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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|> Dr.Sathiya female 60 years, Had sevear lower abdominal pain and USG taken on 10/04/14 iMPRESSION ARE. FOCALIECTASIS IN UPPER POLE CORTEX OF RT KIDNEY WITH NO EVIDENCE OF HYDROURETE.SIMPLE CORTICAL CYST IN BOTH KIDNEY.NO OTHER SIGNIFICANT ABNORMALITY. CT-WHOLE ABDOMEN SHOWS.BILATERAL SIMPLE RENAL CYSTS,MILD CALICIEGTASIS IN THE UPPER POLE OF THE RT KIDNEY,NO RENAL/URETERIC CALCULUS IS SEEN,AN ENLARGED LEFT ILIAC LYMPH NODE AND DIVARICATION OF RECTI.PLS GIVE YOUR OPENION <|eot_id|><|start_header_id|>assistant<|end_header_id|> HelloSimple liver cysts are generally asymptomatic in nature, and usually it only requires follow-up ultrasound. It is generally age related developmental findings may need clinical evaluation. Cyst may cause pain if there is infection in cyst or rapid increase in size. Focal caliectasisis is also a benign finding. Focal caliectasis is a kidney condition in which the part of the kidney that Chat Doctor. It also generally doesn't require any treatment. Rest of the findings are normal. Get well soon. Take Care <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I had a stint placed in my kidney 10 days ago. I now have very bad pain in my back and bladder. I am not able to urinate, my bladder is full, but nothing comes out. I feel sick to my stomach but no vomiting. Im scared somethimg is wrong. What is wrong and how do I urinate? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for writing in. It is important to know the reason why stent was placed in your kidney and whether the stent is on one side or on both sides. Stents are tin long tubes with curves in both ends. One end is in the pelvis of the kidney and the other end is in the urinary bladder. A stent helps in clear passage of urine from the kidneys to the urinary bladder. If your bladder is full then the stent is clear and allowing urine to pass through. An ultrasound scan is required to know if there is any urinary bladder infection or any other cause for not being able to pass urine from the bladder to the exterior. If there is acute retention of urine then you should go to your doctor now and have the bladder pressure released by inserting a catheter. 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 was wanting to ask some questions about gallbladder, and cist on ovaries. what type of systems do have from each? I have been having some problems on my gallbladder they told me it was inlarged and to see a family doctor which I dont have one.. a few days ago the bottom of my stomach had sever pains to were I could walk or sit as much as lie down.. been getting nausas and back pain very bad back pain.. can u please help answer my questions and tell me where I can go to get some medical attention that will actually do something about it.. thank u very much... <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for the query to Chat Doctor. Forum. Gallbladder is enlarged, but what is the reason of gallbladder enlargement, infection or stone? Cyst around ovaries can be cured by CONSERVATIVE treatment (Chat Doctor. Stomach pain may be due to Hyper acidity (tension or stress). Diagnosis can be confirmed by upper G I endoscopy. Try raising the head of your bed about 4 inches with blocks. It also might help to avoid eating or <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> i think i have asthma but I went to the doctors and did a peek flow test and thy said it didnt look too bad as it didnt have a dramatic difference between days but I still breath heavily all the time and when I do exercise I find it hard to catch my breath and my chest hurts and tightens do you think I have asthma <|eot_id|><|start_header_id|>assistant<|end_header_id|> HelloAsthma:Airways hyperresponsiveness that is secondary to inflammatory disease that results in recurrent or chronic episodes of WHEEZE, SHORTNESS of BREATH, CHEST TIGHTNESS &/or COUGH particularly at night or in the early morning.==Asthma sufferers may complain of variety of symptoms, none of which is specific for asthma. Wheeze.SOB (shortness of breath).cough.chest tightness. Symptoms are usually associated w/airflow obstruction;obstruction is often reversible either spontaneously or w/treatment. These symptoms tend to be intermittent, variable, worse at night 7 provoked by triggers ;e.g. exercise. Diagnosis can be confirmed by spirometry and measurement of lung function test. So above-mentioned symptoms and tests will decide that you are having asthma or not. Hope this will help you. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi There, I have a 1wk old baby and am feeding him Nan as he isn t taking to the breast at all. He seems to be very chesty and breathes heavily. He seems to like choke on the Nan as of this morning. He seems to now be getting a fever of some sort. Nan made me sick and chesty when I was little. Is Nan the cause of this? If not please help me shed some light on this! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thank you for asking question on Chat Doctor .NAN is not directly responsible for his symptoms. Babies usually regurgitate some amount of feed till 4-5 months. Sometimes it is aspirated into to the trachea and cause these symptoms. Consult your pediatrician who may advise you to feed small babies. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics <|eot_id|>

<|begin_of_text|><|start_header_id|>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 this pain in my knee, my knee almost feels stiff and when I try to sleep at night I become very restless. I used to play volleyball and rugby about 2 years ago. im a very healthy 20 year old female. im thinking it might be bone cancer. my mom had cancer in the past but in her ovaries. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Dear patient Stiffness in knee and pain on single side is Monoartitular arthritis. Most common cause in developing countries is tuberculosis. But it can be also Monoartitular rheumatoid arthritis. Chances of this problem due to cancer is very rare. This needs to be investigated with 1. X-ray of involved knee anteroposterior and lateral views 2. MRI of involved knee to confirm diagnosis. Visit radiology center nearby you and get it done. Meanwhile, start tab diclofenac 50 mg twice a day for pain relief and start knee range of motion exercises to reduce stiffness. You need to consult expert orthopedic surgeon with report. 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 WOKE UP THIS MORNING AND THE TOP OF MY HEAD WAS SORE TO THE TOUCH, NOT PAINFUL UNLESS i TOUCH IT....THE ENTIRE SCALP. IN JUST A FEW HOURS I BEGAN TO HAVE ACHING PAIN IN MY LEGS, ARMS, BACK, ALL OF MY MUSCLES NOW ACHE. i AM TIRED AND HAVE CHILLS HOWEVER, i DO NOT HAVE A FEVER? <|eot_id|><|start_header_id|>assistant<|end_header_id|> HI, thanks for using Chat Doctor The chills indicate that there is a change in body temperature even if you are not detecting a fever. Based on the symptoms mentioned, it is possible that you have a viral infection. Most viral infections can cause these symptoms, but you there are no symptoms mentioned that point to a particular virus. The most common viral infections are the cold/flu and gastrointestinal (causing vomiting and diarrhea)Since the symptoms are so severe, it may be best to be assessed. I hope this helps <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi , I was diagnosed hearing impaired when I was years old but i have threw away my hearing aid since I was 10 years since it wasn t compatible with my hearing loss also i hear too loud voices and annoying noise i was unable to detect the words or make out of what people say . Until my university stage when I faced failure for the first time in my life i suffered of depression after failing first year . nevertheless I kept failing successively for 4 years till i recovered from depression last year after strenuous efforts to get out of it meanwhile I bought new hearing aids Now i am feeling really better and i don t suffer of amnesia or emotional unstability and fatigue But i find some difficulties in studying . I find it hard to assimilate the information or think critically about an issue unless i should do extreme efforts to make out of it also that takes long time ( days , months) to get the puzzle pieces recollected together my question is : is that the problem of concentration and ability to assimilate and think critically linked to my social isolation due to my hearing disability or it is lingering effects of depression ? Now im in last year and i am longing for graduate this year .. thank you for the effort you make to help people to overcome the depression :) <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello...... Thanks for your query. I can understand your predicament. Sensory deprivation like hearing loss predispose to depressive illness. However, it is encouraging that with hearing aids your hearing has significantly improved. Hence, I accept your depressive symptoms to resolve early without any intervention. You can seek psychological counselling and supportive psychotherapy in the interim. Hope you found the information useful. Regards Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have severe mitral valve regurge with mild stenosis. Sclerotic aorta with trace regurge. I had open heart in 2005 for a mitral repair. I was diagnosed with myoxmatous disease. I also have pulmonary vein reversal with blunting. What does the latter term mean??? Does this mean beginning heart failure. EF is 60%. Thanks <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello sir, pulmonary flow reversal confirms that mitral regurgitation is severe enough that the regurgitation blood is reaching till pulmonary veins (indirect means suggestive of severe disease on echocardiography ) . Hereby I would suggest that you don't wait for heart failure to set it, if you have symptoms like breathlessness while you exert, angina and palpitation. Its better you plan for an elective mitral valve replacement. Though not urgent would be a good option in view of long term quality of life. 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|> hello, i have been noticing some interesting happenings over the past few months, this may not be organized or neat but here goes. within the past few months i have noticed some bumps popping up, for instance i think the lymph node below my right ear is swollen or a bump i have no clue, and a more recent development is i found a bump above my left ear about half an inch back and it only hurts real bad to the touch when i dont mess with it its like it isnt there. also if this has any correlation i have been having some psychological or nuerological issues with my processing of information and reaction and action timing which i think is from my head injury almost a yr back... when i was at the er they diagnosed me with pain relievers did a mri etc and left it at that, i think they messed up and ive had head trauma since.. i have alot of issues with body language and emotional facial expressions.. and one more thing i had some weird twinge like headaches a few weeks back, wasnt nothing like any headaches ive had before it was like random bursts of electricity shooting in straight short lines on my head idk was just wondering what a professional thinks of this. thanks for responding :) <|eot_id|><|start_header_id|>assistant<|end_header_id|> Respected Sir, headache is relating to past history of injury and some neurological consequences of the same. Now lumps in relation to old injury is not evident to that extent, probably must be nonspecific lymphadenopathy else developing neurofibroadenomas, but I would love to evaluate patient with thorough clinical examination, correlating all the past data and then coming to final conclusion for the further management. Thanks, regards <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> my son is 9yrs old, having fever since 7 days, given paracetmol every 6 hrs on doctor advice, gets chill and shivering during high temperature also having cough, and loose stools,at present the temperature is 103 degree, two days before tested for malaria fever found negative, <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for posting in Chat Doctor. Fever for 7 days which is not getting controlled with paracetamol with cough and loose stools should be ad Chat Doctor. As you already have tested for malaria which is negative, there might be other causes like pneumonia causing cough or acute gastroenteritis causing loose stools. I will advise you to get him hospitalized as he will need blood investigations, chest x-rays to diagnose the exact problem and treat the causative agent with IV antibiotics if required. If you need any more help kindly write back, will answer your query. Thank you <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> i am really wondering why my cleavage is black or rather darker than my complection. it started when i was 18y/o. i am now 22. it is not itchy nor scaly. what can this be? and what can i use to lighten my complection on that part? my underarm/armpit is also really dark because when i was young i used a deodorant and i didn t know that it already expired. after i used that deodorant it started itching and became really red. then after few days i became so wet and itchy to the point that i can t stop scratching it. now it is so dark that it s like a shade of dark brown but my complexon is like khaki/light brown/peach. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, I understand your health concern. The cause of this is a fungal infection or Tina in medical terms. You have had a past infection in your younger ages, and it has continued to the present state. The mere dark complexion suggests it is a fungal infection. Follow these measures: 1. Chat Doctor. Then only put on your clothes. 2. Use a simple antifungal cream like clotrimazole on the darker areas on a routine basis. You should feel better soon though 100% cure is not possible. Wish you good health. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi. Per an MRI report done 6 years ago, I have bulged discs at L4 & L5 with S1 involved. After doing aggresive yoga last March, the back flared up and I now have hip and groin pain that sometimes radiates down the front of my leg to the foot. I also have CRPS. I had a block done for L3 & L4, started pool therapy, and nothing is helping. Are there any PT exercises that might help? My doctor is ordering another MRI. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, thanks for writing to Chat Doctor. As you have Lumbar disc disease in multiple levels, you are not supposed to involve in any activity that produces strain over your lumbar spinal musculature, which worsens the disc prolapses. Physiotherapy will have little help in alleviating the articular pain (radiating pain) and is useful only in treating Chronic low back pain. A repeat MRI scan is always helpful in assessing the present condition of your disc disease. The general management guidelines for a lumbar disc disease are as follows -- Maintain optimum body weight, if you are obese-Avoid lifting heavy weights as it imparts more strain on your back-Avoid excessive forward bending activities as it will worsen the disc protrusion. If you want to bend forwards, do it with your hips and knees flexed.- Use a lumbosacral back support to stabilize your spinal muscles- Intermittent pelvic traction might be helpful to cause a regression of the protruded disc- Physiotherapy is needed to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.- Use analgesics like Advil or alive and muscle relaxants as needed. Vitamin B12 supplements & Pregabalin may be helpful. If your fail to improve with the above measures, an Epidural steroid injection may provide good symptom relief for a few months. Hope this information is helpful. Good day <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My wife is diagnosed as suffering from Cerebellar Ataxia for the past eight months. No improvement in her since that time. She is bed-ridden and practically has no control on movement of any organ of the body. Doctors have got all possible tests done including genetic study for SCA which has no confirmation. She is under no medication. Suggest some course of action please! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Unfortunately, a diagnosis of cerebellar ataxia is made on clinical grounds, which can be supported by genetic studies which may elucidate the specific TYPE she could be suffering from, however, no medication is currently available to treat the condition. Depending upon her other symptoms such as headaches (if associated), eye movement abnormalities (if associated), dizziness there could be medications to treat or ameliorate. Also, laboratory analysis could be performed to rule out things such as B12, D deficiencies, as well as heavy metal toxicities. 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 75 year old woman.. history of breathing problems..have COPD..I have a very hard time at night with coughing. I bring up a little but the cough is terrible. It also happens during the day but not as much. Have tried many different syrups but nothing seems to work. Any ideas for me. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I advise you to get done chest x-ray first to rule out lung infection. As lung infection is the most common cause for COPD worsening and coughing. If Infection is there than you need antibiotics. You can also start oral bucolic and expectorant Chat Doctor. They will clear the thick mucus and make it softer which can be easily expectorate. Chest physiotherapy and deep breathing exercise will also help you in clearing secretion. Since all these are prescribed medicines, you should first consult pulmonologist and discuss all these. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 on antibiotics for eight days my jaw is so swollen I cannot open my mouth to chew food some days pain is more intense than others. On ciprofloxacin started on clindamyacin and they switched me after a trip to er. I m about to take both because I m tired of hiring and this has cost me both of my jobs. Need help please advice. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, I can understand your concern and advise you not to take both these antibiotics together. Ciprofloxacin has higher antibacterial coverage than Clindamycin so stop taking Clindamycin and complete the course of Ciprofloxacin. In addition, the description of the symptoms suggests that you are probably having trouble with the lower third molar or wisdom tooth. It might be impacted or infected causing the symptom. In that case, only antibiotics will not help to relieve the problem. You should make an appointment with the dentist and go for clinical examination of the oral cavity along with x-ray of the lower third molar area on the side of jaw where the pain is. If it is indeed the cause, you should get the tooth extracted. In addition, if you are having pain and not able to chew probably, you should take analgesic such as Motorola 10 mg (Retool DT) thrice a day. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. 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 am two months late and have taken loads of packet pregnancy tests from the local chemist but they have all been negative i have four children already and feel pregnant what do i do am i pregnant or could i be going threw the change i,m thirty years old <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello dear, I understand your concern. In my opinion there are various causes for delayed period other than pregnancy like stress, thyroid abnormalities, PCOD, overweight or obesity etc. As it is 2 months delayed and pregnancy test is negative the pregnancy is unlikely. Kindly check for the above said causes. Avoid stress if any. I suggest you to consult doctor for medicines for with Chat Doctor. 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|> 9 month old has run fever of up to 104 for 4 days. The fever broke yesterday and now rectal temp has been all over the place, from 97-98.6. The 97 scares me. Isn t that too low? I should also mention that there was no known cause found for fever. WBC was high. Over 20,000. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello. I just read through your question. It is very reassuring that the temperature came down. The reading of 97 is nothing to be concerned about. The white blood cell count of 20,000 indicates that there was an infection, but based on the resolution of the high fever, appears to be a harmless virus. It would be worth considering with your pediatrician doing a repeat blood count to make sure it normalized. In any case, however, the illness is resolving. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hello, i am a 27 year old female, healthy, with a history of no major medical problems. twice in the past couple months, a large lump has appeared on my forearm (once on the outside of the right arm, and then on the inside of my left arm) which is then surrounded by a huge bruise within several hours. both times, this occured without any trauma to the affected area. any ideas why this is happening? thanks! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello hope the answer helps you. As you mention that without prior trauma noticed bruised lumps in arm twice. I think a detailed history as for any bleeding diaeresis as baleen, hematochazia needs to be sought, but otherwise you are healthy fit person and any bleeding disease in family and not on any anticoagulants then better you sit and wait to see it resolved out as not associated with fever to clue anywhere. If still happens again in future then needs consultation <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello, My daughter 7months contracted a fever 3 days ago 37c to 38c observed mainly on the upper side of the head. second day she suffered from the same symptom but unrest in her stomach and gases started to formulate in her abdomen. third day (yesterday) we observed some involuntary shakes in her head that later in the day spread to her entire body (similar to parkinson decease) we took her to the doctor who advised we take her to the hospital for a CT scan and some blood tests. The CT showed no anomalies and the blood tests are good, calcium level is 9 and she was put on 2 antibiotics and 1 antiviral ceriums. she immediately positively reacted to the antiviral and the body shakes immediately improved and the head shakes are now at 10% of yesterday. Any suggestions or diagnostics? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Your baby has a fever for three days, history of body shaking, that is actually seizures. So my diagnosis is meningoencephalitis which could be viral or bacterial in origin (viral in your case as you described). I advise for cerebrospinal fluid (CSF) examination, sent blood culture and CSF culture, continue antiviral for seven days. Also, plan to work up for the metabolic condition, electrolyte study, lastly MRI brain and electroencephalogram (EEG). Hope I have answered your query. Let me know if I can assist you further. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hello doctor... i am 25 years old male...i have been diagnose with asthma 3 days before...i was suffering from violent dry coughing especially in early morning hours.chest pain,vomiting due to stressed coughing..and i am allergic to dust and climate change...i am a assistant director in movies ..can i spend my rest of life normally or i have to take medicines whole life..also suggest me what all diet and things i should include or exclude..i am a smoker too since 6 years <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello.First, my sincere advice is to quit smoking, if necessary, seek professional help also. Smoking harms the lungs and not only worsens asthma but also reduces efficacy of some asthma medications. This will be one of the most important step for you for a better lung health. Apart from this, with proper understanding and correct use of asthma medications, you will be able to live a normal life, including exercises, sports & adventures. So please do not worry. Depending on the severity of asthma, you may have to take daily regular medicines or intermittent medicines on as & when needed basis. With passage of time, you & your physician will be able to decide minimum dosage of medications to control the asthma. Unless you are particularly allergic to some foods, you may not have too much food restrictions. I would suggest minimizing cold foods (cold water, cold Chat Doctor. Otherwise, please try to have balanced & nutritious diet rich in vitamins & minerals. I would also suggest you regular exercise, breathing exercises, yoga & Panama. Control stress with relaxation & meditation (stress may trigger an asthma attack). Hope this was helpful to you. Wish you the best of the health. Regards. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello doctors, I have been suffering for about six months now with moderate to sever pain in my abdominal cavity, Serveral specialist are working on diagnosis, however, it can be hard to make sure all the doctors see all the notes. In addition to pain I am swollen enough that people think im about six months pregnant. some of the diagnosis include pain primarily on the left side of my abdominal and in the left side in the back. I have three cyst on left ovary and one cyst on the right ovary. I also have a cyst on the left kidney. I often have difficulty urinating in that is necasarry to strain to void. Recently a umbilcal hernia was repaired successfully. All cyst appear not maliginant.. I do have ibs and diverticulitis and am positive for h pilori. I have pain when eating that is basically like pressure and achey. Most of my pain is on the left abdomen about natural waist down to the pelvic area in that pelvic area is the greatest pain <|eot_id|><|start_header_id|>assistant<|end_header_id|> HI. Thanks for an elucidated history. You have IBS and diverticulitis. And this may be the reason for pain and bloating you have. On a safer side go for CT scan of the abdomen and colonoscopy and biopsy to prove or rule out any other pathology. CT will help to know the status of the ovary and the cancer potential and if required a diagnostic laparoscopy can be undertaken to have a proper diagnosis and may be for the treatment as per the findings. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi, I AM IN MUMBAI ,AGE 33 YRS MALE. I AM HAVING ALLERGIC RHINITIS FOR OVER 11 YRS & SINCE PAST 1 YR I HAVE BEEN TAKING MONTAIR LC TABLET .fIRST 6 MONTHS I TOOK 1 TABLET EVERYDAY & NOW AM TAKING 1 TAB EVERY ALTERNATE DAY.IS PROLONGED USE OF THIS HAVE ANY SIDE EFFECTS SINCE NO OTHER AYURVEDIC OR HOMOEOPATHY MEDICINE IS WORKING.SUPPOSE I DISCONTINUE DOES IT CREATE ADVERSE EFFECTS NOE IN FUTURE <|eot_id|><|start_header_id|>assistant<|end_header_id|> You are having allergic rhinitis and the best treatment for this is Steroid nasal sprays. Please take 2 puffs each nasal cavity in the morning of Florist nasal spray.donor hawk or blow out nose or take steam inhalation after this. Continue this for 3 months along with Montage LC for 1st 1 week only. Then you will have full relief for a long period of 1-2 years. Then you can do the same when symptoms start again. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 mother is lung cancer patient and she is currently running a persistent fever opf 101 F for the last 2 days. We have already given her 3 tablets of Dolo 650 ( Paracetamol 650) during the day, the last being given some 4 hours ago. The question is what is the safe dosage of DOLO 650 for Cancer Patients running fever Regards Neeraj <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, paracetamol is very safe Chat Doctor. It has hepatic (liver) toxicity at very high dose which is subjective. Lung cancer if not spreads to liver her liver function seems to be normal. Then you may use the same dose for even 4 times a day. But cause of fever to be detected and to be treated accordingly. Paradetamol is not definite treatment. You should go for a complete blood count. Consult oncologist. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello Doctor,I am regularly awakened from sleep due to palpitations and numbness in my arms and fingers. The irregular and fast heart beats take some 5-10 mins. to slow down to a comfortable level. I have Mitral Valve Prolapse Gr. I. Please help. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello! Your symptoms could be related to a cardiac arrhythmia. Another possible cause to consider would be a pinched nerve or neuropathy, which could cause numbness in the arms and fingers. For this reason, I would recommend consulting with your attending physician for a careful physical exam and some tests: -an ambulatory 24-48 hours ECG monitoring in order to examine your heart rhythm for a prolonged time-complete blood count for anemia-thyroid hormone levels for thyroid dysfunction- blood electrolytes for possible imbalance- a cervical spine X-ray study to examine your cervical vertebral column for possible degeneration- a nerve conduction study to examine your nerves in your upper limbs. You should discuss with your doctor on the above tests. Wishing good health, <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am 26y old. In 2008, I terminated my Pregnancy at that time doctor told.I am with Hep B deficiency. Is that dangerous. What problems do we face because of that.And I have a Lower Back to left Foot pain through Hip. When I do work out My leg feels heavy. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, How are you? I am sure your doctor meant your "He" is low meaning your "hemoglobin" is low. Thisessentially means you have anemia which is very easily treated with nutritional supplements. Being deficient in "Hep B" is definitely good as this means you do not have hepatitis B infection. I would advise you to get vaccinated with hepatitis B vaccine to protect yourself against future risk of acquiring hepatitis B infection. Hoipe this helped and have a great 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 Doc, i have a flu like symptoms right now, my throat hurts when i swallow and theres a lot of these zits -looking bumpbs in my head right now. My scalp feels so sensitive right now because of them. I also have some of these red bumps in my body including my feet. What could this be? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Flue like symptoms with throat pain & bumps all over in the body & foot commonly is indicative of impetigo, chickenpox, contact dermatitis associated with pharyngitis. You are suggested to visit a GP, get physically examined. This type of skin infections are highly contagious, take care of your hygiene & avoid sharing clothes, bedding or toiletries. Diagnosis is made by clinical examination & blood tests. Your treatment will depend upon the severity of infection detected. You may need antibiotics & antivirals. Gargle with warm saline water or Medicine mouth wash three times a day. Take Acetaminophen (Tylenol) for relieve. Take semi-solid food(oatmeal/oats) or liquid diet. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, may I answer your health queries right now ? Please type your query Hi my 5month old baby was born fair. He got jaundice when he was two days old. His complexion became tan. Now his face has gone back to the fair complexion but his legs are getting tan day by day. What s wrong? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Tanning is not associated with jaundice. Skin color depends on genetic inheritance, sun exposure & hormones. See if babies legs are more exposed to sun. If it is a unusual hyperpigmentation get him evaluated by pediatrician for hormonal imbalance (Excess of ACTH hormone causes hyperpigmentation).continue breastfeeding if on exclusive breastfeeding. Start complimentary food after 6 months. 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. my name is sarabjeeth singh i have a problem of elargy , since 5yrs and abve. the simtens are like as follows: if the climate change from normal to cold, or any rain in my city , thts it i will sneez and my eyes become red and starts to burn unable to open my eye. and suffers from headache. and also throat infection to me ths all will occur suddenly withis a second. i dont understand wt is happening t me. in the winter seoson and rainy seoson it will me doubled. so , pls guide me wt to do its urgent to me its uncontrolable .or contact me in this no: 0000. iam from india , state: A.P.; dist: karimnagar. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Brief:Detailed:Cellophane You for contacting Chat Doctor. Welcome to Chat Doctor. I am Chat Doctor. I am sorry to know about the difficulty you are facing. Symptoms you are suffering are very common and tell-tale of allergy, There are certain things you can do about it. Allergies actually are controlled by two things Protection and medication. You can protect yourself by using mask and protecting your respiratory passages from cold air and staying protected in cold weathers. Steam inhalation steamy bath and using hot <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi Doctor, I am Sushma,22 years old.I am getting severe stomach pain after eating breakfast in the morning.Even,I am having very simple and light food with out masala.I have tried Eno thinking it is reason of gastric trouble but there is no pain relief.Pain is getting reduced if I have any butter milk.Is it because of gastric trouble?Please help me with a solution for this problem and kindly suggest the diet to be followed. Thanks, Sushma. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, vwmulasaisushma, I am glad to see that you have limited the intake of spices. If you are regularly experiencing stomach distress after eating, we definitely have to look into causes. You are a very young female, and I am sure you are under a lot of stress. Duodenal ulcer is common among young population. If you have a family history of stomach problems, more likely that you have this. Eno or Alka-Seltzer can give very minor relief but they decontrol acid very well. If any, they can cause more acid rebound. There are very effective medications available over the counter, such as H-2 blockers, Proton Pump Inhibitors for acid control. H-2 blockers include Cimetidine, Sanitizing etc. PPI's includeOmeprazole, Lansoprazole,Omeprazole, Omeprazole etc. These are highly effective. You can start taking these twice a layabout one hour before breakfast and before the evening meal. You need to take this for 4-6 weeks. If you get complete relief, you probably don't need x-rays or endoscopy. If the symptoms continue, see a specialist. I also want to tell you that most of the duodenal ulcers are associated with a bacterium called H. Pylori. You need to be tested for that and if positive, needs treatment. Avoid excess caffeine, alcohol, tomato and citrus products. I wish you the very 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|> hi my daughter is 10 months old she has been having fever from the past two day and the doctor has asked us to give her combiflam syrup 4ml every six hours.but she throws it all out as soon as we give it to her.please suggest and advice some other medicine if there is a better alternative. <|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. 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 there,ive been having hay fever for a while now,so today, this afternoon i felt my nose was full of cattarh and decided to blow it,immediately i got really dizzy,never felt like that in my entire life before, and before i knew what was happening i was on my knees on the toilet floor puking my stomach out, i can also hear my ear sizzling loudly, and now i feel really weak,please what is wrong with me? <|eot_id|><|start_header_id|>assistant<|end_header_id|> HI, thanks for using Chat Doctor Sinusitis can be associated with tinnitus (the noise in your ear), dizziness and nausea. It can be due to allergies or infection. The use of a topical steroid nasal spray would be important to help with your symptoms. This includes medications such as alone, escort, Flonase, rhinoceros. In addition, oral antihistamines and decongestants would also help. Decongestants can be oral or topical. If there is no relief then it is possible there may be a bacterial infection that would require antibiotics 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...i am facing problems like semen leakage frequent and premature nightfalls and ejaculations plus along frequent urination whole day,and i have to wakeup from sleep during night for urination,plus i am execcive mouth watering,sliva of sour tastes and i am also facing diet issue wtih this ..please giude me what are problems with me... <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, dairy have gone through your question. I can understand your concern. Semen leakage and night discharge is common problem. No need to worry about that. When you don't have sex then semen leakage occurs by sleep erection and sleep discharge. Please tell me your age. Because in older age frequent urination is commonly seen in benign prostatic hyperplasia. You may have benign prostatic hyperplasia or urinary tract infection. You should go for urine examination and ultrasound abdomen. It will give you exact diagnosis then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My boyfriend gets a pain on his right side everutime he eats and sometimes when hes not eating.. Its extremely painful to the point that he has to lay down.. He doesnt have insurance bit Im worried it could be his gallbladder this has been going on for months now <|eot_id|><|start_header_id|>assistant<|end_header_id|> I have gone through your question and appreciate your concern. Pain in right side of abdomen may Be due to renal colic, appendicitis cholecystitis. U better get examined by specialist So that correct diagnosis can be done. Bcz of severe pain he has to lie down Points towards renal colic. Stone problem. Better get ultrasonography of abdomen. When heath problems are trivial they Have to be ad Chat Doctor. Thanks. U can write me back for any query. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My 5 year old son has a temperature (c.38.4), quite severe headaches and has just started complaining of an achy leg. His 3 year old brother has fever and achy leg plus stomach ache. Should I just continue with calpol/nurofen or take them to see doctor? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi... By what you quote I feel that your kid might be having viral illness. Severe headache and leg ache are suggestive of viral illnesses. Unless the kid is having severe vomiting and double vision, you need not worry about headache. 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. 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 fiance and i have been trying to have a baby for one year now. i am 20 and he is 24. he already has had a child with an ex girlfriend...how can i increase my ability to get pregnant without expensive procedures such as artifical insemination? I have irregular periods so it is very difficult to time my ovulation ...please..i really need some answers :( <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Olivia;welcome to Chat Doctor The first thing you should do is to find the cause of irregular period & get properly treated from a GAEC. Irregular periods can be due to hormonal imbalance;PCs or any other reason which will require treatment. Once the periods become regular please try to have intercourse every alternate day from 10th to 21st day of the normal 28-day cycle;as it is the fertile period when ovulation takes place. This will increase the chances of getting pregnant. If the periods become regular;then everything should be fine & you can get pregnant in a way without much expense as you wanted. All the best. 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 Dad is 67 and has had some sort of chest and sinus for a year. He has a metal taste in his mouth, is frequently sick. He also shakes and looks 10years older than last year. He won t let me take him to the doctors but he is clearly unwell. What could it be? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. Recurrent chest and sinus infection need investigations to search for the cause. Chronic bacterial or fungal infection can be the cause. Allergy can also cause this. Bronchitis is common in old age and cause similar symptoms. So better to consult doctor and get done 1. Clinical examination of respiratory system and sinuses. 2. Chest x-ray 3. PUT (Pulmonary Function Test) 4. X-ray of para nasal sinuses (PNS). All these are needed to search the cause. So first diagnose himself and then start appropriate treatment. Hope I have solved your query. Wishing good health to your father. Thanks. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi two days ago my husband and I had intercourse about an hour later I had a sudden onset of cramps and a stabbing pain in my lower abdomine and lower left side of back . As the days have gone on I m now very bloated and the pain and cramps are a constant . I also have a feeling of heavyness in my belly there has been a clear discharge and a light itching in my vaginal area but no odor . A lot of movement seems to aggravate it I do have what Dr called ic in my kidneys and am on elmeron for treatment please help <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for writing in. You have been given Cameron for interstitial cystitis (IC). Recently you are having cramps and lower abdominal pain (started after sex) and clear odorless vaginal discharge. There is documented painful sexual intercourse in women having interstitial cystitis. In women, the pain tends to worsen during menstruation.IC generally develops in middle age, and many people with IC also have other pain-related conditions, such as irritable bowel syn Chat Doctor. Please discuss your situation with your urologist. 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|> Dear Sir, My uncle, age 65, is diagnosised with lung cancer . The doctors are saying that now the third stage is over.There is nothing that they could do. Only the option is Chemo / Radiation treatment.He has got less than 1 year. MRI, CT report shows effected areas as lungs only. Not spread in to kidney, liver etc. Can you please help us on this.We want that he may have a less painful end. Awaiting for your valuable reply as soon as possible. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi thanks for your questioning the cancer is limited to lung only and has not spread beyond lung, If the cancer is limited to one lung only pneumonectomy(removal of whole lung) is a possibility, otherwise Chemo/Radiotherapy is treatment of choice depending upon the type of cancer he is having. He can live long with the appropriate treatment. There are powerful analgesic(painkiller) which can render his life pain free till he lives. Hope this answers your question <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello, I am a 35 yr old male 160 pounds, 15 years ago I had a severe staph infection that left my right groin area sensitive to stress and lack of sleep. I have been experiencing slight tingling in feet and hands. I experience very occasional slight vertigo. My armpits sometimes feel sore, slight tenderness in lymph nodes in groin with no swelling. I also have a slightly swollen lymph node on the left side of my neck and right side of neck is sore with no apparent swollen lymph nodes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Whole of your problem is not related to the staphylococcus infection. It is the mixture of various problems. I suggest you to take tab. Cetrizine and vitamin B complex for tingling and itching. Take betahistine for vertigo, and tab definite for infection. Please take the above medication under your doctors' guidance. This all Chat Doctor. But exact cause of all these things should be investigated and treated accordingly. Please do culture and sensitivity from the sore area. Once sensitivity report will come you can take the treatment as per the report. This will make you eligible for change in antibiotics from definite to sensitive one. Please maintain good hygiene this will treat you as equally taking antibiotics. I will be happy to answer your further concern on bit.ly/ <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have been fighting a fungal infection for what seems like forever but nothing seems to make it any better. I also have an HPV comorbity at the moment that makes it so much worse..n I have large raised red dry plaques that split and cause painful fissures.i have used prescription lamisil, nizoral otc miconazole and clotrimazole and lamisil pills for the last 10 days (maybe it was immune to the pills due to prior use of lamisil?). Have been soaking in apple cider vinaigar which stings like hell. Could it be a bacterial or viral thing or an auto immune issue as opposed to fungal? I take symbicort inhalers as well... thanks, itchy and severely frustrated. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello thank you for your contact to Chat Doctor. If I am your treating doctor I would like to tell you that you are using a Symbicort inhalers that makes you vulnerable to fungal infection. So most probably your infection might be fungal. But you can confirm it by the Gram stain from the lesion. Also, if possible do fungal culture and sensitivity. As per the report start your treatment. You will be all right in a week after starting the sensitive Chat Doctor. If you have to ask anything else to me kindly contact me Chat Doctor. Infectious disease specialist. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi i went to the doctor and they found out i have a gallstone that is more than unpassable! they told me that i need to have it removed but the hospital is dening me the surgury til i can pay for it up front..is there anyway to get around this other than waiting for the pain to come back and go to the er <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi thanks for contacting Chat Doctor ..... If gall stone symptomatic and leading complication then has to be removed..... If repeated attack of cholecystitis by stone then also needs removal..... If you are asymptomatic with no complication then clinical watch up can be done... But if stone large and multiple less chance of resolution with medical treatment. Udiliv tablet can be taken for it.... Avoid heavy meals..... Fatty foods taken less.... Fruits more.... Hope your concern solved... 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|> There is a small lump about 2 inches left of my belly. When you press on it, it feels as though something is protruding underneath. No other symptoms blood in stool, fever, loss of weight etc. with the exception of possible bloating at times. I am menopausal and have had irregular period patterns. Thats it. Any ideas. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thank you for asking Chat Doctor. My name is Chat Doctor. Keeping in view your presentation of Symptoms of this belly Lump, it seems to be either Para umbilical Hernia umbilical Hernia ...and another Hernia which present in this region is Epigastric but that's a little higher and above between the belly button and mid-chest... Such lumps need evaluation by the General Surgeon and clinical examination whether the lump is involving skin/under skin tissue or It's something protruding from inside the Abdominal wall.to role out these, Ultrasound evolution is done for the Nature of the lump /contents and for the defect in the Abdominal wall... Treatment is then Cause directed accordingly. Hope this may help you. Let me know if anything is not clear. Thanks. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi I went to to Dr.and they said it was something viral but my symptoms are started off with a really bad soar throat and runny nose now the throat not so sore anymore but have loss of voice and a cough and coughing up a lot of yellow from and blowing it out as well Im worried cause I have a 5 Mon. Old dont want him to get it <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Welcome to Chat Doctor, The symptoms are suggesting that you had some viral infection followed by secondary bacterial infection which has lead to the problems like coughing, yellow color sputum and easy fatigue. As you are having a 5-month-old child in the house, you may transmit the infection to him. I would suggest you to follow1. Oral Antibiotics like Tab Autoclave, 625 mg, twice daily for 5 days.2. Spy Mucolytics3. Steam inhalation with Vocals. 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|> Yes. I recently, had a nuclear stress test done and the report noted, there is flat T-wavesdiffusely. I already have CAD and I am a diabetic also with other health problems. I have noticed on my past and present bloodwork, I have low potassium. No one, seems to be concerned. Should I? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, dairy have gone through your question. I can understand your concern. You have history of heart disease and diabetes. Low potassium level can become dangerous. It may lead to life-threatening arrhythmia. You should consult your doctor and take treatment of that. 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|> Break through bleeding: My girlfriend had taken the Plan B Pill 2 weeks ago and got her period. Everything was fine this week and last week (when she was on her period) and then today she told me that after working out she didnt feel well and called me later on that there was blood mixed with discharge after going to the bathroom. The reason why she tool the Plan B earlier was because there was contact between my penis and vagina, but there was no intercourse. I dont understand whats going on here and I highly doubt that she can be pregnant. If you could offer some help/ advice as to whats going on, it would be greatly appreciated <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello dear, I understand your concern. In my opinion the blood admixed with mucous discharge might the effect of plan B. Usually there is scope for pregnancy when semen is ejaculated inside or around the vagina during the fertile period. Just touching of genitals will not result in pregnancy. So actually the plan B was not required. But anyway the bleeding is not related to pregnancy. The plan B is associated with side effects like irregular bleeding, heavy bleeding during the periods etc. So the blood admixed with mucus discharge is mostly the effect of plan B. No need of any intervention it will subside on its own. Relax. There cannot be any pregnancy. Hope this helps. Best regards... <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Sir! last 40-45 days, i have a big hair fall and when i use shampoo then above 150 hair are fall with root. i mean when i apply a little bit of force on wet hair. All my family member have healthy hair, this mean my problem is not genetic. For last five years, i have been suffering from skin disease (may be fungal infection) but when i use medicine then it goes but after treatment, it comes. At this time, i think my scalp is infected from this disease and hair fall is related to this problem. what should i do? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, welcome explain everything about hair loss in point wise manner1. 100-150 hair fall every day is very normal. So should be considered hair fall if number of hair more than this.2. Generalized hair fall in female is mostly due to stress, poor sleep, poor nutrition and excessive blood loss due to menstruation3. Stress alopecia is also common in which female keeps their hair very tight in certain manner which creates tension in root and cause hair fall.4. Straightening and other procedure also cause weakness of root5. Other condition like fever, typhoid, malaria, thyroid, etc. also cause hair fall(less common)Treatment1. Have good sleep. Food., green vegetables, fruits2. Take iron and multivitamins like collinear at least 3 month.3. Check you blood hemoglobin if it is less iron and folic acid supplements should start.4. Check thyroid and diabetes to rule out other cause you have Dan Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> sir ,i m so worried about my future ,my studies and my physical appearance .I always wanted to do something different than others.I wanted to be unique .but i feel like i m simply wasting my time and i can t do anything .i m getting so bored with my life .sometimes i feel depressed,i m getting mad .i m always asks my self that who am i?..i don t know anything.sometimes i wanted to die to become free from this life.I wanted to live alone.but i cant....is i really have any problem??? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Siri have gone through your question and understand your concerns. In my opinion, your currently suffering from severe depression which should be treated immediately. All your features like low self-esteem, not interested in daily chores, feeling tired, sleep disturbances, hopeless and worthless ideas, bleak and pessimistic views about future and finally most dangerous suicidal ideas and acts are all due to depression only. If I were your treating psychiatrist, I would recommend you to start medication immediately. My choice of medication would be an antidepressant like SSRIs or Saris or Mirtazapine along with cognitive behavioral therapy. I also recommend you to go for routine thyroid checkup. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 taking Cipralex for anxiety for almost a year. I am currently taking 20mg/day and have recently noticed an elevation in glucose levels, and am having trouble controlling them. Blood pressure is elevated lately as well. Could this be due to the Cipralex? Is there another anti-anxiety medication that is more blood sugar-friendly? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Cipralex may indeed cause blood glucose disorders and blood pressure disorders, although both are rare. It may cause both hypo- and hyper- glycemic (the effect cannot be individually predicted) and both hypo- and hypertension. Such side effects occur in less than 1% of patients taking 20 mg of Circle. It has to be even less likely in patients who have been taking it for a year without any side effects. Perhaps your doctor should try to identify other potential causes for your problems. Weight gain and sedentary lifestyle are inciting factors for hyperglycemia, although genetics play a major role in it - some individuals will never develop diabetes no matter how fat they become, others will experience hyperglycemia even when they stay lean. The same factors are important for hypertension as well. Salt consumption is another important factor in this regard. Checking your glucosylated hemoglobin would be recommended. High glucosylated hemoglobin may indicate that treatment for diabetes might be necessary... Regarding your blood pressure. Measuring your blood pressure (at least twice each time) for at least one week will give your doctor a better idea about it. 24-hour blood pressure monitoring (Holder) may be even more accurate in detecting blood pressure issues. So in conclusion, I don't believe that these symptoms are caused by Circle - although I can't 100% exclude it. An investigation is required to determine the extent of these issues and whether treatment is required or not. I wouldn't recommend any change to your regimen without discussing the matter with your doctor first. Consequently, I wouldn't recommend any other antianxiety medication. A rate of less than 1% for side effects is perfect for any 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 heaviness on the left front side of my head. I get continuous infection on ear nose and mouth(inside cheek getting thickened).This is there for the last 5 years . I tried allopathic ,Ayurveda and homeopathy. The first two are giving relief but not getting a cure. your advice please, <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have constant infection in ear, nose and mouth . Mouth infection can occur due to condition like canker sore. Canker sore is mucosal reaction to various things like hot and spicy food, acidic food, seafood, dental appliances and nuts. There can be other reasons also like deficiency of vitamin B12, folic acid and some underlying disease like crowns. Sometimes infection can spread from ear to upper respiratory track and vice versa and spread to oral cavity also or post nasal Chat Doctor. I would suggest you to :-- Find out what exactly causes these ulcer like food allergens.- Maintain proper oral hygiene and do mouthwash rinses (Listerine) twice a day.- Rinse your mouth with HY <|eot_id|>

<|begin_of_text|><|start_header_id|>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 was at a wrestling match yesterday and got hit in the penis. We saw him holding it during the rest of his matches but said he was fine. Today he is complaining of pain and keeps trying to pee but barely any urine comes out. He also said he has pain in his shaft but no bruising or swelling. Shaft is a little red but he is also grabbing if a lot. Any idea what could be wrong?Thank you,Courtney <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi and thank you so much for this query. I am so sorry to hear about this problem your son has. Most likely, there has been inflammation of the penis that has obstructed the opening of the urethra. This has certainly caused obstruction that prevents him for being able to urinate freely. The urethra is a very sensitive organ that needs t be ad Chat Doctor. I will like that you seek for medical consultation. Also, if he had just any blood <|eot_id|>

<|begin_of_text|><|start_header_id|>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 alergic to dust. I had breathing problems since Nov.2011 after replacing a old cotton bed and did some wall painting. I was under treatment with a chest specialist for alergy and chest infection, and the breathing problem reduced but due to over dose of tablets although i do not have much of a breathing problem I have developed internal fever which is less than 100 F whicChatDoctores down with paracetamol but is persisting for the past two weeks. I have visited another doctor who has given me antibiotics which I have taken for the past 5 days with no positive results. He says I have to do a PFT and cardiac test. What should I do? Please help. I feel very exhausted with to much of medication. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, You have taken treatment for allergic breathing problem, and later developed fever. But fever can not be due to side effect of any tablet usually given for allergic breathing problems. I would suggest you to record temperature pattern and then consult doctor. There are many conditions like TB/Malaria where particular temperature rise pattern will be present. Get lung function test [PUT] and imaging too, to rule out infective loci. As fever is there means, there are infective foci in body. So consult doctor for thorough clinical examination. Take care. Best regards, <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I m 21 year old. 3 months my blood report show typhiod infection.i complite my treatment.before 3 weaks ago i m suffring from stomack infection then i am addmitead in a hospital.but now i m felling extrem weaknes and vometing like felling.my blood culture report is normal. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello have gone through your question and understand your concern. It appears to be symptoms arising from complication of typhoid fever involving gastrointestinal tract or a relapse due to antibiotic failure or resistance. To confirm relapse blood culture test negative is not sufficient as in 30-40% sensitivity to blood culture is low. Another method to test the relapse is testing antibodies in blood known as Tidal test or IGM antibodies against specific typhoid antigens. If all the above-mentioned test confirms no ongoing infection the symptoms of gastritis must be considered to be complication of typhoid fever which is not uncommon. Thank you. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi I have noticed a knot on the top right side of my head (in the hair but close to hair line). It has been there for quiet a while but I had not noticed it til the other day when I buzzed my head shorter than the usual. Anyhow it is very hard and feels connected to my skull, also it is round and circular and roughly an in. In circumference. I m not that worried about it being dangerous because it doesn t hurt or anyth I ng, but I am concerned about it growing. Please I need advice. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, dairy have gone through your question. I can understand your concern. You may have either some benign like Desmond cyst or you may have some skin adnexal tumor. You should go for fine needle aspiration cytology of that lump. It will give you exact idea regarding cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> . Dull constant pain in left lower rib for last fee days, worst at night. Now I ve had stabbing pains sporadically and stabbing pains when I breathe in too fast/deeply accompanied with chills and fatigue. Should I hold out till doctors appointment in morning or go to er tonight? Pain is fairly bad but I don t want to take up space In er if it s nothing to be too concerned about <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to Costco Chat Doctor. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using cold compresses for local application. If the symptoms continue, see a rheumatologist. Hope my answer was helpful. If you have further queries feel free to contact me again. 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|> Hello...Im 27 and just had my second c-section about a week ago. Ive been having sharp, stabbing pains on my right side, just underneath my rib cage every time I breathe in. The pain seems to get worse while sitting or laying down. In the hospital, they told me it was a gas pain, but now Im not so sure. Any other suggestions? <|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 are mostly having musculoskeletal pain. Cesarean section needs manipulation of rib cage. So post-operative musculoskeletal pain is common. Your pain is also associated with specific position (sitting and lying down). This also favors musculoskeletal pain more. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Sit with proper back and chest support. 5. Apply warm water pad on affected areas. 6. Take combination of painkiller and muscle relaxant Chat Doctor. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> i got a lump on my groin about 2 months ago it popped and went away. It came back and this month and i was in the shower and it popped again it has puss and blood coming out and what looks like the stuff that comes out of a pimple. when it popped it now has a hole that if u stretch it to look at it you can kinda see in it. do you have any idea what it could be. it makes me nervous only for the fact that the hole is there. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Welcome to Chat Doctor .1. It looks like a simple infective lesion (hair follicle) if you have pressed and released the collection/pus. In many cases in can be self treating depending on the size.2. But there can be chance to recollection - in this case a course of antibiotics will help / in case of larger lesion a small incision and cleaning of the lesion maybe needed.3. Now you keep the area clean and hygienic, clean with aseptic lotion (to prevent infection. Painkiller for pain.4. If seems not resolving, see your doctor and get examined and needful treatment. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My son who is 9 years old was diagnosed with mono yesterday. He s had trouble concentrating in school and has recently failed a couple tests over simple material the teacher said 90 % of the class got A s on. My son is normally an A or B student and doesn t do poorly on tests. Is this something I should worry about or is simply fatigue from the mono causing lack of concentration in school? <|eot_id|><|start_header_id|>assistant<|end_header_id|> DearWelcome to ChatDoctorWe understand your concerns went through your details. Signs and symptoms of (mono) mononucleosis may include: Fatigue. General feeling of wellness (malaise) Sore throat, perhaps a strep throat that doesn't get better with antibiotic use. Fever. Swollen lymph nodes in your neck and armpits. Swollen tonsils. Headache. Skin rash. Mono usually do not possess any continuous concentration problems. The concentration problems could be present while the child is having acute symptoms of mono. If you and teachers are noticing a change in the level of concentration or school performance in your child, you should first consult a psychologist to determine the cause. The psychologist will be able to provide proper guideline and treatment including behavior therapy. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My son is 8.This is the fourth day that he has had intermittant low grade fever, cough, and headache... His fever runs from normal up to 100.8, The last two days his fever barely gets to 100He is also congested, and had a productive cough.. I have been treating this like a cold, but the fever is concerning me. <|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 500 mg per dose) 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|> i am an asthmatic. i am taking foracot 200 inhaler daily 2 times as suggested by doctors. can i slowly reduce the intake of this. as i dont want to take steriods, for it side effects. i am doiing ayurvedic medication alonside and doing pranayam aswell. can i slowly stop this foracot inhaler as my condtion improves? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hiin my opinion you can taper the doses very slowly wit following lifestyle modification you can go for breathing exercises and herbal preparation you can do allergy testing and allergy can be avoided with aggressive environmental control measures like1. Removal of carpet in to be Chat Doctor. 2. If you are sensitive to pet allergens, permanent removal of the pet is recommended. 3. Keeping the household humidity level at less than 50 percent to control dust mite and fungus growth.4. Using insecticides will help control cockroach populations. 5. Patients who are sensitive to mold, and outdoor air pollution should consider limiting outdoor activities when these levels are high. 6. Patients with asthma should avoid exposure to tobacco smoke.7.probiotic-supplemented yogurt resulted in reduced inflammation and reduced allergic symptoms8. Antioxidants vitamins C and E, selenium, and zinc. Omega-3 fatty acids from fish, and other supplements such as the herb Parasites hybrids are also used to decrease inflammation. Hope I have answered your querythankstake 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 Doctor...!!Previously i had a blood clot problem in brain.It is around 1 year back.Now we are planning for a baby.We got married 2.5 years back.since that time im unable to conceive.I have a sist near overy not in overy or tube.And my eggs are not developing properly.please suggest me. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for writing to Chat Doctor. At young age you had got blood clot. I suggest you to rule out any blood clotting defects and get them corrected. As that may hamper normal implantation. I suggest you to start with ovulation inducing Chat Doctor. This will help your follicle to grow properly and rupture. You need to track the growth of follicle daily or alternate day from day 9. I suggest you to try with these <|eot_id|>

<|begin_of_text|><|start_header_id|>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 7 years old, on a Beta Blocker, his heart rate goes up over 220 beats per minute at times, was recorded on a Holter Monitor at rest. The last week hes been getting VERY hot and red in the face! Ive taken his fever and nothing. After he finally gets to sleep he wakes up often through the night. Like I said, he s 7, 95lbs and not sure about his height. Thanks <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello I read your question and understand your concern first of all I would like to tell that Beta Blockers are used to control heart rate and rhythm, so your child increase heart rate is not because of beta blocker would also like to ask that* why your child is on beta blocker?* have you ever done his TFS ?* how is his overall health would suggest taking him to his pediatrician and also ask for one ECG and discuss all with him hope my answer will satisfy you good luck & TC <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> sir,i am 23 years old.i use mesterbation by hand from 8 years,per week.my penis size is 5 inch.it will continue also now.pl sir tell me,have i face any sectual problem for this?i don t fell any wrong even now.i don t do any sex with girl.so i don t know ,am i do sex in long time.and i want to long time sex.have i any problem for this?and what i can do if any problem? and if there is no problem then what can i do to increase my sex time?pl sir advice me..please ..and i have no cradit card sir...please kindly inform me please as a human <|eot_id|><|start_header_id|>assistant<|end_header_id|> HelloThanks for query. You had been indulged in masturbation since many years and now worried about problems related to sexual activities.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. Following measure will help you to boost up your confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> my husband is having erratic blood pressure, ranging from 130/75 to 225/110. He is also experiencing vertigo and is having problems with his stomach, acid and pain sometimes in the upper stomach or gallbladder. he has had ekg s, xrays, blood work, up GI...etc. They cannot find anything wrong. I m getting worried since sometimes he seems like he is really sick. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello! Thank you for asking on Chat Doctor! I carefully passed through your question and would explain that these blood pressure fluctuations can be related to an Chat Doctor. I recommend some tests for this purpose (if you have not performed them yet): - cortisol and aldosterone plasma levels-urinary metanephrines for possible pheochromocytoma- thyroid hormone levels to exclude possible thyroid dysfunction. The vertigo can be explained with the peaks in blood pressure values. Anyway, a Doppler ultrasound of the cervical vessels would help exclude possible narrowing of the cervical arteries, which can also lead to vertigo. Hope you will find this answer 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 surgery on my left ankle to get a bone growth removed because I have osteochondromatosis and it was causing problems. However, 2 weeks later, my foot still has a very noticeable discoloring on the top of my foot. It starts towards the ankle and continues up through my big toe (the darkest area). I thought removing the growth would make the coloring go away but it s just gotten worse. Any opinions? Thanks! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have discoloration on foot after undergoing ankle surgery. Well there can be many reasons for symptoms you mention in query pigmented purpuric dermatitis (chambers disease) or psoriasis arthritis. It can also occur due to hematoma caused by internal bleeding, infection like fungal or bacterial or necrosis. I suggest you to apply a moderately potent topical steroid e.g. triamcinolone acetone 0.1% cream Or mometasone furnace 0.1% cream, twice daily for a few days apply ice pack twice a day, also take vitamin C tablets for a week for quick recovery. If condition persist then consult your surgeon for proper examination and treatment. Doctor may also refer you to dermatologist. 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|> Me n my frnd had protected sex with condom on, now she has missed periods for 3 months continuos. She fears she would be pregnent ,but we are sure that she is not what could be reasons she is missing her periods and what are the chances if getting pregnent, she also did UPT , it was negative please suggest <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for asking. I understand your query. Sex with condom can cause pregnancy . When the condom tears in vagina.-ve pregnancy test excludes pregnancy. Though it needs to be repeated to confirm. Your friend should get investigated for finding the cause of stopping the periods for 3 months. (It could be severe anemia/ chronic or debilitating illness/ hormonal imbalance(thyroid, ovarian cause or pod). Art her consult a gynecologist for finding the cause followed by specific treatment. 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 had a root canal two weeks ago after throbbing/hot and cold sensitivity and chewing pain in molar#3. 3 days later, the chewing pain came back and was still throbbing. One week after the root canal, I saw the endodontist again.She found nothing on the exrays, but opened the tooth and, in fact, found an infection and drained a lot of puss from the area inside the tooth. She didn t finish the root canal to be able to make sure it was healing. i was supposed to go back in two weeks. It has been one week, and the chewing pain has returned, throbbing continues and has moved to my lower jaw as well and all pain seems to affect #3 and the one in front and behind it. No visible swelling (though I was very swollen after the draining and am slightly swollen in the top front of my gums by the tooth). I am going back to the endodontist today. Is this possibly NOT a root issue and a bone issue? Nothing is showing up on the xrays, yet I am STILL in pain. New pain developed yesterday- at random (not eating or drinking or out in cold or anything) it feels like I am being stabbed in my teeth from the bottom up in random spurts of pain. What is going on? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for consulting ChatDoctorRead your query, as you have pain in tooth, and you are under root canal treatment but still you feel pain in tooth on chewing don't worry pain can be due to infection is still present in tooth, for pain I will suggest you to take one precaution is avoided chewing from side of act treating tooth until root canal treatment is completed, and do Luke warm saline rinses, in meantime for pain you can take medication like Novato lb, and analgesic like Petrol DT. Hope this will help you. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am suffering from 4months of Fungal Infection of outside of Penis,I use Onabet B , Sebifin 250mg (15Pcs) & Tyza 250 (7Pcs),but still now not cure the problem. please give me suggestion for this matter. my mail ID is YYYY@YYYY <|eot_id|><|start_header_id|>assistant<|end_header_id|> Howell come to ChatDoctorIf the condition is not being diagnosed by dermatologist then better to get done the clinical examination because this may not be fungal infection, second as long as the question of diagnosis of skin disease is concern clinical observation is must, till then you can try steroid preparation and the best option would be "Mometasone cream" this could be steroid responsive condition, 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|> yes i have a big rash on my butt and it is every were i have curently had it for about 4 years. some things to discrbe it when i sweat it itches really bad and when i take a shower it is like a sensation when the hot water hits it i went to the docter a long time ago and got presciption pills for my feet ( athlets feet ) and i think it helped a lil it relived the itchenessn and started reliving the rashes can you identify what it is <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, It seems that you are having Tina corporal, also called ringworm infection. It is caused by fungus. It is exacerbated by perspiration, soap, exassive water bath.diseases like DM, HIV,anemia and other immunocompromised diseases may increase the rash. Antifungal tablets like ketoconazole and antifungal cream like fluconazole will alleviate the lesion. If there is any other disease, it should be treated. Avoid soap bath. Increae immunity with immunobusters. Do not worry, you will be alright. I hope you got my answer. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 started to workout for the first time in a while yesterday doing the elliptical machine and about 10 mins into my workout my bottom teeth started hurting. It got so bad that i had to stop my workout. The pain was a combination of sensitivity and throbbing pain. It has been 12 hours since then and they are still bothering me. I workout on and off again and have been for years and this is the first time anything like this has ever happened to me. I am concerned that it can be related to a heart issue. Can you please help? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your query, I have gone through your query. The tooth pain and your work-out is not related to each other, it might be a co incidence that tooth pain has started while you are doing exercise. Nothing to be panic, consult an oral physician and get it evaluated. The pain can be because of the tooth infection, secondary to decay or abrasion or attrition. Till you consult your dental surgeon, if I am your treating doctor, I would have suggested you to take a course of antibiotics like, amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic). 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|> sir i am marrade and i have no child befor 5 year one time my wife pragnet after 2nd month the pragenecy is start is tube and he is damage within 2 month and doctor do operation and after 2 year we meet with other and thay start bleading and then doctor do aganin operation now we need chalid and doctor speek we 2 madicaly fit plz tell me what i do <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi welcome to Chat Doctor. I have gone through your question. As you had two miscarriages before I would advise doing histosalpingography HSG to rule out tubal blockage due to previous miscarriage and tubal pregnancy, as tubal blockage happened due to tubal pregnancy and miscarriages. Then consult your gynecologist for further treatment plan. Hope I answered your question. Would be happy to help you further. Take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am a 22 year old female, 54 120 lbs. Last April I was told that I had a ruptured cyst on my left ovary and a new one on my right. I was also told i have a fibroid just below my belly button. Normally I have heavy painful periods, but the last 2 months they have been short light and painful. After this month, i stayed bloated when it ended and i have to urinate frequently. I have like a heartbeat feeling by my belly button and my lower abdomen feels crampy. I have also been burping alot and i feel full all the time. Is it just the cysts and fibroid or should i be worried? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. F. You are burping a lot, and feels full of stomach all the time. It is a gastric problem, and it should be treated first, so I advise you to consult a gastroenterologist for diagnosis and treatment. It may be due to hormonal imbalance or to Chat Doctor. Poly cystic ovarian disease can be treated by medicines, and your fibroid appears to be outside of myometrium, it is to be removed by sigmoidectomy operation. With these two steps you will be relieved of your problems. Wishing for a quick recovery. 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|> in the begining of this month i.e. on 2nd april, i experienced my some blood smelling like a menstural flow....for abot next 6 days, blood kept flowing but not like the usual periods as by the stains on my panty i could find a little of blood..somehow it ended.. and yesterday i experienced some pre menstural symptoms like abdominal pain n again i started mesturating..the blood flowed for 1 hr or more but now i am absolutely normal...i am really worried..please help <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. Thanks for your query. You should be worried about a reason that this is not the normal thing hence the best way is to Consult a Gynecologist, ask her to have an internal examination and get minimum ultrasonography done. If all the things are normal, nothing to worry about, but if something positive is found you get an early diagnosis and proper treatment so that a bigger problem in the future is not possible, and you have a healthy stress-free life. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 low immunity since I was a child. I get swollen glands every time I get a cold or allergies, I get put on antibiotics every other month for one reason or another. i have just recently had a problem with my lips swelling and itching along with the sore throat and swollen glands. Then it evolved to bumps in my mouth . I just completed a 10 day course of antibiotics and a mouth rinse. Now I have a laceration in the crack of my lip with the bumps reaccuring. I have been referred to a specialist, but while waiting I would like to have some relief from the symptoms or at least an understanding of why it may be happening. <|eot_id|><|start_header_id|>assistant<|end_header_id|> These are allergies and antibiotics decrease immunity as you take antibiotics every time immunity decreases and allergy spreads to different positions you need to take anti allergic stabs spy and local applicartionsthe allergy can be from medicines oils cooking oils creams ointments and body application materials foods cloth or pollen need to undergo test to find out cause by consulting allergy specialist <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My 5 yr old son, with autism, feels cold to the touch, he seems to have a bit of a stomach issue, no vomiting, just loss of appetite and cranky and lethargic , is eating a few things, temp was 97 just concerned - he is non verbal non receptive, so hard to get good answers ;( <|eot_id|><|start_header_id|>assistant<|end_header_id|> Welcome to the ChatDoctorI completely understand your concerns but don't worry. The most common reason for such symptoms in this age group is self limiting viral infection. They usually improve over a period of few days with symptomatic management. Also, the temperature of 97 degrees Fahrenheit is perfectly normal. I would suggest you to start him on a probiotic such as enterogermina twice daily along with antacids such as Sanitizing or lansoprazole. Hopefully this will boost up his appetite. Offer him regular feeds and oral fluids to prevent deny Chat Doctor. You may use acetaminophen or ibuprofen in case of fever episodes if they occur. Hopefully this will help you. I would be happy to help you in any further questions. 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, we have a daughter who is 15 years old (16 this year) with a mild autism. She has actually lost a lot of her autistic traits over the years with vitamin therapy and diet (GF & dairy free). But, she has mild-moderate learning problems, difficulty focussing on reading etc and wondered if there is any prescription with not too many side effects that we can give her? She also has mild pyroluria ( we give her B6, actually multi B and zinc etc, with other vitamins to correct this) but it is a disorder (?) that becomes worse when her hormones become more problematic when she is pre-menstral and during her period and her repetition, perseveration, lack of focus (on anything) is really difficult for her, but especially for us who have to deal with her. The odd thing is that when she is out or when other people are around, she is perfectly behaved and the tension that is building up in her (at these menstral time) comes out in an excessive stream of the same, same, same conversation which tends to drive everyone mad around her. I realise she is also a teenager and lots of this is normal, but the perseveration is very difficult with it (we have 2 other grown up kids, no problems etc) Would love some advice. cheers, Suzie <|eot_id|><|start_header_id|>assistant<|end_header_id|> OK, lets start with Autism : the inability to focus during study is a major problem in teenagers with mild-moderate autism, some of these difficulties are manageable with the use of some psychostimulants with a lot of effort in study during the time of action of the Chat Doctor. The starting dose is 20 mg and can be increased weakly by 10 mg to achieve its full potential, max dose is 60 .the second question is related to polyuria, which is must be investigated, although in people who take multivitamins It's common to have some polyurethane the investigations I suggest are : urine specific gravity, urine spot for sodium and creatinine, urine osmolality, serum sodium and osmolality. Fasting blood sugar .you should always look for psychogenic polydipsia which is consuming huge amount of water that results in polyuria, it's common in child <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Dear ChatDoctor , My wife (39 years) is on dialysis since May 2009. (Thrice a week) She is fighting FSGS & AIHA since 2003-2004. CT-Scan was conducted last week. The Report has come and now the Doctors are saying that she is suffering from Stomach or Abdomen T.B. now what can be the cause and the possible treatment and what will be the side-effects of the medicines to be used for treatment.Also what other precautions will have to be taken ? thanks and regards, Namitabh Kothari Mumbai, India <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for the query to Chat Doctor. Forum. Sorry that your wife is suffering from a renal ailment. God will cure her. As far as concerned about the present trouble I want to explain few things. She is in severe tension, so nobody can understand her plight. Please don't take otherwise you are caring very nicely. Anxiety is the main cause of her illness (gastritis, hyper acidity, nausea, vomiting). Fatigue, weakness all are due to anxiety of disease. Backache is due to muscles pulling. Now as she is already on treatment so counselling only by you can give her some relief.REBAMIPIDE 100 mg tablets available in market , you can use 2 twice a day ( normal dosage are 1 three times a day) as I prescribed in this form in many cases. Please consult your doctor before any Chat Doctor. Good LUCK FOR YOUR WIFE. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi sir i got fed by regarding my health and also consulted doctors for my problems, clearly explained these things... problems 1) from morning 10 am onwards upto evening 6 o clock i feel stress too much without any work.. To much nerves looks on my hands, I feel like 100s of threads are tagged in brain and 10 elephants pulling ( stretching ) that threads. Without work i getting this problem 2)My age is 29 and height is 157 cm but my weight is only 44.5 kg and some time 45 kg. My hands trembles too much like 80 year old person.. Is this problem solve this medical field or not.. Now i lost trust from science.. Please i beg yo solve this problem, reply to my mail id : YYYY@YYYY <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for using health acre magic for posting your query. I can understand what you are going through. First and foremost you should get a thyroid test done to evaluate its levels. In case if they come normal then in that case there is possibility of you having a depressive episode or anxiety disorder. However, a final diagnosis can be commented on only after a detailed knowledge about your symptoms. You should meet a psychiatrist. You will benefit with antidepressants and behavioral therapy that he would suggest. Hope I am able to solve your concerns. If you need a detailed answer, I would be more than 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|> Hi doctor, I have being suffering from lowback pain, and some numbness of toes for quite some time. There is an area just above the knees (both), parallel to the hands when when stand with arms hanging down. It is fairly a small area where the feeling is different. i have consulted many neuro and orthopaedic surgeons and taken two to three MRI images along with number of x-rays. But none of those MRI s show a severe damage to the joints L4 L5 or any other area examined. But highlighted there is a slight bulging in L4 & L5, I m a regular Badminton player for the last one & half years. When playing i don t have much of difficulties, but after sitting and doing some work, it is difficult to strighten my back with one go, it takes a while for me to settle down. In addition to that if i put my right arm back of my head or extend above the head and keep resting for a while, i find it very difficult to bring it back without the healp of the other arm. But after few movements it becomes close to normal, but have very pale pain in the shoulder joint area. Would appreciate if you could advice me on the type of problem i have and how to overcome or treat to my problem. Thank you Hussain <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello Hussain! I just read your concerns. The pain on your lower back and numbness in your toes is caused by the bulge in your L4-L5 (lumbar area). With the description you gave me, it seems you have a nerve root compression in your back. Nerve compressions are treated initially with physical therapy, analgesics, and warm compress. For more severe cases, surgical intervention is suggested. I suggest you go to the nearest rehabilitation for you to start your physical therapy-- it will greatly reduce your pain and discomfort. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 10 year old son is suffering from vomit sensation and high fever and very severe headache from last two days. Fever observed in the morning and eveing only. There was frontal minor head injury but no bleed nothing only pain complained by my sunny. CT scan done no significant symptom on any kind. Doctor prescribed Azee 250 (1and 1/2 once), Calpol (TDS if fever), and Emeset MD-4(BD) all for 3 days. 2nd day passed but no improvement please advise. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi..... just read through your question. I do not feel that this is related to the head injury. I feel he is having all these non-specific symptoms along with headache due to a viral illness as that has been fever. I suggest you to give only Paracetamol and avoid antibiotic Azithromycin. Furthermore, I do not see any need to give antibiotics for such a short duration of fever because, 95% of the kids illnesses are due to viral illness and do not require antibiotics at all. Regards - Chat Doctor. Samantha <|eot_id|>

<|begin_of_text|><|start_header_id|>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 causes shingles (other than the compromised immune system)...poor nutrition, stress, lack of sleep? My 76 year old man friend just broke out and he will see a doctor tomorrow, but I would like to know the why and how we treat it. Am I liable to become infected if we are intimate? What is the incubation period? What is the standard treatment, please? Is the condition likely to return again? Thank you. Gina email: YYYY@YYYY <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thank you for asking at Chat Doctor. Shingles generally happens due to a virus that sleeps in the neurological system on a person that has had chicken pox before. This is very common especially in cases you mention, but elderly age is a reason also. It is generally self limiting but very uncomfortable meanwhile. There is oral acyclovir he might use to speed up healing, it should be started as soon as possible and there are Chat Doctor. Local cold compresses can help with pain also. As for you, you are not in risk if you are not in contact with the fluids that come from the vesicles. Very little chance it will spread to you by contact, it generally comes from the inside of the patient (the sleeping virus) but to be safe please try to avoid contact with the area that has the vesicles. I hope this is helpful and answers to your question, but please feel free to write us in case more clarification is needed on this. Kind regards, Antoneta Total, 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|> My 88 year old Grandfather has stage 4 jaw bone cancer, it has spread to his Lymph nodes and his lungs, we also believe up to his brain. He is showiing signs of dementia and has only eaten a couple bites of food today and yesterday, he is not drinking very much fluids. He is sleeping a lot and very difficult to wake up. What would say hiss life expectancy would be? The Drs are kind of dancing around this question and we really need to know, he has 3 children out of state that we need to let know <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, dairy have gone through your question. I can understand your concern. He has jaw cancer with metastasis in brain and lung. It is stage 4 cancer. No treatment will cure the disease. His age is also not favorable for chemotherapy. So life expectancy is very short. It varies from case to case but not more than 3 months in general. Sorry to say but it is fact. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My husband has a bulging disk in his neck. He had a shot to relieve the extreme pain in his right arm. His right hand is very swollen and painful in middle, ring finger and thumb still. His left hand is swelling and painful. Not as bad as the right hand. He also has a 75% tear in his right shoulder rotato cuff. The dr are not sure what is causing the swelling in right hand. He can hardly care for himself. He can t lift blankets to sleep with, which he is doing in the recliner because laying down creates too much pain in his arm and hands. What could be creating the swelling? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Rotator cuff if torn is usually repaired by surgery. Since right arm movements are restricted due to tear, your husband should use a broad arm sling or any sling. So that arm doesn't hang and rotator cuff gets rest. Hanging of arm without movement may cause more swelling I n right hand with gravity secondly it is advisable to seek opinion for earliest repair of cuff and discectomy of cervical disc protrusion to relieve nerves pressures on both sides of neck and arms, use sling and Advil, chloraxazone tabs if your doctor agrees, if quarto treat, first thing I would suggest is use of cervical collar, and arm sling, for complete rest and cuffs repair, discectomybest wishes regards <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello, I have been experiencing numbness in my arms, hands, & face recently & it is becoming more & more frequent & occurs on both sides not just one side like a stroke symptom. I also feel like someone is constantly sitting on my chest. I have been smoking the past 7 months & am in the process of quitting because of my fear of health issues. I am only 28 years old but just feel like something is not right, please help! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Howell come to ChatDoctorThank for asking Your query being appreciated, the given symptoms could be nonspecific and may not be due to any illness, condition can be investigated just to rule out the cerebral pathologies and for that I would suggest getting done the CT, stop smoking, try some exercise, stay away from the stress, stop worrying, because it is not the disease condition, suggested CT is just to rule out the doubt, or it is the routine test, hope this information helps. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My 3 grandson has very painful bowel movements & constipation (since he was 7 mos. old) that have caused his parents to take him to the emergency room where they could find nothing abnormal though all they did was take xrays. The docs just tell them it s normal, have him drink prune juice, etc to no avail. This sounds very serious to me as I ve seen the pain he goes through and have cried myself watching him. What should be our next step in helping this poor little guy? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Constipation is common in young child Chat Doctor. It may be due to:(1) Inadequate/ improper toilet training in toddlers(2) Predominant milk based and no fiber diet(3) Stool withholding maneuvers due to fear of getting pain while passing hard stools(4) Sometimes hypothyroidism (low thyroid hormone levels) and rarely surgical conditions such has Hirschsprungs disease may also cause constipation. As the stools get stagnant in the bowel, they get harder and child <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi i used to take the depo provera injection,i took it for about 4 years now i have been off it for 1 year 7 months now..and since i had been off it my period been coming and going and i really what to have a baby now but its just not working...what should i do? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, I think you should go for evaluation first. Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries. If everything is fine, you can take some medicines like camphene for the growth of your follicles. Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. Hope I have answered your question. If you have any other query I will be happy to help. Regards Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I went swimming last week now every time I pee its burns i seem to have a slight cut on the inside of my penis and I have little boils on the shaft of my penis i went to the doctor did a pee test and they the results came OK for infections so what is causing all of this discomfort? <|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 inflammation of Urethra(Urethritis). Please take broad spectrum antibiotics like Čeferin along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to Chat Doctor. To keep your urine dilute This will help to control dysuria. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 suffering from acute anemia with count going low at 8 and iron count 3. this has been causing me great hurdles in my day to day office work - unable to concentrate/failing memory /extremely drousy and weak. can you suggest good hematologist in mumbai. how is Dr Samir shah... <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. Injectable iron therapy is best for you. Your problem is not much bigger as it can be treated by the physician also. There is no need to go to hematologist. You should start with the above-mentioned treatment and once you reach to hemoglobin to 10gm oral iron therapy should be started. This treatment is very long, so please continue the treatment for long duration as much as you can. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/ Chat Doctor. Thank you, ChatDoctor <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> on 31 OCt my child faced a dog. He is 5 years old. He is not sure whether there is scratch or bite but some blood flew from there on the face. The witness people told me that the mouth of dog did not reach to the face of my child from where blood flew. I was not sure and immediately contact to physicial He advised me to take vaccine. I agree but the injection was injected in gluteal region. Is there any chance of rabies. as I read that gluteal region should be avoided . Another thing is dog was seen on 9 th day. It means the dog was not died upto 9th day. After that I could not see it as was away from my town. Is there any reason to worry? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi...coming to your queries directly - 1. The animal being alive even on 9th day is good, and it shows that it is not rabid.2. Vaccination should be started, and your doctor was right.3. Anti rabies vaccine should not be given in the gluteal region and in fact not vaccine should be given there as is a pad of fat there. It should be given into the muscle. No reason to worry. But hereafter give the vaccines in the lateral part of the thigh. 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 am 31 year old female. Since last 6 months I am having following issue:1. Pain in right knee. Consulted an orthopaedician who on examination and x-ray diagnosed some problem in patella and advised for few exercises & rest plus given medicine (Diacerein tablet). This is showing improvement. What is your advice on this?2. Also, since last 1 month having severe back pain with unbearable pain. On X-ray of back, doctor said that backbone is very week. Have started taking vitamin and calcium tablets and injections. And also going for physiotherapy from last 10 days but there seems to be absolute no sign of improvement. Kindly advise what might be the issue and any alternative treatment because the pain is not coming down. Thank You.Regards,Rachana Aggarwal <|eot_id|><|start_header_id|>assistant<|end_header_id|> Dear Rachael I, your knee problem is called as patella femoral arthritis, and at your stage taking exercise is more important than Diocesan(This Chat Doctor. Now at 31 years, it does not fit that you have such severe osteoporosis that it has started causing severe pain, let me tell you its fracture due to osteoporosis that causes pain not the osteoporosis, and since you say your pain is severe, I would recommend you to consult a spine specialist, maybe you are having other problems which needs correction. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 a year ago I was diagnosed with CIS by a neurologist. I went for a second opinion who said I did not have MS. Since, I have had shingles and now have post whatever they call it pain. My question is....I still have a lot of the original symptoms like- a cuff like feeling around my left arm occasionally, severe migraines on my left eye, tired, and it all started with some tingling on my left cheek 10 years ago, which occasionally will pop up now and then. am I crazy? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thank you for posting your query. I have noted your symptoms and agree with your neurologist that you do not have features suggestive of multiple sclerosis. The most likely cause for your symptoms is post-herpetic neuralgia, whicChatDoctormonly causes pain and burning in the affected body part. You would benefit from medications such as carbamazepine tablets. For migraine headaches, you could take beta blockers or topiramate tablets. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/ <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have a lower back problem. It started one day at work. the pain was first in my knee, then it started to move into my buttocks and down my leg. is this unusual for a back injury. when i first got injured i reported the pain in my knee, because that is where i felt the pain. over time like i said the pain got much worse <|eot_id|><|start_header_id|>assistant<|end_header_id|> HiT hank you for asking ChatDoctorI have gone through your query. Your problem can be sciatica due to nerve compression from lumbosacral spine. It arises due to injury of intervertebral disc. Other cases which the pain you described can occur is referred pain from knee or hip joint. A thorough orthopedic examination is necessary to rule out this. A X-ray followed by MRI might be required in case of any positive findings. For such cases I advise NSAIDs like diclofenac, muscle relaxants like cyclobenzaprine and neurotrophic Chat Doctor. I also advise physiotherapy and muscle strengthening exercises along with this. Hope this may help you. Let me know if you have any further queries. Thanks. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi doc this is xxxxxxx 23 years old i took krimson 35 for pcos past 1 year, after 1 year doc took basic scan and she said the measure of pcos is lesser than before treatement, and adviced me to plan for baby we are trying for baby continously 6 months my period is normal for 3 months (this 3 months i took follic acid as doc advice)4th months i missed 10 day i thought i was pregnent but after 10 days bleeded when i ll be pregnent there is chances to become pregnent. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Don't worry of course you can become pregnant, with PCs there are hormonal imbalances so delay in pregnancy, and when you he taken crimson 35 the imbalance would he decreased it's just the matter of time, be stress-free and try for pregnancy you will get the good news soon. Would advise you to go for plain follicular study to know the status of your egg development and all so that you can plan the intercourse around the time of ovulation because as I said in PCs nothing can be predicted so don't worry and all the best. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My husband is a PD patient. Been on it for ten months. Had a cortisone shot in his knee last week. Has had complications with high blood sugar, diarrhea, dizzy and weakness. His dialysis is not working as well, lower UF. Have called his nurse, told to increase strength of dialysis fluids, helped at first but now back to low numbers with continued afore mentioned problems. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi and thanks for the query, I am afraid a patient with problems with dialysis malfunction needs to be treated with utmost care. Considering he is a PD patient, with a high blood sugar, certainly not well controlled blood glucose, this again increases the risk of aggravating the kidney disease and other metabolic conditions. A combination of these two pathologies non their own could be very detrimental. Cortisone, a steroid especially when given in a diabetic and patient with chronic kidney disease, the patient has to be carefully monitored. I strongly suggest you consult a nephrologist or book an appointment with a nephrologist and take your husband to the emergency room for reevaluation and initial management. Thanks and best regards, Bain LE, 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|> My stomach and back hurt all the time. Basically, my whole mid-section. I cant afford to get this checked out and my doctor has ran several tests on me but cant find anything. I wonder if Im diabetic but can it cause all of this? Also, Im always tired 24/7 and really dont know why. Im not overweight, more like underweight. I seriously dont know whats wrong with me, Dr. says Im not anemic although, I never have any energy, get cold easily and sometimes get dizzy spells. Do any of you have any suggestions of what this might be? Any answer would be helpful. Thank you so much! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's talk step by step from what all issue you have given here:First stomach pain: here if you have done all test, but I just want to know how about ultrasound of abdomen. If you have already done then what was the report. If report was normal then your pain could be related to gastritis. And you need to take anti acid tablet daily one in morning with empty stomach. And along with this need to correct lifestyle and food habits. Have break fast good, lunch average, and dinner minimum by 8:00pm or before that. Keep tea and coffee minimum, have more of mix cut fruits in your diet. As well do regular exercise like walking, cycling etc. for 25-30 minutes. If there is any specific issue reported in ultrasound abdomen then need to take specific treatment as per the diagnosis. Now for back pain:It can be related to muscular weakness, spinal disc problem, spinal curve loss. However the conformation can be done with MRI scan of back. Now here if report shows major damage then orthopedic doctor will suggest for surgical management. And if there is no major damage in report then it can be treated with physiotherapy treatment, hot and cold pack use, as well spinal exercises. This all in combination will help to reduce inflammation, relax soft tissue, and helps to relieve pain. Lethergy can be due to less food intake, vitamin b deficiency and less water intake too. So try to improve it and then check again. In general, I also suggest doing yoga, and Panama and live healthy life. 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 39 yr old female, have been working out regularly for nearly a year. Thus far, had successfully used treadmill and elliptical. However, today, after working with a personal trainer for the first time. I got extremely dizzy and everything literally went white and I couldnt hear much of what the trainer said for at least 15 min. I had to sit down immediately and thought I was going to black out. I was quite concerned as this has never happened before. My breathing was fine however, no wheezing, shortness of breath. Any ideas??? I am 5,5- 136lbs. Born with a heart murmur, otherwise no known heart concerns, issues. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your concern. The way you have described that episode, possibility of transient ischemic attack (TIA) is more likely. Another possibility is cardiac event (you are already having heart murmur). So better to consult doctor and get done ECG, 2d echo, stress test and MRI brain. If all these are normal then no need to worry much. 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|> Had spinal fusion with bone graft 9 yrs ago l5 S1 , having chronic pain also on my whole spine , also have grade 1 anterooms thesis , C4 till C6, is it normal for me to feel right leg pain but not sciatica , also feeling tight on my calf and right middle toe has no sensation, numb <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello. Thanks for asking from Chat Doctor. I can understand your concern. The tightness in calf can not be due to L5-S1 nerve as nerve damage here will cause soft, flaccid calf. However, cord damage at cervical region (C4-C6) can cause tightness in calf. The pain in right leg and sensory loss in middle toe can be due to both or either. To differentiate between two conditions, check whether : you are having tightness in all limbs, it suggests cervical cord compression: you are having pain in lower back till foot, it suggests L5-S1 nerve damage: Involvement of other extremities suggest cervical involvement.Also, if you are doing too much exertion of lower limbs, this pain could be due to exertion. I think you can now reach up to some conclusion. Meanwhile, at home you can follow few tips :: Take rest: Take Diclofenac sodium for pain relief after proper prescription: You can apply warm compresses over calf to relieve pain and tightness.: You can stretch your calf. Thanks. Hope it will 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|> Baby has recently climbed out of her cot, resulting in a fall, since then she has a mouth full of ulcers, we have seen the GP who said it was Tonsillitis. However, she is sleeping more than normal and the last few days her gums have began to bleed when she rubs her eyes, or bangs her head. Is this something serious, or the cumulative of teething, a bang to the head and the Tonsillitis? Thanks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your query. I have gone through your query. The ulcers could be an authors ulcer which occurs secondary to trauma or stress. The bleeding gums can be because of the gum infection or a cut wound. Nothing to be panic, consult an oral physician and get it evaluated.Meanwhile you can use topical anesthetic and analgesic like lidocaine and choline salicylate respectively. I hope I have answered your 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|> Hello, Am a Medical student currently doing my final year. From my child hood onwards i have a problem with shyness , Over Self conscious. Now i have fear of public speaking,blushing, anxiety ,lip shivering etc... I think am more active mentally than physically, because if am seeing someone then i ll guess myself ,what the other person is thinking about me and I ll act on that guess eg: I ll guess he/she is thinking badly about my standing position,my laugh etc etc..and I ll feel uncomfortable with that. This same is happening on all other daily activities. Because of these problems,Am very bad in mingling with friends and other social circles. My medical school life also getting distracted because of this,Am not even able to ask a doubt to my teacher even if am alone with teacher,if am asking a doubt I ll think for many minutes like what she ll think about me,what if my language is bad ,what if my question is bad etc etc... Also sometimes I ll have a fear or am afraid to ask something to someone, I have good patience,but if i get angry and saying something ,then my lip will shiver, Blushing on my face etc. Am making my own thoughts about what other will think of me. Because of all this I can t walk in public in a relaxed state,my mind will always be in working state.If am talking in a group who are not too close to me,then my lips will start to shiver, uncomfortable etc because during the talk my mind will be working on others like where are they focusing,are they focusing my talk,lip movement etc..are they laughing about me etc.... Am only good with my few too close friends.. because of the above problem,I only have few friends,I ll always be at my home ,I won t go out like others.. In summary i can say, I have self consciousness , fear, Blushing, anxiety, Nervousness , Panic etc.. Doc, Is there any ways to change all this ? Am very sad in medical school because of the above issues, Am very much like to perform on some topics on my class,but I ll hide from these stuffs .. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello. I read your query. Since you are a medical student you yourself can see and admit the solution of the fear........that's is only and only to be courageous enough to throw away them all........I know you must have tried lot and would have failed to do so. But always remember that in this world the people see in you what YOU show. Whenever you meet some new person and start becoming conscious .....just think that he will observe your fear only if you show him (by your body language, lip shivering etc.) try to control that immediate change of behavior. One more thing you can ask your own self......even after allele...........if the opposite person don't like your speech, or question, or presentation.....then what will be the result?? Nothing....no one is going to hold you in jail.....never be afraid of the result......never fear to try. If you fail then try better and stronger. You just need some self motivation. You can try some personality development coaching if you want. No need to go to psychiatrist. Need to do self evaluation. There must be some activity which you're never afraid of, which you are confident of....try to involve in them to built up confidence. Hope this helps you. Thank you. Best luck. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, i took really ill 2 years ago due to severe stress and still havent recovered psyichally, i suffer sever weakness and pains in muscles and bone joints mainly legs, i have lost a lot of weight and cant seem to gain any after working with the dietican for over a year, i get confused very easily, really sore stomaches which stops me eating as i feel full or sick, i get the bock every morning. i am tired a lot and never have any energy, if i do use my energy i suffer for days after it and end up exausted. i have had all sorts of tests and the only thing showing is my vitiam d level being low, however i have had to isolate myself from everything as if i get stressed i end up feeling ill for weeks, i rencently suffered servere pain in my left ovary which felt like contractions, however a scan shows no sign of anything. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, It looks from your details that most probably you may be suffering from anxiety or depression issues. Do not bother when there is life there is also associated problem. With life god also gives us strength to fight these issues. You should do following to have relief - -Start doing yoga and meditation.-Relax yourself. Do not think of your future or past, try to live in present.-Try Mindful meditation. There are various sources on internet which can helpful you in learning this.-Consult to your doctor, better if you consult to your psychiatrist. He may assist you with some medicines like sedatives, antidepressants, & with other approaches like behavioral modification, biofeedback techniques, etc. Hope I have answered your query. Let me know if I can assist you further. Take care <|eot_id|>