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<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, My 1 year old son is having gastric problem from the last 2 days. The gas goes with loud sound also. And from the last 2 days his appetite is very low, not eating properly. But doesnt seem to have any stomach ache. What can be done to cure his gastic problem? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi... first let me tell u...all babies pass gas because they swallow air more than adults during feeding.I am more interested in knowing whether there is any change in his stool frequency and nature(softer or harder than before). If there is no change in stool, no abdominal distension, no vomiting, then don't be worried about the gas... At this age you should concentrate more on solid foods rather than milk. Give 3 to 4 meals per day. One banana, one egg per day. don't use mixer grinder. Make the paste with hand. And very importantly don't use bottle to feed milk...use cup and spoon. Approximately a one-year baby should have 40-45% of the amount of food her mother takes in a day. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi am having pain on my right side it goes down to my back sometimes it hurts when i breath when i do an lot of moving around it hurts when i laugh please tell me whats the problem i have had every test you can think of but this pain is getting to much for to handle <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> As per your explanation here I want to know since when you have got this kind of back pain?, And what all treatment as well the tests you have done?. Any way since the explanation is not clear let me suggest you in general. I suggest to check whether do you have any kind of radiating pain or numbness in your legs or hands? If yes then it can be related to cervical or lumbar level disc or spinal cord problem. And it will be affecting the nerves coming out from that particular area. And so that it pains where ever it goes in body. But if there is no radiating pain and pain only at back then it can be only muscular pain. However the conformation can be given only after MRI and x-ray. So I suggest visiting the orthopedic doctor and do the needed test. Based on results doctor will suggest you for surgical option for severe issues in report, or he will give you some medication and conservative management with physiotherapy treatment which will be useful to reduce inflammation at muscular level as well relaxing the soft tissues. As a physio I will also suggest the spinal exercise program based on patient condition which will again help to improve strength and stamina of the spinal muscles. You can also use hot and cold pack for some more muscle relaxation and reduce inflammation which will help again for some more pain relief. 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\|> STAGE 3 CKD ,HOW LONG WILL A PERSON NORMALLY LIVE ? AND HOW LONG CAN YOU LIVE AT STAGE 5 WITHOUT DIALISES OR TRANSPLANT ? IS STAGE 3 REVERSEABLE WITH MEDS OR HERBS OR ? is there any studies out there,i can get into for help or to help others .I live in Minnesota <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HelloThanks for query. Chronic Kidney Disease is a progressive disease that damage the Renal Tubules and there by gradually affect the kidney function of eliminating waste products of protein metabolism like urea and creatinine in urine, These waste products start accumulating in blood and if left untreated result into renal failure and finally death of patient. Since it is an irreversible disease it can not be cured by medicine. A person with stage 5 CKD can survive only for few months without dialysis or renal transplant. Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello. I am allergie to almost all antibotics and have several ad health problems. Anything that is related to the Pencillin family is very deadly to me. I dont have much immune system at all. What type of old fashion home remedies would help a allergy cold? I stay away from as many people & public places as possible. But I have developed a winter allergy cold from being outside around my dogs & chickens. can you help me?I cant afford to pay the fee for your advise so thank you for your time. If I could have afforded it I would have when to the doctor or ER. Sorry I have wasted your time. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Regarding allergy the old saying goes `anything below the sun including the sun can cause allergy. The most important component in the management of allergy is avoidance of specific allergen. Maintain dust free your curtains, furniture,mats, carpets,avoid pets in your be Chat Doctor. These are nonmedical part of management and medical treatment starts with nasal sprays adjusted according to the clinical improvement <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 19 and last night I was fooling around with a guy. We didn t have sex but he rubbed his penis around my vagina in a grinding motion. He did not ejaculate at all, but I am wondering if here is chance of pregnancy? He also fingered me after that. I m not sure if that can cause sperm to get pushed up into me <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, thanks for your query. After reading through your question it seems highly unlikely that a pregnancy can occur. For a possible conception the sperm(ejaculatory fluid) has to be deposited in the vagina plus you have to be in the fertile period of your cycle.I'm sure no amount of fluid was on his hands as well. Without penetrative intercourse chances of a pregnancy are almost nil. But be careful in the future. 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 iron studies were 7 and i had iron injection on thursday but still my legs and every bit of me is aching am i allowed to take iron tablets as well cause i dont have next injection till next thursday , and im getting musle cramps at night with my aching legs and very tired <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, dairy have gone through your question. I can understand your concern. Your iron level is low, so you need iron supplements. But it will not help you to receive pain immediately. You should take analgesic Chat Doctor. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have feigned disservice and I keep getting boils and spots that look like psorois on my belly and back also. And last week I had steep and 3 days later my back and my front broke out really bad. What s going on with my skin these boils are bad and painful and they keep coming back. I even have scars. I use antibaterial soap. Is there some meds I should be on thanks. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, DEar, thanks for your query to Chat Doctor. I studied your query in depth.1-In My opinion the small painful boils-on front and back -appear to be acute psoriasis boil leading to scars. As you use antibacterial soap, boil out of skin infection does not appear to be there.-2-I would advise you to consult -skin doctor, who would treat accordingly.3-other causes could be skin infection/infestation with fungi etc.4-Hope this would solve your query.5-Wellcome for any more questions on new or this subject also... Have A Good Day.!! <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am suffering from abdominal pain from past 3 months <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello and welcome to Chat Doctor, Abdominal pain can occur due to enlargement, inflammation or any other disease process of any abdominal organ. An ultrasound of the abdomen is required to look for status of the organs in the abdomen. Further investigations will be decided by the result of ultrasound. Consult a surgeon for clinical assessment and relevant investigations. Thanks and take care Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am 6 weeks pregnant. Started spotting dark a week ago after an exam. Sat. morning started spotting heavier and brighter red blood, have done it off and on each day since then. Some clotting. Cramping off and on also, headaches, still positive pregnancy test. My ob office aware but tell me to do nothing til appt on Fri and it isn t anything to worry about. I miscarried in Nov 09 and also in May 09. What should i do? Waiting on ChatDoctor levels to come back. HELP! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, I have gone through your query and understood your concern. If I were to treat you, I would ask for a sonogram of the pelvis to look for any hemorrhages and fetal viability, get serial serum beta-ChatDoctor titles, put you to absolute bed rest and manage based on the results. In view of your previous history of abortions, it becomes all the more important to suspect another missed pregnancy with your persistent spotting now. Doubling serum beta-ChatDoctor titles are a positive sign of a healthy pregnancy. If there is no fresh bleeding now, it is likely that the bleeder may have arrested and hopefully, the pregnancy will continue. Hope you find this information useful. Wish you good health. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I was playing football and got hit. I flew in the air and landed straight on my hip, I felt pain immediately. It hurt tho rest of the day I coul hardly sit down, get up, walk, or lay on the left side of my hip. I thought maybe it was just bruised and I iced it. It felt better for a couple of days. But yesterday I twisted my hips while running and it popped and now it feels as bad or worse than before. Can you help please? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HI, Thanks for posting on Chat Doctor. After reading your symptoms, I would like to suggest you a certain investigation:MRI of the right Hip to diagnose any ligamenta injury/ fracture. Meanwhile, you can take any good analgesic and anti inflammatory Chat Doctor. You must also use cold compress and rest your hip by avoiding vigorous physical activities such as running, jumping etc. I would strongly recommend you to visit an orthopedic doctor to diagnose and treat the problem effectively. 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 22 yrs old girl i some days back on 6th of april 2011 check TSH i am not detected with thyroidism, but still i have tremendous hairfall on my frontal scalp...i am going bald...plz help i have started eating keraglo forte, folinext...but still i am having hairfall plz help <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Howell come to ChatDoctorI really appreciate your concern, the underlying cause of hair fall need to be found out and most common is fungal infection, on tentative basis this can be given try with "selenium Shampoo" apply this on affected part prior to bathe at least half an hour, the affected area may become black after some day, then comes to normal and hair falls stops, once the hair fall stops then "Minoxidil 5%" can be tried, in such condition clinical observation would be much helpful, hope this information helps, take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My period went off about 2 weeks ago and like i had sex last Friday and like yesterday and today I have been really tired and my back has been killing me and my stomach has been cramping like crazy i cant lay on my stomach because it hurts i feel like bloated and the cramping is hurting real bad like im about to be on my period again.. Idk what it is Could you tell me... Could it be Pregnancy?..What have I done..Nothing yet because i am not sure what to do i was going to try and take a test next Friday I guess <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello! Welcome to Chat Doctor. You haven't mentioned fever, if any. This can be musculoskeletal pain or due to stone in urinary tract. As the severity suggests & back pain is also there, it is more likely stone related pain. Stone in ureter (tubes connecting kidney & urinary bladder) causes obstruction to urine outflow from kidney to urinary bladder. Smooth muscles in ureter contract excessively to overcome this obstruction by stone & cause severe colicky pain. Temporary treatment to relieve pain includes smooth muscle relaxants & painkillers like Chat Doctor. Many such patients come in my clinic to whom I advise ultrasound abdomen & pelvis, X-ray PUB, renal function tests, urine routine. Treatment is done accordingly. Consult your doctor for medicines. Hope this information is useful. Wish you healthy life. Thanks. 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 pus smell coming from my mouth and a bad smell with my breath. I have a lump like in my throat which cannot be swollowed down I often get a headache in my left frontal part of my head. I have a crown fitted on my left pre molar and there is a pocket also there which has a pus smell But I have been having this for about 3 ore 4 years <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hithe pus smell is obviously due to pus formation in your gums. This chronic infection has led to localized lymph gland swelling which is feeling like a lump. Headache is also due to inflammation and infection in your gums. The best way to get rid of this problem is to get the proper and immediate treatment .get the dental OPG done .OPG will give the dentist an idea about the bone level around your teeth. Then ask your dentist to Chat Doctor. don't postpone the much-needed treatment. 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 son has cough from 15 days today the x-ray report says bilateral congested fields. bronchitis & small patch of consolidation Rt para cardiac region & the blood report before 15 days shows wbc count 3500 i am suspected that is my son suffering from TB please give the explaination <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Respected user, hi I evaluated your query thoroughly.Bronchitis with TC 3500 is not absolute indication of TBDiagnosis of TB has various parameters not just fever of 15 days with this X-ray finding confirm TB.*According to your Physician's evaluations he may require further confirmatory tools as Sputum AFB, ELISA or else depending upon clinical scenario. Hope this clears your doubts. Thanks for using Chat Doctor & giving us an opportunity to serve you in your medical needs. Wishing your Angel fast and speedy recovery from the same. Regards dear take care of him. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 have an angle pain in my right foot now for apox4 wks im on 800 mg of ibprovin it still hurts to walk on it after standing for a little while but im still working every hoping itll heal on its own no swelling im getting discouraged any suggestions to speed recovery i also am 58 in good health some weight i gained 16 yrs ago after i quit smoking igained some weight i dont think that is the problem i dont recall twisting it tks bob <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. As mentioned by you the symptoms of pain in the right foot without any swelling then a thorough neuromuscular assessment is needed .the pain can be due to any of the following factor which needs a thorough assessment - the pain can be due to plantar fasciitis, calcaneal spur or neuropathic. For which post doing a detailed assessment of the feet and other special clinical test along with x-ray of the feet or MRI of the lumbar spine based on the possible positive clinical test will help us guide with the x-ray or MRI. Post which the treatment will be planned with a combination of medication and physical therapy. In my clinical practice after a thorough detailed assessment the treatment is planned with a combination of medication and physical therapy. We are able to manage 99% of recovery in patients and back to action. I wish the same from you. Regards. Jay In Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, My husband has a small pea sized lump in his neck just below his jaw line. It is more annoying than painful. He thinks it is caused by an ingrown hair. He has had this numerous times before. They show up and then are there a couple weeks and then gone... not always in the same location. Is this something normal in men or should I have him see his doctor? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, dear. I have gone through your question. I can understand your concern. You may have some enlarged lymph node due to reactive hyperplasia. It is due to some infection in the Chat Doctor. No need to worry. Just be relaxed. You just need a course of antibiotics. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. Don't forget to click, thank you. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello,My 15 year old daughter has just been told after 18 months of pain and infections that she has two tubes in her right kidney. When she was a small child she suffered kidney problems but this was never picked up on. When could this second tube have grown and why?thank you very much, Paula <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HIIT seems from your description that your daughter has duplex ureter which is usually associated with duplex kidney. She has been born with it and does not grow later. This condition may not be picked upon ultrasound of kidneys in childhood and may be revealed later when problem develops either on CT scan or rarely on ultrasound. Duplex kidney and ureter by itself do not cause pain and infections unless associated with other conditions as reflux of urine, ureteroscope etc. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 hypothyroidism which was found out when I became ill with depression , it was realised it was due to tiredness & shift work including nights. I have not be doing nights for 7 years they are now wanting me to return to nights which I say is detrimental to my health. Is there anything I can do or any information I can source to proof this will be the case? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello........ Thanks for your query. Hypothyroidism can mimic depression in many cases, and they share common symptoms that may augment each other. Regular sleep wake cycle is required to avoid precipitating mood disorders and in that sense night shift may not be apt in your case. You can request your authorities with necessary medical documents to sort out the issue. You can use information from NIGH (National institute of mental health), USA website to augment your treatment records and to demonstrate that adequate sleep is mandatory considering your medical history. Hope you found the information useful. Regards Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I was treated for typhoid & UTI a month & a half ago. My head is not yet clear. I get uncontrolled sleeps twice during daytime & one of it could be morning after fully waking up. Almost throughout the day am like having a disturbed head.I am adviced to drink pleanty of water but in vain. My friend thinks its because of beer consumption which I normally would have daily but moderately / pleanty. However since I took the treatment I am off beer. My friend thinks it is the alcohol in my body wearing off. Please advice - am suffering. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HI Thanks for posting your query. No not due to wearing off from beer. It is most likely due to the weakness caused by Typhoid and UTI and also due to the antibiotics taken at that time. Due to consumption of Antibiotics, there might have happened some vitamin deficiency which is causing weakness and that in turn causing you sleepiness. I would recommend you to eat Nutritious food especially fruits. Also, you can take a Multivitamin tablet every day for a week or 10 days. This will boost up your energy and will reduce your sleepiness. Chat Doctor. This will stimulate brain and will keep you more alert. Hope this information was useful to you. Any clarification few 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\|> My son was standing and talking to someone outside. When he went to walk away his vision went black, he had trouble controlling his extremities and felt nauseated. When he got back inside he sat down and said he was sweating. After a few minutes he said he still feels sick and has a headache but his vision is better. What could have caused this and is there anything we can do besides wait? Thank you, Mike Howard <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello! Thank you for your question on Chat Doctor! I understand your concern, and would like to explain that his symptoms may be related to different disorders like : 1- Low blood pressure. As his symptoms occurred while standing up, a low blood pressure or an orthostatic hypotension, may be the cause of his symptomatology. I recommend to closely monitor his blood pressure during sitting and standing up position. A head up tilt test may be necessary to exclude an orthostatic hypotension. 2. Low blood sugar: hypoglycemia could cause a similar clinical scenario. I recommend performing a routine blood test (to exclude chronic anemia) and blood glucose levels. 3. A seizure. A partial seizure may mimic these symptoms. If the above tests result normal, an EEG and a brain CT scan may be necessary to exclude a possible seizure and possible intracranial causes. Meanwhile, I recommend taking plenty of water and have some rest. Hope to have been of help! 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\|> HiMy baby is 3 months old. She has loose motion since 14 days. On average around 14 POOS of yellow or green colour with sticky and white substance.Seems to us that she has cold and we assume that is loose motion is due to cold!?Is there any medicine in USA over the counter? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi... Thank you for consulting in Chat Doctor. What your kid is having is not a diarrhea and is only a gastronomic reflux. It is quite common for babies of this age group t pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I was in a car accident a week ago when I hit a tree full on going about 35 mph I believe. I had dozed off when I hit it and the airbag went off and hit my face hard. My seat was also close to the steering wheel because I keep it close. They gave me motrin and muscle relaxers but I am still sore. The soreness is mostly in my back (spine area) chest (having trouble breathing) and my head kills even more so when the medicine wears off. I also have no desire to eat like I don t feel hungry at all. I have been forcing myself to eat though so I get something in my stomach, but I feel like throwing up after I eat anything. I just want to know if all of this is normal or if I should be concerned.I am a woman, 18, and about 135 pounds if that helps or matters at all. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Whiplash injuries and chest and abdominal trauma are very common in the mechanism was u have mentioned. So series of radiological investigations which include spine, thoracolumbar, chest X-rays are must. Along with an ultrasound abdomen. Inconclusive results proceed ahead with ct abdomen n thorax. If normal then could be a soft tissue injury and muscle strain. And adequate analgesia will relieve all your symptoms. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi i have a reacurring lump on my left shoulder that has blood,and pusc,smells like vinegar,its invected,and hurts,tryyedn hot showers to open and drain it no luck,have a hydroculator but didnt get it hot enough,do i need to go the doctor,and get it drained/antibiotic,really cant afford thatn please what do i do. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi.based from your description, it could be an infected sebaceous cyst or an abscess formation from a previous infection. A consult with a doctor, preferably a general surgeon, is best for physical examination and clinical evaluation. Diagnostics (such as ultrasound) and medical (proper antibiotic regimen) and surgical (excision and/or incision and Chat Doctor. Proper hygiene and daily wound care will also be recommended. Hope this helps. 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\|> hello i am 32 yrs old and starting this morning i had a slight pain in the right side of chest,, pain has increased and spread to,right arm,right back,and right neck,my mother had a heart attack at 38 and had similiar symptoms,is it possibe that heart attck pain can last all day and increase over 12 hour period <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, I would explain that your symptoms do not seem to be related to the heart. Is the chest pain triggered by deep breathing or body movements? This would indicate a musculoskeletal pain. In such a case, ibuprofen would help. Anyway, if the pain persists, I would recommend going to the ER for a physical exam, a resting ECG and cardiac enzymes. 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\|> Hi doc, i have a serious problem although it wont sound much but i am really tensed .. i have been masturbating since the age of 13 and 5 to 6 times a day and the problem is that my wrist are very thin and weak i cant do arm wrestling because the pain is massive in wrist ,my forearms are very weak and really thin i.e no mass on wrist and forearms , my thighs are slim and i have developed wholes in my knees( gaps around knee cap both the legs) like the seminal fluid from there is finished plus my hand grip both the hands is really bad that my younger brother(3 years younger than me) can crush my hand easily .He has excellent wrist and forearms .Everyone i ask says it is because of your excessive masturbation and i have to mention one think that i am a bodybuilder , my body is fine like biceps and triceps are good but forearms and wrist are no good .. please DOC help me.. THANKS <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi I am Chat Doctor. . Actually YOY have to decrease this habit to two or three times per week as a beginning, wear wrist support, avoid vigorous movements by your wrists, hot massages with topical gels help a lot try to use some multivitamins and to increase your body weight a little, the main role is gymnastics and physiotherapy to strengthen your muscles and tendons to cover up your thin wrist and by aging this problem will disappear, but you have to maintain the strength of your muscles of your arm and forearm to allow stronger wrists and don't forget it is a joint that moves in many directions and held by many tendons from all directions, so you have to be patient and avoid overusing it to maintain its stability and power which will come to you gradually I am sure. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, 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\|> I have been getting frequent yeast infections after my chemo ended after a full hysterectomy due to ovarian cancer. It is the weekend, so I will have to reach my doctor on Monday. What can a person do for frequent yeast infections that are treated and then come back? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Welcome to Chat Doctor, As you are having a symptoms suggestive of fungal infection, and it is more common in the genitals, as they are the normal comedians of this area which will be kept under control by helpful organisms. Whenever there is an imbalance in the environment it will produce its symptoms. I would suggest you to follow below-mentioned measures.1. Keep they are clean and Chat Doctor. Topical application of antifungal cream like Ketoconazole cream3. Oral single dose of Tab Rifleman, 150 mg.4. Oral anti histamines. 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 was diagnosed with folliculitis a few days ago and have since been seen by 2 doctors. I have been put on antibiotics and have been given fusidic acid cream and canasten as I have thrush too apparently. Ive had to pee in the shower due to extremely painful urination. Now I have a throbbing clitoris to top it off. What could this be and what should I do. I know it takes a few days for antibiotics to kick in but its been 2 and a half days and its getting worse. Plus the lumps are now filled with pus which they werent before. Please help. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HI, I understand your concern. Antibiotics disturb normal protective vaginal flora, which leads to prevalence of fungal vaginitis I think you need specific treatment for the condition along with antibiotic as per treating doctors advise. - get your blood sugar tested to exclude diabetes, -Take a dose of flucanazolablet orally, - use clotrimazole- Imitable cream & vaginal pessary, - keep vaginal area clean/ 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\|> dont know what to do, so looking for advice. i have not had any energy in wks, so much so that mentally i am drained. i have this odd feeling in chest like i can feel my heart. cant walk up the stairs w/o wanting to just lay down somewhere.about to get fired it is so bad. been to doctor; blood ok (do have hep c), blood pressure ok, listened to my heart and said ok. yet it is getting worse...ahhh <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern.First no need to worry about heart diseases as your blood pressure and blood reports are normal. Sometimes undiagnosed stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. 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\|> Hi, I have 3 n half months baby my periods is about to start I have few questions about copper t it would be great help if anyone can answer my questions 1. Is it 100% safe to insert copper t 2. Will there be heavy bleeding n pain in periods 3. Will I gain weight n will it harm any breastfeeding? 4. Is there any way to for birth control after one childbirth? 5.How long wil it take to get adjusted? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Thanks for sharing your health concern with us. I have gone through your query and here are the answers. 1. There is no 100% safe procedure. Every method has its own side effects. Yet, Copper-T is considered to have lesser side effects and more efficacy. 2. Some people experience heavier bleeding with the IUD, especially during the initial months. If this persists, the IUD should be removed and an alternative method of contraception is chosen. 3. Weight gain is not a problem as it is not hormonal. Likewise, there is no in Chat Doctor. 4. If you are asking for other ways of birth control, there are several options available. You can get details from your health care provider. 5. There is no medication in the IUD. Hence, adjustment should be immediate. 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\|> Id a miscarriage in August, one menstrual cycle completed in Sep after miscarriage, Later I didnt get periods in Oct, Pregnency test is positive now. Will there be any complications as Im conceived immediately after miscarriage ? Do I need to take any extra care to protect my baby ? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Conceiving after 2-3 myths of abortion is not a problem. I hope doctor had found a reason for that abortion, if not you should meet you doctor have an early scan to confirm health of the baby. You will also need extra hormonal support for this pregnancy & few investigations like blood Sugar, Serum Thyroid, He %, Urine routine & specific investigations based on previous results. Also do confirm if the pregnancy line in test is dark, hormones of previous pregnancy stay on for long & may give a positive result even without a pregnancy. All the best Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hello I m 29 African man and I still have acne . I have been fighting with regular pimple on my face since I was 15. But This time it s different , the acne I have right now since 6months are on my chin , area near my mouth,my nose, sometime in my nose...I really don t know what is that he won t go away. The acne fill with white pus and it hurt so bad, I can t even touch my beards , It feel like I m putting a needle in my skin . On my nose, sometime a part of my nose skin hurt so bad painful,it s sore and some days after I can see a pimple fill with pus breaks out in that same area i was having pain. sometime It s big bump fill with white pus,disgusting . I feel everything happens under my skin. I don t know how to deal with anymore Its really embarrassing , I m losing confident. I can t even go out. I have been taking since it started some antibiotics( doxycycline ), salicylic acid face wash,dipsalic ointment .....but nothing has been working till now, area around my mouth is sore. It s a difficult situation when I know my wedding is 5months away. what did I do to deserve this. Is it the food I eat, the water I drink, my environments ....... PLEASE HELP ME PLEASE <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi XXXIX, welcome to Chat Doctor. Forum. Try to avoid all fatty foods, junk foods. Eat more of green leafy vegetables, juicy fruits, and Chat Doctor. Wash face with water without soap, in between regular washes. Get the pus of the boil [acne] for culture and sensitivity in which you get the organism, and its sensitivity to antibiotics in order of preference.1st preference is most effective. You can use the <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have had back pain for a while, upper back pain, most likely caused from my job. I tend to crack my back a lot for comfort and pain relief. I had trouble cracking it and literally tried so hard that it feels like I pulled a muscle in my chest. It is in the upper chest area, left side, closer to my collarbone. It hurts more when I lay in bed than at any other time. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> For treatment of back pain you can take some painkiller like ultracet-plus or zerodol-sp only when the pain is worse enough or disturbing your daily routine along with some calcium supplements like shackled or toscal-gem once daily. Take some multivitamin like metilda-af or neurobian-plus once daily. Do some physiotherapy exercises after an expert opinion of physiotherapist. I will also advise you to sleep on a plain surface. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hello im 24 and as of a month and a half I have had a really bad ripping burning feeling in my upper right side of my back under and now around my shoulder blade and when I turn a certain degree I drop what ever is in my right hand . Please the pain is unbearable and it comes and goes but as of lately its more consistent. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi This can occur due to disc problems in the cervical spine. When there is prolapse of the disc causing pressure on the nerves, it gives rise to this type of pain. Sometimes the pain can go along your arm and can also cause weakness of certain muscles it supply. You are recommended to see your doctor, who will examine you, ask for some scans accordingly and plan your treatment course. Till that time take some painkillers to reduce your pain. Bye <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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. Grief, I keep trying to find symptoms, pictures, healing and what to do about it. I just keep getting thrown to other sights and never find out anything. I ve had a golf size bump on my leg for 2 weeks tomorrow. I ve been in and out of hospitals in the last year and this never happened. Thank you for your time. Lynn Bailey <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, If I were your treating Doctor for this case of a leg lump, I would come up with only one and one possibility that is a sebaceous cyst or ganglion or bursa! Nothing to worry about this and try not to get infected there! But definite cure is only surgical excision! 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\|> white semen discharge before urine or after urine and also after free from stool. i m facing problem from last 1 year. i have checked with several doctors they said to me that problem will be vanished after got married. now i m married since-- last 6 months. but i have severe conditions as discussed earlier. i cant able to perform intercourse very well with wife and continuously pain in lower back and now heavy dark circles round my eyes.Please help me out. Doctor suggested me diff medicines like flygel, cap depricap 20mg. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, I understand your worry.First there is nothing to worry. It occurs in some of my patients who have constipation and pass hard stools. It is the secretion from prostate which is milked by the passing of hard stool. Another possibility is the presence of an infection in the prostate if there is no hard stool passed and if it occurs with every urination. In such case please do a semen analysis and let me know the result. Your worry is the probable cause of your sexual inadequacy and the reason for the dark circles around your eyes. So be relaxed. If you have constipation use a mild laxative like milk of magnesia and if there is no constipation get a semen analysis and I shall interpret the results for you. Hope you would be fine soon, If you have further queries, I am available to answer. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 Doctor,Please is there any medicine like T. Flexion. My father had a fracture of the hip and would have been operated upon but after series of tests Doctors said his heart is weak. He is 91 years old. They could not do the surgery. So this prescription was given T. Flexion but we could not find it in Africa. Is there anything that can be done about his heart? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi Welcome to ChatDoctorI have gone through your query, can understand your concern about your dads sufferings. T Flexion is ideal for fixed or controlled range of motion in the treatment of ligamentous injuries and stable fractures, is kind of support to improve the quality of life of sufferer. The heart is the motor that keeps the blood in motion throughout all the blood vessels in the body. In order, for the heart muscle to pump properly, it needs to be nourished by coronary blood vessels. Any disease or blockage of the coronary arteries can deprive the heart muscle with the necessary oxygen and blood it needs for proper function. ONLY MAINTAINING GOOD HEALTH CAN HEALTHY HEART. The major risks factors for a heart weakness are diabetes, lack of exercise, high blood pressure, sedentary lifestyle, old age, hypercholesterolemia, obesity, smoking, a high-sodium diet, and genetic predisposition. For health of our heart we take care to Eat a well-balanced, high-fiber diet based on whole grains, legumes, fruits, and vegetables. Include antioxidants - ginger, garlic, fish, almonds, lemon juice with water, turmeric with a cup of hot milk and a teaspoon of almond oil at bedtime, Avoid milk, butter, margarine, vegetable shortening, cheese, red meat, and chicken skin. They cause blood clogging. Avoid foods high in trans fatty acids and saturated fats. Refined foods. Fast foods, Smoking, Alcohol , stress and constipation deep breathing -- Inhale -Hold - Exhale - Hold gently 20 times / relax/ repeat every hour. Any mental exercise he can do let him do. Give him homeopathic Cottages Q 5-10 Chat Doctor. Hope this helps solve your query Take care. All the best Don't hesitate to get back for 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\|> Hey. For the last few days I have had pain in my calf, hip and lower front ribs and getting sorer each day. It started with pain in my calf and I just thought it was a cramp as I hadn t hurt it but then my hip started to get sore and hard to walk on then the bottom of my ribs at the front. What would this be? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, It looks from your details that you are most probably suffering from transient migratory myalgic. Such type of myalgic may occur due to:- Smoking-High blood pressure-Diabetes- Excessive fatigue or exercise-Decreased level of vitamin D- Some medicines like cholesterol lowering medicines (Statins)- Pre-viral /viral illnesses. In my routine OLD, I prescribe some analgesics like diclofenac 100 mg twice a day which is very helpful. If your problem continue to persist then you may have routine blood examination to rule out the pathology. Hope I have answered your question. Let me know if I can assist you further. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi my name Whitney Im 16 years old my heart has been hurting for awhile I have back pain and my lungs hurt I coughed up blood once Im scared I never told any of this to my doctor but I want to know whats wrong with me do I have heart disease or am I gonna have a heart attack or do I have cancer whats wrong with me please help <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. First be relaxed and calm. At your age, cancer and heart disease are very, very less likely. You are having hemoptysis (blood in sputum). Common causes for this is lung infection (pneumonia) and bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and chest x-ray. You may need antibiotics, painkiller and anti-inflammatory Chat Doctor. Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. 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\|> My 10yo daughter has been having contstant headaches and feels she is going to throw up continually, this has been occurring for over 3 mths now, her blood tests are fine, a stomach scan showed nothing . She is in healthy weight range and slightly above average in height. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi.... by what you say I feel that your daughter might be having a migraine without an aura. If there is a family history of migraine it becomes all the more relevant and important corroborative evidence for this diagnosis. As of now you can give her only pain reliever or Paracetamol at the appropriate dose when there is headache. But if there is any double vision or vomiting 15 to 20 times per day associated with severe headache, or altered sensorial or seizures then you need to rush her to the nearest Emergency Room. 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 a lump on my neck for around 10 weeks now and have seen my doctor, he took bloods and these were fine and just had an neck xray. I have no signs of infection and no pain in the lump but he has mentioned my neck may be slightly deformed and it could be a connection to my spine joint that causes this. Should I be worried.? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Welcome to Chat Doctor .1. No you need not be worried. As its pain less lump.2. As your doctor has examined and ordered for an x-ray, wait for the film and report - to find out where it is arising from.3. Where exactly on your neck you have not mentioned, so I would recommend an ultrasound scan to find out the content (cystic/solid/mixed) and extension to the adjacent structures (vessels/bone/glands)4. So wait for the report if nothing comes up get ultrasound scan done - and can be confirmed after that. Anything to ask ? Do not hesitate. Thank you. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> my brother is 67 280 lbs very swollen..went to heart dr but gotta wait to get in for tests..his bp is usually 130/80..on his two bp meds he takes for high bp..the dr took himoff one med and said sometimes it causes swelling..hes been on it for yrs..and told me watch his bp and if it gets to high call him and he will raise the other med..that was 3 days ago..now his bp is 97/53..should i be worried <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thank you for your question. There are certain medicals which can cause swelling in the body and the treatment for it is to stop that particular medication. Your doctor has taken the right step in this situation. The blood pressure that you have mentioned is within acceptable range and if the patient has no symptoms such as dizziness then there is nothing to worry about. Every human has its own adaptability. I would advise just to observe him and if he has any symptoms along with low blood pressure then you should contact the physician. Wishing you good health. If you have any further questions please feel free to contact me. 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\|> My hormonal blood results show estrodial over 500; I had triple negative breat cancer 8 years ago and prior to that I was a fitness figure competitor. What do you recommend I do to reduce my estrogen to get it back inline. ( low testerone; progestrone in line but not compared to the estrodial) Hum <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello dear....(1) Such high levels of estrogen can lead to following health hazards - (a) increased body weight i.e. obesity (b) severe headaches (c) irregular menstrual cycles (d) breast cancer (e) liver failure (2) Ways to reduce estrogen levels - (a) STOP ALCOHOL COMPLETELY (b) eat fresh ORGANIC FOODS and avoid processed foods/meat/dairy products specially cow milk (c) eat lots of apples/celery/berries/nuts/beans/oatmeal (d) eat FLAX SEEDS as it has anti-estrogen properties (e) take high sulfur content foods like egg yolk/onions/green vegetables/garlic....follow all this n it will do magic to your health.....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 screwed my married life, i do not remember the standard ritual procedures, i do not complete task requested by my husband despite reminders, i do feel interested in household chores, in an argument i even replied to my husband that i am doing things as i am living on his mercy. Pl tell me whats wrong with me, these attitudes have troubled my peaceful married life. Pl advice <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> You have an ADJUSTMENT DISORDER, To overcome it You need some PSYCHOTHERAPY mainly. A counselling will help you to get out of it. Along with Some Anxiolytic antidepressant medicine may be required to cop up with the situation.Don't worry thousands of this sort of problems is regularly solved by counselling. But it needs support from your husband also. Nothing to worry just go to a psychiatrist with your husband. He will show you the right way. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 been having yellow, orange gel like pieces in his semen. It is painful when he ejaculates when they are there. We thought at first that it was because of a short time period in between intercourse. But this last time it had happened it had not even been a day since our last intercourse. We do not have any health ins at the moment but this is very concerning to both of us and any input would help. Of course he can go to a dr if it may be something serious. I had read about maybe dehydration but I do not think that would have been an issue this past time. Also this does not occur every time. Just sporadic? Any info would be greatly appreciated. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. It looks like somewhat feared, we have not seen any such cases. In my opinion you should go for the semen analysis. This will tell you about the exact content of the crystals. This report will also give you idea about the seem count and other parameters. Once we cone to know the nature of the colored substances we can manage it accordingly. Usually except blood all the colored thing can be managed medically, only blood in the semen can be because of the cancer and requires a treatment like malignancies. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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,Im 24 yrs old female. Tile the age of 20, my face was absolutely fine without any issues. But for the past 2-3 yrs Im facing hell alot of issues, like dry patches, white boils, pigmentation and so on....currently under treatment for it for the past 1 yr, but no relief. currently Im been prescribed with Desowen and tacroz <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Thank you for posting on Chat Doctor. I can understand your concern regarding the skin lesions but It's difficult to point specific diagnosis in absence of clinical examination. From your description it seems you have got cuneiform eruption and post inflammatory hyperpigmentation. Moreover, the topical medications like Disown and Macro which you are currently using can actually aggravate the conditions I have mentioned. Therefore, I insist you to post good clinical pictures to me so that I can help you in a better way. You can reach me directly through the below-mentioned link.http://doctor.ChatDoctor .com/doctors/ Chat Doctor. Thanks <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi my age is 55 male wieght 82 kg height 5.6ft. I took erythrodar thrice daily for 3 weeks to treat burning in urine and possible prostatis. prostrate slightly enlarged. I did my blood test right after the erythrodar antiobiotic course. My SGPT is 356 SGOT is 270 and alkaline phosphatase 117. Is it due to this medicine? I have very significant allergy problem from food. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi thanks for contacting Chat Doctor .... I have gone through your query.... Following can be possibilities .....-erythromycin Chat Doctor. So if hypersensitivity to gluten containing diet like rye, wheat etc. then celiac disease can there, and it can lead elevated enzymes.USG, complete LFT profile with HIDE scan might useful. More fruits taken with less fatty and fried food.... Green leafy salad more.... For celiac antiendomysicial antibody screening done.... One tsp licorice with honey taken.... If still cause not clear then after prostatic treatment CT scan or liver biopsy might be needed if gastroenterologist need it. Hope your concern solved. 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 10 year old son has been having stomach ache for the 4-5 days. He is skipping school, is scared to eat because of vomitting. He vomits right after i give him medicine. Now most of the times the ache is not there but he has some discomfort. He refuses to eat properly, is not normal. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Howell come to Chat Doctor such pain in this age could be due to poor digestion function, and this could be nonspecific or may be due to allergic condition and viral infection these are the condition which does not need any treatment, just wait for some time this would be fine, in case of vomiting and abdominal pain this can be managed with Dicyclomine syrup and risperidone according to wait no need to worry about this be careful in diet, light diet would be benefitted, take care, 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\|> hi my 3 year old daughter has this fever for almost an week, and very dry cough, her throat is itching she said thats why she coughed every now and then. i gave her a mucolytic, then she has taken an antibiotic already, at first cough wasnt that persistent but lately it worsen...pls help <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Child Chat Doctor. Generally it lasts for 5-10 days irrespective of the use of antibiotics which are only effective in case there is a secondary bacterial infection. But since you have begun the course of antibiotics, you should complete the full course to avoid development of antibiotic resistance. You have done the right thing by giving a bucolic. Give some antiallergic like cetirizine along as that should relieve the allergic component that often remains associated. Giving steam inhalation should also help. Water in the form of vapor would reach deep into the lungs and help in diluting the cough. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 60 year old husband has sudden stiffness and pain in both hands, He cannot open or close them without great effort. This has happened in the past and stopped after applying a heat pad. Since it is both hands at once, I wonder if it could be a symptom of something serious <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Possibilities are:- Carpal spasm or tetany-due to hypocalcemia. Go for serum calcium and serum 25 (OH) It D level Reynolds phenomenon on cold exposure-as improved on the application of heat pad. Myotonia-Exposure to cold causes marked myotonic in the exposed muscles; the relaxation of the muscle is impaired following a contraction of the muscle. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> my 8 month old baby girl has been diagnosed with a fluid problem in her ears which is impacting her hearing. We are waiting for an ENT appointment (in 4 months!!). She always has her tongue hanging out of her open mouth. I mean always!!! is this at all related? what can this be a sign of? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> The tongue hanging out means that the mouth is too small to contain the tongue or the tongue is larger than normal ---both ways they there can be some obstruction in her throat formation that can cause obstructed breathing in the airway of the throat called nasophaynx and this can cause blocks to flow of air.Let's say there is a small tube connecting the throat to middle ear, called Eustachian tube, this fills up with fluid and this causes fluid and pain in middle ear called serous Otis media. Please check up with pediatric emergency , earlier appointment, use normal saline nasal Chat Doctor. Earlier the better -----yes the entire face and oral cavity are related. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 bottom molar extracted a week ago, due to a large abscess. The extraction site was healing well but now has a red lump in the hole attached to one sid. It also feels like the gum at the same side is bulging out a little. Is there still an infection? What would the red lump be. When i press on it, it goes redder and bleeds. Im not sure if there is any pus as i do not want to press hard on it. What can the lump be? <\|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 red lump at the extraction site of a bottom molar which seems to be due to ulceration and gingival laceration due to large force required for extraction and slippage of instrument. Need not worry. I would suggest you to - Maintain complete oral hygiene and avoid sharp and spicy food intake.- You should maintain complete oral hygiene and take antiseptic mouthwash. - Prevent food lodgment in that area.- Take proper course of antibiotics. If it is causing pain take Ibuprofen. I would suggest you to visit oral and maxillofacial surgeon once and get it examined completely. You should go for its removal if it is really troubling you. 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\|> I m very shy, don t talk to people first unless I m talked to, etc. A part of my wants to have more friends and do stuff with them. But another part of me wants to stay far away from any social interactions like going to the mall, the movies, and other places. And when they do invite me, I always find an excuse not to go. Is this an anti-social problem or is what I m doing just my social anxiety working? Whatever it is, I hate it. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi well come to Chat Doctor. You are not at all anti social. It is just you are introvert and that is your personality, can be changed easily by you only by developing your interest in others and what they are doing, moving out with friends repeatedly will give you pleasure and gradually you will come out of it is may change with age as you built up your self confidence. Do not need any treatment for this. Thanks <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> .hi my name is yani, i recently found a red circular patch on my tongue in the middle towards the back, it dosent hurt, and its more red than my real tongue, what could this be, im worried <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your query, I have gone through your query. The red circular patch in the middle of the tongue can be because of the median rhomboid glossies, usually occurs secondary to fungal infection like candidiasis, or stress or nutritional deficiency or secondary to immunodeficiency like diabetes. Consult an oral physician and get it evaluated. If it is a fungal infection, it can be treated with topical antifungal agents like clotrimazole mouth paint(candid mouth paint). Get your complete blood investigations to rule out other immunodeficiency conditions. 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.i am 21 years old girl.i am on dialysis from 2 years in MAHAVIR HOSPITAL.i take 2 dialysis per week but from 7 to 8 months water is resisting in my stomach and its looking very bad as if i am pregnant.2 times we drained the water through pipe but within 3 to 4 days its the same condition.its very difficult to walk,sit.please help me suggest me something so that water doesnot resist after taking out.please help me. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello and welcome to Chat Doctor. As a Urologist, I can understand your anxiety.You're having CKD with fluid retention. Your creatinine and electrolytes level, havent been written. Your nephrologist can advise, if the dialysis needs to be done thrice weekly. In that case, the fluid will not be retained in the body and you'll feel better. Without your reports, its difficult to comment otherwise, on any other options. 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\|> Ive had a bad tooth abscess, tooth was enventually pulled after three courses of antibiotics difficult extraction, which has left me with numb chin lip with nerve pain running through it also ringing in my ear !! X-ray done today showed a shadow which the dentist mentioned could poss be a cyst! Could the cyst be causing the nerve pain ? And is there any medication to relieve the nerve pain ? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your query, I have gone through your query. The pain can be because of the nerve injury while removing the tooth or by the pressure applied over the nerve by the cyst. It can be a cyst. The other possible cause can be a neuralgia following extraction. Nothing to be panic, consult an oral physician and get it evaluated. If it is a nerve injury it can be treated with nerve regenerating Chat Doctor. If it is a neuralgia, then it can be treated with carbamazepine. I hope my answer will help you, take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My face feels like its on fire even my lips I took my blood pressure it was 161/89 plus 101 then I laid down and took it again later on it was 160/69 plus 99 I do take blood pressure pills but I was told blood pressure don t do that that a stoke would <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello! Thank you for asking on Chat Doctor! I understand your concern about uncontrolled BP and stroke risks, but first I would suggest a visit to your doctor (GP or internist) for a comprehensive physical examination coupled with some lab blood tests, ECG and eventually cardiac ultrasound, to determine the possible consequences of your high BP, any secondary etiology, and to judge about your actual treatment strategy. Uncontrolled high BP may justify your clinical symptoms, and even more severe healtChatDoctorplications. So my advice is to run to your doctor for a careful check-up. Hope to have been helpful to you! Greetings! <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Is blood pressure of 97/55 pulse 82 normal? It happens once in awhile not all the time. I was outside in the yard this morning doing some yard work. I was sweating a lot and I was drinking water and Gatorade. I got alittle dizzy and that is when I checked my blood pressure. I ate some Lays chip and drank more water and it slowly went up. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that your blood pressure values are a little low, which could explain the dizziness that you are feeling. Increasing salt intake, coupled with a lot of fluids are the main remedies to this condition. Increased sweating and low fluid intake can trigger this clinical situation. But, it is not a serious medical condition. 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\|> Hello, my wife was recently diagnosed with a glomus vagale, paraganglioma in the vagus nerve on the right side of her neck. She had experienced a momentary blindness while driving and was being checked out for a possible minor stroke, and the MRA showed that her arterial passages in the neck and head were clear, but that the carotid artery was being displaced by the tumor which had previously been undetected. She also had elevated blood pressure when she went in for the checkup, and her blood pressure has continued to increase since that time a couple of months ago. We have spoken to several people (PhDs) who are medical researchers who have indicated that this might possibly be caused by the displacement of the baroreceptors in her carotid sinus. However, her medical doctors do not believe that this a feasible cause. Any suggestions are possible known similar cases? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, I am Chat Doctor. I have read your question with care and understand your concerns. Let me try to help you Question 1 : What is the treatment for gloves eagle tumor Answer 1 : Two treatment Options are available a. Surgical Excision is the treatment b. Endovascular Embolization c. Sometimes, a combined approach is needed. First they embolize and reduce the Blood flow to the tumor and then operate and remove it Question 2 : and its side effects? Answer 2 : Side Effects possible are Bleeding, Paralysis of One Side of the Body, Loss of Vision in One Eye, Coma, Death Question 3 : We have spoken to several people (PhDs) who are medical researchers who have indicated that this might be caused by the displacement of the osmoreceptors in her carotid sinus. Answer 3 : Yes. This is possibleQuestion 4 : possible known similar casesFollowing Hospitals have reported having treated similar patients. West mead Hospital, University of Sydney, Sydney, NSW 2145, Australia. University of Toronto, Toronto, Canada. The Departments of Neurological Surgery (JBW, MJL) and Radiology (HJC), The Mayo Clinic, Rochester, Minnesota. 1Department of Otorhinolaryngology, Head and Neck and Facial Plastic Surgery, Hospital Full gag, Teaching Hospital of the Philipps-University Marburg, Full, Germany Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. 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 had all my teeth pulled every year the lower left side of my mouth hurts fills like a nerve ,it somtimes hurt when i touch my, lip it also hurt when i touch the left side top of my head it hurts to drink or eat, the pain rush from my mouth to my tempel. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Thank you for consulting with Chat Doctor. As you are mentioning that all your teeth has been pulled and still you are feeling pain in your mouth, then there can be two reasons for the pain.-First it can be possible that there might be some bone infection which is causing this pain.-Second it can be possible that there might be damage to some nerve due the extraction, that is why it is causing pain. To get it confirmed you have to visit a good dentist and get a full mouth x-ray, which will show the area of infection and any nerve damage. 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\|> My husband has wheezing problem. Every time he need to take his puff in order to stop that wheezing. His eating habit is more to spicy food and he do drink beer which i think it might be another issue. Couple of months back, he claim he had a chest pain and admitted himself at hospital , after few scans and test done, doctor inform there s nothing to be worried. but I felt bad seeing him suffering from this wheezing problem. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. In my opinion you should consult pulmonologist and get done1 chest x ray2 pulmonary function test (PFT)These tests are needed for the diagnosis of wheezing in your husband. Asthma seems more in his case. He is also having reflux disease as he is having heart burn, and he eats spicy food and Chat Doctor. Reflux disease can worsen asthma. So both are related to each other. You need to treat both simultaneously. So better to consult pulmonologist and discuss all these. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Dear Doctor I had severe pain in upper abdomen twice in a month and was hospitalized for it.I had my gall bladder removed in 2004 and b duct channelized after one month.My present SGOT 73,SGPT 217,ALKALINE PHOSPHATE 160 AND GAMMA GT 309U/L.I have lost weight around 7-8 kg from last 6 months.I have done CT SCAN Liver mildly enlarged,spleen mildly enlarged,pancreas normal,ultrasonography shows mild spleen enlarged.The dr is saying to do MRCP.PLEASE ADVICE. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi. Since your Liver function tests are increased you need to undergo MRCP- this will help us more towards a proper diagnosis, and it is possible that you may need ERCP to have an additions diagnosis and therapeutic too in the for of Sphincterotomy and stenting if need be arisen. You also have to continue hepato-protective medicines, Folic acid, multivitamins, have diet as advised by your dietitian to suit liver pathology. Also get kidney functions done. This should help you a lot. Take bed rest till you are fully recovered. No outside food should be taken. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 sprayed my shower stall ceiling to floor with triple concentrated bleach then covered the tub floor with a cleaner like comet. i added a little water and began scrubbing it. my eyes started tearing up severely, i wiped eyes, and went back to scrubbing, the smell was horrendously strong and my breathing was compromised. i took my head out of shower stall for a moment and again wiped eyes that i could hardly keep open by now. continued to scrub with face about 1 foot from the tub, with shower doors closed. it got to a point i could not keep eyes open and the tearing was pouring down my face. i couldn t breath, couldn t really stand up now, so crawled out of bathroom and shut the doors, in a short while. the tearing stopped but my thoat was tight and so very sore and burnig, i had wheezing when breathing. i began coughing and coughing for hours on end. i took benedryl and finally got some sleep, but now when i am awke, my lungs hurt when breathing, my whole body is sore and painful. is there a lasting results to what i did? thank you <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question in my opinion you should visit a Pulmonologist and get yourself evaluated as chemicals cause pneumonitis in early and delayed formPulmonologist may request for a chest X-ray to see if there is any urgent intervention required or motif these symptoms persist and chest X-ray has changes your Pulmonologist may prescribe you low dose of corticosteroids for a short period to counter the inflammatory process, or he may add leukotreine inhibitors for the samethanksfeel free to ask more questions <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 suffering from SGPT level 111 from 22nd of march and i have consulted with a doctor who wrote two medicin one is HEPAMERZ Tab and second is TEFROLIVE FORTE and told me that u have to take it for the two months continue but still my urine is yellow and m kept taking that medicine till now.. so what should i do and how do i knw my sgpt has decreased now? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Thanks for the query to Chat Doctor. Forum. Raised level of S G O T, S G P T, usually found in liver disorders cases. Since you mentioned that there is yellow color of urine from last 3 months and after taking these two medicines, no improvement. Conjugated & conjugated two forms of bilirubin present (increased in liver disease), so please mention these in next query, you can upload. Once again consult one more physician and get his opinion (2nd) and deal accordingly. Hope I have answered your question. If further any question I will help. Get well soon. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi Can you help me analyse the result of my daughter-in-law s scan result? Within the endometrial cavity is a well dedualized gestational sac but no embryo yet, no free fluid in the cul de sac , no subchorionic hemorrage seen. No adnexal masses seen. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> .sir .there is a gestation sac in uterus but no embryo .as you have not given the age of pregnancy .I assume it is early pregnancy .I think it is nonviable pregnancy as when the radiologist is able to see well-developed gestation sac he must have been able to see embryo .it is hopeless case now .wait for few days it will abort by itself if you have any further query then you come back to Chat Doctor I will definitely help you and guide you with regards Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have not been able to talk for 2 days and my nose has started to run just in the last couple of hours. I did not yell or do anything to cause me to lose my voice. I have made every effort to not try and speak. Is there a product that I can buy at the drug store that would be good for my throat and runny nose? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for posting in Chat Doctor. From the description of symptoms, it appears that you have contacted with upper respiratory tract infection. You need to take the following medications to overcome the symptoms of sore throat and running nose. 1. Tablet. Azithromycin 500 mg once a day for 3 days.2. Tablet. Levocetrizine 10 mg once a day for 5 days.3. Syrup. Ambrosia two teaspoons thrice a day for 3 days. Kindly avoid cold items and do salt water gargling with warm water twice daily for 5 days. Your symptoms should subside in a day or two. Wish you good health. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have been experiencing hip pain/upper thigh pain that was intermittent and now is consistent. It is more of a burning type pain. The pain disrupts sleep and is painful while sitting still. I am a 53yr old female, 175lbs. Last year blood work shows my white blood cell count to be slightly elevated but I have seen a oncologist who didnt find anything. I also have been very tired and have been getting frequent headaches. I was recently diagnosed with a autoimmune disease Vitilago. I have seen a dermatalgist and endocrinologist. No one has any answer. Where do I go now? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, thanks for writing to Chat Doctor. Hip and upper thigh pain which is of burning nature and is occurring more in sitting position especially in obese individuals (as in your case) is suggestive of NEURALGIA PARENTHETICAL. This condition results due to the compression of Lateral femoral cutaneous nerve (pinched nerve) at the level of groin fold. A few conservative measures which are effective in treating this condition includes - wearing loose clothing (avoiding tightness at the level of the waist and groin fold), Losing weight, taking OTC pain relievers such as acetaminophen (Tylenol) ibuprofen (Advil) or aspirin, Physical therapy to strengthen the muscles of the legs and buttocks etc. Other causes arising from the Hip joint are also to be excluded by having X-rays and MRI scans, which may also present with similar picture. So, I suggest you to consult an orthopedic surgeon for a detailed clinical examination and further management. Hope this information is helpful. 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\|> Hello, I m a 14 year old male and have been getting wet dreams since i was 13. But i never really masturbated to ejaculation. When i masturbate and feel i almost cum i start shaking and i stop wanking and still shake for a minute or so ( my hands and legs mainly). So my question is if this is normal, thanks. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for writing. Shaking or shivering at or just before climax is experienced by few people. This can be due to exhaustion, muscle spasm and tiredness. This is due to the intense contraction of muscles in different parts of the body. This usually happens when deeper orgasms are experienced. There is nothing to worry as it happens only momentarily for a minute. It might be the result of a more focused masturbation leading to greater excitement, especially if your feet are off the ground. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 low Pyruvic Acid and the ratio to Lactic Acid was bad, but my Carnitine was good yet my doctor gave me levocarnitine treatment, how would this address the problem? I read that low levels of Pyruvate can give a form of anemia because the cells break too fast so the organs dont get good oxygen. I have been suffering from energy fatigue and strong headaches that seem to be from bad metabolism of something, its like a burning sensation in the eyes and frontal area, could the carnitine help with this? Thanks. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Levocarnitine is used to prevent and treat a lack of carnitines. It is used to prevent and treat this condition in patients with kidney disease on dialysis. It is given to people whose body cannot properly use carnitine from their diet. Lack of carnitine can lead to liver, heart, and muscle problems. Your doctor may treat lack of carnitine by prescribing levocarnitine for you. Pyruvic acid levels alone have little clinical utility. Abnormal concentrations of pyruvic acid, and lactate-to-pyruvate (L:P) ratios, are not diagnostic for a particular disorder but must be interpreted clinical presentation(symptoms) A low L:P ratio is observed in inherited disorders. Your Doc. Who has examined you are the best judge as per your clinical symptoms <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello I am Debbra, Last Friday at work sitting relaxed , My heart began pounding & racing fast, from 8 am to about 2 pm every for 20 -30 minuted every hour durring that time, I was no pain, began being nauseated and sweating, it stoped then at 6 pm I went to dinner ate a few bited when i began feeling nauseated again and sweating badly, and passed out felt tired that evening, and nothing since <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Increased heart rate and palpitations can have a lot of causes. It can be normal sinus tachycardia due to anxiety or stress, or it could be abnormal supra ventricular tachycardia. For the diagnosis, you need to do ECG at the time of palpitation and tachycardia. If the duration of palpitations are short enough to reach a nearby hospital, we put a 24hr ECG monitoring (Holder Monitor). You also need to do a 2D Echo and thyroid function test to see for any associated abnormality if any. Hope I have answered your query. 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\|> I recently saw a lump right infront of my ankle area. It is very tender when i touch it but i am pain free. I had noticed it before and thought of it as swelling but as i closely took a look, it is a lump. What can it most likely be? I am planning to get it checked soon <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi. Thanks for your query. Noted the history about the tender but non-painful swelling in front of ankle. Such a swelling can be due to an abscess, cellulitis, infected cysts and so on. I would advise you the following:Get a course of an antibiotic and anti-inflammatory medications so that the swelling is either settled or vanished. Surgery is only indicated if there is no response to the medical management. Use fresh socks, change daily. Apply Locally Liquid Provide iodine so that the area is kept sterile and further infection is avoided. You may consult a General Surgeon to get a proper management of the case once diagnosed well by proper ways. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> The top right of my brain feels numb or fuzzy, my memory is really awful, its hard to pronounce words, and my motor skills are lacking. At first i thought i was just absent-minded and clumsy, but then i noticed the fuzziness in my head. Sometimes, i swear, i see flashes of light in the corner of my eye. I dont know if im just overreacting or if its serious. Please tell me what you think. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Complicated migraine headaches without the cephalic phase....at least for now. There could be other diagnoses to give, but I need more information such as gender, age, and other symptoms associated such as numbness/tingling/cramping, stiffness, weakness, clumsiness of the limbs, etc. I am a neurologist and headache specialist so if this does out to be a migraine variant or some type I would be able to help you track them and then, will help you manage them and cope better with your situation. If you'd like to contact me through this network for more 1-1 time then, use:bit.ly/ Chat Doctor. Cheers! <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 hemi arthroplasty after. A bad fall. The surgeon put in a ball and stem. I was just discharged from physical therapy because I am not making progress. There is something definitely wrong with my arm. The doctor doesn t want to see me unless I have a problem. I went to him with this problem. He just said pick your arm up with other hand. Anyway I want another surgeon to see me but they won t get involved. All I want is to be fixed. Can you help me. I am so depressed <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> It seems you had shoulder semi replacement after a fracture. There are chances of Complication in every case and many times there is nothing a doctor can do about it. There are many advances in Shoulder surgeries now. We had organized a shoulder course recently for other doctors to showcase what are advances. In your case, there may be rotator cuff deficiency because of accident. If you can share the x-rays with me, I would be able to guide you what can be done now. There are options available. What is your age? <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 name is venus , i hv a frnd named rohit and he is suffering from the major prblm of brain. his nerve was pressed in an accident and nw blood is clotted thr and doctors are saying that operation is so risky. pls guide us we should prefer for operation or not? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for writing in. It is important to know complete details before giving an opinion on a surgery of the brain. A blood clot in any place within the brain should be observed carefully. The first step is to see that the clot is not growing in size. For this one or more brain scans are required. Then the size of the clot is to be discussed. The location is important because in some places even a small clot can be risky and in other places a moderate sized clot will not be a serious concern. I do not understand completely regarding compression of nerve whether it is one nerve or a particular area. It will help if you can upload scan images and reports to understand the brain compression and clot location completely. Surgery in such cases are risky but if the patient is in a pre coma stage and not responding to commands properly then a surgery can be life-saving. If required you can take another opinion by consulting a different neurosurgeon by taking scan reports and discussing the problem. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 one problem can u suggest me how to avoid this. I studied M.C.A and My dream to became s/w engineer.But i got married. After that because of some personal problems i didn t get enough time to reach my goal. Now i am pregnant. My husband loves me a lot.I knew that. but we will be happy in 2 days like talking properly with each other etc 3rd day on wards i am feeling i lost completely now i am unable to do any thing for my career.i am alone.so many irritating thoughts.i just want to come out of this plz give me good suggestions.i am crying every 3rd day and trying to be ok later 2 days.i think this effect will be on my baby.now i am 8 month of pregnancy.so do me this little favour. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Feeling of not able to pursue your desired career makes you sad at times, plus pregnancy, because of hormonal and bodily changes, put extra stress, and your feel Chat Doctor. There are help options available.because of pregnancy medications must be avoided as much as possible. You can seek psychotherapy/counselling, it can help you with your coping and stress handling skills. Meanwhile try to keep yourself busy, you can spend time with your hobbies with consulting your gynecologist. Keep yourself busy 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, my platelets was 1.5million, doctors told me it is essential thrombocytosis , started with the medicine hydroxyurea, and my paltelets become 400 thousand then i got some skin rashes and doctors advised to stop the hydroxyurea and started anagralayd after fewmonths they stopped it and started imatinib i took it arround six months there is no improvement then they shifted the medicine to dasatinib150mg daily still my paltelets are 780thousand i done BCR- ABL 3 times It is negative,but the doctors here they are saying i am a cml patient, now they are going to shift the medicine agin to nilotinib. i need your advise in this matter. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, dairy have gone through your question. I can understand your concern. You have some chronic myeloproliferative disease. You should go for bone marrow examination with flow cytometry to search the exact cause. Whether you have essential thrombocytopenia, CML or some other disease. 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\|> I am 23 years old and i am fully interested in sex and i used to watch blue films daily and do HP ( homo sex) and ejaculate sperm daily. I am doing this from past 5 years. i mean from my 18 years of age. still i am doing the same daily . I have a doubt that Is there any problem like becoming sperm count less or zero and our stamina in sex will become less and our sperm will be exhausted and no sperm will be generated later when i am doing sex with my wife after 3 or 4 more years later. Does it will effect my regular sex? How many days we can ejaculate sperm per a week (per 7 days).I am from India. please reply by considering south india people. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HelloThanks for your query, based on the facts that you have posted it appears that you have been indulged in masturbation frequently since last 5 years and worried about your sexual potency after marriage.First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Following measure will help you to boost up your confidence and getting good erection. And enjoyable sexual life.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 the last 2 months I have been short of breath, cough or gasp when talking and or doing activities. Around the same time I also have noticed that it feels like my heart is slowing down then pounding sometimes feels like it is skipping a beat and I can feel it on my right side of my chest. They do not occur at the same time but the feeling in my chest is happening more and more each day. It occurs when I am resting, relaxing on the couch and with activity. Do I need to see my doctor? (sometimes I have a dizzy spell) <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, we should definitely rule out heart diseases first. Because you're all symptoms like shortness of breath, cough, pounding of heart, missed beats etc. are characteristic symptoms of heart diseases. So consult cardiologist and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo 4. Holder monitoring (24 hours continuous recording of ECG) 5. Stress test (trade mill test). You will need cardiac supportive Chat Doctor. Don't worry, you will be alright. But first rule out heart diseases. 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\|> Do I have depression. It seems like everyday is a constant struggle I dont want to even wake up anymore. I keep having feelings of guilt after I do anything. I always feel like I just want to cry and little tasks are becoming increasing overwhelming. It feels like I have no motivation and Ive lost all my interest towards things I use to love. Sometimes I go for a period of time feeling extremley happy but then i go back to feeling worthless and sad. I have people trying to minimize the way that Im feeling and I dont know what to do. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for using Chat Doctor. I have gone through your available history. Your symptoms are suggestive of depression. But Bipolar mood disorder has to be ruled out. You should consult psychiatrist for detailed evaluation. Doctor may rule out physical causes like thyroid dysfunction or vitamin B12 deficiency. You may get benefit by Anti depressants like Escitalopram or sertraline. You should also do stress management and relaxation techniques like breathing exercise and yoga. Thanks. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi,doctor i have a prolem of penis foreskin which doesnot go back when i do sex or tried to push back.if i do the skin get very pain and after sometme the blood come out.And if it goes back and when penis become big in lenght and size it is very painfull at the end of the day i cannot enjoy my sex due to painfull.I was totally worry.Can you help me with some medicine and cream ,lotin or gel that will help me without surgery because i am a dibeatic patient. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, The day thank you for being with Chat Doctor. The best for you would still be surgery either got a circumcision or frenuloplasty to widen the opening so you won't have any problems. For my patients I let them try some ointments such as steroids dexamethasone and slowly dilate the opening soften the skin. 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\|> hi sir,i was diagnosed with rheumatic fever when i was 16. my doctor had asked me to take penidure 1.2 LA injection till the age of 40. i used to take this injection but for the last 4-5 years, i have stopped taking it. right now, i have fever (varying from 100 to 102 F), cough, cold, slightly bad throat, and am also experiencing mild chest pains and breathlessness. what do you make of these symptoms. Should i resume the injection? till what age should i take this injection. I am 30 now. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hellos you stated in you query that your doctor advised Benzedrine penicillin or endure 12 lac unit at the age of 16 years till 40 years. Now you are only 30 years and stopped the injection. In my opinion, you should take these injections for up to 40 years age as this injection are most suitable for streptococcus infection, which is the main cause of rheumatic disease. Now about these symptoms as you mention may be due to some bronchoconstriction caused by some allergy or due to other infection . So take some montelukast+albuterol tablet, once in day. Also take some cough syrup like dextromethorphan + ammonium chloride+chlorpheniramine. Since these are prescription Chat Doctor. Once again for endure, consult your treating physician and get his opinion regarding stopping of <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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, began the pill Microgynon 30 on Tuesday which was the 5th day of my period. My doctor said I would be protected imediatly. So the day after I had unprotected sex, which I know was stupid of me to do, but by then i had taken 2 pills and was under the impression that i was protected. I was on top and i told my boyfriend to pull out but he didn t do it fast enough. I went to the toilet straight after and most of it came out and then there was only a little bit remaining the morning after. The BBC website and NHS website also say that if you take it on the 5th day you are protected unless you have a short ovulation cycle but my periods are irregular usually so i didn t know if i was in that category and many sites seem to be skeptical about it working imediatly on the 5th day . I recently read that if you take 4 Microgynon tablets within 120 hours of having sex and then 4, 12 hours later that is can act as emergency contraception . Being paranoid and panicking about the possibility of getting pregnant I took 4 tablets and i don t know whether to take another 4 in the morning because that would mean only having 7 pills left in my pill pack. And if i do that should i take the 8 pills out of the second pack and then bleed or should i just bleed when i ve finished my first pack. Everyone just told me to take my pills as normal but i couldn t stand the waiting. Please help!! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Welcome to Chat Doctor.First you had unprotected sex on 5th day, and it is not the fertile period, so there are no any chances of pregnancy. The day you started pill is the right day and no need to worry, you have to continue it till complete pack. It will definitely protect you to become conceive. Now wait for next cycle without any worry and if you miss the cycle than go for urine pregnancy test and consult your gynecologist for further guidance. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My 6 yr old has intermitten pain on her left side above her hip and feels sick of he stomach (upset stomach could be from ibs that she has). She has no visible injury and doesn t remember doing anything to hurt herself, could it be the ibs or just a growing type pain? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Yes it can be due to her IBS --if the joint movements in her left hip are free and not painful .IBS causes swelling of the wall of the large intestine and this can lead to pain similarly it can cause the blood Welles to swell up causing pain. The right action to be taken at this point is to have a ESR done to see the activity of the disease and consult a pediatric gastroenterologist and a rheumatologist to assess the periods of activity of the disease. Best of luck. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My husband was sitting in bed eating. He turns ovr vomits, then falls off bed unconscious. He didnt show any signs of choking, or gasping for air. It took me several minutes to make him come to. He said he was joking is this possible without showing the usuall choking signals Im really scared its something worse? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> I'm a little surprised you didn't say that you called 911 if you are sure he became unconscious which is usually not hard to tell. It is certainly possible for someone to choke on something without making a noise, but usually a witness can describe other things happening such as a sudden flushing in the face and the person themselves usually becomes desperate and may even thrash about trying to dislodge whatever they are choking on. I think you need to get your husband evaluated as he may have had something else happen that caused that entire event. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My 5 yr old daugther just fell climbing on her sisters toddler bed. She fell on the side rails and when she fell, she fell between her legs. She has very very light blood spots in her panties and when I attempted to look I couldn t really see anything and wiped her with a wipe and there were just a few dots of blood on the wipe. Should I be worried? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Brief answer :Perineal injury can occur. Detailed answer :Hi, welcome to Chat Doctor. Since, your child has injury between legs and a red spot is there in the panties which indicates bleeding and injury. Sometimes, Perineal fracture, urethral injury can also occur. I suggest you to see a surgery specialist for examination and further treatment. I hope this will help you. Take care. Regards - Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am 47 years old and having chemo for breast cancer. I have had 2 of four sessions. I seem to have the worst tast in my mouth all the time. Even after I brush and rinse, as soon as my mouth starts to salivate it gets gross. Everything I eat or drink tasts gross. Is there good home remodies out there? I did try the salt and baking powder. That did not seem to help much. According to my doctor we got all the cancer, we caught it early and the chemo is to try not to get it back. My cancer was hormone receptive so they have taken me off my hormone pills I have been on for the last 6 years. So now I not only have a gross tast in my mouth I am hot and sweaty all the time. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Greetings madam. Its unfortunate that you are being suffering from Breast cancer and on Chemotherapy. Nobody can prevent it until & otherwise detected by regular screening at Hospital / Breast Examination(either Self at home/ healthcare professional at hospital). So Don't worry & create yourself unwanted disturbance to your mind. Just Relax & divert your activity apart from thinking about that as treatment process is going on & it takes care of the condition. Then now coming to your problem, all chemotherapy have those side effects & It's difficult to avoid that. I would like you to follow certain instruction as home remedial measure which are as follows: For increase sweat:→ Have only Cold showers while bath and avoid to the maximum a hot shower.→ Maintain your personal hygiene & use proper soaps.→ Excess Sweat are due to hormonal fluctuations of medication & to avoid that Chat Doctor. , minimum 8 glasses/ day preferably boiled water. For Bad taste in mouth:→ Eat things like Salads, boiled vegetable curry, fruits, Soups or what ever nutritious food you like more, which provide you energy for combating your problem & never starve to make condition worse.→ To avoid bad breath, i advice you to use mouthwash (containing provide iodine) 3 times/day. If that taste of mouthwash is not ok for your try out Mouthwash containing Chlorhexidine. → Take other medication as prescribed by your doctor. Hope I tried my best & 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\|> hi, I am 31 weeks pregnant and I had a really bad pain on my upper stomach to my belly button, it felt like a menstrual cramp but more intense and today i experienced it again in my lower stomach. the baby is moving like normal.. is this normal? or what could it be? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi! Good evening. I am Chat Doctor answering your query. If I were your doctor I would go for an ultrasound of your abdomen to rule out any intro abdominal pathology like a gall stone disease not uncommon in getting precipitated during pregnancy, and also rule out by physical examination any chances of an appendix infection which might cause pain higher up at this stage. Apart from this, the ultrasound would also let us know the position and well-being of the fetus, and the placenta as well. Further management would depend on the results of the physical examination and the ultrasound report. 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\|> Hey, just last night i realized this grey almost rotten mold area in my high upper gum. I actually picked at it a little just now and its a hard grey looking growth, i was able to move it and actually take a side of it out but it seemed like it extended into my gum a little further so i didn t risk pulling the entire thing out and i dont currently have tweezers. Any idea what it could be? Its really freaking me out and I m probably going to call a dentist tomorrow. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello and welcome, is your teeth decayed?or the gum is grown into the decayed area. Then it may be pulp polyp or gingival polyp. Pulp polyp is a unique form of pulpits wherein the inflamed pulp, instead of perishing by continued suppuration, reacts by excessive and exuberant proliferation.it involves teeth with large, open carious lesions.a pulp so affected appears as a pinkish-red globule of tissue protruding from the pulp chamber and not only fills the carries defect but also extends beyond. The lesion may or may not bleed readily, depending upon the degree of vascularity of the tissue and epithelialization. The involved tooth have an excessive blood supply because of large root opening. This may persist as such for many months or several days. The condition is not reversible and may be treated by extraction of the tooth or by pulp extirpation. Regards Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My cousin was diagnosed with AURI but she said shes not taking her medicines bec she believe that it could damage her kidney ,she just took herbal and fruits ...i wonder if it really cure her infection bec before she also had shingles ..pls i need your advice <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. Yes, upper respiratory tract infection (URI) can be treated without medicines. Most common cause for URI is viral infection. And most of viral infections are self limiting. You just need to Chat Doctor. You will be alright with all these in 1 week from URI. So don't worry, she will be fine. Hope I have solved your query. I will be happy to help you further. Wishing good health to your cousin. Thanks. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, i have regular cycle which is 24-28 days. Now, its day 38 but i still dont have my period. I went to the OB today and the urine test says its negative. She prescribed duphaston to be taken twice a day for 7 days. She says the reason that i still dont have my period yet is due to hormonal imbalance. I am still confused because ever since I got my period at the age of 12 and now im 32, i have a regular period. This is the first time that my period was delayed. My husband and I are trying to conceive for the a year already. please help clarify things for me. I am also scheduled to take an xray as required by my new job. My OB said its safe to get an xray as Im not pregnant. Should i wait for 1 more week and take a preg test before taking the xray? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> helloThanks for your query. Once in a while, it happens that periods get delayed for no reason (mild hormonal imbalance).stress, anxiety, travelling and change of place, weight loss, thyroid hormone problems, polycystic ovaries etc. also can cause menstrual delay. Yes, I would ask you to wait for your periods in fact, before taking the x-ray, as sometimes, delayed conception might occur. Finish the course of phaeton, and if you do not have with Chat Doctor. 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\|> The left side of my neck keeps swelling behind my ear off and on. My urine is dark and cloudy. I sometimes have pain in my lower left side near my kidney and in my abnominal. Im tired ver easily.. my SLE. Lupus has been in remission for 25years . Is this a flare up. Yes i have came across several rashes <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Dark and cloudy urine is indicative for urinary tract infections. I suggest running a urinalysis and abdominal ultrasound for further evaluation. I also suggest getting evaluated by an ENT specialist to determine whether the swelling behind your left ear is an infected lymph-node due to ear infection or other underlying problems. Until the results of tests are in, I strongly suggest to: - Chat Doctor. Rashes you are having could be related to SHE relapse for which should further evaluated with rheumatologist. Wish fast 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\|> i have pain in my testicals ...it is that i am feeling pain in my weist also at same time in both sides. . past 3 days on words i am with my girl at evening times .... yesterday i kiss him at that time i dnt have pain but after that very much pain in my testicals ... 2 to 3 hours .. please tell me suggestion <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Pain in the scrotum can be the result of serious conditions like testicular torsion or a sexually transmitted infection (STI). Ignoring the pain may cause irreversible damage to the testicles and scrotum. Often, problems with the testicles cause abdominal or groin pain before pain in the testicle develops. Please consult a doctor in person for physical examination and diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. V. Anand, Psychologist <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 invisalign. Got them off 6 months ago and since then the results havent felt good. Teeth look good but I can feel the tips of the bottom of my top 4 teeth on my bottom lip and it totally bothers me when resting. I saw my ortho and he said i have 2mm overjet and thats normal and theres nothing else than can be done. I feel like there must be a way to make my teetChatDoctorfortable like possibly tilting my 4 teeth in just a tiny bit. I am posting this in hopes you have an idea what can be done so I dont feel the top teeth on my lip for the rest of my life <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, There is a possibility that still the teeth proclaimed, and it can cause the incised edges to touch the lip. If lower front teeth are also joined, then over jet can be normal but still, there can be discomfort or misalignment. So my suggestion is to consult an Orthodontist and get evaluated. Proper x-rays need to be taken. If there is a scope for improvement, then braces can be placed to let the teetChatDoctore in proper alignment. 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\|> HiI returned home from turkey 10 july . I have been feeling ill with high temp, chills, sweating, back pain and nausea and have been to see my dr who diagnosed a viral infection. 10 days on i am no better high temp same symptoms. Should i be worried about thyphoid? My face has started flushing and i have an itcy spot on my chestThanks <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Welcome to Chat Doctor, As you are having fever and other constitutional symptoms for last 10 days and the symptoms still persists even after taking the medications. As the symptoms are not coming down, I would suggest you to undergo lab investigations to find out the cause for your sustained symptoms. Your blood and urine test will help us to identify the cause for your symptoms. After diagnosing the condition appropriate treatment can be given to control the symptoms. Thank you. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have Hashimotoss Thyroiditis and my platelet count has dropped to 11,000. I take no other medications except synthroid and lisinopril for HBP. My doctor can find no reason for my platelet drop.He say it is idiopathic. I have been on a high dose of steriods which brought them up to normal for a short time, but they dropped again. Now Im back on the steriods for a while. My last TSH was 46, and I cannot help but think something is going on between the two of these conditions. My TSH has never been this high and I have had Hashimotos since I was 12 and Im 40 now. Please Help! This has only been going on for 2 months and I do not want to and am not ready to give up my spleen yet. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Possible idiopathic thrombocytopenic purpura.2. Continue on steroid treatment and slowly taper it.3. Possible virus infection previously mimicking the same antigen on platelets resulting in antibody damaging the platelets. It seems to be acute ITP. Not to worry, continue steroids. While reducing, slowly tapering is important. If excessive, spleen removal might be necessary to reducing further platelet damage. 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 have severe pain in my mid back and sharp pains in my sides and middle of my stomach, when I press on the place my back hurts I get sharp pains in my front. I am wondering what it could be, I have no fever, had some nausea but not vomiting, and an up and down appetite. It hurts when I take a deep breathe or walk or sit <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi ! Good morning. I am Chat Doctor answering your query. If I were your doctor, apart from a detailed clinical examination, I would have advised you for an ultrasound of abdomen, some blood tests like CBC, serum amylase and lipase, blood urea, serum creatinine, blood sugar, and a routine/microscopic test of the urine. Till the reports come, I would prescribe you a proton pump inhibitor, an anti-emetic, and a probiotic Chat Doctor. I would also advise you not to have food from outside and avoid consuming alcohol/smoking if you do. Further management would depend on the investigation reports and the physical examination. 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. Wishing 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\|> i am an African man of 42 years of age with 104kg weight and 1.63m height. I have this nagging pain in my left arm extending to the left leg. The temperature of the left arm is higher than right arm. I can feel it its hot. This pain is not severe, it is extremely dull but it borders to numbness. It has been continuing for while. Strangely I only feel it at night especially after 22h00. What may be the cause? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, as you mentioned the nagging pain which is at the borderline of numbness. I think it will be due to the nerve impingement. For which I will recommend you to perform some simple neck exercises for controlling the pain of the upper arm. Also by performing the core stability exercises and spine Strengthening exercises will help reduce the same for the leg. As the pinched nerve may always get missed by symptoms and variation one can confirm the same while understanding the MRI which can help understand the extent of the soft tissue .also as you are 104 KGS you need to perform Cardiorespiratory endurance training at a later stage to improve the overall body conditioning. With the grace of God I wish you a speedy recoveryregardsJay 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 wife has some odd symptoms. Two weeks ago she had about 3 days of vomiting and diarrhea. Then 4 days of severly bloodshot eyes (pink eye?). Now she has leakage from her left breast, very sore left hip, swollen right knee, sore ankles and two of the toes on her left foot are swollen. Could this be Lyme disease? Thanks for your assistance. Ian. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Ello, Thanks for writing to us. There are a few facts that I need to know to comment better. I would like to know if she has been trying to conceive, has a missed period or is ovulating now. I would also like to know the duration of the discharge and if there is any feeling of pain or lump in the breast. Ovulation can cause nipple discharge in many and so is an early pregnancy state. A urine pregnancy test reads well when done 3-7 days after a missed period with a fresh early morning sample of urine. If repeated tests done as per instructions are negative, pregnancy is unlikely. Yet, estimation of serum beta-ChatDoctor can give a definite conclusion. I would also ask her to see a specialist for an examination to see if there is anything else causing the discharge. Hope I have clarified your query. Please feel free to contact for further information. I will be happy to help. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 69 yrs old. My haemoglobin content is 10.4%. It has increased from 9 to 10 After taking normal iron tablets with folic acid and vit B supplements for 3 months. Are there any effective syrups or iron preparations that can enhance haemoglobin conten in my blood? I had recently undergone whole body check up. Rest every thing is fine except for this. Can you suggest any iron supplement, please. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, THX to contact us. If I am your treating doctor I would like to advice you that Continue with your tablet of iron. Syrup is somewhat costly as compared to tablets and gives the same results as tablets. If you have to change the oral treatment than other option is you can take the injectables but they to are costly and obviously a painful. But seeing your hemoglobin level it is advice you to take the oral not the injectables. If you have anything else to ask please contact me. Than. 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\|> im a few weeks pregant i think i concieved around the 17th october i have recently been on antibiotics to try and get rid of a sist i had on my left tube and also it has been inflamed when will i be out the danger area of having eptopic and how likely am i to have one <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hallow Dear, If you are already pregnant for more than 5 weeks, and currently there is no ectopic pregnancy, now it cannot form it. You are out of danger of ectopic pregnancy. The ectopic pregnancy happens at the time of baby getting implanted; i.e. around 7 days before you miss your period. Regarding the antibiotics you have to take for the cyst in the fallopian tube: First confirm that it is a infective cyst and not the ectopic. If it is infection, you any take only the antibiotics that would not harm the baby. Tetracycline or its derivatives are to be avoided during any stage of pregnancy and breastfeeding. Your Obstetrician will choose only those antibiotics which are safe during the pregnancy. I hope this clears your dilemma. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 pain near maxillary 2nd molar on left side. Xray showed a large circular space, like an abcess superimposed over the sinus. I have been in bad pain, taking advil 5 times a day. I had o go to soft diet and had horrible headache, TMJ soreness, pain if I touched my max sinus. I wanted the tooth out, since I had a previous rootcanal and crown. I am a dental hygienist. Today the pain is gone with the tooth and I ate more and no advil for 6 hours. The sinus is sore to touch and TMJ still has limited opening. I use a cpap and my left nostril has been dripping for days. I wonder if this is a sinus problem, not tooth. Looks that way now. How can you do a differiental diagnosis?Thanks,Donna T <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Thanks for consulting ChatDoctorRead your query as you have pain near 2nd molar this pain can be due to infection in tooth, it can be due to carious tooth formation of periapical abscess or due to infection at apex of root causing inflammation of floor of maxillary sinus. For this I will suggest you to consult oral surgeon and go for investigation Iowa X-ray or waters view radiograph for examination of sinus. Hope this will help you. <\|eot_id\|>