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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\|> I have been suffering with a burning pain from the bottom of my neck to my left shoulder blade..I have c2-4 pressing on the spinal cord but not bad enough for surgery according to neuro surgeon I also have some tears in the rotator cuff.I have had 3mris abd two mylagrams everything is mild but shouldn t be causing the pain there..do u hhave any idea <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thank you for posting your query. I have noted your symptoms. They are most probably related to the nerve compression in the cervical (neck region). This results in pain and tingling in the areas mentioned by you. No requirement of surgery is good news. You would feel better with medications such as pregabalin or gabapentin capsules. In addition, physiotherapy would also help. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/ <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi my age is 32 Years, I had a follicle study done. It reads as follows ; 9th Day - ROF & LOF : No DF - ET : 5.6mm, Collection in POD : Free 11th Day - ROF & LOF : No DF - ET : 7mm, Collection in POD : Free 13th Day - ROF & LOF : No DF - ET : 8mm, Collection in POD : Free What does the above report indicate ? Is there any chance of getting pregnancy ? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, I appreciate your query would clarify the report of your follicular study to you. On the 9th day, in the right and left ovaries (OF and LOF) - there was no DF - which means, dominant follicle. Again the same findings persisted till the 13th day, that is there was no dominant follicle in any of the ovaries. ET - refers to endometrial thickness which was 8 mm on Day 13. Collection in POD was nil, which is normal. Now, to explain a normal follicular study to you. By day 9, the ovaries start producing dominant follicles, that is among the many eggs present in the ovaries, one starts maturing to develop into the dominant egg for that month. By day 13 generally, if you have a regular 28-day menstrual cycle, the dominant egg reaches a size of 20 - 22 mm. Generally on day 14, ovulation occurs, that is the mature dominant egg is released from the ovary, and it is then ready for fertilization by the sperm. This is the normal studyHowever, in your case, there is no dominant follicle seen till day 13, which means that you are having an ovulatory cycle. That is, no mature egg is developing for ovulation this month. Anovulatory cycles are a major cause for not being able to conceive.POD (Polycystic ovarian disease) is one of the leading causes of an ovulation, apart from other conditions. You need to consult a gynecologist, and undergo further investigations for POD to rule out the cause of this follicular study. Also, you might require treatment and ovulation induction (medicines to stimulate formation of follicles in the ovary). In case your cycles are delayed (longer than 28 - 30 days), there is a minor possibility that your follicles are maturing later than normal, for e.g., in a 35-day cycle, the day of ovulation would be 14 days before periods, that is on day 20 or 21. Hope this helped you. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My father was diagnosed with ealry stages of dementia 6 months ago and is on medication to slow the progression. Prior to Christmas, he developed "noise" in his head. sometimes he says it is a hissing; other times it is a feeeling of wind blowing in his head. it is very disturbing for him. he is agitated and not sleeping. We have had him to an ENT specialist several times, who says that it is not tinitis nor infection. could it be linked to the dementia? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Welcome to Chat Doctor forum. It appears that the hissing is in his head, not in the ears. Tinnitus is felt usually in the ears. As you describe it appears to be the auditory hallucination, due to the dementia. I advise you to consult a neurologist for diagnosis and treatment. You may need to have a C.T.scan for diagnosis, and to exclude the tinnitus. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods, to have recovery of the brain tissue, and general health. Wishing for a quick and complete recovery. Thank you. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, I am a 64 year old lady. I have had a morpine pain pump for 8 years at 8.59 mg day. Was doing great until my 2 physicians moved out of stat and have a new replacement which removed the pump on Oct 1, since he does not believe in the pump. I had no choice. Since I have a spinal headache,diarrhea 25-28 times a day with vomiting, cold, clammy dizzy, severe back pain awful sweet smell comes off of my skin. Unable to sleep for 49 hours and absolutely misserable. Today he ordered 25mcg fentanyl one patch every 3 days plus compazine. He just told me I had to tough it out. Do you have any suggestions it is very hard to take care of myself when husband is at work. Thank you so much. Donna <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi Donnie can understand your depend on morphine pump and finding hard with switch over....but it is well documented that fentanyl patch is equally effective and dosing has to monitored for optimum level of relief. Cause of diarrhea may be diagnosed by a gastroenterologist and treated according to cause, only maintain good electrolyte and water balance with plenty of fluids intake. Spinal headache may be requiring a review by a neurons specialist, usually cerebrospinal fluid examination and CSF pressure has to be measured and tap is done best wishes 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 mother is having very strong pains on the right side of her head. what tests need to be performed to see what is going on? The dr put her on pain meds for now. She had a mini stroke a few years back and had stents placed. Could this pain be due to the stents? She will be 75 in December <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello dear Your mothers complains may be due to primary headache (less likely), in background of previous stroke vascular etiologies are more consistent. Unilateral headache with Stent placed may be due to occlusion. Other reason may be temporal arthritis. You need to consult a neurologist for proper evaluation. You can send ESR, routine blood test. Rest investigations can be discussed with your doctor. Hope you found the answer helpful. 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 s left shoulder has been paralyzed for about 1 year and a half. He has been experiencing breathing difficulties caused by the left diaphragm and arthritis in the neck is now causing him to be almost totaling staring at the ground with neck pain and weakness. In total are these symptoms related? No diagnosis as of yet. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Phonic nerve palsy can cause both these, shoulder paralysis and diaphragm pathologies. Phoenix nerve originates from cervical vertebra in neck. And it supplies shoulder joint and diaphragm. So any pathology of a cervical vertebra which is causing Phoenix nerve damage can cause neck pain, shoulder paralysis and diaphragm pathologies. So in my opinion, you should definitely get done MRI of cervical spine to identify Phoenix nerve injury. Hope I have answered your query. Let me know if I can assist you further. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi ,I have difficulty of breathing ,shortness of breathing its feels like my heart will stop working and the most worse is that I m stopping breathing wile am sleeping ,and I get anxiety panic attack and I m afraid to sleep because of my problem of my breathing ,one of the problem I have is it my nose sinus problem also I m stressed all the time . please I need your advise and the reason what s make me that happen <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Welcome to Chat Doctor forum. It appears that there are 2 types of problems with you, one may be the difficulty during the daytime. The other is the stopping of breathing in the night it is a neurological problem, if there is difficulty in breathing it may be due to the infection in the trachea. If it is only in the night consult a neurologist for diagnosis and treatment. If it is breathlessness in the night a day also I advise you to consult a chest physician for diagnosis and treatment. Avoid taking fruits, juices, ice water, ice cream, and the things allergic to you. Wishing for a quick and complete recovery. Thank you. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> ATTENTION TO DR JAIN GEORGESir hope this finds you in good helth.Iam JAYADEVAN under gone operation of BRAIN TUMER during the 1st week of June-2012 performed by you While you were serving in INDO-AMERICAN hospital (brain & spain) sir, you have instructed me to meet you after one year ie june 2013. On visit I could not meet you as you left BRAIN & SPAIN hospital. Then I showed my case to Dr.Bahulayan sir. He asked me to take the advice of you as there is little growth of tumer in the scan report and started the medicine. PHENY TOIN TABLETS IP 100mg EPTOIN One each thraise in a day. So please consider my case and advice me for further medicationIam waiting for your replay. Tanking you , your faithfully JAYADEVAN <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thank you for posting your query. To answer your query better, we need to have the biopsy report from the first surgery, and also the scan reports. So, please upload them. If the growth of tumor is small, we can wait and watch, and repeat the scan after 3-6 months. Phenytoin tablets are given to prevent fits, so, you can continue to use them. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/ <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> About 10 days ago I had a gastro flu . Since then, I have low energy, nausea, bloating . I had my gallbladder removed 8 years ago and since then I frequently have diaheria. Should I be further investigating my symptoms? I have visited the dr in the past and I am always told to just eat healthy. I am very conscientious about what I eat. It feels like tummy troubles are an ongoing concern. Not sure what to do or ask of a dr on my next visit. Thank you. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for using Chat Doctor, You have suffered recently an episode of Gastroenteritis, your symptoms of diarrhea, low energy nausea and bloating if you do not improve with healthy eating and treatment. You should take fluid and electrolytes to avoid deny Chat Doctor. Usually gall bladder removal doesn't cause any digestive issues, but if symptoms are troubling you please visit Gastroenterologist >Kindly get tests for malabsorption absorption and Pancreas like serum amylase and serum Lipase and other tests like CT scan of abdomen, and colonoscopy with rectal biopsy to rule out various GIT causes. If everything is fine then functional disorder called irritable bowel syn <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi doctor, I am on this routine of eating food and friuts that suit my blood group - B positive. I learnt that Aloe vera is is a No No for my blood group. A friend said Aloe Vera is an adaptogen but when i take Forever living Aloe gel i feel slight ache in my stomach for 30mins - 1hr. Please does this mean Aloe does not suit my blood group? Frances <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Aloe vera is a plant related to cactus. It produces two substances, Gel and Latex, which are used for medicines. Aloe gel is the clear, jelly-like substance found in the inner part of the aloe plant leaf. Aloe latex comes from just under the plants skin and is yellow. Some aloe products are made from the whole crushed leaf, so they contain both gel and latex. Aloe medications can be taken by mouth or applied to the skin. Aloe gel is taken by mouth for Often arthritis, Constipation including Stomach ulcers. It is also used as a general tonic. Because aloe gel contains, water, minerals, vitamins, amino acids and phytonutrients. Most people use aloe gel topically, as a remedy for skin conditions including burns, sunburn, psoriasis, cold sores and acne. Possible interactions, Taking aloe latex orally may cause severe intestinal cramps or diarrhea. Pregnant women and nursing mothers should not take aloe vera. Do not take aloe vera for 2 weeks period to any surgical procedure as it may cause increased bleeding during surgery. It is not possible to interact with the blood group. Aloe latex is not recommended for use internally for longer than 10 days, because it can cause laxative dependency. Aloe vera is not an Reactogenic herb. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi doc I have been diagnosed to have lymph node tuberculosis.. I have been started on AKT since 24 days.. But I am still having fever and cough plus I feel sick and lethargic all the time... My lymph node of neck is also swollen considerably.. My concern is when the symptoms will go away?? .. So that atleast I feel Lil relaxed and can eat proper food.. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HelloSign your lymph nodes are enlarged and diagnosed tuberculosis of lymph nodes (tubercular lymphadenitis) . Your treating doctor advised you AKT-4 (rifampicin, isoniazid, ethambutol and pyrazinamide) . This is the best treatment, and it takes some time to respond. When such case visit I also advise my patient to take levofloxacin 10-12 mg / kg body weight in the night with pantoprazole -d for to avoid nausea.AKT-4 must be as a regular medicine. Since few patients feels loss of appetite so advised them to take some appetizer. So need not worry, wait for another 10 days, and you will respond to this anti-tubercular treatment. Before starting any medicine (levofloxacin) , consult your treating physician and get his opinion. Good luck <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Lump in jawline. And swollen lymph nodes in neck. Sore when swallowing. Swelling in chest are. Chest sore to the touch. Fatigue. Sleep apnea. Poor vision. Blood in stool. Large lump inside anus, left side... Internal. Poor circulation and numbness and toes. Coughing mucas and blood. Showing signs of narcalypsy. Almost felt if I died in my sleep. Hands felt like they were balloons. Irregular heartbeat. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Welcome to Chat Doctor. I understand you concern. You have not mentioned your age and sex. The symptoms you have mentioned are also too many and without any chronology. Still I will try to help you in the best possible way. Your most important problem seems to be lymph nodes in jaw line which are painful while swallowing. You have also mentioned soreness in chest, coughing of blood and mucus and blood in stools. These symptoms are suggestive of some serious illness like cancer of throat, chest or elsewhere in body, Tuberculosis or other infection in chest. Some disorder of immunity can also be there. I advise you to immediately contact ER. They may subject you to investigations like blood count, urine and stool test, CT of head, neck and chest, USG of abdomen to arrive at the diagnoses. I hope this will be helpful. Take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello, I am a male 29 years old. Almost every morning I wake up and take my first breath I get pain internally. After, I take that initial breath the pain stops. One other thing that I have been noticing is when I brush my tongue sometimes I gag and I spit out blood. First it started with just a small amount of blood but as the days go by I notice more. And it is only in the mornings. During the day I am perfectly fine. Any thoughts? I will be doing a doctors visit soon. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. Coughing out blood during brushing teeth can be seen in1. Dental problems. 2. Pulmonary Disease. So first consult dental surgeon to rule out dental causes like caries or decaying tooth. If this is normal than get done chest x-ray to rule out pulmonary cause. Since you are having chest pain on breathing with blood in cough, you may have pneumonia. So chest x-ray is must. If this is also normal then no need to worry much. You may have muscular cause for your chest pain. So take good painkiller and muscle relaxant. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 been given a mouthguard by my dentist as I grind my teeth at night and when I put it on my top set of teeth it instantly makes part of my gums white like it s putting pressure on the gums, and the longer I have it on the more discomfort I get from it a it starts hurting my teeth. It s bearable but i find myself wanting to take it out in the middle of the night, I was concerned, is this normal?- will my gums get use to it, is it affecting my gums? Thankyou. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, As you are mentioning that this mouth guard is putting pressure on your gums, which is uncomfortable for you this means that there is some problem in the fitting of this mouth guard, as there is some discomfort in the starting, but it is not so severe. You should visit your dentist again for the fitting as he will make some modifications and the problem will be solved. Hope it 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\|> I have been experiencing sharp pain under my right shoulder blade, for the last 5 days, I went to the ER on Friday they took blood, EKG and an XRay.. prescribed Naprosyn and Robaxin , I am still experiencing pain. They diagnosed me with muscle spasms. I did not do anything to pull a muscle. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have sharp pain below the shoulder blade. Well there can be many reasons for symptoms you mention in query like trapezius muscle trigger points, muscle spasm, angina, kidney stone or gallstone. I would suggest you to take anti-inflammatory and muscle relaxant as per prescribed by the doctor along with that also apply warm compresses at pain site and do stretching exercises. If condition doesn't get better then consult gastroenterologist for proper examination. Doctor may order ultrasound to confirm the diagnosis. Doctor may also refer you to nephrologist for kidney. Hope your concern has been resolved. Get Well Soon. Best Wishes, <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi I am on cerazette and realised I had forgotten to take one pill and had intercourse the same night.didnt realise I had forgotten to take it until the following day.so I took the missed one and the pill from the day before together.would this protect me <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello there, I can understand your concern. Yes what you did is the right thing to do. It is normal sometimes to miss an occasional dose and the right thing to do is to take the dose immediately when you remember. You can take 2 doses on the next day. This will protect you and not lose effectiveness. However, do not miss more than 2 doses in a month. Then the effectiveness goes down considerably, and you should use a condom while having intercourse to avoid unwanted pregnancy. Try and be careful next time and use the ones with days of the week marked so that you can be sure about when you missed if at all. Hope this helps. Take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> im scared i have herpes. I havnt had sex in 6 months nearly seven but the past 3and a half weeks i have noticed 2 red itchy spots on my scrotum which are a short distance apart and 2 red spots on the head of my penis which again are seperated. for the past year and half i have had an itchy pimply heat rash like spread across my buttocks and thighs which has been on and off every 2 days or so. I have had tar based creams which help but never cure it. Could the 4 spots in my genital region be herpes. Or could it be a reaction from something. Once again i havnt had sex in 6 months and i did use protection the last time i did. i dont know anyone with herpes and i wash everyday. What could it be and when will it go away? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, It is unlikely be a herpes. Can you attach a photo in the followup query to make a clinical diagnosis? Fungal infection will be a possible cause, and you can try over the counter available antifungal-steroid combination like clotrimazole-betamethasone for symptomatic relief. If symptoms persists better to consult a dermatologist and get evaluated. 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\|> My friend has bone cancer and only just finished the chemo tabs,the one that makes your hair fall out but its no better and now she just been put on a driver at home because she is in so much pain,she cant understand why she has so much pain after the chemo,as that dont seem to have worked,is this the end do you think?they brought a hospital bed in for her as well. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Bone tumors may be of many types. As per your information she seems to be suffering from malignant bone tumors. Without proper diagnosis and staging it is difficult to comment on prognosis. Malignant bone tumors may be osteosarcoma, wings sarcoma, Chen Chat Doctor. Prognosis and treatment is different in each case. Anyway, bone tumors can itself cause severe pain due to nearby nerve involvement and bone destruction. There are high chance of response after treatment. At present proper diagnosis of pain to be made. Titration of analgesic medications to be done and if needed local radiation therapy may be considered. Please consult your oncologist. Take care of your friend. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My father is 85 June 1st and has had some extreme pain in the calf muscles off and on since dec. 2013. He has had some relief thru chiropractic treatment but it continues. he told me today he had some blood tests done?? he has always been very active and worked close to 40 hrs. a week until he was 81. any clues on the cause of his pain? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Since you haven't mentioned the blood test reports or any other medical reports especially concerning his heart, so,he MIGHT be having restless leg syn Chat Doctor. Putting legs in Luke warm water bath with Epsom salt in it and wearing compression bandage will provide some relief. Doing ankle toe movement as much as possible especially when resting, toe raises with hand support will also help to ease pain <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello Doctor. I am 30 yrs old. Ultrasound shows 15.5mm cystic septate in left overy. My doctor suggested for CA125 test and after that Laproscopy. I have very sharp stabbing pain in the left side of lower abdomen. Is this sign of overian cancer? how much i should worry for this? Pls suggest. Thanks. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello It is too early to comment about ovarian cancer. Most likely you are suffering from complex ovarian cyst and in the majority of the cases, it resolves spontaneously with time. But it is important to do work-up for ovarian cancer, so you are advised for tumor markers(CA 125). Only pain is not indicative of ovarian cancer. You should go for investigations and 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\|> Recently my mouth starting hurting. I brush my teeth normally and floss also. But today when I was looking at my teeth I noticed a grayish white hole. I put pressure on it and such and there is no puss, but I can pull my guns away from my last back tooth before my molars. It could possible be a cavity, or my molars coming I. And displacing my tooth I am not sure <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Welcome to Chat Doctor forum. If there is a brown spot on the tooth, it could be the carries tooth. If the grayish white hole is in the gums, may be the erecting wisdom tooth, with the cut gums. I advise you to consult a dentist for diagnosis and treatment. If the condition subside it is O.K. otherwise the wisdom tooth should be removed by surgery. I usually prescribe to my patient with such symptoms' vancomycin injection, ofloxacin, ornidazole, diclofenac sodium, and paracetamol. Wishing for a quick and complete recovery. Thank you. Wishing for a quick and complete recovery. Thank you. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My mom is 85, had Lap cholecystectomy done Monday the15th, and was admitted to ICU from Post OP due to Tachy, Hypertensive, then became hypotensive and is now presenting slurred speech, hallucinations, and very confused. She is in a rural hospital I would like her transferred to a bigger facility where there are specialist to evaluate her current status. What do you thing is happening. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HelloThanks for writing to ChatDoctorYour mother is probably suffering from postoperative delirium which is very common among old age patients. She needs psychiatric consultation. Anti psychotics like haloperidol and chlorpromazine as well as the second-generation antipsychotics olanzapine and risperidone are equally effective.However, other causes like hypoxia should also be evaluated. CT Scan of brain should also be done to confirm other possibilities. Hope I have answered your query. Take Care Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello doctor,My mother is suffering from chikungunya from 2 months.now she is ok with the tempareture.but, suddenly she is suffering from joint pains.we enquired all the docters for that one. but no use.dolo650 is ok for that one. can you please suggest any medicine for that pains.and tell me how many months that chickengunya will be...please kindly reply my query ........Thankyou, <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Due to chikungunia your mothers having joint pain It will take some time for the joint pain to subside If she is not having fever, general weakness then she can start with yoga and walking. Physiotherapy treatment will help her to maintain joint ranges and reduce pain. If she would have been my patient I would have prescribed Tylenol for pain relief once a day for not more than week. Taking hot packs will also help in pain relief. Hoping for her speedy recovery. Hope I have answered your query. Let me know if I can assist you further. Denis Bhagavan <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 month ago I was diagnosed with a small aneurysm which was all I was told. My family dr prescribed me a beta blocker and ativan. I took the ativan for 14 days then stopped. It s been 10 days. I feel shaky and have pain at the top of myhead but not sure if it is still from stopping the ativan or the beta blocker or the aneurysm. Though the specialist won t see me for 8 to 10 months. I m at a lost and tired of feeling this way I can barely walk across a parking lot without feeling lightheaded. Before taking any pills I was feeling fine now I can barely leave the house. Thanks for your advice. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, I had gone through your question and understand your concerns. As I can tell from your history I suppose the aneurysm was an incidental finding, which is not very uncommon, with several reports reporting a 1% incidence. The strategy management of small aneurysms (less than 7 mm) consist on an Anglo CT per year to see the dimensions of the aneurysm, which in case they stay identical no treatment is recommended. Regarding the therapy I suppose the doctor saw that you are quite anxious, thus he prescribed the above-mentioned ones, which in fact can cause the giftedness as adverse effect, but the aneurysm is not associated to this, nor to the headache, unless it is a hyperintense hyperacute kind of headache. In that case you should take emergent medical consult. Basically, I would recommend changing your medication for your anxiety and assure you the aneurysm you have is not responsible for none of these symptoms. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 66 years old with two stents placement an year ago. He had his regular quarterly checkup done fortnight ago where cardiologist said he s fine and his BP usually stays below 140/85 for the last couple of months which was not the case earlier. He experienced slight pain in the chest for the past few months (probably due to gastric problems as the cardiologist said its not related to heart and more of muscular pain). Couple of days he experienced similar pain along with a BP of 150/90. He got the chest x ray and EKH done with x-ray perfect normal with normal cardiac size and contour. The doctor said the eck was also normal. He had a heart rate of 64/pm but the report said presence of no p-wave and left axis deviation (qrs axis of -30 degree). Do we need to be worried with these results? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello welcome to Chat Doctor. I have gone through your description. To summarize your father is a hypertensive and a heart patient with two stents implanted and getting intermittent chest pain. Since the ECG and chest x-ray are normal as per your cardiologist there is nothing much to worry about. A BP of 150/90 is high but is acceptable given his history of heart disease. He must continue on the blood pressure medications which over time will achieve good control over his BP. only matter that requires attention here is presence of no P waves. No P wave means the heart impulses are not coming from where they should actually arise. But since this is a machine interpretation it can be ignored, taking into consideration that your cardiologist has cleared the ECG as normal. Heart rate of 64/min is optimal. Left axis deviation may be due to long-standing hypertension and does not require any attention at this point. Please continue on his regular medications. Wishing you good health. Regards <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have tingling feeling on the lower left side, dentist took xray he said it looks fine, but he could do either a root canal or crown said a filling would not be good cause its such a big filling and its a molar. I dont want a root canal or crown, I just had two teeth pulled two weeks ago, help! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query tingling sensation in mouth tooth removal is because of nerve damage which occurs after heavy force used while extracting teeth, or it could be because of wrong choice of instruments. If lip tingling also occurs along with this it is because of damage to inferior alveolar nerve. Need not worry, this happens many a time. I would suggest you to wait for around 4-5 weeks your condition of paresthesia will resolve its own. If this does not happen other treatment method is nerve regeneration. You should visit oral surgeon and try to know the exact level of nerve injury. If it can heal its own then you should wait otherwise go for nerve regeneration after proper examination. Hope your concern has been resolved. Get Well Soon. Best Wishes, <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> please mine wife got pregnant in 3 month.But now a days she has pus cell ( Numerous) in urine and aslo sometime come blood in urine and kidneyy pain So please suggest me this dangerous situiation and can transfer pus cell in me during the intercourse. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, and I hope I help you today. Sir, the white blood cells (called pus) and blood in your wives urine are an indication that she has a kidney infection. It is important that she takes all medicine prescribed by her doctor as a kidney infection sometimes needs to be treated in the hospital to prevent complications with her and the babies health. An infection of the urinary tract is not sexually transmitted and is not contagious to you or any household contacts. Again though I want to emphasize that it is important for your wife to take antibiotics prescribed by her doctor as directed, and please bring her to the hospital if she develops a fever or feels weak or short of breath. I hope that I was adequately answer your question today and that your wife gets the medical care she needs. Best wishes, <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi Im 24 and I have back pain all day near everyday. Ive just started football training and this brings on more pain to the point I can hardly walk. Running seems to bring on the pain straight away then my legs get really stiff to the point I have to lay down <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HiT hank you for asking ChatDoctorI have gone through your query. As you are having a back pain, stiffness and pain to legs I suspect a lumbosacral spine injury. The neurological deficits or signs suspecting that can be obtained from physical examination. After that an X-ray lumbosacral spine and MRI if needed can rule out the condition. Muscle relaxants analgesics and physiotherapy might help you to relieve the condition. It is better to have a consultation with orthopedic. Hope this may help you. Let me know if you have any further query. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My wife is bedridden, on 3 liters oxygen full time, has controlled diabeties (metformin), history of crohns and COPD, hypertension. She has become very confused, has nightmares, and sees people and things not there. also can not stay awake. she is 62 years old, and grossly obeese <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Areas you are suffering from multiple medical conditions, Some medications disturb REM pattern of sleep, which CN cause nightmares. Even underlying depression or anxiety can cause nightmares. Being bedridden your sleep wake rhythm may most probably be disturbed. it's my advice to he proper sleep wake schedule with relaxation exercises like meditation, which can be practiced despite being bedridden. But if still nightmares are distressing for u, u CN be put on some medications to regularize your sleep wake rhythm after proper assessmentRegards <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 being treated for a jaw infection w amoxicillin and peridex. there was an abcess and cellulitis where a tooth had been extracted and later bone graft spheres placed. there has been considerable improvement after I&D and curettement, bot some mandibular bone is exposed. Will Peridex .12% interfere w healing? PWS MD. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, I have gone through your query. As per you said that there is improvement in lesion after incision and Chat Doctor. The use of Pride helps in Keeping your mouth clean by rinsing mouth 3-4 times a day for 30 seconds. So it don't interfere with wound healing instead it would keep your mouth clean, as its antibacterial properties kills many pathologic bacteria in oral cavity. Hope you are satisfied with the explanation, kindly give your review. 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\|> what would be the other option to do after taking clomephene citrate and was not able conceived..My Ob prescribe me clomephene citrate and duphaston but was not able to take duphaston...as per my medical history, i was bleeeding for 3 months before giving these meds and was diagnosed for hormonal imbalance.to correct this, my OB gave me contrceptive pills in which it corrected in the same way. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, I will be able to comment further if you can give me the reason why you could not take Phaeton. There are no known allergies to this as it is considered the best form to be prescribed to minimize the side effects. The other available alternative is to use vaginal suppositories. If there are other hormonal deficiencies, they also need to be corrected. When induction of ovulation is tried, it is also essential to simultaneously manage other deficiencies in order to ensure proper ovulation for good result. 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\|> Hi, I had a red lump on the side of my breast, it was quite painfull when I pressed it. So I squeezed it and it turned to a purple colour, a bit of what I thought was pus came out and a lot of blood afterwards, everytime I squeezed it more blood came out. I have no idea what it is , but its still there. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi! don't worry this is related to skin only and the breast tissue proper is not affected at all! This is very common and people get very concerned about such bloody nodules; I consider some possibilities in such cases as I have seen so many biopsies of such pathology; possibilities are:1. A small infected inclusion cyst or folliculitis2. A small hematoma getting infected3. A small / thin sinus on the skinned the discharge, though bloody, is nothing but pus!Therefore, you have to see your doctor for a physical examination and some microbiological tests and to plan a treatment protocol!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\|> 3year old recently potty trained. Holding his bowel movements. Doctor put him on a polyethylene glycol 3350. His been on this for 3-4 weeks. Complains of his stomach hurting and you can tell he just don t feel good. He also doesn t want to go pee now. After he does pee, he seems to feel a little better. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi... I think your kid is going into habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? Suggestions:1. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. You can get back to me with the answers at the following link - www.ChatDoctor .com/doctors/ Chat Doctor. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, I had symptoms of a brain stroke in June and one of the symptoms was numbness which started in my left leg at the back of the knee. I take 300mg aspirin on a daily basis now. Today i woke up and my left knee feels stiiff and I have surface bruises along my shin and at the back of my calf . I have not been doing any major exercise this week or last week and had no stiffness yesterday. Should I be worried about this? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thank you for posting your query. Aspirin is an antiplatelet agent, and may cause bruising related to trivial trauma. Sometimes, spontaneous bruising may also occur. As of now, there is no need to worry. However, if it increases, then, you should get it examined by your doctor. Also, mild numbness can be due to mechanical pressure on the nerves in the skin. But if the area of involvement increases, then, you should consult your doctor. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/ <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi there. I have a history of mycobacterium marinum in the soft tissue of my right hip. I had to have 3 surgeries to remove the infection and IV abx therapy. Three days ago I noticed a rep spot on my hip above my scar from the surgeries. The spot has gotten bigger and a darker red. I had a temp of 99.9 last night, and today I am getting sharp pains in the area of the red spot. Aslo the spot is hot and tender to touch. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, I read your message and understood your problem. I think that the infection with Mycobacterium maximum has re-occurred. If you are exposed to the bacteria you tend to get re-infected time after time especially now after 3 surgeries and antibiotic therapy that have weakened your immune system. You must stay way from nonchlorinated water, from pools and swimming. If you have an aquarium at home get rid of it. Exposure to seafood markets or aqueous environments predisposes for the infection. It is very important to eliminate the chances of reinfection because a long-lasting infection may damage the soft tissues and cause complications. My advice is to see an infectious disease specialist and do some tests. We need to be sure if it is a reinfection with Mycobacterium maximum or a coinfection with some other organism. The antibiotic therapy is a little long-lasting. Usually, patients need to take antibiotics for 4-6 weeks, but sometimes they need a very long treatment 25 months or more. See your doctor again for a proper physical examination and test. If you are still on antibiotics continue them as long as the infection will vanish. Hope this will be helpful for 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\|> My girlfriend is having really bad back pain, like an 11 on a scale of 1 - 10, its now shooting down into her legs and hurting when she walks. Her mother was punched in the stomach while she was in the womb, and we know this to be the cause of her occasional back pain, but is there anything we can do currently to lessen the pain? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Thanks for your query. After going through your query I came to know that your girlfriend is probably suffering from lumbar disc prolapse. Her mother was punched in the stomach while she was in the womb, has no relation with this pain. It is confirmed by MRI scan and also exclude other causes of backache. There are two treatment options. First option is rest in position of relief(generally lateral position with both knee bend), neurotopics such as mecobalamin and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as tramadol three times a day after meals) is required. Omeprazole before meals prevent acidity caused by analgesics. This method needs patience as it take longer treatment times sometimes up to 6 months. Second option is go for surgical operation(Discectomy). You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> 18 year old college daughter with allergies and asthma, but otherwise no major health problems experience rash and bumps on wrist, ankle and arm, suddenly experiences tingling in arms and feet , with occasional pain in feet while standing from sitting or lieing position. student health clinic found unknown cause of skin irritation <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Welcome to Chat Doctor, The symptoms are highly non-specific, rashes and bumps may due to some allergen causing these symptoms.it may be a generalized eczema. If it is an allergen causing these symptoms you need to test for the allergen and found out the allergen causing these symptoms. At first, you need to test for absolute eosinophil count (AEC) to know whether you are having any allergic reaction. Then you can test for skin prick test to identify the allergen causing these symptoms. After identifying the allergen we can decide the type of immunotherapy suitable and useful to your daughter. 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 just got my daily labs back. I had a kidney transplant back in June 2010. My labs are all normal except for an elevated RDW at 15.5. Should I be concerned? We want to try and have kids very soon. I have a call into the doctors office but no call back yet. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, RDW means red cell distribution width. It is normally done in patients with anemia to find out the cause of anemia as there are few causes for it. If your only RDW is slightly raised and other parameters are in normal range there is nothing to be worried about. Still if you want to be sure about it, you can start some multivitamin capsule containing it b12 and folic acid once a day. Still I would suggest you to show your total report to your doctors you have not mentioned other values of the blood report. Till then I can suggest that it's not something to be much worried about. 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 ThereI have slight cramping and bloating in my stomach and I have reflux I burp a lot and can feel it pushing up to my throat and every time I yaw it feels like my vagus nerve is stimulated in my neck and make me nauseous in my throat or is this sensation due to my reflux pushing up when I yawn? I dont yawn often and I am not throwing up at all just get this sensation when I yawn sometimes worse and sometimes not bad at allI have been under a lot of pressure lately could this be the case why my stomach produce reflux?Kind Regards <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Welcome to Chat Doctor. Thanks for your query. I have gone through your query and understand your concern. I suspect you may have gastroesophageal reflex disease(HERD). It can be well treated with proton pump inhibitors like pantoprazole and lifestyle and dietary changes. My advice is.1. Avoid coffee, peppermint and chocolate 2. Quit smoking and alcohol.3. Eat healthy and non-spicy food4. DO not eat junk and too much of fried foods.5. Exercise regularly6. Consider doing yoga and meditation. If the problem persists. Please do investigations for H. Pylori infection. Then consider endoscopy. Hope this helps. Please reply for further queries. Wishing you good health. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My relative is suffering from Liver cancer and is undergoing Chemo for about 3 months. He has lost about 18 lbs in 3 months and a constant challenge is to provide him foods that are high in calories to give him energy and low in sugar (for cancer) that is vegetarian as well. Also as the problematic area is liver, it has been very difficult due to gas. We have been many small meals, but not making much dent in weight management . Please help suggest high calorie vegetarian foods that would be easy on liver and not harmful for cancer. Thanks. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Understand that no diet is harmful for cancer. I don't understand why low sugar diet is being given when he is not diabetic. Sugar has nothing to do with cancer, it is restricted only in diabetics. If he not a diabetic best think would be to give plenty of homemade fruit juices with milk and glucose added to it. Glucose is very good for liver and helps in rejuvenate. Avoid fatty foods and oil as they are difficult to digest. Oatmeal with Jagger and milk shakes help him a lot <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> 2nd time to have very heavy chest pain after climbing stairs to 3rd floor. I am 40yrs old,over weight but have never had this problem before. I take blood pressure meds but it is under control. This pain is like a ball blowing up in my chest. Should I try to get in to see my cardiologist or go to the er if it gets worse? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Chest pain may occur due to a lot of disorder but as mentioned in your case chest pain is associated with exertion which usually occurs due to a condition termed as stable angina. The factors which might lead to stable angina are following .high LDL level(try to maintain it below 110)hypertension(please take your antihypertensive Chat Doctor. Please follow some lifestyle changes-do exercise daily for 30 minute stake fiber rich diets avoid junk and oily foods. You should consult your cardiologist definetelythankyou 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 was just diagnosed with folliculitis on my genital area. But i also noticed 2 small red bumps near the glans where there is no hair follicle, and now i have a slight discomfort when urinating. I am in a monogamous relationship and do not suspect an STD. Can this be something else? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HelloThanks for query. Lumps around the glans penis a coronal Julius are due to infection of glans (Atlantis) and are usually due to allergic reaction to vaginal secretion of a female partner which is acidic in nature. You need to take broad spectrum antibiotic like Čeferin along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily. Ask your female partner to take same antibiotics for a week. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Sir,I have a Cervical Lymph Node on the left side. Montoux test showed 28mm and ESR was 27 per hour. Physician has started my TB Medicines and I gained 3kgs in last 15 days (earlier I had lost 12 kgs in around a year). Now for last 4 days this swelling sometimes pain and gives shrinking feeling. Is everything alright ?Thanks for your kind reply :) <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. No need to worry much for these symptoms. You are improving with gaining weight, absence of fever and shrinking in size of lymph nodes. So all these are favorable and suggest that treatment is working. Pain is mostly due to healing and fibrosis in the lymph node. Anti tb Chat Doctor. Healing takes place in the form of fibrosis. So this process is painful to some patients. Shrinking in size is suggestive of healing also. So no need to worry at present, continue anti tb <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, my husband has severe graves disease and has had his thyroid taken out because of cancer. He took a radiation pill which made his graves disease much worse. He took about 15 weeks of 500 mg. intervaneous I.V. for his graves too. Now he is like a wet noodle. No energy, no stamina, no strength, etc. They have him on 150 mg. of meds for his now gone thyroid. What can we do? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HI, thanks for using Chat Doctor The decreased energy and strength may be related to the hypothyroidism that can occur after radioactive treatment for hyperthyroidism. Hypothyroidism is associated with fatigue and weakness. It is possible that his thyroid hormone levels have not been optimized as yet. His doctors will likely recheck the thyroid function and increase his medication dose if it is found to be still low. I hope this helps <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My wisdom teeth are coming in. One of them has pericoronitis, noticed five days ago. Wisdom teeth eruption noticed especially about 6-8 weeks ago. About the same time, I ve been more dizzy than normal, it takes more focus to keep from getting dizzy. Are these linked? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HiT hank for your query with Chat Doctor, there is no relation between the dizziness and the erupting wisdom tooth I think you have been so much conscious with the both, so you feel like that. You have not mentioned your age to know the status of the eruption. Any ways do warm saline water gargling and maintain good oral health otherwise peritonitis will cause incontinence with pain. If they are already inflamed once consult your dentist to know the status <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> About 5 days ago I was hit hard in the leg by a baseball. It swelled but was not all that painful so I continued to pitch. I did not ice properly the first night and now the swelling is still there (though not as serious) but there is a sharp pain in the lower part of the leg. Will this heal on its own or could it be broken? I am away from home and don t have a doctor nearby to see. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As the mechanism of injury was the direct of the baseball on the leg, and now the area is painful and sharp pain in the lower part of the leg, I will advise to undergo an x-ray if there is any bony injury. Usually, depending on the location the symptoms can be predicted, but as you mentioned that the ball hit the leg, it is tough to judge if the ball has hit the nerve and leading to sharp pain. Getting an x-ray and a clinical assessment will be good. If damage to any bone, muscle, tendon, nerve, artery is there, one needs a hands-on examination. As you did icing and the pain is not coming down, you need to visit the doctor to get it check. Never ignore sports injuries, as one can never suspect the impact it does, Usually, if no major signs are present, then with simple sport physical therapy training, the candidate can go back to sport soon. RegardsJay 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 a friend of mine is in hosp with pneumonia in both lungs, he is also presenting with gall stones after an ultrasound . tonight the consultant has rung and told his wife that he has high levels of gamma in his bloodstream. anything to worry about?? last yr he also was told that his kidneys arent working to there full capacity after taking painkillers over along period of time. he works with photocopiers on a daily basis many thanks for any help <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, GGT is 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 additionally done. Then appropriate treatment can be started. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards, <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have a history of kidney stones. I went to a clinic last Thursday with flank pain like it was a stone moving, A car scan was done and a urine specimen taken. Tests show no stone in unrinary tract and 2 stones in right kidney. I am still having severe pain in right side and in my groin. My flow of urine is not being restricted. The pain is rather intense and pain meds are not helping. Why so much pain and in different areas? And should I seek another specialist? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HelloThanks for query. Based on the facts that o have severe pain i loin on Right side due to stone in kidney and ureter. The pain in abdomen due to stone is never due to stone itself, but it is due to obstruction to the flow of urine caused by the impaction of the stone resulting into accumulation of urine causing dilatation of ureter and kidney proximal to site of impaction (HY Chat Doctor. The primary aim in treatment in such situation is to destruct the kidney to preserve its function and to help the stone to pass down without pain. The standard modality is 1) Give I. V fluids (If the patient is hospitalized)or <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 behind my ear its red and has been there for about 12 days. Went to GP he told me to take antibotics. I have 3 days left - the lump has gone down but not disappeared. lump is not painful. the lump is behind ear to the hairline and under the skin <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Mastoid Abscess / or Boil behind Ear. Treatment-Mastoid abscess possibility seems to be more in your case. Antibiotic +NSAIDs with under cove surgical Mastoid Chat Doctor. X-ray skull with mastoid / CT Skull and brain, would confirm diagnosis, prior to treatment evaluation. Second opinion from ENT Surgeon would rule out other causes of red lump behind ear. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Good evening, my son is 4 yrs and 4 months and has a high fever with sever headache, he crys out and says his head is very sore inside....I have given him a Voltaren Suppositorie 12,5 mg twice in the last 6 hours and he is still sick, should I go to the local Hospital? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello dear. I would like to have a detailed history regarding your children symptoms. Is there also history of vomiting?? If yes please urgently go to the hospital and get him examined in detail by an expert pediatrician.IN the absence of vomiting, one can think of sinusitis or simple viral flu. Give him Paracetamol 250 mg/5ml (3 ml 4-6 hourly for fever and a good anti histamine like levocetrizine 5 ml at night along with steam inhalation preferably at night before bedtime. Get him examined by a pediatrician if it didn't settle with these medications. Hope it will help. Wishing your child good health :-) <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello,2 years back in new year party i stomped my right foot very hard on floor 8-9 times, when i woke up in the morning i felt pain in my ankle, i thought it will go away in few days, later when i used to jog it slowly increased, i consulted almost 5 doctors they said i have heel spur. So i am doing some calf exercises they told me. I still used to run/jog for about a year, now after 2 years the pain has shifted to left side of the heel, and i cant even stand for 2 mins, cause all my sole is hurting allot. Please help me i cant even walk. Now a days from 4 days i am having pain in my foot ball bone, which is the second bone in right fool PS. I use silicon insoles still the pain is there. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> I wish you contact me personally and give me the proper history of illness. As when you have mentioned do shifting the pain it is pure speculation that you applied a more pressure on the unaffected side when the other was injured. Only stretching is not the solution. You may need to go undergo a specialized training for the same as it is chronic issue now. Contact me directly if you feel so, where I can help you better. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> my wife is in her third trimester and has been having severe UPPER abdominal pain for the last couple weeks. it just recently got worse the last couple of days. doc says its heartburn but i have never seen heartburn like this in my life. any suggestions? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HI, I understand your concern. Heart is not normal in pregnancy. it's because of over stretching of cardiac sphincter of stomach, allowing acid gastric juice to regurgitate in esophagus It can be managed well by few lifestyle change - - raise your head end while sleeping, dont sleep immediately after food. Do not take water or liquid before going to sleep. -Avoid forward bending. -Instead of eating two meals. Have small multiple servings of food. Avoid spicy food, - Avoid sour Chat Doctor. * Antacids / proton pump inhibitors will help in controlling severe symptoms. Thanks. -excessive burning can be relieved with freeze cold milk. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 any one of u can reply - Hello, My son is 2years 4 months old and from last one year he is gets dry cough and then cough which leads to wheezing and we need to get him nebulised twice or thrice and he is relaxed and then put on oral medicines . It usually starts in between 8 to 10 days. So we have advised to give him 3 doses of Asthalin inhaler and budecort everydayonce with the zerostat V (spacer) and baby mask regularly for an yr. So kindly suggest whether usage of Asthalin and the other inhaler is safe to be used for my son regulary and whether it has any side effects.... Thanks, waiting for your answer. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> It could be a case of childhood asthma or respiratory tract infection. It is hard to comment without examining or investigating. Nebulization is good, and you can get a nebulizer at home if recurrent usage is required. Stalin is very frequently used and widely tolerated. The only side effect could be increased heart rate, but usually it is not a cause of concern. I do not expect any long term side effects. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My father is a mental patient since last 40 years. He had got doubt to my mother. Without geniuness he is telling and imaging the matters. He connected 3 to 4 of our relatives and telling bad relation with my mother. Sometime he is very violent. Nearly 2o years back we approached a Psycologist and he suggested a medicine DEplat 75mg, E. When some problems showing give this medicine. Last few years when this tablet given some face reactions appearing i.e. lips are going to one side and all.... so we are afraid and not given that tab. One year back he had a Heart attack - Silent. As per Cardiologist 3 blocks are there. Bye-pass surgery need. But the health condition is not good - Diabetic and Blood pressure - not yet surgery done and continuing Medicine (No circulation problem is shown in the Anchiogram). Medicine given for heart disease is Deplatt 75mg, Ecospring AV 150, Mono Isordil SR 30, Semi Daonil for Diabletic and Betacard AM for BP. Now few days he is very violent and creating problem/quarrel with others. We have not approached a doctor because if he know he will agains create problem. If we give the earlier medicine (mental) any problem will occure? He is 73 year old, Height : 5 8 . Weight : 78 Kg. Kindly advice us.... <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi dear, there are many medical illnesses your father have, so treatment of psychiatric illness must not affect medical part. As you described your father suspicious over your mother and frequent violent episode suggest that he has psychotic disorder and need treatment.is there any other features associated with it?any sleep disturbance, hearing of voice, abnormality of speech and behavior etc...for proper diagnosis detail history is must. So consult psychiatrist for detail history and treatment. Thank you <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My son suffered from Epilepsy symptoms 2 months ago. All his reports as per dr. show normal condition however Dr. has prescribed tab Valparin Chrono 500mg daily one for 3 yrs. continuously. I want to know that should I continue with this medicine for my son & if yes are thier any side effects of this med. Please advice. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, If your son had a seizure, then it is imperative that you continue the medicines without fail as the consequence of not taking the medication could be a relapse of the seizure. While this is one part of the treatment, the other part is to find out why he had the seizure in the first place, and if there is any correctable cause. This will require further tests which would be done by a specialist in this field. Hope this helps. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello. I am currently being tested for adult ADD. I am suspicious I have had it my entire life. I am working with psychologist to test and diagnose it (or not). His tests are broad. He has me on a schedule of 3, 45 minute appointments where he is testing with vocabulary tests, drawing test, routine math tests, and assembling shapes with puzzle pieces, memory tests to repeat back things he says to me. I do not have problems with the tests. I can focus for short periods of time. It s longer periods of focus on routine tasks that give me difficulty. My is does this sound like a industry standard way to diagnose ADD in an adult? I would like a second opinion as I have a small suspicion I may be just going through tests he can bill my insurance. Thank you! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> DearWelome to ChatDoctorWe understand your concerns went through your details. I suggest you not to worry much. Every therapist know how to diagnose you. The diagnosis is basically based on your first-hand description. You have not mentioned your age here. But I see that you can speaking about attention span here. An adults' attention span is always less the minutes maximum at a stretch. While watching a movie that could go up to hours, if the movie is interesting. For ADD patients, they even show low attention span even when they watch an interesting move. If you fall in this category, you need those tests to confirm the depth of the problem. Otherwise, you do not have Added. If you want more of my help in this aspect, please post a direct question to me with as many details as possible. I shall provide some psychotherapy tips to overcome your current problem. Hope this answers your query. Available for further clarifications. Good luck. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello doctor. I had an episode of back pain radiating to right limb 3 months back .no trauma history .my mri shows diffuse annular disc bulge of 2 mm at l4 l5 disc with mild thecal indentation. Please help ..can the disc bulge be put back Into position?? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, thank you providing the brief history of you. As you mentioned that you have a disc bulge confirmed on MRI I will recommend you to undergo physical therapy and make the core and spine muscle stronger. As to avoid any future recurrences. Also the disc shrinks in its size over a period of time. But it all depends upon the physiology of each individual. Also, it depends on how mush strength is there in the spinal muscles to relieve pressure from the disc. Usually 99% patients recover with physical therapy. RegardsJay 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\|> yes I had surgery on my right side of the spine to remove a piece of the disc to remove the pressure put it is 11 days already and I am having sever pain on my right led doctor told me to take gabapentin and still hurting what can I do for the pain to go away <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, welcome to our site. I am Chat Doctor. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query think you should be more patient. There will be some pain as the post op surgical wound heals. It is obvious to have some pain during the phase after some painAlternatively you can have some exercises to strengthen the muscles. However since you have had surgery, I would suggest you talk to the surgeon first. Try the conventional painkillers, temporarily. A repeat MRI may be done hope this helps you. Inform the reports mentioned above so I can be of help further. Best of luck. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Looking forward to your return query with the details asked so that I can help you further.(If the answer has helped you, please indicate this) <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 papillae are extremely swollen right now. I ve also got a sore throat and congestion (when I woke up this morning, my lymph nodes were horribly swollen). I had a fever for part of the night, I believe, but seem to be normal temperature now. I ve got a headache and nausea that goes on and off (it was really bad while I was trying to get to sleep last night, but hasn t really bothered me sitting up so I think it s just related to congestion). Should I get checked for strep? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HI, thanks for using Chat Doctor Sore throats are more commonly viral. They are due to viral infection in 80 to 90 % of cases and most therefore do not require antibiotics. IF the sore throat persists beyond 3 to 4 days, is extremely severe or is associated with a fever lasting a few days, then bacterial infection can be considered. The use of oral painkillers as well as throat sprays or gargles may be helpful to you. Examples of gargles or sprays are chlorogenic, colonia, Islam 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\|> It has been requested that I go in for a vision field test after my eye exam this morning. Several things were listed for diagnosis. One of them being the optic neuritis. Im really scared at the moment and dont know how to react or what to do. I have that test in 3 days. However, I was wondering, if a brain tumor, how fast do tumors typically grow? If malignant, is it months, years, weeks or what that is considered rapid growing? What time frame is considered slow-growing? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for writing in to us. Optic neuritis is an inflammation of the optic nerve which carries impulses from the eye to the brain through the optic tract. This is usually a limited condition and is treated with steroids. Brain tumors are of many types and categories. Most benign tumors grow very slowly and stay stable for years before they cause symptoms. In contrast, malignant or cancerous tumors grow violently, and it might take 3 to 6 months for them to grow into a mass of cancer cells. In conclusion, a tumor is slow growing if it takes more than a year or two to double its size and is a fast-growing it there is double in tumor volume over 3 to 6 months. You likely do not have a brain tumor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> about kidney : my father has creatinine level is 8, doctors adviced for dialysis how can we reduce creatinine below 8? sir my father has creatinine level is 8, doctors adviced for dialysis. his age is 68 he is under medical treatement. every month he go for medical check up. BP, sugar is normal. but the creatinine is come upto 8. what is your advice sir <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Welcome to Chat Doctor Forum. Your father is suffering from either Acute or Chronic Kidney disease. If it is chronic he definitely needs immediate dialysis and subsequent kidney transplantation. If it is acute, treating the cause will reduce the Creatinine level. Diet does not improve its level. Medication has to be taken, if you leave it is will do a lot of harm ////// Speak to your Doctor. 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\|> Yes, I have a lump below the skin on my right forearm. It is painful, swells up and not hard moveable. I had it checked by two different Doctors. I had surgery on it to get it removed, but the Doctor did a biopsy whicChatDoctore back negative. He said it was fat and if I lose weight it would go down. The second Doctor said it was fat also. I am still concerned that it is a cyst causing me pain. I want it removed, it is 1 inch in diameter, approximately 1/4 inch deep, guessing. Help don t know what to do. Don t have any images. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma or some benign cyst like sebaceous cyst. No need to worry. If it is painful then you should go for excision biopsy. It will cure your lump and give definite diagnosis. Consult your doctor and go for excision. 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\|> HiI am about to have a kidney removed due to a birth defect that has caused back pressure to damage the kidney. I am 42 years old, I weigh 6 and half stone at the moment due to weight loss, Im usually around a stone heavier. Will I be classed as disabled? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HelloThanks for query. You are detected to have non-functioning kidney due to mostly congenital PUB obstruction and headed for removal of kidney (Neurectomy). There are 1.8 % of general population having only one kidney from birth. The donor who donates his kidney or recipient who receives kidney during kidney transplant are both living normal life with only one kidney. In both the situations they are not declared to be disabled Do not worry having only one kidney does not make person disabled. Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello doctor my ten months old baby has some infection and admitted to the hospital .but last Wednesday she was discharged the doctor was gave some antibiotics to have but now she is watery loose motion nine to ten times I am not feed her any solid I am only feed her lots of water and milk but she feel very weak and not stop the motion what can I do please help me doctor <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Some antibiotics like Amoxicillin can cause diarrhea. Give ORS solution to your baby. If she is not vomiting, then probably she would not need intravenous fluids. Limit milk and feed more semisolid cereals. Milk can aggravate diarrhea. Add probiotic sachets like Reformer. Make sure baby is not having a fever, abdominal pain, bloody stools, or baby is becoming lethargic. Under such circumstances, you will need to admit baby. Hope I have answered your query. Let me know if I can assist you further. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, My mother is 65 Years old. She is very week in health. Last week she suffered unconciousness for 3 days. Now she has opened her eyes but not able to chew anything. Swallowing water is also very difficult for her. She is not recognising People with her names. Although she remebers name very well. Would you have idea what s the reason of this. One thing I want to point out is that she is taking Alprex 5mg for 4-5 year daily one tablet for sleeping. when she went in uncounciousness last week Doctor had given her some 4-5 Injections. Now my Question is what specility doctor can treat her, what s the reason for this kind of illness, would she be required to be admitted inn hopital or just giving some medicines as OPD patient can work for her. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Is your mother on treatment for high blood pressure? Going through your history I feel that your mother might have had a stroke or a bleeding inside the brain. Was a CT head taken? Did you do blood investigations like serum sodium, potassium,magnesium etc. Alprax is used for lack of sleep and also fortress. You should meet a neurologist now and later if required a euro surgeon. In this condition I feel she needs an admission in the hospital, if needed even in an ICU... So get medical help fast. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi there i ve just come back from mozambique, i was taking mefliam for malaria prevention ive stopped taking it because it made me feel very strange. we were in a malaria area for 12 days and in the kruger for 6 days . and we ve been back for 3 days nowIm feeling dizzy very thirsty and under my ribs it feels uncomfortable and very tired with a pulsating headache im also going to the bathroom alot to urinate could this be malaria ,only thing is i havent had any hectic fevers just very dizzy and feel weak <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello there, I am Chat Doctor. Most probable symptoms of malaria is fever with chills. If chills is there we suspect first malaria. So it is not present here. And fever is also absent. So chances of malaria is very rare. Other symptoms of malaria are Headache, Sweats, Fatigue, Nausea and vomiting. But this also accompany fever & chills. SO you have some other kind of infection or may you have some vitamin or any elemental deficiency causing this type of symptoms. So I suggest you to visit your physician once and follow his advice. Hope I have given appropriate guidance to you. If you have any query you can consult me anytime. Give me star rating, helpful vote & thank you according to your satisfaction level. Thanking you. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My Blood pressure is often 125/89 today its jumped to 138/100 should I tell my doctor she can finally write the rx for hypertension BTW Im 43 and female and take no medications but have just gotten over a cold but am still coughing could that raise my pressure? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Howell come to ChatDoctorI really appreciate your concern, I always advise my all the patient to go to Doctor for reading blood pressure, if you are going to read it on your own then it may show error and most of the time it comes elevated. If you do not have any clinical symptoms then it is nothing to worry, looking to blood pressure reading is given here it may not fall in hypertensive category, still you can see the physician hope this information helps. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I had maxofacial surgery 24 years ago that left me with a numb chin and lower lip. the surgeon said this happens and there is nothing they can do back then. Now in the past year I am having chin twitches and it is very annoying and embarrassing. what can I do and could something else be wrong? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello! Welcome on Chat Doctor! Your symptoms seem to be related to a pinched nerve (nerve compression), probably from the adherence during surgery in this region. I recommend consulting with a neurologist for a careful physical exam. A nerve conduction study is necessary to confirm the diagnosis. Surgery may be needed. In the meantime, I recommend taking clonazepam for symptomatic relief. Hope you will find this answer 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 ve have intermittent nausea since I gave birth 5 months ago (major complications and on a antibiotics 3 months following). I started birth control 2 months ago and am wondering if there may be a link to the nausea. I also seem to get an increase in nausea when I m late taking a pill. Do you think there s a link between the pills and the nausea? Thank you. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello dear. Understand your concern. Firstly you have intermittent nausea may be due to pregnancy but now its may be due to side effects of birth control pills(BCP).BCP has some side effects like nausea, spotting,breast tenderness, headache,weight gain, mood changes, missed period, decrease of libido(affect sex Chat Doctor. ... you can take tab.onset or tab.raglan & tab.gene for nausea. Or you can change your BCP, take another hormonal pills which suited you more. Stay calm & don't be much anxious because it aggravates the symptoms. Hope this will guide 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\|> hi.. im 25 years old male... ive been masturbating since i was 14. initailly it takes nearly an hour to cum, but now within 10 seconds of masturbation it cums. length of my penis reduces gradually, and its not as harder as ti used to be..Is this what we called as PE or ED ?? what should i do to regain my sex power. plz help me out..can i live a healthy married life ? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Degree understand your concerns went through your details. I suggest you not to worry much. Erectile dysfunction a premature ejaculation is mostly in the minds and thinking, and mostly it is due to psychological. Masturbation is not a sin, it doe snot decrease your sexual power, it doe snot make you tired, it could not reduce your health. It is natural and even animals do masturbate. But worries and anxiety about masturbation can lead to PE and ED because they are also related to anxiety. Donor approach sex as essential. It is just part of life. You are supposed to enjoy it, not to worry. Don't be apprehensive about some future happening. Today something happened never means that the same will happen again in the future. Size of penis never matters in sexual pleasure. Love, intimacy and affection matters. You might need sexological counseling. Visit www.psychocure.blogspot.com/Hope this answers your query. Available for further clarifications. Good luck. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> am using benzoyl peroxide and doxycycline for my acne vulagris..and its workin....but i need a moisturizer for my skin since it becomes dry...after using benzoyl peroxide....and how long should i use these medication to permantaly get rid of these acne...my problem..is oily and what food should i stop eatin..becouse some times when i eat eggs,fatmeat and stork..i devlop pimple and some fats..and what cosmetics should i use to have an acne free skin <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello there Wong... to set some myths straight at the outset, food is Not Directly linked to acne eruptions. Also, your history of acne as it stands is insufficient to arrive at a detailed plan.to begin with, how old are you? Cosmetics used should ideally be water-based & not heavily layered on the skin. Market now has newer bases for benzyl peroxide that cause less irritation ...check with your local dermatologist; alternatively use a cleansing agent that leaves behind a moisturizing film to help you better. Reads & get well soon.cheers 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 boyfriend accidentally got pricked with a diabetic blood testing needle, it had been there for a while and not used for about 3 months but should he be worried and does he need blood test? The person whos needle it was was in very poor health and was on dialysis. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hiif you know the patient was suffering from poor health & dialysis, they are already immunocompromised patients. If you can try to find out the viral status regarding HIV, Bag, HCV of the so-called patient it would be very helpful for you. Unused for 3 months if you are sure, not to worry. But for safer side try to find it out. These patients who undergo regular dialysis have all these viral infections more in common. Please try to be careful next time. All the best take care <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello doctor, Im from chennai. My son is 2.5 yrs old, height-87cm, weight-11.5kg. He is often getting cold continued by running nose, cough and also that sound from chest. This occurs aleast once in a month. Iam giving medicines prescribed by doctor like moxikind tab, ambrolin, omnacortil, chericoff, cefolac not all in a single time but in some combination prescribed by doctor. Is it ok like i can proceed with these medicine, if in future my son gets ill? What is the reason for frequent illness? and how can i avoid it? Will this create any seroius problem for my son in future? Is he healthy orelse give me a good diet chart for him. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> A child 2.5 years old is susceptible to changing weather and given that his immunity is not strong, is likely to get frequent such attacks. The medicines you are giving are best for quick but temporary relief but will not boost immunity in your child, neither will cure the problem. But that's not anybody's mistake. Quick acting medicine have its own uses. Since you are in India, you may get the advantage of Ayurveda. Bachaturbha 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 had a painless lump mo my left bottom cheek which developed whilst I was doing Zumba 3 times a week and jogging too. I have had it now for 21/2 years and it is still there. I spoke to a doctor friend about it 2 years ago and she said it was probably just a pulled muscle, but now that I have done some research myself, I wonder if it s that simple. I also suffer from piriformis syndrome which is alleviated with stretching. Should I be worried? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HI, thanks for the query on lump on cheek bottom for last 2.5 yrs after Zumba. In my opinion it appears to be post-traumatic-ur-resolved-chronic hematoma. Other possibilities related to cheek bone or tooth need to be ruled out. I would advise checking up with the doctor in ER and investigate and treat on the lines suggested. Thnks. Wellcome again. Hope you got satisfied for the lead given to resolve your query. Thnks for query to Chat Doctor services. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> What could be causing both sides of my ribs to feel like they are sinking or caving in? Sometimes both sides feel like that sometimes it s one side or the other and it feels like it s last 2-3 and I m not sure if this is normal but I ve never noticed it until recently that right under my breasts (both sides as well) there is a deep indent in one of the ribs in the front <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, What I can infer from your complaints is that your rib cage may appear indebted as we age that is senile kyphosis. In simple words, this means your upper back at the mid-spine level will bend as we age and hence our rib cage appears indebted. I would recommend, you to mention it to your physician during your next visit so that he can have a look. 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\|> im a smoker and when i breath it hurts in my back and my chest feels so heavy ofcourse i have had nasal drip and very very thinck phlem for the last yr and have been takeing mucinex for 6 months now ,and im so worried i also have been haveing trouble with food getting stuck in my throat latley and they did the test on me last week for the barrium swallow and if there was something like fluid on my lungs could they have seen it with that test ??? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HelloWelcome to Chat Doctor, Your history and symptoms are suggestive of respiratory infections which should be evaluated properly to provide adequate treatment. You may require physical examination and LSB investigations like CBC, chest X-ray and urine examinations to make a proper diagnosis. For the present symptoms I would suggest you to follow1. Steam inhalation with Vocals.2. Oral antihistamines3. Oral antibiotics like Tab Autoclave, 625 mg, twice daily.4. Spy Ambrosia S. 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 my names Teddy. I have anxiety and panic attacks. I went to my family doctor and was prescribed paxil. I tried it for awhile but it didn t help and I still had no help with anxiety and panic attacks. I tried buspar and also hydroxyzine also were of no help to me. Buspar actually had an awful reaction with me. I have been living with anxiety and panic attacks for so long with no help because I just got insurance. My Dr. told me he doesn t believe in treating with benzodiazepines and offered a referral to a psychiatrist whom wasn t in my network but recommended I seek out a psychiatrist. So I did but also have researched benzodiazepines. The only thing I can find about this is Doctors unwilling to prescribe those medications and how hard it is to get this treatment mixed with therapy, yet people are still on them. A lot swear by them and a lot don t. So I wanted to try this treatment, recommended by my doctor and insurance representative and clinical nurse representative. My question is how do I go about asking for this treatment, benzodiazepines and cognitive behavioral therapy? Is it possible and plausible? Thanks. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Degree understand your concerns went through your details. I suggest you not to worry much. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Depending on your present condition the treatment length may be from one year to may be life long. If the diagnosis / treatment is right, cure is fast. My advice is - Do not worry about these things. Find a right psychiatrist and work with him. You will be cured. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi , I am Anju aged 34 years. Height 5.2 feet , weight 55 kgs.It is the 1st time that I have been diagonised with gall bladder stones. 2 stones 0f 14 mm each.Doctor has prescribed taking Udiliv tablets. Please suggest whether these tabs will help in reducing the size of the stones. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi dear I can understand your concern... Let me familiar you with Adílio tablet... See it is ursodeoxycholic acid.... It is nothing but just bile acid...... It dissolves cholesterol in bile.... It inhibits cholesterol absorption... It will also inhibit apoptosis.... So it will help in gall stone treatment as well as prevention. Take this Chat Doctor. ... It might dissolve stones.... Take low fat diet..... Fruits more..... Regular follow up needed..... Udiliv tablet as well as syrup available.... Keeping these in mind consult gastroenterologist..... 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 m a 28 year old male and I ve had an issue with my feet swelling up a lot, it s been happening off and on for about a year. They will particularly balloon in the afternoon and the skin is tight and it s very uncomfortable to walk around in shoes. in the mornings it s still swollen but not as much. There s no real pain, just the tightness of the skin and related pain from that when i walk in shoes. I ve tried reading up on what it could be but none of it really sounds like unless it s a heart issue or kidney or something else that could somehow have no other side effect. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, welcome to Chat Doctor And Thank You for the query. I think it would not be genuine to just decide on the basis of given symptom. Firstly I would suggest you to diagnose whether its pitting or non pitting type of swelling? Is it edematous? It may be due to hypertension?go for Blood Pressure measurement. Go for Complete blood test. Tell me more about your weight? Is there any swelling under eyes? Any Injury before ? Any medication you are taking? Any joint affected? Provide us with more details for further guidance. Hoping good health for you. Many 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\|> i had an infection in my navel recently and i sprayed it out with my shower head. afterwords i went to swab it out and it appeared(felt) like it had opened. I even stuck my finger in and it felt like it went very deep , much more than originaly. could my navel have opened somehow? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for posting in Chat Doctor. I understand your concern. Kindly do the following to overcome the infection in the naval area. 1. Wash the area with warm water and mild antiseptic solution like Salon twice daily. 2. Apply Aureomycin cream on the lesions after Chat Doctor. 3. Take anti-inflammatory medication like Ibuprofen after food. Keep the area under good hygiene. Hope the information provided would be helpful. 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\|> Ive been to a urologist and we covered everything. Prostate exam, xrays, and ultra sound... diagnosis unsure, so doc gave me a month of antibiotics 3 months. I finished the meds but here I am again with the same pain in testicles and abdomen. Ouch! Pain maybe 7, testicles feel heavy... please help. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi. Thanks for your query. Noted your history and understood the concerns. You have already seen the urologist and undergone all the necessary tests, prostate, X-rays, ultrasound yet the diagnosis was unsure. So the Urologist gave you a long courses of antibiotics, but the pain is here again 7 on a scale of 10. The pain in the testicles and abdomen with feeling of heaviness indicate that there may be either a local problem which can be diagnosed by MRI of the scrotum. If there is a doubt, there is always a chance to take a second opinion of another Urologist or a senior General Surgeon. Scrotal support to elevate off the weight is also needed. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> my heart beats and i am getting nervous when i scould others and i am getting pain in my left hand Age:22 , Gender: Male, Last 5 years i am getting pain in my left hand wrist , joint and i could not hold any thing in my left hand, i could feel my heart beat, i am getting nervous when i am angery.I could not do any myniute works hand getting shake. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, your condition may be a neuropathy. Feeling your heart beat is called palpitation, it can be fast or slow. Fast heart beat leads to formation of blood clots which gets lodged in various organs like brain etc. causing limb weakness. If the heart beat is slow you will feel light-headed, sweating etc. Pain in the joints can be due to the inflammation of the joints called arthropathy.a definite diagnosis can be made only after clinical examination and relevant investigations.I would advise you to meet your physician regarding this. A clinical examination will help to understand the pain and weakness. A simple EKG will help to know the functioning of your heart. If all turns out negative then this might be due to anxiety alone which can be treated.I hope I have answered your query. Take care <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi Thankyou I am a 56 year old extremely healthy male. All of a sudden I started to develop skin discolouration on my penis shaft and also scotum sack. It is a darkish colour and looks sort oof identical to a giraffes body colouring (patchy) Gosh I would love to know what reason- it has never happened before- It developed 4 months ago - and does not seem to be fading back to normal, thanks heaps. Patrick <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello really appreciate your concernLooking at your description this could be suggestive of STI, other infection or an allergic reaction or may be penile cancer (very rare)I would like further information to help you better relevant medical history like diabetes or history of unprotected sex? Are you having any kind of dischargeSince how long you have this problem In my opinion you should keep it clean and apply antiseptic ointment If it gets worsen or doesn't improve than you should consult your doctor for physical check up and detailed evaluationMaintain good hygiene use condoms during sex until it heals completely Hope this answers your question if you have any more doubts please feel free to write back to me, 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\|> 5 days ago I tried to pick up something too heavy and strained by lower back. I iced a few days to reduce swelling, took ib pro for pain and lately wrapped my back a few days and began heat and Epson baths. ... last night I felt really nauseas, but thought it was a household chemical. today felt times of mild nausea. ... could I have a slipped disk pressing on a nerve? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, As mentioned by you, most of the time the pain in the back is muscular, and if you have any disc injury it is tough to mention. As MRI scan can help visualize the inner soft tissues of the spine and help assess further. If the pain is not lowering down and swelling is also present I will advise to get an orthopedic assessment done, and an MRI will also help to plan the next step. Performing physical therapy along with proper rest recovers cases up to 99% success. It is even my personal experience with my patients. I wish you to have a good healthRegardsJay In Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have been having pain in the center of my chest that feels like someone punched than it end in a throbbing feeling under right arm pit. The pain in chest only lasts for a second, but the throbbing lasts longer. Seems to happen after eating. Blood pressure is normal. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. Based on the facts of your query, you seem to suffer frogger with Right diaphragmatic irritation with heavy meals with acid reflux. This causes center chest pain with throbbing pain in right armpit. Right Colonic Fleur would cause this type of right arm discomfort most probably. Center Chest pain is due to the Acid Reflux with HERD.check with Stool ova/cyst to rule out Guardians and rule out Enterocolitis in right hepatic Fleur of the colon with IBS. This is my advice in the given situation. Take care and wish you to recover fast and Live healthy. Hope this reply would help you to plan further treatment with your family and specialist doctors there. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello doctor how are you I have a question after coming back from a holiday I weighted myself and saw an increase in 5 kg in one week I managed to lose 1 kg using duromine I used to take duromine last year and I had one week supply left over so I used that I have also noticed my waist increase I never had an increase waist even when I was fat I had a flat stomach now it s all flabby. Also in past month my salt intake was high as well as I really like salty things is it just water retention or could there be something els I have stopped eating nearly nd still waist has not dropped do u think I would have some other sort of disease such as liver <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Welcome to Chat Doctor. Hope you are doing good. We often gain weight rapidly without knowing it the cause could be eating habits, limited physical activity and much more. Bromine tablets are not effective if you don't have control over your diet and do not physically active (I mean enough exercise to burn fats). Advance re-search also shows that one of the cause of weight gain is not proper functioning of liver. But in your case I think don't blame the liver. Let Me give you simple plan: If you burn 500 more calories than you eat every day for a week, you should lose about 1-2 pounds. If you want to lose weight faster, you'll need to eat less and exercise more. For instance, if you take in 1,050 to 1,200 calories a day, and exercise for one hour per day, you could lose 3-5 pounds in the first week, or more. Limiting salt and starches may also mean losing more weight at first -- but that's mostly fluids, not fat. When you reduce sodium and cut starches, you reduce fluids and fluid retention, which can result in up to 5 pounds of fluid loss when you get started. You did not mention your body weight and height with that could give you better idea that how much should you loose. I hope have answered your query. Feel free to ask if you have any query. Wish you good health. Regards <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi doctor, I am 27 a tb patient in lung.I am taking madicine during 2 weeks and my marriage was fixed after 3months(after I took medication).Is it safe to marry right now I am afraid to spread infection to my spouse or can I infectious my husband when kissing or touching tounge or breast feeding. pls. advise....thnx. <\|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 all these. Tuberculosis is 100%curable with 6-8 months of treatment. TB patients are infectious only during first month of treatment. After first month, patient starts improving in terms of cough, fever, expectoration, weight gain etc. So at the time of your marriage, you will be noncontagious and will not spread infection today your future husband. So no need to worry about spread of infection while kissing or touching tongue. Better to avoid pregnancy during treatment of tuberculosis. Once your treatment is complete you can plan pregnancy. No harm today your baby in breastfeeding too. 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\|> Dear Doctor, I am a 25 yrs old married woman, At this point of time I am suspecting pregnancy, i wish that i am pregnant. Is it safe for me to use nimulside tablets for head ache at this point of time or can i use some other tablet ? please help me by your suggestions <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, It is not safe to during pregnancy. Nimesulide is a non-steroidal anti-inflammatory Chat Doctor. It is not recommended for women who are pregnant or planning to get pregnant in near future. It can cause harmful effects on the developing fetus especially during pregnancy. I advise you to take paracetamol tablets in normal doses for the symptomatic relief of pain. Hope I have answered your question. Let me know if I can assist you further. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am a 34 yr old healthy female! In November 2012 I strated feeling the sensation that my throat was closing up and had a burning sensation. I went to the doctor and was advised I had a vitamin b12 deficiency, immediately strated taking a supplement every two weeks and was put on a acid reflux medication. This did not work and the problem continued I went to see a ear, nose and throat specialist who advised me I have swollen tissue due to acid reflux and stress and it should get better...I have had a scope and it has remained the same buy now I have in addition to the above I now have a white substance on the back of my tongue which bleeds and I have very tender gums where my wisdom teeth were plus very bad breathe? I use a mouth guard but that doesnt help, I also brush my teeth two times a day and floss with no bleeding.Please help meTanya <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for asking the query, Bleeding gums, bad breath occurs due to poor oral hygiene maintainenece resulting in plague and food debris accumulation, nutritional deficiencies, immunological disorders, faulty appliances, hormonal imbalance. I would suggest you to visit the Dentist and get a checkup done. Take an OPG radiograph which will give entire picture of gums, bone loss and wisdom tooth. Go for symptomatic treatment of complete mouth scaling and polishing. Take multivitamin tablets. Use chlorhexidine mouthwash regularly. Include vitamin, vitB12 containing food in your diet like lemon, oranges. As you have mentioned you have GIT problems get a checkup done by a Gastroenterologist. Also check your menstrual cycle, blood sugar level to know whether you are diabetic or not. You might be having Peritonitis around the wisdom tooth, Get checkup done and if needed to get the tooth extracted. Maintain a good oral hygiene. Hope this helps out. Regards... <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi... My baby is 6 mths old... Till 3 mths i breast fed her but as i had to join my work back i started giving her Buffaloes milk as well as other solid food like Khicdi, Ragi, Fresh fruit pulp etc... is buffaloes Milk Harmful for her. please advice whether i can switch to Nan 1 <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Let me emphasize on the fact that breast milk is the best feed for a baby up to 6 months of age. Beyond that, the baby needs a mashed version of adult diet low on spices, introduced step by step. Milk becomes an optional component at this age if other sources of nutrients are included in diet. Cow or buffalo milk has high protein content and hence is difficult for a baby to digest. Most formula milks are cow milk based, and although they are not directly harmful and may be given, but I would prefer homemade semi solids made from boiling rice and pulses along with vegetables and giving it after mashing it. You are doing the right thing by giving Chichi, Reign and pulp of fresh fruits. Most of these would be more nutritive than the available formula, and so I would not speak in favor of formula like NAN or buffalo milk. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 first day of last periods was 30 June and I usually have 28 days cycle I ovulated possibly on 16th night but had unprotected on 17th morning Took levonelle on 19th noon and a bit worried coz I did nt had my periods which should have been due on 28th July I took two home tests which shows negative But I m feeling a bit bloated How long should I wait to take other test <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, I have understood your concern. I will suggest you the best possible treatment options. 1) First of all do not panic. 2) I will suggest you to wait till 15 to 20 days after your episode of unprotected sex act. If you Still happen to cross your dates, then please get mornings first sample of urine tested for pregnancy. In case of doubt blood beta Chat Doctor test and USG will be of help. 3) If you are pregnant, you can opt to continue with the pregnancy or if you want to terminate the pregnancy, then you can opt for termination of the pregnancy with medicines safely till 9 weeks of pregnancy under medical supervision. 4) If your pregnancy test is negative, then you can simply wait for the onset of periods or induce the periods with progesterone tablets. Your treating doctor can guide you further about the doses and with Chat Doctor. I hope this answer helps you. Let me know if I can assist you further. 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\|> Mt father was diagnosed with stage 4 melanoma in Dec. We know the end is near. His lungs are filling us with the cancer and his breathing has gotten very difficult. he also is in a lot of pain. A couple weeks ago his feet and ankles started to really swell. The swelling is now in his hands and fluid is building up in his body. Any indication of how much time this means we have with him. I live 4 hours away and need to know if I should go home NOW. thank you <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, The symptoms are end stage. We cannot predict the time for the last breath. I think you should be with your father during his last days. Give him emotional support, recollect days you spent with him. Promise him that you lead life keep up his name and honor. If he is building fluid in all the parts of the body where soon his lungs and heart stop to function. How long will it take is very difficult. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am a 54 year old male with an enlarged heart due to genetics. Here lately it has been going a-fib a lot more often, and staying longer. I was taken to the hospital with Congestive Heart Failure last Monday. It is May, and my ablation surgery isnt until August at the earliest. I am taking amiodarone, lisinopril (zestril), metoprolol (lopressor), and am on warfarin (coumadin) bloodthinners. I have been coughing a lot with the CHF, which causes me to go into and out of A-fib. Is there anything I can do to get back into sinus rhythm? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, First the reversibility depends upon on size of Atria, if they are extensively enlarged then there is less possibility that you will maintain sinus rhythm for long. If not then other Chat Doctor. You can discuss with your local doctor. Also, regarding CCF, I think you also need to be on diuretics like horsehide and spironolactone, which are important in CCF. So you can discuss both these issues. In general, you, you restrict your fluid and salt intake. Hope I have answered your query. Let me know if I can assist you further. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, I am Ritobroto from Kolkata. my baby is 4 years old girl. From last few weeks she started complaining about pain inside her ear. Almost everyday she complains it. But within a few hour she forgtes about it starts playing around. Initially we thought she might be fooling us but since she had serious ear-pains 2 times in last year(due to cold, as doctors said) we are a bit worried about this complain. Can you suggest advice something Thanks Ritobroto <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello Rigoberto. I just have gone through your query. First never take your children problem for granted. By doing this you unintentionally are losing her faith in you. Always listen to your child and try to help her as much as you can. Try to believe in your child in her every single concern.Anyhow, as you said that she suffered 2 times from severe earache due to cold. I would suggest you to please get her ears checked from a good ENT specialist in your area. Only after that we would be able to judge what is wrong with her. There might be infection leading to pain, or any blockage or only earwax might be troubling her. I 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\|> Ive recently had a bad sinus infection - but have been clear of most symptoms for about a 10 days. Beginning 2 days ago, Ive been experiencing airway constriction that has led to difficulty sleeping and apnea-like reactions. This came on suddenly and usually only bothers me at night. However, now on day 3 of this, Im started to get concerned. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of sinus infection at night which are pointing towards condition called sinusitis. I would suggest you to take steam 2-3 times a day to relieve congestion, Chat Doctor. You can also take ibuprofen (if not allergic) or acetaminophen for pain and swelling. For allergy take over the counter antihistamine <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> so about a year ago i had my tongue pierced and about two to three months afterwards i took it out... now at the bottom part of my tongue where the hole was from the piercing there is now a bump there and it has been a concern to me i am just curious as to what this could be? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Welcome to Chat Doctor. This could be due to impacted food with granuloma/ or could be mucous inclusion Desmond cyst/ or could be abscessed at the pierced site. Hope this would help you to resolve your query. Else Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVTS <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have been having stomach pains for sometime now had a CT scan and no cancer there but sometimes lately my balls hurt like being kicked in them it does go away but it lasts bout half to full hour I do smoke no drinking and am a pot smoker too I drink bout 2 cups of coffee and lots of gator aid I m 38 and wondering what s up? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi. Thanks for your query. Pain in abdomen with normal CT scan and occasional pain in both the testes indicate that there may be a local problem of the testes like:-Recurrent torsion-Varicocele-Epididymo-orchitisYou need further investigations like:Color Doppler and ultrasonography of the abdomen. MRI of the spine if Neurological / Sensory cause is thought of by the Urologist on clinical evaluation and physical examination. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 taken all kinds of tests and it all shows in normal range. I have had peripheral neuropothy for 25 years and tests show damaged nerves. However, all they want to do is give me Neurotin or Lyrica . It seems to be causing BP spikes. I am on a 5 mg daily dose of Amlodipine Besylate that I think is controlling that. I can handle the tingling , numbness and pain but for the past year I have had such extreme fatigue all day, evey day now that makes life seem useless. I know I am old but want to lose 30 lbs that has shown up over the past 6 months, hoping losing that will give me more energy but I get such extreme weakness and fatigue it is difficult to diet. Is there any advise at all? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I could say that you have not given your age and gender here this was very necessary here for giving you good advise still I could say that hypertensive patient may feel fatigue some time that may be due to the uncontrolled blood pressure other cardiac elements that need to be investigated, have a 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\|> I am 34 year old. I am suffering from weakness, letharginess and body stifness. If I stand for a while my back body start getting stiff. Even though I take good sleep, I feel sleepy entire day. Due to all this my sexual desire is also decreasing everyday which is effecting my newly married life. Kindly suggest the cure. Thanks in advance. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi there ~ Firstly you might need to consult a psychiatrist to find out if you have any difficulties in your libido or have other mental health concerns like depression. Otherwise, you have a very common problem of erectile dysfunction and / or premature ejaculation, and it can be easily treated with medications available during this time. The class of medication is called phosphodiesterase 5 inhibitors (PDE5Inh) selective serotonin reuptake inhibitors, and it also helps with decreased libido which is a result of depression if you are going through one. I advise you to consult with a qualified psychiatrist who might be able to help in this regard. I hope this helps. Take care and have a lovely day! <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Dear Doctor, I think I am suffering from a severe case of groin itch. The skin around the area has turned black. I drive my own cab the entire day & at times the itching becomes severe, especially at night while sleeping. I have applied Clotrimazole Cream IP & I do get some relief but it keeps coming back. Usually during severe itching, I feel small lumps which itch the most! It is really embarrassing especially when am with clients sitting in my cab, Please Help! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi. I have gone through your query. You are having a Fungal infection in the groin area. I would suggest the following: 1 Keep the groin area Chat Doctor. 2 Take an Antifungal Fluconazole 200 mg once a week for 4 weeks.3 Take an Antihistamine Levocetrizine 5 mg at bedtime.4 Use a topical cream Antifungal, Antibiotic, Corticosteroid for local application. Use the cream for 2 weeks after becoming symptom free. <\|eot_id\|>