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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\|> my 3 year old has had cattarh for over 3 mths. he has been taking an anti histimine 5ml solution once day for a wk from his gp. There has been no improvement. He is very tired and irritable. Tonight he cried for a while with earache, but calpol and some warm olive oil in his ear improved the pain. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> IIN my opinion your child seems to be suffering from allergic rhinitis. This is based on the description you have provided. I would suggest going for serum immunoassay for IGE to allergens, Absolute eosinophil counts and a nasal smear examination for eosinophils and neutrophils to confirm the diagnosis. Try to find out and avoid allergens responsible. If he is not responding to antihistamines, try intranasal inhaled steroids or elastin nasal spray. They might be 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\|> hello doctor my child is 1 month 8days. yesterday she was sleeping whole day with slight fever and taking mother milk in very little qty compared to previously. previously she was very active whole day . when visited doctor ,he prescribed polypod drops-cefpodoxime proxetil 12 drops twice daily and mefanorm suspension 2.5mg 3 times daily. Please tell me dr. is it safe for my baby. thanks rajesh <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, if the child has fever and has decreased oral acceptance, it could be due to sepsis. Child will require a course of antibiotic in form of Cefuroxime and a NSAID in form of Paracetamol or Metonymic acid. Metonymic acid like any other NSAID also has side effect in form of loose stools, gastritis, nausea, hepatitis. But it has no contraindication for a month-old child. I suggest you continue with the same prescription and see a pediatrician if condition gets worsened. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 got very drunk one Sunday a few weeks ago and a lot of negative thoughts about my self, my life, my self-image self-worth etc all came to the surface in one go. Following this, some members of my family have encouraged me to go to a pyschiatrist. I am afraid of the consequences of entering into formal psychiatric care on the basis of one negative episode after what has been an intensely difficult year (2 close family bereavements, a relationship break-up, change of job and the achievement of a new academic qualification). I am and always have been interested in and aware of my own emotional health and have never been afraid to confront any problems or issues in my life. I am currently attending a counsellor who has given me tools and resources to assist me in maintaining good mental and emotional health, but because I am attending a counsellor and not a psychiatrist , my family think I am trying to avoid my issues and want me to have a psychiatric assessment. I don t believe I need this but would be prepared to undergo such a process if it gave conclusive answers. I have never been prescribed medication for a mental disorder . I am 52, female, single with an adult son who lives overseas. I feel I am being rail-roaded onto a path I don t need to travel and yet, I understand their concern. I know I shouldn t drink when I m feeling vulnerable - yet, I did on this occasion and I have made myself vulnerable to the judgement of others. Should I hand over my life to be scrutinised and analysed on the basis of other people s concerns just to prove a point or can I make a stronger case for my own well-being by continuing to take responsibility in my own way and on my own terms? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello and welcome to Chat Doctor. Thanks for your query. Even though you have had only one episode of what appears to be depressive symptoms, it is important to have a proper evaluation, in order to have a proper understanding of your problem, so that appropriate remedial measures can be initiated. Moreover, you say that you have been through a very stressful time of late due to your multiple situational problems. You also don't seem to be adopting healthy coping strategies for handing your stress, for example resorting to heavy Chat Doctor. So, I think it would be worthwhile to seek professional help from a psychiatrist for a detailed psychological assessment and further management. Wish you all the best. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> man in mid 30s, periodic feeling of intense sternal chest pain, like squeezing when this occurs his pupils dialate with each heartbeatbegan appx 2-3 months ago went to ER on one occasion but by the time he got there the episode was overhe related his symptoms but was given something for gastritis none of the symptoms were evident at time he was seenepisodes continue to occur intermittantly, seemingly randomly <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. We should first rule out valvular heart diseases like aortic stenosis and aortic regurgitation because both of them causes intermittent severe chest pain and dilatation of pupils with heart beat. So first get done ECG, 2d echo to rule out these valvular heart diseases. If any of these is present than he needs surgical correction of valvular defect. If these reports are normal than sometimes stress and anxiety can cause similar symptoms. So ask him to avoid stress and tension. Don't worry, he will be alright but first rule out valvular heart diseases. Hope I have solved your query. Wishing him 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\|> every once in a while in he morning i see blood in my spit after brushing my teeth. gums do not appear to be inflamed. was just at the dentist and gums are healthy? i feel fine..healthy etc. what could it be and what kind of doctor should i go to for this. <\|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 bleeding gums while brushing don't worry it can be due to dirty teeth, Due to periodontal problem bleeding while brushing occurs. Do warm saline gargle two - three times a day. Do brushing twice daily. Do chlorhexidine mouthwash twice daily. Consult dentist and go for ORAL Prophylaxis. 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\|> Well I m a football player, after on game my knee started to swell up..then after and many weeks after it began to contain fluid in it. But now the fluid is all gone but the inside of my left knee is num and if hit I feel it burning and it hurts days after. What happened to my knee? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Your symptoms seem to be related to an injury of the knee. I suggest:- Rest your knee when you have pain and swelling and avoid weight-bearing activities-Use over-the-counter pain relievers or anti-inflammatories as needed-Put your leg up and apply ice to the knee for 15 to 20 mins If the symptoms continue, I suggest seeing an orthopedist. 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\|> A stool test indicated that I have H. pylori infection, I ve been taking omeprazole, amoxicillin and clarithromycin as prescribed for 10 days. However, I ve been experiencing worse GERD-related problems such as pain in my upper stomach/esophagus, tightness in my chest, and difficulty in breathing. I suffer from asthma so it feels very similar to it but with the difference that my asthma medications will not do anything to alleviate this discomfort. Should I be worried? Could it be an ulcer? and if so will it heal with time? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi.Thanks for an elucidated history. The HERD treatment is going on nicely, you have taken antacid and Risperidone in addition to the already taking medicines. Once the HERD is controlled, it will be easy to control asthma too. Get the following investigation done - CBC, Urine, X-ray chest, upper GI Endoscopy, stool examination in detail, All these will help in a proper diagnosis as for the real status and a proper treatment accordingly. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 sharp pain in my upper right leg while riding in the truck this afternoon. Within 15 mins of it I was able to get to a restroom to check it out - the pain subsided but the vein was raised and a small bruise was starting to show. Since then the bruise area has gotten bigger the vein has gone down to normal and I have been home and iced the area for at least 20mins. It s tender but have moved my leg around Did I break a blood vessel? I did not have any impact or hit to the area prior to this <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have sharp pain in leg. Well there can be many reasons for symptoms you mention in query like nerve compression, diabetes, neuropathy, DVT, muscle spasm or multiple Sclerosis. If condition doesn't get well then consult orthopedic surgeon for proper examination. Doctor may order blood test, CT scan or MRI along with physical examination and nerve conduction test to confirm the diagnosis. Doctor may prescribe methotrexate, anti-inflammatory, gabapentin long with nerve supplement and recommend physical therapy. I would suggest you to do light stretching exercises along with gentle massage, apply warm compresses on entire leg and take muscle relaxants like orthodox MR. Do not sit or stand for long time in one position and keep your legs in hot water tub with Epsom salt for 15 minutes. Hope your concern has been resolved. Get Well Soon. Best Wishes, <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi. I had sex with my boyfriend on Saturday. He was not using a condom and he doesn t think he came inside of me but he is not for certain. I did not take a plan B and I am not on birth control. I was ovulating according to my period calendar about 3 days before I had sex. Could I be pregnant? I am very scared <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello. I have read your query. The calendar method for birth control is not 100% effective to prevent a pregnancy, as it relies on calculations to determine the fertile period. This is especially true when intercourse happens around the ovulation time. In case the periods are not regular the method is unreliable. Do not worry, just wait for your period to come normally. If it's late do a home pregnancy test or an ultrasound to confirm. I would recommend moving to other effective reliable forms of birth control. Talk to your gynecologist about it. Hope this is helpful. 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 husband 30 years old, height 5 8 & weight 68 kg. he suffering arthritis last 4 years. total heep replased. last 2 years have no pain but now he suffering pain his legs. legs are swelling and have a pain. so please suggest me best doctor in cmc vellore for treatment this problem <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Thirty year age is very less for arthritis. If there is pain at knee then this does not look to be due to arthritis. There may be weak muscles or some cartilage issues. You may ask him to do some exercises which helps in strengthening his thigh muscles. There are also some medicines like glucosamine, Chen Chat Doctor. Take care. 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\|> For the past week i have began to have severe lower back pain and it has started to limit my movement at work. Im scared that it might be something serious but im not sure if im just overreacting to some over exhertion from work. i stand for almost 8 hours straight 5 days a week. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Welcome to Chat Doctor forum, Lower back pain may be due to Lumbar strain/sprain or disc prolapse needs following precautions: Avoid riding two-wheeler. Don't lift heavy weight. Sleep on hard mattress and on your back and side, don't sleep in your abdomen since the muscles will get more strained. Avoid sudden bending and turning. Take hot fomentation daily twice. Sit in a proper potion, don't hunch back when u sit. U can wear LS belt while travelling. Consult or tho specialist for further treatment. Hope I have answered your question, Regards <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I woke up this morning with a coating on my tongue that was a blue-green color. I thought over what I had eaten yesterday, but nothing out of the ordinary and nothing in those color families. I am a 66 year old female who is currently undergoing radiation to the retinas. I completed six rounds of high-dose methotrexate this summer for Primary Intraocular Lymphoma (so rare almost no one in the world has had it). I have had no side-effects (except being quite tired) from any of my treatments, which has amazed everyone, including my doctors. I also did not lose my hair from the chemo. I hope this blue-green tongue doesnt indicate anything serious. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your query, I have gone through your query. The bluish green discoloration could be because of the chromogenic bacterial infection. It can be secondary to radiation therapy where the salivary secretion will be reduced. Consult an oral physician and get yourself examined completely and take a course of antibiotics and follow thorough tongue brushing. I hope my answer will help you. Take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am 43 year old female and have a bicuspid aortic valve. I work full time, but I am so tired at the end of the day I have to rest when I get home. I feel dizzy at times, out of breath, I have stomach angina and the joints in my fingers are achy. Can I receive disability for this? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi Admits a pleasure to answer to your query, as you have mentioned that you have a bicuspid aortic valve, and you feel tired at the end of the day. Now let me explain the mechanism happening in your case, aortic valve which is generally tricuspid is bicuspid in your case which means the opening will be less in your case due to which less amount of blood passes through the aorta when your LV pumps due to this less amount of blood is being supplied to your body. Due to this when you are physically active a SUPPLY DEMAND mismatch happens due to which you feel tired and dizzy at the end of the day. It can be taken care of with the help of meds up to certain extent but in case if you develop symptoms like giddiness or palpitations then it needs to be corrected by means of surgery. Now regarding the stomach pain usually cardiac pain does not refer below diaphragm so the pain which you are feeling is probably non-cardiac and for that you need to check with your gastroenterologist. And also get one Serum Uric acid and AS title done for your join pain. Good Luck <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My mom recently started taking Xalkori (Thursday) to treat lung cancer. She has various symptoms which seem associated with the cancer, most notably difficulty swallowing (liquids, not solids). However her difficulty breathing has seemed to worsen since she started taking Xalkori. I have read that is a possible side effect (albeit rare) of Xalkori. At what point is the difficulty breathing associated with the cancer, vs. a side effect of the drug? The website makes it sound like I should contact my healthcare provider immediately. It s not like she s gasping for air, but it does seem worse (wasn t really a symptom before). How concerned should we be? Thanks. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, am very sorry for your mothers' problem.does she run fevers?yes crizotinib(Xatori) can cause breathing problems.it can be due to Chat Doctor. .as it is a common side effect you can't avid it.approach you doctor if she has moderate to severe breathing problem.its no wrong if you can bring this to the notice of your doctor now (if possible)hope my answer helped you if you have any more queries I would be happy to 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\|> what is my lump? Hi my names Melissa im 15 years old around 54 and i weigh about 124 pounds. A year ago i was at the waterpark with my friend and felt my stomach and there was this lump under my skin. Its not 3D but you can definitely feel it. Its still there. Its in between my belly button and boobs. I tried looking it up and i think it might be a hernia or something. I can push it in and it feels weird. What could it be? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, dairy have gone through your question. I can understand your concern. You may have umbilical or para umbilical hernia. Or you have some soft tissue tumor. You should go for examination first and if needed go for ultrasound. It will give you exact diagnosis. If you have hernia then you should go for surgery. Hernia repair by meshplasty is the treatment of choice. Consult your doctor and take treatment according to diagnosis. 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\|> HiIam 30yrs. I had spinning sensation 10 months ago and i consulted neurologist and he asked me to go for MRI scan and later he suggested tablets to reduce high blood pressure. But since 10 months i feel heaviness in head and lightheaded. I feel like i would faint. Please advice. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, dear. I have gone through your question. I can understand your concern. You have high blood pressure and your symptoms are most probably due to increase blood pressure or may be due to some other cause. You should consult your physician and check your blood pressure. If it is high then take treatment. And if it is normal then search for the other cause and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 roux en y done 2003. Lost from 400 down to 194. Lost ins but maintained weight until about 2007 wwhen I was slowing down due to balance issues & numbness in left foot . Diagnosed in early 2009 with progressive ms. Doing okay so far with ms but weight up yo 270. Experiencing some abdominal-left side pain, nausea & vomiting off & on. Would I be candidate for revision? I did have gallbladder removed & have 2 ulcers . Thank you <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I could say that you have a multiple disease and in such situation developing some functional elements is very likely, and I guess this is what happening to you, in my opinion you need to keep the stress level very low, and stop worrying about this every thing would be alright, take care and have a nice day. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, just had my second biggest tooth removed, it was a root canal as well...i did not take painkiller afterwards, and now its the 3rd day, the pain is almost gone, but i still feel very weak at times, is this considered normal reaction after tooth extraction? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Thanks for your query. In the event of nausea and/or vomiting following surgery, do not take anything by mouth for at least an hour including the prescribed medicine. You should then sip on Coke, Sprite, Gatorade, or ginger ale. You should sip slowly over a fifteen-minute period. When the nausea subsides you can begin taking solid foods and the prescribed medicine. I do hope that you have found something helpful, and I will be glad to answer any further query. 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, today I woke up with a dime-sized lump on my face. It s on my cheek bone, below my eye. It is quite painful and squishy, I ve been told it may be a cyst. I have to go to work daily and cannot have this on my face while working with customers. What is it? What should I do? Thank you! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi. Thanks for your query. A dime sized lump can not be a cyst if it has appeared overnight. The site bellow the eye on the cheekbone can be swollen die to insect bite, again to say so because it has appeared in a short span, is painful and squishy. Get an antihistamine and a short course of oral steroids. I hope it will be fine. Please do not fiddle with it, as this area if skin is very sensitive and the edema increases very fast even on a slight handling. Give it some time, it will heal nicely. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Have popped bilateral small bicep tendon doing noting at all recently. Then pain in bilateral thighs front. Again just started with no insighting event weakness. No cramping unless I am lifting or trying to lift 53 year old male no known muscular issues or orthopedic issues <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, thank-you for providing the brief history of you. As per the history it looks a Neuromuscular reaction. Since your age is 53, it is expected to have some degenerative changes in the spine and the nerve may get pinch leading to abnormal symptoms. Having a thorough clinical examination is advised. Post which medication will be advised for pain relief and also doing exercises in the later stages should help further. Regards Jay In Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> What is the maximum allowed dosage of fluvoxamine for healthy 30 year old man? Is it safe to have 200 mg fluvoxamine per day ?Hi, at the age of 23 I was having Fluoxamine per day 175mg to 200mg ( morning 1.5 (75mg), afternoon - 0 and night 2 ( 100mg) ) for Depression, OCD, ADD and social anxiety. In this dosage i was feeling very well and happy. Along with that i was also having Alzolam 0.25 mg per day. I was continuing this for 5 years. In between i sometimes stop medication completely and whenever i feel discomfort i restart the medication. Later on i switched to Venlafaxine and then to Sertraline thinking that it could give me much better benefits however it didnt work that well with me. I dont know whether it is because of lower dosage of what i am having. Currently i am having sertraline 25mg per day however it gives me side effects like on interest in sex, feeling sleepy, etc. Around 9 months back i was having Crestor 10mg per day for cholesterol but now i have stopped it.Now i want to switch again to Fluvoxamine as i think this was working well with me than any other medicine but in a higher dosage. Is it safe to have 200 mg or 175 mg per day ? I am a 30 yr old health male. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, thanks for the query. First & foremost I would strongly urge you to NOT change/switch any medication on your own & what ever are your issues with current set of medications should be discussed & dealt with only under supervision of a qualified medical doctor preferably a Psychiatrist. I am using strong words since all these aforementioned medications come under category of SSRI/SARI & taking 2 SSRIs together can cause a potentially dangerous condition named serotonin syn 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 im female 45 14 stone .i am diabetic taking metformin 500 recently got high blood pressure and cholesterol and been presribed amclodipine,ramipril and silvestram last few day having hot and cold sweats stomach pain and nausea unable to eat and feel very tired and have a headache <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms could be related to amlodipine adverse effects. Hyperkalemia, could also explain some of your symptoms. Coming to this point, I would recommend consulting with your attending physician for a physical exam, a complete blood count and blood electrolyte levels. You may need to stop amlodipine and switch to another antihypertensive Chat Doctor. Hope to have been helpful! Kind regards, <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> i had dental work done 6 days ago and had to have novacaine before the procedure. I am still experiencing numbness in my upper lip , nose , eye, and ear. As well as a thickness in the throat . Very similar to the feeling you experince as the novacaine is wearing off. The feeling isn t constant and comes and goes but I would say it is present 75% of the time. Any suggestions. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Thanks for the query. Usually numbness after local anesthetic administration lasts for 5-6 hours. Since in your case the numbness persist even after 6 days. This may be due to many factors- 1.over dosage of local anesthetic administration. 2.cheek/lip biting during the time of LA action. 3.neurological disturbances associated. I would suggest you to- visit a dentist at the earliest. Apply cold ice packs on the affected area. Consult with a neurosurgeon. Muscle relaxants can be administered. 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\|> My 2 year daughter reveived nebvent treatment and was prescribed predcort ds 10mg/5mls to be taken 1 and1/2 teaspoon full daily . hawever when we got home she started itching all over her body and and red blotches developed on her skin. I think she is having a reaction to the medication . What should i do and what should i give her to stop the itching. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Welcome to Chat Doctor, There is a good possibility it's a reaction to the Chat Doctor. First thing to be done is to immediately stop all medicines. Give plenty of liquids for child to take orally. As far as itching is concerned, you can apply lactocalamine lotion over the red itchy areas that would comfort. Before starting any medicines to reduce itching, I would advise you to consult a doctor so that those lesions can be seen. Hope your child recovers soon. Take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I hurt the top of my foot in dance the other day but I don t know what I did. There is no bruising in no swelling but extreme pain when trying to walk or put weight on it. My parents don t think there s anything wrong with it so they won t take me to the doctor. No there is something wrong with it because it shouldn t hurt this bad to stand. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Been there. The structures that are there are joints and tendons. While there can be stress fractures in the foot, irritations of the local structures is near 100% of those who dance regularly. Ice at first for the first 12 hrs applied as an ice pack without direct touching of ice onto the skin where it could cause frostbite. Then, aspirin like Chat Doctor. Resting the area is quite difficult to do. Then after the pain is mostly gone, physical therapy on range of motion, stretches, building up muscles, and how to hold positions correctly will be an important and quite difficult set of routines to come up with and to do. Basically, consult other dancers to find the best specialists in your area (sports medicine, physical therapy, maybe podiatry). <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 23 years old and its been 6 years that I m having cystic acne . I have taken two rounds of isotretinoin but after leaving it the acne has come back.i have taken antibiotics also in these six years off and on..I have been on medicines for 6 years but acne is still there and scars as well. what should I do? I have PCOs as well and I m on Neodipar. please help <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Treatment of acne depends on the stage and severity of the condition. Very good results can be obtained if you are under regular treatment-the duration of the treatment lasting from 6-9 months. The problem of relapse occurs because most of the time either the medicines are not applied properly or not applied for the needed duration or the treatment is stopped midway or irregular. More than antibiotics for prolonged duration what is needed is topical retinoids for six to nine months Cystic acne means you have grade 4 acne the management of which might require oral retinoids, which need to be taken only after proper investigation, counselling and guidance of an experienced dermal. You have taken two courses, but more course might be needed please visit the nearest dermal who will decide the stage and chalk out a management plan for you. Also one thing you need to strictly follow is that you need to continue the medicines for at least 6-9 months if you want to get rid of acne for quite a long duration. Regards <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello doctor,myself Manoj gupta, yesterday one sleeping on stair of one complex and wrongly I stepped on dog.then he bite me on leg by one teeth.I washed it and went to hospital, doctor cleaned it with betadine and given me rabies vaccinesen along with TT .then advised me to wash by bit warm water after reaching home.washing done after an hour. That dog was street dog.so kindly advice. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, thank you for your contact to Chat Doctor. If I am your doctor I suggesting you that as you have taken a good primary care chances of you getting rabies decreases. Though some 0.01 % chance is there for rabies. You can track the dog for 10 days if he is not missing for 10 days than it has no virus in his body, and so you are complete free from infection. If you have to ask me anything you can contact me. Chat Doctor. Infectious disease specialist. Thank you. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> AT THE TOP OF MY ULNA BONE NEAR MY RIGHT WRIST THERE APPEARS TO BE A LUMP. IT IS NOT SOFT BUT RATHER FEELS LIKE PART OF THE BONE BUT IS RAISED FAR HIGHER AS COMPARED TO MY LEFT WRIST/ULNA. I AM A RIGHT HANDED GUITAR PLAYER AND THIS DOES CONCERN ME....I DO HAVE SLIGHT TENDERNESS IN THE AREA OF THE ULNA LUMP. SHOULD I SEEK A SPECIALIST? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thankyou for providing the brief history of you. A thorough neuromuscular assessment is advised. This looks more of a repetitive stress injury due to consistently playing guitar. May be due to the position adapted to play the guitar have lead to the tightness of the soft tissues, like the flexor retinaculum. Also, taking physical therapy into consideration should give some help to reduce the inflammation and post which proper exercises for the same will help to avoid similar injuries in the area while playing guitar. 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\|> Hi Doc. My mother is suffering from ILD disease since last 7 years. Her age is 47. So, now we want to bring him in India for better treatment. Would you please tell me what can we do now? Which Hospital, Which doctor & treatment will best for her. I will be very greatfull if you give me proper advice. Pls Help me. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi I can understand your concern... Your mother having interstitial lung disease OLD .... But you have not mentioned cause. ... So following has to be ruled out .....-Interstitial pneumonia -asbestos is or silicosis like occupational lung disease -hypersensitivity pneumonitis by dust, pollen etc.-Idiopathic pulmonary fibrosis -some immune disease like rheumatoid arthritis, scleroderma, acidosis etc... For correct diagnosis along with x-ray, lung tissue biopsy needed..... According to cause treatment guided.... Your mother might need steroid to reduce inflammation... If pneumonia cause then antibiotic given... Measure your blood oxygen level, if low oxygen therapy given to protect heart . So you can consult good pulmonologist for your condition nearby hospital in state ... Take care .... Hope your concern solved. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> thank u doc,my son ,27 yrs at present in states had a fall from 10 balcony and some l3-l5 small problems. had treatment from quilon& amrita institue and after that he was having some backpain occassionaly.now he is travelling back on 20th and again some severe pain started.he had physiotherapy courses there. after his return, what v should do for him? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for posting your query. From description it seems that your son had injury over back, and now he is on Physiotherapy. As it looks like muscle strain, I suggest-Avoid lifting heavy weights and forward bending activities. Use a lumbosacral back support. Give rest to the injured part and do not involve in activities which puts additional strain on the injured tissue. Applying muscle relaxant gel and doing hot fomentation will be helpful to relieve the spasm. He can take anti-inflammatory Chat Doctor. Hope this will help you. Feel free to ask me if you have any further queries. Wish you good health. Take care. 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 Doctor... My dad is 56 and he has liver chronic disease n its not serious right now...he is doing fine... He is non alcoholic...he is vegetarian...last 1.5 months before, his AFP levels were 1220 but right now its 680... But his SGPT n SGOT levels are increased from 101 to 120 and 73 to 82 respectively... So i want to know what kind of diet he has to take and what precautions he has to take..? P.S: He travels a lot due to his profession. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello. The GOT and SGPT levels are slightly elevated, is not worrisome but is important to follow proper diet. He must avoid alcohol, red meat, fried foods, cakes,bakery products, potatoes. It is recommended a diet with fruits, vegetables, whitefish, white meat. It is also very important the practice of physical exercise. With diet and physical exercise, levels of GOT and SGPT probably will decrease. If the levels of GOT and SGPT no decreasing in three months, he should go to your doctor for an abdomen ultrasound. I wish you good health.(If the answer has helped you, please indicate this) <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> MY HUSBAND HAS SORENES OFF AND ON FOR A MONTH OR TWO SORENESS TO THE TOUCH , SO HE WENT TO A cardiologist.AS IT TURNS OUT HIS HEART ISSLIGHTLY ENLARGED HEART WITH A BLOCKAGE AND A LEAKY HEART VALVE ON THE RIGHT SIDE.HOW COMMON IS THE SORENESS? . <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, I understand your concern and would explain that the soreness to the touch is not typical of the heart, and is usually related to a musculoskeletal pain (local inflammation). Anyway, considering the coronary artery disease, I would recommend performing a coronary Antioch scan, in order to examine the blood flow in this coronary arteries. I would like to directly review his tests for a second opinion. In the meantime, I recommend taking ibuprofen for the pain and avoiding straining physical activity. Hope I have answered your query. Let me know if I can assist you further. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Im diabetic for around 3 yrs and Hba1c level is at good control for past 6 months, However, I have a problem in my abdomen with small bulge around right side of my belly button, so thought of some problem with Gallbladder, and did a Ultrasound scan every year and came up with the report normal and couple of times with fatty and enlarged liver and final report says fatty liver became normal in size. I personally feel swell and pain near belly button is intermittent, thus reports are also fluctuating, might some problem in the liver causes this fluctuation. please advise... <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Thanks for the query to Chat Doctor. Forum. Once again get in ultrasound with emphasis over head of pancreas. In your query, you mentioned that you are a patient of diabetes, so full report about pancreas is very important. Pancreatic enzymes' assessment is also very important, so please get in after the consultation of physician. Hope I have answered your question. If further any question I will help. Good luck. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My husband has had pain in his chest not cardiac related for quite some time now. He just recently had a chest X-ray done to rule out pneumonia. It was clear. Each time he sees a physician he is told to quit smoking and sent out the door. His chest pops and cracks when he stretches. We just noticed this evening that his left collar bone is swelled and raised higher than the right side. He obviously needs seen but is there something we can say to the physician that will get them to actually do something? Our local is less than desirable. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should consult pulmonologist for him. Possibility of bronchitis is more in his case. Bronchitis is common in smokers. It causes inflammatory reaction in airways. And this is the reason for all symptoms. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease and treatment of bronchitis is based on severity only. He may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, he will be alright. First diagnose him and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. 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\|> 17 year old girl usually average healthy, been suffering from sore throat hard and deep breating few days. advised chest infection and to take puffer and other tablets that contain steroids and antibiotics , since taken one hour ago feels lot worse breating worse tight chest anf pulse rate of 114 not too hot or clammy <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should definitely get done chest x-ray to identify the severity of lung infection (pneumonia). If pneumonia is severe then you should start Intravenous antibiotics and fluids. You may also need Nebulization to relieve chest tightness. Don't worry, you will be alright with all these. Consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My mother is suffering from asymptomatic hypertension (159/80) for the last two months . She has been prescribed Tolol XR 25 which she is taking from the last one month. How long she will have to take the medicine? She is 70 years old and her X Ray report detail that she has aortic Knuckle calcification too. But she has not been given any medicine to tackle the same. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain and give you my opinion. We talk about hypertension if we have mean values that exceeds 140/90 mmHg. Hypertension is divided in two groups: essential or idiopathic hypertension without an identifiable cause and secondary hypertension, usually in young ages, meaning that is a secondary cause of it. This cause might be a renal disease, an endocrine problem, a cardiovascular pathology. As you explain, in your mother case we are dealing with essential hypertension. It is a chronic disease. It has not a definite cure, but it should be treated life long. If she has stable blood pressure value on toll 25 mg, meaning values below 140/90 mmHg, than he has to continue with the same dosage. If she stops taking the medications her blood pressure will rise again. So, if I was your treating doctor I will recommend a holder pressure monitoring for 24 h, to know her mean values and decide the dosage ff medications. All sow I will recommend her a cardiac echo to evaluate the situation of her aortic valve as you explain. It is just a calcification or a stenosis there. The X-ray is not Enoch to evaluate the heart valve. It is very important because if it is a valve problem she has to change her medications. Hope I was helpful. Wish your mother good health. Best regards. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello Doctor,I have been feeling chest pain for the last few weeks. After which I was admitted in Ruby Hospital Calcutta. The chest investigation report of echo revealed "COARSE VASCULAR MARKINGS ARE NOTED IN THE LUNGS FIELD". Could you please suggest what does this mean asap as because the chest pain is still increasing day by day................Thank you...... <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Coarse vascular marking is non-specific finding and following causes ruled out.-Smoking induced - Bronchitis (viral or allergic) -A asthma like allergic inflammation So stop smoking if habit As you are having chest pain you might have bronchitis. Your Auscultation should be done and if needed spirometry done that will be helpful in assess severity and deciding management plan. Decongestant Chat Doctor. Consult pulmonologist for examination and discuss regarding management plan with keeping my answer in mind. Hope your concern is solved. Let me know if I can assist you further. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello. Thank you so much for being available. I am 66 years old and just started taking glimperide (smallest dose) for diabetes. I started feeling weakness and pain in my lower limbs that is really uncomfortable. I stopped taking statins because of this pain, and I wonder if it comes from the glimperide it is not on the common list of side effects. I am under doctors care for high blood pressure as well, but I do not have any trouble from the Toprol and Benicar I take daily. I am taking glimperide for the past 6 weeks. Thank you. Esther D <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, thank you for providing the brief history of you. Since you are diabetic and Hypertensive, you are already on the symptomatic management. Your age also is 66 so how long you being diabetic or hypertensive is not mentioned in the history. Also, I will recommend a thorough musculoskeletal assessment. This will help us understand the weakness of the muscles in the lower limbs as well as if it is due to the spine Pathology. Based on the symptoms and diagnosis, the special test will be performed clinically as well as the diagnostic procedures may come to affect if needed. Based on this, you will be advised to undergo physical therapy. As with physical therapy you will be taught the exercises for strengthening the different muscles of lower limbs and also the overall body conditioning. With physical therapy you will be benefited with improved metabolism, reduced blood glucose level, energetic, confidence, strong bones and muscles, improved cardio respiratory endurance as well. I recommend you to consult a close by physical therapist who can assist you further. 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 fiftey three year old female and I take 40mg of Paxil a day and 50 mgs of Trazadone at night. Lately I have swollen feet and my left eye is giving me problems. ( I see everything blurry ). I also have IBS which I was diagnosed with after swallowing a camera in pill form 10 years ago. I have to take 3 anti-diarrheal tablets just to go out of the house. Why do I feel like I m 100 years old? I am over weight but when I go out for a walk, my feet/ankles swell even more. What should I be doing differently. Candice <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Your simple catch is believed in Ayurveda, Yoga and deep breathing and meditation starting five minutes a day and raise to 15 minutes in one week and sustain. Orally start1. Punarnavadi Man door 2 pills twice a day.2. Utahan Vat 2 bid. Preferably with warm water (try to full 2 glasses of water)3. Liquid Punarnavarishta 10 ml + Liquid Kutajarishta 10 ml + 20 ml water after meals twice. All medicine for 4 to 8 weeks. No side effects, totally safe. In India its commonly available. Diuretic, anti-swelling and anti-diarrhoeal medicine will not cause potassium loss unlike AllopatChatDoctoredicine. Raised feet/ legs while sleeping. Avoid sours like lemon, tomato, curd etc. Restricted or no salt please. Take light and semi-solid with more water content food preferably. Contact through Chat Doctor after 8 weeks or earlier for any further guidance. Hope it will help you 100%. Find the med. Do not wait for coverage under Insurance. Life is important. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 went to see my doctor in regards to a lump that I notice under my arm pit on my left she felt it and also checked my breast just said to keep an eye on it s still there it has gone smaller but now I have another one on my right and it hurts a bit what could it be it what do I do <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Welcome to Chat Doctor. 1. The history and clinical presentation suggest that they are enlarged lymph nodes.2. The lymph nodal enlargement is seen in any inflammatory / infective conditions it can be localized or systemic.3. I would suggest getting an ultrasound scan done for breast and axillary region - that will help to identify the nature of the lump, source and extensions.4. Depending on the findings you can decide weather monitor or need FNAC - fine needle aspiration cytology - to evaluate the nature of the cells involved. 5. If there is any underlying medical conditions - please get treated, as they do give the lymph nodal enlargement. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> i have ED and associated with pitting edema of the lower extremities and neuropathic sxs of the feet. i am 54 y/o and have htn, hlp, obesity. take atenolol, zocor, rantidine, and minocycline. i am confused by the evolving lower extremity sxs. nonsmoker, no etoh, and no recreational substances. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, As you underwent surgery of that foot, so may be the one of the cause of pedal edema. As you are hypertensive, so, pedal edema may be due to cardiac overload. I will suggest you to do color Doppler of affected feet, ECG and 2D ECHO after physician consultation. For that, now you can take tablet LAST 20 mg after physician consultation. As there are many causes of pedal edema like trauma, cardiac failure, Renal Failure, liver failure, sedentary lifestyles et cetera. 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 am a male of 48 yrs old, 1mt55, 60kg, suffering from High Blood Pressure since 25 years, Diabetic since 10 years & hypercholesterolaemia since 7 years. Treatment: amlodipine 10mg od, enalapril 5mg bd, atenolol 50mg od, metformin 1gm bd. In Dec. 2006, I had a heart attack. Thrombolysis carried out after hospitalised in ICU. Treatment: same as above + aspirin 75mg od, clopidogrel 75mg od, ISMN R 40mg od & atorvastatin 80mg for 2 months then 40mg nocte, In Mar. 2007, angiogram done: LAD blocked with diffused patches at many places, two other arteries blocked at In Jan. 2011, angiogram repeated - same results. Plan: CABG. Oct. 2011, CABG done. Treatment: atenolol 50mg od, losartan 50mg bd, metformin 1gm bd, aspirin 75mg od, atorvastatin 40mg nocte. Smoker since 10 years-4/5 cig. daily, consuming alcohol thrice weekly about 3/4 pegs. Stopped smoking since Dec. 2006, consuming 2/3 glasses of light red wine daily, rarely 2/3 pegs of whisky. I would be much appreciated if you could advise me on the following: Diet,exercises, sex, alcohol,& normal daily activities. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, This is Chat Doctor. Hope this message finds you in good health. I understand your concerns and will try to answer them.1) Exercise - We generally tell every cardiac patient with good heart function to be active. Exercise (moderate cardiac exercise) at least 30 min/ day 5 days a week. Do not go for heavy exercise.2) Diet - Avoid fatty food, snacks & take small meals frequently. Do not take heavy meal especially at night. Avoid red meat.3) Sex - we do not say to avoid sex. Ye over stressing is to be avoided.4) Alcohol - we generally say to avoid alcohol. But if you still want to take it, you can take 1peg/day. Avoid heavy <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 Kristen...I have been having chest-back pain for many yrs.....ive had chest x-rays...ct scans blood work..etc...I m now on Xanax and Celexa 40 mgs a day. With progress at first, now back to square one....they could find nothing so they believe I suffer from extreme anxiety.....but as I sit here my whole back-chest is covered with hot-patches. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. Since your extensive work up with x-rays, CT scans and blood reports is normal, no need to worry about major heart or lung related diseases. Uncontrolled stress, anxiety and panic disorder can cause similar kind of symptoms. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. Along with anxiolytic Chat Doctor. So don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. 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\|> My triglycerides came back at 850. I am a 32 Year old woman in normal weight range. Other high numbers include cholesterol which was 207 and my total non-HDL cholesterol was 171. My LDL came back as "Invalid". What does this mean? Could this be an error? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello! Thank you for asking on Chat Doctor! I understand your concern, and would like to explain that the result of LDL as "invalid", raises high suspicions for a false result, probably caused by the lab machine. Your abnormally high level of triglycerides is very concerning, but as long as you have no symptoms, a normal weight, this seems to be a very doubtful result. I recommend repeating your picogram profile to be sure that this is just a lab error. Hope to have been of help! Best wishes, <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Ok so I have these symptoms which are related to depression: -difficulty concentrating, remembering details, and making decisions -fatigue and decreased energy -feelings of hopelessness and/or pessimism -insomnia, early-morning wakefulness, or excessive sleeping -irritability, restlessness -overeating or appetite loss -persistent aches or pains, headaches, cramps, or digestive problems that do not ease even with treatmentbut the thing is I am not that sad. Like I get sad and then all of a sudden I get happy and I have energy. Its like this all day Im sad one minute then happy then next and Its just a big cycle. Usually when I am sad I just force myself to be happy. I am fine at school(but I think thats because I dont want people to think I am sad) but i am mostly sad at home.Is it depression or something else? Thank you. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi dear, thank you for your query. What ever you described about your self is suggestive of depression but duration of illness and mental status examination is necessary for proper diagnosis. In depression also mood lability is there. You need to consult psychiatrist for treatment. Medication and psychotherapy works best for you.in medication SSRI, SARI, NASA etc. and psychotherapy particularly cognitive behavior therapy works best. 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 experience tingling in my hands (both) when I have a strong urge to urinate (ie: if I ve held on too long and my bladder is especially full). Is this something to worry about? I am a 47 yr old female, 5 9 , 175 lbs, normal health, hysterectomy @ age 38 due to cystitis. Also previous history includes diviticulitis (Meckle s Diverticulum) requiring resectioning and included 2x laperotomy. Laperostopy x2 for ovarian cysts. Appendectomy. Removal of lump from rt breast (age 16; benign). Tonsillectomy. MVD surgery x2 (failed) for Trigeminal Neuralgia; rhizotomy for same. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, From what you're describing I don't detect anything organic to worry about although a better person to clear you for any type of organic bladder or other problem would be either your family doctor or your urologist or gynecologist. But it really does sound like you can ad Chat Doctor. I believe you've had enough surgery for a lifetime... time to heal up and approach things from a nonsurgical perspective for a while in my opinion... otherwise, it's a never-ending circle. In my opinion, surgery begets more surgery... no matter how much anybody says that statements not true... I see it way too often for it to be pure coincidence. Hope I have answered your query. Let me know if I can assist you further. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hello sir i am suffering from fever since 5 months and all blood test reports are clear even they checked for tb its also clear and still i am suffering light fever and i lost my body weight also . mostly at morning and after taking meals i fell like feverish can u plz help me. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I would like to tell you something as long as the human body temperature is concern to rule out the possibility of fever (Body temperature above 37 C) the reading of body temperature should be taken under the axillary region, tympanic membrane temperature, intro rectum, here one can get the core temperature and this is important to decide whether this is fever or not, in against of this surface temperature is there and usually by putting hand on body surface one can get the idea of increase temperature, but this would not be fever no matter how this is worm or hot, hope this information helps you 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\|> Hi, My brother goes angioplasty at the age of 33 years at May-2010. Now he is feeling pain now after 5 month. He consult with doctor, he is saying nothing to worry. Please advice how we can know how much he has block edge know...pls suggest, this is urgent. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that considering his past medical history, it is important to investigate for possible coronary artery disease. For this reason, I recommend consulting with his cardiologist and performing some tests: - a cardiac stress echo-cardiac enzymes- a resting You should discuss with your doctor on the above issues. Kind regards, <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> sir,my dad had an ultrasound few days back doctor said that there is mild dilation in Left kidney pelvicalyceal system but he was not sure why it is like(stone etc.)...my father is having pain in abdomen in left side...wht to do now??is there any thing serious?? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Good Day, and thank you for being with Chat Doctor ! Your father might have a stone in the ureter that is why he has pain and ultrasound shows dilatation. He needs to get a CT Sonogram to check the size and location of the stone in the ureter. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ Chat Doctor. Best wishes <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi, I am seven weeks pregnant. I broke a mercurial thermometer this morning when testing my basic body temp. The broken mercurial thermometer was in my mouth. Unfortunately, I had a small dental ulcer. I do not think I swallow any of them, as I washed my mouth with about 1 litre of water and had a liter of milk afterwards. I cleaned the spilled mercury by my bare hands, although I was very careful not to touch them. I did not ware masks during the time I made the cleaning, and the window was closed. I am worrying if this gonna do any bad to my baby. Thanks Doctor! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> One of the most common forms if elemental mercury poisoning is by thermometer breakage. Is found in liquid form and easily vaporizes at room temperature and well absorbed through inhalation.It's a lipid soluble compound, hence after inhalation from the lungs it is easily absorbed in to blood stream. But once it is absorbed in to blood it is usually converted in to inorganic form which gets excreted in feces. Only prob is when it is in vapor form where it may causePulmonary complications of wide range CNS toxicityLocal paresthesia n stomatitisBabies exposed in uteri are most severely affected of wide range. This is just in brief. So as mercury is very dangerous when absorbed and moreover I don't know what's the status of URS regarding absorption. Please consult immediately. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> 65 year male has in the last 2 months has developed a severe large red blochy rash over most of his body ,which is very ichy, but moreso at night. he is scratching his body to pieces.he is useing benadryl for it and aveno lotion but doesnt seem to be helping <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, I can understand your concerns. If the itching is more at night, then it seems you may have scabies, it is due to itch mite, in such case I would advise you to use separate clothes and towels, wash all your clothes, weddings and towels separately and Chat Doctor. I would suggest you to remain away from people having same symptoms as it is communicable, so don't share your bedding, towel or clothes. You can give a single application of permethrin once on whole body. And take some antihistamines like levocitrizine 5 mg at nights for a week, it would be helpful if I could see the lesions, because it can be urticaria too which is allergic disease and is due to triggering allergens, in that case also levocitrizine can help you. Thank you <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> my father is suffering from prostate cancer stage 4. recent ct scan shows it growing towards bladder and rectum. he already had orchidectomy 1 and 1/2 yr back and was on flutamide, was respoding well until recently. his psa is 15 and his histopath was poorly differentiated adenocarcinoma <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for writing in. The PSA is calculated from baseline before treatment. A level of 15 is high but not too high. Stage 4 cancer prostate can have survival of more than 2 years with recommended treatment. Surgery cannot be done and other forms of treatment needs to be thought of. It will help to discuss chemotherapy and radiation therapy with the oncologist and plan the treat. Pain relief is most important for him and this should be stressed up on. Please see that he gets enough pain relief and depending on the discomfort he is given medicines adequately. The bladder function also requires assessment, and please see that he does not develop urinary infection which can get complicated. Please do not worry. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have a tumor on my waist that grew over 3 yrs now maybe the size of an egg maybe smaller...scared it might be csncer. A doctor looked at it 3 yrs ago she felt like it was lymphona fatty tissue if it grows to come back to get it removed. ...but she never did a biopsy just by touch isn t that strange to just assume? Now its bigger....worried <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi and thanks for the query, A mass observed only a clinical ground cannot actually be diagnosed on clinical grounds with certainty as being benign or malignant, although there are some signs that might point towards this. These may include pain, change in the general outlook of the patient and spread to other structures. In your case, it would be worthwhile getting a complete evaluation and doing tests to actually see whether the tumor is spreading or not, and a histological examination (biopsy) to ascertain this tumor as malignant (cancerous) or benign. In your case, malignancy will really be a rare outcome judging from the clinical scenario.However, getting consulted by your internist and appropriate diagnostic tests done are the ideal thing to do. 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\|> Hi doc,This query is concerned with my brother.He has done btech and after that 3yrs of job with an mnc. Age 28 now.Problem is since past 1-2 yrs he has got some spiritual inclination and now is kind of drawing himself back from family affairs and wants to become a monk but only after permission frm my mothr.He has left his job n right now living with us. Behavior is normal except for he sleeps late in night n so rises also very late. Tries to stay secluded. Does meditation etc but never in a disciplined way. One night few days back he took a bath at 2am. He is emotionally detached with every one or atleast tries to be.We want him to meet you but before tht wanted to confirm if u see any psychological abnormality in this case.Would appreciate ur immediate response and some contact details.Thanks,Deepika <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Degree understand your concerns went through your details. I suggest you not to worry much. The behavior pattern is little worrying. Normally every people should show some inclination towards spirituality at the beginning of adulthood. Your brothers' behavior in that context is normal. But the activities are a bit abnormal. We can say morbid faith disorder. Not fully. Engaging him and taking him to another place for someone month or so should help change the attitude. Also take him to a place where troubled and challenged people live. He might need psychotherapy. Change in lifestyle. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I recently had saline implants Removed by a local board certified plastic surgeon. He opted Not to do the drain- tubes that are often temporarily put in place in armpits after surgery. On one hand I was grateful but on other hand I wonder if I would have been better off with the tubes? Do I need worry myself about fluid buildup since I did not get these tubes...? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HI, Am sure your surgeon would have had a look at the situation inside and decided against the Chat Doctor. I'm sure he must have given you a pressure garment or a tight vest. You haven't mentioned if you had the implants replaced or was it only a removal. Just keep an eye out for any abnormal swelling which might appear indicating a collection and get in touch with your surgeon if such a thing happens. But am sure he made sure everything was alright and that's why opted not to put in a <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 age is 30 and he is a driver,now he is suffering back pain could you please me the reason and solutionPlease write your health query. Also mention your age, height, weight and medical history. A detailed query is important to get you a relevant answer from the doctor. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, thank you for posting. I have gone through your query and I understand your concerns. His symptoms are caused by lumbar arthritis. Arthritis causes pain and numbness. To determine the diagnosis the following tests are necessary:1. Lumbar X-ray.2. Fibrinogen test.3. Complete blood count.4. Urine test. To treat arthritis your husband can take anti-inflammatory non-steroidal medicines such as Meloxicam. All the best. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have had a pain in my upper abdomen when inhaling. When laying down it hurts to exhale. I recently took a blood pressure reading at 143/68 I am 20 years old. I feel the pain is a muscle I may have tweaked playing softball the past weekend but it doesn t help I had a high blood pressure. I am just worried is there a correlation with pulled muscles and high blood pressure? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi. Thanks for your query. There may not be a relation between the pulled muscle and High Blood Pressure directly. Your anxiety / pain / fear can temporarily increase blood pressure. You are advised to take Blood Pressure on three different days, it may settle by this time. If the BP does not come down, get an opinion of a cardiologist and a treatment for the same. The pain in the abdomen may be really due to pulled muscles as you rightly suspected. A painkiller and a muscle relaxant along with strict best should help you completely recover unless there are associated problems like pleural infection and inflammatory process going on in the upper abdomen or a lower chest. Yet is always better to confirm or rule out - <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> What are the negative effects of masturbating too much (seven or more times a week) for males? I heard it could lead to sunken eyes and protruding cheek bones, hair loss, and nervousness associated with anxiety (which I suffer from). Is any of that true? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HelloThanks for your query, based on the facts that you have posted it appears that you have been indulged in frequent masturbation since many years and worried about the side effects of masturbation.First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. 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 and daughter have small pimples that are turning into raised red zit/boils ? My son has them on his leg and my daughter (3) has them on her torso. They have several small ones but only 1 at a time gets red and raised. Are these boils and did they get them from eachother? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi... Thank you for consulting in Chat Doctor. It could be any viral erythematous illness. But as you quote them as itchy blisters - the possibilities are Hand Foot Mouth disease/ Chicken pox/ any other trivial viral exanthem. I suggest you use calamine lotion as its giving results along with oral antiallergic like HY Chat Doctor. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My husband has sleep apnea. He wakes me several times during the night and doesnt even know it. He gets upset if I am not in bed with him. So I have been enduring the situation. Lately Ive been under a lot of stress. Now I am experiencing sometimes 4 regular hearbeats then a delayed one. This may happen all day or it may happen just a few times a day. I have been walking on the treadmill and this does not happen while walking. I have been taking Adivan to help with this. Sometimes it works better than others. My question.....could the lack of good sleep cause these strange heartbeat patterns? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi. I understand your concern. Stress and stressful life situation make you anxious. Sleep is our mind restoration function. If you can not get good sleep then it leads to several other psychological problems. Sleep can make you less anxious. Proper healthy sleep make you less stressful and so your heart beat is in control. Tab Asian is good for both sleep and anxiety. Use it only when required. Certain routines and lifestyle modification will help you like sleep schedule and stick on it. No daytime sleepExercise that makes you fatigue, and please continue treadmill.Stress-free activities and meditationsAvoid alcohol and smoking. Avoid heavy meal in dinners bed when you feel sleepy, read up to when you will sleepwalk and cool bed rainfall of this will help you to restore good sleep. 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\|> About 4 days ago, I noticed a pea shaped lump on my forearm between my wrist and elbow. It is painless and under the skin. What could it be? I have been taking medication for coughing, sneezing, and runny nose since before Thanksgiving. Also, I received a steroid shot. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi.based from your description, it could be a cystic formation (tedious or ganglion cyst), lipoma (fatty deposit) or a fibrous (fibrous tissue formation). It is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation, especially if the lesion is persistent, increasing in size and is bothering you. Other lesion types must also be ruled-out. Definitive management is excision biopsy of the lesion. Hope this helps. Good day!!~ 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 am having a major fear after seeing a lot of boils around my genital area.its mostly spread and often the size changes on its own.I had a (one)wart earlier an year ago and its not seen anymore. it might be a skin tag too but am not sure.Once i broke it but it came back again.but now i do have so many boils and its freaking me out.Please help <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Welcome to Chat Doctor, I don't know if for sure this is a boil or a swollen lymph node in response to a wound or infection that you have on the lower limbs. If you have no wound, then this is most likely a boil. You seem to have pyoderma in groin area. It is a bacterial infection caused by staphylococci. You consult dermatologist for firm diagnosis and investigations. Antibiotics like definite and anti-inflammatory Chat Doctor. Immunoboosters may be taken to improve immunity. Hygiene should be improved to prevent relapse. Detail bath may be taken to improve hygiene. I think you might get good result. 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 pee hole is burning from past few days. I had burning feeling when urinating. Then i started drinking a lot of water and it went away. I dont have any burning now while urinating but pee hole keeps on burning on and off. Also i get redness on penis as well(which does not burn).Any idea what might be causing this and what would be the cure? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello I share your concern, I will try to help you out in the best possible way. Looking at your description this could be STI or infected ulcer may be due to trauma during rough sex or an allergic reaction. I would like further information to help you better Your age and relevant medical history like diabetes or other metabolic disease Any recent exposure to unprotected sex? You should ask your doctor for few investigations to confirm the diagnosis like Urine culture and sensitivity test Apart from this blood sugar fasting and post radial and Blood for CBC and liver function test are also advisable. Maintain good hygiene Wash and clean it with antiseptic solution or soapbox can apply antiseptic ointment externally. Use condom during sex Hope this answers your question please feel free to ask for more clarificationThanks and regards <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> my daughter is 5 years old and suffering from fever since 7 day s. The temperature goes to 103 F. I showed her a doctor and giver her medicines. But till date there is no relief from fever. Fever goes high in the night or you can say after sleeping she got high fever. She also not eating properly. We have done malaria test and the report is -ve. Doctor is saying wait for another 2 days and after that they will test for Typhoid. My daughter has history of meningites at the age of 6 months. We were on the process to give her booster at the age of five but before this she caught fever. Kindly suggest. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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! Lately I have had problems with numbness of the right side of my body while I am sitting. When I cross my legs or even when I prop them up, my right leg will start to tingle and go numb from hip to toes. My right arm from shoulder to fingertips has also been going numb for no particular reason. My clothes fit well, they are not too tight. I have never been diagnosed with a circulation problem, but my family does have a history of various heart problems. Is there a cause for concern or is it something I can ignore? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, welcome to Chat Doctor. It is rare to circulation problem in whole right side of body without affecting left side. With circulation only numbness is very uncommon symptoms. It presents with other symptoms also like: cold extremities, gangrene and decrease hairs on affected part. Cause of your problem may be physical or psychological in origin. In your case following are possible causes of numbness, in hierarchy:-Stress or Anxiety disorder: Anxiety disorders can manifest not only with psychological symptoms but with a variety of physical symptoms also like: Tingling, numbness, hot and cold sensations, pain complaints and muscle spasm etc.-Vitamin deficiency.-Substance use-Neuropathy.-Combination of above causes take healthy diet and do some relaxation exercise. Get evaluated by psychiatrist and general physician to rule out above causes of your suffering. Wish you good health and all the best. Chat Doctor. 99doctor.com <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 diagnois of H pylori past 3 weeks ago and started 2 anitibotics Baxin and another one. it s been one week since I finished them but still have soft stools and alot of stomach and back pain. how long would I feel better after the treatment and is it normal to feel like this? thank you sarah <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HI, thanks for using Chat Doctor Treatment for H pylori involves the use of antibiotics for a prolonged period of time. Antibiotics can cause gastrointestinal side effects such as abdominal pain, diarrhea, nausea or vomiting but these symptoms normally decrease after the course is completed. If you are still having persisting pain and diarrhea, you should consider visiting your doctor for an assessment because this should not be the case. 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\|> Hello its kind of new for me to consult online also there is a concept that if you are physically present in front of adoctor it gives him much more information of the disease and the status of the patient.I have been recen6ly diagnosed of BPH and also came to know that their are chances of cancer prostate.Iam utterly confused of this sudden malady at the age of 60.would you be kind enough to clarify me on this.Thanking you in advance. YYYY@YYYY <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for writing in. The chances of prostate cancer with BPH is less likely. However, if you have a BPH then it is suggested to get blood PSA level test done. This is prostate specific antigen and is a marker for prostate cancer.PSA is normal up to 4 NG/ DL. More than 4 NG/ DL is an intermediate risk for prostate cancer and above 10 NG/ DL should be evaluated for possible prostate cancer. The PSA test might be done every year after 60 years of age. Having BPH is common in the elderly with 10 percent of males having it at 60 years and 80 percent at 80 years. Please do not worry. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello..My mother received a massive heart atack 2 years back and her angioplasty was done after that...4 stents were inserted and LVEF was around 35%. I went with my mother for regular visit to the cardiologist and he suggested for ECHO..Now ECHO report mentions a LVEF of 30%. Just wanted to consult how can be the after effects of it..and how can we increase the LVEF level..My cardiologist says that there is no way of increasing LVEF by medication. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, With an LVEF of 30%, which decreased from 35%, she can be classified as heart failure with reduced ejection fraction. There are yet conflicting results in regard to medications increasing the LVEF, but the goal is to prevent symptoms or cardiac events in her case. There are certain medications which she basically needs (I presume that she has these medications, including antiplatelet, statins, beta-blockers, ACE inhibitors or Arms), and in addition, spironolactone, as suggested by guidelines. I would suggest a consult with a doctor for a comprehensive history and physical examination to tailor appropriate medications. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. Dion, General & Family Physician <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> 6 yo complaining of back pain lower back at times, upper back and neck at others. This started in Nov 2010. Also has trouble getting through the day without a complete meltdown. Has enlarged adenoids and frequent sinus issues. Scheduled for adenoidectomy in April. Back xray was negative. Lyme titer showed reactive for bands 23 and 42. Pediatrician says that is negative. My daughter says that she always feels like she is getting sick-like she has strep without the sore throat. Can all of this be a result of the adenoids? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for asking. Keeping in mind the information provided by you like negative X-ray and other tests I will consider adenoids as culprit. Enlarged adenoids can lead to disturbed sleep due to interference in breathing due to throat narrowing caused by them. This is termed technically as obstructive sleep apnea. The next day untested brain and body can have multiple problems like sleepiness body aches. Adenoids enlargement also causes sore threat. So yes this can all be due to enlarged adenoids. I hope adenoidectomy will cure all this. 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\|> In my sonography i have been mentioned to have mild hepatomegaly with fatty infiltration of liver and in my liver function tests most of parameters are ok with bilirubin as 0.2....i want to know is is it a serious problem...i have a regular problem of bloated stomach...please help???? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello and thanks you for your query. I am Chat Doctor and I will try to help you as much as I can with my answer. This is not problem, but you should change your dietary and lifestyle habits for some time since obesity and inappropriate diet are main cause of fatty liver. You should avoid alcohol and carbonated Chat Doctor. You should eat more green and boiled food. All so, you can take Sylvain to protect your liver in the future. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My son is 17years old. He has been hurting from the upper part of his abdomen for the last 10-12 days. He can t keep food down and has lost 9 pounds in 12 days. We took him to 2 ERs and they gave him a couple of meds to help rebuild the stomach wall. He continues to throw up and we are just waiting for a GI specialist next week. Any help? Please help? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> He is suffering from gastritis. Avoid to remain in empty stomach for more than 3 hrs, avoid too sour, too hot and too spicy food for next 2 months. Give him Tab Tablet D 1tab daily in empty stomach for 6 weeks. Gradually his symptoms will come down. Also try to reduce if any stress is present in his life... If the symptoms are not resolving after 15 days do a blood test for serum amylase and lipase, and upper GI endoscopy. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 18, about 134 lbs 54. I have a small lump under my butt cheek and it comes and goes periodically. It doesnt hurt unless pressure is applied. What could it be? Also I have a vaginal discharge that comes and goes. It doesnt smell like anything, its not all cottage cheesy, and a lot comes out. I dont know what either mean or what they are. Any ideas? Serious enough to go to the Dr? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Good Evening. Thanks for the query to my Chat Doctor virtual-CLINIC. I studied your query in-depth.-In my opinion-You mostly have an a-butt bruise caused by friction with-boil/fur uncle, whicChatDoctores and goesb-and Vaginal discharge appears to be normal with ups and down. Even if it comes in large lots, It appears to be normal at this age.-As you are worried I would advise you to consult Granted Doctor, whos advise would reconfirm you.Remedy for the Recurring butt lump-a-Rule out the Diabetes by FBS/PPS for to study the recurring butt lump.hygiene of the butt cheek area, by applying basin, which would reduce friction bruises, which cause recurring boils. This will help you to discuss and plan treatment with your doctors. Wishing you fast-recovery. Wellcome to my Chat Doctor Clinic again. Good night. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My son is 3 1/2 years old and this past weekend he has been running a fever of 102 to 104. The doc tested him for the flu and came back negative and said it was just a virus but didn t give us a specific virus, but now he is throwing up every where and running just a low grade fever. Any idea on what it could be? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi...by what you say I feel that your kid is having a pro Chat Doctor. He might start to have diarrhea also. Nothing to worry about this. As of now you can give vomiting medicine as prescribed by your pediatrician. I will explain to you what to do if diarrhea starts - Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. I suggest you use zinc supplements (Z&D <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 doctors, is there is some medicine form my dieses, i m face alleriges problem last 5 year , cold and dust is main cause , it block my nouse airway, i did not take breath, but after some time it go high and effected the lower respiretry system. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make following suggestions to you:1. Were I treating you, I would suggest you regular montelukast which will be helpful for both upper and lower airway allergies.2. As you have more nose symptoms, I would also suggest you daily antihistamine like cetirizine/levocetirizine/fexofenadine in addition to montelukast.3. I would suggest you to use albuterol or levosalbutamol inhaler on as-and-when-needed basis whenever you have lower respiratory system symptoms.4. Personally, I would suggest you allergy testing which will help you identify the substances you may be allergic to and also to know how to avoid them. Based on the report, an allergist-immunologist may also prescribe you allergen specific immunotherapy which works on your immune system to improve allergy symptoms gradually.5. I would also suggest you regular breathing exercises and a healthy diet rich in vitamins and minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.) which will improve your lung capacity and immunity respectively in a long run.6. Please avoid exposure to dusts, smokes and air pollution as much as possible. Hope above suggestions will help you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I had an epidural steroid/ cortisone injection for sciatic nerve / back pain this morning - after dinner and glass of white wine - my heart started racing - this has happened in the past but only after running / exercise - my heart rate now is about 135 BPR - any connection with the injection and rapid heart rate - 66 year old white male. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Respected thanks for your query to us.1. Unless you develop allergy to some components of steroids injections, tachycardia (increased heart rate) is not likely due to this.2. Wine intake may be associated with the tachycardia. If you have tried a new brand, or you have tried a new combination then it is more likely. Do see your emergency physician if it does not settle down, or you have any new troublesome symptom. SincerelySukhvinder <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Someone I had met had told me that he was a premature baby by about a little over 1 month which because of this factor has 60% overall scar tissue which makes it that only 1 lung is functional @ 30%. (He is 37) He has mild asthma and uses an inhaler 2-4 times a day. He said that its like trying to breath out of tiny straw when he breaths through his nose alone and basically impossible to try and even take 1 controlled deep breath in and out. I do honestly believe that he is exaggerating and making excuses for non existant body issues but what I was wondering is, Is there any way what I have written in the paragraph above that COULD be true ? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> This is not true statements premature there might be low immunity developed, and the allergies might have caused these if the one lung is not working there are chances of more asthma rather than mild asthma due to allergies mucus irritates the mucosa of windpipe and patient feels something is going in and out by taking breathe inhalers widen pipe but no decrease in mucus secretions patient should get checked for allergies and get treated <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi my son is two years and 5 months old. I live in Mumbai India. He has been complaining of tummy ache and he has been going potty three or more times a day since past three days.stools are formed but weird. Can I give him nor met or taximo?and what dosage.thank you.. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, It seems your kid having viral diarrhea. Once it starts, it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. You need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. I suggest you use zinc supplements (Z and D 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, have found a lump on one of my testicles and have Bren to two different docters. One said it needed to be looked at and due to changing area when my appointment came through I had to go to a 2nd docter who didnt seem bothered, but said as the other had referred me to urology then he would, My appointment is anouther 3 weeks away. ( having already waited 3 due to a high level of patients) the lump has grown and I am tired alot and now have a skin rash (scaly and red) on myupper body, Is this something to worry about, it doesnt itch. Thanks <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi! Welcome and thanks for sharing your health concerns/queries with us. After going through your problem I must say that there are many possibilities in your case according to age, sign/symptoms and related medical/surgical history as follows:1. Hy Chat Doctor. Benign cysts like spermatocyte, epididymis cysts, parasitic cysts 30%3. Infections like tuberculosis or abscess 10%4. Tumor-like benign conditions 20%5. Cancer 10%Therefore, you need to confirm the cause without delay, and please see a general surgeon for a simple needle biopsy and ultrasound and I think only antibiotics with or without surgery would be the best possible or appropriate treatment!regards, <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have been having knee issues for the past 2 months. I have gotten it checked by a doctor who said it was just tender after only doing a physical examination, and did everything they said I should but it has only gotten worse. I find it hard to walk up stairs, walk without frequent stops to rest my leg, and to do anything really. I am worried as it has been nonstop pain for almost 2 months. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, I am sorry for the current health issues you are going through. Having knee pain might be due to arthritis or after having a history of trauma locally. As the pain is going on for 2 months, then, I advise discussing it further with orthopedist about running X-ray of knee to evaluate any possible damage. For the moment, I can advise to:- take oral painkillers- apply analgesic cream locally-take fish oil and multivitamin supplementation- try to put your knee at rest, avoid walking or standing up for long periods-apply warm compresses (some of my patients have found relief by applying warmed coarse salt wrapped with a clothing locally)- physiotherapy can also be of greater help. Discuss it further with your orthopedist! Wish fast 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\|> HelloI was diagnosed to have PCOS few years back and ave been planning to get pregnant which am unable to. My doctor gave me fertility drug clomid which I tried but yet am not pregnant.Also after sex I always experience flowback of semen which always give me concern on my journey to getting pregnant.Please, doctors in the house what can I do to increase my chance of getting pregnant?Thanks. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Firstly, please do not lose hope as POD is a condition that responds very well to treatment. It is needed to have a complete investigation to gauge the extent of hormonal imbalance present as the condition is most often associated with other hormonal imbalances as well apart from those of the ovary. Metformin often helps in ovulation as insulin resistance which is a usual accompaniment, is cleared. Maintenance of a healthy weight, regular exercise and a healthy diet are also needed. To prevent the leakage of semen, use the prone position, i.e., lying on your stomach for at least half-an-hour after intercourse. 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 my friend had a searing pain in her abdomen yesterday that lasted in all about 45mins and then she was just sore, today I felt the same thing, Excruciation. writhing about as no position could ease the pain for a good 20mins...then just jolts and waves of pain for about 30mins. Now im just really sore.. However she had diarrhoea and vomiting - I dont. ??? any idea. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi there ~I understand your concern. It may have been a simple case of food poisoning in your friends case. I wonder if you both ate at the same location or the same food during different times to experience this kind of pain. I recommend that you visit with a local doctor to make sure there is not another reason for you excruciating abdominal pain. Furthermore, I am thinking that you will feel better in a couple of days, however you need to reassure yourself with all the testing done that will rule out other medical conditions. Furthermore, I hope this helps. Take care and have a lovely day! <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi I have an indentation on my right forehead , there is a line which then works its way up. This is getting worse. I have loud whooshing sounds in right ear, i suffer from fibromyalgia and chronic fatigue but am unsure of what symptoms are what. I have no nauseous but am very dizzy when walking i have floating objects in eyesight and often cant focus because of my extreme tiredness. The indent began two years ago . Saffron <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello ~ I am unsure of the indentation on your forehead, it seems to be of recent origin and needs more evaluation. I am sure you must have had the idea of having imaging done to know what the indentation is about. In any ways, the whooshing sounds in ears and dizziness are classical symptoms of vertigo. You need to see an otorhinolaryngologist (ENT doctor) to make sure you do not have any serious condition and to have yourself treated. I hope this helps. Take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My boyfriends blood sugar on a good day is normally between 70-80. Sometimes after eating a large meal or one high in carbs it will spike up to 100 or more. He becomes very disoriented ,lightheaded, slurs his words and is very shakey. Sometimes it takes a few hours to get back to his NORMAL in the 70s. His doctors say that he isnt diabetic. They never see the spike and wont listen to him. What do you think the problem could be and what should we do to make them listen. He is a former combat medic and EMT. His doctors are at the VA clinic and they instantly discount him because it is always so low when he goes in for a check up. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, As you have mentioned Blood sugar levels of your boyfriend, all Blood sugar level reading are normal, there is no evidence of diabetes. For diagnosis of diabetes one of the following criteria need to be fulfilled 1) Oral glucose tolerance test Fasting Blood sugar level more than 125 and/or 2 hours post glucose blood sugar level more than 200. 2) HbA1c level more than 6.5. 3) Symptomatic for diabetes i.e. increased frequency of urination, unusual thirst, unusual hunger, weight loss, along with this random blood sugar levels more than 200. Whatever symptoms mentioned by you like disorientation, slurred speech, abnormal shakiness, light headiness do not denote Diabetes. Taking in to consideration of profession of your boyfriend it looks like a possibility of anxiety. Better to consult another doctor during period of symptoms, or you can make video during symptomatic period. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 21 year, about 1 week ago my right testes hit by cricket ball and i use some medicine but it is not well now the size of the right testes come not in previous stage or not balanced. it is not affected on any activity but when something gently touch it is painful. what can i do please give me suggestion. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HelloThanks for your query, based on the facts that you have posted it appears that you have pain in your Rt testicle due to injury to your Rt testicle. If there is no increase in size of the testicle pain may is likely to be due to trivial injury.However, it is advisable to consult qualified General Surgeon for clinical examination and get ultrasound scanning of the scrotum done to be rest assured about injury to testis. Please take broad spectrum antibiotic like Čeferin along with anti-inflammatory Chat Doctor. This should resolve your problem within a week, <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 plan on taking my daughter to the walk-in clinic tomorrow, but its 4 in the morning and her temp is 103. I gave her Tylenol half and hour ago and the temp hasn t lessened. Should I take her to the ER or do you think I should wait? Her only symptom is a sore throat. We don t have insurance, by the way... <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi...by what you quote I feel that your kid might be having a viral sore throat or a streptococcal infection. I suggest you see your pediatrician and get a rapid streptococcal antigen test done. If it is positive then she will require antibiotics. If it is negative then it might be viral illness and doesn't require antibiotics at all. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. 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 have had heart by pass surgery and I take lasix medication. Recently I rode 1000 mile round trip in week and today, my left foot only, has swelled from the ankle down. I usually don t have any problems along this line. I have elevated my foot and tried ice pack and the swelling goes away. I can t sit all day with my foot propped up with ice. Any advice will be appreciated. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Welcome to Chat Doctor I have gone through your query and understand your concern. As you have got swelling of only one foot. This can be due to local cause. You are advised to keep it elevated and exercise actively by active toe movement of toes. As you are already having cardiac disease, so it will be better to see cardiologist for it. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi My father has been complaining for months about shakey legs and dizzyness both before and after having a pacemaker fitted. I have also noticed he goes extremely red in the face after any sort of activity including standing up or bending down, his ears today were blue. He has been under the care of a cardiologist and though they do not seem concerned with his symptoms are continuing to monitor him. Having said this they have also said he will get these symptoms at his age (75). However today he had a funny turn which really frightened him and the family, he was bending down at the dinner table to pick something up he had dropped on the floor, he then stood up and appear to faint but did not fall down, what was really noticable was his legs were shaking involuntery. We sat him down and he recovered quickley but again his face was very red. He has high and low BP and doctors seem to think this is the problem but I am wondering if this could be neurological and whether we need to get a second option? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> I think your father blood circulation toward head is less to advise him some exercises and consult with your cardiologist as well, sometime patent due to less blood circulation to brain got shock it is better to consult with your doctor to avoid future paralysis attack as understand in this situation. Give him fresh fruit juices or fresh fruits and regular exercise is very important less physical activity leads to many problems. Follow to your cardiologist <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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,am having ance scares in ma face .is it worth buying meladerm cream to reduce scares?will they cause any side effects ,if so tell me about that. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Dear Ms PragaMeladerm cream is used for pigmentation marks. Acne can cause scars as well as pigmentation marks. You need to understand the fact that only commentary problems can be treated with cream mentioned and for deep pitted scars you need a treatment like Fractional Laser or Dermaroller. The laser option gives a better result in comparison to dermaroller. 2-5 sittings might be required depending upon the depth and extent of scarring. In my advice you must visit a qualified dermatologist for the same. Happy Healing 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 was diagnosed with ethmoid sinusitis disease. Why is disease attached to diagnosis? The ENT put me on an antibiotic called cefdinir 300 mg. Is this the correct type of antibiotic that i should be on? The doctor feels that if it doesnt help come back and will talk. Mean while if been back and fourth 4 times and the problem hasnt gone away. Ive had Ct scan and MRI and Doctor doesnt think there is a problem even though both CT and MRI both say its mild to moderate ethmoid sinusitus disease. Every day I have a headache and pressure by eyes,nose etc.. Please write back and let me know what I should be doing. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Welcome to Chat Doctor, Sinusitis can be treated with medicines like antibiotics, decongestant, antihistamines and anti-inflammatory Chat Doctor. And yes all your pain over head and pressure by eyes, nose is most likely due to ethmoid sinusitis. Surgery is not a must for everyone. But if sinusitis does not reduce with conservative medicines, and if sinusitis is recurring very frequently, may be 3 episodes in 6 months then we advise for surgery. And if the sinusitis is associated with nasal polyp, nasal mass, fungal sinusitis then also surgery is a must. Surgery for sinusitis is an endoscopic surgery. In this surgery mainly we clear the sinuses and provide good ventilation for the sinuses. We do have to cut the soft tissue, debride, <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 just got back from my CT scan. 3 months ago they located a 2 cm mediastynum cyst on the right side of my chest. My doctor sent me to get another CT 3 months later to see if it grew. Thy told me that it looks the same and that it is on the right side of my body near my heart. What should I do? And what is it? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Respected user, hi I evaluated your query thoroughly.* Mediastinal cyst has vivid pathologies ranging from benign neuronal tumors to malignant ones.* Mediastinal cyst evaluation needs correlation with detailed history of the patient, clinical assessment, signs elicited by the consultant, exact location in the mediastinum with in depth analysis of reports, Biopsy of the lesion giving histopathological evidence of the disease. Hope this helps you. Welcome for any further queries. Thanks for using Chat Doctor .com & giving me an opportunity to assist you. Wishing you healthy life ahead. Regards dear take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, My Father visited Dr. Pranay Gaikwad for a tumour on his parotid gland and was advised to get it operated on May 18th or 20th, 2011.But recently my mother has developed acute heart problem and is suffering from chest pain and has been advised complete bed rest by a doctor in Kolkata. Just wanted to query if it is possible to postpone the date of my fathers operation <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, dairy have gone through your question. I can understand your concern. Your father has parotid tumor, and you need to postpone the date. It depends on type of tumor. If it is a benign tumor like pleomorphic adenoid or war thin tumor or some benign tumor then you can postpone the surgery. There is no harm in that. It is not an urgent condition. But if he has some cancerous tumor then urgent surgery is required. Otherwise, cancer can spread. So you should take decision accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello, i have a painful swollen occipital lymph node on my left side. I have had a flare up of psoriasis on my scalp, could this cause the pain and swelling in the lymph node? I am also getting a tingling from the lymph node up my scalp almost to the top of my head. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HI, thanks for using Chat Doctor The occipital node would enlarge in response to the flare up of the psoriasis. Lymph nodes are located in different parts of the body, and they respond to inflammation and infection in these sites. Normally when the associated infection or inflammation resolves the swelling of the lymph would also go down. It can sometimes take up to 6 weeks for complete resolution. 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\|> I was told my red blood count was 8.9 and would have to have 3 months of Lupron shots before I could have a hysterectomy (my uterus is enlarged and I am full of fibroids). I am seeing a recommended obgyn for the surgery. This is not the first time my blood count has been low. Should I contact my family doctor to let her know my count is low or assume the count is low from the fibroids. I have been on atenol for blood pressure 2 years ago after I was diagnosed with sever anemia. I had a pretty serious nose bleed the other day, and am nauseated everyday, heart palpitations, lack of energy, and my chin and arm have been going numb, frequent urination, extremely heavy periods, pain in my kidney area. Could this be from the anemia? I am not sure if I should be asking for more blood work to be done to check my vitiman D and B12 levels, they were low last time I was diagnosed with anemia. My current family doctor is booked up, so if I seen someone it would be a nurse practitioner. When I went 2 months ago with the above symptoms, the nurse practitioner drew no blood, ordered the trans vaginal ultrasound and kidney ultrasound. The kidney ultrasound was normal. My doctor canceled the trans vaginal ultrasound without telling me. I called and spoke to her assistant and reminded her that I was bleeding heavily. She had her assistant call to reschedule ultrasound. I had to wait another week. My doctor s assistant called to tell me my ultrasound showed and enlarged uterus and full of fibroids, that they would schedule an appointment with an obgyn for a hysterectomy. I called back asking for pain and nausea medicine. Again the assistant called prescribing nausea med and aleve. I don t know how serious my symptoms are, and if doing the Lupron shots, eating high iron and over the counter multivitamin is the right thing to do to get my blood count back up and wait for surgery in Janauary or should I see one of my doctor s nurse practitioner s because by doctor is booking out to November? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Dear friend. Welcome to Healthcare for your queries . I read your concern and your tiredness and weakness is due to ANEMIA. Anemia is due to fibroid as of your health concern, If fibroid is left untreated it can cause much more bleeding and your health becomes decorated even if managed by iron and multivitamin supplements, I would suggest you to book an appointment with GAEC Specialist and get fibroid removed by hysterectomy procedure and after procedure Vitamins and Iron supplements will surely improve blood level and your symptoms will be reduced. Do not be panic about pain in kidney region, Get checked for urine test and a course of antibiotics will cure the symptoms. Do not be worried, Your energy will be restored back to normal again ... You can ask me if you have any further queries. Regards Chat Doctor. Kingston John David <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> had a teeth pulled 5/21. molar plus front 3 upper for partial denture. had descaling 6/16.. came down with parotis 6/20. hospitalized and treated. now have lump on outer gum of pulled molar that hurts. also, cannot open jaw..what needs to be done? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for using Chat Doctor. Read your query. The symptoms you have mentioned in the query, suggests the non-healing of the tooth socket and also there is a formation of abscess which is causing you the pain and difficulty in opening the mouth. I would advise you to visit your dentist so that he will have a look at it and if there is an abscess he can do the required treatment to induce the healing of the socket.Additionally, you will require antibiotic like amoxicillin three times a day and metro tablets, ibuprofen (if you are not allergic to any medication). Warm saline gargling will be of major help to you. Maintain a good oral hygiene and avoid vigorous gargling. Hope this was helpful. Thanks and regards. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My son has switched to a smokeless cigarette trying to quit. I was unaware recently that he was smoking in the car I was riding in but suddenly had difficulty breathing. My throat felt like it was closing up. He immediately rolled his window down and turned the device off. He said he had never seen anyone react to his cigarette in this manner. After a brief time my breathing was normal and the constrictive feeling in my throat disappeared. Was this an allergic reaction? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. Yes, this can be the acute allergic reaction due to cigarette smoke. Cigarette smoke carries many harmful chemicals. When inhaled, in some people, it can cause allergic reaction. Allergic reaction causes laryngospasm, bronchospasm and coughing. All these give symptoms of choking, breathing difficulty etc. Your symptoms relieved by its own once the exposure has been cut. So all these suggest acute allergic reaction two cigarette smoke. So better to avoid such exposure in the future. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have not been feeling good the last few days. I have been on my period for 10 days. I am taking birth control. The last three days I have had diarrhea and feel a little sick to my stomach. When every I try and stand up from laying down. I have severe cramps. The only way to describe it is by saying it feels like my lower insides are hard and stiff and when I am trying to stand up I am bending them a way that they should not. I may not be explaining it correctly. I am not sure if is just a bad period or if I should be worried <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi. Thanks for your query. Read and understood your history. You have explained this nicely. You have a problem of gastroenteritis, the intestinal component is so much that you are loosing precious fluids and electrolytes through the loose stools. This may help the periods to extend as your hormones go into imbalance. I would advise you the following:First get the blood tests for : CBC, PCV, electrolytes, Urine and stool tests. Ultrasonography for the abdomen and pelvis, also helps for knowing the probable reasons for the extended periods a course of an antibiotic, Metronidazole, probiotic, symptomatic and supportive like Electoral powder ID there is no vomiting. If the vomiting starts or is the deny Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hello my partner have a problem with his gential area he sweats alot and he have pimples on the side of his nutsack eveytime we have sex i get the pimples on my vigina can you tell ,me what i need to do i dont think its herpes cause we go to the doctor and they say its cause he sweat alot <\|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 help you in this. As you have pimples on genital area, this may be due to infection of hair follicle or hygiene condition. This is also due to some other pathology. I suggest you to clean the area, make the part hygiene. Clear the area after sex. If problem persist after doing all this thing, then consult a good dermatologist for this. 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\|> sir,2 month before my wife was attempt to suicide by hanging ceilling fan.she was seriously injured & senceless. according to C.T. SCAN & X-RAY report she have no problems . She have hypoxic brain damage after hanging now she have memory loss and behavioural abnormalitie now she is almost fit & able to walking,talking etc.but she can t remember something properly & she lost some memory which she done in few days ago from the date of suicide.so she talking about some incorrect data.but she properly mind it her relatives each & everyone.in this case what to do & what type of treatment should better for her & how many days she takes to fit completely? pls give some advice. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thank you for posting your query. It is fortunate that your wife survived the suicidal attempt with hanging. Hanging leads to lack of oxygen flow to the brain, which causes damage to several parts of brain. Hippocampus, the seat of memory in brain, is very sensitive to damage with hypoxia (low oxygen supply). This results in memory loss and behavioral changes, which your wife has now. These tend to improve slowly over time and may occur over the next 1-2 years. Recovery, however, may be incomplete. A Chat Doctor. Best wishes, <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi there! My mom didn t sleep well last night, and as we are sitting on the couch her left side is constantly gurgling. Very loud, consistent. It s definitely not in her stomach, but more in her left chest area. She had her kidney removed in October, has HOCM, and a valve problem. Is this something to be concerned about? Thank you! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your mothers situation and problem. In my opinion, you should immediately take her to cardiologist. Since she is known case of HOC (hypertrophic obstructive cardiomyopathy) and valvular heart diseases, possibility of worsening of underlying disease is more for her chest sound. She is also having difficulty in sleeping. This is mostly due to heart failure. So consult cardiologist immediately and get done clinical examination, ECG and 2d echo. She needs urgent treatment. Hope I have solved your query. Wishing good health to your mother. 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 a 50 yo F. My blood chemistry test for AHDL resulted in a 74. I am not familiar with this term and am not sure if this is cause for concern. Cholesterol/HDL ratio is 2.45(seems good) LDL is 95. AST is12 and ALT is 27. These numbers are marked as low. I am also not familiar with these terms. Please explain AHDL,AST,ALT and interpret the numbers for me. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, dear. I have gone through your question. I can understand your concern. Your HDL cholesterol and LDL cholesterol is very good. AST and alt is liver enzymes. Your liver enzymes are within normal range. Overall you don't have any abnormality. You are perfectly fine. So no need to worry. Just be relaxed. 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\|>