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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|> Dear Doc, good afternoon i am suffering from low blood and i felt weaken,everytime i was set up and down abruply as if my sorrounding all black. Is MX3 capsule /supplement safe for me to take? i already toook blood pressure consultation it is 100/70.Hope for your kind answer to help me a lot for my suffering. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. Thanks for posting your question on Chat Doctor. Some persons do have low blood pressure and feel slight weakness. But medically, if you don't have any particular reason for low BP, there is nothing to worry. You can take any multivitamin, but that has nothing much to do with low BP rather it will be having only placebo effect. You should take more of liquids and avoid working in hot atmosphere for long. If symptoms don't improve, you can get your serum cortisol level checked and consult some physician. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My kid is just one and half month old after birth was having jaundice gone with phototherapy was ok and was on breastfeed now heapatospleenomegaly has been detected with fibroscan and mild coarse parenchymal ecotexture of liver what shud b treatment and diagnosis of kid <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi and welcome to Chat Doctor. Thanks for the query. It depend on the right cause of hepatosplenomegaly. It can be certain liver or splenic disease but also certain hematologic diseases, so the right cause should be established. Also in such young patient any systemic infection can lead to hepatomegaly. As well as some congenital liver enzyme lafunctions such as Gilbert. It can also be just temporary jaundice and usually it dissolves spontaneously. Wish you good health. Regards <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Two days back, I felt a stiffening pain around my right knee,as a result of which I could not stamp my right leg in usual posture. Yesterday, I could see a swelling around my right knee. while pressing around the knee. I realized a painful sensation at one point adjoining the knee-ball surrounding the right knee area. I consulted an Ortho surgeon. During the blood test, everything, including uric acid, was found normal. X-ray was normal. Anyhow, he prescribed some medicines for 10 days. What would be the actual cause for such symptoms. Previously, I had similar pain in my left wrist joint for some times. It itself got cured after 1 month. What would be the reasons for this complaint? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Welcome, and thanks for sharing your concern I went through your query, and I feel, you probably are suffering from early arthritis, with flare up of synovial swellings, the best would be to start regular exercises, called the qua Chat Doctor. Note if the things improve, because if they don't you will need than a repeat consultation. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. 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 fell and broke his hip. He had three pins/screws put in. His thigh is now swollen, hard and very painful. They said his blood was thinned too much and he has a superficial blood clot. It has been several days and doesn t seem to be getting better. What is going on? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, First thing first. Take an x-ray to check the operated site. If any misplaced implant has happened needs correction. The swelling is common to post the pins and screws. It will come down. Do ankle toe movements while leg on the pillow with your dad lying down. Good venous return will help ease the symptoms. The hardness is due to the healing process may gentle kneading massage should help. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My sister suffered severe brain damage at age 26 ( major car wreck, head crushed, lost one eye and has a steel plate in her head and in a coma for 3 and 1/2 months and was not supposed to live.) and now is 85 yrs old. Her Drs report says there is a very large area of encephalomalacia occupying most of the left hemisphere in the distributions of the left ACA AND MCA. A smaller area of encephalomalacia is present within the superior right frontal lobe.Healed right frontal craniotomy defect is present. I am and have been caring for her for years, she is very high maintenance. What does this all mean as for as brain damage?Her memory is fair; however, her logic is very poor to non existent. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Encephalomalacia refers to loss of normal brain tissue which is replaced by scar tissue which does not do the function of brain cells. Brain cells once dead do not normally regenerate and usually when one area of the brain is damaged, over a period of time the adjacent parts of the brain take over the functions lost. However, in your sisters case, the loss of brain tissue is very severe and one half of the brain has already nearly lost complete function. The other half is also affected. Overall, it is unlikely that her mental functions would improve a great deal at her age. Sincerely, Vamshi <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have a pain or discomfort inmy sternum. Spent a few days in the Hospital...where they cleared my heart and lungs. Is this gas trapped in my chest area. I feel fine when I wake up....but as the day goes on and i sit at my desk, I feel the pain/discomfort. What do i do to get this mess out ofme? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your concern. No need to worry much because your heart and lung related diseases because your work up for them is done during hospitalization, and it is negative. Possibility of HERD (gastroesophageal reflux disease) is more in your case. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of Central, sub sternal chest pain. This can also cause gaseous discomfort. Follow these lifestyle modifications for better symptomatic relief. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Start proton pump inhibitors and prokinetic Chat Doctor. Don't worry, you will be alright. 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 had pain in my lower back on the left side so i went to the doctor and she gave me EC-naprosyn and tizanidine for pain because she thought it was my muschel by where it hurt when i moved but I have also been unable to use the bathroom so i drank Magnesium citrate from walgreens so i could go but i am still unable to go and still have pain <|eot_id|><|start_header_id|>assistant<|end_header_id|> HiT hank you for asking Chat Doctor. I have gone through your query. If you have dysuria and back pain then you should out a urinary infection which is most likely. If that is clear, and you have signs and symptoms of muscle strain or sprain then you can take tizanidine which is a muscle relaxant and naproxen a NSAID for short duration. Hope this may help you. Let me know if you have any further queries. <|eot_id|>
<|begin_of_text|><|start_header_id|>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 face and fore head are infected by pigmentation and used to attend chemical peeling sessions. I have observed a little change after 2 sessions. let me know with in how many sittings i will observe change. Also what should be the time span for each sitting. Regards,Mahi <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello. Thank you for writing to us at Chat Doctor Certainly chemical peeling can improve pigmentation. Glycol peel is one such peel and helps to exfoliate existing pigment/ melanin. A session of chemical peeling is usually performed every 2 weeks. Number of sessions required would depend on the severity of pigmentation. Since you have observed improvement after 2 sessions, therefore, I suggest you to continue with further sessions. However, it is also important to use a topical cream/ingredient which would prevent synthesis of new melanin i.e. re-development of pigmentation. Sun protection is also an essential part of treatment of pigmentation and prevents further sun induced darkening. I suggest you to use a broad spectrum sunscreen, i.e. one which offers both UV A and UV B protection, throughout the day. 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 just had my wisdom teeth removed (all 4 of them) 4 days ago. I am having a strange sore& painful throat and right tonsil only, hurts as well. I also have this painful burning sensation in the middle of my chest , feels like my lungs are on fire. I ve been taking Pen VK after the surgery in order to avoid an infection, also took motrin for about a week 2x per day to help with the pain I was having BEFORE the surgery (cavity in wisdom tooth ). What is this burning in my chest and painful tonsil?? Thank you.. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for posting your query, Fever , sore throat , dizziness , tiredness, nausea, feeling of tiredness are common side effects after extraction of wisdom tooth , as this procedure is traumatic and time-consuming. Burning sensation in your chest is due to the antibiotics taken. Don't panic consult the doctor and change the antibiotic. You can take tab rant ac TDS for hyperacidity. Take complete course of antibiotic and analgesic . Use saline water gargles 3-4 times a day for soothing effect . Maintain good oral hygiene, use chlorhexidine mouthwash gargles twice daily. Take complete rest , avoid stressful jobs. Hope this helps out. 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 a cat scan and the radiology s says there is something hanging on my liver, then said it is a mass 5.7 on the liver then said it was a cloud. i do not know what to think he is pushing for a biopsy. i wish to see a liver specialist in my area, sarasota fl what do you think <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello Finding suggests SOL(space occupying lesion in liver). It may be due to both benign or malignant reasons. Generally contrast CT scan of abdomen is very helpful in diagnosis but in some cases CT scan is able to diagnose properly. This is the reason that doctors has advised for biopsy. Biopsy can only assess exact nature of lesion. Biopsy is only a short OLD process and there is no need to admission for this process. You may need few blood tests before biopsy.Don't get afraid of biopsy. Probably this is necessary for diagnosis. 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|> So I had a mucocele on my lower lip and had dissolvable stitches on it. Its been about 3 to 4 weeks from the surgery and the stitches are now dissolved but the area where my stitches used to be feels tight and I have lumps on the area. Is this normal? How long will it take to go away? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi ! Good evening. I am Chat Doctor answering your query. Yes. This could be normal elevated tissue of the lip due to reactionary hypertrophy of the tissue to the sutures. It might take more time to get dissolved completely. I would advise you not to fiddle with it with your tongue or otherwise to avoid delay in complete healing. You could go for some antiseptic gargles to keep the area clean, and an anti-inflammatory Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Almost 2 years ago I got all 4 wisdom teeth removed. Since I got them removed, my bottom teeth that were removed I have a bump on both gums where the teeth use to be. I just thought it would go away and kind of forgot about it. Now starting about a month ago it has been bothering me, both sides have a small bump that I can see. It hurts a lot when I eat as well. What could it be? One of them has 2 small dots on it that could possibly maybe be a scab? That one hurts the most. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for asking the query, I would like to tell you that wisdom tooth is the last tooth to erupt in the oral cavity and is difficult to clean and causes inflammation of the surrounding tissue leading to formation of bump. I would suggest you to consult to a Dentist get a checkup done, plan for the removal of the tooth. Take a course of antibiotics and analgesics. At home take lukewarm saline rinses and antiseptic mouthwash gargles. Take care! <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have been taking water pills for swelling in my feet ankels and legs the water pills are not helping when i wake up my feet start swelling as soon as they touch the floor theres a pain like pins and needles can t figure it out can you please help me? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have swelling in hands and wrists along with pain. Well there can be many reasons for symptoms you mention in query like standing for prolonged periods of time, taking estrogen or testosterone, antidepressants, blood pressure medications, steroids or NSAIDs, infection in the leg area, venous insufficiency, organ failure or lymphedema. I would suggest you to consult cardiologist for proper diagnosis once again. Doctor may order liver and kidney function test along with heart tests like ECG and complete blood profile. Doctor may alter the dose of diuretics or prescribe substitute. Doctor may also refer you to gastroenterologist in case of liver problem or nephrologist in case of kidney problems. Keep your legs elevated while lying down. 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|> can an ulcer in the mouth turn into a keloid? this is my first time having an ulcer. i do not know how it appeared or how it should look like and it has been there for about two weeks. there is no pain. the upper body of my skin is pretty sensitive. i have two keloids. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your query, I have gone through your query. The ulcers in the oral mucosa won't form scar or keloid because of the fast healing rate of the mucosa. The oral mucosa will not allow the wound to get infected because of the presence of salivary immunoglobulins. There will be fast movement of the neutrophils at the site of injury compare to skin and removes the infection. The other reason could be reduced number of type 1 procollagen in oral mucosa unlike skin which promotes scar formation. Consult an oral physician to rule out what ulcer is that. If it is a major authors ulcer there are chances of scarring, this is the only exception for ulcers. You can take topical steroids like escort ointment. 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|> For the past 3 months, i feel phlegm is in my chest area. It feels like it wants to come up but Im finding it difficult to cough anything up. I am a singer who suffers from high blood pressure, sleep apnea and early signs of diabetes. its to the point that I can smell the odor from the phlegm even after gargleing and brushing my teeth. Is there any natural home remedy for this? What is your recommendations because I dont like that odor. It also affects my singing as well. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, *If you feel phlegm in chest want to cough it out, try following things. - Hot saline gargles & Chat Doctor. Take a lot of liquids. - Eucalyptus oil or Menthol breathed in by putting it in boiling water, helps by melting - Ginger piece put in mouth & sucked slowly / Ginger & Jaggard chewed together help expectoration. * If you find the phlegm to be yellow or green, you need to visit a doctor for some antibiotics prescription. You being a singer, it may harm you by spoiling your voice. Thank you. L <|eot_id|>
<|begin_of_text|><|start_header_id|>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 feel run down, no energy, lost 18 lb in 3 weeks, having hard time focusing, sleeping a lot but still tired. not throwing up, cold all the time , cant function, feel stressed out, but havent done anything, no ambition to do anything. someone said thyroid trouble. cant make myself do anything. 60 year old male in great shape overall. whats wrong with me. thanks dennis <|eot_id|><|start_header_id|>assistant<|end_header_id|> Degree understand your concerns went through your details. I suggest you not to worry much. Thyroid trouble cannot be ruled out. But before that please introspect self about what happened? This could possibly mean stress related disorder. It is possible that such tiredness, lethargy, laziness without appetite and energy loss as after effects of extreme stress. You can question yourself. Also investigate your physical condition as you are already 60 for any debilitating disorders. For which you must consult your physician for necessary blood and other investigation. If it is stress related, please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I went to the urgent care facilty because both of my feet were sollen but the left foot had a little tightness and pain. I had no other symtom I was doing find just the swellen would not go down after the movies. I was treated for gout . Tthe gout medcine made me severely nausea I had to stop taken it. my feet is still swollen. I contwted the doctor she was unavailable. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello and thanks for the Quertle peripheral edema may be due to Gout, Heart Failure, Hypothyroidism or due to vascular problem. You need to be investigated in detail for that. Consult your Family physician and your investigation done. Meanwhile, keep your leg raised that will help you to reduce the swelling. You can try the alternative treatment for Gout or by altering the Chat Doctor. The precaution you have to take are: Regular walking for 30-40 minutes per day, Low protein diet, High carboy <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi , i think i might be pregnant , i have done a pregancy teast but it came back negative , ive got lower back pains , sore breast that have increased in size , headachs and lower cramping pains in my belly , im also really tierd and iritable and have cistitus <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello dear, I understand your concern. In my opinion the symptoms of pregnancy are nausea,vomiting, increased urination, sore breasts, tiredness start usually at 6 weeks of pregnancy. But the symptoms alone are not enough to diagnose pregnancy. The urine pregnancy test should be positive along with symptoms. The test is usually positive a week after missed period. So consider doing the test. The sore breasts, pain abdomen, backache can be seen even during the premenstrual phase. So relax and check for period. Avoid stress regarding the thought of pregnancy or anything as it might also make one to feel pregnancy symptoms and delay period due to hormonal imbalance. Best regards... <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Yesterday i had pain from my vagina and surrounding areas. I looked and found a dark spot. The spot feels like a lump and hurts to touch. It also bleeds slightly when wiping after going to the loo. The thing is I m only 16 and have never had sexual intercourse. I m on holiday and I m worried that it s cancer. I m scared. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, dear. I have gone through your question. I can understand your concern. You may have benign cyst like lesion. Don't worry. Just be relaxed. Chance of cancer are very rare at your age. Consult your gynecologist and go for examination, if needed go for excision biopsy. Don't worry. You will be fine. 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. Don't forget to click, thank you. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have been trying to get pregnant since the last 5 months but everything in vain. Met a gynecologist and she suggested ultrasound follicular study.But when ultrasound scan was done the dominant follicle was 26 mm on 17th day and so my doc was worried. Another ultrasound on 26th day showed ovulation had occured. But inbetween this cycle we had relations. And the next cycle actually wasdelayed by some 5 days which had never previously occured in my case. But unfortunately I got my periods some 5 days later.(As I get my periods regularly and get it exactly on the 29th or 30th day). But during that time i was really stressed and had a heavey workload.Does that mean may be i was about to concieve but something happend? Can you explain this? All the tests including TSH,FSH,Hb,Fasting sugar,prolactin and LH have been done and all the results are very normal. Only that the follicle doesnt ovulate in the normal size. So doctor advised for induced ovulation in the next cycle and i started taking fertylfrom the 5th day of my cycle and continued till the 9th day. When an ultra sound was done on the 12th day, it revealed 2 big follicles one 33mm and the other 27 mm. The 33 mm one she categorised as cyst, but she told me to do an ultra sound the very next day to make sure if ovulation will occur or if the induced ovulation injection can be given.The next day the cyst measuring 33 mm had increased to 38 mm but ther was not much of a change in the 27 mm follicle. So doctor advised me not to take the injection as it looked like some hyper-activity. And wait for another 2 cycles till this subsides. I am worriedbecause of this cyst formation due to the induced ovulution drug that she administered. Will it be a serious problem in future? And is the cyst size of 27mm too large or ripe to even ovulate? should I get into some other medication, or wait and try for another 3 months? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, the cysts is not much of a problem. They resolve in 2 to 3 months. But I think in your case it is better to start the ultrasound from 2nd day of your periods. It will tell exactly regarding the status of your follicles. You can monitor your cycles every 2 to 3 days. Don't take any medicines. When follicles size reaches 18 to 20 mm, take injection for rupturing the follicles. It will make sure your follicles rupture at a normal size. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. 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 im 14 years old and ever since i was in grade 3 i have been getting sharp chest pains near my heart.it hurts so much that when i get them i have 2 freeze and try 2 breathe. they last up to 5 minutes long and i usually get them 2-3 times a week. Today iv had 4 very painful ones and im getting scared! i need help! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your concern. Teenagers are more prone for anxiety and panic disorder. Your symptoms are more suggestive of panic disorder and anxiety. But better to get done ECG and 2d echo first to rule out cardiac cause for symptoms. If both are normal then no need to worry about heart diseases. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi. I know of a person who has cut his wrist...and received stitches about 1.5 months ago- 24 stitches on his wrist -- now, 1 week ago, he has a lump in the wrist area -- area inbetween joining his palm, to the wrist...so basically the start of the wrist area - do you know what this could be? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello! Welcome to Chat Doctor. Usually it's a ganglion in wrist area, that moves with movement of wrist/fingers. But as you have mentioned that there was a cut & suturing was done and if this is the same area involved now, then it can be an implantation Desmond. Local examination is necessary for accurate diagnosis. Treatment for both is excision under anesthesia witChatDoctorplete removal of cyst wall by your doctor, otherwise recurrence is common. Hope this information is useful to you. Wish you a good health. 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|> I have been diagnosed as a borderline diabetic. For the past several weeks I have had a rash that appears on my mid-section, arms, neck, etc. I comes about the same time everyday and it produces a terrible itch. My question is could this be related to the diagnosis? <|eot_id|><|start_header_id|>assistant<|end_header_id|> His you have mentioned that you are borderline diabetic, the blood sugar levels are not very high so may not be related to diabetes however continue the lifestyle management and diet as advised by your physician. If I were your treating doctor would have advised for the itching -some anti histamine tablets and apply Renovate cream if you still continue can contacts you good healthRegards Chat Doctor. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am suffring with restless and muscle pain in both leg .feeling too much enrgy in hand . feeling fear in chest . sleep disturb .doctor advise me the test that is s.ch-216 ; s trig-220;hdl ch- 55; ldl-117; vldl44;sugar 78 .thyroid ok .bp also ok .. Doctor advised inj architol .tab cipcal tabstalopam plus . so please wht is the next steps <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello,Your symptoms like restlessness and pain in legs, fear in chest and disturbed sleep point towards some disorders. First is generalized anxiety disorder. In this there is restlessness, sleeplessness, muscle pain, sweating, tremors etc. There is anxious feeling whole day. As you have normal b.p. and thyroid, I would also advise you to get an ECG done. This will rule out common medical causes for anxiety disorder. The Chat Doctor. Second is restless leg syn <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> For the last three days, somewhere around 4PM, I start getting chills and then my face starts to flush. My temperature then spikes to 103.4 and takes a while to return to normal, usually by 10 PM. Today, due to a cough I think, I have sharp soreness on my left side breathing, moving and to the touch. I have a doctors appointment in the morning, but this is really confounding me. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, I had gone through your question and understand your concerns. This is obviously infectious disease, and you need medical attention. These are signs of systemic inflammatory response, and you need to do tests to rule out bacteremia and sepsis and then antibiotics should be started. Less likely this may be allergy or autoimmune rash, but further tests are required for diagnosis confirmation. Wish you good health. Kindly 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 chest x-rays done back in February , at my local er , and was diagnosed with a viral infection, however I was told to have a followup cat scan done because of intrestial markings in the upper lobes of lungs, I just had the cat done this past week, what are they looking for? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. In my opinion they want to rule out any infection present or not in your upper lobes. Usually bilateral upper lobe lesions are seen in infection either present or past infection. And CT SCAN gives much better evaluation of lung infiltration then chest x-ray. Besides infection other causes for bilateral upper lobe reticular pattern are1. Sarcoidosis2. Sillicosis3. OLD (interstitial lung disease) rarely. So CT THORAX is must rule out 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|> Ive had my right wisdom tooth (right underjaw) removed by my dentist last Friday, now Im having these sharp pains in my right tonsil. They last a few seconds, then fade away a bit and come back within the minute. My right ear also aches. Is it normal to have these symptoms after wisdom tooth removal? I wasnt prescribed any anti-biotics at all... <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for writing to Chat Doctor. The pain in the ear after dental extraction is not unusual. This could be a referred pain which means the throat, teeth and the ear share similar nerve supply, hence pain in one area can refer to the other. You may not need any antibiotics, but some over the counter pain medicines like ibuprofen and paracetamol will help ease the pain. Also avoid chewing very hard foods and forceful biting. If the pain becomes severe or gets worse, then you should see your dentist to see if you haven't developed any infection at the site of tooth extraction. Hope you have a speedy recovery. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My six yr old son is complaining about leg pain for over 12mth, sometimes he gets a temp with this pain... he is now complaining about back pain along with the leg pain... he is small for his age but lately has been unwell alot and is not long finished a course of steroids and an antibiotic for yet another kidney infection <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi... I understand our concern. I definitely feel that your son should undergo complete evaluation as the symptoms are going on since long, and it is related to limb pains along with fever. The possibilities include - 1. Connective tissue disorder.2. Neoplasm related to blood and bone marrow.3. Low vitamin D levels. I suggest you get back to your pediatrician with these tips and get your son evaluated. Regards - <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am having some problems with my taste and smell ,I don t have any. I s been two weeks since my last chemo treatment, I have had four treatments up until now. I have stage four liver cancer and I am taking promethazine for nausae,andgabapentin for nurothopy. Should I be concerned? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for writing in. Stage 4 cancer of liver is advanced disease. It might cause mild symptoms in some patients and others might have severe symptoms. Usually the condition might have a large mass or multiple masses in the liver causing a hard to palpate mass in the abdomen. The mass causes compression of vascular structure including the inferior vent cave and this might lead to blood clots in the vein going to the heart. The veins of the kidneys might also show clots. Few people develop ascites and fluid collection in the abdomen and this is due to the inability of the liver to function normally. The side effects of chemotherapy medicines also have an influence and this might cause neuropathy and nausea with dizziness and pain. Please discuss pain relief with your doctor. 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|> my Mrs is in Pakistan and i have come back to the united kingdom, she is 3 months pregnant an she has had a high temporature the doctor has told me she has typhoid i am very worried, the have told me they would immunise her 3 times a day for 3 days, is their anything serious to worry about? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Typhoid in pregnancy, is not a dangerous episode. Hope the doctors have confirmed the diagnosis with a Tidal Test, Blood and stool culture, Ty phi dot and Tube tests, the last two are very sensitive tests and confirmatory. The essential thing is u must have the family members also tested and immunized against typhoid if they are all right. Your wife needs to be treated with an appropriate antibiotic which depends upon the local strains, Usually Augmenting at 625 / 4 times a day for 3 weeks is adequate. As she has already crossed 3 months the effect on the baby of these medicines is not reported. Also, typhoid, will not cause any damage to the baby. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am having a nerve block for my ribs, I did not fracture them but had a great amount of trauma, the surgeon is going to do a nerve block so that he may manipulate the ribs as they are now overlapping, what is the aftercare for this type of nerve block as I have 4 kids. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your concern. You can try following things for rib pain.1. Wear chest belt to immobilize the affected areas of chest.2. Avoid movements causing pain. Avoid sudden jerky movements of chest.3. Avoid heavyweight lifting and strenuous exercise.4. Sit with proper back support.5. Take painkiller and muscle relaxant Chat Doctor. 6. Apply warm water pad on affected areas. Try all these for 1-2 weeks. If you are improving then no need for nerve block. But if you are not improving then go for nerve block. 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|> Hi! I just had a medical procedure done. Lipo of my flanks as well as a profractional laser resurfacing on my face. I am 2 days post op and I just noticed I have a small hard nodule just below my upper jawline. Not quite below my ear (I ve have that before) but closer to my jaw. If that makes any sense. I am going for my post op appointment tomorrow and will most certainly ask my surgeon.... but I m feeling a little panicked about this. Could this mean there is an infection from my facial procedure or Could this be a sign for something more serious. I am on antibiotics. Thank you! . <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have nodule under the jaw line. Well there can be many reasons for such kind of nodule it could be a cyst, a muscle or infection from the procedure. There is nothing to panic. Your saliva moves from a salivary gland through tiny tubes into your mouth. One of these ducts can become damaged or blocked. When this tube get blocked by some foreign particle or blocked after minor injury, gland get swelled and form a lump. You mention that you have appointment tomorrow. I would suggest you to discuss this with your doctor. Doctor may order test like CT scan or MRI to confirm the diagnosis and rule out infection due to procedure or cyst. Doctor may extend the course of antibiotics or Chat Doctor. For now <|eot_id|>
<|begin_of_text|><|start_header_id|>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 19 year old son that throughout his life has been suffering with anxiety. He has been on different meds remron,depicoet to name the most recent which he stopped taking about 2 or so years ago. He is now living on his own and is having problems sleeping. Wakes up sweating, feeling insecure about his surroundings, body aches feels like the walls are closing in on him etc..Is there any new meds on the market that can help without all the side effects <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, welcome to Chat Doctor forum. The psychological treatment doesn't depend upon the newer Chat Doctor. If he is not cooperative with the tablets, you can prefer the injection form, given every fort night. Let him practice yoga, meditation, and some other extra curricular. Give him green leafy vegetables, pulses, sprouts, and protein rich foods to have blood, and general health. Wishing for a quick and complete recovery. Thank you. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> GOOD EVENING SIR , I HAVE A PAIN ON MY HALF HEAD ON RIGHT SIDE. I HAD DONE MY C.T YESTERDAY. THERE IS A GLIOTIC FOCUS SEEN LEFT POSTERIOR PUTAMEN. SIR PLEASE SUGGEST ME ABOUT IT.WHEN I WEAR CAP T GET A RELIEF. TAJINDER MALHOTRA AGE:-31 YEARS HEIGHT:-5 7 WEIGHT :-57 KGS. THANKS. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, A idiotic area may or may not be a focus of pain for your face. This pain may be a simple headache as in many cases we see. Start with simple painkiller like paracetamol or naproxen sodium twice e a day. You may get relief. I will suggest you to give me further details of this pain like type of pain, severity, radiation and associated features like nausea vomiting, vertigo, vision problems or anything happening to you before the start of this pain to get a proper diagnosis. 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|> Memory loss issues. My mom has been experiencing a progressive decline in her short term memory function. She is 78 years old and a heavy smoker. She has recently been prescribed Aricept-5mg in addition to the medications that she is already taking for high cholesterol and blood pressure. Since Aricept, her behavior has been quite erratic, she is more confused and making things up that didnt even happen. I am so worried. She has had brain scans, blood tests, and all seem to come back suggesting that she just has age related brain shrinkage, but no one has said that this could be the beginning, middle or late stages of anything. What additional tests can I request a doctor run to take a closer look. Something is definitely not right with her. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. From what you have stated it appears that your mother is having symptoms of dementia and accept is a good Chat Doctor. Its unfortunate that your mother is not tolerating this medicine. The other option is meantime. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link: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 21yrs old female.....i have a problem of mouth odor when ever i am inside a AC room....please help....my tonsils are larger than normal size from childhood itself....is this problem related to my tonsils....please help <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Balfour or Halitosis is due to various reasons like poor oral hygiene, dental caries, diabetes, Tonsillitis, liver disorder, gastric disorders, consumption of alcohol, foods like garlic and onion tobacco chewing etc. You have tonsillitis which could be the reason for your problem. Consult an ENT specialist for the problem. Get your self examined by a dentist to determine if you have any problems in your oral cavity. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi Dr. my name is butul .My husband is suffering with TB since two month he is taking a treatment for tb now he got a swollen on the left side of his neck and in that pain also there doctors has done the scan ultrasound by which they told its a lymp node then the doctor has said to do fnac test .till now the report had not yet. came so please till me oif the paitent is suffering with cancer what will the report shows the word <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello thanks for using Chat Doctor . I would be pleased to answer your question Swelling in the neck with Tuberculosis is very common. The Lymph nodes are enlarged due to the inflammation in them and can be very painful. FNAC is the method where the needle is inserted, and the cells are studied in the pathology lab to check for inflammation. Cancer is unlikely in his case however the terms / words your doctor will tell you in the reports can be : tumor / malignant/ benign growth / undifferentiated cells etc. It would be best for the Doctor to inform and not for you to remove inferences. Thanks and take care <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Good evening, I just had an IUI done on monday morning 930am. Sunday morning my RE took blood and u/s revealing the following: right ovary had 4 follicles sizes 10, 11, 10, 14. Left ovary had 2 follicles sizes 11 and 13. Uterine lining 7.4. E2 level 650. sperm count 10 million. I was hyperstimulated in a previous cycle (on varying doses of bravelle), which is why my RE recommended i take the ovidrel shot at 1130am on sunday in preparation for IUI on monday. He did not want to wait another day because of the risk of having too many eggs grow too much. I have been told that my ovaries are rather stubborn...took a while to get my eggs/E2 levels past baseline but when they reach that threshold i appear to blossom, which poses concern for a conservative RE. Within few hours immediately taking ovidrel, i had cramps . The night of my IUI and the day after I felt a full feeling in my uterus (wouldnt necessarily classify this as cramping, perhaps bloating?) My question is....do I actually have a chance of conceiving this cycle? Could I have ovulated within those few hours after taking ovidrel? I am especially concerned because of the size of my follicles and lining thickness. I am going to start taking intravaginal progsterone starting thursday evening. Any advice or input would be greatly appreciated, thank you in advance! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for your query. I read your query and understand your concerns. Following is my reply: If you had pain after taking ovitrelle, its probably ovulation. There I chance of pregnancy. But you know there is no 100 % chance in any infertility procedure. Take progesterone tablets as you have mentioned. There is possibility of conception. I hope I answered your query. I will be available for any follow-up queries you have. Chat Doctor. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am a 35 year old male and own a landscape business for 2 years, for the last 6 weeks It has become difficult for me to get through half the day without becoming exhausted (low energy that comes on fairly sudden, slightly shakey, foggy mind kinda like im in a dream) I have cut my hours back and have had employees make up the difference, thinking maby I am working to hard, energy still cuts out half way thru the day. I have had some life changes (seperation, moving to new house, extra debt to support expanding business)but nothing I would consider unmanageable. Any advice? I have setup a health exam with my doctor in September? Could this be physical or phsychological? Any advice from past experiencees?Thanks! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello welcome to Ask A Doctor service. I have reviewed your query and here is my advice. You have to rule out anemia first by he estimation. I suggest you to investigate with serum calcium, serum sodium, potassium estimation, serum TSH estimation for primary work up. Got, Sept, urea, creatinine also investigated as toxic metabolite accumulation also sometime can lead fatigue. You are absolutely right in a way that fatigue can be from exhaustion, overwork, lack of sleep etc. Revert with above reports to guide you further. Hope I have solved your query. Let me know if I can assist you further. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi I have ingrown hair deep under my skin and out . I have very coarse hair and been taking different medation . I was trying to put the hairs but also founding holes under my skin and white heads and infected all on one side on my face. so tired dealing with it . I neeed the best way to get rid of it <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Infected whiteheads are treated with antibiotics to reduce inflammation & infection. Medicated creams, ointments & gels (Benzoyl Peroxide, salicylic acid) also work well. Keep your skin clean, avoid excessive sun exposure, remove makeup before going to bed, refrain from squeezing or scratching the whiteheads. Neglected whiteheads can become acne. Acne can cause emotional distress. Get examined by a dermatologist & get treated. 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|> sir i am 45 years old women i have fatty liver grade 2 two yrs back which is now redused to grade 1st ,i am energy less ,high bp,high cholestrol,tg,and depressed also,i have also removed my uterus 2 yrs back...ultrasound shows normal size of liver with coarse texture..sgot 100 sgpt 124. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Noted you have diagnosed fatty liver. Here continue regular exercise as you are doing continued.* Take low fat diet* Excess fried food avoided* Trans fat like junk food, meat avoided* Alcohol not taken....kept alcoholic intake very minimum* Green leafy vegetables taken.like-arugula-dandelion-spinach-Brussels sprout etc. Fruits more. Some good food can be taken like:-carrot-lemon-beet roots-Indian gooseberry-grape fruit juice etc. You can take Adílio tablet. After 2 to 3 month repeat liver enzymes test with USG. Hope I have answered your query. Let me know if I can assist you further. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi there, I have extreme pain and pressure feeling in my tailbone area as well as my right lower back. I have had an Xray, MRI and bone scan and nobody can see anything wrong. I have had this pain for about 8 months and it is not getting any better only worse? Please help. <|eot_id|><|start_header_id|>assistant<|end_header_id|> It might be coccydynia since pressure is coming on tail bone apply ice pack for 10-15 mins twice dailyApplying heat or a hot pack to the area after the first few days. Avoiding sitting for prolonged periods, or placing any pressure on the area, as much as possible. A custom pillow to help take pressure off the coccyx when sitting. Some find a donut-shaped pillow works well, and for others it is not the right shape and still puts pressure on the coccyx. Many prefer a foam pillow that is more of a U-shape or V-shape (with the back open so nothing touches the coccyx). Any type of pillow or sitting arrangement that keeps pressure off the coccyx is ideal. If the tailbone pain is caused or increased with bowel movements or constipation, then stool softeners and increased fiber and water intake is recommended. Avoid forward bending avoid Chat Doctor. Gently stretching the ligaments attached to the coccyx can be helpful. A physical therapist, chiropractor, physiatrist or other appropriately trained healthcare practitioner can provide instruction on the appropriate stretches. Ultrasound. Physical therapy with ultrasound can also be helpful for pain relief. Mild manipulation will also help stake care hope you get better soon follow this <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I Went To The ER With Chest Pain Shortness Of Breath N Pounding Heart Beat Had An EKG And Chest X-ray N All They Said Was Inflammation Of The Tissues Around The Sternum And A Panic Attack The Prescribed Me Motrin 600 And Xanax The Symptoms Went Away For A Feew Days Then Are Now Back Full Force I Just Want To Know Am I Going Crazy Or Is There Something More Serious Going On Ive Also Looked Up MVP As A Possibility Please Help I NEED SOMEONES OPINION!!! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your concern. First no need to worry about MVP (mitral valve prolapse) or other heart diseases. Possibility of anxiety and panic disorder is more likely. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Counselling along with anxiolytic <|eot_id|>
<|begin_of_text|><|start_header_id|>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, the other day I stubbed my toe at about 11:00 that afternoon at about 1:00 i noticed all the swelling and pain. I think I may have broken it, should I go to the doctors or will it heal by it self and is there anything I can do to make it better. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, If you doubt you may have broken then taking an X-ray will be the right thing to do. But usually, there won't be any fracture just by hitting the foot as it's the strongest portion of the body due to its weight-bearing functions. Try icing and keep the leg elevated over a pillow and apply crêpe bandage. See how you feel it. If the pain comes down in a day or two then I don't think it will be a fracture. Usually, in most cases, it's a microtrauma to the fibers of the muscles. But they heal with conservative management at home itself. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi Mia I have 1 question for usage of UBIPHENE 50 , My doctor was suggested me to take this tab for conceive pregnancy and i m the Husband. How many time i have to take this tablate in a day and what is the right time. Please suggest me as urgent!!!!!!!!!!!!!!!!!!!!!!!!!!!! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, iPhone 50 Tablet - Clonidine (50 mg) + Coenzyme Q-10 (50 mg) is used to stimulate a women ovulatory process. Camphene Citrate dose-initial therapy PO 50 mg/day for 5 days. 2nd & 3rd courses PO 100 mg/day for 5 days. Individual dose and indications vary and one must follow the dose prescribed by concerned Gynecologist. 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|> I had surgery to remove a lipoma on my back 4 years ago. When the path reports came back I was told I had a liposarcoma and had cancer. I had an mri done and was told I didn t have cancer. now I have another tumor in the same area. it was soft as first, like the first one I had, but turned hard about 1 year ago. After it became hard it has been beyond painful. I m scared. What do you think? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for writing in. There is a bit of confusion in your statement. It is not clear if the path reports consistently said it was a liposarcoma. MRI is a good investigation tool for tumors and shows the size, location, infiltration and any associated structural involvement. The path reports are confirmatory and always have to be matched with the MRI results. If path reports say it was malignant then there is no other way to tell that it isn't one. In view of what is written above and considering that the path reports were altered subsequently, the appearance of a new tumor in the area requires CT or MRI scan and an image guided biopsy from the active region of the tumor. This is essential to know if there is a locally aggressive process going on and if it should be treated. The pain can be due to nerve entrapment by the tumor and that must also be looked in to. A biopsy is the final confirmation in your case. There is no need to get scared as it can also be a focus of chronic infection in the operated area. 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|> my22 year old son was admitted to the hospital last night for what they say is a virus that has attacked a sack around the heart. thay also say his heart has suffered some minor damage. My queastion are...Is this a frequent type of virus or is this rare for a 22 year old health man? My other question is could there b any long term effects to the heart and is hesusceptable to this virus now that he has had it? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for posting your query here. It seems your son suffered from viral pericarditis. It is usually caused by the virus which also causes common cold. But rarely only, this virus would cause heart problem. This generally doesn't cause long term complications if the heart function is not much affected during the initial illness. But even if the heart function is greatly reduced during the initial illness, majority will recover over time. I hope this would help you. Thanks 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|> Dear Doctor, My daughter is having vomiting for past 6 days. Doctor gave domstac & emeset injection. still she is having vomiting & she is not having any food. Could you please tell me what may be the reason for vomiting???? What food can be given to her to avoid dehydration. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for posting on Chat Doctor. Unfortunately you have not mentioned the age and weight of your child which would have significance in determining the cause of vomiting. The cause of vomiting in a newborn is likely to be different from that in a child of 1 year of age. Moreover, the dietary habits are also important. Vomiting is more likely in case of a formula fed infant than that of an exclusively breastfed infant.ORS should be given to a child in order to balance the salt and water lost through vomiting. In case the child is breastfed, breastfeeding should be continued and given more rather than giving ORS. Exist or coastal are supposed to reduce the frequency of vomiting. If the child is not well, often the child does not feed well. Blood should be tested to see if the CRP is elevated and if so, the child may require to be hospitalized. Frequency of urine will indicate if there is deny Chat Doctor. In case of deny <|eot_id|>
<|begin_of_text|><|start_header_id|>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! ive been having constant nose bleeds for the two days i have been out of the hospital for a major kidney infection. They gave me two shots of blood thinner in the abdomen during my three day stay. my nose bleeds last over half an hour and produce quite a bit of blood. Im on my fifth one today and am wondering if this is normal or not? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Dearbleeding per nose might be related to the blood thinners.However at initial stage we can try for an ice-cold compress over nose with a cotton or gauze pack and positioning your self in bed.However, it is important, if this bleeding prolongs, and we need to check for the vitals, and need a consultation, as there might be other underlying causes as well. Hope this helps most welcome for further queries. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Mam, i have problem of analysing every situation and make all possible judgement of every action of other people, and of thinking all day anything whicChatDoctores in my mind irrespective of its importance. I feel like my one mind remains in present and other strong one remain in its own imaginary world with no realistic thing, that is the reason i feel i am not able to enjoy my day,my work everything although i dont have any big major problem in life which disturbs me Can you please help me in this regard? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, From above description following are possibilities in your case:-Obsessive compulsive disorder-Generalized anxiety disorder-Depression-Combination of above There is need to confirm diagnosis by history and mental status examination by psychiatrist. Apart from that effective treatment is available for these conditions. So, it is better to visit nearby psychiatrist. I hope this information has been both informative and helpful for you. Wish you Good Health. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi its a yr now ve completed radiation for a tongue cancer. had surgery done on the tongue and lymph node on the same neck removed before the radiations. had a pet scan done now and all seems normal except in my abdomen area in the scan they ve mentioned sclerosis noted on the bilateral iliac bones. my oncologist said nothing to worry but need to know will ignoring this make probs later for me. am 38ys now and a woman. pl advice. <|eot_id|><|start_header_id|>assistant<|end_header_id|> MADAM HI.LEARNED YOUR QUERY.MADAM I SUGGEST YOU NEED NOT FEEL ANXIOUS OF THE FINDINGS ON YOUR PET SCAN.THEY COULD BE DEGENERATIVE OR A NORMAL VARIANT PHENOMENON.PET SCAN IS DONE MAINLY TO DISCOVER ANY CANCEROUS PROCESS DEVELOPING ELSE WHERE IN YOUR BODY SECONDARY TO TONGUE CANCER YOU HAD.THE TREATMENT YOU RECEIVED FOR THIS IS SIMPLY CORRECT AND SUFFICIENT.ALL YOU NEED IS A REGULAR FOLLOW-UP OF YOUR POST SURGICAL, POST IRRADIATION STATUS BY TIMELY VISITS TO YOUR ONCOLOGIST.YOUR TREATING ONCOLOGIST IS GENUINELY ASSURING AND YOU CAN GO EXCLUSIVELY WITH HIS ADVICE.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 had all four wisdom teeth removed December 28th 2011 and at first there was a kind of an over-bite? Well, now there is a considerable amount of swelling and redness around my gums on the left side. When I brush, it hurts and when I eat and drink it s really sensitive. I m kind of scared it s gingivitis but I have always had an extremely healthy dental record. I know I need to see my dentist but is there anything I can do now to relieve the swelling and pain? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi.there may be two cause due to which you are having pain and swelling on the left side after removal of wisdom tooth.1.there may be distal pocket formation between your gum mucosa and 2nd molar, where plaque is getting accumulated and leading to pain and swelling.2.sometimes the distal cusps of upper 2nd molar may impinge over the lower mucosa. Visit your dentist and go for curettage if there is pocket formation. For tooth impingement enameloplasty can be done. Wish u 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|> Just found out that my ferritin level is 4.7, Hemoglobin is 116 and sat % is 10.8. I am a mother 41 yrs old active with 6 children under the age of 16 - 1. I have no energy what can I do. I just started taking apo-ferrous sulfate 300mg 3 times a day. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, your He level is low, and your ferritin level is also low. Ferritine is the storage form of iron, and it is very low in your case. It suggests that you have iron deficiency anemia. You take iron rich diet like every, dates, green leafy vegetables, Chat Doctor. And take oral iron supplement tablets which you are already taking.it will increase your iron level and he level. Thanks for using Chat Doctor. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi, i have lower back pain, my feet are tingly, sometimes i cant feel them, i am only 30, but feel like old lady, i cant normally walk with my kids.....i was to my gp, he give me exercises and strong pain killers, but pain killers not fix the problem....i have this problem nearly 5 years, and it is going worse...i am very active - running, aerobic, salsa dancing, but back is stil in pain..... <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for your query. After going through your query I came to know that you are suffering from chronic backache. It may be due to vitamin and trace element deficiencies specially vitamin D and vitamin B 12. You need to do MRI to rule out other causes. Back exercises, neurotrophic such as mecobalamine and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) give relief. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised, if it is lower than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi. My husband has been having sharp chest pain right in the middle of the chest. It especially hurts when he bends over or breathes deeply. He also feels very bloated. This has been going on for 48 hours. Is this just gas or something I should be more concerned about? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your concern. Yes, possibility of gas related pain is more. He is mostly having acute gastritis and gaseous distention of stomach which is causing such pain. So give him proton pump inhibitors and prokinetic Chat Doctor. Ask him to avoid hot and spicy food. Avoid junk food. Ask him to avoid large meals, instead take frequent small meals. Quit smoking and alcohol if he is having these habits. Don't worry, he will mostly improve with all these. If not improving then get done chest x-ray to rule out internal pathology. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello Dr. I have lower back pain on the left side. I do not get constant pain. It is only when I sit on the floor or do some exercise. I just took tylenol last night and am experiencing relatively less pain, but do have some stiffness. Please help me. Also, I am a little drowsy since morning and am not sure if that is because of the medicine. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello and thank you for the question. The reason you have back pain while sitting in the floor or exercising is because in those conditions the back muscles maximally come into play. To answer your other question yes one of the known side effects of Tylenol is Chat Doctor. Here are my suggestions:1) switch from Tylenol to flexion MR 500 mg twice a day2) Avoid rigorous exercise for 3 weeks3) Ice pack to your lower left back after exercise hope it helps. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am 28 years old and I have had chin hair for several years now. I started with threading the few stray hair that I had but I felt the skin becoming dark. I started waxing on my own and felt the skin become smoother and the hair much more manageable. Unfortunately I started using an epilator and now there are dark spots on the chin where the hair grows and also the hair is very thick and dark. I need help to get rid of the dark burnt like spots and the skin there is very dry. Also, I dont know if regular waxing will help me even out the growth. Please help. It is quite a depressing feeling and I FYI I suffer from hormonal imbalance. <|eot_id|><|start_header_id|>assistant<|end_header_id|> As per Ayurveda is concerned your problem is related with blood+Shaka Doha+NASA that+Kafka. Are you suffering from any menstrual abnormalities?Do you think your problem is started since you got your periods? First stop your own remedies. Any chemical composition is harmful to your skin & periods. This problem may also be related with your digestive system. So that your ayurvedic physician has to think with all these regards. Any hormonal imbalance is also due to the Trisha the main cause of any disease. For application =Multan Matt+Manisha+Lankan+Lola plasma will do. <|eot_id|>
<|begin_of_text|><|start_header_id|>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 Hashimoto Encephalopathy of the brain and I am on 120 mg of prednisone each Sunday (which is push therapy.) but the nuerologist is thinking of redusing the prednisone and adding azathriprone . I was just wondering with the AZA drug would you be able to tan. I love the sun and live in Arkansas and was just wondering. I also have a colostomy bag (4 years now) permanent and also MS and also take phenebarbitol for a seizure disorder but have not had one in over 20 years. The nuero I have had heard on HE but had never met anyone that had it until he met me so does not know a lot about it so we are doing trial and error and we have a facebook page and he has me print things off when I see him every three months. I know that the prednisone is not good for me so was just thinking of something else to tell him. It will be 2 years this Sept since I have been on prednisone every week. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, I read carefully your question. Hashimoto encephalopathy is an autoimmune disease which is associated with thyroiditis. Patients with this condition respond most of the time very well to the corticosteroid therapy, and that's why the condition is also known as steroid responsive encephalopathy associated with autoimmune thyroiditis. In the cases that the steroid therapy isn't successful, immunosuppresses are used like azathioprine, methotrexate, cyclophosphamide or even plasmapheresis or intravenous immunoglobulins. When taking azathioprine, like any other immunosuppress, one must be very careful about the skin, because the risk of suffering from skin cancer is greater during this kind of treatment. You have to use very high sun protection (over 30 UV factors), avoid sunbathing especially the midday hours (11am-3pm). Also, even if you're getting good care of your skin you have to control frequently, every week) if there are changes in your ski, and you have to report any skin lesion or new scars to your doctor and the dermatologist. I hope I've been of help. You can contact me again for further questions, I would be pleased to assist you. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have avascular necrosis of the left hip and was diagnosed when I was 13 mos sober. ye I saw a specialist when I was 14 mos sober and he said that it would probably grow back. Is this true? Also, my PCP, after getting the diagnosis thought that I had started drinking again, but I haven t. It upset me very much that she thought this way. I don t think she understands about the recovery process and I don t think she should have patients who have addictions. What do you think? Thank you. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, The treatment depend on the avascular necrosis stage. In early stages, core decompression with or without bone graft is typically considered the most appropriate treatment. In late stages, characterized by collapse, femoral head deformity, and secondary osteoarthritis, total hip arthroplasty is the most appropriate treatment. Hope I have answered your query. Let me know if I can assist you further. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, I am a 50 yr. old woman who had a partial hysterectomy approx 4 yrs. ago. I have been having a problem with a spot on my lower lip swelling. I get a tiny little raised bump, its itchy and then gets dry and peels away. This time when it happened it was 3 bumps. No discharge and others cant see it. I am a lipstick wearer and always have been but today its so bad Im gonna stop the lipstick. I had been having horrible nightsweats and flashes but it recently stopped and now I can sleep. Im wondering if this sounds hormone related. I have had all the STD stuff checked and have been in a relationship for 2 years with same guy who has no medical issues. I am wondering also if it could be an allegic reaction to tomatos since I get a break out of hives on my hands when I go in my garden. We have been eating tons of tomatos lately. Thanks Pam <|eot_id|><|start_header_id|>assistant<|end_header_id|> HI THANKS FOR POSTING YOUR ON Chat Doctor.GOING BY YOUR CLINICAL HISTORY, IT SEEMS PRUDENT TO REFER TO SYMPTOMS TO ALLERGIC ETIOLOGY.YOUR SYMPTOMS ARE COLLECTIVELY REFERRED TO AS "URTICARIA". I ADVICE YOU TO GET TESTED FOR A SINGLE SPECIMEN 20 ANTIGEN FATHERLY /BLOOD TESTING TO ASSESS YOUR SUSCEPTIBILITY TO ALLERGIC REACTIONS.THE SYMPTOMS OF YOURS COULD ALSO BE ATTRIBUTED TO "CHEMICAL/COSMETIC LEUKODERMA", AN ALLERGIC MANIFESTATION TO CHEMICALS IN YOUR LIP STICK.YOUR HEALTH ISSUE CAN BE TREATED PRETTY WELL AND YOU BE REST ASSURED.TREATMENT INCLUDES USING Chat Doctor. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello doctor, i m a male from guwahati (India) i m suffering from acne (small size), odd/dull skin tone & Black head. I have consulted a skin specialist (specially for getting glowing skin) & he prescribed me glyco 6 cream for using at night & nucell tablet, daily 1 tab. m using since 1 month but not gt a good result from the same. I mean in-spite of getting glowing skin my sking has become more darker (than b4) , more oily & qauntity of acne has also increased. now i m worried what to do..? shall i continue it or stop it...? as since i desprtly need a clear, brighter & glowing skin. i m waiting 4 ur valuable advice <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello Thanks for your query. For acne my advice would be -Do not squeeze or scratch the pimples. -Keep your skin clean, Have healthy diet & lots of fluids. -Avoid too many oily foods. -Apply topical Clindamycin gel over the pimples -You can use topical retinoid over the comedones [be careful, burning sensation & redness often occurs after applying] - if have you are having too much of nodulocystic acne you can use oral Isotretinoin for 4-6 months [but always under supervision of your dermatologist] Hope this helps you. Stay in touch with your dermatologist. 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 wonder the hyperthyroidism can be changed to the cancer Hello. I have had the hyperthyroidism since 14and Im 19 now. Im taking a hormon drug until nowbut my hormon dgree is going to be normal,and a dosage is decreased. umm... my disease is transmitted from the mothers family recently, I have proded my thyroid and suffer(not so hard pain) I was heard the hyperthyroidism can be changed to the cancerSo I wonder it is true and what is proper care for my disease <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, THX to contact us. I understand your concern. If I am your doctor I advise you that it is not necessary that because you have hyperthyroidism you got cancer. There is chance that this cancer runs in the family, so if your mother or father has cancer you also got cancer. Right now For your hyperthyroidism it is necessary that it will be treated with hormone replacement only. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at Chat Doctor. Chat Doctor. Infectious Disease. <|eot_id|>
<|begin_of_text|><|start_header_id|>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, After swimming a few laps I had what I will say was excersize induced asthma . I KNOW I have allergy induced asthma, but have not positively tested for any other types. After two uses of my inhaler (albuterol) I went and sat for 15 mins. I was quite shaky and vision blurred a little, but I could breath again. We drove home and I was still quite shaky and my heart felt pounding. I took a hot shower and rested on the couch for several hours. As I was changing for dinner I fel much better if not still weak, I noticed my torso was covered with very prominent veins, normally you cannot see them. I have been sufferingfrom intense naseau, and allergies since moving tothe movave desert. An airborne allergy test showed I am ONLY allergic to mesquite trees. I have dry mouth and weight gain since starting singular in march. I am 28 to white female, but tan so my veins don t normally show as much. I have always had great blood pressure. <|eot_id|><|start_header_id|>assistant<|end_header_id|> The medicines controlling asthma suddenly leave their effect after long time, and they are able to control symptoms at rest but not in exercises need more bronchodilators can increase singular as it has no side effects add Ventolin spy for bronchodilationand apply Aureomycin h eye ointment in nose BD for air induced allergies get blood serum tested for specific antibodies for milk wheat potato rice nuts egg go for elimination ANF your disease will be controlled to maximum amount WI less med <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> my son has not pooped for almost 2 weeks now i have had to give him a lax twice to make him poop. for about a week now he has been throwing up everyother night he dont have any flu like or bug or fever? my ped told me to give him an enema so i did yesterday and he pooped will if thats what u would call it. hes been drinking alot of liquids but lil or no food and still hasnt pooped my ped said to get an xray what do u think i should do ? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your son is having symptoms of lack of bowel movements for 2 weeks which could be due to many reasons such as - Due to decreased gastric motility-Inadequate intake of fluids and fiber rich diet-Eating a lot of dairy products-Some medications like antidepressants, acidity.- Irritable bowel syn Chat Doctor. You should avoid intake of sharp, spicy and hot food substances. I would suggest you to consult gastroenterologist for proper examination. Doctor may order colonoscopy or other tests to look for blockages in your colon, barium studies and blood test for hormonal changes. You should start with <|eot_id|>
<|begin_of_text|><|start_header_id|>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 24 year old male using vicadin for my severe tooth pain until I get a root canal tomorrow. I have been using it along with an antibiotic for about a week. My problem is every time I have sex I get a major headache before orgasm. Could this be due to the medication since I rarely use anything for any aliments at all? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for asking in Chat Doctor forum In Short: Your medication may not be the causeExplanation: Since you have toothache, that may be causing you headache. Or else if you are having headache only during orgasm, then its normal as many of the males get headache during or after ejaculation. It is of vascular origin and no need to worry. Take Paracetamol tablet if it persists after that and Chat Doctor. Hope this will help you. Please let me know. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, Dr.i am from chennai and I m working in pvt concern. Today I gave and get my blood TBIL result and urinal culture report, that report says BILIRUBIN (DIRECT): 0.73 mgs/dl so I little confused in Jaundice . Can you guide me about my diet and what will I do next? Let me know it, Thanks in advance. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Welcome to Chat Doctor, Normal range of serum direct bilirubin is You should get other tests of liver profile like Serum Total bilirubin, AST, ALT, Alkaline phosphatase, GET, also done. Please get Bag test and USG of Liver/upper abdomen also done, and either upload your reports or consult your Physician with reports for treatment. You should take light diet only, containing carboy Chat Doctor. As you have not mentioned your urine culture report, its interpretation is not possible. Hope you found my response to your query informative and helpful. With good wishes, <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi i am thomas, i have checked my semen analysis, my sperm count per ml is 112 million/ml and ejaculate 134.4 million/ejaculate. rapid linear progressive is 12%, sluggish linear progressive 30%, total forward progression 42%, how to improve my rapid linear progression immediately.. i am waiting for your answer... <|eot_id|><|start_header_id|>assistant<|end_header_id|> HelloThanks for your query, based on the facts that you have posted it appears that your semen analysis has revealed Rapid Linear Progressive motile sperms to be 12%. The grade one sperm (Rapid Progressive motile sperms)up to 12-15 % are within accepted range by most of the Infertility Centers all over the world to. Impregnate wife. Truly speaking there are no Chat Doctor. 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. <|eot_id|>
<|begin_of_text|><|start_header_id|>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 been having pain in the lower back and only on the left side for almost 2 months. I got mri done and my doctor suspects that is have a tb in the spine. The tests cannit be done in the country in which i am living in because i wil be deproted as soon as they suspect tb..so i planned on goin back to my country to check it. What are your suggestion <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, thanks for writing to Chat Doctor. The diagnosis of TB spine has to be confirmed by all means (radiological, biochemical, biopsy, microbiological methods, CT/MRI scans). Once it is confirmed, that you have Tuberculosis of spine and if there is no neurological involvement, the treatment would be with Anti-tuberculous Chat Doctor. So, a detailed evaluation and appropriate investigations are needed to establish the correct diagnosis of your problem. 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|> I am a 58 yr old white male who had a total colonectomy in 1986 due to Familial Polyposis. I have 2-3 kidney stones right now and I just wondered if you can tell me if it is normal to remove the appendix during this procedure? I just experienced a sever pain on my left side in the kidney area and a bit of the pain came thru to my front. I thought it was a kidney stone moving but now the pain has subsided. do you have an idea? V/R .. Roy McGinnis <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Welcome to Chat Doctor. There are many causes for left sided abdominal pain. Even you may have gastric ulcer. That may be a cause for your pain. Appendix lies on right lower qua Chat Doctor. Appendicitis cause abdominal pain with fever, nausea, vomiting. I think you do not have any fever or vomiting. Kidney stones may be the cause for your abdominal pain. If it is very small i.e. less than 4 mm can pass spontaneously. Medical exclusive therapy (MET) like Alpha blockers can remove stone of 5 to 8 mm. More than 8 mm need intervention. So it is size of the stone is important. Consult your nephrologist for further management. Hope this helps. Take care. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, I Am mr A chakraborty, here I am writing about My wife.Mrs. Subarna Mukherjee. Age - 30 years Blood group - B+ Married on - April 2002Subarna had 2 missed abortions:First was in Dec 2004. The pregnancy was not planned. When she missed her periods a test confirmed the news. She went straight to the doctor and was put on Folic acid tablets and led a very constricted life. At the same she had a throat infection and slight fever and took some medicines which were preg safe. After four weeks the scan did not show a fetal heart beat and soon after she spotted blood which passing urine. She was put on Susten (100mg 1-0-1 x 7 days) tabs and Protasi (2000 1amp) which reduced the spotting temporarily but shortly afterwards clots of large quantiy appeared and she had to undergo an emergency DNC.Doctor - Indira Reddy; Sagar Apollo Hospital, Bangalore.Second was in late 2006After trying to concieve for two months in vain she consulted the doctor and was suggested Microgest (100mg), EC 350, M2 Tone, A Sugar (500mg), FAS 3 KIT and Clofert (50mg). With the help of above medicines she could conceive in Oct 2006. From day one when the preg test was positive (LMP - 11/9/2006) she was put on ChatDoctor (5000) injection along with Microgest (200mg), Ecosprin (75mg) and ofcourse Folic Acid. After 6 weeks the Ultrasound did not show a fetal heart beat and the report said missed abortion. There was no blood spotting yet. She continued with usual ChatDoctor and Microgest for one more week. The second Ultrasound done at 7 weeks showed normal fetal heart beat (No Corpus Luteum was reported in the scan report). After a week (at the 8th week) blood spotting started and the flow gradually increased leaded to yet another miscarriage. The abortion was done with oral medicines. Doctor - Hema Malini, Jayanagar, Bangalore.after that, we did not try 2yrs any thing..then from july 09 we started again treatment, she was taking letroz for oct to december...but no result .then month of april she has gone for Laprtscopy & dye test..now doctor are telling her 1 tube is ok, but other is block..., after that april to thik aug(10) we r trying..but no positive result..plzzzzz help me what to do now.... <|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 rule out any pathology in both reproductive system. Yes blockage in tube cause infertility. But your one tube is patent so from that your wife can conceive. I would advise making confirm that ovary from patent tube side is ovulating or not. Consult gynecologist for further treatment options like GUI intrauterine insemination or IVF invited fertilization. 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 have a painful enlarged gland? under my jawline and pain that feels a bit like toothache but radiating along my gums top and bottom. thought maybe an abscess in my back tooth but not sore when bite together or eat or anything. had bites on my stomach that became infected so got antibiotics for them, could it just be a swollen gland due to other infection being fought although it has been more painful at times than the infection on my stomach <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi there, Thanks for asking your query, First let me tell you diagnosis and treatment in dentistry is related to photographs and x-rays(since it involves hard tissue). They may be lymph nodes which are swollen. When the body goes through an infection or illness, the lymph nodes tend to become swollen, including those located around the jawline. Being an integral part of the immune system, these lymph nodes work in over Chat Doctor. (or) it can be abscessed associated with your back tooth. Please visit a dentist for the needful, or he might refer it to a physician. Get well soon regards, <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi Doctor, i was just told my daughter in-law took their new born 2 week old daughter to hospital last night...they found her foaming at the mouth and choking in her crib. She also has a red rash. Now 11 hours later she is hooked up with monitors etc but no other episode has occurred? She is a breast fed baby. <|eot_id|><|start_header_id|>assistant<|end_header_id|> The condition of the greatest concern is infection affecting the brain. The coughing and foaming can occur as the result of a seizure that occurs because of the infection. Especially at that age, it is critical that the child be thoroughly evaluated and treated immediately, so its very good she's in the hospital. Quick treatment can be lifesaving and also minimize any damage. The appearance of the rash is highly suspicious for infection as the underlying cause. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi,I have been seeing my doctor for over four months with two hostipal doctors seen has well when i frist went to my gp he gave me movicol to take after about 4 to 5 weeks i had to go to AE has my beely was full of wind and they put 2 tablets into my backside and after about 40 minutes i went to the tolilet which worked and help clear my belly of wind but since then i have charged my diet has told to do and i am going to have a endoscopic examination in two weeks time but also i have put on a stone in 5 weeks and my blood test are ok apart from what they call the platlets are a bit low,Please advise has this is getting me very down Thank You <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi I did review your concern. Can you please send us the complete blood report to comment more on your platelet count? Low platelet counts can be due to many reasons like a recent infection, or idiopathic (ITP) or immunological destruction or low production or bone marrow infiltration by any process. We need to have a look at your report and if it is below 1 lakChatDoctorm then a bone marrow aspirate is advised to see if it is megakaryocytic or not. Then there is treatment available to increase platelet count in form steroids or splenectomy or romiplostim and so on, but it depends on diagnosis.I hope this helps. Wish you all the best. Thank you for using Chat Doctor. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, I got some patched over my face, When i consulted a doctor, i was suggested to use sunban cream and propysalic acid. It turned into black. Then one of my friend suggested me to use cosmelite cream, I just used it and balck skin was peeled off and turned into red and it is burning.. Can you please suggest me if any. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Due to inadvertent use of skin creams, you have done more harm to your skin. It seems due to improper application of the above-mentioned skin creams, you developed an irritant reaction. Right now you need to apply a steroid cream like mometasone cream where your skin has peeled off. It will not only reduce burning but also alleviate the redness. Stop using all the other creams for a while. The area of redness might heal with slight pigmentation which can surely be treated later on. Please consult a dermatologist only for any skin condition and do not practice self-medication. Take care. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi I got bit by a spider about a month ago had to go twice a day for Iv antibiotics then put on three pills three times a day for 6 more days the hole closed up but now I feel tingling and sharp pain from the finger that was bit up my right arm could that mean that it got into the bone? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have tingling & pain in fingers. Well there can be many reasons for symptoms you mention in query like nerve entrapped like ulnar nerve, vitamin B12 deficiency or inadequate blood supply. I would suggest you apply warm compresses on hand and ARN, start taking vitamin supplement for few days and do light stretching exercises. If condition doesn't get well then consult orthopedic surgeon for proper examination. Doctor may order CT scan or MRI along with take history. Doctor may recommend physical therapy, prescribe anti-inflammatory along with nerve supplement. Hope your concern has been resolved. Get Well Soon. Best Wishes, <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, my son is 10 years old and is generally healthy, he has an Asthma cough occasionally. I am worried and made an appointment to see a doctor as he has been vomiting. It has become a bit of a habit as it happens every 4-5 days and tends to be an hour after he has eaten! He is also quite sensitive to smells and that can make him vomit. There is no blood in his vomit and he doesn t have diarrhoea. What do you think it might be? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello. Thank you for asking at Chat Doctor. I went through your sons history and would like to make following suggestions for him:1. From your history, I would first think of gastroesophageal reflux disease (HERD) and food allergy.2. Were I treating him, I would prescribe him antacid like sanitizing or omeprazole before each meal for at least 2 weeks. If his symptoms are improved, I would continue the same for at least 6-8 weeks.3. I would also suggest him to avoid hot, spicy foods, teas & coffees and chocolates. 4. if he does not improve, I would suggest testing him for food allergies. Hope above suggestions will be helpful to him. Should you have any further query, please feel free to ask at Chat Doctor. Wish your son the best of the health. Thank you & Regards. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> So about 4 years ago, I fell on my tail bone while rollerblading. Went to the my doc and he said that itll go away with time. It hasnt. 4 years now and nothing has improved. I have two kinds of pain. A sharp one, that usually happens when Im mensturating or constipated and a dull one, usually when Im sitting on the floor or on a chair. In addition I that, I have back pain (mostly lower) when Im standing for too long or when I lift something heavy. I have no idea what is wrong and I have done all kinds of tests, from x-rays to MRI. Almost every possible test. And nothing! I just wanna know what is causing this pain? And what I can do about it? I try not to take medication unless I absolutely need it. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, When you fell on your tail bone, you have damaged the bones and muscles and nerves passing by. Coincidentally, the nerves and muscles are related to the internal organs like uterus or bowel. So, when you menstruate or strain due to constipation, you are putting more pressure to the affected area, thus, increasing the pain. I'd suggest to - do vaginal swab testing to exclude vaginal infection-urine analysis to rule out urinary tract infection-try to avoid being constipated everything is ok, then, it is most probably due to fall. So, have patience and your everything will be over Can take painkillers (locally or orally) and Chat Doctor. 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|> during the start of winter season my face becomes dry and corner of mouth(that point where the upper and lower lips come together) becomes so so dry, after that color of that area changes from white to black and persist upto summer.... please suggest something to permanently cure this dryness... right now i am using Lobate-GM .. please suggest.... <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, kindly do not use Locate Gm as it's too strong to be used for face and besides the cream is not meant to treat your particular condition. For your excessive Chat Doctor. Use a good moisturizer like detail moisturizing lotion or detail restorer. At the corner of your mouth apply fluticasone cream twice daily till the cracks at the angle of your mouth disappear. Hope that treats your problem. Take care <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi i am a 27 female i have a polyp on my spine and i have had a headache for a month straight now with about 20 mins a day without a headache i have been dizzy and throwing up. i had a cat scan done and that came out clear when i went to the ER for the Headache but i had forgotten about the polyp becuase of the pain in my head i haven t thinking clearly do you think the polyp on my spine could be causing me headaches? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thank you for posting your query. I do not think your spinal problem is related to your headaches. Headaches are most likely to be due to migraines, which NI addition to causing headaches, can cause dizziness and vomiting. Normal scan is reassuring news. You may take sumatriptan tablet to reduce the headaches. Preventive treatment would be required if you get frequent headaches. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/ <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, i went to the nurse the other day and had a smear. While doing this i asked her to look for the strings of my marina coil and she could not see them. The doc had a look also and she could not find the device. I have to go for a scan today to see if they can find it and to see if i,m pregnant. Im very worried as I was not trying for a baby and have been drinking wine and have not been taking any folic acid. if it is the case i am will the baby be effected by this and will they remove the coil. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, thanks for posting your concern in the Chat Doctor. Most commonly the IRENA string becomes invisible when it has hot displaced from its site of lodgment. Your doctor has correctly advised you to have a scan to find the exact location of the IRENA coil. And it should be considered as an emergency. So, scan should be done as early as possible. If it has got displaced or by any chance removed, there is chance that you may be pregnant. In that case chance of ectopic pregnancy is higher. An ultrasound scan can rule out that possibility. In case you become pregnant, and the fetus remains in the usual normal position, consumption of alcohol and no folic acid intake definitely poses risk of development of neural tube defect (NTD). Hence, if there is normal uterine pregnancy, and you want to continue with that, immediate commencement of Folic acid would be needed, and Anomaly scan should be done as per schedule. But, above all, the first thing you need is to locate the missed coil and hence please have the scan done at the earliest. In case you have any new query in the future, you can directly ask me questions @ http://www.ChatDoctor .com/doctors/ Chat Doctor. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello, I ve got a question about a skin rash . My husband has diabetes and has been taking metformin for 3 years. In the last two days he d developed a skin rash that itches very much. It usually starts in the evening for him. He has not taken his metformin today. He also has a stomach cramps, diarrhoea and is unable to eat. He had earlier developed the same type of allergy to chloroquinone. Thank you for your reply in advance. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello,1. Please ensure there is no gastroenteritis (bacterial) with a stool routine/ culture studies. If there is fever, he will need a complete blood count, CRP, liver function tests. 2. Metformin itself can cause cramps, diarrhea.3. A stat capillary glucose check is important.4. Itchy skin rash can be taken care with antihistamines such as cetirizine 10 mg or Exocet 5 mg. People with diabetes can get a fungal skin rash that is variably itchy and not much red, for which antifungal creams are required. See your doctor if the antihistamine tablets do not help. Best Wishes. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My periods are usually really heavy, painful and very regular. I had sex with my boyfriend 2 weeks before my period was due, when my period did come it was painless and extremely lighter than usual, i havent really been stressed out and nothing in my diet has changed. Could i be pregnant? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for the query. I have gone through your query & understand your concern. You had unprotected sex 2 weeks before your periods. That falls in fertile phase of menses. You had very light bleeding during your periods at scheduled time... but it was scanty. Such bleeding is most likely to be implantation bleeding. So yes, such bleeding can be sign of pregnancy. Please confirm after 8 days delay in your menses. <|eot_id|>
<|begin_of_text|><|start_header_id|>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 happens if some drinks 250 ml of phenyl and after 15 min had 3 glasses of water mixed with 12 spoons of salt to cause intentional vomitting and vomits several times instantly and can see traces of phenyl and food in the vomit .After 24 hours patient has symptoms of some sort of weight on the chest and have in respiratory tract with mild difficulty in respiration. Patient passed loose stool after half an hour of consumption .patient cant go to the hospital for next 8 to 10 hrs. please advice <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your concern. Phenol is irritant to mucous membrane. So on ingestion, it is likely to damage esophageal mucosa. While ingestion, some Phenol might have aspirated in trachea and lungs. So Phenol ingestion is likely to damage esophageal and tracheal mucosa. Damage to esophageal mucosa causes ulceration and burning chest pain. Damage today respiratory mucosa will cause inflammation of the airways and bronchitis. This bronchitis is the likely cause for his breathing difficulty. Usually these all are self limiting in 1-2 days. Ask patient to Chat Doctor. Avoid hot and spicy food. Take pantoprazole tablet on empty stomach. He will mostly improve with all these. If breathlessness worsens or chest pain increases with vomiting then immediately consult doctor. Hope I have solved your query. I will be happy to help you further. Wishing good health to your patient. 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 am 26 and have irregular periods. Last month i used fertyl 50mg from day 3 to 7 and Duphaston from 15-24 day. we had intercourse from 8-13 days and on 16th day. But were not able to do it on 14th and 15th day. I sthere a chance for me to become pregnant. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello dairy understand your concernPregnancy is possible when sex was done between 10th-20th days of the period. As you did sex from 8th to 13th and 16th day and sperm can live enter the genital tract for 4-6 days and can fertilize the ovum. So pregnancy is possible. If your period will delay by the 8-10 days then go for urine pregnancy test and or blood Chat Doctor to confirm the pregnancy. Avoid stress, take healthy diet, do regular exercise and Chat Doctor. Thanks <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, I have a lump in my underarm, i recently notice a strange odor and increased sweating. I realized that the lump is leaking, which is the cause of the odor. I switch from using antiperspirant everyday to only twice a week. Should I worry about this? Am I finally healing and draining from a lump that Ive had for years? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello! Thank you for the query. From your description it seems that you have an infected hair follicle or infected sebaceous cyst. It is leaking because there is a puss inside. It is hard to heal such infected lump without an incision and Chat Doctor. That is why I suggest you to consult a surgeon and have it incised. Enlarged lymph nodes should be also considered and breasts checked. Especially if you are female. Hope this will help. Regards. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My 20 year old daughter has scoliosis and has just been diagnosed with a Chiari I malformation. Is there a way we can get a doctor at the Mayo Clinic to see her or do we need a referral. We d are considering surgery as her headaches are getting more frequent and more intense. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Chiari Malformation may cause Obstruction to CSF Flow. This causes headache. Same way, there may be spring formation which causes weakness of muscles of spine and this weakness leads to scoliosisSince There is Scoliosis along with frequent headaches, She needs surgery at the earliest. Please get referral letter from your primary care physician. Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello Dr. Grief, today My daughter inlaw got results from tests and MRI and they have told her she had something called?? C..? which she said they told her it meant that her brain was droppin down into/onto her spinal cord and she will be going to another neurologist and possibly a brain?? surgery? Can you tell me what this is or called so I can be prepared to help her? Thank you so very much for your time! Sincerely Tammy M. of colorado <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thank you for posting your query. This condition is called Chiara malformation. In this condition, the cerebellar tonsil Chat Doctor. If the compression on the brain stem or cervical cord is significant, then, a surgery is required, called as foramen magnum decompression. Chiari malformation is normally present since birth. 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, <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I recently became involved with a man who is grieving from the loss of a long term relationship. It as been 1 1/2 years. I do not know how to be supportive. How can you support someone in grieving when it looks like they are too pained to want to go there? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Degree understand your concerns went through your details. I suggest you not to worry much. Losing a close person is necessarily sad and grief is natural. But for how many days or months? This needs sincere answer. The man you are speaking about is under severe grief because he does not have anyone else to give the same affection he experienced earlier (Mind you, Every person goes through bereavement and almost everyone accepts it as part of life. This happens with other people supports. Also, the bereaved person slowly tries to ignore the negative thoughts when he starts working again). Your man do not have any other intimate relationship and I think he is idle nowadays. Both multiplies the problem. You can be with him, give him love and affection, and slowly he should start talking to you and accept you. God is great. Time is a great healer. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your men condition. Hope this answers your query. Available for further clarifications. Good luck. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I just went in to the ER a couple of days ago because I lifted a potted plant and injured my back. I was diagnosed with Sciatica Neuralgia, Right. The pain is intense, but is better if I lay down. This morning I woke up and the numbness in my right buttocks, front right leg and front genital area was intensified and felt like someone was pouring acid on them(definite intense burning). It is more severe depending on what position I am in. I have read online about Cauda Equina syndrome and it has slightly concerned me just because of the burning and numbness in my genital region specifically - although I understand that it is quite rare. I have been able to urinate, but have not had a bowel movement since Monday. Would you advise going in to see about this again or do these symptoms sound fairly par for the course for this kind of diagnosis. Sincerely, Heather <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Welcome to Chat Doctor .com I am Chat Doctor. I have readied your question with care and understand your concerns. Let me try to help you. Question : What causes numbness in buttocks when suffering from sciatica neuralgia? Answer : It means that there is still compression on your nerves. You have to consult your Neurosurgeon again and undergo evaluation. We have to decide whether surgical decompression is needed Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Best Wishes for Speedy Recovery Let me know if I can assist you further. Take care. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have a large white lump on my heel and it has made my heel numb and bruised and had a pink center on the top of it, it s making me limp very badly. It feels like a rock is in my skin and it s constantly burning. I ve been told this could be a Plantars wart but it keeps swelling and getting less bearable to deal with... What could this be and how do I get rid of it? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Welcome to ChatDoctorThis can be a corn which has got infected or something got pricked like thorn or glass piece which is developing into abscess. You need to remove the causative factor (thorn or glass piece) and Chat Doctor. For this you have to show it to your surgeon. Also, antibiotics like amoxicillin with Slavonic acid 625 mg three times a day for 5 days and tab choral fort three times a day for 5 days will help. Tab broken can reduce your pain. But most important is its surgery. Regards <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am a 58 yr male hematoma patient feel chest sprainwith burning sensation and very difficult while walkingnow a days after every 5 mts almost for a whileonly while walking I tried Antacand and Miacardis80m 12.5 also and Concord plus have a bp of 190/90no relief still difficult to walk. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your concern. You are having hypertension accelerated hypertension. So chest pain on exertion (walking) in an accelerated hypertensive patient can be due to heart diseases. So better to consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). You will need additional antihypertensive and other cardiac supportive Chat Doctor. Don't worry, you will be alright. 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|> He is suffering with MND from last 2 and Half year and now his age is 72 Yrs. 5 Month back, he was having only issue with throat(Speaking problem ) and left hand palm was not working proper but when we took all reports and doctor found MND then we start medicine of MND ( Riluzole ) but after that he is having more problem. Now his right hand is fully paralysis and throat is more affected and left hand is as it is. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thank you for posting your query. It is unfortunate that your relative has MND- motor neuron disease. At present, there is no cure for MND. Rissole does not stop the disease progression, it may only help little in improving the muscle strength. At present, please start Rules tube (nose-to-stomach food pipe) feeds, to prevent aspiration pneumonia. Regular physiotherapy and exercises should also be done. I hope my answer helps. Please get back 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|> Hi doctor... I wonder if you can help me. My nephew is 18 months. Doctors said that he has HUS? Do you know what the best treatment is? We are worry because the first time that he went to the clinic doctors found that he had a Ecoli o Shaille and they didn t give him antibiotics for that... so What we can do? <|eot_id|><|start_header_id|>assistant<|end_header_id|> It is common hemorrhagic vasculitis and need immediate help, treatment is according to symptoms-suppotive fluid therapy, for anemia-transfusion of RBC, for renal insufficiency the best treatment is hemodialysis, better visit hematologist for receiving deep examination:ECG, ultrasound, blood test, Cumbs reaction, AKT, fragmentary RBC, haematocrit, K,Na, neurological symptoms. Hematologist will prescribe treatment according analysis Best regards <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi there. i will try and explain everything without missing anything out. i feel my heart racing all the time and it misses a beat, i only have to go into the kitchen and it starts beating really fast, i often get out of breath easily. i also get pains in my right side and have started to get pain in the left side now and low in my belly. iv also been know to go all dizzy and fussy this can pass within 10 mins but twice it happend for 2hrs, i felt like i was going to die but that was about 4-5 mounth ago. my finger joint hurt quite alot in the day but mainly when i wake up in the morning. this has been going on for almost a year now, im quite scared to go to my doctors. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, The symptoms you are having looks like VPCS, which is extra beats originating from places other than the normal conducting system of the heart. I'll advise you to get an ECG and 24hr Holder monitoring done, after which only we can ascertain the diagnosis. This could also be some abnormal arrhythmia so kindly do those tests. I'll also advise you to get a 2D Echo done to rule out any possible cardiac related abnormality. 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|> I visited Southern Africa, i.e. boswana, swalzland,.. countries, are taking doxymycin (malaria prevention drug. came home with no mosquito bites. Can I stop taking doxymycin? I have already taken 14 days and don t want to continue for another 28 days. Thanks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> HelloWelcome to Chat Doctor. Chemoprophylais against malaria with any anti-malarial Chat Doctor. This is necessary to kill any persisting forms in liver of malarial parasites. The guidelines recommend taking the antimalarial irrespective of whether you have history of mosquito bite in high risk area. You can talk with your physician regarding taking weekly doses of chloroquine or biweekly doses of mefloquine as alternative to daily regimen of doxycycline. Hope I answered your 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|> I have been to the dentist for a sore tooth that was recently capped. Everything looked fine. I then noticed a swollen lymph gland in my throat and went to my doctor who put me on antibiotics. Its been about 5 days and the tooth is still bothering me. What do I do now? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your query, I have gone through your query. The pain could be because of the tooth infection if the root canal treatment has not been done for the capped tooth get it root canal treated. Consult your oral physician for complete examination and rule out any gum infection around that tooth or neighbor tooth. meanwhile take a course of antibiotics and analgesics, do saline gargling. 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|> Yes. I have bowed legs and I was wondering if I got a brace if that would help straighten permanently? My back is pretty bad and I am 21 years old. By the time I qualify for surgery the extensive damage will already be done. If a brace is a good idea, what type should I get? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, There is no medicine or brace which is likely to help you in correcting bow legs at this age. If bow legs are troubling you then get them corrected surgically corrected-only the deformity and not the joint part. It will help you in reducing the joint damage also, and now we have methods where you do not have to in bed rest also. Please discuss with your doctor. 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|> Okay, so this is my first time asking a doctor online. Im 14 years old and have a lump on the shaft of my penis under the foreskin. I really dont know what it is Im not sexually active or anything, if you could please tell me if I should get it checked out or not please tell because I am worried, thanks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for writing in. It is better to get a doctor to see the lump under the foreskin of penis. Many times it is difficult to confirm a diagnosis without clinical examination. Prob what you have mentioned it is probable that you have a milf infection under skin if the lump is painful. If there is no pain then it is important to know whether the changes are a part of normal growth in you. The penis changes in appearance during puberty, and it is important to know if the changes you are referring to are a part of normal growth. 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|> im married with 2 kids. i recently had a pelvic ultrasound which shows endometrial thickness of 3.6mm is it normal? ive sticky white discharge and my recent papsmear shows mild dysplasia and trichomonas infection. there is any chance for cancer??????? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello and welcome to Chat Doctor, The Pap smear shows infection with trachomas vaginal is. It is possible to get reactive and atypical cells on Pap smear in the presence of infection. You need to take treatment for trachomas and then get Pap test done again. If there are no abnormal cells on repeat Pap smear, they were probably due to infection. If they still persist then you need to follow up. A thickened endometrium can be due to hyperplasia or due to cancer. You can get endometrial curettage/ endometrial biopsy to look for hyperplasia, atypical or malignant change. You need to consult your gynecologist with the reports. Thanks and take care Chat Doctor. <|eot_id|>
<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am getting discomfort in my right hip area - has been a reoccurring problem for about a year - probably comes and goes every few months and lasts about a week - I work in a job where heavy lifting is involved. The pain is more of a dull ache and seems to be in the muscle tissue - I get some relief when I push my thumb into the top of my buttocks but its only temporary. Its fine when I sit but when I walk or lay it begins to cause discomfort. Apart from the aching in the hip area there is also some lower back pain (right buttock) and a dull ache into my groin, almost like its numb and just recently the inner thigh muscle has started to twitch. When I walk I will sometimes limp - seems like the longer i walk for the better it feels but the main issue is laying down - I was up most of last night as I couldnt sleep due to discomfort - mainly a pain in my lower back above right buttock. The best position I found was to sleep on my right with my pelvis chest and head in line and legs bent at knee. If I attempt to sleep on my back my lower back aches and if I sleep on my left it seems like the weight of my leg pulls the hip muscles and causes discomfort from right hip area spreading to my lower back. Also hurts if I lay on my front. Seems like the best temporary relief is kneeding fingers into my lower back area just where the buttocks meet. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi friend, Welcome to Chat Doctor One year is long enough to seek medical opinion. You must see an Orthopaedician / you may need MRI of lower spine.In the meantime, NSAID and muscle relaxant may help... The description favors muscle spasm. Physiotherapist can help...they also can teach the technique of lifting weight with minimal strain... Instructors in many Gyms could also do this... Yoga may help... Take tarnishing speedy recovery God bless Good luck <|eot_id|>