Datasets:

harshith99
/

HealthCareMagic-100k-llama3

Dataset card Viewer Files Files and versions Community

Split (1)

train · 112k rows

text stringlengths 685 12k
<\|begin_of_text\|><\|start_header_id\|>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 child is very violent and abusive towards me. He is nine and has ADHD and PDD. He threatens me by saying he is going to kill me one day with a knife and punches, kicks and verbally abuses me. What is wrong and what can I do? He already sees a psychiatrist and a therapist and takes Adderral, Paxil and Trazadone. Something is wrong with him and it is getting worse as he gets older. What could it be and what can I do? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Your son may have bipolar disorder. The things to consider are: Is there a family history of severe mood disorders? Does your child seem to have Chat Doctor. If these seem to relate to your child, he needs to stop the Adderall, wean the Pail and start a mood stabilizing medication like Regret. Once he has been stabilized on the Regret and the episodes have stopped, remaining ADHD symptoms can be safely treated with a stimulant medication. These episodes are seizure like events arising from the amygdala and the use of a stimulant medication makes them more frequent and more severe. So does the use of Pail. When he starts Regret, you will immediately notice a few things. He will be happier, will be able to sleep well, will not have such severe rages. As the body builds a tolerance to Regret until the maximal metabolism of it is in place, you may notice backsliding and need to raise the dose repeatedly over a period of a week or two until he saturates the ability of his liver to metabolize it after which this level will remain steady, and he will stop having rages. When this happens, you will notice what I call the Bigger stage, where he will be happy and very hyperactive, impulsive. This is the time to start the stimulant medication to fuel the parts of the brain in the frontal area that have not been well fueled because the rage activity has been such a great consumer of fuel. Make sure his doctor is taking all of this seriously as interruption of this process will eventually extinguish it and prevent long term psychiatric disability. Allowing these episodes to continue will cause the development of permanent neutral pathways of responding to life in the manner he does when in a rage and therein lies chronic psychiatric disability. He is young and with proper treatment you can have your child back and assure his good future. Best of luck to you a feel free to contact me again should you run into difficulty or have further questions. Remember, he is the child you love. His symptoms are not him, and he is not in control of what he does during episodes of rage. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 brother that is diebitic and has a cute on his foot. it is swollen. He went to the doctor and the nurse said for him to go the the hospital to have it check out and make sure is not gangurring. cant spell it. He has been cleansing it and putting Iodine on it and soaking it. He says the bubble that in side cute busted and its draining out. He says he cant hardly was on it. I trying to get him to check in to the hospital, but no luck.in the mean time he tring to keep it clean. Is there any good medicine I can get to keep it clean, untill I can get him to go to the hospital and check it out. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thank you for you question. Diabetes is a chronic condition and its complications predisposes people to have chronic wounds on the lower limbs which can lead to gangrene and cause lead to an amputation of the said limb. This situation is worsened when the Diabetes is poorly followed up. I would ask you to first of all check his blood glucose level with a One-stop machine and make sure it is within normal values for diabetic patients i.e. 1 - 2 g/l, secondly verify if he is taking his diabetes medications, do twice daily wound Chat Doctor. Consult a planetologist when you can. Good luck <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have daily knee pain from a impact related injury will on a deployment over seas and have had exrays and a Mri done and they can cannot figure out what is wrong.. If I run about 3/4 of a mile my knee buckles and I cannot even stand up and I also get shooting pains when I am just doing every day walking and standing. Any idea what it may be <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Brief Answer:Get a second opinion for MRI report and require knee brace or cast for 4 weeks and bed rest. Detailed Answer:Warm Welcome. I appreciate your trust in Chat Doctor and assure you are on best portal on the globe for expert online medical services. Based on what you said, it is recommended to get a second opinion for MRI report to exclude ligament injury. After exclusion, you will most likely need a knee brace or cast for at least 4 weeks. Even if there is slight ligament tear, it can be healed by this technique. You may take tab. Naproxen 20 mg once a day for your pain. Best rest and decreased movement of your affected knee will Chat Doctor. Hope I add <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 22 year old female. Around the beginning of January I noticed between my fourth and fifth toe dry skin. I applied lotion and went about my day. A day or so later I noticed this big piece of dry skin on the pad of my foot under these two toes just hanging. I pulled it off and put triple antibiotic cream on. Then it proceeds to peel. Between the third and fourth toe it starts peeling. Under that forms a few brown blisters. Now. Where the large chunk of dry skin came off it looks/feels like blisters also brown. It used to itch and hurt extremely bad but Ive been not wearing socks. I applied tea tree oil. Keeping my feet extra clean and dry. I also have used lamisil on it. What is this? Why is my foot brown? I wish I could show a picture. It seems to be healing. It doesnt itch as much, but there is still some discomfort while standing or walking. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, I can understand your concern for the Chat Doctor. After reviewing your query it appears to be related to the intertwine or fungal infection of the 4th and 5th toe space. It is quite common to find such kind of feature in this area due to moistness and closed area by shoes. There is more of tendency to get frequent fungal infections at this area. In my patients I generally prefer to use an antifungal creams such as clotrimazole or ketoconazole at the affected area. Maintaining a good hygiene and reduction of moistness by antifungal dusting powders helps a lot in early resolution of the area. DO not go for any parlor procedures such as pedicure or related things as can cause further proliferation. 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\|> Hi! I m monika and I have done 2 iui but not successful. I am very disappointed. My doctor says now, you should rest atleast 1 month, no medicine and no treatment .but I took 2 months to rest .After 2 months I had iui again, it is very painful for this time .My doctor prescribe me Naturogest and Duphaston tablets.Now I am worried about my pregancy .is it sure now I will pregnant and when it will seem . <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for writing.GUI increases the chance of pregnancy by 20%. Except on the day of GUI have regular intercourse around the date of ovulation to enhance fertilization of ovum. Avoid stress. Have healthy food and practice yoga as stress can affect fertility. Continue with phaeton for 10 days. Around day 21 get a Chat Doctor blood test to detect pregnancy. Hope I have answered your query. 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\|> Hiv, emrayy I ansawner gyourr yhealth queries rigtn ? Please type your query here...my sister is some time behave like metal she become very angry and she is not in position to leisten any thing and in that movement she can do any incident too is this menatl case or any disease.pls reply <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Degree understand your concerns went through your details. I suggest you not to worry much. From the description given, it is not possible to diagnose the problem correctly. Getting angry and not listening to elders are not considered as mental disorders. Disappointments and other simpler triggers do cause such troubles. Do understand. Talk to your sister regarding this. If you cannot talk to her or if she does not accept your intervention let other elders of the home do it. Don't irritate her. If need be, please consult a psychological counselor. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi,I need a proper guidance as I have been to doctors but all in vain ,I had some 3-4attacks (episodes of pain,sweating ,breathlessness , heaviness in my chest,acute pain in my left hand and head,also during this time my palpitation was so high that I could hear it and if anyone keeps his/her hand the one could feel the heart beat running v fast). For which once in emergency the doctor who came in as I couldn t even move because of all I have mentioned above,he said that I am having an angina pain so he put me on some Tablet called coraline (i suppose that was the name,dont remember to correctly though,but it costed heavy like Rs.600/- so for one week course) and he told me to have it for 6weeks atleast. Now,for last say 7-8 days I started having some very very acute pain on my left foot (where it all started from) and the in a day it also started in my right foot,by this time my left was already swollen little bit and I was limping ,then after I kind of staying alone ignored it ..my left hand ALSO started Hurting real bad with an acute pain shooting all over sometimes towards my neck ,my ribs ,my collar bone,then for last two day especially in the evenings my left hand has started swelling up,last night it was so badly swollen up that it got stiff and I couldn t really move or bend my fingers ,now also while I am typing to you I am having a shooting pain whicChatDoctores and goes in every 5-10min or so in my left side. I really want to know whats going on,as I dont really have anyone with me and I stay alone,i would like to seek a correct guidance please help. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello thanks for posting here. I have gone through your description. Your initial symptoms of sweating, breathlessness, pain, heaviness in the chest seem to our angina type of pain, and you should be on medications for the same. Coralan is used to keep heart rate under control, and it alone will not help. You have to be on at least the following medications: blood thinner medications like aspirin 150 mg, a cholesterol lowering medications rosuvastatin 20 mg. Other medications may be added according to your symptoms and examination. Coralan can be continued. Also, you need to do an EKG, 2 D ECHO, and if both are normal then a treadmill test. For the pain in joints we have to evaluate you for arthritis. So do a CBC, serum uric acid levels and RA factor. You will probably get the answer to your sufferings by these tests. If not further workup can be done. But as of now the above tests are enough. Also avoid red meat and alcohol for the time being. 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 had my big right toe nail removed 4 moths ago due to it being ingrown and infected and everything was fine upto a day ago when i noticed puss stain on my sock, so i looked and it was pussing a little bit, what is happening, do i need to see a doctor? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, happy to help you on your health concern on part of Chat Doctor! In the present case of wound infection, if I were your consulting physician, I would just advise you to consult your surgeon once more for a physical examination and necessary microbiological culture sensitivity tests for adequate control of infection. Also, it is necessary to find out the cause behind it. For the time being you have to clean the area with antiseptic solutions and keep the area Chat Doctor. Get a blood sugar test also! . Hope you got your answer. Please feel free to write to us if any more queries. Wishing you the best health! <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> my 5 year old woke up this morning saying that his head hurt (right behind his ear). I asked him if his ear hurt and he said it did not. That pain went away after a few mins but then he started complaining of his chest hurting (up high close to his neck) He has a fever of 100.3 and I put my hand on his chest and could feel his heart pounding hard. I felt his radial pulse, it didn t feel extremely fast for a child. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, By what you say I feel that this is a viral illness with non-specific symptoms which is starting. I will explain to you how are viral illness behaves so that you can be more confident. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. 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\|> For several months, I thought I was having gb pain, tests for that were negative. I went to a urologist & on an ultrasound he saw fullness in left kidney and possibly a stone on right. no tumors were seen what does that mean? I am in the process of scheduling a ct scan. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HelloYour findings suggests that pain is not related to gall bladder. Pain is most likely due to right renal calculus and fullness in left kidney. It is important to know size of right renal calculus. Treatment of renal calculus depend upon many things like size, position of calculus etc. Fullness in left kidney may be due to stricture etc. You are rightly advised for CT scan. It is very helpful in management. CT scan can assess cause and level of obstruction etc. Treatment depend upon findings. Get well soon. Take Care Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi I walked around Sea world for a few hours and when I went home i worked out I started feeling a pain in my leg and the next day i had a small swelling by the side of my knee which feels like pressure or filled with air whenever i bend my knee you can see the soft bump and i feel a sharp pain the back of my leg when i bend it and extend it out i cant seem to find on the internet what could be wrong if you know about anyone having this please let me know thanks! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for your query. It seems that you had a muscle pull. Take proper rest. Hot fomentation and application of pain relieving gel will give you some relief in pain. You can take painkiller like Ibuprofen one tablet twice a day after meals with antacid Omeprazole 20 mg along with muscle relaxant like chloraxazone. This will relax the sprained muscles. If the pain persists, get yourself examined by your doctor 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\|> She showed the very different behaviour after having a get together with her old batchmates. She was very happy the day she saw them. But the next day onwards she was very depressed and wouldnt talk anything. When she was made to talk with me (one of her elder sister), she opened up and told me very weird incidents. She talked as if one of her friends among boys tried to seduce her. And she felt that he did something to her. She had a lot of doubts.After two three days she started talking senseless things. One of them was she was going on saying the words "lock and key". And it was somedays back i came to know what it is. I asked her what is "lock and key" and she referred it to as sex. And i understood most of the sensless words she was saying.. she was referring those to the word sex.After that when she was taking your medicines she started being ok.After reaching Muscat, she was ok. But used to cry now and then. She feel someone teased her or anything like that and she cries a lot. When we go for small gatherings, suddenly she starts crying and her mother somehow make her stop crying and hide the scene from others. This crying thing happen now and then. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for using Chat Doctor. I have gone through your available history. It seems that she has developed delusion of persecution and some sort of psychiatric illness possibly schizophrenia. You should take her to psychiatrist for detailed evaluation and management. Doctor may advise you to take anti-psychotic agents like risperidone or olanzapine or piperidine. She may also do well with insight oriented psychotherapy. I hope it will help you. Thanks. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> i have mild vericocele in my sperm analysis the immotale rate is showing as 70%. sperm count is perfect what should i do to have better sperm motality. i have fathered one child and we are trying for the second baby. iam a regular smooker and i use to smoke 5 cigarrets in a day, wil my motality increase if i stop smooking <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Good Day, and thank you for being with Chat Doctor ! Yes your motility and sperm quality would very much increase after cessation of smoking. This would take a while around 3-6 months before you see improvement since the life cycle of one sperm is 70-90 days. Antioxidants will also help like vitamin C, vitamin E and zinc supplements. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ Chat Doctor. Best wishes. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have been told by my allergist that I am allergic to pollution in the air. It makes my nost constantly run with clear fluid, my eyes water and my skin itch. He cannot give me shots for it. I cannot move out of Toronto because my job is here. What should I do? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HelloHyperresponsive to inflammatory disease or allergy to some allergens produces wheezing, tears in eyes, nasal itching, fluid from nose, and itching over face. Not only in Toronto, this type of pollution is common all over world and everywhere. When such type of cases visit my clinic I advise my patient to take montelukast + fexofenadine tablet early in the morning. While if you require in the evening I advise them to take montelukast+ levoceterizine. As these two regimes keep patient symptom free round the clock. If possible avoid mite, dust, fine dusting powder, pollen,, hay smoking, sudden increase or decrease in temperature, humidity, pests (cockroaches) , mold. Steam inhalation and hot coffee also provide relief. Hope this will help you. Good luck. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> for the last month, I have felt like there is a lump in the back of my throat, when I look I see some white it is smooth it isn t a bump. What is this and is it dangerous. I have booked to see my doctors. When I swallow I feel like there is a lump. YYYY@YYYY <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, dairy have gone through your question. I can understand your concern. You may have some granular pharyngitis or upper respiratory tract infection. It can lead to lump like feeling in throat. You should take a course of antibiotics like azithromycin. Warm saline water gargles can be helpful. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello, I am 28 weeks pregnant and was taking aciphex for heartburn (rx d by my OB). I had screening labs done for my visit, ALT elevated, TBili normal, I had a few episodes of clay colored stools. I have no other symptoms whatsoever, no abd pain, fever, nothing. All other labs normal, incl platelets. I emailed my OB, but do you think I have/had drug induced hepatitis? I m concerned about preeclampsia. This is my first pregnancy. Thank you. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist. You should have mentioned the exact value of increase in ALT levels, since if it is more than Food times normal then it may be due to acute viral hepatitis, or Chat Doctor. If they are slightly elevated it may be due to fatty liver only. Preeclampsia is different situation in which there is high blood pressure. I hope I have answered your query and this will help you. Wish you a good health <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have been diagnosed trigeminal neuralgia my partner heard something on the radio this morning regarding this. my pain is helped by trileptal and lyrical which help but not all the time plus they make me very tired and my hands tremble all the time. my doctor is very good and will be inserting a stimulator implant in September. I am hoping I am doing the right thing - can you give me a little advice? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi and thanks for the query, I am afraid trembling hands have actually got nothing to do with trigeminal neuralgia. Trembling could be essential, with not associated disease or pathological. Pathological tremor could be tremor at rest (resting tremor) usually seen in Parkinson s disease. In this case, it shall be associated to other phenomena like stiffness and reduced steps while walking. Intention tremor, which is characterized by trembling as you move towards the intended object is mainly usually due to a disease in the part of the brain called the cerebellum. I would advise you obtain a complete clinical review from a neurologist. Thanks and kind regards, Bain LE, MD. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> my daughter is in her last month of a normal pregnancy and has developed the flu. she is throwing up and has the runs really bad. cant even keep a sip of water down. She is also having cramping in the top part of her uterus. Braxton Hicks????? what should she do? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should immediately take your daughter to emergency room and start intravenous injections and treatment. She might be having labor pain too as she is having pain in uterus. So better, not to wait at home and start injectable treatment. She is having excessive vomiting, so oral Chat Doctor. So take her to the emergency room and start appropriate treatment. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> from last one week i am suffering from back pain and it is specially left buttok. it is like pin pain. secondly sometimes back to knee also. i m working in office and always working on computer. more sitting. can you tell me if it can be Sciatica pain. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi Welcome to Chat Doctor After going through your query I concluded that you are having acute backache with radiation to limb. Yes it is sciatica pain. This can be due to muscle strain due to long sitting, or it can be due disc prolapse. It can be confirmed by MRI of lumbar spine. Treatment of it is rest in lateral position. Analgesic such as ibuprofen for pain relief and vitamin B and C is useful. You can discuss with your Doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello, I am a 32 yr. Type 1 diabetic. I was wondering that since my pancreas has not produced insulin in all these years, is it still possible for me to develop pancreatitis? I have been having absolutely no luck controlling my glucose levels for 2 weeks. I wear an insulin pump and it seems like it isn t even working. I have abdominal pain, been feverish, sick to stomach and pretty much just feel terrible. I know I should go to hospital but I also know that they will keep me and I have been trying to avoid that. However, I also know that I cannot let this go on any longer. Any advice would be appreciated. After all these years, this is the first time that I have even thought that I need hospitalization. Just need to know if pancreatitis is a possibility. Thank you! Never mind, seems you have to pay and I don t have it. Thanks anyway for nothing. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Please try to understand Pancreatitis can be the result and cause of diabetes. The symptoms which you are describing are also seen in pancreatitis. So, please visit the Emergency room to get investigated as ultrasound abdomen and lab tests, do not delay. In the meantime, try to maintain your sugar level below 140 mg % and avoid fatty foods to reduce pancreatitis pain. 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 missed a few birth control pills in january and had unprotected sex, i have done some tests but have been negative, this week im having a few signs mainly being very hormonal and binge eating, also some abdominal pains. i get some flutters which are getting stronger and can be painful could i be pregnant <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi ! Good evening. I am Chat Doctor answering your query. All the precautions including birth control pills are not 100% foolproof in protection against a pregnancy. If I were your doctor, I would go for a serum Chat Doctor determination and an ultrasound abdomen/pelvis if need be to rule this out and possibly consult a gynecologist along with the investigation reports for further management. 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\|> My friend had blood work that showed almost no ferritin and is very anemic. She had a colonoscopy which MD said was OK. She then had a upper endoscopy (MD looking at celiac disease ). She saw on her chart that the doctor wrote malignant neoplasm and she has a MD appointment next week. Could he be suspecting something or is this a normal request on a biopsy from the procedure. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi there, being anemic and low ferritin levels suggests that either the patient is taking less of iron rich food, losing more iron from the body than that which is being replaced like having occult bleeding as may be the case from her GIT or could be due to decreased uptake or absorption of normally ingested iron in food. As your history suggests that she is undergoing upper GI endoscopy and the doctor suspects malignancy or cancer I would deduct that she is losing blood from her upper gastrointestinal tract which is causing her anemia and low ferritin levels. Let the biopsy report come, and you will be more in the clear about the cause. In the meanwhile she may require Iron supplements either oral or in injectable form depending on the severity of her anemia. 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\|> It has been just 24 hours now since I started taking antibiotics for an infection after having root canal done on a tooth that was infected, how much better should I be feeling. I am still tired and have no energy although pain seems to be subsiding a bit <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Antibiotics can take 24-48 hours to become effective. You also may feel some discomfort from the dental procedure. Include taking an anti-inflammatory medication to reduce discomfort. Tylenol or Advil are common anti-inflammatory medications. Systemic effects should continue to decrease since the reduction in pain indicates control of the infection. Consult your dentist if any symptoms worsen. Take medication as directed, stay well HY Chat Doctor. Make sure you have proper nutrition with balanced vitamins especially vitamin B12. Thank you for your inquiry. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 small, smooth red lump on my right upper arm. It is about 1cm squared in size and slightly raised. It doesnt itch and doesnt irritate. Ive had it for many years and it hasnt changed at all. Links to what it looks like are: WWW.WWWW.WW and WWW.WWWW.WW <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your situation and problem. Following are the possible causes for your painless, stable upper arm lump. 1. Hematoma 2. Lipoma 3. Desmond (less likely) 4. Fibroid (less likely) Since your swelling is not causing you any trouble like not painful, not enlarging in size, non-itchy, not restricting the movements etc., no treatment is required for it. So don't worry about this swelling. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I ve been experiencing extreme pain in the tailbone area. I have swelling at the top of the butt crack, sort of in an upside down u-shape, that is extremely tender and warm to the touch. I ve tried icing it but doesnt help. I have bruised my tailbone before but this pain is much more excruciating, occuring even when there is no pressure on the area (i.e. Standing, laying on stomach). I am a young male and really want to find a way to cure this without seeing a doctor because i dont have insurance. Is there any way i can? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Tail bone fracture takes times to heal. But here do you have taken x-rays? And checked that it is tail bone fracture only. If yes then all right. If not then take an x-ray and get it checked with orthopedic. Since you are telling you have pain even when you sleep on your stomach I think you have also injured your lower back. So a specialist consultation is must. Here I must suggest thinking on early rehabilitation then the money part because the more you delay. Your recovery time will also be delay and so that there will be a loss of effective working hours for you. You can also use the ring fusion comes like tube with hollow from center so that when you sit on it. It will not give pressure on your tail bone. I must suggest based on the injury there is physiotherapy treatment is also available so visit once and check on treatment therapy with exercise program for your problematize care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Im so scared, first and for most i do have ocd.So i was at a movie 2 weeks ago and i thought this lady stuck me with a needle. Now i kinda got sick, but i think i havent drank enough water thats why i feel like crappy.Also i stay up late at nights.Please help doc! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, I read your query. I feel you should have provided more details regarding your symptoms of OCD. Were you diagnosed by a psychiatrist or is it your self diagnosis? Secondly, I would like to know what actually are your thoughts regarding the feeling that you were struck with a needle. Were you worried about contracting any disease? You seem to be suffering from some anxiety disorder. You should consult a psychiatrist for your symptoms. In case you have OCD, you will benefit from treatment with selective serotonin reuptake inhibitors like fluoxetine. In addition, treatment with non-pharmacological methods like exposure and response prevention will help. Hope this information was helpful. Best wishes. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi I need to know what is the best food for a person diagnosed with chronic linphatic leukemia. Among this illness is on cumadin, Plavix and several medication, 80 year old. Need an oncologist? I need to know if this will cost me money, this is a consult for a friend of mine that have no computer and is very old. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello dear. I have gone through your details. We usually do not advise any special diet for our cancer patients as it is not necessary. Just a healthy diet as any other person, but it should be hygienic and properly cooked. Only to avoid raw uncooked food, uncooked vegetables. In fruits better to take fruits with a thick peel like banana, oranges, pomegranate etc. Hope that makes you clear. 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 wife is playing with 2 month old pomarenian dog and is bitten on the calf (above the heel). The dog dont have anti rabies injection yet. Does it mean that wife will be vaccinated. She did not clean the wound after the bite. This is the third day now. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Welcome to Chat Doctor, Rabies is 100% fatal, but it is 100% preventable by proper and adequate treatment and this is transmitted by dog bite. As your wife was bitten by a 2-month-old dog while playing over the calf which was not vaccinated against rabies and first aid treatment was not given. The first thing to be done following the dog bite is thorough washing of the wound which was not done. For your wife condition I would suggest her to follow1. Active immunization with antirabies vaccine on days 0,3,7,14 and 28.2. Passive immunization with Rigs around the wound, if there is an any bleeding.3. Oral antibiotic like Tab Autoclave, twice daily4. Topical Metro ointment. Thank you. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My dad is 82. He has allergies that cause lung problems and copd. He has congestive heart failure and afib. His pulmonologist told him to take Mucinex DM for a bronchial episode he had once and now dad takes it twice and day everyday and has been for months or years. Is this OK to take like that? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HI, thanks for using Chat Doctor Murine Dm contains dextromethorphan and guaifenesin, a cough suppressant and bucolic. While long term use may not have any significant side effects, he should not need to use for this prolonged period. This is for short term use for acute cough/colds IF he is still congested and has a wet cough for months then that needs to be investigated and other causes, ruled out e.g. heart failure, lung disease hope this helps <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hello, i have check my doctor and the result of my SGOT is high 64.6 and my sgpt is 27.8..what is the cause of high Sgot?before i correct already my sgpt before is 74.3 now become 27.8..iam take a medicine of silymarin capsule..i have also have problem before in kidney they found out an gravel stone on it but not yet stone and also they see mild fatty liver on it this is last 2months ago..but the kidney now is already clear as per doctore said.. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HelloWelcome to Chat Doctor. Your GOT and SGPT are mildly increased. It may be due to fatty liver. Mild increases also found now in patient infected with Hepatitis C. Liver enzymes increased in many conditions like liver injury due to hepatitis A or E, certain Chat Doctor. Alcohol also a cause. I think you have fatty liver that's why or medications you have taken for kidney stones in the past. If you are overweight than first try to reduce it by exercise and diet. If certain <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> my husband s toe won t stop bleeding after his surgery on Sunday. He went in the hospital to get it treated, now it won t stop bleeding. He is diabetic and has a heart condition. The surgeon said they just had to cut away an infected area on the toe, but it s an open wound that won t stop bleeding. He s on bleed thinners. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, dairy have gone through your question. I can understand your concern. He should not go for surgery with blood thinner. He should stop blood thinner, and he should take antagonist of that blood thinner. It K is also helpful. Consult your doctor and start treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Good Morning Sir/Mam I am suffering from Bipolar disorder for last 10 years.It started with severe maniac episode for few months and then continued with severe depression which has continued till date. Only relief by allopatChatDoctoredicine (Lamotrigine) is that severity of depression has come down and i had no maniac episode since then. But still Iam not able to enter into the society and do my daily living. Iam isolated from the world.No energy,motivation,interest,pleasure. I want to know if there is any Ayurvedic treatment available for this disease? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, welcome to Chat Doctor Although you are seeking ayurvedic treatment and it's you right to choose stream of treatment, I want to inform you that you can get significant improvement by allopatry as well. You did not mention dose of Aborigine. Aborigine is a mood stabilizer Chat Doctor. So I advise you to consult your psychiatrist for addition of antidepressant. You will regain energy, motivation, interest, pleasure with normal mood. Best of luck for a cheerful mood ahead <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 27, weigh 195, and am 5 4 . I have a history of ulcers and endometriosis. I just apent four days in the hospital and they told me I had air in the mediastinum. They ran some tests but never confirmed where it came from. They sent me home and said I just have to wait for my body to absorb the air. I have had minor chest pains for 7 years. Also, about a year ago, my pulse was getting really high(160 to 180). Both times, I had full chest work-ups, and they said everything was okay. I still have problems with both, and now this new thing. Do I need to insist that they continue testing, or is it not a big deal? Thanks for amy help. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Air in the chest can have multiple reasons and you didn't have any symptoms of any serious illness. Chest pain and air in the mediastinum can be due to endometriosis patches over the lungs or pleura. Also, it can also be due to some transient leakage from the surface of lungs. So investigations may not pick it. I guess, your ct scan chest is done, if not you can ask for that. If small amount of air is present, body will absorb it. For, your tachycardia, is your symptoms are frequent on daily basis, then you can get one holder monitoring done. Also, if less frequent than you can get one ECG done, during the episode, so that we will come to know the exact cause of the same. Besides, get one thyroid, hemoglobin levels done. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi I was in a minor car accident recently. The impact was head on going about 50km, both my airbags went off and I have a deep bruise on my clavicle from seat belt. I feel fine when I m sitting down with a straight back but when I stand it becomes hard to breath and I get vertigo. I ve had on and off nausea throughout the day. Multiple times I woke up last night gasping for air, I was wondering if this might be a health concern of just anxiety after the accident. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. You are having blunt head and Chest injury after that accident. So better to rule out internal organs (brain and lungs) damage because your symptoms are seen in this kind of injuries. So get done CT brain to rule out brain injury. Get done chest x-ray to rule out lung related causes. If both are normal then no need to worry much. Your symptoms can be due to anxiety. So avoid stress and tension, be relaxed and calm. 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 have been having sharp stabbing pain in my lower right side of the abdomen for some week...constant feeling of tiredness and feeling of extreme hunger constantly but feeling full very fast...ive been diagnosed with PCOS and have recently felt a small lump or bump the size of a pea on my lower right abdomen like where my ovaries are <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi! Good evening. I am Chat Doctor answering your query. With a history of PCs, the pain could possibly be due to some hemorrhage in the cysts, or could be due subacute recurrent torsion. If I were your doctor, I would advise you for a review ultrasound/CT scan of the abdomen to rule out these possibilities. The management would then depend on the findings of a physical examination of the abdomen and reports of the related investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, My father is 70yrs old and was recently admitted in hospital witChatDoctorplaints of low sodium (120). He was then discharged in a few days once his sodium levels were 132. But he was depressed and had delusions. Consulted a Neuro and he said he is having mild dementia/alzhimers. He initially gave aricept, nexito plus and vit b12 tablets for a week...nothing improved <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, dementia is a chronic condition that impairs the functional capacity of the patient, causing memory loss and other deficits as the disease progresses. I can't - obviously - explain your fathers condition without having examined him but I'm sure the neurologist is more than capable to handle such situations. After dementia becomes evident, you can't expect a great improvement, and you can't expect him to get back to normal. The Chat Doctor. Despite that, you should discuss how he's going with the neurologist. The neurologist should re-assess your father and perhaps modify his treatment regimen. Kind Regards! <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am 43 and just had my first failed ivf. I have been feeling real dizzy and nauseated...when I get up to walk, I get off balance and the room spins. I am also very thirsty. My friend told me to eat liver and so I did and it helped for a while, but at night I got the dizzy spells again. What is going on with me? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> His understand your concern. It may be due to nutritional deficiency or some change in postural blood pressure. Eat healthy and regular diet. Take plenty of fluid and water. Lemon water can help. Stress may also cause same features. Take proper sleep. Relaxation exercise and breathing exercise can help. If you have mild anxiety and low mood then medicines like benzodiazepine can help.If you require then consult physician for further check up and treatment. Thank you. Get well soon. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> my father age 65 years good health and no smoker or drinker but past 1 year he is suffering from chronic cough at night the intensity of cough is high . all the reports related to this is normal and the treatment is going on from a physican of med college lucknow will you suggest me some better <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. Nighttime excessive coughing is mostly seen with cough variant asthma. So in my opinion, you should definitely consult pulmonologist for your father and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. He will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Oral combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) once a day at night is also beneficial. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have a semen Volume of 10 motility of 35 and quantitty of 7 Can I get my gf pregnant naturally I have a semen Volume of 10 motility of 35 and quantitty of 7 Can I get my gf pregnant naturally? i am 31 yearss old and my soon to be wife is 23... <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello welcome to Chat Doctor your sperm count should be a minimum of 20 million with at least 30% of fast motile sperms. Your count in your report is 10 million right? What you can do is get a repeat semen analysis after 4th 5 days of abstinence. Sometimes one report is not correct to do inadequate abstinence or infection. If your repeat analysis also shows a low count then get a semen culture done and see a male infertility specialist. Do not worry you will have a 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\|> Hello. I am interested in fertility drug without a lot of timely testing. We are both lawyers in a small town and we do not want anyone to know . I am 45 years old. I had two healthy pregnancies (ages 25 and 21). I miscarried in 2012. I have not conceived since that time. My SO has never had children (except for the miscarriage). Is there a fertilty drug that is safe and my help me conceive at my age? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hallow Lawyer, There are many medicines which help in assisting the conception. However, each medicine is fault specific. Problems in fertility could be due to either fault in man or woman. The fault in man could be low or unhealthy sperms. Depending up on the fault, the treatment changes. If there are any transport problems, the treatment differs. In woman, the faults can be grossly bifurcated into non formation or release of eggs, unfavorable uterine environment and block in the genital tract not allowing the sperms to meet the egg. Each fault needs a specific treatment. There is no blanket treatment for infertility without knowing the cause behind it. You cannot defend your client if you do not know the offense. It is just like that. Please take help of a Gynecologist to pinpoint the cause of infertility. For the diagnosis, you will have to undergo a battery of investigations. Once the fault is detected, the case can be managed effectively and scientifically. Since you have conceived previously, the chances are good however, your age is against the good chances. I am sorry, I could not answer to your expectations; however, I have answered scientifically and logically. Please take my advice healthily. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 morning, I am 37 year old having problem in my teeth.20 years back I had pain in my teeth during my examination perriod . doctor suggested me for RCT and given NISE tablet. After taking tablet my pain get subside, and later on that start to break in particles without much pain. so it was ignored. but now only root is left without to much pain. should i go to doctor for complete removal of it. what will be expected cost. I do not take tobacco,smoking or beetle leaf <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi Sir, When a patient with similar problem like yours visits my clinic, I will first check the integrity of the remaining root. I will examine clinically and take X-ray. If your remaining root is not mobile and at least very little amount of tooth structure is remaining we can save the tooth by doing Root canal treatment, then place a screw like structure inside the root which will be projecting above the gums. Using tooth filling material we can artificially build tooth shape. Then place a strong cap over this. But if your root is in bad condition, remove it. It costs from Rs.200 to Rs.1000 depending on which tooth and the difficulty in extraction. Then replace the extracted area with artificial tooth soon to prevent the adjacent teeth from moving into the extraction space. Hope your query is answered. Please don't hesitate to contact me for further doubts. Happy to answer 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 flu about a week ago and since then have had a cough. It is starting to go and is not on my chest, mostly seems like I still have a lot of catarrh in my system. I am pretty much back to normal apart from cough. Would it be ok for me to go swimming as I feel like some exercise might help get things moving. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, the question and the history are different. Still I will go along with your history. You mentioned you had flu and having cough. You should do deep breathing exercises and perform costal breathing exercises to make lungs stronger. I know its boring thing to do, but it does miracles as well. If you want to go for swimming you can go if you have a facility of warm pool. Avoid cold water for time being in the pool as it may give a chance to go closer to cold again. After a week or so you may go for swimming but for time being if you avoid it will be good. With the grace of God I wish you a speedy recovery <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Yesterday I started getting Sharp pains in the right side of my chest. I assumed anxiety and treated according with xanax and sleep. Today the my chest hurts on both sides when I move or stretch. Deep breaths and sneezing hurt as well... Not so much a Sharp pain now a constant pain in my upper chest only. Any thoughts? Thank you! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> DearWelcome to ChatDoctorWe understand your concerns went through your details. You were talking about anxiety and took medicines for it. In that case, you must have undergone tests in regard to your heart and its proper functioning. I hope your heart and lungs are in good condition, and you knew it. Anxiety is usually fight or flight syn Chat Doctor. In that course, stomach produces more acid and body muscles are stretched to make it ready for any eventuality. Stretched muscles may be sore for over two or three days. In your case, the chest muscles were stretched, and you are feeling the pain next day. If you have never visited any doctor to assess your heart condition, please do it now, and then you can have a sigh of relief and peace of mind for next two years. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello. my mum has cancer in several organs including her liver and was sent by her gp to the hospital because of no breath sounds on her right hand side. she had an xray last friday and was told her liver was enlarged...is this because the cancer has spread ? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). I can understand your concerns regarding your mom. There are many causes for enlargement of liver like fatty liver, hepatitis, metabolic disorders, however in present scenario it appears to be due to spread of cancer to the liver however which can be confirmed by undergoing some imaging tests like ultrasound test hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I had a lumpectomy last April and radiation, finished July 2. Stage one, hr negative. Taking Tamoxifen now. Im 54. Otherwise healthy. 145 lbs. The lobules inside the breast now feel sensitive, sometimes burning, a bit inflamed. They seem to swell and then to shrink. Happens on right breast too.I have an appointment in two days. Just trying to educate myself. Could it be related to estrogen blocker? Or should I be prepared for cancer to have returned? I cannot identify a specific lump. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of hormonal imbalance due to tamoxifen is more for your symptoms. Since you had operated breast cancer we should first rule out local recurrence. So better to get done 1. Mammography 2. PET scan. If both these are normal or negative for cancer then possibility of hormonal imbalance is more. So get done estrogen, progesterone and prolactin levels to rule out any imbalance. Tamoxifen can also aggravate this imbalance if present. So discuss all these with your 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 , a while ago i noticed a lump in the wall area between the anus and vagina, it seems to be getting bigger. it feels quite spongy and doesnt hurt. I did go to the doctors with this originally, but I dont think she really saw what I was talking about, and put it down to childbirth. Should I go back to the doctors ? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Dear thanks for the query to Chat Doctor virtual clinic. I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, as your doctor is right. But as you still worry, I would advise having Second Gone doctors opinion.USG of the pelvis would resolve this worry. Hope this would resolve your query. Welcome for any further query in this regard to ME. I would love to help you outwriting for any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. Chat Doctor. N.M.S. Genl-CVTS -Senior Surgical Consultant <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am a 75 year old male and I have a probable diagnosis of Hemangioma at T-7 and T-9. I am currently undergoing evalation at MD Anderson, but do not have several results back yet. Do you recommend surgery for someone my age, or what type of treatment would you consider. I have had prostrate cancer and originally it was thought that the cancer had metasticed. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> What type of treatment you should undergo depends on two factors. First, what trouble is the hematomas giving you. I mean, if they are producing severe debilitating pain or pressing on a nerve leading to weakness of some body part, then yes you need to consider surgery since surgery is the only curative option. If, on the other hand, they are not too much trouble and just produce occasional pain which is relieved by painkillers then I would NT be too worried. Hematomas are generally harmless benign tumors of blood vessels and remain lying harmlessly in the body for the entire lifetime. The second factor is your general health and any associated conditions like diabetes, hypertension, heart disease, asthma (all increase the risk in surgery). So, if its too much trouble and your general health is good, only then think about surgery. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, may I answer your health queries right now ? i am a person suffering from social phobia. now a days i feel very nervous . i dont know how can i be cured . i am a resident of ranchi. could you please help me find a suitable doctor who can cure me. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, thanks for the query. I would like to know your symptoms of social phobia. Usually social phobia is a disorder of excessive & unwarranted fears of unfavorable scrutiny by elders, seniors, strangers which causes avoidance of social situations. Are you suffering from any or all of these symptoms? If yes; You should consult a Psychiatrist (CIP Ranchi is a very good institute nearby you) for detailed evaluation & diagnosis. Social phobia is treated by combination of SSRI group medications (Escitalopram, sertraline, paroxetine etc.) along with anxiolytic medications like propranolol, clonazepam etc. on sos' basis. In addition, there are various talk & behavior modification therapies named as Cognitive behavior therapy (CBT) where you will be taught how to control anxiety provoking thoughts; role plays, relaxation exercises etc. Though bit long; but treatment is very effective & long-lasting. Do revert for further help. Good Luck <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Thanks. My 9 year old son has some medium sized lumps/bumps (not white) on his tongue (on the side and the top), mild cough, and a general soreness in his mouth (e.g. it hurts to eat certain things because they sting). No fever. No runny nose. His symptoms are rather mild but I want to make sure it isn t something serious. Also showed up at the same time (though probably not related) he has some new soars on his feet that made him uncomfortable today <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Welcome to Chat Doctor. I understand your concern. Bump/lumps on side and top of tongue are quite common in child Chat Doctor. It may be due to infection, allergy or vitamin deficiencies. Upper respiratory tract infection may lead to bumps on back of tongue along with soreness in throat. Iron deficiency or vitamin B12 or folate deficiency may lead to such lesions. Sores on leg are not related to this. You need not worry in this condition. Just wait and be watchful. You may go for iron and folic acid supplement along with multivitamin supplement for your son. It will benefit by correcting deficiency and boost up the immunity. Hope this will be helpful. Do ask if any further question is there. Take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Im concern because I have a lot of mucus in my throat and nose. My left eye is also running tears. I take Zyrtec and sometime it help. Every now and then I get chills, I cover up and turn the heat up often. I thinking something is going around or do I have pneumonia? I havent been to the doctor yet because I just had surgery. I have been sleeping a lot and just concerned! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello! Related your concern I think the is a viral situation (flu). Usually after a surgery immunity is weaker and susceptible of viruses. So, if you get chills you should see for the fever and the increase production of mucus in your throat and nose is the response to the virus. Usually if a person have pneumonia should have a high fever, a lot of cough with green sputum and chest pain but in your case for the moment you don't have mentioned it, so don't worry. What I suggest for you is to use ibuprofen if you have fever, decongestionnant solution, saline solution, steam therapy, control for a surgical site infection and if this situation last more than 4-5 days meet a doctor to see for a post viral complication. I hope my answer help you. I wish you a quick 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\|> I have a few possibly unrelated symptoms that seem to have aligned in an alarming constellation.A few days ago, during a yawn, I had a painful cramp in my jaw, especially the floor of my mouth. Now, there is also a slight discoloration between two of my teeth along the gumline, and it s very sensitive there. There seems to be also a hard lump on the inside of my jaw behind the chin in the floor of my mouth. I can t feel it with my tongue or just by touching the skin, but by pressing in behind the bone on the right side of my jaw, I can feel what seems to be a large lump that is painful when pressed. On a pain scale of 1-10, I would say it is a 2, but only when direct pressure is applied. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, You could have a related dental condition and be exploring some areas of normal anatomy. Can you recall any trauma to the floor of your mouth? A sore spot or ulceration may develop. Rinse with warm salt water, avoid acidic and spicy foods and apply a endocrine gel if very sensitive. This could be viral and needs time to heal. Anti-inflammatory medication such as Tylenol, Motrin or the anti-histamine Ben Chat Doctor. This condition will heal in less than a week may have an abscess from a tooth <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I need help with my medications. I have been on cymbalta and premarin along with other rx meds for years. I am disabled, on a fixed income.Some times I wonder how to continue with the cost. I have neuropathy in all extermeties, fibromyalga, depression, anxiety, panic attacks,tremmors,IBS.djd, and on and on. Please advise me. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, You have neuropathy, fibromyalgia, depression, anxiety, panic attacks, tremors, I.B.S. You are using so many medicines, and has to continue. I advise you to follow some diversion procedures, like yoga, meditation, reading books of your choice, hearing music, and indoor or out door gardening. I also advise you to avoid potato, other tubers, tomato, egg, chicken, and seafoods. Also avoid spices, junk foods, and oily foods. 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 was diagnosed of gall stones in my gall bladder in 2006. My question is can d gall stones still be there and If they are,can I ask for a surgery now(they are not bothering me) but I just feel the need to take them out before they become a bother again <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi.noted history of gallbladder stones. Yes, you may opt for an elective cholecystectomy (removal of the gallbladder), which is the definitive management in your case. An ultrasound will be recommended to confirm the presence of the pathology. Other diagnostics (complete blood count, liver function tests, alkaline phosphatase) and management (medical and surgical) will be directed accordingly. It is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. Cholecystectomy may be done laparoscopically (gold standard) or open technique. Low fat diet is also advised. Hope this helps. Good day!!~ Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I was in a bad Dirt Bike Accident at a desert race saturday landed from about 15 ft square on my bum...thought I broke my lower back but now seem to be walking ok but havent pooped (sorry) since And have eaten a ton my insides feel very tender and kidneys are killing me. is that bad? I refused ambulance care btw...just tried to walk it off <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Dear patient Fall from height puts you at risk of vertebral compression fracture and this needs to be investigated. Compression fracture may also lead to nerve compression and both lower limb weakness. I would advise X-ray of dorsolumbar spine anteroposterior and lateral views to rule out bony abnormalities. MRI of dorsolumbar spine is also required. MRI gives detail of vertebra, nerves and even soft tissues. Visit radiology center nearby you and get it done. Meanwhile, take strict bed rest and avoid stress to your spine. You need to consult expert spine surgeon with report. All the best. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> i m suffering from jaundice it is 7.8 now my jaundic ereduce up to 1.9 only can u give me some suggestion to reduce more i m taking ayurvedic medicine doctor medicine cant work so i have done it.......................which fruit nd foood item can i take............ <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi.noted history of jaundice. Treatment of jaundice means identifying and treating the underlying pathology causing your symptom. It is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. You probably have an obstruction somewhere along your hepaticopancreaticobiliary tree. Obstruction could be from a stone or a tumor lesion. Diagnostics for further investigating your case (such as ultrasound, ct-scan, liver function tests, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Slipped down the stairs yesterday when I was carrying my water glass and plates. Hurt my hip and the back, and couldnt breathe for seconds. Stood up and felt really painful on my left ribs and neck, I could only do minimal movements yesterday and felt the numbness on my left hand. I am still feeling the pain this morning when I wake up, should I consult the doctor <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, I have studied your case with diligence. If not relieved then possibility of polyarthritis needs to be considered Chat Doctor. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? When such patients come to our hospital I advise them blood test like RA factor, CCP, ESR, complete blood count, HLA B27Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi doctor, my aunt had problem during delivery as the baby was a little bigger.so the baby got struck in the passage and then they admitted her for a operation rather than normal delivery. the baby had fits for about 3-4 times. the doctor who performed the delivery says that the problem is because of the" lack of oxygen"....... Pls guide us on the same an suggest the best hospital in madurai regarding the same. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> On an online forum, it is impossible to recommend names of any specific hospitals or doctors. He has suffered from a lack of oxygen to his brain, and will need urgent referral to a developmental pediatrician at a large hospital. His development will have to be properly recorded so that further plans can be made regarding his treatment. The mainstay of treatment will be play therapy, counselling and physiotherapy, with medicines to stop the fits. He will also need assessment of hearing and vision - now, and periodically thereafter. He will need a head ultrasound to check if there are any cavities or holes inside the brain, pointing to damage to the brain or collection of fluid inside, which will need treatment. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> 1st Semen analysis show Volume 1, greyish white, ph alkaline 8, normal viscosity, count 26 200 million, liquifaction time 60, motility 35% progressive 20% & non progressive 15%, abnormal form 60%,spermatogenic cell 500 000/ml,pus cells 600 000/ml, RBCs 4-6/HPF After 85 days of treatment by 10 days vibramycin, flagyl & becofort then 1 month tamoxifen, trental & prugvit zinc then tell now on carnavita fort & thiotacid Semen analysis show Volume 1, greyish white, ph alkaline 8 , normal viscosity, count 24 million , liquifaction time 60 , motility 40% progressive motility 30 & non progressive 10% , abnormal form 60 % , spermatogenic cell 100 000/ml, pus cells 500 000/ml, RBCs 1-2 <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Semen analysis report appears fine except for little high pus cells. Kindly get semen culture sensitivity done if not already done. Normally these pus cells are due to infection of accessory glands which require prolonged treatment with antibiotics (e.g. 6 weeks or so). If culture is sterile, you can go for culture of prostatic massage fluid. If that also is sterile, you need no antibiotics. Kindly continue antioxidant tablets (carnality fort) to counter the bad effects of pus cells. Regards. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, I have a squeezing chest pain in my upper left side, feels like indigestion but in the wrong place. I have recently had a surge of estrogen imbalance I presume, my breast have swelled and are very tender, my periods have come every other week for a few weeks now. I am not pregnant. I have chronic IBS.I am 40 yrs old and very health concious. Not over weight, eat all organic foods, excercise regularily. But this chest discomfort worries me, It is intermittant and has no rhyme or reason. Happens when I am sitting at the kitchen table, driving, bending over to pick something up. Not excercise induced. What can this be casued by? Is their a link between hormonal imbalance and chest pain?Thanks for your time. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. Yes, hormonal imbalance and such chest discomfort can be connected. Actually, hormonal imbalance can cause stress, anxiety and mood swings. This stress and anxiety can cause chest pressure, tightness, pain etc. So first treat hormonal imbalance. So consult gynecologist and start hormone replacement therapy (HRT). Also consult psychiatrist and get done counselling sessions. You may also need anxiolytic Chat Doctor. Don't worry, with proper treatment, your chest symptoms will also improve. 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 am 25 yrs old female. I have controlled high blood pressure and thyroid problems. Yesterday while staying at a hotel, I jabbed my lower back on the (sharp) faucet getting out of the tub. Instantly, I had pain radiate down my arms and legs. By no surprise, I have a very nasty bruise directly at the base of my spine. I have a history of occipital nerve damage (age of 15)which included numbness down my extremities from time-to-time. That being said, I woke up this morning with a very stiff neck and upon standing from sitting, the bottom of my feet go numb; this just started happening in my hands as well. This numbness is extremely painful but only lasts about 15mins. I have tried ice with no success. Should I see a doctor or wait a few days? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that such problems is not because of high blood pressure, but it is because of injury to back. There is no need to worry regarding it. You can wait for some time. I advise you to take vitamin B complex tablets. Also start doing early morning exercise. It will cause you recover fast. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My husband has neck fusion 3weeks ago and in a hard cervical collar. 4 days ago started with pain in the middle of his shoulder blades while trying to sit up or stand. While lying on his back it is ok. Also feels like his shoulder needs to crack. Can move arms fine while lying down but can t while standing or sitting up <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, I have studied your case and I think that it can be due to muscle spasm in neck. Cervical cooler does not allow neck movement and that can also cause such pain. Sometimes there can be infection and that can also cause such pain. I would suggest you to take Moral or MySpace twice daily to take care of this. I hope his suture is already removed. If there is any wound problem or discharge then it suggests infection. In such cases you need to discuss with your doctor. I hope this answer will be useful for you. Let me know if there is any other followup questions. 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\|> The left side if my jaw is slightly swollen and very painful. Now I have an ulcer that has developed along my gum line, but on my cheek all the way at the back. I feel nauseus and extremely tired. What could be the causes? I had a low-grade fever.(99.3) The pain is constant. Feels kind of like when your leg/arm falls "asleep". It hurts, but almost feels numb. Never stops. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for asking the query, Jaw and cheek swelling can be due to ulcerations, can be a symptom of underlying dental issue that is causing infection and abscess formation in the mouth, growth such as tumors and cheek can also cause cheek and jaw swelling. I would suggest you to consult to an Oral and Maxillofacial Surgeon and get a checkup done, take an OPG radiograph which will give the exact diagnosis and treatment plan. Apply Colonel oral ointment topically over the affected area. Go for symptomatic treatment of lukewarm saline gargles and antiseptic mouthwash rinses. Take tab paracetamol twice daily for pain relief. Avoid eating of hot and spicy foodstuffs. Hope this answers your query, 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 im jane 17 im a college student and i have psoriasis .. we wear shorts skirts and im really really bothered about my white patches on my legs caused from psorisis ..when im walking around many other students are looking at it . what can i do to get rid of this scars as soon as possible ? i really need your help please . <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Welcome to Chat Doctor. I understand your concern about the patches on your legs. It is called as post inflammatory hypopigmentation. Unfortunately, there is no solution for it which can act very rapidly. You could apply mineral oil on the patches and expose to sunlight for 1 few minutes. This will help to bring the color back. You can also use camouflage creams like concealers which match your skin tone. This is an effective and easy way to hide the white patches till the color comes back to normal. However, remember that these patches are the marks left behind by psoriasis patches which looked worse than the existing patches. So do not be too upset about what others think. Be positive and look at the brighter side that your psoriasis has healed well. Hope this helps you. Take care and wish you the best in life. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Gud mrng madam, previous month April month ,during shaving I suddenly scratched my two sides of face badly.after that I felt burning sensation on my two sides of face after that it turns reddish color days goes it turns black round marks I tried viccco turmeric on affected area and many home remedies but still the black marks appear on my skin.How can I get rid from this.please tell the solution for this problem. Because it makes me feeling very bad and frustrated. I think I loose my confidence as well. Because my skin is white color. So the black scars appeared very visibly and darkly. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi. Thanks for the query. As per your complaint it looks like due to scratching or lacerating the skin on both sides of face has led to inflammation of the skin making it red, and now the black patches seem to be due to post-inflammatory hyperpigmentation. I would suggest you to consult a Skin specialist and get evaluated. You can be advised pigmentation creams and ointments like Comic acid, glycolic acid and vitamin C containing cream. Vitamin E containing gel can be advised to apply on face. Scrubbing with a face scrub can help. You can also go for chair side treatments like microdermabrasion. Hope this helps. Regards. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> WOULD A PACEMAKER MAKE ANY IMPROVEMNT TO MY DAD. HE IS NINETYFIVE, HAS NO MEDICAL CONDITIONS. HE IS ABLE TO WALK WITH A FRAME. HE HAS COLLAPESEDTWO WEEKS AGO, THEY MENTIONED A PACEMEAKER. HE DOES HAVE HEART BLOCK (TRI -- SOMETHING) BUT I FEEL THAT AT HIS AGE IF THATS THE WAY HE GOES THAT WOULD BE RIGHT. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello and welcome to Chat Doctor. Thank you for your question. I understand your concern. Your father appears to have trifascicular block or third degree atrioventricular block. No matter which is the right diagnose of these two, pacemaker implantation is indicated. I can understand that your main concern is about his age, since he is in the oldest old age-group of patients (a sexagenarian). I would take the liberty and inform you that the oldest patient to have pacemaker implanted, in our clinics experience, is a 103 years old lady. As I write, she should be 106 by now and was last checked month. Even though the greatest fear is that this is a delicate age, my opinion is that pacemaker implantation is a safe procedure. Of course, I am not saying that the risks are the same for him, as they are for, let us say, a 65 years old person. Still, my opinion remains the same. I hope I was helpful with my answer. Good luck. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have water blister about size of jumbo egg I am also a diabetic. It s the weekend don t want to emergency also on oxygen. Can I pop it afraid I won t last till Monday. Don t want to be around a lot of sick people. Have water blister that s just healed a other foot thankyou <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> A jumbo egg blister, ouch! I don't know your full medical history, but based on the information you gave me, it sounds like your diabetes is advance. Diabetics with advance disease have poor wound healing. I unfortunately have taken care of many diabetic patients who have developed ulcers, skin infections, and even bone infections after popping a massive blister. Again, I don't know how bad your diabetes is, but to be safe, I strongly advice against popping your blister. The response written above is a medical opinion, and does not substitute an evaluation by a medical professional. I cannot guarantee accuracy in my answer, especially when I cannot physically evaluate you, and do not know your past medical history, all the medications you are on, your lifestyle habits, etc.; therefore I cannot be held liable for any consequences that occur as a result of my opinion. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 took the pill for the first time on day 6 of my period (last thursday) even though it is recommended to start taking it on day 1. I started taking it on thursday but yesterday (saturday) i had sex several times. Could i possibly get pregnant because i didnt start taking the pill on day 1 and only after 3 days of taking the pill i had sex with the pill being my only method of contraception? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello and thank you for asking Chat Doctor, I understand your concern. You should have taken the pill on the first day because irregularly taking decreases the efficiency of the pills. My advice is to visit your gynecologist or make a pregnancy test to be sure if you are pregnant. You should take the test after you should ovulate normally because tests did to early can be false negative. I hope this answer was helpful to 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 unprotected sex on Saturday Im not worried about the first one but the second time we had it it also unprotected and I know that sperm could still be inside the pre come . Today I found green on my undies what is it and what are the chances of me getting pregnant <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, I have gone through your query and understood the concern. If you happened to be in the fertile period during the unprotected intercourse, you have good chance of conception. Ovulation occurs two weeks prior to the onset of the next period and this is the fertile phase. It is true that the pre-ejaculate contains enough sperm to cause conception. The green colored discharge is not normal and needs to be examined. Also, you have to wait for your next natural period and go for further management if you miss it. Hope this helps. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Dear Doctor, I am having Autoimmune pancreatitis . I am under treatment now since 2 months. I am taking creaon 0000mg 6 tabs a day and omnacortil 40 mg/ day and got tappered to 5 mg/ day. Now i am going to stop steriod in another 3 days. My recent CT Abdomen shows good improvement in pancreas , gall bladder , bile duct etc. I got my stent also removed from bile duct. I got my eyes affected because of steriod and now I have CSR and lattices in both eyes for which no treatment taken. Dr said they can review after stopping steriod. Is there any chances of AIP relapsing? what is the treatment for me now? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi Seaman, CSR, usually has a good prognosis. 90% of cases after with Chat Doctor. For your faster relief, you may be prescribed low dose of Aspirin. Slight impairment of vision, specially night vision and color blindness can persist. If your eye condition do not improve, you may have to undergo laser surgery for the eyes. Relapse of Autoimmune pancreatitis can occur in 20-30% cases, which may require prolonged course of corticosteroid. Chances of relapses are more if there is an involvement of extrahepatic or intrahepatic bile duct. One thing to remember is that in case you have to start again the steroid, your doctor must closely monitor the doses and blood levels of the steroid, because it is directly related to your chances of CIS. 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\|> I am 18 years old and i think i have a sabatious cyst. i have had a cyst in my finger before and a lymphoma on my back also. I have a a under the skin ball on the outside of my vagina. Can I go to the doctor without a parent?? I do not really want anyone knowing because it is embarrissing. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, derive gone through your question. I can understand your concern. You may have sebaceous cyst or other benign cyst or soft tissue tumor. You have history of lymphoma so it IA also a possibility. Furthermore, you should go for gynecological examination. If needed go for biopsy of that lump. Then you should take treatment according to diagnosis. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi a few hours ago i hit my finger with a basketball. i think i might of heard a crack but i cant be sure. i can bend my finger a little bit but it hurts when i do. it swelling up a lot and when my finger is straight and i put pressure on the knuckle it hurts do you think i jammed it or what? thank you <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, An x-ray is advised. The pain and swelling are due to inflammation due to the injury. The first thing to follow in any sports injury is to follow the RICE protocol. You should rest the injured part in the crêpe bandage and immobilize it. Post which you can do some icing to reduce the pain. Take an x-ray to check for any bony injury. As I see from history this must be a ligament and tendon injury which will heal with rest and compression bandage. But as I mentioned earlier an x-ray is a must for safer side. 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\|> hi i have been feeling really depressed for the last month and a half due to losing all my friends and not going out to see anyone for the past 4 weeks my brain has gone blank i cant seem to talk to anyone i dont know what to say its always a yes no answer its like my vocabulary is non existent anymore i dont think i would be able to work at the moment because i cant concentrate and take things in plese help me <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Welcome to Chat Doctor! I have read your query and from that it is evident that you feel sad, blank, unable to concentrate, and there is no one you feel like or can talk to. It looks like you have developed depressive disorder due to the circumstances as almost all symptoms are seen in it. If you can, please meet a psychiatrist and get a detailed evaluation and tests done. However, from my clinical experience I can say that with sertraline 25- 100 mg, once a day you will start feeling much better and able to enjoy the life once again! Believe me!! It is very common and completely treatable condition, you donor need to worry, just start medicine. It usually takes around 10- 15 days for Chat Doctor. Try to keep yourself busy for some time, may be by gardening, networking (internet), walking, going to market...just avoid staying alone, this will help a lot. Hope the reply is usefulness free to ask more 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, I am a 20 year old male. I started masturbating when i was 11 years without any incident. However when i was about 15 years, i started getting severe itches all over my body after i masturbate. The itching starts right after i bath and dry my body, and it goes on for about 10-15mins depending how long ago i masturbated.(the itch is most severe if i bath immediately after masturbation or if i do it in the shower). I have tried different soaps and body creams but it is still not working. Please help me out, the itches are just too irritating. Sometimes i scratch so much that my whole body feels sore. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Degree understand your concerns went through your details. No research has shown that masturbation has any adverse effects on your skin. Masturbation is healthy and do not have any adverse skin effects. The symptoms you are facing could be due to obsession triggered by negative thinking and anxiety. Second possibility is some other skin allergen you are using, either internal or external. You need to confirm. Please consult a physician. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, good evening. i am a healthy person, not on any medication for any illnes or disease. today, i experienced a sudden pinching feeling at the back. lower back, to the centre on the right side. i feel it once in a while and am having it till now. what do you think is causing it? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Welcome to Chat Doctor. After going through your query I think your You are suffering from acute backache. Treatment of it is rest and analgesics (diclofenac). Sometimes strong analgesic(such as attract three times a day after meals) is required. OMEPRAZOLE before meals prevent acidity caused by analgesics.However, you can get his back x-ray done to exclude bony injury. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You need to do MRI TO RULE OUT other causes. You can discuss with your treating Doctor. I think your query answered. Welcome to any follow-up query. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> i m 26 year old nd gain a lot of weight that is 67kgs..there is excessive hair growth on some of my body parts..i feel mild pain inside tummy,,so i decided to do an ultrasound which showed polycystic ovaries nd mild left Hydronephrosis...so i wanted to know the treatments nd if its curable howmuch time it takes? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hillocks should be confirmed by clinical findings, hormone profile and ultrasound findings. Majority of the cases only require conservative treatment. Surgical intervention is required in very few cases. Mild HY Chat Doctor. There must be some underlying etiology like calculus, stricture etc. You may need further investigations like CT scan or MVP. Proper treatment depend upon underlying etiology. It may take 4-6 months for complete recovery. Get well soon. Take Care <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi .couple ears ago I had ECG done, whicChatDoctore out as -QTC 447, LVEF55%, mild MR+PR, which I been told is normal , but recently been experiencing some heart rate abnormalities, which felt like heart was beating extremely fast for couple of minutes , then all of a sudent felt like heart cant beat for few seconds , and would start beat and would go to normal in short period of time . All this lasted no longer then 3-5 min , just felt quet sick ( nausea ) , and short of breath at the same time . Is this something I would need to worry about ? Many thanks <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Greetings. Welcome to Chat Doctor, and thank you for your question. I understand your concern. The episode you are describing is more like a bout of arrhythmia. What arrhythmia is this, I cannot be precise without some tests done. I see from the prior EKG you have done, there is a very slight prolongation of the QT interval (0.36-0.44 being the normal range). This talks about delayed repolarization and may be a trigger for arrhythmias, sometimes serious. I would recommend, at this moment, an EKG to be done and, then, a 24-hour rhythm monitor registration, to precisely decide what kind of arrhythmia is this. I would recommend you that the EKG should be done as soon as possible. Also, blood electrolytes should be checked, because electrolyte disturbances sometimes give rise to potentially serious arrhythmias. I hope I was of help. 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 contacted syphyllis 14 yrs ago.. Fit tested again 2 yrs. ago came back non reactive... Just had a rest again 3 weeks ago RPR shown 1-2.. Was I reinfected again? Waiting in another blood work taking... I no it always shows positive in blood work, but wen I tested 2 yrs. ago it was nonreactive.... <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your query at Chat Doctor! I am Infectious Disease Specialist! I went through your query!Don't worry you are absolutely fine.RPR 1:8 title or more is considered reactive. Yours is low dilution which is considered non-reactive. Relax. To be absolutely sure you need to take tests like V Chat Doctor. Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. You can take a follow-up 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\|> My right shoulder has been in bad pain and hurt to lift above head I can now lift it above my head with mild pain but when I go to lift only 8 pounds I cant get rut above my shoulder I have alot of pain and starts shaking I tried with 16 pounds can even get it above chest <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, I have studied your case. It can be rotator cuff injury which may need MRI for confirmation. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain, you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. You may need to take rest for early healing. Also check your it B12 and it D3 in your blood. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take disregards 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 doc. i am 10 weeks pregnant now and i had a severe nose congestion since a week i concieved and it gets worse at night. i also suffer from allergies which when i scratch it swell up. can u kindly tell me if these are normal and what are the solution. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HI, thanks for using Chat Doctor It is likely that you have allergic rhinitis. This is allergies involving the nasal passages, and it would cause the congestion. Allergic rhinitis or sinusitis can exist with other types of allergies such as the skin condition you are describing. Hives that develop when the skin is scratched may indicate a type of chronic urticaria. You can use topical nasal sprays to help with the nasal congestion. A dermatologist may be able to help with the skin reaction. I hope this helps <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I need to know whats he best medicine out there for allergies...I have really bad spring allergies and ive taken tylenol severe allergy and they do absolutely nothing. I waswondering whats the best medicine out there that will get rid of my symptoms. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi there, Welcome to Chat Doctor. Tylenol is not meant to cure allegory. You did not clarify if you have continuous allergy during spring or just sometimes. In case of sudden attacks of allergy you can take fexofenadine or levocetirizine, if chronic you can go for a combination of tablets containing Montelukast and levocetirizine. If your nose remains congested, add a saline nasal rinse or long-acting decongestant nose spray for a few days, if necessary. Use antihistamine eye Chat Doctor. Last but not the least go for an allergy test and avoid any trigger. Hope this helped. Have a 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\|> Im 65, male, very good health, risk factors are great except for cholesterol and blood pressure. Now taking 5 MG Lipitor. Last two BP readings are 138/84 and 142/80. Dont smoke, good diet, regular excercise, non stress lifestyle. What do these BP readings indicate I should do? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, These are borderline blood pressure readings. At this stage no treatment is needed but needs to monitor BP and needs lifestyle modification. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is persistently more than 140/90 MMH, then you should be on medicines for it. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. Hope this helps you and get back if you have any doubts. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> heyy i have a skin colored mole thing coming out my bum cheek and i have tried to read up on it to find out what it could be and i saw something about melanoma this scared me a bit as my dad is currently suffering with mantle cell lymphoma and other family members on his side have suffered with many different cancers so i wondered if you could help me please? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion there is very less possibility of cancer in your case. But better to rule out this at early stage. So consult dermatologist and get done biopsy of the lesion and send it to the histopathological examination to rule LUT cancer. This is the best way to diagnose cancer if present. So get done biopsy and diagnose 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\|> Dear sir, How are you now? This is Mahbubur Rahman from Bangladesh. I have collected my semen analysis report and it is Sperm count:53.2 Million/ml Motility: Incubation Active motile: 50% Sluggishly motile: 20% Non motile: 30% Pus cells: 1-2/hpf RBC:1-3/hpf Morphology Normal: 80% Abnormal: 20% Chemical Examination: Fructose: Present May I know some thing about it? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hiiii, Your semen analysis report interpretation as follows>>1) Sperm count 53.2 million/ml>> NORMAL (Normal value 20-150 million/ml)2) Sperm motility active 50%,sluggish 20%,Non-motile 30% >> BORDERLINE to NORMAL (50-60% forward motile sperm is ideal)3) Morphology 80% normal>> NORMAL (At least 70% normal morphological sperm is ideal)4) Pus cell 1-2/HP and RBC 1-3/HP>> within NORMAL limit. Your overall semen analysis report is normal. Take healthy diet and avoid stress. 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\|> Hello, I had a spinal stenosis surgery on 2-26-2014 and now both of my arms are very painful that i could not sleep and was wondering if I can take Roxicet before bedtime for my pain or Diazepam 5 mg.? I have mixed messages what not to take. Please help. I also have very stiff neck, shoulder and back pain and due to this stiffness, my TMJ came back and this also aggravated along with my arms pains. thank you. Ms. Leah Wong <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello! Welcome on Chat Doctor ! You should know that your symptoms could be indicative of articular pain in both arms. Chronic spinal column degeneration could lead to such symptomatology. For this reason, I would recommend performing a new cervical spine MRI study and a nerve conduction study. Regarding Roxie, I would not recommend taking it for a long time, because it can lead to addiction and tolerance. Instead, I would recommend taking amitriptyline or pregabalin for the chronic management of nerve pain. A new surgery may be needed, depending on the new MRI results. Hope you will find this answer helpful! Best wishes, <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Ive been having sudden, sharp lower pain in the right side of my back for the past few days. A few mornings my urine has had a very pungent smell to it. The pain does not stay for a long time and does not seem to get any worse when I move around or do any specific activity. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, thanks for posting your concern in the Chat Doctor. Considering your current symptoms, I think that the following conditions should be ruled out.1. Urinary tract infection2. Pelvic inflammatory disease3. Mechanical back pain4. Reticular pain from prolapsed intervertebral disease5. Sciatica6. Renal pathology7. Liver disease should have the following Investigations done-1. Complete blood count, urea, creatinine, uric acid, LFT.2. Urine for routine examination3. X-ray LS Spinal/lat4. USG whole abdomen the time being my recommendations are-Tab Paracetamol 650 mg SOS for pain relief (min. 6 hr interval between 2 doses are needed)Plenty of oral fluid, preferably 3 lit/day. Avoid high protein diet, alcohol, carbonated beverages, spicesAvoid prolonged sitting or carrying heavy weight. Abdominal muscle strengthening exercise should be performed. Avoid unprotected intercourse. You should also consult a local physician for clinical examination and further management, or you can write back to me directly after having the reports. Sometimes bowel problem may produce similar back pain. If you have irregular bowel habit, history of recurrent diarrhea, or altered bowel habit, you should have a stool routine examination done too. For any further questions, please write back to me directly. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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, when in the age of 17 i had dark circles and my skin became darker, before 17 i was fair and do not have any spot on my face now i m 25. can u tell me the natural way to get rid of this. I took treatment of homeopathy, palaeolithic, Ayurveda also, no result i found. because of it i look dull. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, I can understand your concern. Dark skin with dark circles appearing after age of 17---- may come from, - Family, - Over exposure to sun rays, -certain skin allergies (lichen plans) - certain thyroid conditions, - use of unsuitable cosmetics. Only dark circle around eyes indicate- - Less hemoglobin contains of blood (may follow excessive bleeding in menses) -Uncorrected refractory error in eyes, - psychological stress/ strain I would suggest you to consult a physician. After examination he will advise you investigations to pinpoint the cause & advice accordingly. He may refer you to skin /eye specialist if needed. Thanks. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have been having a lot of discomfort in my mis-upper back. Random tender spots along rib cage. Some upper stomach discomfort. have found swollen lymph glands in neck and under arm, they seem to come and go. Some pain in upper arm area, tingly hands. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. Axillary lymph nodes are enlarged in lung infection and cancer. And both these cause pain and chest discomfort. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. CT thorax with Contrast 4. Fine needle aspiration cytology from axillary lymph nodes. According to the diagnosis, you may need antibiotics and other supportive Chat Doctor. So better to first diagnose yourself and then start appropriate treatment. 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 sir,i am 23yr old boy..My penis is too small but it is long when i am felling excited..even i dont know how to get sperm out of my penis..i tried like moving my penis in and out for 20times but its not coming so pls help mewaiting for your replaythank you <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Degree understand your concerns went through your details. I suggest you not to worry much. Don't get anxious. It is very easy to masturbate. But before doing masturbation, you should know what is sex and how it is performed. See some sex acts videos available in internet and understand how sex is performed. Then you can do masturbation while watching the sex movie itself. Do not count masturbation movements. Do it till you get the orgasm. You should be able to eject semen for sure. 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\|> Hi I was wondering why my stomach hurts so bad daily? . Its a burning ,gawning, stabbing crampy pain, when I do eat I get even more nauseated than before. My family doc thinks its heartburn or acid, I was prescribed tecta for it but it doesnt help all the time. What else could it be? Pain feels like pulling up my ribcage in solarplexus area more on my upper right side and around my back. Help me please! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi your pain description does not fit into one particular diagnosis yes, burning and gnawing pain worsening with food can happen in acidity/ulcer problem it is unlikely to cause sharp or stabbing pain which usually suggests pain origin from abdominal wall.It's important to see which is exact sight of pain and how long it is there. You should get an endoscopy and ultra sonography to see the origin of problem and to decide on treatment some time it could be just dyspepsia or functional pain syn Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi I have been fighting cancer off and on for nine years...A few months ago I learned that the cancer had spread to both lungs. I know it is one of the worst you can get..I am currently undergoing chemo therapy, should I ask for radiation tratment as well? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi Welcome to Chat Doctor I have gone through your query Felt concerned that your both the lungs are infected. Now I want to know since how long your 1st lung is under treatment, and what is the situation of that ? Is it partly cured ?or what ? I want to know anxiously. Be brave and fight it out. Any way, continue your treatment for chemo therapy. Certainly ask for radiation treatment as well. As according to my experience Chemo if not followed by radiation is dangerous The germs go berserk after chemo and multiply by million folds . So in my view radiation is must. Rest, you take opinion from oncologists . Mixture of extract of Lemon, Ginger, Garlic , Manager of coconut water, Bark of Maringá (Saharan) tree, Honey all in equal quantity in a dose of 25 ml, twice a day, before meals for 31 or 41 days as per requirement. Is good healer and also preventive. Take a level t spoon of turmeric powder twice a day, in a cup of hot milk after meals, Meals should be simple nourishing and easily digestible. Take care not to have constipation. Do Panama - Deep breathing exercises & Walk for resistance against diseases and to strengthen the vital part of the body. And many heart and cancer patients have been benefited from this mixture above regimen is to be carried on even side by side of chemo treatment Can also apply Treatment by magneto therapy , is very simple and effective treatment gives resistance against diseases, is curative as well as preventive method of treatment, having no side effects. Hope this gives reply to your query Take care. All the best & get well London hesitate to get back if you have any further query If any query get back at Chat Doctor. Com <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi I have a mass about the size of an egg at the crease of my right arm. I saw my GP and he asked me if I was having shortness of breath, chest pains or palpitations. I do have some tightness in my chest with a cough. They are doing a chest x-ray and a mammogram. I am a 52. They have also scheduled me to see a general surgeon regarding the mass. Can you tell me if they are trying to rule out NHL or Hodgkins? Thank you. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, thank you for asking Chat Doctor. A lump at the crease of your arm could be a swollen lymph node which is an indication that something could be wrong somewhere. Considering your age, it is important to rule out a breast tumor or other tumors in your chest. Your appointment with the general surgeon would probably be to remove the lump for a biopsy. Hodgkin's diseases or Non Hodgkin Lymphoma could be one of the possible causes of this, but I think they would want to rule out a malignant breast tumor first. I hope that helps wish you well <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> thanks for your response. i want know that as bellow : now result 11/06/14 1. volume : 3.0 ml 2. Liquefaction: completely liquefied 3. sperm Count : 120Million/ml 4. sperm motility: actively motile 70% feebly motile10% non motile 20% (motility within one our of ejaculation). 5. Morphology: 10% Sperm abnormal: (abnormality of head/body/tail) 6.other Cell: a. leukocytes : 2-3 b. epithetial cells : 0-2 /HPF C. RBC/Germ Cells: absent 7. sperm Clumping: absent 8. Fructose: Present comments: Normozoospermia <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. This is absolute normal report of the semen analysis. Every parameter you have mentioned is normal in your report. With this report you can become father very easily if the seem meets the ovum directly. In the comment it is mentioned necrozoospermia which means it is normal semen reports. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> my health query is dim because chemical and radation is killing me. I live alone and need help, not abusive mouths at city of hopes cancer relief. congressman mcarthey is locatd in Bakersfield,ca but out 34th rep. to Washington d.c. . chase also evicted me illegally. the v.a. killed my Vietnam brother. but not me I am a fighter. please help me. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thank for choosing Chat Doctor, Just hold down every thing will be alright, do not give up hopes, the side effects of chemo and radio is not tolerable, but we do not have any alternative, just bear it, it won't harm you, and this is no longer enough soon you will come out of this, and will have your normal life again, it is like pulling half pulled arrow from your chest which causes great deal of pain but once came out of chest wall then it gives relief like haven, so please wait for little more, every thing will be okay keep in touch with Chat Doctor,,,, Have a very, very long life. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I banged my elbow at work it swelled up and was really swishy after a week I went to a and e and they told me just to rest it! A day later it was more painful more red and bigger so I went back they gave me antibiotics, 500mg of fulxicilian 4 times a day. I ve finished my corse. My elbow is no smaller and now it s gone hard and is stil red and my skin is peeling off around it! Although the pain is hardly their apart from every now and then, do I go back to a and e or my doctor? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Welcome to Chat Doctor I have gone through your query and understand your concern. It was probably injury followed by infection which was controlled by antibiotics. Now pain is very less, now it needs mobilization exercises to reduce swelling and gain movement. You can visit your doctor preferably Orthopedic. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi my uncle was diagnosed with cancer in the lymph nodes in the neck area last Nov.It went to one lung,so he did chemo and radiation until this past march,he had a pet-scan done after his treatments were done.but he recently has what we thought was a stroke,so we took him to the er,they kept him overnight and observed him,his mouth kinda dropped,and had some trouble talking,well the good news was he did not have a stroke,but the cancer went to his brain,he will be have radiation for 10 days which he had his first one today,is he going to be ok,will he live or basically my aunt and uncle are both around 74 yrs old,the rest of us need to know what to expect,will he pass even with treatment,just need to know the longest he can survive,just worried family members,thanks <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for writing in. Cancer is a difficult condition to treat, and often it spreads to other organs before we come to know. In your uncle the cancer might have first appeared in the lungs and lymph nodes. It can go from there through the blood in to the brain. This is what has happened and what you thought of like a stroke was a cancer in the brain. If cancer has spread to brain then it is stage 4 disease and the survival in such cases can be extended up to 2 years with recommended treatment and supportive care. In the brain we cannot do surgery and therefore chemotherapy or radiation is the treatment. He should be given good nutrition, and then he can stay healthy for longer and tolerate the treatment. Pain relief is also to be maintained. Please do not worry. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello! I am 54 and generally in great shape and very fit. Last week I spent six hours scrubbing floors in a squat position at least half the time - my knees felt very sore afterwards. Since then my left knee pops without any pain when I walk and straighten it out. I have had this before but it has lasted one or two days; this time it has lingered 8 days. WHat concerns me is that I used to do squats at the gym for two decades until a few years ago and had very strong legs. My knees have been feeling weak even prior to this recent issue. Last month I was surprised that on a 2 mile hike down (2 mile distance and a 1 mile elevation drop) my knees felt very tired and in unusual pain. I have been know to be a long walker but jogging causes me knee pain. I don t know what these two events should tell me: do I need to go back and exercise my legs because of atrophy or is this a sign that I have permanent damage/arthritis and should use caution? Thank you. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Your symptoms are suggestive of early arthritis of knee, more towards the patellofemoral region. I would suggest you to take precautions in this regard- -Avoid excessive weight-bearing.-Take a mild analgesic like Advil or Tylenol.-Do exercises to strengthen vasts medial is oblique muscle.-Take some joint supplements like glucosamine sulfate, chon Chat Doctor. Hope I have answered your query. 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 am 6 week pregnant n my transvaginal ultrasound only a sac of 6 mm is visible nothing else and yesterday morning I also had 4-5 drops of bleeding.Is there anything to worry or everything will be fine?My doctor also suggested me to take dubagest sr 300.. Is it safe? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi there,Yes Suggest which is a progesterone is absolutely safe in pregnancy especially in the first trimester where it has given to continue the pregnancy if we are suspecting threatened abortion. So please do not worry about the medication and take it as advised. It is common in early scans for the sac to be empty, on repeat scan after 10 days the fetal pole and fetal heart can be seen. Any early pregnancy has a 1 in 6 chance of miscarriage and usually after fetal heart is seen the miscarriage risk decreases to less than 5%. Hope this helps. Regards. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> mam i cannot able to forget my past negative things happen in my life...man made feelings so bad on myself...i want to forget that and also i used to think always wrong oly in myself eventhough others did wrong to me also very low self confidenet i want to die always thinking future oly iam always dreaming i should go to high but iam not starting to achieve that....one day i had breathing problems that day my relative one man did feel bad on me <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for choosing Chat Doctor, you seem very depressed, everyone has a past...good or bad you need to go on with your life find out the purpose of your life its good you are trying to forget your past life sad incidents why do you think you are wrong all the TimeDoc to me, you are wrong only when you think low of yourself and lack self-confidence what you are doing is good, Chat Doctor. ...be serious in fulfilling your wishes you said you are not starting to achieve your <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I take the 21 day novelon as a bcp. I get this medication by mail & it arrived several days late. i should have started taking the pill again on sunday, (following my period), but did not receive the new pill pack until today. is it possible to make up the doses & use backup protection for the next week, or do i need to wait until my next period to start taking the pill again? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thank you for the question, and thank you for visiting our site. I would start the pill immediately and use backup protection for the remainder of this month. It might produce some irregular bleeding later in the cycle, but given that there was only a small delay of a couple of days (I am assuming) then you are probably okay and this will not lead to a significant disruption in your cycle. I hope that this helps and good luck! <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi,I have just had an endoscopy for stomach pains and although the hospital said the result was normal,in the advice/comments on the report they have given me it says...... There is a mucosal prolapse trough lax cardia otherwise normal endoscopy to the second part of the duodenum . (Not sure if the word trough is a misspelling on their part).The hospital didnt explain this to me and I would be grateful if you could.Thankyou in advance. Michael <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi Michael thanks for your question. Your upper G I endoscopy report is normal, that is good news. Stomach has different part and part of stomach which joins with lower end of esophagus that is food pipe is called cardiac end commonly called as cardiac, The lower end of esophagus has a splinter which prevent gastric content and mucosa of stomach passing from stomach in esophagus and when this splinter is loose content of stomach and/or its mucosa pass into esophagus producing symptoms of pain and burning. There are ways to increase tone of this splinter which you can discuss with your physician. This is benign treatable condition, so nothing to worry. Hope this answers your question. <\|eot_id\|>