thing is in your case. You should try some changes in your daily routine like morning or evening exercise pr walk, some relaxation technique like yoga or meditation etc. That would keep you active and in proper shape. In case, you need further help, you can ask. 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 am 59 and was exposed to alot of vacuum cleaner dust over a 2 hour period thus resulting in a sinus infection (symptoms were headache, sore throat and glands, ears feel full and hurt). I went to a urgent care facility this afternoon and was given 3 injections: rocephin, solumedrol & toradol. I can not get to sleep, I feel antsy inside. Is this common and if so when will it go away? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello to dust, you develop bronchoconstriction and also due dust you develop allergy in throat. All these produces such type of symptoms. You got 3 shots, ceftriaxone (Rocephin), volume Chat Doctor. However, these are quite good injections but due to bronchoconstriction you develop sleeplessness. This is very common due to your allergy and shots. When such patient visit I prescribe them to take montelukast+levoceterizine once or twice in day. Also, to take some terbutaline type bronchodilators as allergy syrup. Hot coffee and steam inhalation also provide instant relief. Since this is a prescription medicine, so get a consultation from a physician. 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|> My wife had her gullbladder out 10 months ago and is still having pain. The pain is manly located under her right lower rib. She has had countless blood work done, CT scans, edoscopy, colonoscopy, 24 hour urine test, and stool samples taken. Do you have any idea what may be bothering her? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Presentation of post cholecystectomy pain. Differential: surgical incision pain, fat intolerance or stone remnants in common bile duct. Ultrasound abdomen maybe done to rule out stones in common bile duct and to see the tissue underlying incision. Advice:- take Famotidine - also get a complete blood cell count(CBC) test-avoid OILY food and FAT diet altogether-avoid eating stomach full and mouth full-avoid spicy food 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|> CAN Topamax ever lower your potassium level to approximatly 2.3??; LAST WEAK I HAD ACUTE KIDNEY FAILURE from getting very sick. The main DR blamed all my symptoms on Topamax. In hosp for week - I went because i couldnt keep any food down + kept drinking drunk tons of water. Finally got Potass.. up to 3.1 --- Main diagnosis acute kidney failue due unspecified ALL THEY GET KEPT SAYING WAS TOPOMAX WAS THE BLAME!! i ve CANBEEN ON t for many years -- MIGRAINES for over 30 years {On T for aprox 15 years -but not entire time} Is low P a side effect that I never read about? MY CONCERN THESES HEADACHES. i M ALREADY GETTING ONE A DAY. PLEASE TELL ME IF/IF NOT I CAN T EVER TAKE t AGAIN. THANK YOU - I REALLY NEED AN ANSWER----IN PAIN / CAN t sleep THANK YOU FOR AT LEAST LISTENING ; karen <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Ive never read anywhere about acute renal failure caused by tokamak! It can cause Liguria sometimes which means a lower urine volume, which under certain circumstances may aggravate renal function and lead to acute renal failure (for example: in deny Chat Doctor. Tokamak increased the rate of renal stone formation, which may lead to obstruction of the urinary tract and cause renal failure. Obstruction causes severe pain, so you should know it if something like that happened in your case. Topamax may - rarely - cause hypokalemia. Hypokalemia can also be caused by poly uric renal failure. Renal failure may present with either Liguria (less urine) or polyuria (excessive urine) and sometimes Liguria is followed by polyuria. When too much water is excreted, potassium is lost as well. So if you're passing liters of urine every day then a low potassium level can be attributed to polyuria. So in conclusion, I don't believe Tokamak caused renal failure to you because there are not any reports that I know about such a side effect of this <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi ,Doctor....I have bruxism for some years now since 1997 , had a tooth replaced ,still can t stop the clinching .It has just become a habit ....my teeth are worn and repositioned and can t close my mouth in a comfortable position because my teeth hit each other in the wrong place......is this condition ever cured or does one just have to live with it ? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, thank you for consulting with Chat Doctor. Yes this clenching habit can be improved for this first you have to make improvements in you, it means you have to keep noticing that when are you doing this and try to avoid it. This also occurs because of stress, try to relieve it. And at the end you visit your dentist he will give you night guard which will help you a lot. And if needed he can also make some changes in your causal surface of your tooth so that you can close the mouth properly. Hope it will help you. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi..i had just an ecg recently and i git a remark of sinus rhythmn and left atrial abnormality..i am a reglar 10 km runner..and a long 21km run on week ends..does this mean any abnormalities of my heart..my RHR is 55BPM...pls any comments on my concern...thanks <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your concern. Since you are running and doing regular exercise, no need to worry much for this ECG report. But better to rule any structural pathology of heart because ECG is stating left atrial abnormality. So get done 2d echo. 2d echo is sonography of heart. It will tell you more about heart chambers, pumping, valvular functions etc. It well also tell if any structural abnormality in left atria is present or not. So get done 2 d echo. 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|> Im still taking 400mg ibuprofen every four hours for pain in one area of my jaw. My wisdom teeth, all four, were extracted a week ago today. Have been taking penicillin as a preventive measure. Stitches fell out early in the area which still hurts.Is this normal for a 44-year-old in excellent health? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for consulting ChatDoctorRead your query as you have undergone extraction now you have pain don't worry in wisdom tooth extraction pain can be there for one week, but you should consult your dentist for examination of extraction socket. In meantime follow all post extraction instructions, take proper course of antibiotic and do warm saline rinses, DNT rinse your mouth vigorously. 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|> Im in very good health, 65 years old. have had ED for about 10 years. Recently have had very frequent problems w/ maintaining erections during intercourse. My questions: are stretchy penis constrictor rings safe? I bought one and it seems to work much of the time. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hellothank you for trusting Chat Doctor Dear as with any sex toy or device, constriction-rings are safe if used properly. But no matter if you're using an appropriate sized ring in a safe and proper manner, you must not wear a constriction-ring any longer than 30 minutes. After a few hours of having an erection for any reason (constriction, pharmaceutical Chat Doctor. And I mention appropriate size because even short periods of too much constriction can cause similar damage. So dear keep in mind that constriction rings may cause damage if it is not used properly. Please take advice from sexologist if you face problems while using. I think I answered to your question if you have more questions feel free to ask. 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 Im a 55 year old female. I slipped and fell on my bottom three days ago. The pain was bad but it seems to increase day by day. I tried all antinflamatories but it eases the pain just a little and then it comes back worse than ever. Strangely enough the worst pain is on my right side. Down my right leg and into my groin. The nights ar the worst. I cannot get up or change positions. Its really very sore. Did i do much damage? Thank you so much. Magdaleni <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, thank-you for providing the brief history of you. As you mentioned you had a fall on the hip and the pain is persistent on right side, I suspect it to be a soft tissue Injury for which taking an MRI for the lumbar spine will add-on some understanding. Also, the pain you are facing down the leg from the hip it looks pinching of nerve due to soft tissue Injury. Besides, try performing some core stability exercises, pelvic floor exercises, spine Strengthening exercises, gluteus Strengthening exercises and lower limb as a whole Strengthening exercises. Usually 99% of the cases recover with exercise. Also, as you mentioned your age as 55 and female, you need an additional calcium supplement which can be fulfilled by either of it - milk, curd, medicine etc. With the grace of God I wish you a speedy recovery <|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, recently I was affected by amoebiasis along with blood in the stool and my doctor prescribed me Ornof, Bestozyme and 3 doses of Zentel. After that, blood in the stool has stopped, however, I am having pain on the right side of stomach, right chest and lower abdomen. Also, I am having severe nausea and headache. Could this be amoebic liver abscess or any other complication due to amoebiasis? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi thanks for contacting Chat Doctor ..... Noted you had amoebic dysentery and given correct treatment for it..... As dysentery leads to ulcer in colon, so right side pain can be there .... If Colitis is there by amoeba then also pain can occur.... As the pain is on right side rule out amoebic secondary liver abscess ....USG abdomen useful for it..... Complete the course of antibiotic..... Soft and bland diet taken.... Excess spicy foods avoided.... Fried food less. Fruit juice more..... Small meal taken with frequent interval... If still condition worsen even after completion of antibiotic course then consult physician for further examination and accordingly investigation.... Take care..... Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My son has had a really high fever of 103,4 for over 2 days. Today i took him to the er. They said it was a uti and that his white cell blood count was low. I also just found out that crones diease runs in my husbands family. Could this low white cell count mean my son has this diease?? he is only 5 months old. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello and welcome to Chat Doctor, Bacterial infections like urinary tract infection (UTI) can cause low white blood cell count. Appropriate treatment of UTI is required with appropriate antibiotics. The white blood cell count will improve once the infection clears.Crohn's disease is not known to affect the white blood cell counts directly so this is not a symptom of Crohn's disease. Thanks and take care Chat Doctor. <|eot_id|>