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<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hey im 4month pregnant and i already have a 7month old. i have been geting bad back and side pains 4 2 days now. i have been gettin some really strong pains and sum times it feels like i need to tense up and push. i ache all around my stomach and when i touch it it feels sore. please could you give me some advice thanks <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, and I hope I can help you today. Having some cramping during pregnancy is normal however, but it should not be severe, and certainly it should not be associate with a sensation of the need to push. It is also concerning because you say touching your stomach is uncomfortable. I am concerned that you may be experiencing premature labor, or a threatened miscarriage. You also may have either a uterine or urinary tract infection. These can be a threat to your health and the babies if they are not treated right away, so I suggest you call your prenatal care provider and make an urgent appointment for evaluation. If you do not have access to a healthcare provider I suggest you go to a hospital emergency room for evaluation. Because of your sensation of needing to push, I do not think it is wise to delay a medical evaluation for more than 24 hours. I am sorry to have to deliver you this information, but I hope you seek appropriate medical care and that everything with you and the baby turn out to be fine. I hope I was able to adequately answer your question today, and that my advice was helpful. Best wishes for the rest of the pregnancy, <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> HELLO DR.GRIEF,I HAVE DEVELOPED AND CHRONIC COUGH AND A HORRIBLE POST NASAL DRIP.ITS BEEN ACTIVE SINCE AROUND 2008 OR 2009 ABOUT 5 TO 6 YEARS NOW.I HAVE HAD EVERY TEST YOU CAN IMAGINE.ON MY LUNGS,SINUS,AND IT WAS EVEN SAID IT WAS ALLERGIES.NO DOCTOR I GO TO CAN HELP. I VE TAKEN ALLERGY SHOTS FOR A YEAR,TAKEN SINGULAR, AND XYZAL. I WAS TOLD IT WAS ACID REFLEX,I VE TAKEN LANSOPRAZOLE AND DYMISTA. I DON T BELIEVE IT S ANY OF THESE THINGS BECAUSE THE MEDS DON T WORK.COULD OGESTREL TABLETS POSSIBLE HAVE ANYTHING TO DO WITH IT? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Estrogen tablets have never been reported this kind of side effects like chronic cough or post nasal Chat Doctor. If I guess u had undergone all necessary investigations but still undiagnosed then u might have a continuous exposure to allergy which is keeping your ENT or tracheobronchial tract inflamed so causing symptoms, and that can be diagnosed only by detailed history taking. Consult pulmonologist for that <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have had tremindous stomach pains. I have had MRI, X-Rays, tried new meds and I still suffer from the same pain. To me it feels like it is getting worse but my dr. keeps saying nothing seroious. I went to an abdominal dr. also and he said just to keep on taking the asprin I was taking to help the pain. What else Can I do? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for writing in. I suppose you have stomach pains for a while now and started taking aspirin for it with some ?new Chat Doctor. MRI and X-rays have been done for abdomen or any other part is not clear from your query. With this information, I would like you to stop taking aspirin for stomach ache. You may take proton pump inhibitors (pantoprazole, omeprazole) and some anti-spasmodic medication. Aspirin may worsen your pains by causing gastritis and that might exactly be happening to you. As investigations, I suggest you to have complete blood tests and ultrasound scan abdomen. A gastroduodenoscopy (oral endoscopy) might be done if necessary. Hope this helps. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My upper chest area hurts after I talk for 10 minutes. It is like a combo of being sore and a tickle in my lungs. Went to ER, Seems bloodwork and heart checks and x rays are all clear. They gave me medicine for acid reflux. It is helping, but sore sick feeling still there if I talk or drink water. I just got back from a speaking tour with a lot of yelling and drinking at events. Been about 10 days now feeling like this. Seems to be getting better when not talking, but when talking the discomfort shows up. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases as your reports are normal. You are improving with acid reflux treatment, so possibility of HERD (gastroesophageal reflux disease) is more. Along with Chat Doctor. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Quit smoking and Alcohol. 4. Keep 2-3 pillows under head in bed to prevent reflux. 5. Go for walking after meals. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello Dr,My self is 57 yrs old, iam having Epigastric fullness & abd distenion,i had my USG whole abd& Dr,diagnosis me as MOD.Grade Fatty Liver .He prescribedme Udiliv300 twice a day,and im suffering from mild hypertension,he also prescribed Tab Arbitol 80which i have to take 1/2in the morning other medications like Veloz-L,tab Bisoheart5,1/2 at night and tab Fludac20 in the morning .i have got my Lipid profile reports S.cholestrol-221,S triglycerides-143 HDL-42,LDL-150,VLDL-29,Lft in normal range,FBS-92,Uricacid-5.12and HB-9.4 .Please advice me ,howlong i should take my medicines,or any change in medicines. thank& regards <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HelloYour findings may suggest moderate fatty changes in liver. Fatty liver is due to deposition of fat within the liver cells. Fatty liver is a reversible condition.It is usually reverses with treatment of underlying cause. Fatty changes in liver may be due to many causes like obesity, sedentary life, hepatitis,altered lipid profile, metabolic disorder etc. It may be due to elevated cholesterol level in your case. You may need medicines like tablet atorvastatin 10 mg at night after dinner. You should avoid saturated fat and go for brisk walk regularly. You have been prescribed right medicines, you should take it continuously. You may also need iron and folic acid tablet due to anemia. You can also take iron rich food like green leafy vegetables, jaggery, dates etc. Get well soon. Take Care Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Pls interpret my CBC result: Hemoglobin 123gm/L,Hct 0.37, Leucocyte 7.4, neutrophils 0.71. myelocytes segmenters 0.71, lymphocytes 0.29... I had also URINALYSIS :PH-6.0, SG 1.020, Sugar(-), Protein Trace, Epithelial cells MANY, Mucus Thread MODERATE, Bacteria FEW, RBC 0-3, PUS CELLS 15-20, Urates FEW.....Thanks RADZ 37y.o., female from philippines <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi! Welcome to Chat Doctor! I can understand your problem, nothing to worry! As per the laboratory shown in your question, you have infection of urinary tract. Do you get fever, backache, or burning sensation while passing urine? Take Ciprofloxacin tablets 500 mg twice daily for 7-14 days. If you have fever, you can Paracetamol tablets 500 mg 3-4 times daily till fever subsides.Besides, you should take the lot of oral fluids, juice etc. to maintain a good urine output. 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 went to see the doctor for strep throat.I am taking penicillin. My left tonsil is swollen but recently Ive been having toothaches where my wisdom teeth are (which are also on the left) my cheek is a bit swollen and the gums near my wisdom teeth are also. I scheduled a check up for my teeth. Should I stop taking the antibiotics? I have for days left of taking it. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your query, I have gone through your query. The pain and swelling could be because of the gum infection over the wisdom tooth (periodontal infection leading to space infection). Consult an oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed. If the space is not available then you have to get the wisdom tooth removed. If I am your treating doctor, I would suggest you to take metronidazole 400 mg TID for 5 days (if you are not allergic) along with penicillin. Do saline gargling. I hope my answer will help you, take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Both my mother and I have had breast cancer - hers was in 1989 and mine in 2008. She had radiation. I had both chemo and radiation. She was diagnosed a 2nd time in 2008 in the other breast and since it was so small and her age she decided to just go on aromasin (exestame). Her mammo are now normal. I also was put on aromasin(exestame) after radiation. We have both been on the med for 6 years. We both have normal mammographies. Both of us have noticed that the right breast has shrunk - her considerably and mine not as much but it definitely it is quite smaller than originally after surgery. It is possible to be a side effect of the exestame? What are the consequences of stopping the med? Thank you Forget it - didn t know there was a charge for this!!!!!!! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for writing in. Exestame (aroma sin) causes side effects in about 10 percent of patients taking it. It is given to many patients and the treatment is acceptable.Some common side effects include the following hot flushesfatiguearthralgiaheadacheinsomnia increased sweating shrinking of breast is in response to radiation therapy and the breast might have undergone radiation therapy changes and this causes slight decrease in size of breast. Please do not worry. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Can you please guide me on the effectiveness of unwanted 72 as birth control pill? i had unprotected sex with my fiance on 14th and 15th of this month. She had unwanted 72 pill within 24 hours, her last bleeding dates were 20-23 march 2014 and avg cycle length of 28 days... pls help. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hallow Dear, You are indeed in a very tricky situation. Unwanted 72 is a fairly reliable post-coital emergency contraceptive pill. You had unprotected sex on 14th and 15th. You mentioned that she has taken Unwanted 72 within 72 hours of the sex; however, the million-dollar question is after which intercourse? If the pill was taken within 72 hours of 14th and 15th both, then you are protected from both the sexual intercourse. However, if you had taken pill within 72 hours of sex on 15th which falls beyond the sex on 14th, you are not fully protected from pregnancy. Anyway, since her next menses were due on 18th of this month, your both the sexual intercourses were beyond the fertile window. So the chances of pregnancy are very less. Please note that after taking Unwanted 72, her following period may get delayed by few days to a week or so; you need not get panicky. If she misses her period for more than 8 days, you may perform pregnancy test on overnight morning first urine sample; earlier, the test may report false negative results. I am sure, this clarifies all your doubts. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Respected Sir, My father suffering from weist pain, leg pain. Doctor decited spinal cord operation must. Now operation completed but pain dont out. He is shouting for pain. doctor prescribed akt-4 tablet will be take quantiniue one year. now what we do? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Dear Patient, Since your father has been started on AKT4, it means that he is suffering from tuberculosis of the spine, the surgical treatment of decompression has already been done, as your history suggest, but the medical treatment to cure the disease takes 12 to 14 months to complete, if routine pain medication are not giving relief, I would recommend you to see a pain medicine specialist, and under his guidance control pain, let the ATT continue, but please see that the dosing given is weight controlled, as inadequate dose, and multiresistant bacteria is the main cause of treatment failure in TB. I hope this helps you, feel free to contact for any other informationThanks. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello Dr. I am suffering from fever and Cold. 6 months i had fever and went to Dr.He gave me microdox tablet. After i took them, I got black spots in my skin . I met Skin specialist.He told that this was drug allergy, due to intake of tablets. Day before yesterday i took half paracetomol , yesterday i found one more black area in my shoulder, What to do Sir? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Welcome to Chat Doctor, Before using any medicine inform your doctor if you are allergic to any medications. Some side effects of doxycycline may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Appearance of rashes to this Chat Doctor. If the rashes are increasing stop the medicine and inform your treating doctor regarding this. He will help you and tell whether it is allergic to <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have swollen feet which pitt 3 months after chemo TAC. I also get a tight throat and breathlessness. I do have a chronic lung condition which I have been told in not sinister. I was really fit and finding stiff legs when getting up or after sleeping a pain in the neck. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your situation and problem. Swelling and stiffness in legs is commonly seen in right sided heart failure. You are also having chronic lung disease. These diseases in the later stages cause right sided heart failure. So better to first rule out this. So get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. You also took chemotherapy. And sometimes chemotherapy can cause renal damage. This can also cause lower limb swelling. So also get done renal function test (creatinine and urea). So consult doctor and discuss all these. 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\|> i underwent a cautery procedure for my syringoma.after a week, the scabs peeled off and left reddish swollen lumps. it s almost 3 weeks since the procedure was done but the reddish swollen lumps are not disappearing and it seems that they don t even shrink. are these already scars or not? will they still disappear? thank you very much. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for query to My Chat Doctor virtual Clinic And welcome to Chat Doctor services. I studied all details of your query. I understood your health concerns about reddish lump after electrocautery of the syringe. Based on facts of your query, it seems that-your syringe(Bump of sweat gland) is partially removed and would require another session of electrocautery, till it is completely removed. If you want to avoid second session of electrocautery, You have option of using wart removing lotion or cream(OTC), which you can use. The resultant wound would come to normal in 6 months time. You have option of Laser ablation of the Syringe, for which I would suggest Second opinion from Dermatologist. In this situation I would suggest taking Second Opinion from Dermatologist before planning further treatment. Hope this reply would help you in resolving this complex query and anxiety with it. This would help you to plan treatment with your Dermatologist. I would appreciate if you hit thanks and write excellent review comments to help needy visiting patients at Chat Doctor. Welcome for any further query in this regard. Good Day!! Chat Doctor. N.M.S. Genl- CUTS. Senior Surgical Specialist. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have a rash on my the bottom side of my penis head it is red and doesnt it burn or anything but it wont go away not sure what it is but I wear compression shorts a lot throughout a day and sweat a lot but I tried using a anti fungal cream and it hasnt cleared up can you help me? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello I appreciate your concern. At the beginning I would like further information for better assessment of the condition like Your age and relevant medical history any history of unprotected sex in recent past? In my opinion you should wash it with antiseptic solution and keep it clean a moist by applying antiseptic or antibacterial ointment like mupirocin instead of antifungal cream. You should take plenty for fluids to maintain good HY Chat Doctor. Maintain good hygiene, wear loosely fitted undergarments it doesn't subside in 2 to 3 days than you should visit your nearest doctor for physical examination and investigations for STDs. Hope this answers your question please feel free to ask for follow-up question or if you have any more doubt, I will be happy to help you Best wishes <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello sir myself ramesh from india as i am facing lots of problem on fungal infection on the penis area for 7 months .... As i applied lots of cream and oinment ..... Doctor sir can u please recomended any medicine or oninment or fungal cream as soon as possible .... I will be thankful for my hole life sir <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HIT hank for asking to ChatDoctorI really appreciate your concern if this is not the fungal infection, and you are taking treatment for fungal infection then this won't get alright, so this is to be confirmed first whether this is really fungal infection or not, even you have not stated the symptoms, so I can have some clue for the right diagnosis I would love to answer your query if given detail, meanwhile on tentative basis this can be treated with "Fluconazole cream and Provide ointment" hope this information helps you, have nice day. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Im have a regular 28 to 30 days cycles of menstruation. I always have my contraceptive pill. Now i stop it because i don t have supply anymore . Im 51 yrs now. I have my 1st day menstrual period last march 1. I had sex with my husband march 20. Im so worried about getting pregnant. I don t have my menstruation yet. I tried using pregnancy twice and all negative. I suppose to have my period before the end of the month. It is possible for that im pregnant? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, I have gone through your query and understood the concern. Pregnancy at your age is not a frequent occurrence as the ovulation dwindles. Since you could be in the perimenopause stage, irregular periods do happen, more so since you have discontinued the pill. Home pregnancy tests read well when performed 3-7 days after a missed period with a fresh early morning sample of urine. For a better clarification, you can get the blood test as well as a trans-vaginal sonogram a week after the missed period. Hope this helps. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My dad has 20% usage of his heart and went from 45% to 20% usage in less than 6 months...treated with iv Lasix in hospital and within 24 hours all the fluid is back and even more....he is 77 has pace maker and defibrillator ...now chronic kidney disease...he is blown up and we know this is terminal..my question with as quick as he blowing up and retaining fluid how long does he have left...what happens next we need to look for <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for writing in. It is important to know how much is the functioning of his kidneys. The function of various organs is inter linked, and the heart has and effect on the performance of the kidneys and the kidneys have a role on the heart function. Since ejection fraction of heart is 20 percent therefore there is severe compromise in heart function. With this the blood reaching the kidney is also less, and therefore the kidney might not be in a position to filter out the toxic products entirely. Knowing the serum creatinine and GFR might help to predict the expected progress of disease. He is on pacemaker and defibrillator and therefore any abnormal cardiac conditions are taken care of and corrected automatically. In this way it is possible to sustain for another 6 to 12 months with recommended care and support. Please do not worry. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> i am 53 yrs old lady, taking coravdil A since last 8 yrs. my weight is 82 kgs n my height is 5 ft.my sugar level is within the normal limits. My problem is that my both legs are swollen since last 5 yrs, is this the side effect of corvadil A ? if yes is there any alternate medication ? thank u <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Corvadil-A consists of two medicines a calcium channel blocker (amlodipine) and a heart-selective beta receptor blocker (atenolol) which is commonly prescribed to treat high blood pressure (BP). Swollen legs appears to be the side effect of amlodipine. Other alternate medicine that can be combined with atenolol is HY Chat Doctor. Hope I have answered your question. Let me know if I can assist you further. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, My husband is 35 and has recently started haveing health problems. He has rapid heart beat, a gland in his left armpit that swells off and on, muscle spasms in the chest and his primary doc said his liver enzyme is slightly elevated. He has seen a cardiologist which told him that he has artierial flutter/fibralation. They sent him to a sleep study for sleep apnea and told him that he had such a mild case of sleep apnea that it was his choice weather he wanted the cpap. This has all happened in the past three months. The cardiologist has put him on heart meds which worked for a short period of time but doesnt seem to be helping. He says that his heart does this off and on through out the day. The gland in his armpit if pushed on radiates pain through his left arm, down his back and across his chest. He has had an X-ray and no lumps were found but the his primary doc did feel something small a month ago and agian yesterday but he said that it hasnt increased in size so he does not think its cancer. His primary doc is doing an ultrasound on his stomach next week due to the elevated liver. My question is do you think this could still be arterial flutter/fibralation or could all these symptoms be linked to something else? Any advice would be greatly appreciated.Thank you for your timeTheresa king <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi Mam Thank for choosing Chat Doctor, you have described three problems altogether which are co-related with each others, Arterial fibrillation/flutter required echo study, and for liver the MRI study would be the best choice instead of sonography, the lymph also needs biopsy study, you have not told anything about your husbands habits, we always ask for complete medical history, for provisional diagnosis and better advise, take good care of your husband, and be in touch with Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I put it in the first box in what. I have tried. I don t get my check until the first day of the month on disabilityssi, what test would I need to find the problem, I am taking 450mg of effexor xr daily flonase nasal spray daily , lyrica150mg. , two inhalers , suboxone 8-2 film one daily,i buprophen 600 mg. For arthritis in my hands is bad Dec, I had a right hip replacement. Cartlidgegone in my joints. I can give you my debit card to draw out on July 1,2014. Please help me I have herniated disk in lower back. L4-5 S1. Two in my neck, I had cancer 2005, had a Partial Radical vulvectomy on the left side (castration). I was able to kee p my please help me. Removed 18 lymph nodesinleft groin area, sgeamous cell Carson a. Thank you, Judy Ainsworth <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Q1 : Suggest treatment for herniated disc in lower back at L4-L5 levelA1 : Herniated Disc at L4L5 Level requires Excision of the disc. This can be with Laminectomy or Endoscopy Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> . I am type 2 diabetic and gave my self a shot before bed. Woke up with a blister on my lower stomach right side. Felt it sore in the middle of night. Went in to urgent care and Docter lanced it. He burned my skin. Since than I have returned 3 times. It seemed to be healing but now it is purple around and cheesy looking in the middle. I have been swimming the last cole days. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Perhaps the skin there has got infected. Central yellowish looking floor and surrounding redness are signs of it. Uncontrolled diabetes predisposes to skin and soft tissue infections. I suggest you to use an OTC topical antibiotic, e.g., either Newsprint Ointment or Mupirocin 2% ointment, twice daily for a few days. In addition, I suggest you to take an oral antibiotic e.g., either Amoxicillin or Cephalexin, thrice daily for a week. Hope I have answered your query. Let me know if I can assist you further. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have excess saliva forming in my mouth for past 3 nights in the evenings also I have sharp pains in my chest and at the back in the middle of the spine Feeling bit weak and dizzy today and whilst walking this chest pain causes me to hold/ press firmly in my chest to release the pain I am going through a bit of a stressful period at the moment with family & work <\|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 cardiac cause first for your chest pain. So get done ECG and 2d echo. If both are normal than no need to worry about heart diseases. Stress causes hyper secretion of gastric acid and this causes gastritis and central central chest pain and backache. So avoid stress and tension. Be relax and calm. Start proton pump inhibitors for gastritis. 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. Don't worry, you will be alright. 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\|> my daughter was waxing and now she has a red mark on her upper cheek below her eye. It hurts and burns. We tried cold compresses and aloe (which made it burn more) It is about the size of a quarter. She used it on her lip, between her eyebrows and upper cheeks, and it only happened in one spot. She has been waxing for about 7 years and has never had an issue. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HI, thanks for posting your query It seems the hot wax has caused a mild burn on the area mentioned as this area is more sensitiveTake the following measures: apply a steroid cream like comatose furnace twice a day.it will bring down the redness. In between calamine lotion can be used, it will give a soothing effect avoid sunexposusure till it heals continue with cold compresses. The red spot may heal in a day or two, but may lead to hypo or hyperpigmentation, which may take some time to go permanent hair reduction with laser can be considered later Hope this helps you <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi. I hope someone can tell me Im paranoid. Heres the facts- 1) I weight train and based on studies...this has been proven to increase both AST and ALT. Both of these markers always at the high end and sometimes double. As we know, high liver enzyme activity isnt the only markers we should look at to conclude REAL LIVER DAMAGE...caused by chemicals. You gotta consider BILIRUBIN n GGT. These two are always normal. I am 40 years old. 2) I take nimetazepam and a joint every night.3) Since all the other markers are normal. Only AST n ALT are high...but these readings are high likely due to -Weight-training causes ALT n AST to increase but taking into account BILIRUBIN n GGT which are true markers of PATHOLOGICAL DAMAGE. Mine are good.Marijuana may stimulate enzyme activity,Benzodiazepines will increase them ALT N AST. Everything else is good. Should i be worried? PLEASE HELP. IM PARANOID. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, I had gone through your question and understand your concerns.AST and ALT are sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common cause is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additional done Then appropriate treatment can be started. For a start, Eat a balanced and healthy diet and get regular exercise. Limit high-carb foods such as bread, grits, rice, potatoes, and corn. And cut down on Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I AM 36 YRS MAN DURING MY RECENT HEALTH CHECKUP,THE RESULTS ARE AS FOLLOWS: SGOT 48 SGPT 51 ALKALINE PHOSPATASE 279 SERUM URIC ACID 9.2 SERUM CALCIUM 8.6 RAM BLOOD SUGER 80 HAMEOGLOBIN 14.5 KINDLY ADVICE AND EXPLAIN STATUS OF MY LIVER PROBLEM AND TREATMENT FOR WHICH I SHALL BE GREATFUL TO YOU.PLESE SUGGEST WHAT KIND OF DITE I HAVE TAKEN. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi and welcome to Chat Doctor. Thank you for your query. I understand your concerns and I will try to help you as much as I can. As I see from these findings, there is only slightly elevated GOT and SGPT and if you don't have any other symptoms and signs, this is not concerning finding. The findings are fine.GOT and SGPT are sensitive indicators of liver damage or injury from different types of diseases or conditions but only when elevated more than 60. This still can be normal finding or indicate mild fatty liver or medications intake that damage liver slightly. So I would not recommend any further diagnostic tests. All you need to do is to repeat test in 4 weeks and if there is increasing trend of Lots then ultrasound should be done. Also, have easier dear and avoid alcohol. If such findings persist then beside fatty liver, other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases may be considered but as I said, at this point this is not concerning sign. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I had a rt lumpectomy in 2000 and rt mastectomy in 2003 and dec in 2010 for a brief time and now for 4 straight days I have had pain in the rib area, one certain spot. LAST july my doctor did a stress test and followed up with an echo of some sort and everything was negative. I am concerned about this. Thank you <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, As this is more of the muscular pain. The intercostal muscles are landed into spasm post the mastectomy and lumpectomy. You need to do hot water fermentation and do deep breathing exercises to improve the muscle physiology of the intercostal muscles. This doesn't sound anywhere related to the heart issue. This pain is one of the common symptoms of post-surgery due to muscle shortening and with proper physiotherapy assistance, the symptoms can be reduced. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My husband has a funny feeling in the mid chest region. He states it is hard to explain. He gets a funny rush feeling that comes while at rest in the mid chest region. It does happen with activity. Please help. I will be scheduling him a doctors appointment. He states it has beefing going on for 1 year now every day, but this morning it has happened twice. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. Funny feeling in the center of the chest can be due to HERD (Castro Esophageal Reflux Disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. 7. Avoid smoking and alcohol if he has this habit. 8. Lose weight if he is obese. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi my last period came on 1st august.then I took unwanted 72 on 6th(as I have unprotected sex with my husband)..then there was bleeding like menstrual on 12,13,14 and 15.now it is 11th of September n I havnt got my periods yet.m worried now..even I have done pregnancy test at home which was negative..am I pregnant??plz help <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thank you for choosing Chat Doctor. As you have taken emergency pill within 72 hours, It's highly unlikely that you are pregnant. The chances of pregnancy are less than 1%, the abnormal bleeding which you had on 12,13 might be a side effect of progesterone which you took as emergency pill. As the pregnancy test is negative and as you have missed your period, kindly get a scan done, if everything is normal you can take progesterone tablets for with Chat Doctor. Please ask if you have more questions. If you are satisfied, please make sure that your ACCEPT my answer so that I receive credit. Good luck!! <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have an x ray finding; Pleural thickening at left, and I experience shortness of breath sometimes and mild but usual back pain, I have an allergic rhinitis, and been treated from acute bronchitis and newly had mild asthma.Please! What is the basic treatment this kind of problems? Am I still capable to work as a skilled worker? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. Yes, you're all these problems are treatable, but you need to take Chat Doctor. No need to worry about pleural thickening. It is not a disease. For asthma and bronchitis, in my opinion, you should consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). PFT is not only diagnostic but will also tell you about severity of the disease and treatment of these diseases is based on severity only. You will need inhaled bronchodilators and inhaled corticosteroid (ICS). Oral combination of antihistamine and anti-allergic <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My friend has had a large brain bleed due to a birth defect that required three surgeries to stop. Her pupils are reactive and she still shows brain activity. It s been 48 hours and they have said she will not improve and will remove the ventilator tomorrow morning. she is breathing on her own but not enough to continue living. Why are they so quick to remove the vent? They said she is retaining the fluid instead of absorbing it. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> His am Chat Doctor. I have read your message. I empathize with you. The decision of removal of ventilator is always a difficult one. And the only thing that can make it easier to decide is the information. Still, all the information cannot balance the emotional aspect of the decision. There are few things that I notice when I read your query- 1. The patient is breathing on her own. So I would hereby like to <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi. for a long time now I ve suffered from headaches and feels like my head is too heavy. I ve been having nasty pains in my lower back and hips. now the last few weeks I ve been feeling sick when I eat AND when I don t eat! So I m never sure what to do. I get a lot of noise in my tummy after eating and quite often have to rush to the toilet. its very soft and greasy. going to the toilet is usually pain free but I can get severe pain in my tummy afterwards which last up to an hour. any ideas? Thanks <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Here your main question is on lower back pain but while giving the symptom explanation you have told a lot about your gastric problem rather than lower back pain. As per my suggestion this both may or may not be related. Let's take a look on your gastric issue:You have symptoms like after food frequent motion, and after that pain in stomach, as well you Don't feel to eat anything. This all symptoms are indicating towards inflammatory bowel syn Chat Doctor. To get conformation you need to visit gastroenterologist and need to have check properly. You may need to go for endoscopy too. And the report will let you know your problem. As per that discuss with your doctor for possible treatment and early relief. Now let's take a look on back pain: this can be due to back muscle weakness or loss of spinal curve as well spinal disc related issue. I suggest treating your major problem first that is gastric problem and then if back pain is still not gone then visit an orthopedic take an x-ray or MRI and based on report take proper suggestion. Here with minor problem doctor will suggest conservative management like physiotherapy and medication. And for any major issue doctor may suggest for surgical correction. In both the cases my suggestion is followed spinal exercises to improve strength and stamina of your spin. You can also use hot pack in your painful area to have some more relaxing and pain relieving effect on soft tissue. I also want to suggest one more thing correct your lifestyle, food habit, posture of work, Don't take much of tea and coffee as well never take it as only tea or coffee always have something along with that to improve your gastric health further. Take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, so for about a week more or less.. ive noticed a bump on the inside of my lowered lip on the left side.. last week it was really big & right about now it has gotten a little bit smaller but its still there .. also it has a small purple dot in the middle of the bump .. not sure what it means .. HELP! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello and welcome to Chat Doctor, A bump on the lip is most commonly caused by a retention cyst. Retention cyst is caused by rupture of minor salivary gland duct and inflammatory reaction against the extravasated secretions. The central purple dot could be due to hemorrhage. However, clinical examination is required. Surgical excision is the treatment of choice followed by histopathological examination. Thanks and take care Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi I am Sophia I am dong my junior cert I feel tired all the time and angry and not my self, sick felling, day after day milled mind grans. I started think I was crap, stupide because I was feeling different to every one else and starting cutting my self I need to now what it is? I started feeling this way in 1st year please help. thanks for reading :) <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello Welcome to Chat Doctor I can understand your situation. I appreciate your effort to seek online support. As per your details, you are possibly having underlying anxiety/depression. For this consult a psychiatrist for detailed evaluation. Following treatment strategies would be helpful- 1) Antidepressants like SSRIs (Escitalopram, sertraline, paroxetine etc.) 2) Antianxiety agents like clonazepam, lorazepam, alprazolam etc3) Psychotherapy/ Counselling sessions4) Relaxation techniques like yoga, meditation, deep breathing etc. Hope it helps Good luck Regards <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi! Dr. I am researching treatment for symptoms that I have had all my life. I apparently have trouble fighting off cold and respiratory illnesses or an UTI. I feel run down about 80% of the time, as it feels like my body is constantly fighting off some type of bug or virus. exercise seems to exacerbate the problem. I feel it is due to either some type of immune or allergic problem. Do you know of any tests that could determine what the problem is? I was looking to possibly take Echinacea to treat this and maybe strengthen my immune system. But being unregulated by the FDA it s hard to know which brand or how much Echinacea I would need to use safely. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi I do care for your concern. The recurrent infections may be due to decreased immune response or poor hygiene conditions. I would advise having checked your blood glucose levels and if found high consult your physician and get appropriate medicines for that. Taking multivitamins such as zirconia and fresh green leafy vegetables and fruits will help to increase the immunity level. Regarding the medicine it's better to consult with your alternate medicine doctor. Hope your condition improves soon. Hope I have answered your question if you have more feel free to ask. Thank you. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> 49yr old female type2 diabetes for 7 yrs...having an bilateral great toe ulcer, non healing for last 1 year. Right:1/2cm left: 3/4 cm Margins irregular HbA1c:9.0% VPT: grossly impaired doppler: normal ABI: Right- 1.01 , Left 0.92 What are the plans regarding treatment of ulcer <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, dairy have gone through your question. I can understand your concern. Cause of your non-healing ulcer is diabetes. It impairs the vascular supply. Your HbA1c is very high. Which suggest poor control of your diabetes. So you should control your diabetes first. You can take insulin or oral anti-diabetic Chat Doctor. Once your sugar is under control your ulcer will heal faster. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Ok so idk if it could be stress or somethig else but on Feb 9th my mom went to jail because she got into a big fight with my grandparents trying to defend me..Feb 10 I was really stressed out trying to pay the bond and trying to get my mom out, I was emotionally destroyed..Feb 11, after I had sex I wiped, had light pink blood. Feb 12, lots of brown blood, had to put on a pad, had lots of cramps. Feb 13, a lil bit of brown blood, rarely any cramps. Feb 14: I went on a one day cruise for valentines day, had very little brown blood, I threw up on the boat, I guess I was sea sick, now I m home and still feel naseous..is this normal? Stress? Pregnancy? P.S: i m not sopposed to get my period in another 2 weeks... i have been on birth control for almost a year now but me & my bf don t use condoms.. during the days that i was stressed i missed a pill or two.. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Dear,Welcome to Chat Doctor. Based on the facts of your query, You seem to suffer from-yes, this nausea and brown discharge could be from hormonal imbalance with more stress hormones causing gastritis and the brown discharge after the sex could only be due to the with Chat Doctor. Possibility of pregnancy due to missed pills with unprotected sex, after recent sex, as a cause of this nausea and brown discharge-is very, very less. Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. suggests Good Day!! <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have Sarcoidosis. They are now looking at other auto immune illness. The joints in my arms and hands have had a lot of problems this summer. What does the TPO AB 116.2 mean? I know the standard is =5.5 IU/ml . What is it?this says free. I won t pay. Do not send emsils <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> TPO DAB is thyroid peroxidase antibody. It is usually seen on a higher side with people who have inflammatory hereditary condition like Rheumatoid arthritis, graves disease etc. Here basically your body immune system will be always active even against your body cell and so that there will be ongoing damage happening at cellular level. TPO DAB test results are also high for people who are with long term thyroid gland problem like Hugo or hyperthyroidism. Your test result is 116.2 indicates there is ongoing damage happening for your thyroid gland cell by your body immune system. And there is only one way to reduce this is consulted your treating doctor talk to him about this. And take appropriate medication to reduce the damage. As well do regular walk and also check with dietician on anti-inflammatory diet for thyroid patients. Follow the steps given properly, and it will be really useful for 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 am recovering from a fairly serious cellulitis infection for which I was hospitalized. When I was running fever I felt alot of tightness in my chest. No more fever, but I still feel the tightness even while resting. My heart seems to beat rather strongly when I move around. I have mild asthma and take medicine for that so my breathing is fine.My question is: is it normal to feel this when fighting a severe infection? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, I passed carefully through your question and would explain that it is necessary performing a comprehensive differential diagnosis between different possible causes that may lead to this clinical scenario: gastritis or acid reflux, anxiety, myocardial ischemia, increased pulmonary pressure, et cetera. For this reason, I would recommend consulting with your attending physician and performing some further tests:- A chest x-ray study- A cardiac ultrasound to examine your heart function and structure-Complete blood count, PCR, ESR for inflammation- A resting ECG and cardiac enzymes to investigate for myocardial ischemia should discuss with your doctor on the above tests. Meanwhile, I would recommend trying an anti-acid or PPI (pantoprazole, omeprazole) and see if it helps improve your situation. If this happens, it would be indicative of possible acid reflux or gastritis. In such case a fibro-gastroscopy may be needed. 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\|> Had a large, golf ball size, lump on side of my upper thigh for almost 10 years... I was told it was a fat pocket, so never had it looked at... well a few days ago, an EXTREMELY smelly beige/white puss started to leak from it, so I squeezed and it shot out.... I kept at it, and now the golf ball size lump is almost nothing.... this puss was the worst smell ever! Should I be concerned? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Dear thanks for the query to Chat Doctor virtual clinic. I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, Dear You seem to suffer from Chronic Abscess from Cold Abscess due to inguinal TB lymphadenitis as there is no pain and is with white pus, characterisitic of TB lymphadenitis. As the lump is in the upper thigh, it could be Sebaceous Cyst. Check with Blood Sugar for diabetes to rule out diabetes as the cause of its recurrence. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. Chat Doctor. N.M.S. Genl-CVTS -Senior Surgical Consultant <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello. I am a 40 year old female. I weigh 143 pounds and am approximately 5 ft 2. I have been having back pain since 2010 and have been seeing a chiropractor every 2 weeks. I do Back strengthening stretches every day which takes me about 45 minutes. I had an x-ray done a few months ago and all it showed was some narrowing at the bottom of my spine which my family doc says nothing to worry about. I am waiting for the hospital to call to schedule an mri. I have more pain on my left lower area than the right side. Both my hips hurt and have pain and tightness in top of legs, and pain shoots down just past my knee. My family doctor diagnosed me with fibromyalgia. I have lumps to the left of my spine that feel like jelly, but feels good when i massage them. I am just wondering what all this could mean? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, As most times when there are spinal degenerative changes leading to nerve root entrapment leading to pain and aches. Usually, strengthening the muscles is the only choice for fibromyalgia pain. As there is inflammation in the fibers of the muscles the inflammation can be overcome by improving the metabolism of the muscle. Due to the weakness of the muscle fibers leading to fatigue to set in faster. Due to which the pain keeps occurring on and off. Doing proper and guided exercises will help improve the overall muscle fiber function and give a good outcome score. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hello sir.....i am 28 years old....i am suffering from a hair loss...i dont know which shampoo suits for me.....could you please suggest any shampoo that control my hair loss....and one thing i want to know if i dont use shampoo and just use water only in my hair it is good for my hair or not.......when i use water only i have very few hair loss......is it okay i never use shampoo for more than 3 months please help me??? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Welcome to Chat Doctor. Shampoo to hair and scalp is equivalent to soap for body. Shampoos job is to clean the dirt and oil from the scalp and hair. Shampoo has no role in controlling hair loss. It is not okay if you do not use shampoo for 3 months. Grime and oil won't be washed off by water alone. You need to consult a dermatologist to diagnose the condition causing hair fall. Hope this helped, Take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello, I am Danielle. I recently got the results of a ultrasound that said I have a thickening of my endometrial stripe of 1.3 cm. I am experiencing pain in my lower abdomen when any pressure is applied and I also have pain when emptying my badder. What could this be? I have an appointment with my ob on monday and I am nervous. Cancer runs high in my family. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Please remember pain is not a feature for cancer unless secondarily infected. Apart from this according to COG norms, endometrial thickness > 4 mm needs biopsy to exclude cancer. Your pain in lower abdomen Is mostly due to bladder infection/ inflammation/stone. - get your urine checked & treated accordingly with a physician advice. The family history suggests being in contact with an Oncologist, Thanks. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Had a boil that drained a day ago. However it is still bleeding. It is a more of a watery blood like discharge. I have been putting an antibiotic cream on it along with bandage. Should I be concerned? When should the bleeding subside approximately? I am not taking antibiotics yet. Thanks. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hey. Welcome to Chat Doctor. Well, after Chat Doctor. So please do not be worried about that. As you are using an antibiotic cream on it, you can continue doing the same. Also see that the bandage you use to close the wound is changed daily after cleaning the wound with antiseptic solution. If you have any swelling or itching in the adjacent skin area, then you can apply warm compress on that area (not on the wound) to relieve it. Hope I have answered your question. If you have any questions, then I will be happy to answer it. Take good care. Regards. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My wife was diagnosed with TB in January 2011.Plural effusion had taken place for removing water from her right chest n then she was put on antibiotics for TB.She is taking medicines from last 1.5 months now.Since then we have not indulged in kissing,oral sex or penetrative sex.Is it safe to kiss n ve sex now or shud we wait for couple of months more? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. Your wife is having tubercular pleural effusion. It is classified as extrapulmonary tuberculosis. And so it is not infectious to you or others. Only pulmonary tuberculosis (involving lung) is infectious. So you can do kissing, sex without fear of spread of infection as your wife is having extrapulmonary TB. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. 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\|> HiMy doctor has made for me an colonoscopy test this morning and so I still have a bright blood in stool. But I have noticed Black skin in my stool looks like apple skin (I did not eat apple) is that a blood and should I ask my doctor for anther test like endoscopy to see if I have a stomach cancer? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, dairy have gone through your question. I can understand your concern. Bright bleeding in stool comes from lower gastrointestinal tract. If you have dark bleeding then it comes from stomach. Still you should go for endoscopy to search the cause of bleeding. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Dear Doctor, I spits blood while brushing my teeth. But not gum bleeding. Some times in mucous from nose and mouth also streaks of blood is seen. I had an head injury two yrs back and I have pain still . Is that is the cause of any internal bleeding inside or like ?? I have migraine also. Please advice. Thanks Rekha. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your query, I have gone through your query. The bleeding gums could be because of the gum infection. Consult your oral physician and get your teeth cleaned and maintain oral hygiene after that by brushing your teeth twice daily, and you can use mouth wash. Consult a neurophysician for the migraine and get an MRI done to rule out any lesions in the brain. I hope my answer will help you take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> A young child of almost 4 years was prescribed 250mg of Klacid because of a infection of the chest which caused a continuous coughing, after a week of taking this medicine the cough subsided. The child went to school for just a day and came back coughing and sneezing. How should this cough be treated and with what medicine if a PEDITRICIAN IS TO PRESCIBE MORE MEDICINE TO GET RID OF THIS COUGH. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> This looks like an allergic cough or a viral infection.Also, could be asthma. Child should not take this medication continuously. The AAP recommends that a child less than 5 year old should to receive cough medicine as it stops protective cough reflexes that are protective to prevent build up of congestive secretions and increases chances of pneumonia in these little child Chat Doctor. You could look out for sources of allergy-dust mites, pets, smoke or paint vapors. Zyrtec child <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi Dr Justin Glaister ,i would like to ask u , i have a problem i have smaaall black dots on my teeth and i removed them for a couple of times before but they keee on comming backhow can i remove them once and for all are they a kind of bacteria ? or maybe a deficiency in something and thats y they come bkthankxx... <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your query, I have gone through your query. The stains can be because of the habits like coffee, tea, or smoking. The other possible cause of black stains can be because of the chromogenic bacteria, or it can be secondary to the use of mouth wash also. Consult an oral physician and get it evaluated. If it is because of the coffee or tea or smoking, get the teeth cleaned and avoid the habits and rinse your mouth soon after eating anything. If it is chromogenic bacterial infection you need to consult an oral physician and take a course of antibiotics and get scaling done. I hope my answer will help you, take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi my nose is feeling static often and I would like to know why?I suffer from vasamotor rhinitis (minute temperature change, air pressure and stress influence) and allergic rhinitis, and wake up with congested nose, headache, dizzyness and nausea about once a week. Is it to do with this? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, you are quite written that vasomotor rhinitis can be aggravated by several stimuli including changes IG temperature, humidity, barometric pressure, steel of fumes, pollutant, excitement, emotional stress, anxiety, spicy food, alcohol intake etc. it can be present in mixed form with allergic rhinitis. You should try to avoid all those factors as much as possible. You can use nasal spray of any one of these for symptomatic relief like elastane, loratadine, fluticasone propionate or budesonide nasal spray. Wish you all the best, thanks. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi doctor, my close friends had met with accident last week and subsequently slipped into coma following head injury. What are chances of him coming out of this state? What is the duration of coma he is likely to be in? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> The outcome for coma and vegetative state depends on the cause and on the location, severity, and extent of neurological damage: outcomes range from recovery to death. People may emerge from a coma with a combination of physical, intellectual, and psychological difficulties that need special attention. Recovery usually occurs gradually, with patients acquiring more and more ability to respond. Some patients never progress beyond very basic responses, but many recover full awareness. Patients recovering from coma require close medical supervision. A coma rarely lasts more than 2 to 4 weeks. Some patients may regain a degree of awareness after vegetative state. Others may remain in a vegetative state for years or even decades. The most common cause of death for a person in a vegetative state is infection such as pneumonia. Duration depends on the severity of the injury and patient general condition, often short; rarely more than 2-4 weeks. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, I am having typhoid... I have follow the prescription of the doctor around 12-14 days & also visited to the doctor thrice ...but now it has 6 days gap & I could nt visit to my doctor....Does a blood report is enough to know the status...how do I come to know that my typhoid is over & what should I do so that it wont come back...one more thing does the recovery of hair is possible?? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi thanks for contacting Chat Doctor... Noted you have typhoid since 14 days... Which antibiotic you have given ??? For its clearance confirmation blood or stool culture done... Follow up to physician done for at least month.... Here for few days follow these advice.... More fruit juice Soft and bland diet. Egg protein and pulse useful. Outside food and junk foods avoided. More water. Small meal at frequent interval.... Hair loss in typhoid is reversible....after resolution of infection.... Take care. Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Respected Sir,Here we need your valuable suggestion. Our patient is from Allahabad(UP). The patient Mr. Anmol, 18 years of age is suffering from severe pain. According to the doctors of our locality, this is the case of cyst in kidney and no treatment is needed. But the patient is suffering from extreme pain. Our question is Is the ayurvedic treatment is possible for this problem?.Thanking you! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HelloYour patient findings suggest simple cyst in right kidney. Simple renal cysts are generally age related developmental findings, and it only requires follow-up ultrasound. Renal cysts may require treatment if there is pain, increase in size of cysts, infection etc. Ayurvedic treatment is generally not helpful in such finding. Pain may be due to some other reasons. Your patient may need proper clinical evaluation and further investigations. Besides routine investigations he may need CT scan of abdomen. Treatment depend upon findings. Get well soon. Take Care Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My mother aged about 70 is a patient of chronic hypertension.She has now developed severe chest infection.In earlier years he responded well to ceftum 500.Now the dotctor has advised Augmentin1000 duo every 12 hours.Will it suit her or ceftum is safer and better? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. No, augmenting is having better coverage and superior to septum. Augmenting is having combination of Amoxicillin and clavulinic acid. Septum is having cefuroxime. Combination with clavulinic acid makes augmenting better antibiotic. It is having higher bacterial coverage. It acts not only on gram positive bacteria but also on gram negative and anaerobic bacteria. So don't replace augmenting with septum. Augmenting will mostly suit her and treat her lung infection. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am taking POPs and I know you can t be more than 3 hours late. I take my pill everyday at 11pm. Yesterday, Friday, I had unprotected sex at around 10 am. He did not ejaculate inside but some got on my thighs, not sure how close to my vagina, and we had sex again about 20 minutes later. Friday night I took my pill almost exactly 3 hours late, around 1:58am this morning. Do I need to take plan B? I know it says you need backup for the next 48 hours but I had sex before being late. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello misunderstand your concerned not worry. According to your questions, you are on the regular birth control pill. As you took just after 3-hour delay from your routine, this not affect the contraception effect. If you are on the regular birth control pill then no matter your partner ejaculated in or out the vagina, you are fully protective. Birth control pill is very effective in preventing the pregnancy around 99 percent. So no need of Plan B pill. Dose of birth control pill to prevent the pregnancy as emergency contraception: 4 tablet as early as possible or with in 72 hours after sex and another 4 tablet after 12 hours. But as you are on regular birth contraceptive pill, no need of above doe, just take your regular pill. Hope this may help you Best regards <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Good afternoon. One of my relative is coming from Bangladesh, who is suffering from cirrhosis of lever. He has already send his treatment details and the clinical report to me. Now he is asking for the cost of the treatment. Can I send the papers through e-mail which he sent to me to you for the advice. Kindly help me. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, How are you? I am so sorry to hear about your relatives' diagnosis. The treatment of cirrhosis depends on multiple factors including the cause of cirrhosis (alcohol, hepatitis, etc.) the age of the patient, his physical fitness and if he is suffering from any symptoms due to the cirrhosis. If the patient does not have any symptoms or is only mildly symptomatic, then he will be treated with medications only to control the symptoms and prevent any complications. But if his symptoms are severe or not being controlled with medications, then the best option will be to proceed with a liver transplantation. Please do let me know where your place of residence is so I can guide you to the nearest specialty center to get evaluated. Hope this helped, and please do not hesitate to contact me for any further details - rxsuresh@gmail.com <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> On Nov. 25, 2012, I had my gallbladder taken out due to the presence of multiple stones. Two weeks before, i had the mrcp and the results confirm that there is no stone in the bile duct. The day after surgery, I was informed by the surgeon of NYU that the xray taken during the surgery shows a shaded surgery which could mean the presence of a stone in the bile duct or it could just be the imperfection of the xray. To confirm, I need to have another mri which i did last Friday, Jan. 31st. The surgeon informed me yesterday that indeed i have a 7mm stone in the bile duct and suggested that i should have the stone taken out before i travel on February 18th. If I have the stone taken when i come back to NY on March 31st, what would be the consequence? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). Presence of stone in bile duct should be treated as an emergency. As it may cause obstruction to the bile duct leading to fever, jaundice, and abdominal pain. It may also obstruct pancreatic duct leading to pancreatitis which can be serious also. SO get it removed as soon as possible hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am suffering from allergic cough since last three months. In last year , the same was cure by HomeopatChatDoctoredicine . the last year even best of Allopathic Dr recommended Montair LC for lifetime. But HomeopatChatDoctoredcine cured it . This year it is again started . But Homeopathic is also not working . Montair LC ( allopathic ) daily consumption is tough on health <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi welcome to ChatDoctori had gone through your query and understand your concerns.-if you take homeopathic constitutional similar to treat the allergy, the problem can't be rec cured again, but if you take homeopatChatDoctoredicines on acute symptomatic base the problem recur again. Possible cause;-there is a mastic block in your body which prevents the cure. So you need both constitutional and miasma tic treatment for complete cure. Consult your local homeopathic physician for correct diagnosis of the case and remedy to fit your complaints I hope this is helpful for you, 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\|> Tell me what kind of bug would be in a bed it is tiny, but visible to the naked eye? They are round and black. they are smaller than a blackberry seed. Is this a bed bug? What can I do about it? They bite and the area swells and gets quite itchy. I sprayed the mattress with Lysol disinfectant and we didn t get bit for awhile I also washed blanket and sheets with hot water with bleach. Thank you, Evy Ross <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi Eve Ross, Thanks for posting in Chat Doctor. Swelling and itching at the site of insect bite is mainly due to allergic reaction. Tiny bugs on bed are usually bed bugs. You don't have to worry much and do the following:For swelling, you can take Paracetamol with ibuprofen combination. For itchiness, take an antihistamine like chlorpheniramine male ate or Cetirizine. You can also apply calamine lotion. It is good that you have washed blanket and sheets with hot water and bleach. You can also use organophosphates based sprays which could kill and prevent these bugs. It might take 2-5 days for the area to heal. Keep it clean to prevent the area from infection. Hope this information would be of much help. Take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi I have a lump that has been on the left side of my throat for almost 20 years and I believe it is due to my thyroid no matter the diet I cant lose weight I get confused easy Im always tired I have dry skin my hair is a mess its dry and brittle and falls out sometimes I was messing with the lump like all day and now my neck feels tight and irritated I am come a lot and seem to have a slow pulse please enlighten me on what this could be <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your situation and problem. You're all symptoms like weight gain, weakness, tiredness, hair trouble, skin issues, slow heart rate etc. are suggestive of hypothyroidism. And lump can be due to either small colloid goiter or thyroid nodule. So better to consult doctor and get done 1. Ultrasound examination of neck 2. Thyroid function test (TSH, Free T3 and Free T4). You will mostly have hypothyroidism and treatment is daily thyroxine tablet according to thyroid function test report. So consult doctor and discuss all these. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Health Question : SGPT/SGOT Weight : 85 kg Height : 186 cm Medical History: N/A Dear Doctor , a few days ago , i took a plenty of blood test for a job medical check form , i did all kind of test (blood group , Hepatitis A B C , HIV 1,2 ...etc) and all result are excellent but my concern is that my liver enzymes SGPT,SGOT came a bit higher than normal (about 75 for SGOT and 84 for SGPT) and the doctor said it might be some dietary supplements that i take is the problem (like amino acids , test herbal booster , green tea extract ) , i completely stop any kind of supplement and i need your advise to lower the numbers to the normal range as quickly as possible to retake the test for the job required medical documentation .......... Thanks !!! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Dear friend, greetings from Chat Doctor. I understand your problems... You might be having steatohepatitis or fatty liver ... As all your test results are normal. But this condition is totally reversible. You need you strictly follow some lifestyle changes ... You need to exercise at least walk 1 to 2 hours a day . Do practice yoga and meditation . Try to avoid stress . You need to consume more of green leafy vegetables and other fiber rich food stuffs like . Its, miles, try and avoid carboy Chat Doctor. . If you are alcoholic you need to stop .also smoking . Try and follow this advice and recheck your complete hepatobiliary profile . After 2 to 3 months and see the distance . Do contact us for any doubts . . THANK YOU . <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi,,doc.,,,actually sumtimes there occurs a huge pain in my heart but doesnt lasts for long,,,it jst stays fo hardly 15-20 mins,,,and after then evrythng seems to b perfectly alright.. so,,can u plz tel me that,,,can it be a case of hole in my heart?? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Chest pain should never be underestimated and should be evaluated in detail. Hole in heart generally does not pain in the chest. Cardiac chest is exertional that is it occurs during exercise or exertion and relieved by rest. Cardiac chest pain is diffused and is not localized.I'll recommend you to get an ECG, 2Echo, Chest X-ray and stress test for diagnosis. Further treatment will depend on the results of these tests. Hope I have answered your query. Let me know if I can assist you further. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have had breathless and feel like I can t breath doctors sent me for scan on my lungs chest and heart all came back clear I gave up smoking 7 months ago doctor said I had asthma been on antibiotics and steroids feeling a bit better but still not feeling great got anxiety to feeling very low with it all I have no front sinus on the front of my head I was wondering if this had something to do with the way am feeling my nose runs I have hayfever I just can t get anything that helps me so please can you help I go on holiday on Saturday <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should first get done PFT (Pulmonary Function Test) to rule out bronchitis. Your current symptoms are more in favor of bronchitis. You had history of smoking. And bronchitis is more common in smokers. So get done PFT first. It will also tell you about severity of the disease. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). If PFT is normal than possibility of stress and anxiety related breathing difficulty is more. So consult psychiatrist and get done counseling sessions. Don't worry, you will be alright. But 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\|> Hello,I m 23year I got married 3 years ,my period irregular and doctor prescribed siphene50mg tablet for 5th day period I take this tablet and I get pregnant and 7 week miscarriage and again take this tablet and my last period 16.05.2017 and this Month period no came and I will urine test test at home in 19.06.2017the result is positive.doctor prescribed progesterone soft gelatin nutrogest 200mg once a day at night.she did not done any test even to confirm pregncy?and why take this tablet ?benefit and side effects?can you please suggest above prescribed medicine should be taken? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi.cap micronized progesterone 200 mg helps in supporting the pregnancy as you had a miscarriage previously. Avoid weight carrying and contact with the husband for 3 months real fol to be taken for the growth and multiplication of cells ultrasound to see location of pregnancy, evidence of Gestational sac and fetal heart sounds to be done now also B sugar levels 2hrs after 75g glucose.TSH levels to be done along with CBC, Bag, sV Chat Doctor. HIV to be done <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi. Me and my husband have been trying to get pregnant since september. We were successful in January and at 9 weeks I had a miscarrage. I am an athlete and I have really took a step back with working out. I am a vegetarian but eat fish, and I do like to drink wine on occasion usually with dinner. I am getting frustrated with trying every month and learning that I am once again unsuccessful with getting pregnant. So my question is does it take longer to get pregnant after a miscarriage? And do you have any advice on what else I could do. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello dear, I understand your concern. In my opinion there are good scopes of getting pregnancy. Because you had already got previous pregnancy spontaneously. But the cause for miscarriage should be evaluated and should be prevented from repeating in further pregnancy. The various causes for pregnancy loss in 1st trimester are genetic anomalies, hormonal abnormalities like thyroid abnormalities, progesterone insufficiency, diabetes,any infections, any uterine anomalies etc. The above causes can be ruled out by necessary investigations like thyroid profile, blood sugars, ultrasound etc. Also practicing of intercourse daily increase the conception chances. Avoidance of stress and anxiety regarding pregnancy are most important as they are also one of the causes of infertility. So relax. Hope this helps. Best regards... <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello,I have a septated cyst on my right kidney. Recently, lower back pain and tummy ache when I pee.Recent urlne sample shows +2 protein and blood. I exercise a lot and have v high protein diet. Kidney function is fine. I get migraines though.My Dad has PKD...I saw genetics specialist today who suggested MRI. Im only 32. Is septated cyst likely to be cancer? If not, what is it?L <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for using Chat Doctor. Not all septated cyst are malignant, as you have family history of PKD, it could be a PKD, your pain abdomen and blood in urine could also be due to PKD.MRI is a better investigation for soft tissue swellings, better to get it done. Consult your doctor for examination and management. Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care. 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\|> heart palpitations . admitted into the hospital two days ago and being diagnose with low potassium in my blood thus causing palpitations . received a bag of potassium chloride injection in the hospital thru a needle n drip it into my blood . got out of hospital afew hours later . now still having heart palpitations not really sure if it really is but i went out to meet my friend ysd afternoon till night was waling ard the mall and i keep feelin a gush of blood being pumped up and followed by regular heart beat and after a while it happened again . and continue thru out the day till night and i have a appointment with the heart specialist on 1th of sept 1 month more i dont know if i can hold on for that long . i dont know what this is but im feeling very uncomfortable <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, This can be a cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases which gives feeling of palpitations. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holder monitoring. So visit nearby cardiologist for this investigation. Ln order to abort such episodes you should try to cough hard. Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day which will control the palpitations. If none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. Hope this helps you and get back if you have any other doubts. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have recently replaced my implanon birth control so I kind of expected to have irregular bleeding for awhile. But it seems like since I have become sexually active, my period starts the next day after I have sex and lasts for 5 to7 days each time. I m sick of bleeding every week and don t know how it is possible for me to get off my period for two days, then have sex and start again the next.day. Is some thing wrong with me? Could it just be my body still adjusting to the hormones? I have had new implanon for 5 months now. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi there, Since its 5 months since you had the Implant replaced it seems a little unlikely that the bleeding is due to Implant. Bleeding after sex could be due to other causes such Cervical polyp, cervical erosion, which needs to be checked by a Gynecologist. Could you please tell me when did you have your last PAP smear? The bleeding could also be due to pelvic inflammatory disease. Kindly see a Gynecologist and get an internal examination done for the same. Hope this helps. Regards. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi I ve had loose stools and abdominal pains and cramps for sometime . My WBC is slightly high and ESR also raised. When I smoke or eat it seems to trigger the pain mainly from the upper right side of abdomen. I thought it was a lactose intolerance but I m now concerned it may be more sinister? Please help I m really worried <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi and thanks for the query, These characteristics are compatible with an acute infectious process. This is not compatible with lactose intolerance. You must have had a past history while younger and the association of fever, raised white blood cells and erythrocyte sedimentation rates make this possibility unlikely. It is reasonable to do a stool examination and culture to exclude Typhoid and E cold infections. Collection of further samples and sending to the laboratory should be followed by administration of specific broad spectrum antibiotics like quinolones. You should consult your family care physician for further advice, Kind regards. Bain LE, MD. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, may I answer your health queries right now ? Please type your query here...dr,im trying for pregnency ,now itz14 of my periodsnow im having throat infection,now can i take any anti boitic tablets?if ok,then will it cause any side effects in pregenency?if not what antibiotics can i take? and my weight is little high,thtz my tommy is big,so now can i do any excercises for tommy now? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Chat Doctor. I welcome you to Chat Doctor VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. Furthermore, I will suggest you the best possible treatment options. Please do not worry. There are safe antibiotics available for use during the pregnancy period. Antibiotics of penicillin group, cephalosporin can be used safely during pregnancy. Secondly if you are pregnant or trying to get pregnant, I will suggest you to opt for a healthy lifestyle, healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in daily diet. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My daughter has had a rash now for a while. (maybe a month) I always thought it was just dry skin or sensitivity to soap. But now I have it. Mine is on my inner elbow, the sides of my stomach and some on my inner thighs. Hers is pretty bad on her inner elbows and inner thighs but is also on her back and stomach. It looks like a patches of little red bumps and it is itchy. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Thanks for the query, You might be suffering from scabies. As both your child and you are affected, it must be an infective condition. Apply permethrin cream. It is safe and very effective. If there is itch take an anti histamine tablet. A photograph would have helped me in giving a closer diagnosis. Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ Chat Doctor. Thank you <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> i have the flu virus now for 5 days . The day before i finished an antibiotic for chest infection . i suffer from allergies and when i get a chest cold i get asthma . i take plumicort turbo inhaler 200 micrograms 2 puff twice a day and when i need too i take salamol 100 micrograms , 2 puffs 3 times a day . i dont always have to take the salomol . on day 3 of the flu i started to cough up mucous which had traces of blood for the day .proior to this i hab been coughing up green mucous after finishing the antibiotoc. by late evening day 3 i started wheezing very badly snd couldnt breath very well so i took the salomol but after taking the 3 doses to no avail i decided to try my sons symbicort turbo inhaler 100 micrograms 4 puffs which helped a lot . is it ok to continue to use this as my gp is not availabe <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, I think your chest infection must have cleared by now, sometimes traces of blood do come in mucus when there is severe infection, if you get again you can visit your doctor for check up. If it has stopped after your infection is cured then you can stop worrying about it. Now about your asthma, Pulmicort 200 which you take is budesonide, which is steroid. And Symbicort which your son uses is budesonide plus a long acting bronchi dilator. Ideally when inhalers are given it is adjusted to minimum dose at which patient is comfortable. Since you where comfortable on Pulmicort 200 you should continue the same thing. But for now until you get medical attention you can take Symbicort 100, 4 puffs 2 times, if you have heart problem, or you are old you should go to your doctor before starting your sons' inhaler. Your symptoms of asthma increased due to your lung infection after 2-3 days you will be fine like before, and you will be comfortable on your inhalers itself thank you Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, I used to consider this a major problem and was very fearful of it becoming known by others. I have autophagia. A self diagnosis, so I m not sure if it s legit. I compulsively chew off and eat any callus that forms on my body. Having done so since I was around 5-6 I now have a ready supply of thick skin all over my hands and feet. I also compulsively eat my lips. It seems to be prompted by a variety of things. First and foremost is hunger, then comes anxiety, boredom, stress and finally loneliness. As i said, In recent years having exposed some friends to my behaviour I m no longer fearful of talking about it. I m concerned if this form of pica will damage me over the long term. I m 24 now and haven t experienced any side effects apart from the gradual sharpening of my teeth. Also considering the fact that my calluses have grown in size, the appearance of my hands and feet are rather grotesque. So ultimately i want to be able to stop this behaviour, any advice? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello thanks for asking from ChatDoctorThe symptoms you have mentioned like biting callus on skin of body could be occurring due to some impulse control disorder. These symptoms are related to compulsive nail-biting or odynophagia. As you have mentioned already that the problem get aggravated by anxiety provoking stimuli. I would advise you to consult a Psychiatrist for treatment. The complaints are causing significant distress to your social and personal life and also causing your body to look ugly so consulting a psychiatrist is need of hour. Medicines like Fluoxetine have very good results in decreasing these compulsive undesired behavior. Attend behavior therapy sessions for relaxation. Thanks, hope this helps 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\|> The skin on my forehead and my nose (from in between my eyebrows down too my cheeks) are really dry and flakey also very sensitive. I try moisturizing a lot but it doesnt seem to help much. What can I do to make those areas soft and smooth like the rest of my face. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, It seems that you may be having seborrhea dermatitis. Skin of nose, paranasal area and forehead might develop flakes and Dan Chat Doctor. Stress, worries and anxiety may exacerbate the disease. Be calm and cool. Take a short course of steroids in tampering dose. Take antifungal like fluconazole 150 mg once week for few weeks. Apply mild steroid with antibiotic cream on the nose and forehead. If you have Dan <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 used to suffer from panic attacks in the past and was prescribed Fluoxitine. That sorted the problem out :Its now a couple of years later and I have since emigrated to another country and life is quite tricky and hard and I feel I am getting bogged down with stress daily again. I wonder if I could order myself some more Fluoxitine online and start taking it again ? Cheers <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are going through a difficult time due to your stress-related problems. Now, stress is well known to trigger anxiety / panic attacks and this is probably the reason for the re-emergence of your symptoms. Panic attacks can be treated with medication (like SSRIs) as well as psychological therapy like CBT. I would advise you to consult a psychiatrist in your place for detailed evaluation and to decide on the type of treatment that would be best suited for you. Wish you all the best. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, my name is Wesley. I have had this cough for about 5 days now, along with a slightly stuffy nose. I am more worried about my cough though, because i smoke regularly and i am only 21. After i acquired this cough it wasnt a very serious thing, but i tried to smoke a cigarette and i could barely take 2 puffs of it. So i have not taken a puff of a cigarette for about 4 days now and still have the cough and slightly stuffed nose. Will my throat be alright ? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello ! You seem to have allergic response to cigarette smoke. It can cause Allergic rhinitis and Bronchial Asthma. , that will result in your nose getting stuffy and your airways to constrict making it difficult for air that you breathe in and out to pass along your airways. Since how long have you been smoking ? What form of smoking ? How many per day ? Do you wheeze ? For symptomatic benefit for your current episode, u will need to do steam inhalation, take decongestant/ antihistamine medication, antibiotic if you have purulent phlegm on coughing. Do warm saline gargle. Get yourself checked by a physician in person. If there is evidence of constricted airways then you will need bronchodilator n steroid Chat Doctor. Get a Chest X-ray and Spirometry done for evaluation. Do quit smoking. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Ive had a nasty cold for a week and a half; cough, fever, plugged sinuses, etc. In the last couple of days Ive noticed bumps on my legs, that looks like bug bites, but hurt like bruises. I have one on the side of y foot and it hurts to walk. it feels like a sprained ankle. Any ideas? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi and thanks for the query, I do not think this could be due to the cold you had. Fever and bumps, should be well examined to check for any abscesses. If present, anti bionics specific against staphylococci would be most appropriate. In case of redness, pain and swelling only, this could be an allergic reaction. Anti-allergic Chat Doctor. A clinical review easily makes the difference and orients the choice of treatment. Kind regards <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am 50 years old have tachycardia, but lately all I want to do is sleep. I injured my back in 2000. Get headaches alot, can go 2 to 3 days not eating. Get dizzy standing up. am on Cymbalta 60mg once a day,Metoprolol ER 100mg once a day,Lisinopril 10mg once a day, Morphine 30mg 1 every 8 hours, Methadone 10mg eight times a day. Also am 5 6 and weigh 232. I know over the winter I got lazy. Sometimes walking just wears me out and my heart beats out of my chest, yesterday my pulse was very high and I was just sitting. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, You may be having some condition here, a tachycardia while sitting and getting effortless may be signs of heart failure. You need to get checked by a cardiologist to do EKG, echocardiography, and some labs. Some thyroid dysfunction may be a differential here. So, I suggest doing a thyroid profile. Also, check your blood pressure regularly as it may be lowered too much with you medications. Hope I have answered your query. Let me know if I can assist you further. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I m 31 yrs old having a one and a half yr old daughter. Missed my period this month and checked after 10 days of the scheduled date, confirming pregnancy. Consulted my gynaecologist the same day and she gave me the medicine mifegest stating two tablets to be taken today and 4 tablets to be taken after 48 hours. Kindly brief me up regarding what all exactly will happen during this so that i can be mentally prepared for it. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, mightiest is given to soften the cervix, and it is embryo toxic also. You can have bleeding after taking this or may not be. 4 tablets given to you is of bisoprolol which will initiate the uterine contractions, and you will have abortion after that. You can have heavy bleeding along with pain after 4 to 6 hours of taking it. Bleeding can persist for few days. You can take some painkillers for that. Hope I have answered your question. Regards Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> HI my son has scimiter syndrome, has had two recent seizures, moderate learning difficulties, short stature, 5th finger clinodactyly, 2/3toe syndactyly, lumbar lordosis, one leg longer than the other, poor teeth, previous hypercalcaemia. Have you any ideas as to why he has all these problems ? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Such multiple congenital anomalies are seen in chromosomal and multifactorial genetic disorders. You need to do chromosomal and genetic analysis to identify exact chromosomal or genetic defect. Consult your pediatrician and ask for these studies. Results of these studies may not help in treatment. Treatment will be as per the problems your baby is facing e.g., seizures, pulmonary hypertension, hypocalcemia, etc. Hope I have answered your query. Let me know if I can assist you further. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have a lump above my belly button and it pulses. I am waiting for ct results now. It could be crohns or a aeortic anerism and i am very worried. I am a 43yr old woman, just became a grandma. have had to miss work because of pain in rib cage and right side in appendix area.what do i do?? I dont have a Dr. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello! Thank you for the query. Lump above the belly button is most likely a hernia (abdominal or umbilical) especially if this lump is located under the skin. Hernia should be less visible when lying down and more visible when standing. Pain can be more intense when coughing or lifting heavy objects. Crowns or aneurysm do not give a lump symptom. If you are thin person, you may palpate some pulse from regular aorta. Hope this will help. Regards. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi i am 19 yrs old female, and I have been sick for the past three weeks. the first week, I had a stomach pains, mager head aches body aches and chills, my temp went up and down from 99.2 to 101.fer. and did not have the strength to get out of bed. the second week, same symtoms but fever went up(101.2-101.9) and coughing went away and I gain some strength back, this week, the same things as the first week, but again fever has gone up. 101.5-102.1, I just checked it again about 5min ago and it is 102.3. is this normal, I have never been sick for more then 2-3 days. and only once has my temp been over 103.5, (I was7) <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, From history it seems that you got long period of having fever and requires evaluation of your case. This requires some investigations to conclude proper diagnosis of having your fever. Go for complete blood checking like TC, DC, ESR, MP, platelet count. S. Tidal. Go for routine urine check up.If you require go for x-ray chest. After all reports your doctor come to diagnosis and plan of proper treatment can be started.Meanwhile, take rest and take light diet. Ok and take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I just read the article on symptoms of walking pneumonia and I have many of them. Started with a heavy deep cough in the lungs last week; now it seems to be breaking up leaving me with a sore throat, digestive problems, some diarrhea, no energy. I am 72 yrs old and have CAD. Should I see my doctor? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. Yes you should definitely consult your doctor and get done 1. Clinical examination of respiratory system 2. Chest x-ray. You are having the following risk factors for pneumonia. 1. Old age 2. Coexisting Coronary artery disease (CAD). And your symptoms like cough, mucus production, low energy, fever etc. are suggestive of pneumonia. Chest x-ray is must for the diagnosis of pneumonia. Treatment of pneumonia consists of appropriate antibiotics, anti histamine and anti-inflammatory Chat Doctor. The normal course of treatment is 7-10 days. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> i am hema roy i gone to gynacolgist for treatment ofpergnancy she done the sonagraphy of my stomach and nutrous she ask me to take tablets like tab azee 250 tab flucas 150 tab cor-3 , i started but i got immediately stomach pain back pain vomiting and more side effects should i stop to take theses tablets pls suggest <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Based on the history given you seem to be suffering from some sort of mixed vaginal infection for which your doctor prescribed a combination of medications.1. Azee-250 commonly prescribed to treat infections caused by susceptible bacteria can cause abdominal cramps, diarrhea, and vomiting.2. Lucas-150 is used to prevent and treat infection caused by fungus or yeast. It is also known to cause headache, vomiting, abdominal pain, and diarrhea. Take the above medications after the meals and if vomiting or abdominal pain persist contact your doctor to prescribed alternate effective but safer antibiotics to eradicate the vaginal infection.3. Cor 3 Tablet is multivitamin commonly prescribed to treat anemia. Generally it is well tolerated however, its side effects are minor which include heartburn, itching or rash. Hope I have answered your query. Let me know if I can assist you further. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> i have pleural effusion from 20 days and i am taking akt medicince and other prescribed by my doctor.fever tends to be volatile.and cough has decreased.but i am still on bedrest.i have become restless..my energy has gone.i am not liking it.what to do.how many more days will it take to cure completely.i have taken out 1l of fluid as suggested by doctor.thanks.please reply. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Respected user, Warm welcome to Chat Doctor.come have gone through your concern in depth.* The prognosis and recovery time depends upon the response of medicines, host immune response, virulence of the causative organism supportive care, dietary supplements, moral of the patient & other factors.* So the case requires multiple factors evaluation from different angles still if you give follow-up x-ray and reports with all investigations of the starting phase, more insight can be provided in your case. Hope this will help you for sure. Wishing you fine recovery. Regards. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I was in a car accident a week ago. I overslept nd missed work today (slept 18 hrs) woke up feeling still sleepy and tired and with a metallic taste in my mouth. is that a sign of a concussion? my head hurts all the time but doctors at er didnt think i should be checked for a concussion <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Metallic taste in the mouth and tiredness are not SPECIFIC symptoms of having a concussion though they can be found present who have suffered a concussion. If you are certain that you struck your head against something in the car and immediately following the blow to the head you suffered any DISRUPTION or LAPSE in awareness or consciousness or if you are unable to recall good detail of what happened just before or after the accident then, you may wish to see a neurologist with concussion experience for a 2nd opinion. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have been suffering from severely dry skin on my face for about 6 weeks. The outside corners of my eyes are red and my eyes themselves are itchy. I also have very chapped lips and the area around my nose is red and itchy and raw. My nostrils have cracks, too. I have had this in the past but it has never lasted this long. Is it possible I have an infection? Also interesting is that I dont have any dry skin anywhere else... <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, It seems that probably you may be having atomic dermatitis. You have itchy sensation on face. And you have charities and fissures on nasal areas. Kindly consult the dermatologist. I would suggest.- tab methyl prednisolone 8 mg thrice a day for 5 days then to tapper 4 mg every 5 days.- antibiotic like azithromycin 250 mg thrice a day for one week- antihistamines like desloratidine once a day at night daily till itch is relieved-apply mild steroid with juridic acid cream on the cracked areas and lips- moisturizer cream like liq paraffin on face daily in morning after bath-avoid soap on face-avoid exposure to sun-avoid fish, chicken,eggs, nuts,bringer, curd,milk products, banana in diet-avoid contact with dust, fume,cosmetic, pollens, wool.etc-keep mind cool, no worries and tension-have patienceThis would help you. Thanks Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi i had typhoid two years before. got treated.now i have 9month old son and i have temperature 99 degree C from last two days specially at night , having oily mouth, body pain , head ache, hot flashes and weakness.my weight is 53 KG and my height is 5feet one inches and my age is 31. am a lactating mother. should i go for typhe dot test. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks to ChatDoctorI can understand your concern being lactating mother, you need to undergo investigations like CBP.ESR, WIDAL and MP tests .which indicate cause of fever normally but try to wane slowly the lactation for your child typhoid may repeat after 1st attack use paracetamol, antibiotic like definite o200mg for 5 days.normally it will subside .don't worry if persistent fever please check the investigations and consult your family doctor or Chat Doctor, DON'T WORRY <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> my 5 year old little sister is masturbating frequently...at school, at home, in the car, it doesn t matter. if she s caught because someone walks into the room, she had no regards for that person and continues to do so. i know it s a normal behavior, but she s already suffering from bladder infection and the consistent rubbing is making her raw. it s something that s been going on for years, but became more frequent when she turned 5. she denies doing it....and has a severe attitude when you try to talk to her about it. aside from talking to a pediatrician, is there anything else we can do? do we need to consider seeing a counselor? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello. I have reviewed your query and here is my advice. The children behavior is never masturbation. As you already know it is a normal behavior. But if the frequency is increasing and the girl becomes careless, then the problem is never normal. Here you should take this as behavioral disorder. Child Chat Doctor. Their behavior can be changed with the help of many psychological techniques like distraction, reward, punishment etc. Use them wisely. I can help you if you need. Hope I have answered your query. You can contact me for treatment options. 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.my father is suffering from Non alcoholic steatohepatitis...with acute attack of hepatitis E.. But at present all enzymes are in range.Inflammation has gone..But bilirubin is fluctuating between 12 and 13..Its not coming down..how much time will it take to come down to normal? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi welcome to the Chat Doctor In acute hepatitis complete bilirubin recovery sometimes may take time up to 3 months... Your bilirubin very high, hence take precautions not to take fatty foods much as liver needs rest in hepatitis from fat digestion... Take fruit juices, Apple juice, coconut water more Sugar cane juice beneficial Avoid outside foods strictly for few weeks Green leafy vegetables more Adílio tablet can be prescribed (300 mg dose) for your condition Take care Hope your concern solved Follow your treating physician advise and regularly examined by him for at least 2 to 3 months duration <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> yes, my left side was 149 over 92, the other side was 151 over 101 my arm..there has been tingling over my left arm since last week thats why i think it may just be a pinch nerve but early this morning i got scared bec there is a tightness but it feels more like near my underarm..i have no med insurance right now..what should i do.. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that such differences in blood pressure are normal and are related to the anatomical changes in blood vessels between the arms. Anyway, your blood pressure values are above the normal ranges, and you should consult with your attending physician and perform some tests (chest X-ray study, resting ECG, complete blood count, kidney and liver function tests, fasting glucose, etc.) to exclude possible causes of high blood pressure. You may need to start antihypertensive Chat Doctor. But, high blood pressure does not explain your tingling sensation in the left arm. Are your symptoms (tingling over the left arm) modulated by arm position changes? This would be indicative of a nerve pain. In such case there is nothing to worry about. A nerve conduction study would help determine possible nerve compression. Meanwhile, regarding your high blood pressure, I would recommend some tips to help you have a better control on your blood pressure: - reduce salt and caffeine intake-perform a lot of physical activity (aerobics, walking, etc.)- try to lose some pounds if you are overweight. Hope to have been helpful! Kind regards, <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi I am experiencing some numbness on one side of my face. It started about 6 hers ago and soon after the numbness appeared I got a bad headache. The headache disappeared but after I would loose track of what I was saying and I would be thinking one thing and I would say something different not realizing it. Is this normal? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello! I read your question and understand your concern. I think that these symptoms may be caused by a small stroke. Furthermore, I would like to know if you have measured your blood pressure. Do you suffer from arterial hypertension or diabetes ? The headache is not a common symptom in stroke, but it may be related to migraine, high blood pressure etc. I would recommend consulting the neurologist, have a good neurological examination, a full blood work, a blood lipids analysis and a brain CT scan. Further, tests like cardiac check up and Doppler ultrasound of the carotid vessels may be needed to establish the cause. Hope to have been of help. Best wishes! <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> iam a 42 year old woman 5 5 125lbs relativley good health,but in the past 2 months i have had major tendon pain in wrists,knees,back of knees,feet,both shoulders,both wrists and right hip well now its in my right lower jaw and seems to also in my bones very very painfull its getting worse every day can you help with diagnosis of whats going on way <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Your symptoms could be related to arthritis or any other metabolic disorder. For this reason, I would recommend consulting with your attending physician for a physical exam and some tests: - complete blood count, PCR, ESR-ANA and ANNA tier antibodies-blood electrolytes- vitamin D and vitamin B12 plasma levels-FR plasma levels. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. Take care <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have had a bad cough for quite a while and the doctor gave me Advair because he thought my lungs were probably inflamed from all the coughing. I thought he told me to use it twice a day but now I am feeling shaky. Should I only use it once a day. I do not have asthma or copd <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Adverse is a combination of Fluticasone, a corticosteroid, is the anti-inflammatory component of the combination, and albuterol, a long acting beta-a Chat Doctor. Together, they help prevent symptoms of coughing, wheezing and shortness of breath. It may sometimes cause shakiness, but other Asthma medications are causing it more frequently. I would suggest consulting with your physician before changing the dose, it might make more sense choosing a different <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I woke up this morning, got up, and had the worst case of vertigo I ve ever had. Couldn t get my balance at all, fell back on the bed, sat up, and within a minute, it was gone. Had a couple of slight feelings of vertigo during the day, took betahistine hydrocholoride and am not quite normal yet. Should I be worried that s it s a symptom of something else? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Acute onset severe vertigo may be due to many reasons and common are benign paroxysmal positional vertigo(BPPV), acute vestibular neuritis and less commonly posterior circulation stroke. BPPV is positional, lasting for few seconds associated with nausea or vomiting. Vestibular neuritis is severe vertigo And associated with some viral infection. Most serious condition is posterior circulation stroke but is usually associated with additional brain stem signs and symptoms. Your case seems to be BPPV most likely if no additional symptoms are present. You need to consult neurologist if symptoms increases or persists. Hope you recover well. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My wife has gone through MRI of Lower portion because Doctor said She suffers from Cervicle/Lumber Spondlitis . In this scan Doctor observed that there are lesions in her bones . What are the implications ?? Is it possible that She can have Cancer . Now they have asked her to go though Bone Scan . Please explain !! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Usually, with the MRI scan, we can analyze the soft tissue of the body, but the bone scan is for assessing the construction of the bones if they are strong enough with proper deposits. As there is no mention the clinical symptoms it will become wrong on our part to comment over the orthopedist decision. The bone scan is only referred to post-MRI if the Orthopedist finds clinical complaints different from what actually it is shown in the MRI. Also, spondylitis is a common thing we find sometimes in every 3 Rd individual. In my practice of 12 years, I have seen almost a bunch of cases for spondylitis and most of them have responded well to medication and Physical therapy. Also, cancer cannot be detected in the bone scan. Bone scan only reveal the composition of the bones. For cancer, if suspected there might be advised to take blood reports or a biopsy. Please follow the Orthopedist guidelines for now without any worry. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi. i have pain in m left side of jaw by ear area. i have difficulty moving my neck to the left. . have not injured my jaw. i feel headachey on left side. painful to eat or open my mouth wide. it does sound crunch.y. no pain releif helps. this has now been for a few weeks. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Welcome Thanks for consulting Chat Doctor, You have mentioned that you have pain in your left side of jaw and area of ear and difficulty in opening of mouth, don't worry you have Temporomandibular disorder left side take this medication for 1 week you will get relief, Tablet Flexion MR one tab in a day Ointment Diclofenac sodium Local application twice daily on left side of face where you feel pain Capsule vitamin B complex one capsule in a day Some points you should remember are take soft diet, and avoid excess mouth opening. If your problem continues then consult physician. Hope this will help you. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> both legs at ankles swollen light headed severe headache wont go away. feel week at times. had major back surgery in Jan went through the front for a spinal fusion. had two other surgeries done and each one had problem with loosing cranial fluid one of which but me back in the hosp for 45 days I believe there is a small leak the fluid settles in my lower legs and causes headaches and problems with sight. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for your query. There are numerous causes and conditions that produce swelling in the ankles. A few important causes are chronic venous insufficiency, Heart related issues, kidney disorders, liver problems, water retention etc. A thorough and detailed evaluation along with a few investigations are needed to establish the correct diagnosis. I suggest you to consult a General physician for further evaluation and management. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have had a yellow tongue since march. My regular doctor sent me to a specialist. He ran some test they came back positive. I do have herd and my doctor is treating me for that. Some days my tongue looks better and some days it looks horrible. Now Im wondering if everything I eat and drink is staining it. Im tired of dealing with it especially when its noticeable. Do you have any suggestions? <\|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 yellow coating over the tongue seems to be Yeast infection known as Thrush, and it can be treated with antifungal medicines like Statin mouthwash gargles, clotrimazole lozenges and taking more of Probiotics like Yogurt in diet. In case if it is not Thrush the other cause for it can be simply poor Oral hygiene and deposit of dead cells, food debris and bacterial over growth over the tongue papillae. It can be cleaned by regular cleaning of tongue with a tongue scraper or a soft toothbrush. Gargle with 1:1 solution of water and HY Chat Doctor. . The chances of Yeast infection are more probable, and you should ask the diagnosis to your treating physician and can contact us at Chat Doctor for further guidance. Hope this information helps. Thanks and regards. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My twin boys of 8 months have had diarreha for just over 5 weeks now. Both have very raw bottoms (cream is being used to treat) and it s now getting to the stage now where they both are refusing to eat any food and bork or be sick at the touch of it to their mouths. Stool samples have been sent off and come back neg of a virus infection. Any help please as in desperate need... <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Few more points I would like to know- 1. Whether this started following introduction of any particular food item in their diet?2. Approximate frequency of stools in a day?3. Whether stools are bloody or mucus containing?4. Are the having fever? Possibilities are gastroenteritis or milk protein allergy. In some babies, this may even be a normal transient phenomenon. If no fever and bloody stools, in such cases I used to give a course of zinc supplementation and probiotics to see the response and further workup accordingly. Meanwhile, to reduce the rash, keep the area as Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have Hep C and liver problems> I need to know what my options are. I had a blood transfussion in 1970 when I had my son and it didnnt show up till now. I am seening Dr. Lake in Hillsboro for my liver issues. Please let me know if there is anything you can help with. Pam owen 503-848-8283Thankyou <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I understand your concern. You should know that chronicity is the hallmark of Hepatitis C Virus. So you need to get treatment in any case. I would advise you're following:1. Liver Function Test2. HCV Genotypic.3. CV RNA quantitative.4. Ultrasound Abdomen.5. Upper GI Endoscopy. Get these investigations and without giving a second thought start yourself on treatment under guidance of an expert. You may write to us again if you have any other query. Stay healthy. <\|eot_id\|>