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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
My son s great toe and the toe next to it are infected. One doctor told him that he has trench foot. He hurt his great toe at work, it jammed the toenail back into the curticle. The skin on this great toe started to peel off and swell, then it split in the crease, the second toe started to turn red and peel off. He has a lot of pain in his foot and it travels up into his calf and behind his knee. He had an MRI which didn t show any infection in the bone but the pain is really bad. He was told by wound care to let it dry but it looks worse now than before. This has been going on for more than two months. The pain is so bad he can t sleep. He is a coalminer. He has changed socks often while working. No one seems to want to do any thing to help him. His foot has started to swell now. What is the next course he needs to take. in <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello, As per your clinical history is concerned, please follow like this:1) Do a clinical examination by your Doctor [dermatologist] and do CBC with differential.2) Discuss with your Doctor about injectable antibiotics like [Ceftriaxone].3) Try to elevate the affected area for quick recovery and clean affected part in antibiotic solutions. Do follow lifestyle modifications like this:1) Wash your wound daily with soap and water. Do this gently as part of your normal bathing.2) Apply a protective cream or ointment. For most surface wounds, an over-the-counter antibiotic ointment (Newsprint) provides adequate protection.3) Try to cover your wound with a bandage. Change bandages at least daily.4) Watch for signs of infection. Redness, pain, and Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
3 yr old female has urine that has no smell, yet mucus like discharge that looks like egg yolks or kind of like if toilet paper sits in water for a long time: white and sort of lumpy. Child urinated in panties and lots of jelly like like residue left, so i scooped and placed in ziplock bag, took to dr.s office. Dr did not look under microscope, prescribed cefnidir. No fever, less frequency in urinating. Pls guide. Thanks <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, your child is passing urine which is yolk like means it is thick white in appearance, this is suggestive of urinary tract infection or high phosphate levels in urine. I suggest you to do urine routine microscopy and culture test to look for infection in child. Further treatment will depend on above reports. Your doctor has also started antibiotic, so he is also thinking of urinary tract infection. If you have already done it then revert with reports. Take care. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
i have had two neck surgeries and two mid back sugeries and they noticed i have a bulging disc below where the rods and screws in my back is. i have had severe pain lately. and i woke up with bruises on my back . and i have not bumped it. what is this from <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello, I have studied your case. If your MRI says herniating disc then this can lead to compression of exiting nerve root which later on supply lower limb. Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. Neurotropic medication like methylcobalamine and pregabalin will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. Spine extension exercises will help you. I will advise checking your it B12 and it D3 level. MRI shows disc compressing on nerve root then re -surgery decompression is permanent solution. 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. Take care. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
I noticed lately I accidently suck my stomach in most of the time, and when I sit or stand up straight with my stomach relaxed it hurts, especially when I breathe. When I breathe in like that is causes a sharp pain to go from the center of my diaphragm up to the middle of my chest. Is it just because the muscles around my stomach have tightened up? Or could it be something else? Also, I did slip and fall backwards on a hill a few weeks ago, and landed with my hands extended backwards with most of my weight landing on them. It ended up hurting my chest and spine/shoulders really badly, but I thought it was feeling better. (I went to the doctor, got an x-ray done on my ribs and he said I was fine and I probably just hurt some muscles) Could the muscles just not be fully healed yet and causing the pain? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello, I read carefully your query and understand your concern. You symptoms seem to be related to muscle pain. OTC pain relievers are effective at treating chest tightness caused by muscle soreness. I recommend to use Tylenol or Ibuprofen three times a day to relieve the pain. Warm compresses can also be helpful. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. <|eot_id|> |
<|begin_of_text|><|start_header_id|>system<|end_header_id|>
You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
Hello I am in china. I had some pain in my lower stomach . I though that I may eat some thing wrong that y it is bloating so finally I just went to had a C T scan today in china. The result came back show that I had a fluid in my pelvic . Is it some thing I have to worry about or not please help. I really don t trust DR in china <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello, Thanks for writing in. Free fluid in pelvis can mean many things.1. Little amount of fluid can be normal in females.2. Fluid can result from any infection in the bowel.3. Fluid in abdomen can also be due to serious conditions.4. Trauma to abdomen can lead to fluid.5. In diseases of liver, kidney and heart fluid accumulates in abdomen. Please get yourself examined properly by internal medicine specialist. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
Hi I have an annoying fluttering/twitching feeling in my upper right abdomen area right under the rib. It feels as if i am 6 months pregnant (which i am not 6 tests different times of day all negative) Anyidea what on earth this could be? I have no health insurance and very worried. Thank you. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Thanks for your question on Chat Doctor. I can understand your situation and problem. Possibility of stress and anxiety related symptoms is more in your case. But better to rule out heart related diseases like arrhythmia first. Arrhythmia is disturbance in the rhythm of heart. And when this present, it gives fluttering, vibratory feeling in the lower chest or upper abdomen. And if arrhythmia is present then prompt treatment is needed because it is life-threatening condition. So better to get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
I have been working out and running for several weeks now and this is the first time I have been running since middle school. I ve notice the past two days a slight sharp pain when I inhale all the way. The pain is in the center of my chest. Is this like a pulled muscle surrounding my lung? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Thanks for your question on Chat Doctor. I can understand your concern. Yes, possibility of pulled muscle is more likely. So apply warm water pad on affected areas of chest. Take simple painkiller and muscle relaxant Chat Doctor. Avoid heavyweight lifting and strenuous exercise. Avoid sudden jerky movements of chest. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
i recently had a circumsision done 3 weeks ago, i am healing nicely but there is still some sweling around the cut line, how long will the swelling fade away completely(its mostly swollen on the underside nad the topt side is okay). also i am corncened about the frenelum being a bit tight when i am erect, i di not have the problem before circumsizing, will it loosen up as time go on or what? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
HelloThanks for query. Swelling at the site of suture line is common after circumcision due to edema of sub cutaneous tissue, and normally it takes 4-6 weeks for complete healing and get normalized like a normal skin. The frenulum which is tight now will become soft and supple once wound heals up completely. Clean and wash your genital with warm water twice daily and apply soothing ointment like Newsprint or Betadine twice daily. Thanks Chat Doctor. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
i am using Depiwhite cream and calamine lotion since 10 month but spots didnt go. What i do sir ? i have dark spots and hyper pigmentaion on the cheeks . Iam using Depiwhite in the night and Kojiwit lotion before bath and Markal lotion after bath. What I do use? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello, Welcome to Chat Doctor. The hyperpigmentation on your face as described by you could be due to plasma. I would recommend you to use a face wash twice a day ideally a one containing glycolic acid as it helps in exfoliation and to even out the skin tone. The most important product will be a sunscreen. Half an hour before going out apply a sunscreen and reapply it every three to four hours. Continue the creams that you have been using. You could consider chemical peels like glycolic acid peels and retinol peels. You can get these done by a dermatologist. Have healthy diet consisting of anti oxidants (fruits and vegetables). Hope this helps 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 sever back pain, not all the time usually at night or when i rest. it goes down left side of my buttocks and hurts when i put pressure on that side of my body. for example when i put weight on left leg when i walk. is there anything i can take for the pain ? have been using a heat pack. but nothing really helps. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello and welcome, Thanks for your query. When you say your pain is usually at night, is it because you sleep on your back and thus apply pressure on your lower back and/or left leg (mainly till your mid-thigh) ? Does the pain start from her lower back and go down till mid-thigh? If yes, this could most probably be her Sciatic nerve being irritated and is also called Sciatica. Let me list few of the most common causes of sciatica: -Degenerative disc disease: The discs in every human being undergo a degenerative process with age, and is considered to be normal. When these discs undergo degeneration they tend to irritate the nerve root present in the lower back, which can result in sciatica. -Sacroiliac join dysfunction: the lowest end of your spine consists of fused bones called the Sacrum. This bone articulates with the Iliad bone (one of the three bones forming your pelvis), thus this joint is called the sacroiliac joint. Any irritation of this joint can also cause the same pain that would be typical for sciatica. -Performs syn Chat Doctor. The sciatic nerve passes under this muscle, and any irritation of this muscle can also lead the sciatica. -Herniated disc: The Lumbar part of your disc can develop a hernia which is when the inner core of the disc leaks out or herniates. This protrusion can irritate the nerve roots, also resulting in sciatica. --Islamic spondylolisthesis: In this condition a small fracture allows one vertebral body to slip forward on another. Due to this the sciatic nerve can get pinched and cause the pain. -Lumbar spinal stenosis: Stenosis (narrowing) of the spinal canal can cause the sciatic nerve to get pinched and cause this pain Other causes can be: muscle strain, spinal tumors, pregnancy, scar tissue, infection, direct injury, etc. Please consult your doctor on the same and try to find the cause in order to properly manage the sciatica as different cause require different management techniques. I hope I have succeeded in answering your questions, you could write back to us anytime for further clarifications. Best wishes. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
Im a 19 year old female. Yesterday a hot red bump the size of a nickel formed on my knee that only hurt if you touched it but I could feel its presence all day. This morning I woke up and it hurt to walk down the stairs or bend my knee at all. It doesnt itch like a staph infection would. I just hope it isnt too serious. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, Dear,Thanks for the query to My Chat Doctor Clinic. I studied your query in details and understood your health concerns.-Treatment and Cause of your lump on knee-a-Mostly it is-a Hive ? Or a Boil on the knee.b-Show it to family doctorate would treat it with -Tb NSAID and Antibiotics -if it doesn't remove after Tb-NSAIDs in 24 -48 hrs. This advice would help you to plan treatment with your doctor. Hope this resolves your query. Wellcome for further query in this regard. Have a Good Day...!! With 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|>
all my life since I was 3 or 4 I would get headaches that made weak and tired The funny thing that it was the smell of dolls or playboh and bleach. When I was 13 I was at the boardwalk playing games when I started to feel sick we start to move and I was walking black out but still walking. Walked into some guy and fall straight back my bother in law stopped me from hitting my head he laid me down I a woke to my sister slapping me. Now I am 48 years old and 10 years ago I got up to go to work and had a nasty taste in my mouth and a nasty smell in my nose I was like I guess I getting a cold and went to work. I ate my lunch went back to work I was standing I put my arms on the table and put my head down thats all I remember I was told I was holding my self up but falling the grab me and took me to the lunch room and sat me down I was drooling did not know any one was taken home and I slept that happened a few times before I saw a doctor and he said I was having seizures because of t2 white matter on my brain now I have all things getting worst now 2 times my face and tongue have gone numb with tingling feeling for just few minutes. So what is going on now? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, Thank you for posting your query. Based on the symptoms, the most likely diagnosis is seizures. So, I agree with your doctors' diagnosis. Partial seizures can cause tongue and facial numbness. T2W hyperintense lesions on MRI of brain are not suggestive of a serious disease. As of now, you should be on anti-seizure medications, such as oxcarbazepine. This would reduce the chances of seizure recurrence. I hope it helps. Please get back if you require any further information. Best wishes, Chat Doctor. Ly/ <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
I am a 38 yo woman with Lupus. I have been having muscular pains in both legs, mostly on the left side. Now my left knee is starting to hurt. I don t remember injuring my knee, but it hurts along with the muscular pain. Any thoughts of what could be the problem? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, Given the history of lupus, your knee pain can be attributed to damage done by lupus to your knee joint. Kindly do hot pack twice a day and do low level impact exercises for your knees. Quadriceps isometrics exercises and heel slides, rotation of ankle. Pulling and pushing of ankles will strengthen the muscles of leg and will help you out in decreasing pain, you can also contact physiotherapy clinic where machines like (tens, it) can receive you of your pain. Stretching exercises of qua Chat Doctor. Go swimming, cycling and steam bath twice a week will surely help. Hope you find the answer useful. 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, im 25 year old female suffering from female pattern baldness which has kicked in only from past year and a half. i have thinning hair all over the scalp. i was on minoxidil 2% for a year but now i have stopped it. i know stopping it causes hair to shed. i also take thyronorm 100mg everyday as i suffer from thyroid since when i was 7 yrs old. is there any natural way (by using essential oils etc) to reverse female pattern baldness? pls reply..im desperate <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, You seem to have halogen effluvium. There may be some cause. In your case most probable cause may be thyroid dysfunction. Please take regular treatment for hypothyroidism.you are taking thermoform 100, continue it and have regular check up for thyroid dysfunction. Consult physician or endocrinologist. Take biotin containing tab for long time. Apply mild steroid lotion like mometasone lotion daily at night. And have herbal shampoo. Almond oil you may apply to improve the quality of the shaft of hairs. Have patience and positive approach. You might get good result after few months. Thanks. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
hai sir i have chest pain in left upper zone ...... i have taken chest x ray for chest ...that radiologist given a report is small inhomogeneousopacity in left lower zone likely representing pneumonic infiltrate like that /////////like that any thing to be worry sir? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Thanks for your question on Chat Doctor. I can understand your concern. Your chest pain is mostly due to pneumonia. Pneumonia causes pleurisy (inflammation of pleura). And this causes pleuritic pain. Upper lobe pneumonia can be due to either tuberculosis or bacterial infection. So better to get done sputum examination for AFB (acid fast bacilli) to rule out tuberculosis. Also get done sputum culture to isolate the causative organism for pneumonia. You may need antibiotics or anti-tubercular Chat Doctor. So better to first diagnose yourself and then start appropriate treatment. 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|>
Friend of mine has been diagnose will oral trush and was given antibiotics, mouthwash, and some lozenges to sucked on. And it has been 3 weeks and he still has thrush in his tongue. Is there any chance you could tell why it hasnt cleared yet?...... Just concern <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern.First we need to find out why the oral thrush is there?is it because of candida infection? Usually such severe oral thrush occurs in cases of Immune suppressed status. I would suggest you to get his following investigations done:1. HIV2. Bag, Anti HCV Antibody.3. Upper GI Endoscopy4. Fasting Blood Sugar. Review with the reports. This is my best opinion for you based on available details. If you have any further query please ask me. Stay Healthy. ChatDoctor, MD <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
Hello, I am a 20 year old female and have been getting stabbing pains on the lower right side of my abdomen everyday for about 4 weeks now. I know it cant be my appendix for it was removed in 2010. I have noticed that above the scar of my appendix removal the area seems risen, and beneath the scar the area is flat. Should i be worried and seek further help? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, Noted the history of appendectomy in 2010, but there is now pain in the scar which is elevated. This can happen due to the following reasons as per the short history that you have provided. Incisional hernia that can develop in the scar, this may be the reason for elevation and the hernia causing compression or stretching over a nerve that gets you the sharp pains.Hence, I would advise you the following in such a situation:Consult a General Surgeon for clinical examination, see for cough reflex that is whether the scar elevates or the lump enlarges on coughing and is reducible, this confirms that this is a hernia and needs surgery. Also needed is to see for the nerve that is affected and to get it free for the pain to be controlled. 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|>
Respected Sir,Im 18 years old and im experiencing hairloss.I can see reduced density of hair in my head and my hairs are thinning.I stayed away from home for 2 years and water was muddy there.I dont sleep regulerly sometimes 12,1,2,3 etc and get up as i wish and also i dont have diet at proper time maybe breakfast at 12 lunch at 5 .Iam always tensed as im a student and hairloss makes it further worse.Please help me.2 doctors whom i consulted told me that im suffering from androgenetic alopecia.My Father is not bald and my mothers father was not bald but my grandfather was bald and 5 of my uncles are bald. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello, Thank you for posting on Chat Doctor. I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, cosmetic products etc. From your description, it seems you might be having Male pattern hair loss or An Chat Doctor. If I were your dermatologist/trichologist, I would like to take through history including family history, history of recent major trauma/illness/stress/medications etc., and recommend some basic investigations like CBC, blood sugar, Thyroid function test. I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3-6 months. Also, would put you on solution containing 10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q era etc.). Finasteride can be used in selected patients after thorough counselling and checking your liver function. Finasteride, inhibits metabolism of testosterone at hair root level. It sometime leads to embarrassing side effects like impotency, decrease in semen volume but which are totally reversible on stopping 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 a pain in my lower stomach which to begin with feels like period pains, the pain goes all the way up to my hip and lower left side of back. it last for about 4 days and fells like a dragging pain, almost like i have a brick attached to my side, each time is about 7-10 days before my period, please help? thanks s <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, The type of pain you experience before your cycles, is normal, this is due to the hormonal changes which happen just before the cycles start, this is known as symptoms of "premenstrual syn Chat Doctor. The pain may continue till first two days of cycle and then slowly subside, this is known as dysmennorhea. An antispasmodic/analgesic will be of great help at this time, avoid coffee, tea and stress, also try yoga and meditation. If the pain continues for more than 3 days, you may need to see a gynecologist for an examination and an ultrasound scan. If your cycles are regular and no changes in flow, there is nothing much to worry <|eot_id|> |
<|begin_of_text|><|start_header_id|>system<|end_header_id|>
You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
I had an injection into my tailbone due to it being severly dislocated its been about a week and the pain is twice what it use to be. I just dont think i can go through the injections again due to the pain from the needle. The doctor had to insert in about 5 different time until he could find the right spot to put the meds in. What do i do now?? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello, Injury in tail bone is very painful. I think injection of steroid should be last option, and it should not be repeated before one month. I have the following suggestions.1. Sitz bath-sit in tub daily for half to one hour fill with gentle warm water.2. Avoid sitting on hard surface for long time.3. Use a cushion with ring shape in office, so pressure is not there on your tailbone. I hope these steps will be helpful for you. Let me know if there is any other followup questions. Thanks <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
A week and a half ago I had a really bad Charlie horse. My leg swelled and hurt so I went to the ER and I was checked for blood clots in my Left leg. There was no blood clot. The said it was a bakers cyst. My calf hurts going up and down steps it is still swollen. I have been wearing compression socks hoping it would help but when I take off the sock my leg swells and the pain set in. It burns in the lower calf. I don t know what to do any more. I tried stretching and icing Andy advill and Aleve. I have to limp to walk. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
while wedges, specially designed cushions placed under the legs to elevate your feet while sleeping. Compression socks, hosiery, or calf sleeves, which provide graduated compression that helps reduce swelling. Graduated compression means that the hosiery is the tightest around the areas of your worst swelling (usually your feet or lower leg). While comfortable to wear, the hosiery helps relieve discomfort from swelling. Low-impact exercise, which helps with circulation and can alleviate swelling. This may include walking, yoga, or light aerobics. Thank you <|eot_id|> |
<|begin_of_text|><|start_header_id|>system<|end_header_id|>
You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
My husband is having a dull tightness in his right abdomen. He describes it as a feeling of being full after eating small meals and a feeling that his stomach is balled up in one area. He has been very gassy and sometimes a pain or an uncomfortable feeling is there and stays there for a while until he lays down. He states that when he lifts his arms up there is a feeling like it is being pulled because of how tight it is. He has had blood work, stool samples, x-rays, liver enzyme test, pretty much everything except for a CT or MRI and everything has came back normal but he is still having the same feeling. We do not have a clue as to what else could be causing this. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi. Thanks for your query. Just to recapitulate: dull tightness in right abdomen - full after eating small meals - balled up in one area-gassy- being pulled because of how tight it is.-everything except for a CT or MRI- I would advise starting with a simple investigation like: Plain X-ray of the whole abdomen in the standing position-this may show air-fluid shadow if intestinal obstruction. Yes, CT will definitely help the diagnosis. In the meantime he should stop all the foods and beverages that you both have observed to have increased the problem. The treatment will depend upon the diagnosis and can be medical or surgical. There is a possibility of an inflammatory process going on in abdomen with added intestinal obstruction. <|eot_id|> |
<|begin_of_text|><|start_header_id|>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 week ago I got a sinus infection and started taking a Z pack. My nose became raw and painful and I thought it was just from excessive blowing and wipeing. I thought I might be getting some kind of skin infection around my nose so I started applying antibiotioc ointment. I have finished all my antibiotics and it has still not cleared up. It is now swollen and gets very crusty. After I wash it and remove the crust it seems to drain clear fluid. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Most runny noses are caused by allergies or by viruses. While Z PAK (oral azithromycin) is indeed an antibiotic used in the treatment of bacterial sinusitis - usually differentiated for the above causes by the presence of high fever, severe pain behind the eyes, and thick greenish mucus - it would usually work. If it did not work for you, it is most likely that your symptoms were not caused by a bacterium. If you still have any of the signs of bacterial sinusitis (described above) you should see your doctor. If not, I would usually tell my patients to try over-the-counter cold and flu medication or an antihistamine. You could use some Vaseline on the skin around your nose to better protect the skin. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
I had a terrible coughing attack due to allergies - one week ago. Two days later it felt like someone hit me with a baseball bat along the curved portion of my ribs. And it hurts worse now, 5 days later. Sneezing almost brought me to my knees. Any suggestions? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
HelloSevere cough, pain in the ribs and uninterrupted sneezing may be due to these reasons, these include:1 Allergic rhinitis, sneezing, cough, animation tears and nasal itching are the symptoms present in this disease and cause is allergy. 2 Asthmatic allergic bronchitis is another most common cause of such symptoms. Usually this is due to bronchoconstriction caused by some allergen associated with infection.3 Flu or common cold is another such reason. When such patient visit my clinic I prescribe them to take montelukast+fexofenadine once in day with dextromethophan + chlorpheniramine male at+menthol syrup. Also take levofloxacin 750 mg once in day. Since all these Chat Doctor. But if cough is very severe then take codeine + chlorampheniramine syrup (but this causes addiction, so you can't take this without prescription of a qualified doctor). Good luck. <|eot_id|> |
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My 10 year old boy has a cluster of tiny blisters (about 30 over a 3 1/2 inch area) on his chest and several others on his abdominal. He has had them for about two weeks. It seems like a few more have popped up over the last several days. What could this be? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, Thank you for asking question on Chat Doctor. Looks like staphylococcal skin infection. Antibiotic containing ampicillin and oxacillin for 5 days may help. Local application of antiseptic lotion or ointment will help in recovery. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
hello I tend to swell up from eating simple things. My top lip is swollen now. really dont know what causes me to keep swelling up. I have had a allergy test done several years ago and then I had another one done about a year ago and they came out totally diffierent. Food allegies is what I was told first time with a list of the foods and then the last time I was just told I have very senisitve skin. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, Thanks for using Chat Doctor. Swelling suggest allergy / infection of glands. Since swelling after eating, it suggests mostly allergy. To control the swelling, rash, itching due to allergy, antihistamines and steroids can be used. Avoid the food you are allergic to. For skin prick test you can ask for specific allergens to test. After that you shod take immunotherapy based on the test to relieve problem otherwise ite test is for diagnosis and not for treatment. If you have any other associated symptoms like rhinitis, sinusitis, asthma or dermatitis then get back for further management. Hope I answered your question. Consult your doctor for further examination and management. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
Left Shoulder injury of a right handed person. An ultrasound has verified that I have severe diffuse subscapularis tendinopathy, however no significant partial or full thickness tear is evident. There is minor infraspinatus calcific tendonitis. There is moderate supraspinatus tendinopathy & a very small bursal surface anterior supraspinatus tendon tear immediately adjacent to the biceps interval, 9 x 5 x 3mm & mild thickening of the subacromial bursa, 2.2mm on abduction. I had a bursal injection & taken Celebrix & switched to Proxen. I have obtained no pain relief & becoming very frustrated at the lack of use of the shoulder & the extreme pain caused by some (normal) movements. I ride a road bike (upright - not racing) to & from work daily & doing it gently, to minimise bumps to the shoulder. If the anti inflammatory drugs are not working, is it because there is no inflammation but there is another problem. Could it be pinched nerve & if so, how is it corrected. I m seeing an Osteo who is massaging the muscles around the area & avoiding the shoulder itself. I welcome any ideas on what the problem may be & the appropriate course of action. thanks Peter <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Thanks for the information. Depending on time since injury initial immobilization in a broad arm sling for 2-3 weeks is necessary to heal minor tears, bursitis,afterwards active shoulder exercises are begun very gently intermittently along-with oral anti-inflammatory for the period of pain. Gradually sling is discarded for longer periods of time intermittently. The process may take as long as 6 weeks to heal completely. After six weeks normal shoulder activity and muscle building exercises are indicated to bring back strength of shoulder.Also, any diabetes should be ruled out with blood and urine tests think it should heal with this regime <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
I am having pain on the lower right side under my breast. The pain is also felt on the right back under my shoulder blade and under my arm pit. The pain under my breast feel like a muscle spasm and it awakens me from my sleep. I had the pain before went to the dr and was told it was a bladder infection but then the urine test did not affirm that. The pain went away but not it has returned 2x as painful. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Welcome to Chat Doctor I have gone through your query and understand your concern. Your pain may some kind of chest infection specially if you're having fever. It can be confirmed by x-ray chest PA view. You are likely to benefitted by analgesic such as ibuprofen for pain relief, antibiotics to control infection and be complex to recover from disease. Second possibility is muscular pain. Treatment of it is rest and analgesic such as ibuprofen. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. <|eot_id|> |
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CT head without contrast showed atrophy and changes of chronic ischemic white matter disease. I have noticed swelling in several places on my head which is slightly painful to touch and when I lay with the back of my head on a hard surface. I am 70 years old, have PKD, controlled blood presure. What is there to be concerned about? Linda Bench <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, Thank you for posting your query. The CT brain findings are not something to be concerned about. Atrophy (shrinkage of brain) is normal with advancing age, and is a natural process, which can not be reversed. Regarding ischemic changes (lack of blood supply to brain), you should get your risk factors screened for (including BP, sugar, cholesterol, etc.). After consulting a doctor, you may need to take aspirin to prevent further brain ischemia. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/ <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
I have had side effects taking the levonelle morning after pill. Took it on Sunday morning, experienced heeadaches, queasiness, period started within four days of taking it, diaorrhoea and feel drained! I was wondering how long do these side effects last? This is now five days later. Thanks. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Tithe appearance and duration of side effects with hormonal pills differ from person to person. In certain women, side effects reduce with subsequent cycles. Fluctuations in hormone levels caused by the menstrual cycle can trigger headaches for some women. Other women may find that the Chat Doctor. Taking your birth control pill at the same time every day may help reduce side effects. This is because your hormone levels remain steady. If you take a pill early one morning and then take one again in the afternoon the next day, it creates a gap between doses. This can cause a shift in your hormone levels and may prompt a headache. Hope that was helpful. Let me know if I can assist you further. Regards <|eot_id|> |
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I have left erector in constant spasm, causes severe pain/fatigue across lower back. When I try to walk, bend, or stairs becomes unbearable. Sitting/ lying relieves. Now I am experiencing sob when back is tight / painful, very sob, have to sit. I have limited scleroderma, why sob, can this have connection to scleroderma? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Dear- I reviewed your question with care and will try to help you with my medical advice. Scleroderma is a diffuse disease characterized for hardness of the connective tissue and back. It is a systemic condition which means that can affect any part of the body, including your lungs. You might be having shortness of breath because of this too. The back pain and spasm is probably secondary to the Scleroderma too. I recommend you to see a rheumatologist to evaluate the status of the disease and have X-ray of the low back too. I hope that my advice has been helpful Chat Doctor. <|eot_id|> |
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Hi name is manny I m 32 year old I m trying to get pregnant I had my medication from India doctor told me to use susten VT 200 for ten day.i had my period on April 17 she told me to use after intercourse . But I forget the date when I have to start using this . Can u guide me please. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, Susten Vt contain progesterone. It should be taken after ovulation to support luteal phase. It makes uterine environment favorable for implantation and support early pregnancy. Furthermore, it should be taken from 15th to 25th day of your cycle. Furthermore, it can be available in oral and vaginal form. - Oral form: take one table 1 hour before meal or two hours after meal.- Vaginal use: Inset pill in vagina as high as you can at bedtime. Let it be there for minimum 6 hours. Avoid urination and sex after putting tablet. Avoid stress, take healthy diet, Chat Doctor. Hope this may help you. Contact further if follow up needed. Best regards, <|eot_id|> |
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Doc I have a problem when defacating, it hurts a lot in my back passage and I have to usually help the motion on its way with a gloved finger , I ve been using a prescribed lidocaine cream to help but it s so tight and painful now I can t even touch it and the lidocaine doesn t help with this part of the problem. The pain has been there for over 24 hours and it s like having dental pain in my ass. I can touch the cheeks and the first part of the anal opening (my wife says it looks purple and swollen to look at) its inside it, it is very tight and if I try to insert a finger the pain is excruciating what do I do?Sorry doc I forgot to add some of my history I didnt think Id get an answer, my stools are quite loose (I take movicol, latulose and senna) I am on quite a high dose of morphine due to a large open wound from an appendectomy 6 years ago (wound still open and has become a fistula/sinus with an operatoin performed to remove it but it came back) chronic infection and abscesses and recurrent MRSA of which Im constantly on doxycilene fluclox,cef,met amoxicillin etc etc <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, Thanks for posting the query, Your symptoms suggest that you have a problem of constipation, it is not a serious condition just upset the patient too much. It is generally helped by taking good amount of fluids orally, consuming high fiber rich diet like green leafy vegetables , salads, fruits. Consult to a Gastroenterologist and find there is any reason for such symptoms and get it relieved by some laxatives. If you have any Dental problems you can visit to a Dentist and get the checkup done. Hope this helps out. Regards.... <|eot_id|> |
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I HAVE HAD A COUGH FOR A WEEK. THERE IS MUCUS THAT COMES UP. HAVE BEEN TAKING ROBITUSSIN DECONGESTANT FOR COUGH AND MUCUS. THIS HAS GONE THROUGH 4 OF US IN THE HOUSE MY HUSBAND FEELS VERY TIRED FROM IT AND HIS RIBS ARE SORE FROM COUGHING. WE LIVE IN RI. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of viral Upper respiratory tract infection is more. And history of similar complaints into family members suggest viral infection and spread. So avoid Robitussin syrup. I can have expectorant. So it will cause more coughing. Your rib pain is due to excessive coughing. So better to start antihistamines and anti-inflammatory Chat Doctor. Do warm water gargles 5-6 times a day. Avoid oily and spicy food. <|eot_id|> |
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Age 58 Male,suffering from cold for past 4 weeks was having medicine prescribed by family doctor, after which we went for CBC from which we came to know that WBC had gone to 1000 and RBC was low & platelets were normal after which we consulted a hematologist who had done bone marrow test by which we came to know that it is aplastic anemia but after that he didnt gave medicine and after a week today we did CBC again which is showing WBC count 900 rest is ok...... now the doc. gave one capsule to take for 15 days and see if it is curing by that can someone help me with this case as i am really tensed and not getting what is this all about ???? can someone tell me what is this diesease ? what is the cure ?????? and how to cure it ????? please share your experience i am really in need of your advice <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Plastic anemia is a bone marrow disorder commonly due to megaloblastic anemia.2. It B12 should show improvement if it is secondary to megaloblastic anemia. 3. If oral It B12 is not helping, It B12 shots will be helpful. Take a nutritious diet. If other cells are responding, this will also improve. If you have any infection, better to take a granulocyte infusion till WBC improves to avoid risking any critical infections. Hope it helps. Any further queries, happy to help again. <|eot_id|> |
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I had right inguinal surgery 15 days ago and my doctor removed my stitches removed yesterday. However the area around the incision feels itchy and red. My doctor did not prescribe any cream or medicine for the redness and itchiness. He only gave me some cream to treat the scar. Will the itchiness and redness heal on their own? Can I apply the scar treatment cream over the red area around the incision? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello, You have itching and redness around the area of incision is usually associated with skin vascular conditions such as hematoma or lymphangioma. Need not worry. It is not nerve damage rather localized damage. I would suggest you visit a physician once and get the area of damage examined. You should apply Thrombophob gel and ice pack on the site of the swelling. Chemotherapy and laser therapies are recent treatment options available and the most effective ways of reducing it. Apply numbing gel in the local area as well. It will take two to three weeks to heal it properly. Hope I have answered your query. Let me know if I can assist you further. <|eot_id|> |
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Hi doctor,I have a pretty annoying problem: I constantly have the urge to pee.When I drink much water I have to pee every 15 minutes, the pee is very clear. At night I tend to drink less water because I cant sleep if I have to go to the toilet every 15 minutes. When I drink less I still have the urge to pee, but the amount of pee is a lot smaller, and a bit more yellow. I can hold my pee for maximum 1 hour. When I fall a sleep I wake up every hour with a huge urge to pee, One time I was to late. At night it hurts a bit at the end while peeing, during day it doesnt hurt because of all the water.My guess on this is that its a urinary tract infection, only my pee is a lot more clear than the normal symptoms of the infection.2 Days earlier I suffered from gastro-enteritis, and I still have some effects of it like diarrhea and cramps. Because of that I dont eat much during day, which could explain why the pee is so clear.Do you have any idea what I could do to fasten up the healing process, I have Zinnit at home and I already took 3 of them, and the effects are slightly less now. Can you perhaps also help with the peeing at night problem, something that could give my bladder a rest at night, and me to :) Some additional information: age: 18sex: maleweight: 163kgposture: smallextra: -I am a regular cannabis user, I smoke a little every nights an hour before I go to sleep. This is for non medical purposes except a small headache from time to time. -I am a skinny guy and I dont eat healthy, but still dont get sick very often, mostly just a cold.I hope you could help me with my questions, I will honestly be very thankful !I know this is a pretty long text, but I wanted to give you as much details as possibly. Im a student from Belgium, so Im sorry for my bad english.Thanks again for reading and hopefully helping. Jasper <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi Jasper. Nice to see a real good history, gone through and your English is perfectly normal. This is called frequency of micturition. The main cause can be a local infection in the bladder irritating, another is a stone in the urinary bladder irritating a particular part of bladder called a trig one- a very sensitive one. Another causes are like diabetes mellitus / insidious and so on. What you need is to find our TH root cause by routine tests of Blood and urine, urine culture sensitivity, ultrasonography of abdomen. This will find out the original cause. Then the treatment really easy. Please do not try anything at home. T looks you have mentioned your weight too much. <|eot_id|> |
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I am George Daniel , 56 year old wants to take angiogram and to consult the Dr. George Thayil. Now I am working in Dubai,what is the procedures and how many days will take for angio +consultation.some days back I am went a hospital with chest pain.taken the ECG, ECG was perfectly ok, I am having diabetes, hypertension and cholesterol but blood sugar and BP under control Ldl cholesterol is above normal Still I am taking medicines. If I am getting the telephone number of Lourdes hospital that is well to contact. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello, After going through your medical query I understand your concern and would like to tell you that angiogram is a daycare procedure which can take 4-8 hours depending on the site of puncture radial or femoral. If your angiogram is normal then you can go back the home same day or if you are going for angioplasty then 2-3 day hospital stay. Hope I have answered your query. Let me know if I can assist you further. <|eot_id|> |
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hello doctor...my semen is often released during sleep... even sometimes it releases 3-4 times a week...and i feel weak physically..what i could do to stop this nocturnal ejections? is it something dangerous to my health..pls mail me to YYYY@YYYY <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Thanks for asking in Chat Doctor forum In short: Nocturnal emission is not a disease itself. Explanation: If you do not masturbate/have sex/ejaculate now and then, your urge will increase and ejaculation can occur with slight excitement or during REM(A stage of sleep) sleep. So, do not worry about this as this is not a disease or illness or an abnormality. You may consult your doctor regarding this. And weakness and masturbation/night fall is not at all related Good luck <|eot_id|> |
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Sir, i am f-mail 24years old , 5 height 50 kg weight , i am married 3 years before ,but i am not pregnant till now, so i am in treatment of my nearest doctor, as part of it, doctor advice me to take folinz for 1 month and Clome for 5 days, is this tablet make me pregnant ? what are the purpose of it? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, I appreciate your concerns. If you have not conceived even after trying for three years, you need to find out the cause for it first. It is good to know that your BMI is normal. Are your menstrual cycles regular? To increase your chances of conception you need to have intercourse at least three times in a week and quit smoking (if smoking). Folinz in addition to zinc contains vitamin folic acid. This vitamin reduces the risk of baby having brain or spine abnormality. Therefore, all women planning pregnancy should take this tablet. It is important that you and your husband should see gynecologist and do baseline infertility work up (hormone test and fallopian tube patency test for you and semen analysis for your husband). Based on the results of investigations treatment can be planned. Closed is a tablet given for women who do not ovulate on their own. If you are taking this tablet you need to do serial ultrasound in the first month to make sure that you are ovulating and not responding with development of too many eggs. I hope I have answered your concerns. <|eot_id|> |
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hi, my 1.03 yrs baby is suffering from fever from last 2-3 days. When given Paracetamol it goes off. Urine tested and showed RBCs 8-10 and acetone bodies +1 rest parameters are normal. No sore throat or cough. Is anything related to swine flu. Doctors diagnosed as UTI. I m worried as here in India we have Swine flu epidemic. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
RVC can be sign of metabolic neuropathy, because Crystals of salt can hurt glomerulus. White blood cells will indicate infection. You told nothing about protein in urine, which also indicate infection more often in glomerulus. We need additional urine analysis-cytology, analysis for salts and other. You should consult at nephrologist. For treatment infection better use definite, because it is very sensitive to E.cold, which causes inflammation in kidney. Give to baby plenty of water. Recovery soon <|eot_id|> |
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My widowed mom aged about 38 yrs. is suffering of some illusions and always depressed.she can hear things which we cant hear.she thinks the neighbours are talking about her badly.she shout very loudly to reply for that voice.she doesn t sleep at day or even in night.she forget her laugh long back.pls help..is there any treatment for this. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello... Thanks for your query. Talking to self and hearing voices that others do not are referred to as auditory hallucinations and hallucinatory behavior. These are symptoms of psychotic illness. Effective antipsychotics are available to deal with the condition. I would suggest a thorough psychiatric evaluation followed by appropriate antipsychotics for management. Sedatives can be prescribed for sleep difficulty. Regards Chat Doctor. <|eot_id|> |
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I am a 23 year old female. For the last couple years I have gotten little bumps a long my inner thigh/ bikini line. They are usually filled with a white pus and very small. About 4 days ago I felt one coming on but it never fully surfaced. It is deep under the skin. It about the size of a golf ball. If I touch it, it is hard and very swollen. Any ideas what it could be? How to get rid of it? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Welcome to Chat Doctor .1. It seems like a bacterial infection causing the lumpy collection after the infection to the hair follicle (carbuncle / fur uncle).2. It might be after the removal of the hair (shaving), infective cause due to irritation.3. In this case I would examine and give a course of antibiotics if the lumps are small, if they are large an incision and Chat Doctor. 4. Do not neglect - as this kind of infections do complicate.5. An ultrasound might need for its extensions (to the adjacent anatomical structures. See your GP as soon as possible, do not itch the area, and heel hygiene. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. <|eot_id|> |
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Hello sir. I am sandeep vasrani from Akola (Maharashtra) my mother is 70 years old & suffring from diabetes since last 9 years. 2 years ago we found that the liver is damaged because of diabetes & doctors said that my mother has a problem called liver cirrhosis. Now in these 2 years she has hospitalised for 3 times because ammonia level was increased. I want to know that how can I maintain amonia level . <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello, Welcome to Chat Doctor. I read carefully your query and I understand your concern. The treatment for cirrhosis with increased ammonia level include medication e.g. Lactulose that decrease the absorption of ammonia and also dietary change, that include the use of vegetable protein instead of animal protein, it is considered add probiotic treatment that have the same effect, decreasing the ammonium level. The changes in diet that you should do to your mother to improve the survival are also, a sodium restrict diet, a low fat diet and adding antioxidant nutrients e.g. vitamin E, Link and adding also Folate and Vitamin B6. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Kind regards, Chat Doctor. Maria Bank <|eot_id|> |
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I have benign hailey hailey for last 45 years .. Genetic . Used all medicines ... allopathy , homo, ayurvedic , siddha but no permanent relief . For last 2 years frequent flare- ups occur, in groins, armpits legs joints etc. foul smell and occasional lesions occur. Last 2 years using Steroids (Wysolone 10 to 30 mgs) with Candidermaplus cream. Any good remedy in homeo now - at keats 0000%. Whether it is possible to contain , eliminate foul smell, legions etc at least within 3 to 6 months. What would be the costs ..I am a pensioner (Bank retired). And aged 75 years. God s grace , all parameters of tests are normal. ...no sugar etc. kindly advise me. .. Natarajan.mr@ gmail.com Phone 044-0000//:/ 0000. . Thanks <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Welcome sir you were using antifungal & steroids while you are saying its genetic. So you can take genetic constitutional medicine which works on your body system and hormones. Not only on your external part of body. Can you write down your full detail account to my patient perform /can you take a proper constitutional Medina with help of the nearest homeopathic physician .he wills each out his proper Medici.otherwise you can try to take that medicine Baptista q, nit acid 200 OD homeopatChatDoctored Chat Doctor. Com <|eot_id|> |
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hi am a student being asked for following test before I join any JOB these tests are1. HBSAg (SPOT/ELISA)2. Chest X ray3. Typhoid (Widal)4. Urine routine and bile pigments5. Blood grouping and Rh Typing6. Stool check can u tell what are these for <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hilt me help you out regarding the testsHBSAg is to check for Hepatitis B infectionChest X-ray to rule out any respiratory ailment and also will assess if you are a smoker. Typhoid TIDAL is to check for typhoid fever. Urine routine for any urinary infection. Bile pigments to check your liver status. Blood grouping and Rh typing primarily for documentation and in case of emergencies for blood transfusionStool check for any gut infection. These are routine tests usually before a job to rule out any infection at the time of your joining and also for documentation purpose for your health insurance which the company may provide. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. <|eot_id|> |
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my 5 yr old has had the flu for a week. she had refused all medication until today. she took one dose of childrens motrin. her fever instintly broke but now she is cool, clamy and sweaty. she is up walking but very shaky and weak. is this normal? she is also drinking and eating more today. she has not had any vomiting, very few lose stools. mainly fever staying high and very tired. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Welcome to the ChatDoctorI understand your concerns. Don't worry. She seems to be in the convalescent phase of her illness. Return of appetite is a good sign. Fever is a catabolic state and many a times lead to weakness especially when associated with poor appetite. Do not worry about cold and clammy skin at fall of fever spikes as it's a normal response of body. I would recommend you to use acetaminophen for fever spikes instead of Motrin as first choice. Ensure regular healthy diet with plenty of fluids to keep her well HY Chat Doctor. Hopefully this will help you. I would be happy to help you in any further questions. Take care <|eot_id|> |
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Hi there, i have felt nauseated and unwell x 4 days. Pain on right side of back and now, just above illiac crest, now spreading towards front. pain increasing in intensity and comes and goes, Radiates toward groin , in waves. Nausea and dizziness increase with these waves 38 yr old female. there is no reason I know of for the nausea no fever , no significant changes in GU, of GI, only very slightly elevated BP <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello. Thanks for writing to us. The pain that you have described seems to be due to a prolapsed disc causing a nerve root compression at the level of spinal cord. You need to get an MRI of the lower back done to detect the cause of the pain you are having. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor. <|eot_id|> |
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My husband was on Paternia, Carnisure and Evion for 3 months. His ealier Semen Analysis showed 20 Million, 10 Million and 65 million with an average of 30-40% motility in all the reports. Before our first IUI, the latest SA showed 5 Million. It it possible for the count to decrease so abruptly. Now he has been asked to continue Paternia, Carnisure, Evion, with an addition of Tamoxifen. Will his count increase. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
HelloThanks for query. There are always variations in sperm count which depends upon the factors like time of collection of sperms, period of abstinence before test etc. To be true there is very little role for medicines to increase sperm count.However, following measure will help to increase sperm count to some extent .1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Chat Doctor. <|eot_id|> |
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I have had this pain in my stomach since Thursday morning. It feels like I have been kicked in my stomach and there is a lot of pressure also. I am eating/drinking just fine and using the restroom with no problems. I wont see my doctor until Monday morning. What can I do until then? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
HI. Thanks for your query and an elucidated history. The feeling of the pain like being kicked in the stomach without any obvious nausea, Chat Doctor. Lymph node mass or some other inflammation going on in the abdomen. I would advise you the following. Get Physical examination of the abdomen by a Surgeon. Ultrasonography of the abdomen. Test of blood. Urine and stool. All this thing will give a probable diagnosis which to be followed by a proper treatment. <|eot_id|> |
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I am a 43 year old female, about 56 -150 lbs or so. I have M S and a disc problem C4 -C7, I am experiencing fluttering or spasma in my chest area. Wondering if heart related or not. Pulse is good. So hard to tell being that I have the MS and a disc problem on top of that...Frustrated <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Thanks for your question on Chat Doctor. I can understand your concern. Fluttering sensation in chest area is commonly seen in arrhythmias (rhythm disturbances in heart). And you are also having MS (Mitral Stenosis). So possibility of arrhythmias like atrial fibrillation (AF), atrial flutter, supra ventricular tachycardia (SVT) etc. is more. And hence better to consult cardiologist and get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). On the basis of these reports, you will be anti arrhythmia Chat Doctor. Don't worry, with proper treatment, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. <|eot_id|> |
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hi i am a 30 yr old female pulse rate is 79 blood pressure is 125/70 family history of heart disease. (grandmother on fathers side had 6 heart attacks last one large. my father had 2 heart attacks 1 when he was 41 then 11 months later the second which killed him) i was on duromine and had tachycardia my rate went up to 125 and blood pressure was up and had some palpitations which did not show up on ecg just wondering if i should wear a monitor for 24 hours. had blood test recently and my cholesterol is up. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello, Based on your family medical history, which gives you a higher risk for possible cardiac problems, I recommend you to do cardiac sonography and a cardiac stress test to see if everything is ok. You should keep in contact with a cardiologist. I don't think that an ECG Holder monitoring is important from what you are writing. Hope I have answered your query. Let me know if I can assist you further. <|eot_id|> |
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Hello I have a 29 year old healthy active teacher who was sitting at lunch suddenly both arms became numb , she could not speak had a slight head ace. Went to hospital stayed over night, They ran every test possible. Then everything cleared up by next day. Could not find anything. But has in the past had pain in shoulders if worked at computer for a long time. Her grandmother has migrane head ackes. Could this be early sigh of MS? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello dear, Symptoms of Multiple sclerosis are variable and numbness in both arms can be a part of it, though headache is unusual in it. But diagnosis can't be made unless, there are hyperintense signals in magnetic resonance imaging(MRI) of brain in typical locations. So, if in this case all tests including MRI are normal, MS is unlikely. Still, its better to get a detailed examination with a neurologist. I hope it helps. <|eot_id|> |
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Im 38 years old man in July 1999 i suffered from high fever had mumps problem which then converted to Epididymoorchitis that causes serious problem of infertility because of orchitis my FSH level is stil high about 32.5 mlu/ml.....high than normal range....kindly give me yours opinion how should i cure this problem........ <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello welcome to ChatDoctorMumps - viral infection can cause severe problem when it affects the testes. This is evident as your FSH value is on the higher sideUnfortunately there is not much we can do about the situation and bring the value down. However, you can consult a urologist and do some investigations like scrotal scan Some might do a testicular biopsy and see what type of cells are seen in the testis. A small portion the tissue can be frozen in proper centers which can be used later if there is evidence of spermatogenesis hope to have answered your query Chat Doctor. <|eot_id|> |
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Hi My sister was rushed to the ER vomiting blood and melena. She is a 30 yr Hep C survivor without interferon . She decided to go the holistic route. MRI yesterday indicated nodules on her liver without concern for mets. She is scheduled for liver biopsy of nodules tomorrow. How concerning is this for liver cancer? She is presently asymptomatic from original ER symptoms. Also having CT scan tomorrow. Thanks <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello, HCV induces chronic infection in 50 to 80% of cases. In rare cases infection can clear without treatment. Most of the infected cases show minimal or no symptoms during the initial few decades of infection. About 10 to 30 % of cases develop liver cirrhosis over 30 years of infection and those who develop cirrhosis have 20 times chances of developing liver cancer and this becomes 100 times more if a person Chat Doctor. Since your sister is suffering from hepatitis C for past 30 years and has not taken any treatment, the chances of hepatocellular carcinoma are very high. This can however be confirmed only by liver biopsy. Thanks <|eot_id|> |
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hi.., iam 27 yrs old , with height 5ft and wt 65kg. i am married since last 2.5 yrs , want to conceive, but have found high levels of insulin in blood. As per doctor , have signs of PCOS, and am also over weight. have twice been given ovulation, olvulation has occured but no pregnancy. Iam prescribed Bigomet SR 500 , thrice a day , and Blong F. Will this help me in getting pregnant? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello dairy understand your concerned have PCs sign and cause insulin resistance. I would suggest taking proper treatment under advise of gynecologist after undergoing, reproductive hormone analysis, USG scan and ovarian follicle study. Bigomer Sr 500: decrease insulin resistance, reduce weight, induce ovulation and maintain glucose homeostasis. Blong F also help to support pregnancy pregnancy will not occur then camphene citrate, Chat Doctor shot be sesamoid stress, take small frequent meal rather than large meal, Do regular exercise like walking, running for 45-60 minutes daily in morning and maintain weight according to normal BMI. Hope this may help noncontact further if follow up needed Best regards <|eot_id|> |
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I have been on Metropolol for 4 weeks, prescribed for palpitations (400 in 24 hrs. per monitor) 50 mg. Also I have white coat syndrome, sometimes pressure rises, been under a great deal of stress, mostly apprehension re: heart tests, etc. Cardiologist says metropolol is good for bp also. I have a monitor, pressure is lower at home, only rises when I maybe active 150/62, pulse in the 70 s and has been as low as 112/60. Still I take readings to the Dr. to let him see that it really is when I am under stress. 50mg made me tired ( Cardio said it would be sluggish), I do feel calmer, had to do 25 twice a day. Still I can fall asleep sitting watching TV and that is not me. I think I could try 25 per day, that is how I started out, but my pressure in theDr. office was 162/63 so he changed it to 50. Now I notice my pressure is higher anywhere from 112 to 175 with the bottom # in the 70 s and my pulse in the 60 s. My Dr. didn t mention the fact that it was compared to at home readings, also because I am calmer in office reading was only 136/62 He thought all the numbers were good, but yet they were higher than before when I took them at home. I don t get it, I thought BP meds reduced your pressure. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
With respect to palpitation, that is the sensation not the extra beats. The extra beats may not be harmful or even require treatment. If you have found no underlying heart disease or dangerous rhythm, the primary concern is to relieve your symptoms and anxiety. Finding nothing dangerous does not necessarily mean that heart rhythm is not the source of what you feel but knowing that it's not dangerous is often treatment enough. The best way to interpret your blood pressure is to take only recording done on schedule. Single measures should not prompt concern, particularly no those done under stress. Record your blood pressure on a schedule every day. It should be taken seated after a 10-15 min period of relaxation. A two-week average is what you use to make decisions about the need to take a medicine and its effect. <|eot_id|> |
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hi sir,ma mum is around 48 years she is losing her weight for the past few months but she is having dental infection and we took a general health check up for her and everything wuz normal but her esr is 44which is quite high for a women of her age......does tat indicate any serious problem like cancer or it is high due to her dental infection am v.tensed pls solve ma problem <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, dairy have gone through your question. I can understand your concern. There are many causes of high ESR. Tuberculosis, infection, anemia, autoimmune disease, paraprotienemia, malignancies all can lead to high ESR. She may Jane any of this cause. She should go for further investigation 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|> |
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I got infuenza virus almost 8 weeks ago. 7 days after getting the virus I started having asthma attacks daily and still do. At the beginning I needed 50 mg predinisone to regulate my breathing. Also on 3 different inhalers. I am a non-smoker with no other illnesses and never experienced asthma or any difficulty breathing before. I had 2 x-rays and 1 ct scan that was good. Therefore my doctor said I have allergies ? I have never been testing for allergies and personally think this influenza caused this . Your thoughts or recommendations would be appreciated <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, Welcome to Chat Doctor forum. As you describe, you had chest infection. If its viral infection, or an allergy it will have a bacterial infection and lead to pneumonia, if not treated promptly may lead to recurrent breathlessness. The infection of the tuberculosis also should be excluded. I advise you to consult a physician for diagnosis and treatment. I usually prescribe to my patient with such symptoms lifetime, D.E.C, theophylline,cetirizine etc. Wishing for a quick and complete recovery. Thank you. <|eot_id|> |
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My son is under 19 years old. His attitude has changed a lot after he spent one year in UBC as an international student with an excellent scholarship. He lived in the university residence alone without me because we stayed in Saudi Arabia. We provided him full support emotionally and financially. When he came back, he was overweight and he was depressed. He also failed in 5 subjects because he couldnt handle all the stress. We accepted these facts and got okay with it but he is still depressed and is now not as confident as he used to be. We need help ASAP. Thank you for your time. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Degree understand your concerns a days higher study is not as expected. Your son might have depressed due to so many causes such as exam performance, peer pressure, role and identity conflict, unsatisfactory study habits, lack of positive outlook about future or goal etc., etc., etc. Therefore, you need to consult a psychologist to ascertain the causes associated with his depression and treat it with psychotherapy. I can help you online if you desire so. Good luck. <|eot_id|> |
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A lump appeared on my right armpit 5 days ago. It became very swollen and red. Today I have 2 more lumps one in each armpit. The three lumps are somewhat painful, and the original one is still red. I am 39 years old and have had positive anticardiolipin antibodies in the past found after 2nd miscarriage. What should I do? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, dairy have gone through your question. I can understand your concern. You may have enlarged axillary lymph node. It can be due to reactive hyperplasia, tuberculosis or lymphoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. 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|> |
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dear sir/madam my son is suffering from high fever and loose motion for the past 2 days and he had been in hospital and discharge after getting cured, while discharge doctor prescribed cefixime oral suspension ip taxim-o dry syrup and gramogyl. now he got fever, wheather fever will be cure by giving cefixime oral suspension ip taxim-o or we have to seperate drug <|eot_id|><|start_header_id|>assistant<|end_header_id|>
You will need paracetamol syrup for control of the fever. You have to get the correct prescription from your doctor as it is according to the weight of your child. So go back to your doctor and demand for the paracetamol syrup for the control of high temperature in your child. Until you get to a doctor do tepid sponging. That is use lukewarm water to wipe your children body to reduce the temperature. Take care. <|eot_id|> |
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I think I have a blood clot on my heel. Im not sure &I Im getting worried. I just had a big surgery &then they were drying to prevent blood clots but I think I have one. It only hurts at night. Ill wake up twice maybe with it hurting but once I put my leg up it stops. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello and welcome to Chat Doctor, Blood clots can develop in legs immobilization. Surgery is one of the cause of immobilization. Blood clots are legs are characterized by pain especially on moving or raising the leg. If you are also experiencing similar symptoms then probably you have developed a clot in the legs. You need to consult your surgeon for clinical assessment and investigations like Doppler ultrasound of the leg. In case any clot is detected, appropriate steps can be taken to clear the clot. Thanks and take care Chat Doctor. <|eot_id|> |
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I have sgot / sgpt levels of 90 and 93 respectively. bilirubin total 1.15, bilirubin direct 0.24, albumin 3.90.I have been taking aspertane for a few years and have about two drinks daily.what corrective action do i need to take to reduce sgot/sgpt. Thanks <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, I have read your liver test report and I will explain at you what needs to be done. For AST/ALT to get back at normal, we need to wait around 30 to 60 days, or sometimes even more. Here are some advice how to help your liver heal, and your AST/ALT get normal.- Fresh fruits and vegetables-Have plenty of water-Low fat diet. Don't use fast foods or fried-Some yoga, or a walking 3 or 4 times each weak will help you a lot- alcohol-free- Avoid foods high in salt or sodium-Try as much as you can to not use medication like Paracetamol, or Ibuprofen because they tend to alter the liver enzymes. Hope I have answered your query. If you have any other question, feel free to ask me. <|eot_id|> |
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for the past 3 weeks I get pins and needles a tigling feeling in my right arm that starts at my shoulder and runs down to my fingers and then my fingers fel numb and my entire arm feels heavy. it happens more when I lean with my elbow but it also happened out of no where as well? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello, The pain & tingling that you are experiencing in your arm is due to compression, irritation, damage to the peripheral nerves. Peripheral nerves can get affected due to diabetes or any other developing pathology. Visit ER or see a Neurologist, get physically examined and get all the tests for the developing Peripheral Neuropathy done. In the meantime take vitamin B with folic acid, take diet rich in calcium, iron and minerals. For pain take Acetaminophen (Tylenol)when needed. Hope I have answered your query. Let me know if I can assist you further. <|eot_id|> |
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On Sunday October 26 I was in an ATV accident and received a rather deep puncture wound on the front of my left shin. I was taken to the emergency room and received a good cleaning along with 2 stitches, X-rays revealed there were no objects or debris left inside the wound and my leg was not broken but had hyperextended during the crash. I visited an Orthopedic surgeon Wednesday the 29th of October where I was prescribed antibiotics but wasnt given a promise that it would prevent infection. I am in so much agony and pain as of right now, not only has the pain gotten worse but it is traveling up from my shin to my knee cap as well. I am almost 100% certain my puncture has gotten infected, I keep it clean and wrapped with gauze but it stays swollen and hot to the touch. I have become nauseous and lost my appetite these past 2 days and have noticed a bruise on the heel of my left foot which seems to grow increasingly. I did not notice the bruise until yesterday and it was dime size, now it is the size of a half dollar coin and is very purple. I am concerned I may have an infection in my bone as well because of the excruciating pain inside of my shin and knee cap now. I will call my Orthopedic Surgeon on Monday morning to schedule an appointment. What are the chances it may be developing into gangrene? Should I go ahead to the emergency room or can I wait? All other areas of my body that were injured have healed beautifully except for my left shin. Thank you so much for your time! <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello, It seems that you are uncertain about following.1)Whether there is any infection at puncture site?2)Bruise gone unnoticed3)Whether there is any chance to develop gangrene?4)Have to wait and watch? Answers are here.first u have not mentioned that whether u have been prescribed any painkillers or not. Neither you have mentioned the name of antibiotic. Now,1) If u have developed any infection at your wound site, u probably have developed fever, which u have not mentioned .2)Bruise is called "delayed bruise" as it develops after about certain time of actual impact. If it is of purple color, it's in the phase of healing. No treatment required for that except painkillers.3)There is a chance to develop gangrene, when you leave your wound in unhygienic condition, do not take proper antibiotics, already have undiagnosed diabetes. Otherwise, there is negligible chance.4)If pain is unbearable there is no choice for wait and watch. Anyway if you have consulted an or tho. Surgeon, He must have given you painkillers, if surely not you should consult him. I am not suggesting you any painkiller online, because I do not know your gastric history. Get well soon. <|eot_id|> |
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2 weeks now I ve in pain with my tight shoulder, my dr did X-ray and gave shot of cortizone he mentioned a small tear, I went the following day and the joint specialist gave me my 2 shot, he said I had bone spurs but needed to get pain and swelling down from bursistis, 4 days later I can move my arm very little but more than the last two weeks, my question is how long does bursistis last? He mentioned in the back of his mind he hopes it s not (very long name) of something bring a very painful nerve disease, thanks for you help <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Welcome to Chat Doctor I have gone through your query and understand your concern. Bursitis heals in nearly 3 weeks. But as you were having very fewer movements, so you are likely to be having frozen shoulder. In this mobilization exercises of shoulder and analgesic helps. Cortisone shots are also helpful. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. <|eot_id|> |
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I am a female in my mid 30 s that has been losing my hair since last summer. I have been to dermatologists and no one has an answer. My scalp is itchy. burning, and sometimes flakey and red. Cortisone shots are the only thing that helps with the scalp problem and when the scalp isn t bothering me, it seems like less hair is falling out (it doesn t stop, just less). What can I do to stop this. I have lost over half of my hair and it was already fine and thin to begin with. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello, Thank you for posting on Chat Doctor. It seems you are suffering from Seborrhea dermatitis, which secondarily leads to hairball and thus It's important to treat it first hand. I would recommend you a short course of oral antifungal Chat Doctor. Use a medicated shampoo containing ketoconazole and salicylic acid twice a week. Take antihistamines as required for itching. Avoid excessive use of hair oil. As for the hairball, start oral supplements containing biotin and other essential vitamins and minerals (Collinear new) once a day for at least 3 months. Hope this will take care of your query. Thank you <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
Hello, my name is Khalia.I am contacting you regarding a question about food poisoning related to tachycardia.I am 18 years old have been diangosed with Neurocardiogenic Syncope after a positive tilt table test.The weird thing about this is my symptoms appeared suddenly of June of last year after a bout of food poisoning.Even though I have no prior health conditions related to my heart.I went to a Subway restaurant and got sick after eating contaminated mayonnaise.But after a day my symptoms left,so I never felt the need to seek treatment for food poisoning.But soon after I began developing symptoms of rapid heartbeat upon walking, lightheaded,hot flashes etc.I soon went to multiple physicians without any answers that lead me to my diagnoses by my cardiologist.And I have had a holter monitor test that showed an abnormal heartbeat (tachycardia). I have had various tests done that showed no direct problems with my heart that require attention.I am currently taking Propanolol 60 mg and Fludrocortisone 0.1 with little to no relief of my symptoms.Is this just a coincidence or is there a connection to food poisoning? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello, Khalid. It sounds to me like the food poisoning caused severe and rapid fluid loss from vomiting and/or diarrhea, which led to the "neurocardiogenic syncope." The feelings you describe--rapid heartbeat, worse with walking (or other exertion); lightheadedness; hot flashes--are typical of what people experience just prior to passing out. These are also called "pre-syncopal" symptoms. You mention the Holder Monitor had showed an abnormally fast heart beat (tachycardia). How fast was it? Did the heart rate slow down when you started taking Propranolol? The "Neurocardiogenic Syncope Syn Chat Doctor. Once the acute illness is over, and once you ready <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
I have lose tissue damage towards the back of my mouth and it been feeling sore thats when I found a white spot that looks like it has a hole in it or a rip on my gum near the tissue damage at first I thought it was a canker sore which I been using medication on it but its not working its getting worse what can this be <|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 the lesion is appearing like canker sore, and it is the cause of sore area and can occur due to a number of causes like Physical injury, deficiency of iron and vitamin B12, stress, acid reflux etc. You can apply a numbing gel containing lidocaine or choline salicylate over it. You can take multivitamin supplements. Take Ibuprofen for pain. Suck on ice pops and do cold water rinses. Maintain a good oral hygiene. Avoid hot and spicy food and take a soft bland diet. In case if still there is no improvement consult an Oral Physician and get evaluated. Hope this information helps. Thanks and regards. Chat Doctor. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
Sir, I am having a 1 year old baby girl (weight 9.3 Kg). When she was in the age of 7-8 months , she had her food nicely. But now she is not taking enough food. Almost she refuse to have. She canot drink cow s milk when she awake but when was sleeping she will have. now i am giving her neopeptine to improve her appetite. whether it will work or not.please suggest any other medicine for heror any other way. e <|eot_id|><|start_header_id|>assistant<|end_header_id|>
For small child Chat Doctor. Neo peptide is good but it's a synthetic preparation. Maybe it shows burst of effect but would it sustain. On the other hand slow acting Ayurveda has sustained effect. For such babies ARVINDASAV is the best remedy. 5 ml of this liquid and 5 ml of water mixed may be given twice a day. Additionally, if you can get cherubic myrobalan (Habitat - better if you get big one), grind/ rub it against some clean, hard, rough surface like stone etc. by adding little water <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
hiiiiiiii doc, i want to get some help and advice from you about a friend of mine. she always thinks that she is a loser and very selfish. she always want to die. many times i tried to make her understand reality but she couldnt understand me. plz help 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. Everyone has their own way of thinking. Usually friends, circumstances becomes the change catalyst. You are doing a good job with your friend. Do continue. Along with that bring in more of your friends to motivate your friend. Continuous motivation can change her attitude. If need be, consult a psychologist for counseling. 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|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
Hello, I recently had a laparascopic surgery to remove an ovarian cyst. It s been 9 days since my surgery, and up until a couple of days ago, everything was fine. Starting about two or three days ago, I started having pain, not at my surgical site, but in the lower middle portion of my abdomen. In addition, the surgical site is now hard (only just got hard today) and is itchy and has a giant ridge of tissue. I m hoping this is normal, but I just wanted to make sure that there was no cause to worry. Can you help? Thanks! <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi. Thanks for your query and an elucidated history. The cause of pain in the lower middle portion of the abdomen can be due to the following causes as after about 7 days of Laparoscopic Ovarian cyst Surgery:-Adhesion between the operated site and the intestines or any other organ.-Hematoma formation at the operation site or in the abdominal wall. -Injury to any organ which is evident a bit late and this is possible, The best way would be:-Get a physical examination done for per-abdominal and per-vaginal examination by a Gynecologist and / or a General Surgeon. -Urgent ultrasonography of the whole abdomen and if required the CT scan to confirm or rule out any major problem.-A course of medicines as required.-Diagnostic Laparoscopy to see the exact problem and to solve it too at the same time. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
I ve had trouble breathing for awhile now. I am a 15 year old female and I might have precordial catch syndrome, but I am not 100% sure. I get the occasional stabbing pain in the left side of my chest. It last for a few minutes and it sometimes feels better if I apply pressure. other times, the pain is not intense and it hurts for a longer period of time. another problem I experience is trouble breathing. I find myself taking a deep breath every few minutes. I do this because I feel like it is impossible to get air without taking a deep breath. It almost feels like there is a huge bubble in my chest, keeping me from breathing, and when I take a deep breath, it allows enough air to satisfy me for a few minutes. Then the same problem happens again. This is really annoying, painful and kind of scary. I feels like my chest will suddenly close up, making it impossible to breath. Please help! <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Thanks for your question on Chat Doctor. I can understand your concern. By your history and description possibility of stress and anxiety related breathing difficulty is more. But at your age of 15 years asthma can also cause similar symptoms. So we need to rule out asthma first before stamping anxiety as a cause. So get done PFT (Pulmonary Function Test) to rule out asthma. If PFT is normal then no need to worry about asthma. Stress and anxiety appear more in your case. So better to consult psychiatrist and get done counseling sessions, try to identify stressor in your life and start working on its solution. Sometimes only counselling and discussion with psychiatrist are sufficient to relieve stress and anxiety. You may need anxiolytic Chat Doctor. So avoid stress and tension. Be relax and calm. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
Daughter, age 38, has CML. Was wondering what it would cost for the trip to Arizona, Cancer Center there. She has Kaiser here in Sacramento and we were told the trip and treatments were not covered. Yet she s getting drugs that make her tired, goes to work when the pain isn t a lot (2 or 3 days per week) and I can see no treatment being used/exercised. Linda Q <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Thanks for your question on Chat Doctor. CML is blood cancer which is having excellent prognosis if proper treatment is given. Life expectancy is more than 10 years with five year survival rate almost 70-80%. So strict follow up and proper chemotherapy should be administered. It is having remission and crisis phases. So chemotherapy Chat Doctor. So for your mother, I advise you to consult oncologist and start the chemotherapy. She may be in the crisis stage. So clinical examination and chemotherapy is needed. Convince your mother about good prognosis of CML and importance of chemotherapy in CML. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
I had what looked like a small pimple on my bottom but not it is hard, red and painful. I was able to squeeze it to relieve some pain. It does not appear to have pus. I have been applyin peroxice and neosporin. Cuould this be a staph infection? I have had one before. Should I get medical attention? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, I had gone through your question and understand your concerns. It may be a staph infection, or it could due to worm infestation. Use antibiotic AMOXICILLIN 500 mg twice daily 3 days and ALBENDAZOLE 400 Single dose(for warm infestation). To decrease the inflammation use painkiller like IBUPROFEN. If it gets repeated continuously check for BLOOD SUGAR levels, because FRANCES are more common in diabetics and malnutrition. Use a multivitamin tablet daily. Maintain hygiene. You can also use alternate cold and warm compresses which will fasten the healing process. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
I have a bump that appears to be a spider bite or pimple about 2 inches above my penis. It is not blistering, nor does it have the head of a zit. It is tender, but doesn t sting, burn, or itch. The bump is probably a quarter inch wide and firm. It appeared a few days ago, maybe 3 or 4. Maybe getting smaller? Could it be herpes? I was exposed to the blood of someone with herpes when she cut herself and I was dressing the wound. Got her blood on my hands. Thanks! <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, Dear,Thanks for your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You seem to suffer from-Its definitely Herpes warts / but seems to be from furunculitis, which is subsiding over last few days. Your body defenses seem to have overridden the bacterial infection, with cellulitis presenting to you as a bump on the pubic area. So your lump is not Herpes.Don't Worry. This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
I am having respiratory/ breathlessness problem since last 8 months. After investgations, no Asthama or heart problem.ENT report and all other tests are normal. Now i am under treatment of Psychiatrist from last 2 months. Theprescribed medicines are;- 1)Rexipra 10 mg: 1 - 1/2)Trika o,5mg: 1/2 in morning and 1 at night.3 Lifodep7.5 1 OD4) Sulpitac,50mg 1HS. 5) Etizolam O,5mg 1 OD> There is no visible improvement so far. Kindly suggest and guide. P Raonka E.Mail. raonka@ WWW.WWWW.WW <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Thanks for your question on Chat Doctor. I can understand your concern. Since your all cardiac and Pulmonary tests are normal, no need to worry about major heart and lung related causes. Uncontrolled psychiatric illness like depression, anxiety etc. can cause breathlessness. So in my opinion, better to consult another psychiatrist and get done counseling sessions. Counselling has a great role in psychological treatment along with Chat Doctor. Try to identify stressor in your life and start working on its solution. You may need newer psychiatric <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
hi i am 23 yrs old male. i have infective hepatitis 1 month ago my sgpt is till high & i am on diet i dont drink & smoke but i eat red meat & food outside its oily too..but now i am taking food from home only..now what kind of diet i must take & dont take..is it so that now i cant drink beer or have meat for whole life <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi welcome to the Chat Doctor You have not mentioned which type of hepatitis you had... Here for at least month better to avoid outside foods Avoid excess fried and fatty meals and also avoid non veg foods Eat more and more fruits . Following food that are good for liver consumed more.... -beet roots -carrot -lemon juice -aloe vera-grapefruit juice-avocados etc.... Take care Prognosis also depend on type of hepatitis Consult physician for examination <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
I smell paint, but there is no source... Why do I smell this paint-like smell? I can smell paint where ever I go. I haven t been painting recently, nor been near any paint projects. The thing is, it is always strong and no matter where I go, it stays the same, so I think it s on me. I ve checked for paint and washed myself, but there are no signs of it. It would help if someone could explain this chemical smell. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Dear serve understand your concerns went through your details. Olfactory hallucinations or Phantasma is the medical term for an imaginary odor (phantom smell). Most phantom smells go away in time and are not caused by anything serious. But, for the patient it could cause distress and anxiety. Causes include nasal infection, nasal polyps, migraine, dental problems, exposure to certain chemicals etc. You can talk to your doctor regarding this. But there is no need to be panic. If you require more of my help in this aspect, please use this URL. http://yyyyy.gl/yyyyyyyy. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
After eating ham and cabbage 2 nights ago, i got this really bad pain in my chest, right side. It wont go away. It hurts more as I move my head different ways. It hurts really bad when I sneese or cough, now swallowing. Is it gas, and how can I relieve it. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi. I can understand your concern. If the chest pain is disturbing your routine activity then get a chest x-ray done to rule out any lung infection, or it could be just a muscle pull. Do not lift heavy weightsPossibility of musculoskeletal pain is more. Ibuprofen is anti-inflammatory. You will definitely improve witChatDoctorbination of painkiller and muscle relaxant Chat Doctor. Also apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright in 1-2 weeks. But better to first rule out lung infection.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
For a while now I have been getting an ache in my stomach near my belly button. When this happens it makes me feel as if I need to go to toilet, but when I get to the toilet I dont always have to go. I had treatment for small cell lung cancer 3 years ago could this be anything to do with that. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi. Thanks for your query and proper history. To think of the commonest causes first, the cause of the pain in the stomach near your belly button can be intestinal infection. As you have a history of small cell lung cancer 3 years ago, the secondaries from this cancer can be present in the lymph nodes of the mesentery and can cause similar pain. This can be confirmed by ultrasonography, tests of the blood, urine and stool and a physical examination by a Surgeon, the treatment will depend upon the findings. Till then complete a 5-day course of an antibiotic with metronidazole, probiotic and activated charcoal with anti-spasmodic tablets wherever necessary. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
I have a burning sensation on the feet, hands, urine gland & have rashes on my cheeks, I treated a lot, but no improvement, It is my unfortunate that Doctors can not Diagoniss my diseases. Can you pl tell me the actual cause of my diseases & Advice me what to do <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello, Eczema or urticaria or autoimmune disease or allergic dermatitis may cause this problem. Still, many more causes may present like this. Until examination is done it is difficult to say what it is. Get it done eosinophil count, blood sugar, serum creatinine, and electrolytes. Check for thyroid status. Apply lactocalamine Kelly over the rash. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
My BP has been extremely high for me the past two days. The last two times I have taken it, it has read 181 over 128 pulse 95 and most recently about 5 hours from the last time it is now 167 over 110 pulse 116. Though I took a BP pill 5 and 1/2 hrs ago ... can I take another one soon. MY head and neck are killing me and my head is going to explode,.My eyeballs are so sore, <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello, The Headache and soreness of eyes both are related to the blood pressure being on the higher side. A disturbing fact that diastolic (lower) blood pressure is really high. You have to take antihypertensive medication in such setting, maybe the one you are on is not working good enough. So increasing the dose of same or adding another is the way forward. A visit to a doctor who can do the same is strongly suggested. Lastly along with blood pressure when the pulse is too high it would suggest anxiety as a common accomplishment. So try calming down as by being more anxious, the pressure would still fly to higher values. Do visit your doctor at the earliestRegards Chat Doctor. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
Hi my name is Brittany and I ve just turned 19 on the 16th of this month. I now have no Medicaid and in need of care for my ear infection. I don t have a job and my family doesn t make much money. Is there any way I can get back on Medicaid and how much will it cost?? I really need dental care as well for my wisdom teeth. They ve been bothering me as well. Please help. I really need health insurance. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello, Welcome to Chat Doctor, It is possible that your ear infection is complicated leading to infection of the bone behind the ear called the mastoid bone. You require an appropriate antibiotic. The right antibiotic can be selected by doing a culture and sensitivity testing. Please consult your ENT surgeon for the same. You can take any over the counter painkiller after checking the dosage. Thank you. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
Im on the pill and was supposed to start my period on Monday. I hadnt had it by last night so I took a pregnancy test. It said that I was NOT pregnant. later that night i had sex with my boyfriend (using a condom since Im worried about sex on the sugar pills) and the condom broke. Is there a chance that I could get pregnant and do I need to take the morning after pill? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello dear, I understand your concern. In my opinion it might not result in pregnancy due to condom breakage while on sugar pills provided you have taken all the hormonal pills regularly without missing a single dose. So there might be no need of morning after pill. But if you had irregular intake previously then there might be risk of pregnancy. Relax and use pills regularly for better results Best regards... <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
History since age 17: ibs by age 60 mild inflammatory colitis to cholecystitis, culminating in the removal of a diseased gallbladder in september 2013. Since that time, two months of poor recovery, digestion problems, and 4 months continuing inability to eat normally, and suture not healing, with mild infection. Repeated blood tests show elevated lipase and now alt([pt), Tbil low abn liver function tests, and cbc MO% just above normal H. Doctor has assigned a hepatitis and hepatic function panel, ana, & asma.to be taken friday. Years previous have had + & _ allergy test results and brittle asthma and cardiac svt with long rp yielding angina like symptoms. Turning 70 years in January 2014. Dr. has recommended allergist testing. should i be going to Mayo Clinic? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
HelloThanks for the query to Chat Doctor. Forum. Allergy test will find out sensitivity to certain allergen and usually helpful for asthma and allergy. As you mentioned that raised level of lipase and A L T. As gallbladder already removed, so you may get infection of liver also. In my opinion also get in M R I of liver as well as pancreas. In this type of cases usually patient develop pancreatitis, diagnosis can be confirmed by estimation of lipase and amylase. As you mentioned that suture is not healing, so get in HBA 1 C and also blood sugar examination. In my opinion at present you require.1 Allergy test as desired by your doctor .2 MRI of liver 3 Pancreatic enzymatic tests 4 Diabetes rule out. Consult a physician and get his opinion and all tests as mentioned above. Good luck. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
My mother has been diagnosed of having ovarian cancer stage four. She is aged 70 years. She underwent one chemo and could not bear the pain and side effects of chemotherapy. She is presently on alternative medicine i.e. ayurvedic. Now ascetic fluid has accumulated in the abdomen and she is not able to eat and is suffering from breathlessness. Can the fluid be removed and if so will it accumulate and in how many days. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, dairy have gone through your question. I can understand your concern. Your mother has ovarian cancer stage 4. So cure is not possible. Chemotherapy just work as palliative treatment but if she is unable to bear the side effects then treatment should not be given. There is no harm in alternative treatment in terminal stage cancer patients. She has as cities. It is very common in ovarian carcinoma. You can Chat Doctor. It will accumulate within few days. However, it can be <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
I have had neck pain in the back of my neck for about 3 months. At first I thought it was stress, but I also have glands that swell off and on. My throat would feel swollen and I would think I was getting sick, but the next day I would feel fine. This happened for about two weeks. Then my left armpit began to swell. It, also goes up and down. I thought maybe I had mono or was allergic to my deodorant, but it just doesn t go away even though I have changed deodorants and am not having flu like symptoms. I went to my gynecologist and she felt a lump in my left breast. I had an exploratory mammogram and an ultrasound, but they said I was fine. My gynecologist says that I have dense breast tissue which could mask a lump during tests like I had. She wants to recheck me. Are the neck, glands or lump issue related? Should I be worried? I am 52 years old. YYYY@YYYY <|eot_id|><|start_header_id|>assistant<|end_header_id|>
As per your explanation I understand you have lymph node swelling under your arm and below the breast area towards later side. Here I suggest you need to understand lymphatic system is the one which carries waste metabolic end product from different part of our body to kidney and heart to get it filter here. And this lymphatic channels are present all over the body even in our fingers too. Lymph node is an oval-shaped organ of the lymphatic system, distributed widely throughout the body including the armpit and stomach and linked by lymphatic vessels. Lymph nodes are major sites of B, T, and other immune cells. Lymph nodes are important for the proper functioning of the immune system, acting as filters for foreign particles and cancer cells. Lymph nodes do not deal with toxicity, which is primarily dealt with by the liver and kidneys. If you feel there is a swelling in lemonade which is increasing and getting tender day by day then I suggest do not wait and visit your gone immediately along with a vascular surgeon to for having better idea on your issue. My aim is not to panic you but if there is anything related to cancer then early detection and treatment will help you to get cure easily. And neck pain can be possible with this. So I suggest first you need to evaluate on lymph node swelling and take treatment for it. Later still if neck pain continue you can visit or tho and physio for further advice and treatment. Take care. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
MY PARTNER SAYS THAT HE FEELS WEIRD,HE SAYS THAT DURING THE DAY HE GETS A WEIRD FEELING ALL OVER HIS BODY,LIKE IF HE S DREAMING,HE FEELS SCARED AND DOES NOT KNOW WHERE HE IS,HE SAYS IT ONLY LAST FOR A FEW MINS AND THAT HE GETS FLASHBACKS OF HIS NIGHTMARES. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Degree understand your concerns went through your details. I suggest you not to worry much. But the description is not enough to diagnose any mental disorders. He may just be stressed or over worked. Ask him to take a vacation for a week or so. You can also take your partner to a psychologist who can diagnose the problem. 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|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
My husband got into a bad cycling accident 3 days ago where he had a large gash on his forehead and road rash throughout his body. Today he has a lump on his neck about in inch about where it meets the back/shoulders. It does not hurt to move or to push on it but hes starting to have a bad headache. Should we be concerned and should we head back to the ER for them to check out? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Treatment of neck lump with headache-This lump in the neck appears to be of hematoma-as it's not painful on movement or to push. It would cause bad headache-due to the tissue trauma and tensile hematoma in the lump. Could be treated by-Cold compresses/Antibiotics/ Voltaren gel locally / with Tomophobe point locally would resolve the lump fast. If it liquifies, it may need to be Aspirated and compression bandage-to treat it. I would suggest consultation with ER Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
Hi, am not sure what s going on with my body for weeks, I ve been feeling a lot of anxiety and stress than I started feeling depressed. Than right now I feel like my arms are moving slowly and they feel heavy. I am having trouble eating, I ve lost a lot of weight and that s not supposed to be right I used to weigh 110 and it dropped to 101 and now am having trouble getting back my weight again <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello, Your symptoms can be due to simple anxiety disorder or organic. Getting following blood test will help to rule out any organic cause behind these symptoms-blood pressure reading, bl. sugar, HBO, kidney and liver tests, TSH. If they are almost normal then the root cause is anxiety and can be managed with meds like-sertraline or paroxetine. There will be significant improvement in one to two weeks of treatment. The meds should be continued for few months after having complete improvement. Wish you good health. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
hi I am anna 1947...I have every symptom of lymes & feel that I contracted it when I was a young girl.my brain has scarring with neurological syptoms...also heart...eyes...this past year extreme pain in left leg...moderate pain in lower back & sciatic in right leg. is this much pain normal for lymes? I am so much worse during the full moon. lymph are affected & rash under armpits & inner thigh near groin in left leg. my body is having trouble handling the die off...went into kidney failure...lowered my dose of ceftin to 500mg 2X a day <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello Dear. Lyme disease is related to painful rashes on armpit and thigh, but may not be related to brain scarring. Lyme disease is usually curable with antibiotics. This is so true that some authors of Lyme disease research have stated that the most common cause of lack of response of Lyme disease to antibiotics is a lack of Lyme disease to begin with! The type of antibiotic depends on the stage of the disease (early or late) and what areas of the body are affected. Early illness is usually effectively treated with medications taken by mouth, for example, doxycycline (Tobramycin), amoxicillin (Mobil), or cefuroxime acetic (Certain). These generally result in a rapid cure of Lyme disease. Therefore, if a person finds a typical bulls-eye skin rash (described above) developing in an area of a tick bite, they should seek medical attention as soon as possible. Generally, antibiotic treatment resolves the rash within one or two weeks with no long-term consequences. Later illness such as nervous-system disease might require intravenous Chat Doctor. There are no home remedies to treat Lyme disease. In those people with two or more episodes of erythema migrant rash, even years apart, it is felt that the episodes represent different infections or reinfection rather than persistence of the original infection. For relief of Lyme disease symptoms, pain-relieving medicines might be added. Swollen joints can be reduced by the doctor removing fluid from them (arthrocentesis). An arthrocentesis is a procedure whereby fluid is removed from a joint using a needle and syringe under sterile conditions. It is usually performed in a doctor's office. Rarely, even with appropriate antibiotics, the arthritis continues. It has been suggested by researchers that sometimes joint inflammation can persist even after eradication of the Lyme bacteria. This complication has been explained as an ongoing autoimmune response causing inflammation of the joint that was initially stimulated by the original bacterial infection. Oral medications such as ibuprofen (Motrin, Turin) can also be used to reduce inflammation and improve function. There is no evidence that nonspecific fatigue that persists after treatment for Lyme disease is related to persistent infection. The risks of prolonged treatments with antibiotics are far greater than any benefit in this situation. Of note, recent research was done to study whether longer-term antibiotic treatment of persistent symptoms of Lyme disease led to any better outcomes than shorter-term treatment. The study found that longer-term antibiotic treatment did not have additional beneficial effects on health-related quality of life beyond those with shorter-term treatment. Specifically, the researchers determined that this longer-term antibiotic treatment had no more beneficial effect on fatigue, or musculoskeletal, neuropsychological, or cognitive symptoms and disorders from Lyme disease than placebo Hope I have answered your question. Feel free to contact me if you have any more questions. I'll be glad to help you. All the besting warm regards <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
So I am 21 years old, I have had back pain for almost a year now, it initially strated last fall when I herniated a disc, i traeted in with physical therpay and it resolved, but similar symptoms seem to keep coming back a couple months after and they are with me every day since then sometimes really bad and other times very miminal. just pain in the lower back mainly on left side that will continue on down to my fibula head where my gait is altered and my ROM is limited, ADLs are hard and I feel like an old man haha. Granted I have a slight LLD and my hamstrings are very tight, I have a lot of functional issued that need adressing but none too serious. Recently I have been having testicular discomfort and abnormal stools where they are blochy and it seems like papery like flakes coming off of the clumps stool, no whole normal stool is ever pushed out. I am worried that this may develope into something more serious... <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hidisc once herniated gets fibrosis the ring enclosing it weakens over time and some more part of disc may bulge out through the rent and cause fresChatDoctorpression on nerve roots. Once fibrosis of this fresh part occurs, the pressure releases and pain abates. Rest, physical therapy as before may be indicated again-see an orthopedic doctor and have MRI done. As for stool problem, modifying diet with more of cereals, leafy green vegetables, fiber rich fruits and Isabel husk(available in markets) at bedtime daily will sort the stool consistency issue testicular discomfort if with some local pain and tenderness may be shown to a physician or a surgeon. Without examination of testes, no diagnosis can be made., treatment obviously follows after knowing cause best wishes, <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
i am getting severe head ache from last 6 months at the temple regions of eye starting edge of eyebrow corner........consulted many doctors........one said its synositis other said its migrine other said its both u have......took tablets and treatment for all ....still suffering from head ache......dont know when and how it starts searching the reason and problem ......could you please help me to find why? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hello Thank you for trusting Chat Doctor Dear many causes for headache If you're suffering from repeated cold nasal congestion it may be due to sinus headache, need CT paranasal sinus to confirm diagnosis. If your getting band like feeling around the head aggravated after stress full conditions it may be due to tension headache, need relaxation yoga etc. Unilateral, periodic each episode lost 2-3days with severe headache with blurring if visioned, aura it may due to migrant. Other causes like cluster headache and temporal arthritis. Please consult your euro physician he will examine and treat you accordingly. <|eot_id|> |
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Hi, it feels like something is poking my heart with something like a straw? it feel likes it is trying to push it through the left side, i occasionally exercise, I also diet.. Could this be something to do with it? Also my chest (female) has been hurting like some one has punched me. Thanks <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of stress and anxiety related symptoms is more. But better to first rule out cardiac cause for your symptoms. So get done ECG and 2d echo. If both are normal then no need to worry about cardiac disease. You are mostly having stress and anxiety related symptoms. So consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. <|eot_id|> |
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Hi Doc. i am 28 y/o, 5 5 in height and 54 weight. I had sex with my boyfriend on April 1 and my last menstruation is March 16, is it possible to get pregnant even i take contraceptive belara pill name but only 1 pill after having sex? It has tendency to get pregnant? Thank you and looking forward for your response. <|eot_id|><|start_header_id|>assistant<|end_header_id|>
HI, Bear is a contraceptive preparation which needs to be taken regularly. You had an unprotected sex on 15-16th day of your cycle. That comes to be possible ovulation phase of menstrual cycle. - If ovulation had already cured, it won't prevent conception, but it will have a bad effect on the embryo. - If ovulation process was yet to start, the pill may postpone the ovulation for a couple of days & prevent pregnancy. If you are not pregnant, you will get your periods a few days later, BUT, if you have conceived, the risk of abnormality in fetus Demands termination of pregnancy. Thanks. <|eot_id|> |
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Hi ...I was having sex with girl on top..she may not be wet enough and i injured my frenulum...there was a lot of blood and it stopped after that..there was no blood again..my penis stings a little ... will it heal itself ? do i need to see a doc ? please advise ... <|eot_id|><|start_header_id|>assistant<|end_header_id|>
helloThanks for query. You have sustained injury to frenulum during intercourse and has had bleeding . You need to take broad spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice daily. Ensure to avoid sexual encounters till it heals up completely. It will heal within a week. <|eot_id|> |
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You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|>
I have hard lumps on the side of my neck, chest, and all over my stomach. Some are small, and others are the size a big marble. They are not painful, except for the one on my jaw. I am not sick. I have not ran a fever. But there is a lot of these Lumps, and I think they are lymph nodes. I have had blood tests ran and thEy came back fine. But my dr did not even really pay attention to these lumps. I have been really worn out, and not filling normal. I have stomach pain for about 6 months and the are going to do a colonoscopy. I know I don t have all the symptoms of lymphoma. But for what I have read you don t always get them. What should I do now.? I need help! <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, there are other differential diagnosis of multiple swellings which also include lymphoma. As your doctor has not paid attention they may be multiple lipomas which are benign. U may have some other Gastroenterological problems like, black color stool or any family history of GI malignancy for which they've planned a colonoscopy. For stomach pain u should get an abdominal ultrasound or upper GI Endoscopy. <|eot_id|> |
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Hello Doc, Our baby is born on Aug 1st and birth weight is 4Kgs. On 15th we had a check up done and found that his weight is 3.6 Kgs. Doctor has prescribed Dexolac (30 mg daily/once) now. Please advise me is it safe to give to a 19 days old baby and are there any side effects? <|eot_id|><|start_header_id|>assistant<|end_header_id|>
Hi, Thank you for asking question on Chat Doctor. Breast milk is the best milk for the baby. It is usual for the babies to lose weight during first 1-2 weeks. I do not understand what for you want to introduce Delay. At present your babies weight is normal, and definitely it will increase as the days pass by. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics <|eot_id|> |