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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|> Hello, My name is Amber, and my jaw is swollen from my abscessed tooth, and my dentist has me on Metronidazole 500 mg, for seven days to get rid of the infection before they extract the tooth, but my jaw is swollen it is going down but I just want to know what can I do to get rid of all the swollenness. would swishing with salt water help? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your query, I have gone through your query. The swelling near the jaw is because of the tooth infection secondary to decay. Nothing to be panic, consult an oral maxillofacial surgeon and get it removed. If I am your treating doctor, I would have prescribed a combination of amoxicillin and metronidazole combination for 5 days and after that I would have extracted the tooth. The swelling will come down in 3 days. You can get the tooth removed after 5 days of antibiotics. You can do saline gargling, but that will not reduce the swelling. I hope my answer will help you, take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi , iam 26 years old ,i work as chef and for an chef his hand work is important i dont know y my hands and fingers shevares alot at the time of work and even when carry any little objects the problem of shevaring is more ,at begining the problem was little but now problem is more ,so please any one can suggest me what i can do to stop this as it is very shameful in front of my colleges at work. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for writing to Chat Doctor ! After reading your question it is evident that you have tremors in hand, especially when you try to hold something. Had I been at your place I would go for an MRI brain, blood counts to see if there is anything else. You have not told about the duration of the problem but I don't think it is from childhood, which rules out essential tremors. Nor have you mentioned anything about any parents having these symptoms. It is something related to CNS system, but one cannot pinpoint without investigations. I would advise you to visit a neurologist without much delay to nip the problem in the bud. Hope this answer helps you in getting better Feel free to ask more. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 passed away from liposarcoma on January 2, 2010 at the age of 62. He had liposarcoma in 1995 and had radiation to treat it and then in 2007 he got prostate cancer and felt as though he had beat it. But this time around he complained of a burning in his throat on December 14, 2009, was sent to the hospital, and stayed there for a few days and was released. On Christmas Day, he went back to the hospital and never got to come home again. While there, the doctors told us he had stage IV cancer. Does that mean he had had cancer for years without knowing it for it to be stage IV? Is there a risk that my sisters and I could get liposarcoma as well? Is there something we could do to prevent it? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for writing in. Liposarcoma is a malignant tumor of fat origin. It is a violent and quick growing cancer, and probably it was of large size when detected. Surgery might have been done in early stage but possibly the size of the liposarcoma was large and the extent and involvement did not allow surgical treatment. It is not clear where he had the liposarcoma and if the liposarcoma and prostate cancer were related in any way. Stage 4 cancer is advanced disease and shows that the condition has spread to other organs. Treating stage 4 cancer is difficult, and life expectancy is 2 years with recommended chemotherapy and supportive care. There is no significant risk of liposarcoma occurring in you and your sisters however please be alert of any swelling in your body and have it clinically evaluated immediately. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 19 year old daughter has a bruise on each side of her neck. They are not hickeys but that was my first thought. She did not know they were there and when she saw the first one she kind of freaked out. When she saw the second she teared up. She woke up this morning with body pains and stuffed up. She also has diarrhea. She is 5 7 and 125 pounds in good health. <|eot_id|><|start_header_id|>assistant<|end_header_id|> HI, thanks for using Chat Doctor It is possible that the rash may be due to viral exanthem which is a rash that occurs along with a viral infection. The aches and pain, nasal congestion and diarrhea are in keeping with an infection and viral infections are more common than bacterial for these symptoms. Rest, fluids and over the counter medication should help but if the symptoms continue or worsen then she may need to see her doctor. Pain medication, oral and topical decongestants may help. 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|> about a month ago I had a tooth cap put in. There was excess cement around the tooth. About the same time, I got an odd metalic like taste in my mouth along with hoarseness and at times a sore throat. The dentist has looked over the cap and sees no infection. Any suggestions? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello! Thank you for posting here. You did not mention if you took any medication during the placement of cap and other dental treatment. Some medicines like metronidazole can cause metallic taste. This will reduce in a weeks time. Your dentist will remove any excess cement around the cap. Do not panic. Take azithromycin for 3 days. Also take cetirizine for the symptomatic relief. I suggest you to see your dentist if the tissues around the cap are red or irritated. Do warm saline gargle thrice daily. Have more water intake. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi doctor. My wife is a 20 weeks pregnant and our did not suggested any medicine for Calcium and iron. I want to start from side for Calcium is Shelcal And for iron Heam-up. Is it good to start or advise for the same. Thanks and Regards Mohd Kamal <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for sharing your health concern with us. Firstly, I would like to know if there is any specific cause why your wives obstetrician put off prescribing nutritional supplements. If proper diet is taken along with folates, supplements can be postponed for a while. If you wish to start supplements, please inform your doctor of the same because no self-medication is advisable. Shell can be used while it is better to choose a safer preparation than Harmful. Allow plenty of fresh fruits, vegetables and rest. Hope this helps. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am taking montair lc one tab , livolin 2 puff twice, combihale ff 250 2 puff twice daily from last one year. After diagnosis of asthma. Is it safe to take that much medicine so long. Is there any alternative. What are the side effects of these medicine. Feel very tired all the time. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Welcome to Chat Doctor, Is is not safe to take this medicine for long time. In case of emergency use it is ok otherwise not. This medicine have many side effects after consuming for long time. Homeopathy has a sure solution for asthma. You can be free from this medication too without any side effect. Homeopathic treatment is based on total understanding of patient on physical and mental level. And that's why detail history of patient is needed for proper homeopathic treatment. Your problem can be cured permanently with homeopathy. So consult to good classical homeopath nearby you or contact us. Have a better 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|> an MRI showed I had1)-radia tear of the free edge of the body of the medial meniscus2) acute grade 1 sprain superimosed on chornic sprain in the MCL3)moderate-sized knee joint effusion4)-degenerative chondrosis/articular cartilage fraying in teh medial compartmentcan you translate into simple work what that means and i was told by the doctor i needed surgery, do you agree? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for posting your query. In simple words, your MRI shows that a fibrous band between knee joint is torn, and medial cruciate ligament (MCL) which stabilizes keen joint and holds bone is sprained. Certain amount of excessive fluid has collected around or within the joint of your knee. Cartilage under knee cap is damaged. Bones of thigh and leg are rubbing each other at knee joint. Yes you need surgical repair so that further damage can be prevented and normal function regained. Hope it 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|> Sir,As per my recent scan report of my father - 85 Years , Pls let me know your comments and criticality of the issue.Scan report follows,1. solid mass in right lobe of liver2. left renal calculi3. bilateral renal simple cortical cyst4. mild prostatomegaly Thanks and RegardsM SundaramoorthyBangalore - India <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi.noted ct-scan results. First, your father has an enlarged prostate (mild prostatomegaly). This usually happens as male population age and if the patient has a history of benign prostatic hyperplasia. Second, your father has kidney stones (left renal calculi) and third, simple cortical cyst in both of his kidneys (bilateral renal simple cortical cysts). The most important thing to note about these two are the sizes and if they are causing obstructive symptoms in urination of your father. The last and probably the most concerning finding is the solid mass in the right lobe of his liver. What are the characteristics of the lesion, and how big is it? Is your father experiencing any symptoms such as weight loss, pain, jaundice, fever? It is best if you bring him to a doctor, a general surgeon and a urologist, for complete physical examination and clinical evaluation. Other diagnostics (such as liver function tests, bilirubin, tumor markers, blood exams, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Dear Sir/Madam, My Nephew who is 5 years old has been passing stool with drops of blood since the last 2-3 months. The Doctors here have failed to diagnose the cause and suggested for a Colonoscopy. Since he is just 5 years old,so we are worried. Under such prevailing conditions we are at a fix as to what to be done. Can you please suggest us the name of a good Pediatric Doctor/Surgeon in your Hospital who will be able to take care of the entire matter? Please respond fast. Regards, S.Chakraborty. Siliguri,West Bengal <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, As per your history, it may be due to hard stool or constipation. For that give him a soft diet. Keep him HY Chat Doctor. He may require stool examination and complete hologram after consultation. At present no need for active management required. Watch for symptoms like fever, abdominal pain, recurrent blood in stool then he may require detailed evaluation. Hope I have answered your query. Let me know if I can assist you further. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I Have been feeling lethargic about 3 weeks now i have tachycardia with near syncopy and these episodes have been increasing I usually become very lethargic feeling before an episode and the lethergy will go away shortly after the episode but this lethargic feel is now not going away. I was having chest pain last week also with SOA But it would ease off with rest. I was wondering what or why this is going on. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your concern. Chest pain, lethargy, shortness of breath, tachycardia etc. are characteristic symptoms of heart diseases. So better to consult doctor and get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Sometimes anemia (low hemoglobin) and hypothyroidism can also cause similar symptoms. So get done thyroid function test (TSH, Free T3 and free T4) and hemoglobin estimation.Don't worry, with appropriate treatment, you will be alright. But first diagnose your self and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello ! I am 23 years old and have 80 KG weight with 5 foot and 3 inches height. I have a strange problem. My heart misses a beat sometimes without any reason and it now happens very frequently. It beats fast, I can feel it and then move back to normal heart rate. Is there anything serious. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, From your description it seems you have some type of arrhythmia, which called extrasystole (premature heart contraction). They are benign in your age. But I would advise you to regulate your regimen, to eat healthy food, not to use computer much and not to watch TV much, exercise regularly, be in the fresh air and lose some weight to avoid problems in the future. Hope I could help nourishing you good health In case of further questions don't hesitate to ask <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> found i lump under my left armpit in November had a mammogram down since i was due. Everything looked good, they asked for a ultrasound and still found nothing. Went back in December for another mammogram still ok but they wanted a MRI just had it down last friday and it shows a lump and its tracing down my armpit. Now they want another ultrasound. Radioligist says it could be just infection but breast surgeon says no. Not having the Utrasound for another week and worried .my sister died at 42 from breast cancer was diagnosed at 37 . <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, If I were your treating Doctor for this case of an axillary lump, I would come up with only few possibilities as listed below. Nothing to worry about this and try not to get infected there!1. Fibrocystic changes in axillary tail of breast tissue or fibroadenoma2. Sebaceous cyst or lymph node3. Malignant tumor! In this case the lump is not mobile, generally fixed, irregular, painless but hard to feel! I suggest you to go for an FNAC test of the lump for confirmation and to relieve your concerns! 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 Dr.I have been feeling very tired for the last 3 weeks and diagnosed with a viral infection that is taking a long time to go away. Although I haven t eaten anything containing a lot of iron,my stool was flaky and dark. This morning it looked very healthy and I have Crohn s Disease. I take Imuran. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello there, I am Chat Doctor. Viral infection is most time self limiting. Our body develop immunity against that viral infection in 4 days to 1-2 week duration. Till that time you need to take symptomatic treatment like analgesic for fever, painkiller for body ache and other as you have various symptoms take symptomatic medicine. You have Crohn's disease so any medicine you take please consult your treating physician after that only take any medicine. Viral fever must go in very few days. Iron is the substance which is responsible for dark stool. It is like an apple, apple when remain open became dark, it contains iron so, same substance is present in your stool so. DNT worry about that, just take symptomatic treatment. Hope I have given appropriate guidance to you. If you have any query you can consult me anytime. Give me star rating and thank you according to your satisfactory 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|> hello sir i am 32 year old lady who was using diprovate-rd for 5years but recently i stopped using it as i was getting lot of pimples so my skin doctor suggested to stop using it as my skin has become very sensitive. he told me that i need around 3 months to come out of its effect. but i am very sad as i have lost the glow on my face at the same time i have got many rashes on my face. i do not want to use diprovate any more.tell me will my face will become normal. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for the query to Chat Doctor. Forum. Private rd is dexamethasone lotion and continuous use causes many effect as skin become very sensitive as in your case. It also lowers the immunity and many systemic side effects. But don't be desperate as take vitamin C tablet twice in day for at least 6 months without any side effect. This will not only increase immunity but skin will glow and normal flora will restore. For local application use broad spectrum sunscreen lotion. Hope I have answered your question. If further any question I will help. Good luck. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have been dealing with very puffy eyes lids in the morning for about a month now. My eye lids are extremelly puffy and I cannot get this to go away. I have tried benedryl, clariton and allegra. I have also tried icing my eyes, using eye drops and was even prescribed steroids to apply to my eye lids as well as steroid eye drops. I am now on prednisone for three days. I went out and bought a allergy pillow...re-washed everything in my house but nothing is helping. I will go to bed with my eyes looking a lot better but then when I wake up, they are worse again. Could this be a food allergy? Its a never ending cycle. Any advice would be amazing.(I am going to see an allergist in a month) <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello. Thank you for asking at Chat Doctor. I went through your history. What is something unusual is you don't have significant itching and also puffiness of eyes do not improve with antihistamines. At this point, I would suggest you to get urine examination (routine & microscopy) done & also get blood tests (serum creatinine & blood urea) done. This will help to know whether the symptoms are due to any kidney related illness. Personally I believe that consultation of a physician will be more helpful to you. Regarding your question about food allergy, it is possible, but unusual as you don't have any other symptoms of food allergy like itching, hives, abdominal pain, gastric upset, flatulence, etc. Hope this will be helpful to you. Wish you the best of the 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|> My mother is having cough for the last 3 months.She constantly coughs all day.Its hardly when I find her not coughing.ANd every afternoon she has fever.Can you kindly suggest the probable causes? Just now in her blood report I saw that her ALT level in blood is also very high than the normal range.Hers is 127.So is it anyhow linked with her cough and fever? please reply soon.. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, dairy have gone through your question. I can understand your concern. Constant coughing and fever are the symptoms of tuberculosis. ALT level is high, so it suggests some liver disease also. You should go for complete liver function test, ultrasound abdomen and x-ray chest. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 went to the dentist yesterday to get a cavity filled. They gave a local Anesthesia in his mouth. when he got out the dentist , his started swelling up . I want to know how can we cure this or is it normal for his lip to swell up after anesthesia <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your query, I have gone through your query. The swelling is not common after local anesthesia. It can be a muscle secondary to biting over the lips when the lips were numb and causing trauma to the minor salivary glands in the lips. It can also occur secondary to inflammation following lip biting, or it can be secondary to residual infection. Consult the oral physician and get it ruled out. I hope my answer will help you, take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I was diagnosed with diabetes 3 years ago. Since getting my meds right (Metformin 450 mg x 2 day) my levels have been fine. This past weekend it jumped to 259 Sat and 265 Sun. This morning it was 277 and this afternoon when I got home from work it was 297. I have an apt with my Dr on the 29th, is it safe to wait that long? and what could be causing this sudden spike? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, You have uncontrolled Diabetes. In addition to Metformin, you may need another anti-diabetic Chat Doctor. Go for HbA1c Test to know past three-month average blood sugar control. Have a good diet control and exercise (aerobic 150 minutes in a week). If you do not have Etruria (urine ketosis test positive), you can wait for the appointment. Hope I have answered your query. Let me know if I can assist you further. Take care <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am 70 years old. On MRI, I was found to have lumbar disk herniation. I am having bilateral leg numbness and weakness and unable to walk even short distances. I have been prescribed Renerve Plus injection and complete bedrest for a month. Will this be helpful? I am not interested in surgical correction <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello MRI findings indicate lumbar disc herniation. Level of herniation is not mentioned in the report. It is important to know other findings like nerve root compression, spinal canal stenosis etc. Inter vertebral disc herniation may be the reason for your symptoms. Renerve plus is a multi vitamin and anti oxidant combination. It is generally prescribed in peripheral neuropathy. It is not expected to give much relief. Many patient get relief by conservative treatment in the form of physiotherapy, muscle relaxants, analgesics.Nowadays, many surgeries are done by minimum invasion like endoscopic method. Steroid shots are also helpful. Findings need clinical assessment by a neurologist/neurosurgeon. 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 brother has sore type under his tongue after preliminary investigation doctors conclusion was that is due to bacterial infection and he started antibiotics for weeks it totally disappeared .After fortnight it again appeared what might be the reason and what is the treatment to be taken . <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello and Welcome to Ask A Doctor service. I have reviewed your query and here is my advice. A sore under tongue can be a canker sore or yes, it can be bacterial infection as it went away completely after treatment with antibiotics. There is a possibility that the infection was not completely resolved, and it is the cause of the recurrence. So it is better to take another course of antibiotics. Along with it do warm saline gargles, antiseptic mouthwash gargles and take vitamin B complex for a week. Hope I have answered your query. Let me know if I can assist you further. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Cut my knuckle on the edge of the saran wrap razor on my ring finger knuckle. Clean cut, treated with polysporin right away and bandaged with a splint. It swelled up almost right away and has not gone down. My finger is stiff, but not red or warm and the cut has closed and looks ok. Help! <|eot_id|><|start_header_id|>assistant<|end_header_id|> This is the initial Inflammatory Reaction of the body. The swelling will gradually reduce. Please do keep Practicing Small Movements of the fingers.do not let it stiffen Further due to non usage of it.keep Using the Medicines which you have been prescribed. Hope the blade of razor was not Rusted n that you have Taken tetanus Toxic injection if it was. Look for any Color Change of fingertips. If further Problems Pertain, consult the Nearest Physician. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hai iam 37 yrs male with weight 105kg 6 yrs back iwas found positive for hebitities-b i took medication but since 3 years i am suffering from itching patches on my forehead eyelid my neck a lot of scaling if i steriods it cures persists again when i feel stressed i want to know what are these patches and why are coming is it related to any liver problem suggest me some drugs for complete cure <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thank you for posting query at Chat Doctor.I have gone thorough your present symptoms and history. For pruritic (itching) antihistamine medication maybe used. Itching maybe due to hyperbilirubinemia.I assume you are over weight too and maybe suffering from Fatty liver disease besides Herb.kindly recheck Herb status (Head. PCR and Bag) Andover enzymes, CBC and ESR.discuss with your treating hepatologist if you need to check autoantibodies esp for Primary Biliary Cirrhosis or PSC.visit a hepatologist with the lab results. After obtaining results of aforementioned tests, post here or visit treating physician.meanwhile:advice:- also test your blood sugar level-LOOSE weight-abstinence from alcohol-FAT FREE diet - NO red meat-vegetables should be ingested daily-Moreover, less activity should be carried out (no sports), REST more. - use lemon juice (lemonade) once in a day- Adílio maybe taken (consult hepatologist/ treating physician)- despite diet and losing weight; if cholesterol remains high ; you maybe need medication to lower it (statin Chat Doctor. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .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 I have had my wisdom teeth removed over a year ago now. But my bottom right side has always played up since but today I have woken with sever swelling and pain down to side face and my jaw and a bad headache. Could this be a infection as Iv been using warm salt water <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, thank you for consulting with Chat Doctor. It can be possible that now the tooth which is at the back side in mouth might have been infected and creating problem, or a root of the wisdom tooth might have left after extraction, and now it is creating problem. But these both can only be confirmed by an x-ray, so better that you visit your dentist and get and the x-ray done which will clear the condition. 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|> hi my age is 31 and same is of my wife we got married in the month of Feb 2010 it is almost a six month and we are doing unprotected sex to start our parental life and for this even i am doing sex in her most fertile periods (after the 12 to 14 days) of her menstrual cycle gets over but every time she failed to get pregnant what should i doplease advice <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for the query. I understand your concern. Conception needs basically - good semen quality & regular menstruation with ovulation. You need to get investigated (ovulation study semen analysis after 3 days abstinence) to confirm the basic normality... After that you should have UN protected sex (determined by LHS urge test)2 days before after ovulation day. If there is no result within 1 year of marriage... you should consult a fertility expert for detailed investigations.& cause specific treatment. 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|> for a few days I ve had pain in my left eye the eyebrow and left cheek but the pain also goes up into my head and it feels like the bones in my head are pushing against each other, and the left side of my neck is sort of stiff - I m not usually ill and this bothers me a lot. Thanks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I believe that a neurological examination by a qualified neurologist is in your best interest. Although it is a very low likely possibility something such as a meningitis process may be a consideration for the symptoms you present. On the other hand you may also have some type of obstructive process of the sinus Chat Doctor. A set of frontal facial or SINUS films (CT SCAN) should easily show any type of congestive or infectious process. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My husband has shingles on his scalp which has gotten better but still causes nerve pain. History of radiation to epiglottis and esophagus due to cancer 5 years ago. Always has had some problem after radiation with swallowing but has improved. Recently developed extreme difficulty swallowing, even soft foods. He saw his oncologist today who said he had a throat cancer. My questions are: 1. Is the wallowing difficulty a side effect from shingles on his scalp? 2. How does the doctor diagnosis a virus versus a bacterial infection? 3. Best treatment for throat virus. Thank you. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Answer to question one: Shingles on scalp are unlikely to cause throat pain. Nerve supply to scalp is different from that of throat. Pain is perceived by nerve endings. Since nerve supply is different, throat pain is not caused by scalp disease.2. Shingles can be made out by clinical examination. Every doctor is trained to differentiate different diseases. So viral infections like Shingles can be made out clinical examination.3. Treatment for throat infection depends on type of infection. Can be made out by clinical 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|> HiI recently had root canal treatment for an abscessed upper front tooth. Have one more treatment to go.Since trouble with my tooth I am experiencing ear ache/pressure in both ears, facial and general discomfort in my gums. I am experiencing nausea intermittently, also an unpleasant bile type taste in my mouth. I also have a blocked left nostril which I think is sinus related Have you any idea what may be occurring.? Cheers Jennie <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your query, I have gone through your question, the discomfort in the face and gums could be because of the infection in the tooth. This will be reduced once you complete the course of antibiotics and treatment.....the nausea could be because of the antibiotics and analgesics due to gastric irritation, you can take antacid with antiemetic.....the pain in the ear could not be related to the front tooth infection...consult ENT specialist for that... I hope my answer will help you...take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi my implanon contracepion implant expired 14 days ago and only gives 3 years protection.I had very irregular periods during the past 3 years. I have had unprotected sex with my partner a few times since it has expired and I cant stop urinating, have a tightening feeling in my abdomen , am very tired , have nauscea and a little diarrhea . Do you like I could be pregnant, these symptoms have only started this past week. It is too early to take a pregnancy test and i dont know when my period is due. How likely do you think I could be pregnant? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thank you for posting your question here, I will try to answer it to the best of my abilities. If the contraception you are using had expired there is always a chance of getting pregnant, especially if you were ovulating when you had unprotected intercourse. I recommend waiting a couple of more days and then taking a home pregnancy test, another thing you can do is to go to a doctor and ask him to test your blood to check if you are pregnant. I hope this answered your question. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 Good Afternoon Doctor, I am 44years old and recently lost my GOLD chain some 3 months back , My question to you is I was not even aware that I had lost my chain, only when my monther reminded me I realised I am not able to find it. I am not able to recollect how and when I lost it...I cant even recollect where I have kept it nor...I am absolutely blank about that GOLD chain. Is there any medicine or treatment I can get to recall my memory...exactly when and where I lost my Gold chain <|eot_id|><|start_header_id|>assistant<|end_header_id|> I appreciate your concerns and asking on Chat Doctor. Unfortunately there is no medicine to improve such recollection of memory. You do not remember because you had reduced attention when to place it and your mind actually did not register its location. Now what you can do is recall the events 3 months back and do not try to recall the gold chain itself. Rather recall the associated events, the memory will be stimulated, and it can pop up as an associated memory. I hope you find it helpful. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi my son I four years old and has spotty red bumps on his bum, along with a low grade fever. His anal hole is very red but he says it doesn t burn. When I wiped his bum earlier there was some blood on the tissue. Should I be concerned? His younger sister just had folliculitis. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thank you for posting your question. Red spots over the buttocks and redness near the anal opening suggests that your child has a rash at the nappy area. This may be due to infrequent changing of diapers(in case not toilet trained), excessive heat/perspiration or some irritant cloth material of the undergarments. The blood that you mentioned may be due to one of the boils being broken while wiping. However, it is also important to rule out that your child does not have blood in his stools. For that I suggest you keep a watch on his stools to observe any red or black streaks. If so, get a medical consultation for the same. For the rash apply any zinc oxide containing rash cream or simple calamine lotion. Assure that the area is kept Chat Doctor. Also, if you find any new lesions on other parts of the body or an increase in the existing rash, consult a doctor immediately. If you need any more guidance, do write back. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 37yrs old. I met with an accident 6 months before and hand 5 stitches beside my right knee The wound was deep but no bleeding was there. I still feel pain there.From last week I have pain in my thigh and feeling pain.in whole leg while turning aside during sleep. Pain.is also there while descending stairs n while sitting or standing. Can u.plz tell me the reason 4 that <|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 you had an injury which was treated with stitches there will be a load shifting leading to muscle imbalances. Performing exercises for the knee joint will be helpful. Undergoing a proper clinical physical therapy assessment will help understand the muscle weakness involved and with guided exercise the pain will be avoided. On a longer run it is advised to undergo proper physical therapy rehabilitation of the knee to avoid future early degenerative changes in the knee. 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|> my daughter was diagnosed with glandular fever a couple of weeks ago, she seemed to be getting better during the last week , she still sufferred from tiredness and moodiness but in the last 48 hours has had diarreah 3 times and has been sick once. im going to take her to the doctor tomorrow but im just a bit worries about her. I have read the possible complications witha ruptured spleen and possible other issues please can you advise <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi I did review your condition. Post viral self limiting diarrhea can be seen after any viral infection including ABV, CMV and so on. However, I would recommend you to consult a doctor if the loose stools are more than 3-4 times a day and causing census, blood in stools or severe fatigue. In this case the diarrhea needs to be evaluated separately hope this help swish you all the best for your 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|> Im 18 years old and I have a numerous amount of odd things going on with my body for example my back constantly aches along with sudden pains in my ankles side of foot knees and arms. I have to pee a lot more often and sometimes its uncontrollable which is causing serios dehidration. To add on to that...sometime without meaning to When I talk sometimes..it comes out sounding like I have a swollen t tongue. Also I have an abnormally fast heart rate and difficulty breathing <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi I am Chat Doctor. . In my opinion you just need some B12 multivitamins and some blood tests to check for anemia or any kind of deficiency. I think you are young to have any cardiac problem and if so it is not related to your joint pains. For now I recommend avoiding smoking, heavy weight, healthy food and lifestyle with some daily morning physical exercises will be fine. Please click and consider a 5 stars rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi. Im not sure if you can assist me but Ive been searching for a solution online for hours and haven t found an exact answer. I live in Pa and our sister is abusing and/or selling prescription meds. She obtains the same script from a pain management center and also from her primary doctor (they obviously do not know about one another). She also is utilizing two separate ins companies in order to do this. I need to know who to contact to report her. We don t want to call police or agencies unless this is how the process works. Please help. We are desperate to have her forced into a rehab situation for the sake of her babies <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for using Chat Doctor.Oh, that's a really strange situation. You can consult some psychiatrist, tell doctor all detail about her. And then if she is ready, take her also to psychiatrist for dead diction. If she is not at all ready you can ask for police help(if you are in India, police can take her to psychiatrist) according to law prevalent there. And some psychiatrist can guide you best if you narrate whole detail about her to doctor. Hope I have answered your query, <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Sir , my brother had a very law sperm count from past 2 yeras (8 millon/3ml).I am an ayurvedic doctor and now I am giving him some medicines to increase his sperm count .last week he has done his semen analysis and the report is volume 2ml, reaction alkaline, viscocity moderate , motility 4-6/hpf, active 1-2/hpf, sluggish 2-3/hpf, dead 6-8/hpf , pus 2-3/hpf count 2 million/ml.what will be the normal values for him to become fertile <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello Your brothers semen analysis findings may indicate semen infection with decreased sperm motility and low sperm count. Infection is indicated due to presence of few pus cells in semen. Normally semen shouldn't contain any pus cells. Besides clinical correlation, he may need investigations like routine hologram, random blood sugar, semen culture and sensitivity, ultrasound of scrotum. Hormone assay can also be done after evaluation. Motility is also low. Normally it should be at least 55 %. Sperm count is low. Normally it should be at least 20 millions/ml. He may need to take antibiotics based on culture and sensitivity report. Clinical examination and ultrasound of scrotum can detect any surgical reason for his problem. Proper 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|> Evey morning we usualy walking 40 munit month ago my wife started breatheless after on th way we walk back to home , then last week our Dr send my wife to Hospital for Lung CT scan after resulted in Lung blood clot Dr in Hospital treatment my wife the medication is XARELTO We very worry ,please Dr tell us can my wife recovery and how long she will treatment with medication Thankyou very much <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your situation and problem. Your wife is having pulmonary embolism (clots in pulmonary vessels). In this disease at least 6-8 months of blood thinner (anti coagulant) treatment is needed. After this repeat CT PULMONARY ANGIOGRAPHY should be done. And need for further anti coagulant treatment is based on follow-up CT report. If embolism is still present then another 6-8 months treatment is required. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 am 33 years old and just a week ago i started having this feeling in the upper part of my stomach just under my breasts it feels like something moving inside of me it doesnt have any pain just the feeing of a bubble or something. I had my period which was a little late this month but it was normal from the first day the last. I just want to know if you could help me and tell what this could be <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi ! Good evening. I am Chat Doctor answering your query. This could be just a gaseous distension which is causing this sensation in your abdomen. If I were your doctor, I would advise you to avoid any kind of food from outside to prevent any kind of intestinal infection/infestation which could give rise to such sensation. In addition, I would advise you for a stool test for ova and cyst and treat it if positive. An ultrasound of the abdomen would rule out any kind of intra-abdominal pathology. Till then, I would advise you for a probiotic and a proton pump inhibitor for a possible symptomatic relief. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My 7 year old daughter is complaining that her stomach hurts right around the belly button and she is not hungry. This has been going on for 2-3 days, she also states that depending on how she extends her leg, it hurts even more. Could this be her apendix? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Abdominal pains are common in childhood. Most of them are not serious.However, it is not appendicitis as pain is not continuous nor with fever and vomiting. You should look for any constipation and also deform her once. Add some fibers in diet like salads etc. Again get a routine urine test done as urine infection is also a cause of pain in child Chat Doctor. Further if the pain is not disturbing sleep, not associated with vomiting and the weight gain is ok then you may not need to worry. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello, I am Ganesh from Hyderabad, India. My son-4Yrs old, has been suffering from cold & continuous cough. We consulted pediatrician and he prescribed Moxikind CV Kid and Brodil Syrup. I had tough time in giving him both the medicines separately and so decided to mix it up together and gave him twice(Yesterday Morning & before bed). But this morning I could see, he has developed some rashes in his legs, thighs and a small patch in his chest too. Is it sort of allergic due to the tablets? I didn t give him any dosage thats due now. I will have to wait till evening to consult the pead again. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Dear Ganesh, The rash is most likely due to the antibiotic and points to the entire illness being due to a virus that is called as "infectious mononucleosis" virus or the ABV. Please ask your pediatrician about this when you are with him. Avoid the antibiotic and ask them to replace it with something other than a penicillin or a cephalosporin. You can show him this answer instead of trying to remember these difficult words. ;-) <|eot_id|>

<|begin_of_text|><|start_header_id|>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 JUST STARTED GETTING REDISHWHITE SORES IN MY MOUTH AND MY REAR BOTTOM RIGHT TOOTH IS HURTING AND I CANT HARDLY SWALLOW SOMETIMES MY GUMS AROUND THE TOOTH IS SWOLLEN AND I OPEN MY MOUTH WIDE SOMETIMES TO EAT SOMETHING . SOME ONE SAID I MIGHT HAVE (thrush) I DONT KNOW WHAT THAT IS. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Good evening sir I fairly understand your concern, but, you have to be more precise as to where exactly you are experiencing red and white spot. Nevertheless, considering your problem regarding you rear, right bottom tooth, it seems to be partially erupted and the tooth just above it may be causing recurrent friction in your gums, which may be one of the reasons of that red and white spot you are experiencing. If that is what the case is, then you must get rid of your last tooth and the tooth just above it, and you will be free of the pain and red and white spot, if that is not the case then in my opinion you must consult a dentist nearby you, and I am sure he 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 am having pulsating pain every 30 seconds under my ear lobe on my face. I had the same type of pain on my head behind my ear about one and one half inches away. The pain lasted for about a month before. Here I go again! Feels like nerve pain. WHY? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Here you have told there is pulsating pain under your ear to your face. This could be related to facial nerve pain if there is no other symptoms. You need to be careful. Don't sleep under the fan. And keep ear buds in your ear so that cold air does not go in ear and disturb the facial nerve. Also do not use cold Chat Doctor. You can also visit an ENT doctor if there is an ear pain because there could be ear infection, and you need an ear <|eot_id|>

<|begin_of_text|><|start_header_id|>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, THIS IS TO INTIMATE THAT I HAVE SEVERE ITCHING PROBLEMS ON MY HIPS,TESTICLES, PENIS AND ON UPPER THIGH, ITS ALWAYS THERE ONCE OR TWICE A YEAR, THE COLOR OF MY ABOVE MENTIONED AREA HAS TURNED VERY VERY BLACK DUE TO CONTINUOUS ITCHING, CURRENTLY I AM USING FLUCORT SKIN CREAM, IS THIS SKIN CREAM GET ME BACK THE ORIGINAL COLOR OF THE SKIN OF ABOVE MENTIONED AREA AND GET ME RID OF ITCHING PROBLEMS BECAUSE I AM GETTING MARRIED SOON AND I FEEL VERY EMBARASSED . <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for asking in Chat Doctor forum Fungal infection is very common in that area you have mentioned already. Please give details regarding lesion whether it is round with central clearing or not. In case if it is fungal infection your cream does not help in fact can increase it. So, a pic of your lesion is highly appreciated and antifungal cream can help you a lot for the clearance of lesion. All the best. Waiting for your details. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Since I was about four every time I get stressed out I get horrible ulcers in my mouth, from 20-30 at a time. I am now 22. The past year the have begun to even come out onto my lips . I have been to umpteen doctors/specialists but I have gotten a different answer if no answer at all every time. I have been tested every time for herpes simplex and every other STD and it always came up negative. My latest doctor thinks it s a condition called behcets but it s vary rare in the US. But he still hasn t diagnosed me! Does anyone have any other explanation? Its starting to affect my work (I m am in the skin care field and my boss wants proof on not contagious but no one knows what it is. Help?!! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Even if it is behests you are not contagious.behests is a clinical diagnosis. Oral ulceration, the hallmark of this disease, is usually the initial clinical symptom and can precede other manifestations by years. Ulcers are typically painful, appear in crops, and are nonscarring. For diagnostic purposes, at least 3 episodes in a 12-month period are required. Do you have ulcers elsewhere stands the question. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi my son is 11 months old. Last December he had got cold, that time doctors has recommended Sinarest syrup (2.5 ml - thrice a day for three days) and Azee 100(15ml). Now He has cold and I have given only Sinarest syrup for 3 days. But still his nose is running and he is coughing. shall i continue with Sinarest and start with Azee now?RegardsVaishali <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello Vishal, Thank you for asking at Chat Doctor. I went through your sons history and would like to make suggestions as follows:1. Cough and colds are common at this age, and they are mostly due to viral infections or allergies. So if he does not have fever, I would not suggest you to give him AEE (Azithromycin - an antibiotic, used ONLY for bacterial infections)2. Minaret contains paracetamol, which is useful for fever. It also contains decongestant, which is useful for blocked nose. As your son does not have fever or nose obstruction at present, I would even not suggest him Minaret syrup as two of the three ingredients within it are unnecessary for him at present.3. I would suggest him only an expectorant type of cough syrup containing an antihistamine like chlorpheniramine, terbutaline and guanphesin. 4. Please allow your son liquids and assure sleep and rest which will help recovery. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Thank you & Regards. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am currently 36 weeks 0 days pregnant. My baby isn t growing properly. She weighs 3 lbs 9 oz. In the last 4 weeks she has gained 6 oz. She s measuring around 31 weeks right now. In the NST she s been great, very active, heart rate raises and drops correctly. In ultrasounds, the blood flow to her brain and from the umbilical cord is border line. The doctors are debating on taking her early. Now they are consulting another doctor in Milwaukee, WI that specializes in prenatal nutrition. They told me to have my bags packed for when I come back on Thursday. For the past 2 weeks I ve been seeing the doctors twice a week. What are the risks of taking her early? Do you think it will be a wise choice to leave her in the womb, or take her? What are the specifications for bringing a preemie home? Is a weight requirement, or is it based on the individual? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Yes,you are carrying a small for date fetus with a growth lag of 5 weeks. All parameters mentioned by you are within normal limits, except Doppler flow, which shows a reduced blood flow. At present, this is a confusing status for your OBI also. In one hand, there is a risk of prematurity if they consider for an early delivery;on the other hand, yes, there is risk of inter death as he/she is not gaining weight anymore. You need to stick to your doctors group. That is the right and only choice. They will determine the delivery time by doing a regular CTG and biweekly Doppler to look at the fetal blood flow. Meanwhile, keep a record of fetal kick count which should be a minimum of 10-12 per day. If there is any less movement, urgently contact your OBI consultant. Sincerely <|eot_id|>

<|begin_of_text|><|start_header_id|>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 had knee surgery a few months ago and she has recently had these bruises that will itch and then flare up with red lumps like an allergic reaction they last a couple of days and when they disappear her skin stays a darker shade of her normal skin tone. Her surgeon said it might be a reaction to the pain meds and to just apply hydrocortisone cream. It doesn t seem to be helping any suggestions?? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thank you for asking at Chat Doctor. I went through your mothers history and would like to make suggestions for her as follows:1. Pain-medications from NSAIDs groups are very much known to cause such reactions. If your mother is taking such medications, they could be the first cause to think about.2. In that case, I usually suggest my patients' paracetamol as safer pain medication. If it does not help, some pain-medicines such as celecoxib, rofecoxib, etc. might help.3. For treatment of itching and skin lesions, I suggest my patients' levocetirizine + montelukast, which helps.4. If your mother is not taking pain medications, there are many possible causes of such itchy lesions, which should be diagnosed by detailed information and appropriate investigations. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish your mother the best of the health ahead. Thank you & Regards. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> From the upper hard palate , along the gumline between the teeth and hard palate, there is a continuous discharge of saliva which is sour and bitter. With the tip of my tougue, I could feel the sponge texture along the gumline between the teeth and hard palate. On the worse day, I can physically feel the discharge dripping from a tube/duct or spiral discharge to the hard palate. I feel like I have two sets of nose. I have seek helps from ENT, dentist , and oral surgeon, but no one can diagnose what is causing it for the past two to three years. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Maxillary sinus may be accidentally opened during tooth extraction/dental work and can lead to bitter taste in mouth and leakage in mouth. Roots of upper teeth are close to the sinus and mouth sinus communication could have occurred during tooth extraction. This complication is more common when teeth project into sinus when there is considerable bone present between floor of sinus and root spices. In most cases, opening which occurs is small and blood clot filling the extraction socket will close the openings unless the sinus is infected. If opening is of considerable size, then sutures are placed across the socket to approximate gingival tissues. Some absorbable material may also be used. Large openings can be closed with buccal flap. You can visit an oral surgeon for evaluation and treatment. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi I have a dime sized bump in my lower left back. Its painless and makes the area around it feel raised. Its not hard but not soft either, if I push hard enough it might squish away. I did recently hit my back on something and bruise it a few maybe 4 inches above it the day prior to finding it. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. Thanks for your query. Noted the history and understood your concerns. Since there is a history of an injury a day prior to finding the lump the most probably reason is obviously a formation of a hematoma. I would advise you the following in such a situation:Get examined by your Doctor. Get the ultrasound and aspiration if this is a large hematoma. You may be given a short course of an anti-inflammatory if needed. There may not be needed any further management. Have regular review by your Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> A couple of weeks ago I developed a sharp pain in my upper back just between my spine and left shoulder blade after an intense work out. It has seemed to get better over time but I find it to get easily irritated again when I m doing alot of physical activity. Sometimes the pain will even radiate down my left arm and cause my hand to tingle. From what little research I ve done I wonder if I may have spinal facet lock...does this sound right? And if so, will it eventually go away or do I need to be seen by a physician? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Dear user, Thank you for contacting us a Chat Doctor for more info on your symptoms. First It's good to search through the net for diagnosis, but sometimes this will cause anxiety because of many syn Chat Doctor. Nevertheless to diagnose spinal facet what you need to do is during the acute attack to visit your doctor and ask for plain anterior-posterior (front-back), lateral (side view), and oblique (off angle) X-ray a CT is even better, and he will tell you if he notices changes, another thing is to inject the facets with a cortisol and check if that reliefs the pain if it does then it is facet. Treatment can be surgical or non-surgical, non-surgical such as posture control, NSAIDs intake, etc...hope that helped. 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|> I often have pain which can all at one time or having a starting point gradually spreading. The pain feel like a muscle pain of spasm. It occurs mid back between shoulder blades, under armpits acoss top part of chest(top of breast and sternum). It will last couple of weeks and go away until next time. One dr. thought it to be originating in neck, chiropractor said top rib pinching nerve. Chest pain is not heart related, same deeply bruised feeling as when I either cracked of damaged sternum. First occurrence was about 4-4 1/2 yrs ago. I ve had neck x-rays, not the problem and nothing else. Just take Naproxin. What might actually be causing and what test will identify cause for certain? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Welcome to Chat Doctor I have gone through your query and understand your concern. There are many causes of such pains. One of important cause of such pain in vitamin D Deficiency. If found low you can take supplements of vitamin D3. You should get your thyroid function test to rule out thyroid disease. Your blood sugar fasting and PP should be done to rule out diabetes. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have uncontrolled hypertension, decreased urination and left sided low back pain low sodium level in recent blood work I am on a diuretic and recently was off of it for 10 days and gained 10 lbs of fluid I just had an ultrasound of my kidneys and bladder any thoughts ? kidney failure ? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Symptoms of kidney failure are-Loss of apatite, nausea, vomiting, generalized weakness, altered sensorial.- Symptoms due to water retention like swelling over face, legs, weight gain, breathing difficulty.- Decreased urine production. In your case there is possibility of decreased kidney function (kidney failure) as there is presence of risk factors like uncontrolled hypertension. I want to know your ultrasound report. You need to consult your doctor there is a need for clinical examination depending on it further evaluation can be done. Blood test for kidney function is necessary in your case. Other tests like complete blood count, urine examination for proteins, serum electrolytes, calcium, phosphorus, arterial blood gas analysis, ECG, 2DEcho of heart may be necessary. Hope this may be helpful to you, if so do vote. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have had a hard lump on the left side of my groin for 2 years. When I first got it, I squeezed it, and it popped so hard, and all kinds of puss came out of it with blood. The doctor then told me it was an infected hair. It is purple in that area, and never really healed. Every once in a while it gets more swollen than usual, and when I squeeze it, it squirts blood out, but from a different opening that is further left than the purple knot. What is it? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi! Good morning. I am Chat Doctor answering your query. Even though it requires a physical examination of the groin area and the patient as a whole, from your history, it seems to be persistence of some kind of chronic infection in the area. If I were your doctor, after a physical examination, I would advise you for a complete blood count, ESR, V Chat Doctor. If the reports of these investigations come out to be inconclusive, I would consider a biopsy of the tissue for a histopathology and the final line of management would depend on the reports. Till then, I would advise you not to fiddle with the lesion, and take proper care of it with regular <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi Dr Siegel I have been for a MRI lower lumbar scan2 years ago and have only recently discovered the diagnosis, this has come to light as my lower back grinds and pops with hip movement, this problem prompted my doctor telling me that the disc has dehydrated, I have since that consultation asked for a medical diagnosis which is disc degradation of the lower lumber with paravertable spasm, I have also had many problems with my bowls. I am due for another MRI to see what has changed but I need advice as to how I can live and work and have pain relief which will improve the quality of life <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thank you for using Chat Doctor. I read your question and understood your concern. I think you should do physiotherapy and exercises to strengthen your back muscles and abdominal muscle. Swimming is very good for you and cycling also. Walking and jogging is OK but not running. Also, Chat Doctor. Stretching exercises and posture modification is helpful also. I think if you make such a regime you will see improvement in 3 months at least. I wish you quick recovery. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My father is having diabetes for last 12 years, now aged 56. His FBS: 160mg/dl & ppbs: 240mg/dl. It is already in high range since last 1 year. Though he is under medication,, still, it is not decreasing. How can it be decreased? What are the medical issues I need to be careful? Which food must be avoided? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Fruits should be taken in minimal quantity per day, whole fruit is to be taken instead of fruit juice. He must go for a morning walk at a moderate pace for at least 30 minutes per day. Avoid smoking and alcohol. With these blood sugar levels must come down within one month. Otherwise, medication has to be increased. If still no effect, he should switch to insulin. Raised sugar impairs kidney function, fatty liver and fat deposits in arteries. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have been diagnosed with bacterial infections for over 10 years and am wondering if dr. maybe need to look for something else that could be wrong. I was diagnosed with IBS 2 years ago after having colonoscopy and removal of unremarkable polyps and then diagnosed with cervical cancer this March and also have found cysts on my liver (still waiting for consult regarding liver). <|eot_id|><|start_header_id|>assistant<|end_header_id|> First, I would like to know which part of the body are you having bacterial infections in. If it is not a particular site, and you have been having infections all over, then you need to rule out two things--Diabetes and HIV infection (both can be ruled out by simple blood tests, blood sugar fasting and postprandial + serum ELISA for HIV). IBS itself can lead to repeated gastrointestinal infections in which case you might need to be started on medications for IBS in consult with a Gastroenterologist. You have not mentioned the treatment you have taken for cervical cancer. If you have taken radiotherapy then that can cause repeated urinary tract infections and rectal infections. Cysts in the liver should not concern you at all as they are benign lesions which don't produce any problems and don't require treatment <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, I have a masturbation technique where I lay down on the bed with my stomach and then place my penis into sheets with my hands and start rubbing my full body up and down. Shortly, I rub my penis into bed sheets. I can t masturbate with my hand because my hand is too rough and i get no effect, just my penis gets real hot and there is no pleasure. Now, I have 2 questions. First one the most important: Will I have problems ejaculating when I will be having sex with my girl? And the second question: Can I learn to masturbate with my hands like all my friends do because it s more normal and you can masturbate anywhere you want - you don t need a bed? I am just really worried that I will have sex with a girl and we will be sexing for half hour and I won t be able to ejaculate because I m used to bed rubbing... <|eot_id|><|start_header_id|>assistant<|end_header_id|> Degree understand your concerns went through your details. You don't have to worry. Masturbation techniques as you described here is used by almost every young man and those techniques cannot harm your sexual life. If your hands are rough, you can use some sort of lubricants to masturbate. Don't worry. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi my son had a fever lasting roughly 5 days followed by a rash lasting another 4-5 days the drs were concerned he had measles and took routine blood work this was the first time he had a cbc. His palette levels were moderately low (131) after his measles test came back negativeI was asked to bring him back a week from orioriginal date for another cbc this time his levels were quite elevated (644) is there a concern I should have to these results? Is it normal to fluctuate that high out of normal range in a matter of weeks or is this something I should bring to a blood specialists? There is a strong family history of leukemia should I be concerned about that as well ? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Increased platelets level is good and goes against the diagnosis of leukemia.2. So much variation is not possible. Get a second test at other lab or get a platelet count on peripheral smear.3. Along with it, also get a differential leukocyte count to look for immature cells. I would not expect to find anything with normal platelet levels. Hope it helps. Any further queries, happy to help again. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I had a lap cholesystectomy on Friday, home on saturday, Early hours of Monday morning I went in to AF for 12 hours and ended up in Coronary Care until yesterday. No-one can find a reason for it but are putting it down to Surgery and anaesthetic trauma. Does this happen???? I also developed some fluid on lungs. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Greetings. Thank you for your question and welcome to Chat Doctor. I understand your concern. Well, depending on the kind of operation, there are differences in atrial fibrillation percentages accompanying the perioperative period. One thing is for sure, atrial fibrillation or flutter is the most common arrhythmia found in perioperative stage, and always expected to happen. It usually self-converts to normal sinus rhythm, by controlling the heart rate with digoxin, beta blockers or calcium channel blockers, and by eliminating the electrolyte disturbances, especially potassium disturbances. If the situation persists more than 24 hours, then medical, pharmacological or electric shock measures should be undertaken to restore the normal sinus rhythm. Fluid in lungs is also a known complication of perioperative period and is dedicated to anesthesia. I hope I was helpful with my answer. Take care and I wish you a good health. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My boyfriend is 63 and had a colposcopy last Tues. with removal on one polyp. Since surgery, he has been having lower flank pain on right and left sides, with a deep breathe and sometimes when he coughs. It has gotten a little less painful since the surgery but is persisting. He has never had this lower back pain except since this surgery. He urinates without pain or discomfort, has had two bowel movements since the surgery, no blood, etc. Is this kidney related? Can you tell me what this may be related to? He has a dr apt on this Tues. Thank you <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello and welcome to Chat Doctor. As a Urologist, I can advise your boyfriend to get an ultrasound scan of abdomen done. According to the report, further treatment can be advised. For the time being, let him take an analgesic, when the pain is severe. Wishing him a speedy recovery.You're welcome to send the scan report to me, as a direct question, for an expert opinion. Enclose a copy of the endoscopic treatment done. Chat Doctor. Manga. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 protected sex several months ago in November. I got my Depo shot in December and had a pregnancy test done at that time. Recently I have been having weird symptoms( sore breast , pressure at the of my stomach, real sore around my waist and sometime it feel like something moving around in my stomach). But, I m due for my Depo shot. Also had a urine quality pregnancy test done at a hospital. I do have a history of gallbladder problems too. I don t know what causing these symptoms! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello ma'am. Based on the symptoms and history the two most likely causes for your presentation are either: 1. Symptoms directly related to the demo shot causing a change in hormone levels2. A hormonal imbalance due to other causesWhich is why you would have to get your hormone levels checked. You did mention taking a urine test, but have not mentioned the results, so I am assuming these were i conclusive. As you do not have and symptoms associated with any infections, and assuming you again your reproductive age group pre-menopause can also be ruled out. So please visit your doctor for an elaborate evaluation, and please do abstain from all forms of sexual contact in the meantime. 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|> On one of my montgomery glands it has a pea sized white lump inside, it doesnt hurt but is very visable. I had a baby 3 months ago but I noticed that that particular area was always a darker colour than the rest of my areola, Im very worried it could be something serious but keep putting off visiting my doctor as I am very busy with 3 young child....help <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion, you are mostly having infection of Montgomery glands. It is quite common in young females of child bearing age. Breastfeeding can cause further enlargement. So better to consult gynecologist and get done clinical examination of swelling. You may need antibiotics and anti-inflammatory Chat Doctor. Application of warm water pad on areola can reduce the swelling. So consult your doctor and discuss all these. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi,i wanted some help..my sgpt level is slightly high 48.6..im 23 and have hypertension due to being obese(92kg @ 5ft7).im taking prlomet xl 50 and olmark h for hypertension and novastat 5 mg..how do i reduce the sgpt level and what do i do to reduce my blood pressure? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi thanks for contacting Chat Doctor. Noted you have hypertension plus obesity. Because of obesity you might have fatty liver and lead to elevated liver enzymes. You have not mentioned your blood pressure. If it is moderately high then Chat Doctor. Take low salt diet. Avoid junk foods. Reduce your weight. For that regularly do 1 hour exercise like running, cycling etc... Cutt of oil in diet. If using oil use only good oil for cooking like sunflower oil or peanut oil. Fruits taken more. In your lunch include green leafy salad more. Trans fat taken less like cheese, butter, meat , pastry, chips etc... Avoid alcohol and smoking... If <|eot_id|>

<|begin_of_text|><|start_header_id|>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 ive had a cold for over two weeks now, the mucous is not discolored just clear, i feel good, i feel clear and within a matter of minutes my head feels full, I blow my nose and its just clear. I also cannot get rid of my cough, sounds loose. and on and off my chest just feels heavy. Could this be allergies <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello. Thank you for asking at Chat Doctor. I went through your history and your query. If you are not having repeated similar complaints, I would not think of allergy at first. If you are having these symptoms for last 2 weeks only, I would think of viral rhinosinusitis. I would like to make following suggestions for you:1. Were I treating you, I would prescribe you an antihistamines like cetirizine/levocetirizine as well as expectorant cough syrup for at least 5-10 days (depending upon response).2. I would suggest you regular daily steam inhalation to improve Chat Doctor. Only be cautious that it does not cause burns.3. I would also suggest you regular nasal irrigation with saline nasal <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I was in california for about 5 days and one day gotten like 20+ bug bites (not sure if spider or mosquito) on my left arm and it is mainly on the backside of my hand. some of them gotten big and popped on their own and started to ooze yellow like liquid for 2 days straight now and they itch and burn everynow and then... What could I do to get rid of it? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for the query. I understand your concern. Mostly its spider bite/crush on your skin... For mosquito bite does not cause discharge . As you are having. This mostly heals with symptomatic treatment. Only.if you scratch it to expose raw area underneath .it gets. Exposed to bacterial infection. For you. To relieve pain & itching(due to allergy to saliva of spider) ice pack, pain killers anti-allergic pills over the counter should suffice. . So if you find it taking long time to heal with pus discharge... suspect bacterial infection. You need to add antibiotic to other pills you are already taking . In such case It's advisable to consult your family physician & get the most suitable & effective antibiotic for you (depending on your health & severity of infection. Along with cleaning & Chat Doctor. Thanks. <|eot_id|>