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<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi doctor. we are planning for pregnancy last month april 2011 we tried but this month i got my period but it was late, even i had pregnancy symptoms..and i had some urine infection. last month we travelled about 600kms was it affected for my pregnancy pls answer me <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for query. I understand your concern. Stress of travel purine infection or psychological stress out of anxiety to get pregnant, can cause delayed period. Pregnancy like symptoms can suggest possibility of loss of pregnancy. Before planning for pregnancy- -The urinary infection must be completely treated. -Assessment of normality of sperm count & ovulation would be ideal. - Ovulation day can be known by LH surge test & unprotected sex from the day of +ve surge test for 5 consecutive days offers maximum conception rate. -Home pregnancy test after 8 days delay in periods OR blood bets Chat Doctor testing of blood around expected date of period . Can confirm pregnancy. Thanks. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My son had a SCI january of this year and has experienced numerous UTI - sypmtomatic with fever and chills. This past weekend presented again with fever, chills, malaise, and increased spasms and I took in a urine sample whicChatDoctore back positive for staph aureus. Doctor said it was not serious and probably a result of intermittent cath. introducing the bacteria from his skin. I insisted on antibiotics he said not necessary because the fevers had stopped. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Thanks for your Query at Chat Doctor! Mostly UTI are caused by gram negative bacilli (E. Coli, Klebsiella, etc.). But I am against the opinion of your doctor even Staph aureus may the causative cause of UTI and needs treatment. I suggest you get your urine tested (mid-stream or suprapubic tap)repeated for routine microscopy and culture sensitivity for bacterial infection. If it against shows the growth of Staphylococcus aureus (even scanty growth with colony count 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|> HiI have white patches on side of my tounge since last 7 years.They used to heal in the beginning with candid mouth paint and fluconozole.Later I stop Bothering about them.Patches remains same in appearance till date.No pain and can not be scrapped.Since last 3 years i have dry eczema type lessions which are also has white crust.Is it linchan planus.I am having hypertension medication since 10 years including beta blockers.I have read over net that it may cause linchan planus.Plz suggest a remedy.Should i worry about bn this since its a quite big area? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Yes, most probably it can be. As you have both skin and oral lesions. Also, the predisposing factors augment the chances of being lichen plans. You need to get a histopathology of the lesion done and start the medication if it happens to be this autoimmune disorder. Maybe you don't feel any need in early stages of this condition, but it may be dangerous for you in later stages. 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|> my father is Taking medication for the treatment and after two days become many forget and lose balance and healthy way to wear clothes after waking up from sleep <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for your query. You did not mention for what your father was taking medicines and what medicines was he taking. Also you need to mention any prebids like hypertension, diabetes, any cardiac problem since past. Importantly don't be carried away by your poverty. Life is a challenge, you can achieve many things. Hope I have answered your query. I will be available for your followup queries if any. Wishing you good health. Your query. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Sir I have a long history of chronic lumbar back pain, D.D.D., Stenosis this morning on my lower left side just above caudal equi area i am having horrific pain I take morphine sulf. 200 mg 2x daily and are having no effect I am 2 hours any from my primary and have tried heating pad ice nothing is helping???? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Since your pain is not relieved by strong analgesics possible cause may be 1. Mechanical backache and 2. Instability. Detailed investigation in form of 1. X-ray of lumbosacral spine anteroposterior and lateral views and 2. MRI of the lumbosacral spine with screening of whole spine needs to be done. Please get it done from radiology center nearby you. Meanwhile, start tab. Attract. Visit to orthopedic surgeon for detailed clinical Examination is recommended. Hope I have answered your query. Let me know if I can assist you further. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello Doctor I am taking treatment for H . pylori bacteria ; doctor prescribed Mox 500 ( two tab in morning & two In night ) for 5 days after that ask me to take 1 tab of TINIBA500 & 1 TAB OF CLARINOVA 500 ( ONE EACH IN MORING & ONE EACH IN NIGHT ) just want to know this treatment will help me <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi & Welcome to Chat Doctor. I appreciate your concern for the effectiveness of the prescribed treatment for H. pylori. The prescribed treatment may not help in the eradication of the H.pylori.1. The prescribed regimen by your treating doctor is INCOMPLETE as it contains only the "sequentially used" antibiotics (MOX, Tina & Clarinda). Notable missing Chat Doctor. 2. Proton pump inhibitor should be continued for another 4-6 weeks for total eradication of the H.pylori and the healing of the stomach ulcer. Had you been my patient I would have advised the following "Triple Therapy" which is found to be more efficacious:1? Two antibiotics (MOX to be taken twice and Tina to be taken twice) along with a PPI like Pantoprazole for 14 days, this is followed by2. A PPI like Pantoprazole alone for a period of at least 4-6 weeks. Hope to have answered your query. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My 2 1/2 grandson was having a problem passing his stool since yesterday. I gave him a rectal glycerin suppository which took about 3 1/2 hours to create a bowel movement. He also through up what looked like curdled milk at the same time he pooped. Should we be concerned and take him to the emergency room. His temperature is 99.5 F. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Vomiting could be due to straining while passing stool, due to abdomen pressure generated while straining, baby vomited what is there in the stomach. Since he is having fever so needs to rule out possibility of gastritis. If fever persists, repeat vomiting occurs, notice distension of abdomen, then immediately visit to ER. Hope I have answered your query. Let me know if I can assist you further. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I CAN NOT BEND FORWARD. I WENT TO ER AND THEY SAID I HAD SPASUMS IT ALL STARTED WHEN I GOT OUT OF BED HEADED 4 THE HEAD AND PUFF OUT OF NO WHERE CAME AT THE WORST PAIN I EVER HAVE HAD AND IT SOUNDED LIKE TO SOMEONE HAD SHOUT ME WITH A 22 CAL AND IT FELT LIKE I HAD BEN SHOUT ALL SO BUT THERE NOT ANY HOLE SO I KNOW I HAVE NOT BEEN SHOUT THAT HAPPENED THURSDAY NIGHT AND ITS SUNDAY. WHAT IS GOING ON WITH ME <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, It appears to be case of disc herniation that leads to root compression ultimately resulting in pain. Muscle spasm is a condition and not a pathology. All you need to do is to rest, avoid forward bending and weight lifting. Do warm saline fomentation, and have some over the counter painkillers for 3-5 days. If the pain not relieved in a week you need to get an MRI done, to evaluate your condition further. Take care. Hope I have answered your question. Let me know if I can assist you further. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have been having dizziness and a feeling of fullness and pressure in my ears. The doctor checked me, said I have allergies. When he checked my ears, it was painful. This a.m. I fnid out the urinalysis showed a UTI. Do you think the dizziness and weakness Ive been experiencing can be from the UTI? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hellos you mentioned that you are feeling fullness in the ears as well as pain. While you are also having urinary tract infection. These two are different entity. However, the causative organism may be same for both. But allergy also causes dizziness, so also ear pressure and pain in ear produces dizziness. In my opinion consult a physician and get his opinion. Consultation with an ENT may be useful. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I had an abdominalplasty about 5 1/2 weeks ago and it got infected. I have a mesh installed and I would like to know what happens in a situation like this. would i need to do the surgery over again and install a biological mesh or can the infection be treated? I am so worried. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for sharing your concern with us and showing trust on us. If you don't have fever and extended red area then there is not much to worry. Suture abscess can easily be treated by lancing the area under local anesthetics and packing such puncture with medicated gauze. The problem arises when the MRSA infections are suspected. There are also chances that you have wound separation and necrosis issue as well (just a possibility). You will definitely do better and recovery will be faster, just contact your healthcare providers straight away and get evaluated first which will decide further treatment. I wish you good health. Best Chat Doctor. Omar <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hello sir,I am 24 years old,height 511, weight 72, no medical history, from last few year my hair is falling like anythng, it may be due to her heredity but at such an early stage... am fed up now i just cant see myself going bald... i am frm mumbai... please help.... <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi there.1. Your concern is chronic halogen effluvium leading to baldness.2. Start using romaine 5% spray along with rev illus hair supplements.3. Meanwhile consult a dermatologist nearby you for physical examination and grading of your baldness.4. We can further slow down the balding process and can make the scalp better.5. Have reviews about platelet rich plasma and plan for few sessions. This will support the prescription. Hope this info may help you. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> What does the Spleen doe for the human female body? My friend has a mass that has recently had a X-ray . The doctor wants her to get an MRI . She and I don t know what a function the spleen does for the human body. Mass could mean Cancer ? Please help me. Lloyd Dorsey <|eot_id|><|start_header_id|>assistant<|end_header_id|> BHI. Spleen is one of the important organ of our body. It helps to produce blood cells and fight against infection in the body. This is an important defense system in the body against infection. Enlarged spleen can be caused due to many reasons. It's very unlikely that it could be cancer. Most of the time it could be because of infection. But you can get enlarged spleen in blood.cancer and lymphoma. But you have said there is mass in spleen, if it's not enlarged but there is some mass in normal spleen, then it needs to be investigated. I recommend you to undergo MRI scan, it would help you find the cause for mass in spleen. Based on that further management could be done. Thank you. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have got a gum swelling where i have wisdom tooth. the wisdom tooth is very small and it is covered mostly by the swollen gum.Do i have to get the tooth removed so as to avoid infection. I was told tht the gum got infected and it will happen frequently if that particular tooth is not removed. <|eot_id|><|start_header_id|>assistant<|end_header_id|> IIN regard to your query, 1. It is not that in all the cases this wisdom tooth gets infected unless if oral hygiene in not properly maintained.2. Coming to the bulge it is nothing but the molar is erupting to wait till it gets exposed to the oral cavity I would suggest you to wait and watch till it completely erupts.3. Coming to the extraction of wisdom teeth not all teeth needs to get extracted it depends on the situation and condition. Visit your dentist or oral surgeon for suggestion and further treatment if there is a problem otherwise you can wait and watch Hope I have answered your query and this helps you out. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am 25 years old , 1year back i get typhoid,i take the treatment for that ,but till now i get the positive 40 dilutions in O and H ,In a blood culture i get some infection ,the DR feel its b an enterococcal infection, i get a severe eyebrow pain nearly that 1 year,what i have to do for this sir <|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. It won't cause pain in eyebrow, but it can cause headache and generalized body pain. Enterococcus infection is very notorious for its resistant to antibiotics routinely prescribed. I advise you to take the combination of Chat Doctor. If you have this bug in the blood than monitor the infection continuously until the blood is clear of all the bugs. Please adopt good handwashing practice for all the family members as it can prevent transmission to other family members. Widal title is used for the Salmonella infection it is negative in you and so enterococcus infection is only left out option in you. I will be happy to answer your further concern on bit.ly/ <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> i had appendectomy 6 yrs ago. my appendix had ruptured at that time, but the surgery went fine (it was a open surgery). but about a year back i strained myself in a bout of constipation and since then i have had constant pains in the surgical scar . sometimes the pain gets really worse and i cant sleep. i underwent ultrasonography , x-ray, barium meal x-ray, ct scan but nothing could be found. i also feel a hard lump just beneath the scar skin, but the ct scan showed no traces of hernia. and i also feel stiffness in the right side of my abdomen originating from the scar. but my main problem remains the pain at the scar. please advice me what to do with it. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I can see that you are suffering from post-appendectomy pain, and it can be a very annoying symptom sometimes. During appendectomy, many nerves are cut and following surgery because of this one can feel pain and tingling (pin like sensation) over the area of the scar. This feeling can persist up to 1-2 years after surgery, and it gradually dies down. In your case, you have been extensively investigated and things seem to be normal. Just give some time for this pain and stiffness to go away. I suffered from a similar problem after my appendectomy. You can carry out some relaxation exercises to take your mind away from the pain. Hope 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|> Hi, may I answer your health queries right now ? Please type your query here...hi i have a lumb on top of my butt crack that has a red sore and it bleeds sometimes and it comes and goes. It hurts so bad now i can not even touch the sore. Any ideas what i can do now and later? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Welcome to Chat Doctor .1. Generally these kinds of symptoms are seen in the colonial sinus (infected hair) which can be treated easily in early stages with a course of antibiotics.2. If it gets complicated, it may cause sinus formation and fistulous opening and so all.3. You need a surgeon appointment.4.Don't ignore and leave for complications. Hope it helps you. Anything to ask ? Do not hesitate. Thank you. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello my name is Bertice and I want to share my experience. I was asleep on afternoon when suddenly I jumped up out my sleep screaming because it felt like the right side of my stomach was being burned. When I looked at it it was red the following day it began to scab and peel and soon became raw as if I was really burnt. I don t know what could have caused the huge burn mark. I don t think it was spontaneous combustion. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. Thanks for your query and an elucidated history. Suddenly getting up from the bed with a feeling of right side of stomach being burnt and then really becoming red and burnt followed by scabbing and peeling may be due to an insect bite. Some insects are so poisonous that this can be caused. In such a case, you need to consult a Physician and get a proper treatment with antihistamine and steroids and excision of the scab, daily 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|> M 26 year old..unmarried... having dizziness..shoulder neck pain and imbalance problem for 4 years..now its getting worse... ctscan is done ..everything is normal in that...i cant rotate my eyes and even neck..everything seems floating... dr recommended me..dizitac andclonax ...nothing is improved Plzzz help me out ...plz help me feeling nobody is understanding my problem <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hithank-you for providing the brief history of you.a thorough clinical neuromuscular assessment is advised. As you mentioned of facing issue with shoulder pain, neck pain, balance issues etc. I will recommend first to take the detailed clinical assessment. Based on this we can understand as what MRI needs to be performed. But on a safer side taking and MRI of the cervical spine and brain in contrast will make some insight. The pain in the neck and shoulder - this looks more of the Neuromuscular issue. Like if there is any pinch of the nerve root in the cervical spine then there is a possibility of the radiating symptoms and pain. For which physical therapy is a choice to get solution for. Evidence of research has a good support. For the balance issue - it should be assessed in detail as this can occur due to two issues. One any vestibular related issue or any cerebellar related issue. Understanding the proper clinical examination and the MRI should help assist further by which the help can be initiated. For anything more you can surely ask me I will be happy to assist you. Regards. Jay In Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I regularly suffer from irritation and pain in upper abdomen, which six months or so turns into infection. I feel its acidity problem. Recently I got food poisoning. And now can t eat normal food. Because acidity problem I have left milk, bakery products, tea, coffee. . What is the problem? And how can I start eating normal....I always eat homemade food. I can t eat at restaurants or enjoy a coffee with friends. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Howell come to ChatDoctorThese are the typical symptoms of hyperacidity, if I would be treating doctor of this case then I would treat this case with the following medicines, 1) Tab Omeprazole 40 mg once in day at evening time for five weeks 2) Tab Risperidone 30 mg once in day at evening time for five weeks you need to avoid the coffee, alcohol, smoking, prior to bed else you can have the coffee in the morning, hope this information helps, take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi there , Im a massage therapist and health care provider like yourself. Last night around 5pm I noticed swollen type rashes red, splotches along the forehead & scalp. Not sure if its a spider or mosquito but we used bactine the first night , Nothing happened. Now i bought cortisone-10 ultra moisturizer & 1/2 a Benadryl.... Im keeping my eye on it but it looks as though it s spreading to the eye. Any suggestions? Thank you so much <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, If Ben Chat Doctor. Take antifungals orally and apply antifungal creams or gels like Ketoconazole (Mizoram). It should get well if it is caused by insect bite. But if it is spreads, it could be Seborrhea dermatitis. See a Dermatologist, get physically examined. You may have to take a skin biopsy, to rule out chances of dermatitis. In the meantime wash your scalp with Season Blue or Parishioner Zinc (Head and shoulders) shampoo. You can apply Clobetasol (Close) to the scalp and the affected area. 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|> My mother in law was told she had 30 days to live with cirrhosis. Two months later her amonia levels are normal and she has not had a paracentisis since then. Mentally she has declined- not wanting to take medication and thinks she has to pee all the time. Her communication has declined, she cries all the time and hits her nurses. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Whatever symptoms you have described, it looks like she is in encephalopathy, for which she might be hospitalized for further management and check her blood parameters like renal function and electrolytes which are usually deranged and there are chances of getting infection too. If there is any abnormality better to correct to regain her conscious levels. And about pee, that will be because of diuretics which your doctor might have prescribed. So starting with encephalopathy measures like adding cephalic spy 30 ml twice or thrice a day so that she should pass stools at least 2 to 3 times per day if not consider giving her cephalic enema. Tab RIGHT 550 MG twice a day for at least 15 days should be given as this is an intestinal antibiotic with no side effects. Avoid NSAIDs. Proper nutrition specially protein content is necessary as in cirrhosis there will be low protein.Avoid panto injection as it's not recommended in cirrhotics. Avoid oily band spicy food Hope this information helps outrank 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|> Got bit by a bunch of chiggers 2 weeks ago and I put med on em but one one my strodum sac turnd to a huge not and now Im raw and my rac is as big as a baseball with fluid coming out of the bite, Im on antibotics and putn ointment on it but there looks like fluid under the skin and it hurts badi <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint Chiggers bite can take from one to three weeks to heal completely, and it forms small bite marks that can itch and are red and inflamed. But in case if the bite area has swollen into a big bump and ooze off fluid then there is a possibility that there is infection in the area leading to abscess formation. I would suggest you to consult a Physician and get evaluated, and he can advise you to take antibiotics orally as well as advise topical application of triple antibiotic ointment and steroid ointment. Anti-inflammatory painkiller can also be advised. He can also advise you to apply steroid ointment over the other bites and also do cool compresses. If the lump is large with fluid in it Incision and Chat Doctor. . Hope this information helps. Thanks and regards. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi, i am having intense tingling and burning sensations pretty much all over my body. Also I have insane urges to get up and walk, so much that I am walking without realizing it. and the urge to clench up my muscles. I am 45yr old female and in general good health and within normal weight. Oh, of course I would forget the lack of concentration. I get midway into a sentece and forget what I was talking about. All these symptoms hit at once 3 nights ago. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, It can be a part of a premenopausal syn Chat Doctor. Or it is symptoms of a generalized anxiety disorder (GAD). Need to follow certain lifestyle modifications like-Exercise daily.-Meditations and yoga.-Deep breathing and hyperventilation.-Proper sleep.-Healthy food.-Stress-free activity.-Do pleasurable activity.-Music and hobbies.-Medicines. I have treated so many patients with a mild dose of the benzodiazepine and a mild dose of selective serotonin reuptake inhibitors (SSRIs). In SSRI mild dose of sertraline and Escitalopram like the <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> i have had many signs and symptoms of pregnancy like a lte period getting sick the veins on my sides are very noticable and on my arms and chest and legs but i took a test it came back negative and then i was a week late but after that i got my period. is there any way i could still be pregnant? i also have leg cramps and pains in my arms too <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hallow Dear, The first cardinal symptom of pregnancy to appear is missing a period. All other symptoms like nausea & vomiting, frequent urination and the breast symptoms like engorgement with tenderness, dark discoloration of nipples & areola with widening of areola and secretions through nipples appear subsequently, usually 10 to 15 days after missed period. Though you had some vague symptoms, ultimately you have got your menses. Probably after having the menses, the symptoms also might have vanished. When in doubt, urine examination for pregnancy gives clue. That also is negative in your case. So Madam, no missed period and pregnancy test negatives confirms that you are not pregnant. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 soft palate developed "a blister full of blood" that then popped and now have a very sore place in the roof of mouth. This is the 2nd time in a year and a half. The last time I went to my dentist each day for him to monitor and we never could determine the cause. and just out of nowhere it happened again today. Very sudden onset....like it all occurs within 5 minutes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your query, I have gone through your query. The blood blister can be secondary to trauma while tooth brushing, or it can be secondary to burns after Chat Doctor. Nothing to be panic, consult a good oral physician and get it evaluated. Meanwhile you can take topical anesthetic like lidocaine and topical analgesic like choline salicylate. Do saline gargling. I hope my answer will help you, take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Can lisinopril make you dehydrated or have heat exhaustion while working outside in constructon? I am taking 10 mg and today while working I was dizzy, severe muscle cramps in arms, legs and jaw area, I could hardly walk, and felt like throwing up. I had been drinking water all day. I rested for a couple hours in the shade and then felt ok. I have been doing this type of work for over 25 years. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for writing to Chat Doctor, I am Chat Doctor. Lisinopril is used for multiple purposes like in Heart failure, for hypertension, diabetic nephropathy etc . Its side effects are hyper Alma, cough, angioedema, confusion, dizziness n so on.... as you are working on construction site . The sweating due to heat are more likely the cause of your dizziness rather than lisinopril, BCS it doesn't causes heat exhaustion, it is due to BCS of sunny day that causes it . I advise u to <|eot_id|>

<|begin_of_text|><|start_header_id|>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 tooth extraction on Tuesday. It has gotten more painful and I called the dentist both days and he prescribed clindamycin (150 mg 3 times a day). The pain has only gotten worse since taking clindamycin and this morning (Saturday) I woke up with it throbbing even worse. The inside of my mouth is swollen and the clot (if thats what it is) is swollen, white and looks like a tooth. I had one cipro left over from an infection awhile ago and took that. It made me feel much better but I just brushed my teeth and knocked the white part slightly. An awful tasting liquid has been pouring out of it. It doesnt look right. Can I post pics here? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi there ~I understand your concern. I believe that you had an infection of your root canal and that you are having problems with pain resulting from the same. I am hoping that you will find the right medications from consulting your dentist. However, you probably did the right thing by taking the ciprofloxacin, however you need to see a doctor right away. I wish you all the best in this endeavor. Take care and have a lovely day! <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> i have pain my tummy all the time. and funny feeling. doctor suggested me to take painkilles , omeperasol and gaviscone. but painkilles make my pain worse. doctor mention it is golstone but he needs magnified scan. i do not know how long i shall wait? could you pls advise me what i should do? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. If the painkillers are increasing the pain in abdomen, this can be due to acid-peptic disease. Continue with Omeprazole and gravestone. Go for a bland diet. Avoid oily and spicy foods. Have frequent small meals to cover up the empty stomach, which increases the acidity. No painkillers at all. You do need an Ultrasonography to diagnose or rule out certain diseases. And more important you need is an Endoscopy of upper GI tract. You should not wait, do all these tests as soon as possible. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 some help. I do have an apoitment with mental health but not until December. I was in detox for alchole about a month ago. Upon returning home my boyfriend took my 3 year old twins and will not let me see them much. Not only is this man my x now but he also is my boss at work. For years now i have had anxiety paronia and depression. Now lately its 100 times worse. I dont want to leave my house. I have been missin time at work. My work has told me to go to the dr and get put off of work so i can get myself right. I do not know how to ask my dr that? Im actually terrified to even go to him. My x and my family this im being stupid but i cant help the way i feel. Its like i know what i have to do but my mind wont let me. How do i ask my dr for help? What could be wrong with me ? I do not understand why 24 hours a day i am feeling like im failing. I keep my doors locked and my curtins closed. I do not want to leace the house. I feel like ppl are talking about me and judging me. Im sad all the time. Nervous amd stressed out all the time. I find it so hard always feeling this way. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello! Welcome to Chat Doctor ! Presently your in depressive state. So, now you're suffering with all the depressive symptoms like feeling low and sad, wanting to stay alone, unable to concentrate on work, low self-esteem, etc. I guess you also feel hopelessness and guilt along with sleeplessness. It indicates that you're in a moderate to severe depression state, which ought to be treated with a psychiatrist. Mostly, they prescribe medications like SSRIs and TCAS. I recommend you to consult a psychiatrist immediately. Also, start practicing relaxation exercises like mindfulness, meeting friends, going for a walk in the morning, which will help relieve your stress. Hope that clarifies your concerns. Thank you for the question. Take care <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My husband age 57 has recently had chest pains. He had nuclear heart test. His heart muscle has thickened. He is in very good shape and very athletic. Very low resting heart rate. Should he not exercise- take aspirin. He cant get in to cardiologist for couple of weeks <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. Based on the facts of your query, you seem to suffer from-ChatDoctor-Hypertrophic Cardiomyopathy/ ?Commit obstructive variant from Subaortic stenosis. Chest pains in this scenario-needs to be assessed carefully, as the compromised heart function is due to the LOT (Left Ventricle outflow Tract) obstruction severity.IN this case you can start Aspirin for the prevention of the Chest pain for the time being. Should stop the exercise to reduce the exposure to the risks from chest pains. And should consult cardiologist as soon as possible /if the chest pain recurs still with this you should contact ER Cardiologist immediately for further management. IF he can't cardiologist for few weeks, seek for options to tackle the emergency with the ER Cardiologist. Hope this reply would help you to plan further treatment with your family and specialist doctors there. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Lately I have been really really sad and lonely. Im 16, and I dont feel like....killing myself or whatever, but I dont want to leave the house, Im always tired, and once or twice I have had these random panic attacks that Im going to die which are really scary. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Degree understand your concerns went through your details. I suggest you not to worry much. You are just 16. I do not think that you have clinical depression and suicidal tendency. This could just be simple disappointment. Disappointment due to life events which happens without you expecting them. Such problems do clear itself away if you concentrate on your studies and extracurricular activities. Also, important is that these happenings provide you with valuable life lessons which should be useful for your future. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am a 51 yo female and have a slow heart rate, usually 50 60 beats per minute. This began a few years ago when I began having preventricular beats. Over 12000 a day. I found out I was reacting to eggs, discontinued them, irregular beats stopped, but my heart rate remains slow. Is there anything I can do? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello Mam I understand your concern about your health and I would like to tell you that some people do have a physiologically slower heart rate and that's not a heart problem until unless you starts feeling dizzy or any blackout happen, or you feel fatigued all the time. The recommended heart rate range is between 60 and 100 beats per min and your is around 60, so you need not worry about that. Just get an EKG done to make sure the heart rhythm is A SINUS RHYTHM. If it is then just relax and if not then you need to consult a Cardiologist personally. I 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 have had excruciating back pain for 2-1/2 weeks. I have had sciatic surgery in 2004, epidurals series 3 times, and 2 radio frequency leisionings. Nothing for about years except vicodin (I m down to 1/2 a day until this past episode) My family Dr. only recommended a steroid shot and a cream now, no MRI or X-ray. Can t hardly get out of a chair without horrible spasms (or whatever they are). Walking, barely, with a cane . Was doing water aerobics 3X/week before this happened. Any suggestions? What kind of Dr., what is laser surgery, not that I m looking for back surgery. Any help or suggestions would be appreciated. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, I have studied your case. You may need to do MRI spine again with contrast to see for nerve compression If your new MRI shows disc bulge with nerve compression then re surgery may help. Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and TENS therapy will help Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi my name is AAAAA from Trinidad&Tobago both of my tubes have cysts and i tried birth control to regulate my periods but i don t see my periods every month and i haven t seen it or the year i am 25years old and i want to know what i can take to bring my periods regular and get me pregnant , i was and have never gotten pregnant all the try i tried please help me doctor the safe way to please thank. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, In the present scenario, you should see an expert infertility specialist and get properly examined and investigated. The cause of your tubal cysts should be treated and tubal patency and function tested. The cause of your irregular periods should be diagnosed through hormonal assays, trans-vaginal sonogram and treated. You should maintain a healthy weight, avoid stress and eat healthy. Hope you find this information helpful. Take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> One of relatives is down with appendicitis, he is advised to undergo surgery for the same. Tell me more about the surgeries done for removal of appendicitis. What are the complications of the same? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Appendectomy is the surgical removal of the appendix, a small, finger-shaped pouch that is located at the junction between the large and small intestines. The surgery is the standard treatment for inflammation and infection of the appendix and patients usually recover from appendectomy without experiencing complications. A ruptured appendix is considered a medical emergency. Surgeons use one of two surgical techniques open appendectomy or laparoscopic appendectomy for removal of appendix. The choice of method is made by the surgeon on a case-by-case basis. Paralytic illus and wound infection may occur following the operation. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 laparoscopic removal of my appendix and gallbladder three weeks ago today. Saw the doctor a week ago for my follow-up; my incisions were a bit red, but he said they werent infected and said everything was healing fine. A couple days later my whole belly started itching and have been ever since. Call the surgeon, said use 1% Hydrocortisone cream and Ive been using that 2 or 3 times a day. However, over the past couple of days, my largest and lowest incision (the one in the muscle) has gotten more red, though it is not hot, swollen, and Im not running a fever; I feel fine. Do I need to worry? Everything is just itchy!!! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi and welcome to Chat Doctor. Thank you for your query. This is nothing uncommon, and it seems like to be minor wound infection. I wouldn't even apply cortisone cream, it should heal by itself. Just keep it clean and Chat Doctor. If you notice out discharge or wound dehiscence you should seek help, but till that don't have to worry. Fever shouldn't be related to such a small wound infection. 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|> My ankles and the tops of my feet are swollen on and off...just like when I was pregnant over 16 years ago...no way I am now...seems to be better after laying down and/or sleeping for several hours overnight and even during the day...as it is, I do not sleep much or even get good sleep when I do...not enough down time...too much on my mind...not sure what to do? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello I have read your query and feel that you have dependent edema in your feet which could be due to-1-Long standing hours2-increased salt intake3-Excessive walking or exercise4-using high heels or tight footwear. I suggest you-1-Decrease your salt intake2-rest your legs avoid standing for long hours at a stretch.3-elevate your legs if you are sitting on a chair by using a footrest .4-try reducing your weight if you are overweight5-Use flat comfortable shoes for walking. Hope that solves your concern. <|eot_id|>

<|begin_of_text|><|start_header_id|>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, for months now I have had a swollen occipital node, some days it is about the size of a grape others the size of a pea. I do have thyroditis, and celiac disease . Could they be related to the swollen node? Lately the node has been sore and causing me worsened migraines. I have had daily headaches for as long as I can remember. It runs in my family, but they have been a lot worse lately. Should I be concerned? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thank you for posting your query. Swollen node in the neck is not related to thyroiditis or celiac disease. The swelling in the node is either due to a bacterial infection or malignancy. In view of the relatively small size and long duration, infection is more likely as a cause. I suggest you take a course of antibiotics. If the node is still swollen, you can either go for a fine needle aspiration or biopsy of the node to find out the cause of the swelling. I hope it helps. Please get back if you require any further information. Best wishes, Chat Doctor. Ly/ <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Good Afternoon, My mom is 68 and went to the hospital her left long is completely covered with namonia spelling sorry and is going into the right. She is full code and so off the oxygen is 23 pulse is 18 so they put her on a vintalator she has had a stroke, heart atack in the previous she has smoked for the longest i can remember what are her chance of pulling out of this? My sister is the POA and is keeping her on it, is it fare to her or what??? Please let me know. Worried Daughter <|eot_id|><|start_header_id|>assistant<|end_header_id|> Respected user, hi I evaluated your query thoroughly. Sorry to hear about the issue.*Prognosis depends on many factors - age - associated comorbid conditions like heart attack / CV stroke / kidney malfunctions / diabetes - immunity - hemoglobin level - body response to treatment - competency of doctors - efficacy of molecules used in treatment & much more list not possible to narrate whole here.*Considering all your narrations, her prognosis is guarded, not that much good as normal person suffering from pneumonia recovering in days. - She may take very long time for recovery & may not recover also (I pray to God that doesn't happen) after your long jugglery with all ventilator period. - I can suggest seeing the progress of the patient on ventilator for 5-7 days discuss with the consultant in details regarding this & then decide to continue the treatment or wean her off from ventilator for resting her sole in peace. Hope this clears your query. Thanks for using Chat Doctor & keeping trust in our medical services 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...we have been trying to get pregnant for the past few months and have not been able to....I had an ultrasound done last September and i am wondering if my results may be why i have not been able to get pregnant. Im not really understanding my findings. I am 40 years old. My findings are: Transabdominal and endovaginal static images of the pelvis were acquired. The uterus is anteverted and measures 9.2 x 4.6 x 5.1 cm for a total volume of 115 mL. No focal uterine Ieiornyomas are seen. Uterine myometyrial heterogeneity could represent difihise fibroid change or adenomyosis . If imaging support for adenomyosis is clinically required, pelvic MRI could be considered. The encloinetriel stripe measures 0.5 cm. Nabothian cysts are seen at the level of the cervix . Small pelvic free fluid could be physiologic. The right ovary measures 3.4 x 1.6 x 1.7 cm for a total volume of 4.7 mL. The left ovary measures 3.0 x 1.3 x 1.7 cm for a total volume of 3.4 mL. Physiologic follicles and power Doppler flow at both ovaries are seen. No ovarian or pelvic masses are identified. Please let me know if my findings is what is keeping me from getting pregnant? Thank you. <|eot_id|><|start_header_id|>assistant<|end_header_id|> HelloThanks for your query. You seem to be having fibroid or adenomyosis. In both these cases, the wall of the uterus gets thickened, and is not able to support a pregnancy.Also, your age is 40, at which ovarian aging starts. Please consult an Infertility Specialist for ovarian reserve testing, and assessment of uterine cavity via laparoscopy and hysteroscopy. You might require ART (assisted reproductive technology) in order to conceive. 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 am a 73 year old woman with a history of ovarian cancer stage 2 since 2004. I underwent surgery and was told they got all the cancer, I underwent 7 cycles of chemo. My cancer returned in 2007 and was again operated on for the cancer, they also removed my appenbdix and fixed a hernia. I have been on different types of chemo since then the latest being the pill VP16. I have had NED several times during this time, only for it to return again. It is limited to the abdominal area, liver and kidney. The organs are not affected, it seems the tumors are outside. I am now at a point wher I dont feel I want to take any more chem, definetly not through my port, and I believe the VP16 is losing its power, as it seems to be active again, although slow growing. So I would like to know about alternative methods and would be interested in knowing about Oxy or Oxy DHO.Can you make any suggestions. I am on the following meds, Benicar HCT 40/25, Warfarin (for blood clots), Proprananol er, lexapro 30mg, macrobid 100mg, vicadin as needed, and vesicare 5mg <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your concern. Resistance to chemotherapy develops after 5-7 years of treatment. And you are experiencing the same thing. Your cancer is now inoperable. So better to consult oncologist and ask for palliative newer chemotherapy Chat Doctor. You can start palliative treatment in the form of pain management and nutritional support. Consult psychiatrist for end of life issues. Hope I have solved your query. 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|> just got a filling on saturday and the same tooth started hurting yesterday and the pain got worst by 11 pm. I had some chocolate last night as well. Is it normal to hurt after getting a filling or was it the chocolate or something else? I took an advile 500mg pain realiver 3 hours ago and it went away.our health queries right now ? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your query, I have gone through your query. The pain after the filling can be because of two reasons, The first reason could be a decay involving the pulp and over that restoration has been done. This can cause severe pain in the tooth. The second cause could be any high points or extra filling material over the chewing surface. Consult your dentist and get these two things ruled out. You need to take a radiograph to see the extent of decay. If the decay is involving pulp, then the previous filling has to be removed, and it should be restored with RCT. If there is high points then, it has to be reduced. The painkillers will work for 3-4 hours, after that again the pain will come. So consult the dentist immediately. I hope my answer will help you, take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My teeth are suddenly breaking. Ive had 2 fillings break loose and just this evening I had tooth structure loss on a FRONT tooth at gum line almost in between 2 teeth - no previous repair to this tooth before. What in the world could be happening for my teeth to suddenly start deteriorating like they are doing?? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, There is no need to take tension, as the tooth structure you are mentioning at the gum line between two teeth, it can be calculus, which is similar to tooth structure but a debris which has become hard and situated at the same area. And the fillings which has become loose were not done properly. There is nothing to worry just visit your dentist and get complete scaling with re-filling done. 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|> Earlier this evening I tripped and hit my head on a metal beam. The head ache is a dull ache. My vision is fine. About an hour and a half after I hit my head that s when the my stomach got queasy. This lasted for a half hour. I ate supper and have had no issues of upset stomach but do have a dull head ache. With these symptoms do you think I could have a concussion? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, The diagnosis of a concussion is best made after a visit to a doctor knowledgeable in such injuries who can solicit the proper history surrounding the events that occurred just prior and just after the fall. If you are still experiencing the dull headache then, my best suggestion to you is that you be seen at an URGENT CARE center or even an ER. I cannot know without examining you further what may or may not be happening to your head and there certainly is the possibility that you suffered a CONCUSSION. Therefore, my advice is to be seen as soon as possible. I would not stay home to rest or relax unless you have absolutely no headache or head pain and have perfect recall of everything that happened before and after the fall. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My baby girl is 16 months old and weighs 8.3 kgs and is 78 cms tall.She is very active and also eats quite well and she is also walking.But she is not gaining much weight according to her age.Her daily diet is as follows- 8.30 am--Breakfast-Broken wheat with milk and sugar/Idli(2)/Ragi with milk 11 am- Fruits 1 banana and dates/apple and honey/mango/chiku 1.30pm lunch--Rice, dal,vegetable,fish/meat/egg 3.30pm-one bowl curd with jaggery/juice 6pm- Potato fingers (homemade) with cheese/Sooji Kheer/omlette with cheese 8.30pm-dinner -rice,dal, vegetables I am also breastfeeding her. It would be really helpful if you could provide me some suggestions. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi... Thank you for consulting in Chat Doctor. I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if she/ he is not eating well. 2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause Chat Doctor. Regards - <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello Doctor, My daughter is 9 1/2 years old, from the age of 2 years she is been allergic to cold. She always breathes through mouth and her nostrils get blocked. When we force her to close her mouth and breath through nose she starts coughing and has continuous sneezing and running nose. We have approached many clinics, but the medicine provided was only nozil drops, cough cyrups lik biodryl, relent, quiet and sinarest. Due to which she is unable to concentrate on her studies and we are worried about her future and her health. Some doctors told that she will be fine when she is 12 years old, but some doctors told that there is nerve growth in her nose, which needs to be operated. Please advise <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thank you for asking at Chat Doctor. I went through your daughters history and understand your concern. I would like to know more about her like - Has she had any CT scan of sinuses done so far? Has her nose been ever examined by an ENT surgeon from inside? If yes, what is her status of sinuses and adenoids? Does she snore while asleep? For allergies - What are the best and worst seasons for her? Has she ever had wheezing or breathing difficulty? Does she regurgitate or have heartburn, especially after hot/spicy foods? Does she have any other medical conditions? From your history, I would like to make following suggestions to you:1. Were I treating her, I would prescribe her an intranasal corticosteroid spray like mometasone or fluticasone propionate for at least 2-4 weeks depending on response.2. I would also suggest her allergy testing which will identify the substances that cause troubles to her and also to know how to avoid them.3. A detailed consultation and evaluation by an ENT surgeon is necessary to make suggestions regarding further management. If she has structural defects like deviated nasal septum, she may require surgery. If she has disorders like adenoids, chronic rhinosinusitis, appropriate medicines can be suggested, and if they fail, surgery may be advised.4. Please avoid exposure to dusts, smokes and air pollution to her as much as possible. Hope above suggestions will be helpful to you. Should you have any other query, please feel free to ask at Chat Doctor. Wish your daughter the best of the health. Thank you & Regards. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> i twisted my ankle two nights ago. it is slightly swollen and not very painful, but today was my first long day back at work since the accident-standing all day. i have horrific lower back pain on my right side, the same side as my ankle injury. are they related? any advice on relieving pain <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for writing to us, I have studied your case with diligence. Yes ankle injury and back pain can be related. Instability may increase due to tear and laxity of ligament. I will advise repeating MRI ankle for soft tissue involvement. Till time, you can continue use supportive splint or brace. Physiotherapy like ultrasound and TENS will help in early healing. If age is more you can manage it conservatively with brace and physio. Complication can be ankle arthritis, profound instability, recurrent fall, inability to walk. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hello doctor, i m a 23 year old boy . I started masturbating at the age of around 16 or 17 , but i left it when i was around 20. But after i left it , frequent night emissions became the problem. At first i thought it would reduce by time but it has not stopped untill now and i am very much upset due to this. i encounter nightfall atleast 2-3 times in a week and it has degraded my health . Please suggest me some measures or guidelines in this regard. Thank you <|eot_id|><|start_header_id|>assistant<|end_header_id|> HelloThanks for your query, based on the facts that you have posted it appears that you have problem of night emission since 2-3 years. It is natural to have night emission at the age of adolescence and in the majority of cases it gets cured of its own without any treatment over a period of few years. It has been proved scientifically that night emission does not have any negative effect on any systems or organ in body. Following measure will help you to resolve your problem1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi Doctor, I am 31 year old,married 10 month before. my report detail. volume -7 ml ph - 7.5 sperm concentration - 17 million/mlrapid progressive : 29 %moderate progressive : 41 %sluggish motility :00%Immotile : 30 %Total Motility :70 %Total Sperm Count :119 mil /TSENormal Form 8%Head defect :55%Midpiece defect :5%Multiple Defect :32 %Please suggest me may i fertile? <|eot_id|><|start_header_id|>assistant<|end_header_id|> HelloYour semen analysis findings may indicate low sperm count and excess abnormal morphology sperms. You may need clinical correlation and few investigations like routine hologram, random blood sugar, ultrasound of scrotum. Sperm count is low. Normally it should be at least 20 millions/ml. Normal morphology sperms are also low. At least 16 % sperms should have normal morphology sperms for natural fertilization. Motility is normal. Normally it should be at least 55 %. Your findings suggest over all 70% motile sperms, so it is normal. You should take healthy and nutritious food. Avoid smoking and alcohol if you take it. Take antioxidants and go for regular exercise. Avoid wearing tight undergarments. If infertility persists then you may need assisted fertilization technique. 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|> hello dr.i am 37 years,obess female,my breast size is 42,boobs r very loose,i would like to know about how it will become tight without surgery ,i little heard about male sperm therapy .is it sucessfuk for this purpose? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Welcome to Chat Doctor Good Earthier are many home remedies you may try. Use 2 ice cubes and gently massage them over the surface of the breasts. You can do this 2-3 times a day for 10 minutes each. This helps to toughen the skin and regulate skin tone. You may also use Olive oil gentle massage 2-3 times a day in the similar fashion. You may use Lemongrass or Spearmint oil, 2 Chat Doctor. There are breast lift and firming lotions available over the counter also, and you may try them. Eat a nutritious diet in nuts, fresh fruits and vegetables to improve vitality and skin tone and texture. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Trouble breathing for 18 months.......all tests were preformed....everything ok.....now echocardiogram show right side of heart enlarged. Doctor says it s a lung problem......what would cause enlargement ? I did have a PE event 4 years ago & take warfin. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. Right sided heart is directly rated to lungs. So lung diseases can cause right heart enlargement. Lung diseases like1. COPD (Chronic Obstructive Pulmonary Disease)2. Bronchiectesis3. Interstitial Lung Disease (OLD)4. Pulmonary embolism etc better to consult pulmonologist and get done chest x-ray and PFT (Pulmonary Function Test) for the diagnosis of lung disease. Yes, pulmonary embolism can cause right heart enlargement if the embolic are chronic. So consult pulmonologist and discuss all these. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> doctor i am suffering from pain form last one year in my right scortum , i have also visited cmc vellore 3 months back but sir after doing all the test they left me without any medicine sir still iam suffering from the pain and few doctor in kolkata told me that i am seffering from orchitis i had a lot of antibiotics and hetrzen for the last year sir but the pain has reduced to certain extent but not completely i also have visited amri hospital <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, TESTICULAR PAIN could be due to epididymitis, or inflammation of the testicles, caused by the STI chlamydia. Gangrene, or the death of tissues, as a result of untreated testicular torsion or trauma. A HY Chat Doctor. An inguinal hernia. I suggest you to consult a doctor for further investigation and treatment. Therefore, I suggest consulting a urologist for physical examination, diagnosis and treatment. 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|> Hello my left side of my arm near my fingers and around the heart feel uncomfortable like something is there. I went to a cardiologist and he said that my heart is fine and nothing is wrong and that it can be stress from my excessive typing on the computer. Is there anyway to solve this issue. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, thank you for providing a brief history. Well as you mentioned in your message about you feeling uncomfortable on left arm and hands. Well of course one will get panic and look for a cardiac symptom. It is really to appreciate that you took immediate step and met a cardio. Now since the cardio has mentioned not to worry with the anything as nothing is wrong lets look up to the other factors.it may be a stress or work related issue. Since you mentioned you do a lot of typing that means you use a computer and there will be a lot of stress on the muscles around the neck and the chest muscles. Now taking this into consideration about your job profile I suspect it to be an issue with your repetitive stress injury. That means you have pain and aches due to work related issues. Constant sitting, long hours working, position of your neck and arms. Why don't you try doing some regular breathing exercises, meditation, simple neck exercises and upper limb exercises. Kindly see to even this that you take regular frequent breaks during your working time. As it will help to avoid stress on muscles and avoid work related injuries. Hope you will be fine. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 on 5mg of Coumadin for DVT. I recently had an Echo and it showed slight calcification of aortic valve, so should I be on Vitamin K2 and if so how much and I have read it should be MK4 not MK7? Is this true, K1 thins the blood and should not be used with Coumadin, but MK4 has nothing to do with blood thinning, but only with calcium regulation? <|eot_id|><|start_header_id|>assistant<|end_header_id|> No form for vitamin should be taken while you are on Coumadin analogue. Also, the calcification on aortic valve is age related degeneration and no studies throughout Europe, America or Asia, have found it to reverse with vitamin K analogue, it's a fad and not backed by scientific data, so as a cardiologist I would ask you to refrain from it, as there is no evident benefit, and in your case it can harm. Regards Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hello doctor i have a problem and i need solution for it.actully now a days i dont known why but i am behaving so aggressive which i dont like.my confidence level also very i always have fear that i am not as pretty as otheres.i think i am ugly and not so good looking girl.i have so many goals to achive but i am not concentrating it.i also weak in studies i want to do good job in my work but i dont known i cant do this.i always wanted to apprecite my work it dose not happing to me.i known if my work is good i get the apprecition but i am not giving my 100% to my needs i am unable to concenter on my daily work.for example i am fat i always wanted to be slim and good looking to attract all.but i always fails to do this so plz doctor what will you suggest me. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Degree understand your concerns went through your details. I suggest you not to worry much. Anger always comes due to frustrations in life. Frustrations are normal with everyone. People learn to ignore frustrations when they get experienced. Do you get angry to circumstances outside your home as you get angry at your house? Your office, bus stand, railway station, neighbors etc. If yes, you might need to get evaluated for anger issues. If NO, just understand and compare the two situations, and you can be better yourself. You are frustrated as well as disappointed due to your negative self appraisal. You are you. Never try to become another person which can be a disaster. Be realistic. 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. Sometimes my heart feels like it is getting squeezed, and the my chest tightens up and my left arm feels relly heavy. I do not have any burning sensation in my stomach, my stomach- as far as i know- has nothing to do with this. I would appreciate help soon because i am worried about this <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Please let me know your age, if any risk factors for cardiac illness like obesity, smoking, family history, or hypertension. These symptoms are very much suggestive of heart disease, and you should get yourself evaluated. Get ECG, echo and TMT done if needed. You need to be started on medicine as early as possible. Also get lipid profile and sugars tested once. Till then, you can have tab Arbitrate whenever you have squeezing in chest. Hope I have answered your query. Let me know if I can assist you further. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have had left knee replacement done twice, the last time being Feb. 2013. My knee still hurts when walking or standing and my lower leg and ankle area swell and hurt a lot. Also my left leg hurts down the front part of my leg into the ankle area. It is hard to walk or stand for any length of time due to the pain. What might be the cause and what can I do to help alleviate the pain. Even at night in bed, my unoperated leg aches like crazy. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your query. I have gone through your complaints in details. You are having pain in your ankle not the operated site. You are also having pain on non operated site. What was the reason For first revision surgery? You need better clinical evaluation to rule out orthopedic and non-orthopedic causes of you pain. Need to consult orthopedic as well physician. I have this is just helpful to guide you for further treatment. Best luck <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have been diagnosed with a 1x1 centimeter cyst in my brain. Neurologist said it is benign he believes ive had it since i was born. I dont know how and why he believes that. I recently had an mri to follow up and their was a minimal increase. Do benign cyst grow? Or only malignant cyst grow? Also, is it tru that MRI scans shorten your life? Ive heard mri scans take away 5-10 years of your life expectancy. Im concerned and thank you for your help. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Benign cysts can also increase in size, but their rate of growth is very slow compared to malignant ones. MRS magnetic resonance spectroscopy can distinguish benign from malignant lesions by studying metabolite peaks. It is part of MRI scan. You can discuss it with your doctor. And NO not true, MRI scanning does not take away any day from a persons' life. It has no known harmful effects on human body. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 if you can help me. I have had abdominal pains for the last few weeks with sharp pains coming and going. It has recently got worse with the pain being sometimes unbearable. I am late on my period by 4 weeks but have had negative pregnancy test so I put the missed period down to me loosing a couple kilos. The abdominal pain I m getting has been accompanied by a pressure like feeling in the left side of my chest , this has also got worse. I have also been getting a lot of pain In my left leg , sometimes becoming numb. Pain in my lower abs is constant and making it hard for me to walk around and stand up for long. Can you help me with what this could be? I have also had an eating disorder for 7 years and have a BMI of 16.5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi welcome to Chat Doctor forum. Thanks for asking a question to Chat Doctor. F. You had abdominal pain since few weeks. sometimes light and sometimes heavy. Sometimes pain radiating to left side of chest. You also get pain and numbness of left leg. Pain in lower abdomen is constant, Period is late by 4 weeks. And you have got an eating disorder. As pain is constant in lower abdomen, and coming down to legs, it appears to be the urinary tract infection, or stones in the urinary tract. Other causes are worms in the abdomen, if female, pelvic disease may be there. I advise you to consult a surgeon for diagnosis and treatment. Best regards. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> when i eat egg noodle my stomach starts feeling really bad and i want to barf. my mouth gets watery and i get goosebumps. but when i eat eggs its fine, so i dont think its the egg. also when i eat deep fried food i also get the same problem. how can i fix this <|eot_id|><|start_header_id|>assistant<|end_header_id|> HI, thanks for using Chat Doctor The symptoms that you experience may indicate that you are allergic to one of the components in the meal. If you use eggs with no reaction then it may be the noodles or other ingredient added. If the same ingredient is added to the fried foods then you may be able to identify it. If it is difficult to identify then you should consider allergy testing. This can be in the form of blood tests or skin prick testing. 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 am 21 year old.i started masturbating at the age of 16 year.i did it twice or thrice in a week since then.now i want to stop doing it anymore but the thing is that now i m worried that is masturbating leads to impotency.my ejaculation reduces to 1-2 min and even not sure about the semen count..plz help as i m young enough to recover if i have any problem <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi welcome to Chat Doctor .... I can understand your concern... It is good now you are masturbating only 2 to 3 times per week which is normal... If frequency more than that then there is worry... Still to avoid over masturbation watch less porn if habit.... Yoga, meditation and regular exercise done. Healthy and balanced diet taken. Fruits more.... Avoid bad habit like smoking and alcohol. For your sperm count you can investigate with semen analysis ... Collect semen in clean container by masturbation... Take care. Hope your concern solved. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hey I have a lump under my chin on the upper most part. When ever I gently rub it it s numb and the bump is hard. My glands have swollen but i saw a doctor and they gave me medication for the swollen glands. I m most concerned about my lump under my chin <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Dear,Good afternoon. Thanks for the query to my Chat Doctor online-clinic. I studied your query in-depth. I can understand your concerns for your chin lump.-In my opinion the hard lump under your chin is -hardened pimple -first possibility / and or hardened with died out-infected -sebaceous cyst.-The fact that your doctor advised medicines goes in favor of infective pathology of the chin lump and the swollen neck glands with it.-. I would advise --Alert-A review with ER-Surgeon for the steps to be taken with his advice is a must and urgently advisable in your case.-Hope this would resolve your worry-some query. Wellcome again to Chat Doctor. 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|> Hi my 2yrs old daughter suffering with night caught since 10 days, we have already used amoxilin as doctor proscribed, and she is having heavy cold as we ll please suggest me can I use ambrolite -s syrup ? She is facing lots of breathing problem and snoring as we ll <|eot_id|><|start_header_id|>assistant<|end_header_id|> Your child seems to have allergic rhinitis that is a risk factor for asthma. Continue the prescription by her doctor. Ambrolite-s syrup will help ease her symptoms. I suggest you give her montelukast or singular sachet daily in the evening for a month. Further, protect her from cold and consult her doctor for snoring to confirm whether this is due to adenoids enlargement or this is some wheezy sound. Best of luck for your child. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My right foot has mortons nuromas, and my foot doctor fitted me with crthodic. Pain was still bad and he gave me injection cortisone , told him was having leg pain, 4days later foot feels fine but dull ache in leg. Should i give it more time or see my M.D. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, since the pain is in the leg which is different from the pain in the foot that you had before, I would be concerned particularly about a blood clot in the leg. Maybe its just muscular pain but I would like to be sure it's not a clot-this can be easily excluded by an ultrasound of the veins in the leg. Since this is a specialized test that needs a physician to order and interpret it, I would recommend that you give a call to your MD. Please let me know if that was helpful. Thanks! <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello. Im 19 years old, and Ive had a problem for the past few weeks. Every single night, I have had the same dream. In this dream my 1 year old son dies, and everyone keeps telling me that Im responsible, and I wake up each night in tears. It sits over me all day, and its pretty much all I can think about. I havent spoken to my partner about it, as I fear he will probably just tell me to think about different things. Do you think you can help me? Emma <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi dear. I had gone through your query. I understand your concern. Chat Doctor. It has nothing with real life. Sometimes constant thinking about it will lead to anxiety symptoms. Usually it doesn't require treatment until it affect your daily routine. It can be treated with mild anxiolytic. Sleep remedies like benzodiazepine can also help to reduce it. For detail evaluation you can consult psychiatrist. Still if you have a query then feel free to ask. 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|> what is the maximum milligram amount a pain management doctor can prescribe in a 24 hour day,because my doctor is telling me 140 milligrams of morphine equivelant is all he con give me by law in Tennessee is this true. Mydiagnosis is c-1 through-6 herniated and ruptured disc and sciatica in my loler back. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, thank-you for providing the brief history of you. A thorough clinical neuromuscular assessment is advised. As you have cervical disc and lumbar disc degenerative disc disease, the medicine prescribed in any of the dosage will have a temporary pain relief as the majority of medications are for symptomatic relief. Also, no pain management specialist will induce more or high Chat Doctor. I will recommend you to undergo physical therapy like therapeutic ultrasound therapy and TENS therapy which will have effect on reduction of the pain and the research supports the best of these modalities for pain relief. Also, you need to perform regular exercises to strengthen the muscles of the neck and back to regain the inter vertebral disc space and avoid compression on nerve roots physiologically. In my clinical practice most cases with cervical and lumbar disc degenerative disc disease works well with physical therapy. RegardsJay In <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Last normal period started August 31st. Then noticed lighter red bleeding 8 days earlier than was intended in September on the 23rd and then in October on the 19th, the same thing happened and in November on the 15th, the same thing again..all lasting only a few days..my duration runs 5-7 days and these were 2-3 days..there has been tenderness in the breasts, heaviness in the abdomen , irritability , moodiness and crying a lot and recently (last couple of weeks) some light fluttering on my right side..took 1 pregnancy test that came up negative..then took 2 a little more than a week later that came up positive.. I am wanting to know from when should I calculate by to figure out the due date being that I had this happen..I was told they go by your last normal period. I have been looking for answers and there just doesn t seem to be a straight forward one.. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, You are suffering from irregular period/spotting along with Pre Menstrual Syn Chat Doctor. Several reasons of irregular period like hormonal imbalance, stress/anxiety, ovarian cyst/ POD, thyroid problem, wt gain/extreme loss, irregular eating habits etc. But first exclude pregnancy by doing blood test for B-ChatDoctor. Need to investigate properly to rule out underlying pathology by USG lower abdomen, Thyroid profile, LH/FSH, blood estrogen & progesterone level, PPBS etc. So consult with your doctor and take suggestive measures. Avoid salty food/coffee in 2nd half of period, Avoid stress by yoga/deep breathing, Control body wt, Take healthy diet, Use Tab FLUOXETINE 20 mg OD with Cap PRIM OSA 1000 mg daily and wear tight breast support for some relief, may need OCP/Progesterone pill, maintain personal hygiene and need proper sleep. Be 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|> I am a 5 year survivor of nasopharygeal carcinoma. My worse side affect is the breathing issues that I am now having. I also have a deviated spectrum. The muscus is so bad and thick and I rinse with nasal rinse 7-8 times a day. Any suggestions to help with this, and when talking to others what is the medical turn used for this issue? Thanks for any suggestions! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question I completely understand your question you may be suffering from upper / lower resp tract infection along with rhino sinusitis you need to consult a pulmonologist to evaluate the condition and to rule out other causes like Mets. Pulmonologist may start you on some broad spectrum antibiotics and nasal decongestants like lifetime and fexofenadinesteam inhalation three times ll help you can discuss the above-mentioned diagnosis and treatment with the pulmonologist who will guide u regarding the disease and prescribe you the treatment thanks feel free to ask more questions may god bless you with good health <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, I am a 27 year old male and an avid workout enthusiast. I recently completed a 19 week training program and noticed a lump above my belly button when I pushed inward. It is not protruding outward and does not hurt to touch or move. It also has not limited my range of motion in any manner. Over the course of the week I have rested and the lump has decreased. I initially thought hernia, but could it be an abdominal strain? <|eot_id|><|start_header_id|>assistant<|end_header_id|> HI, Good Evening.@My current impression of your case is -Epigastric Hernia due to the defect in the Line Alba, which protrudes due to increased Intra-abdominal pressures during the work-out.-Other possibility could be -Para-umbilical Hernia due to the defect just above belly button-Pre-peritoneal fat herniation without any entrappment-or/ non-trapped pre-peritoneal fat.-abdominal strain is the cause of the above three diseases. I would advise Sports Medicine-doctor-to help you out on the corrective steps to relive of this problemRevert after 2 was for review of your case at Chat Doctor by direct private query. Hope this resolves your issues with your health ailment. Write strong recommendations without fail ASAP. Good Night from INDIA. With Regards Chat Doctor. N. Super-specialist in NCCD-Non-Curable Chronic Disorders and Rejuvenation therapies in tissue and organ failures <|eot_id|>

<|begin_of_text|><|start_header_id|>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 Morning Doc. Recently I am noticing that I have formation of some white color fungi formation inside the foreskin of my penis. Whenever I take bath I wash it thoroughly and there is no problem till end of the day and thereafter itching will start from time to time. As a research work I noticed that if I won t take bath and if I won t wash the penis head by removing the foreskin, then the formation of white yest is more. What is the reason for this? and I am more interested to know why it is happening like this? Pl. advice <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for writing in. It can be due to Atlantis which is infection of the region between the glans or head of penis and foreskin. This happens because of secretions collecting when you do not take bath or maintain hygiene. Simply giving yourself regular baths will solve the problem. If you do not take precautions then severity of Atlantis will increase leading to fibrosis which can cause difficulty in passing urine and having erection during sex. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 Type 2 diabetic. I woke up last Friday and found that I could not use my right hand. When I put up both hands and hold them in front me the left hand stays in place. The right hand has a significant droop and all the fingers and thumbs were numb. I went to see my PCP and he also noticed that my right hand and arm were much colder to the touch. I was not able to hold a pen, brush my hair, or hold anything in my right hand. I have an appointment with a Neurologist this Friday. I have regained use of the hand and can now right and hold a half full glass of water. However, the pain has increased in the hand. I am happy that I have about a 50% improvement in my right hand but am confused why I had my initial loss of function in the hand and why their is now more pain. I know this could be many things but do you have two or three conditions that could be causing this. I <|eot_id|><|start_header_id|>assistant<|end_header_id|> THANKS you have pain and weakness in right upper limb only which 50 % improved without treatment. Cause of right upper limb monoparesis with pain, most probably is right brachial phlebitis, an autoimmune condition which improved after some time. If you will take steroid for 1 month, it will be rapid improvement. You are diabetic and if you have weakness also in right lower limb than it is right side hemiparesis than may be due to left side infarct in brain. My diagnosis is you have right brachial phlebitis. It will improve in 3 months. So you should take steroid <|eot_id|>

<|begin_of_text|><|start_header_id|>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 heart was beating erratically in my chest that it was moving my chest on its own and my throat started to feel like it was tightening. This lasted about fifteen minutes. Id like to Know what that is. Im fourteen and I have high blood pressure as well. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Palpitation in your case could be due to elevated blood pressure or anxiety or any cardiac rhythm abnormality. I advise you to consult a physician and get yourself worked up for these conditions. You may need few tests like BP measurement, ECG, 2d Echo, holder study or any other tests to rule out these conditions.In the meanwhile I suggest you not to take any stress and avoid situations that cause your symptoms. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 23 years old female.About 6 months ago I first noticed after a shower that these little lumps under my skin on my shoulder appeared. These are painless, and have only gotten a bit longer and thicker since the first appearance. They only appear after a shower or after putting body lotionon, for a few seconds or minutes and then disappear again.They feel swollen like lymph nodes.My family has a history for cancer, however after doing some research could these be parasites?Any help or direction with this would greatly be appreciated.Thanks <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, You have mentioned this lesion appeared after using some lotion then this may be due to hypersensitivity reaction. Little swelling at the shoulder which disappears sometime surely not related to any sort of cancer. At this region there are no major lymph nodes. Parasitic infection may be there but without clinical examination of the lesion it is difficult to comment. You should visit a dermatologists' office for better guidance. <|eot_id|>

<|begin_of_text|><|start_header_id|>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/mami m 29yrs old with 184cm height n 81kg weight. my problem is that my chest is bulging from the center and there s lots of tissues in the nipple area, which looks like ladies breast. sir plz suggest some remedy 4 this problem...... i feel shy due to this problem.....!! i ll b thankful 4 ur reply <|eot_id|><|start_header_id|>assistant<|end_header_id|> Dear serve understand your concerns went through your details. Your chest is not bulging because of hormonal issues. They are bulging because of lack of exercise. Do physical exercises. Include 20 to 30 chest push ups twice daily for tightness of chest muscles. 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,I recently came to know that i have an polyp in my uterus & 3.5 cm Cyst on right ovary.My Doctor suggested to wait for one month & then she would do Hysteroscopy & Laproscopy.I dont want any surgeries.Are there home remedies to dissolve these.Thank You, <|eot_id|><|start_header_id|>assistant<|end_header_id|> Listerine POLYPS and CYSTS are completely CURABLE (success rate up to 75 - 80 %)with the help of AYURVEDA medicines and there is NO NEED of HYSTERECTOMY. It takes 04 - 06 MONTHS for complete treatment and the patient is alright. But before moving ahead, I need answers of following questions - 1. Do you suffer from HEAVY MENSTRUAL BLEEDING ? 2. If yes, then for HOW MANY DAYS IN A MONTH ? 3. Are you taking any MEDICINES for this e.g. Norethisterone or others ? Please elaborate. In my clinic, females with uterine polyps and cysts often come with above three presentations and just telling that the doctor has given them a time of 01 - 02 months for hysterectomy, but 90 % of them never considered the option after completion of treatment. To plan a treatment, your complete medical history needs to be seen first. Hope the answer will help you. 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|> Hi, My boyfriend and I were having sex and before he put the condom on he was rubbing his penis around my vagina. Not inside just around the labia. I was wondering could the pre ejaculation fluid still get me pregnant from outside of the actual canal (if so, how?) Also would penetrating me straight after, push the fluids in me? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thank you for trusting Chat Doctor The chances of you getting pregnant are very, very slim from what you just explained, but you know it's not impossible. Studies have shown that in some individuals this pre-ejaculatory fluid does actually have some spermatozoa and as u mentioned, during the actual intercourse, what was deposited around the vulva might actually be pushed into the vagina and up to the cervix and hence pregnancy. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 30 years old and trying to conceive our 2nd child. Our first child is now 8 years old (same father). This cycle, I did 100 mg of Clomid on days 5-9 and went for the progesterone test on Day 22. On Day 23, I got a positive Ovulation Predictor Kit result along with ovarian pain and tenderness. The bloodwork results (from a draw on Day 22) showed that I did not ovulate. I am not surprised as I believe I ovulated on Day 24 or so. I am now on Day 29. My doctors office did not mention having my progesterone levels tested again but are sending me to a reproductive endocrinologist on a referral. I truly believe I ovulated around Day 24. My average cycle is around 38 days, which would mean a luteal phase of 14 days. Could I be pregnant or does the negative results on the bloodwork (taken before I believe I ovulated) indicate otherwise? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, and I hope I can clarify this for you. You are absolutely correct in the fact that the length of your cycle is related to when you ovulate... and your ovulation date is 14 days back from when you got your period, rather than counting 14 days from the start of your period. It is typical for most women to have a 14-day luteal phase, as you suggested. You absolutely may ovulate later in your cycle. I do not know how long you and your partner have tried to conceive before trying Closed. I would not recommend trying Closed at all unless you have tried for a year (meaning unprotected sex at least 2-3 times per week) and not become pregnant. A reproductive endocrinologist is an appropriate referral if you have a history of infertility for one year, and if you fail at least 3 cycles of Closed. They can prescribe Closed and combine it with intrauterine insemination, which can increase the success rate. Even though you may have had a child together before, there can be an issue with the male partner too, and it would be advisable he gets his sperm count evaluated. But you can still have conceived this cycle if you ovulated on the closed, and continued to have unprotected sex at least a week after your ovulation kit showed positive. Your progesterone level pre-ovulation is not relevant at all. So- if you don't get a period by day 35 or so, do a pregnancy test. And if you didn't conceive this cycle, a reproductive endocrinologist might be a better choice to manage your Closed. I hope this answered your question, and best of luck in getting pregnant. 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|> 2-weeks ago I had a lower right impacted wisdom tooth removed as well as the ajioning molor. I have been monitoring the hole left closly, keeping it clean. Up until a day or two ago the bottom of the hole was black, now it appears brown and spongy. Is this tissue fillling in or should I be concerned. Also, my jaw is still stiff and painful and does not open fully. As it has been 2-weeks shouldn t this be better by now? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your query, I have gone through your query. The turning of black to brown color in the socket is normal, nothing to be panic. The limited mouth opening can be because the local muscle contraction or soreness. The clot will be initially reddish later it becomes brown and later calcifies to become callus(soft bone). Nothing to be panic, do not touch that area with your finger, because it might dislodge the clot and result in infection. Do saline gargling. I hope my answer will help you, take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have been dealing with some type I skin rash that seems to stem from a sore area between my scrotum and rectum. I have tried all types of anti fungal creams due to suspected jock itch, creams seem to make it worse, and I have found the only way to get any relief is to heavily apply Gold Bond medicated powder which only helps for a short while. Please help it I driving me insane. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for the query to Chat Doctor. Forum. This type of intense itching usually occurs in the night and may be,1 Edematous dermatitis, diagnosis can be confirmed by physical examination by a dermatologist and biopsy of effected part.2 Due to thread worm there develops itching around anus opening (as pin worm) and this spread to others part as seems to be in your case. Diagnosis can be confirmed by stool examination. Take a worm treatment. 3 Sometimes hemorrhoid causes itching around anus and its surroundings so consult a surgeon so that diagnosis can be confirmed. In my opinion first consult a dermatologist and get his opinion. 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, may I answer your health queries right now ? Please type your query here...Hi i have had a long problem which started with my ears being ichy and the problem just stayed there even with alot of visits to my doctor with alot of different answers and now i my glands in my neck are up and have been for a long time but not sure if they have been up since the problem started with my ears. It has worried me but im not one of the best people that can explain to a doctor what is going on with me. the other problem i have had with my ears is they make like a thumpping sound in my ear on the left when i hear a high pitch sound like when im making myself a drink and sturring my drink in a mug and the spoon hits the mug making a high pitch chime. I dont feel ill i feel fine but am confussed and worried i am still seeing my doctor about this but they do appear to be at a lost i am yet to ask to see a ear nose and throat specialist. just wont another insight into this.Regards Ian <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi Dear, Welcome to Chat Doctor, As per your query you have severe itching in ears with swollen glands in neck. Well there can be many reasons for itching like slightest accumulation of debris, even a dead hair, may be felt as an itching sensation ear canal dermatitis, Otis media, lymphadenopathy and wax buildup. Allergic reaction can also be one of the reasons. I would suggest you to consult ENT specialist for proper examination. Doctor may order CT scan and examine with horoscope. Doctor may prescribe antibiotics gentamicin for a week along with corticosteroid ear Chat Doctor. For now, you can put 2 <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My mother in law sufering from jundice from five days her eyes became very yelloish and not eating any thing only crud. See was became very week and which diets to be given to them and she was taking only Blood Presure medecine. Please give me some guidence so i can do my best doctor. Thank you <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello really appreciate your concern for your mother-in-law. In my opinion you should give her fruit juices, fresh fruits, vegetables and dietary fiber in her diet. You can give her high glucose diet if she is not diabetic. Syp lactulose can be given if she is having constipation and improve her motion. Antiacidity medicine like pantoprazole or sanitizing is also advisable. Multivitamin supplements can be given for speedy recovery and meet the deficiency of vitamins. Hope this answers your question, please do write back to me with her reports so that I will be able to tell you more precisely. 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 been experiencing numbless and pain in both of my legs, for about 8 months. My leg are tingling, sharp stabbing pain , about the last too weeks my right foot start hurting I couldnt put any pressure on it and the ball of my right foot feels like theres a blister there but its not. I have not been told that Im a diabetic but it do run it the family a sister and a brother has it <|eot_id|><|start_header_id|>assistant<|end_header_id|> Symptoms of Diabetes include frequent urination, increased hunger and thirst, Itching private parts, Burning feet and also numbness of foot. As you are having risk, you can get Glucose tolerance test done every year. If the test results are normal you can repeat it every year. For prevention of Diabetes, follow healthy lifestyle with diet less in refined sugars and carboy Chat Doctor. Exercise 150 mins a week. Hope my advice will be of help to you. You can get back to me with test results. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hello sir, best regards. im a medical student in bangladesh of final year. my brother had a prblem right now. he has multiple matted erythema specially on chest with sever pruritus. i prefered him Fexofenadine, but improvement is not significant. should i use Imidazoles & topical steroids. pls , help me, sir. i cant able my seniors right now. thank u, sir <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your concern. Multiple matted arrhythmia with pruritic can be due to urticaria (skin allergy). And in my opinion, it is better to give combination of anti-allergic (montelukast) and anti histamine (fexofenadine) instead of plain fexofenadine. You can also apply steroid cream (mometasone). In severe cases, oral steroids (prednisone) is also advisable. If he still feels itching then consult dermatologist and get done clinical examination and skin Biopsy for confirmation. Hope I have solved your query. I will be happy to help you further. Wishing good health to your brother. Thanks. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi doc, i mc Dec 2013 and i tried straight away all in vain, my doc prescribe me to take ova care of 30days, any chance of getting pregency? my period is 28 cycle and i bleed from 9th this month to 13th, i started my ova care on 14th my hig fertile day will be 19th to 23th can i do sex and see if i can conceive? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Ovacare is a nutritional supplement to facilitate ovarian function and is found to be beneficial in POD cases. You can give a fair trial of 6 months with medicine and unprotected sex on your best fertile days. Actually, you can confirm your ovulation day by LH surge test, a home test, and try with unprotected sex from the day the test comes positive for 5 days at a stretch mostly you should conceive. In case there is no positive response in 6 months, I would suggest you both to get investigated thoroughly and get specific treatment, in case there is some problem. Scientific treatment offers the best fertility in most of the cases. Hope I have answered your query. Let me know if I can assist you further. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have a red rash on my chest. I was wondering if it could have been caused by red rice yeast. I had been taking one tablet until about two weeks ago, my gp suggested I up the dosage to two, then eventually three. I have not changed laundry detergent; in fact, I use the dye-free detergent. Could it be caused by a virus? Or is it dermatitis? I did have a rash on my hand this past spring which I thought was caused by contact with my horses hay. I was careful to use gloves and it went away. It seems to me I remember reading that yeast causes rashes. Thank you. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, It could be a seborrhea dermatitis. The rash in seborrhea dermatitis is Chat Doctor. It most commonly involves the scalp. However, other sites that may be affected include chest, face, etc. Seborrhea dermatitis is a steroid responsive Dermatitis. I suggest you to use a moderately potent topical steroid cream e.g. either Mometasone Furnace cream or Triamcinolone Acetone cream, twice daily for a week. Hope I have answered your query. Let me know if I can assist you further. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi , I am only 18 years old and for two days now i have this pain in the center of my lower back . When I get up i feel the pain and if i sit for two long . Also when i walk i sorta have to bend my knees and make this strange arch with my body so i can move around . <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query what you have described is an acute/sudden onset of pain in the back that is restricting the mobility. Since you have not mentioned it, I am assuming that you have not developed any symptoms in the legs yet. I would sincerely suggest an MRI of the LS spine. The MRI would be able to give us the information as to the cause of pain in the bathe medicines can be prescribed accordingly. So do let us know the report of MRI for further suggestion hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of 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, My son is 2yrs 7 months. He is suffering from cough with wheezing (repeated infections since past one and half months). Initially he was on nebulization and the doctor prescribed Azithral for 5 days.He recovered a bit and again after 4/5 days the same situation of persistent cough and wheezing continued. We got the blood test done. His eosinophilia is 20%. Doctor has prescribed for LIvolin syrup and Banoside syrup (3ml twice daily for 20 days).Please advice. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello welcome to Chat Doctor , Based on your children history and treatment received most likely reason for his cough seems to be allergic (reactive airway disease), chances of which are more if there is family history of allergic also. If your child responds immediately to nebulization, chances of allergic cough are very much. Inhalation therapy are best recommended treatment for such type of cough, also you need to check your immunization, apart from routine vaccines he needs yearly flu vaccination. As these are prescription 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 father(age-50yrs, height-6 feet, weight- I dont know, medical history- victim of piles) has a wound in his food pipe.Because of which his stomach is fattening,without eating anything(he does not feels hungry ). And a specimen of some part has been sent to Mumbai for diagnosis(byopsis). And we are afraid that diagnosis may lead to cancer. So, I wanted to know can this be a cause of cancer to any extent? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, dairy have gone through your question. I can understand your concern. He may have esophageal cancer or may be some benign lesion. Biopsy give the exact diagnosis, and then you should take treatment accordingly. Biopsy is not a cause of cancer spread. It just a diagnostic procedure. Just wait for your biopsy diagnosis and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello, I did a test on typhoid and malaria fever and this was my result, I hope to get if I am OK or need medical attention.Widal reaction test is below: Salmonella typhi 0 1:160 H 1:160Salmonella paratyphi. A0 1:160 AH 1:160Salmonella paratyphi. B0 1:160 BH 1:160Salmonella paratyphi. C0 1:40 CH 1:80Do help me! Thank you so much. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, tidal test can't be interpreted as other investigation s. We need your history of salmonella contact. 1st of all you haunt mentioned your country. Depending on how common the disease in your country the cut-off mark for the test changes. Your travel history should be mentioned to get an idea of your travelling to endemic countries. You have to mention whether you have had the disease earlier, clinically or subclinically. Whether you have had typhoid vaccine. All these facts are needed for interpretation. Less you have contacted with s.type and s.paratyphoid tidal test results would make more sense. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 like an opinion 1) should I see an orthopedic or neurosurgeon 2) Have to climb stairs 20 x a day, make it worse? Will try to make this easy to readCervical.................C4-5 mild loss of the normal cervical lordosis with a mild focal kyphosis. C3-4 mild posterior disc bulge without evidence of significantspinal canal or neural forminal stenosis C4-5 posterior disc oesteophytic complex which result in mild spinal canal narrowing. Minimal bilateral neurall foraminal narrowing C5-6 small posterior disc complex and uncovertebral hypertrophy resulting in mild bilateral neural foraminal stenosis Minimal spinal canal narrowingLumbar...................Osteoporosis L3-4 diffuse bulge. worse on right questionable slight mass effect on right l4 nerve root L4-5diffuse disc bulge, small broad based central and right posterior paracentral disc herniation with extension to right neural foramen slight mass effectt on right L4-5 nerve roots is posible L5-S1 posterior annular tear and small broad based posterior central disc herniationALL of my pain is in my muscles,total bilateral down to feet including feet, walk flat footed.....Knuckles in hands enlarged mostly pinky and thumb knuckles again bilateral.Muscles in neck stiff 24/7 Can all of this derive from the spinal situation.....or a muscle disorder. dr did blood test for MS, came out positive. He said only way to tell for sure is a brain cat scan looking for lesions. 35 yrs ago diagnosied with hydrocephlaus with lesions and report had the word blockage. At loma linda and night before surgrey was cancel.I am 68 so really dont want surgery. lumbar is 24/7 cervical when pain occurs is on a scale of 9.9 Would like your opinion and I know its hard without seeing me. Thankyou Also numbness, tingling twitching burning charly horse, Numbness entails both legs and fingers on both hands. sorry this is so lengthy C4-5Posterior disc complex and uncovertebral hypertrophyresulting in mild bilateral neural forminal stenosis. mimimal spinal canal narrowingLumbar............... <|eot_id|><|start_header_id|>assistant<|end_header_id|> HelloFindings suggests multi-level degenerative changes in cervical spine. Degenerative changes are generally age related findings. It is due to chronic stress on annulus fibrosis. At C5-6 level, there is disc complex with hypertrophy of uncut which is causing mild narrowing of neural form amen in both sides. Minimal narrowing noted in central spinal canal. In lumbar vertebra there are more degenerative changes. There are diffuse discs bulge at multiple levels. Majority of degenerative disc disease patients are benefited by conservative treatment in the form of physiotherapy, analgesics and muscle relaxants. Surgery is advised in non responding cases. Physiotherapy helps in strengthening of para spinal muscles, and it prevents further changes. Since you have mild findings, most likely you will need physiotherapy only. 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|> My son fell and hit the side of his face on the floor. There was no bleeding, but there is a huge bump on his gums on the side that he fell on. The bump hurts to touch, but otherwise isnt painful; just very swollen. Does he need to see a dentist about this? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. Can understand your concern. As per your complaint swelling and bruising of gums after injury can happen due to inflammation caused due to injury. It may also be due to internal bleeding due to rupture of blood vessels causing bruising and lump formation. It may also be associated with fracture of the jaw bone if there is difficulty in opening and closing of mouth and pain. I would suggest you to take your son to a dentist to get him ruled out for the cause of him signs and symptoms. The dentist will take desired x-rays and clinical examination to give correct diagnosis and treatment can be planned. Till the time you can give him cold packs by wrapping ice in a cloth and placing intermittently over the affected area. In case of pain painkiller in child doses can be given. But you should visit a dentist soon. Hope your query is solved. Thanks and regards. Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have been ill for three months now and I believe I have a bad infection I have symptoms that include head pain and pain in my muscles but they seem to subside if I am laying still if I try to do anything my body aches from a burning in my arms legs and feet my primary gave me liboflaxian but to no avail it was taken in the beginning of my sickness . I believe I had this before but not as bad I m dizzy to the point I can not drive . I took amoxicillian the first time I had this and a few years later when these symptoms showed again I took Cipro both times before it seemed to work any suggestions I am getting worse <|eot_id|><|start_header_id|>assistant<|end_header_id|> If you think you have some infection, do CBC, ESR tests along with urine routine and microscopic examinations. Do you have fever?if yes, keep record of it.recurring headache can be caused due to many reasons. Do you wear glasses regularly?if no go for an eye check up. If yes then also do it. With the tests I told, visit a doctor, till then for the body ache you can take Coquitlam tablet twice a day after food. For the burning sensation in arms and the legs, as you were sick for a long time, so this happens when you Chat Doctor. It might be due to deficiency of vitamins specially Vito, take B complex tablet once every day for 10 days. And visit a doctor in person asap. Because if you have infection your TLC count ll be increased then you need wide spectrum antibiotics course then. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello sir,am 25yrs old,i had a history of tuberculosis 4 yrs back I took 9 months treatment and repeated my chest xray it was normal,recently while undergoing a medical check up for gulf country my Xray showed opacity of right hilum,but my PPD TEST was negative am really worried,will my old TB scar heal? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Howell come to ChatDoctorI really appreciate your concern, if you have completed the course of tuberculosis then it may not be any lesion detected in x-ray if this is so then it may be resistance case of tuberculosis, and it has to be taken under consideration PPD test is not specific one for any decision, better to get done the repeat x-ray, it is highly requiring differentiating the lesion from tuberculosis, hope this information helps. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My five year old constantly complains of a tummy ache right behind her belly button. She tells me it s like someone punched her. We have tried doing the dairy free approach and nothing. It happens at all times during the day...even at night. She s not constipated. Any suggestions? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Before commenting about the causes, it would be better if we know about the duration of abdominal pain and any aggregating or relieving factors. Any night awakening because of abdominal pain? Any recent history of viral infections? Any altered bowel habits or blood-tinged stools? Her weight and growth pattern? Her schooling and absenteeism? Anyone in the family has migraine history? I know you are worried, but we need these details before commenting on the causes. I would advise you to visit a pediatrician to examine your children tummy to rule out any surgical causes. 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 have had this problem since August 2008. I have severe pain dull and achy and sometimes sharp in my upper left side of my stomach. I have symptoms of pain, wheezing in the exact spot of my pain and alcohol causes it to be more painful. I also feel the pain radiate to my back. Its literally one particular spot but because my stomach is always distended and swollen its hard to know where it is sometimes. I have seen several doctors but nothing. I have taken several tests, but nothing. I have tried different diet but nothing. Any ideas what this sounds like? The pain is always there, never leaves, but the wheezing comes and goes, like the back pain. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. Thanks for your query. Read the history and understood the problems. You have a long-standing problem, severe pain - dull and achy and sometimes sharp in the left upper abdomen. Increases on alcohol, radiation to the back; there is a particular spot in the abdomen which is always distended, hard, Visited many Doctors, several tests done, tried different diets. Pain is constant, wheezing is there. All the symptoms taken together are suggestive of the following probable diagnosis:Pancreatitis with a cyst Cancer of the Stomach or pancreas or transverse colon. The best way to get a proper diagnosis is Investigations:-Upper GI Endoscopy-Colonoscopy-CT scan of the abdomen. Further treatment will be as per the findings of the investigations. Till then No Alcohol, soft bland diet. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Have several small hurting and pus and blood filled bumps along belt-line that continue to occur...is musculum contagiasium, boils, scabies, an sti, herpes simplex, allergy to pet dander, clothes, detergent, or bleach, or something new...only appear in groin area...not on penis. <|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 benign cysts or some skin lesions or something else. You should go for biopsy of that lesion. It will give you exact idea regarding cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi, i am 25 year old married from 2.5 year from last 8 months i m trying to concieve but not getting the result.i have pcod and very irregular periods.i had an ovalution checking ultrasound done which was normal size of growth of my eggs were normal.my periods are always 8 to 10 days late and during that late period phase i have urine burning and constipation.ive done urine test which was also normal no infection <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, I think you should take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 months. Discuss with your doctor regarding this. If it doesn't work then you can go for HSG to see for tubal patency and if it is normal you can try for GUI. Do a semen analysis of your husband. Hope I have answered your question. Regards Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My 12 month old who is competely healthy has these tiny, dark red spots under the skin of the soles of her feet. They arent itchy or painful, theyre flat. Shes been drinking and urinating a lot more and has loss a little bit of her appetite. Is this something serious? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi...by what you quote I think that it could be a simple viral exanthem, or it could be hand foot mouth disease. Whatever it is I suggest you show her to her regular pediatrician and get the opinion to be on the safer side. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My daughter have recently given birth to a baby boy 6 days back. she is having problem of breast feeding as earlier milk was not coming & now baby is finding difficulty in feeding because of which he cries lot more. In order to overcome this issue we have started giving Lactodex 1 approx 40 to 50 ml in every 2 to 3 hrs time i.e 300 to 320 ml per day.Kindly advise whether we are doing right thing or is there any optionWe await for your valuable replyChirag Dave <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for asking I have gone through your question. Your daughter given birth 6 days back and baby having difficulty in breastfeeding. He has been started about 320 ml of lactose 1 daily. I want to advise you that there is no substitute for mothers milk. Every mother can breastfeed her baby. Because there are so many advantage of mothers milk1. Those infant take exclusive breast milk are get less frequent illness like loose motions, asthma .2. Exclusive breastfeed baby have better IQ then milk powder feed baby, and in one study they earn more than milk powder feed when they become adult. So try, try and try till baby start take breastfeeding. There may be some reason that interfere breastfeeding, like inverted nipples, tight breasts, improper technique for feeding, so you can rectify these problems or can consult lactation constant or your gynecologist or pediatrician. You expressed breast and the milk that expressed should be given by spoon. Regarding your query for volume of milk we recommend about 120mL to 150mL per kg per day. So if weight is about 3 kg, we recommend about 360mL per day. These volume is just rough estimate, make the feed some extra what baby take last time. It baby finish 50 ml then next time your prepare 60 ml of feed, and so on. Baby should pass 6-8 time urine in 24 hours indicate sufficient intake hope i able to answer your query and I will be very happy baby start taking breastfeed, thanks <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, I have been battling a cold for about a week now. Within the last 3 or 4 days, Ive developed a wet cough where my chest and throat feel like theyre on fire and sometimes yellowish mucus comes up. It never comes up when I blow my nose, only when I cough hard. Please help! Thank you <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your questioning my opinion you are suffering from bacterial upper/ lower resp tract infection you need to visit a Pulmonologist, who may request for a chest X-ray and a sputum culture and sensitivity and accordingly the most suitable and effective medicines can be started in my patients I usually start them on broad spectrum cephalosporins and clavulinic acid along with some decongestants steam inhalation will help a lot of done thrice a day thanks feel free to ask more questions <|eot_id|>