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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 sir I am having head heavyness at back side of my head for more than 10 months.and i can hear some sound in ears . Her I consult neurology dr. He ask me to take ct scan for cervical Spain . I did it he said every thing is normal.and he prescribe me to take gabapentin 100 . I toke it for 2 months. It didn t work for me . Give me some solution <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, thank you for providing the brief history of you. A thorough neurological assessment is advised. Along with MRI of brain. As you are having tingling sensation in the ears it could be related to the vestibular system and for this an MRI of the brain is advised. Also, the heaviness in the base of the skull is due to tension headache, which can be due to stress or may be muscle tension. For which a thorough neurological assessment is advised. Also undergoing physical therapy for neck region and vestibular rehabilitation should help you avoid such symptoms which you are facing now. In my clinical practice most patients responds well to physical therapy and vestibular rehabilitation. RegardsJay In Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> what is the normal level for men for sgpt. my sgpt is 53 which is changing sometimes little less and little more . what is the reason for this. I had slight jaundice and urine infection, fever some 5 to 6 months back. I was on medication.why it is not becoming exact normal level.I am 51 years old. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello welcome to Chat Doctor. Thank you for posting your query. SGPT is serum lunatic Pyrrhic oxalocetic transaminase, a liver enzyme helps in diagnosing liver functions. The normal levels are 5 - 40 IU/L. Thses liver enzymes are increased in fatty liver, viral hepatitis A, B,C and hematologic Chat Doctor. As you have the past history of jaundice and fever, there are chances for developing liver problems again. I would suggest you to consult gastroenterologist for further evaluation. Hope I have answered your question. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi. I have a blood clot in my right lung post surgery in August 2013. I am now having severe lower back pain and my physician is suggesting that I get cortisone shots. She stated this should be safe for my blood clot because they will not fully anesthetize me during the procedure. I am nervous about getting the shots because of the blood clot. In your opinion is this a safe procedure in my situation. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, it is safe to take cortisone shot while having pulmonary embolism (blood clots in lung). But following things should be noted.1. You must follow your blood thinner medicines. Regular PT, INR report should be done to titrate blood thinner medicine. 2. Make sure your doctor is giving cortisone in the joint and not in the vessels. Intra-articular steroid injection is treatment of chronic joint pain. So it is safe, just make sure that it is intra-articular and not intravascular. And continue your blood thinner 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\|> HiMy 8 months old baby got a scratch from a street dog.I feed that dog regularly.I had come from somewhere and on seeing me the dog jumped at me to show affection and accidently my baby who was in my lap got scratched.There was negligible blood at the scratch.Within 24 hrs she got her first shot of anti rabies vaccine and rest 3 shots would be administered in due course of time and on the 3rd day of the scratch got her anti rabies serum.The ARS vaccine happened on 3rd day because I went to another doctor for 2nd opinion then the doc suggested ARS.I just needed to know have I taken all the necessary steps for my babys safety. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello,first this incident does not sound at all suspicious. You know the dog and the dog showed affection. Rabid dogs are supposed to attack the victim. Since the dog lives nearby and seems to be healthy, watching the dog for 10 days was the right way to go. If the dog developed symptoms then immediate treatment with both immunoglobulin and vaccination should have been initiated. Since you've done both the immunoglobulin (anti rabies serum) and the vaccines, you've done what you could. You can't do anything more than that. I hope you find my comments 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\|> I am 38 Yr Old man. I am having a female child of 5 years old. I am suffering from varicocele problem fully on left side and mild on right side. on having none sperm count i undergo homeopathic treatment for 6 months and my sperm count increases to 25 millions / cumm. and motility 23 % active., volume 3.0 ml ph - 8.2 70% of morphology is normal. whether fertyl 25 helps me to improve my counts . i need your suggestion to get second child. my wife is normal. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hihaving varicocele is the most common cause of male infertility, I would like to know the complete semen analysis report for better advise. If you are having varicocele then you should be more worried about the decreased motility of sperms rather than the sperm count as varicocele leads to qualitative defect rather than quantitative defect, moreover you have sperm count of 25 million which is good enough for fertilization.I would recommend you to start cap.Evian and tab. Lycopene which are natural antioxidants, and they will improve the health of sperms, secondly I would advise you to get operated for your varicocele as varicocele cause States of blood in testis, and it increases the temperature within the testes which causes the sperms to die or deform ultimately causing reduced sperms' motility. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 newly married. at 1st night my husband performed unprotected sex with me. then i have taken a OCP after our intercourse, not before. at the second night i have taken 2 OCP and 1 emergency pill (ipill) without performing any sex. my period occurs 6 days before than my normal period. and its duration was 2 days instead of my normal period duration of 5 days. Does these pill cause either shedding away blood like period? or it is not a matter to be thought? just normal. i am afraid if i am getting pregnant. what can we do for our intercourse without using condom. my husband lives another city for job. every month he will meet me for 1 day. what type of step should be taken for our next intercourse without using condom. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thank you for posting on Chat Doctor The unscheduled bleeding that you have had is due to the fact that you had taken OC pill + also pill - this causes hormonal alterations & hence lining of womb sheds at wrong times. Taking daily contraceptive pill will be best & reliable option for you (as use of condoms is not 100% as accidental rupture might happen) but if you are not keen on it then using long term contraception - like demo injection, every 3 months / implant rod which lasts 3 years will be good option -these methods are fit & forget type & hence user independent. I suggest if you consult a family planning clinic you will get more detailed information. Hope this helps <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I was just wondering it doesnt seem to bother him until I try to put something on it, but my 18 month old has a lot of redness around his anus. I have twins and they exact same diet but its only occurring with one of them. What should I put on it and what do you think its from? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HelloRedness around anus is a kind of dermatitis which usually indicates lactose intolerance. I would suggest you to get a stool examination done for reducing sugar. It is not always necessary that both of the twins develop any disease or symptoms simultaneously. Apply some ointment like Happy nap/Rash free around the anus. Try to keep the area Chat Doctor. You can use Baby Johnson's Napkin for wiping. You can also give oral Zinc syrup as it helps in early recovery of dermatitis. 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\|> DR,MY SON 15 YEARS OLD. NO FAMILY HISTORY OF WHEEZING. LAST ONE YEAR HE IS HAVING THIS ISSUE.ON TAKING ROMILAST B10 HALF TABLET TWICE A DAY HE IS COMFORTABLE. CAN IT BE CONTINUED WILL THERE BE ANY SIDE EFFECTS, OR WHAT IS THE ALTERNATE FOR THIS PLS <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Dear FriendWelcome to Chat Doctor. I feel taking Dominant should not be the first concern. First concern should be that is he having a Bronchial Asthma, Allergic rhinitis or bronchitis. If yes appropriate treatment would be decided. And if not no point in giving the medicine now. I suggest a clinical examination and if required Chest X-ray and Pulmonary functions test. Be sure, get treated correctly. Discuss with us when you get the reports. Good luck. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> 58 year old woman with family history of breast and colon cancer, and has had cancer on her descending colon now presents fatigue, weakness and loss of weight, she has also had uterine cancer and had hysterectomy and also partial colectomy, what is her likely diagnosis <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, dairy have gone through your question. I can understand your concern. Fatigue, weaknesses and weight loss all are related to carcinoma colon. Treatment of carcinoma colon depends on type and stage of disease. Surgical resection of colon followed by chemotherapy is the treatment of choice. 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\|> swelling of left cheek region,lower wisdom tooth removed a couple of years back.The upper 3rd molar fully erupted and impinging on cheek,had it extracted 2 days back.swelling has increased since.could i be having mumps?i hav no fever,pain only if my cheeks are touched <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your query, I have gone through your query. The pain and swelling over the cheek following extraction of the tooth can be of inflammatory origin. Usually this occurs when the bone is cut while removing the tooth or when the lymphatics around the cheek are damaged. This takes around 2 days to recover, nothing to be panic, Complete the course of antibiotics preferably a combination of amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic). Along with this you can take an analgesic with anti-inflammatory Chat Doctor. Do saline gargling. I hope my answer will help you, take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> respected Sir, I am a male, aged 33 years, I have been suffering palmar and planter psoriasis since last 10 years, and I am using topical steroids, recently I have developed alopecia areata very rapidly and diffusely in my scalp here and there, which I have prescribed topical steroid lotion. But it did not help me, then my doctor was prescribed Tricort 40 injection . I am very anxious about my condition, please suggest <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi...thanks for writing here. Let us discuss your conditions one by one. Alopecia errata is autoimmune condition where there is a sudden loss of hair in an area in scalp.Most of the times it is self limiting recovering in about 6 months, but when it is spreading it is little worry. If only 2 to 3 patches are there then you can take injection tricorn 10 mg in the lesion itself, it produces good results and if multiple patches are there then systemic steroids are prescribed either in.tricorn or oral mini pulse therapy. You can discuss these things with your dermatologist. You may continue with steroid lotion along with minoxidil 5% and tacrolimus ointment. Palmoplantar psoriasis is recalcitrant condition, Since you have disease since 10 years you can go for calcitriol ointment, also methotrexate therapy can help you. Always use a mild soap, apply a lot of emollient like Venusian cream along with steroids, always cover areas with thin plastic bags after applying creams, since it increases penetration of 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\|> helo sir im chandan from 6 year(appox) im suffering from stomach problem, many test happened, clonoscopy, test for collitis even but there was nothing wrong............my problem is my stomach is always heavy .not interested in eating stools are mostly thin n paasty like..... i dont use to eat milk, outside foof, jub food, im a vegeterain .............. no blood ever comes from stool, always feeling very week n lazy ..... im realy in very bad situation please suggest me......... thank oyu <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Are there any associated symptom like heartburn, vomiting etc.In my opinion, you are having gastritis. I would suggest you to take Tab Gomez twice daily empty stomach and syrup Genus 1 SF three times a day. And a lot of dietary fibers like salad in your diet, Chat Doctor. Just take this treatment for 7 days. If still not relieved, get ultrasound whole abdomen done. Get a physician opinion as well. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Last winter I fell and hit my head on concrete. I now have a flat spot about 3 inches round on the back part of my head. I suffered from Vertigo a while later and required medication and now a year later having episodes of Vertigo again. Is this from the fall? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms do not seem to be related to the bump on your head. They could be explained by an inner ear disorder like Benign Paroxysmal Positional Vertigo. For this reason, I would recommend consulting with an ENT specialist for a careful physical exam and labyrinthine tests. If an inner ear disorder is excluded the next step would be performing a brain MRI. Hope to have been helpful! Kind regards, <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> SIR, I HAVE TARTER IN MY TEETH . TO REMOVE OR LESS IT & FOR HEALTHY GUMS , MY QUESTION IS - IS ANY TOOTHPASTE FOR TARTER CONTROL WITH HEALTHY GUMS . THANKS & REGARDS KAMAL KHULBE <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hall kamalwelcome to Chat Doctor FORUM tartar/calculus already deposited on you should be removed through scaling using ultrasonic scales. This helps remove your tartar and maintenance of healthy gums in the long run. After this you can go for twice brushing daily with toothpaste containing triclosan, and flossing the teeth regularly. This will be very helpful for your oral hygiene maintenance. Thanks for the concern. Hope I have tried to answer your query. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello I like to know what it can be why i get a lot of pain in my kidney earia when I m laying in bed and the pain is still there about 5 hours after when waking up. After that it is a lot less. I have every year an blood test for my kidney. The result was okay. That why i ask you this because I like to know what it can be. Please let me know greetings Edwin <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello It is not necessary that pain in kidney area is always originating from that of kidney, this can also be associated with other conditions like muscle sprain, degenerative disease of lumber spine, fracture/ infection of lumber spine. Some conditions that cause pain are stone impaction in ureter, pyelonephritis, bleeding de to trauma, polycystic kidney disease, interstitial nephritis. You should undergo through some investigations like X ray USG of flank area, nuclear scan of kidney. Consult a surgeon for further evaluation. Thank you for consulting 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 bent down picking up my sons clothes from the floor, as I was coming back up I hit my top head on the corner of my marble sink very hard. The spot is hurting midly and seems a bit softer than how it felt before. Should I seek immediate medical care? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> If you develop symptoms of significant dizziness, nausea, vomiting, or start to feel unusually tired or sleepy then, you should seek immediate medical assistance. From what you are describing you suffered a nice thump to the head but nothing else. Your symptoms are not consistent with any form of traumatic brain injury. Call your doctor and set up an appointment. You seem to have developed a small bruise on the scalp or contusion. Consider placing an ice pack on the head for the next 48 hrs. And you'll feel good as new. Don't come up so quickly in the future when you bend down. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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, all around my head i feel heavy, my neck, got pain in my wrigth hand and leg as well. most of the time got pain and sometime heavey top left side of my head and feel like i`m falling on one side. before one week i had very painfull in my head, i couldn`t go to my work. THANK YOU VERY MATCH, I DONT GOT CREDIT CARD <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, As you have symptoms of pain first thing to advice is to use the cervical soft collar then rest and hot water fermentation. Due to headaches there might be symptoms and needs a proper neurological assessment. An MRI brain and cervical spine are needed to comment more on the present symptoms. In most cases, there are no major pathologies but to rule out is always guided. Arrange a physical meet-up with a neurologist, so he can assess and guide you better. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I just fell on the ice today skating with my kids and I landed directly on my chest. It knocked the wind out of me for a moment and now it really hurts from my left side of my chest to my back. It really hurts when I bend over on my left side of my chest. What can I do and what is wrong? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. You are having blunt chest trauma due to fall on ice. Following are the possible complications of blunt chest trauma which can cause symptoms, you are having. 1. Rib fracture2. Pulmonary contusions3. Pneumothorax4. Muscular injury better to get done chest x-ray to rule out all these. If chest x-ray is normal then no need to worry much. You are having muscular injury only. So try to follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting. 2. Avoid strenuous exercise. 3. Avoid bad posture and movements in sleep. 4. Start painkiller and muscle relaxant. 5. Apply warm water pad on affected site. Don't worry, you will be alright. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am a 44 years old woman. In my last check up my blood test came back with some liver enzymes in a high level: Alkaline phosphatase 136 u/l, ALT 42 u/l and Bilirubin 1.4 mg/dl . My cholesterol was 222, my Non HDL cholesterol 161 mg/dl and my triglycerides 245.. My height is 5.7 and I was 154 pounds at the time of the test. I am eating a more healthy diet now and my weight went down to 143. My goal is to reach 135. Tomorrow I am having a sonogram of the abdomen area to check for gallbladder stones since a lot of people in my family has this condition. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, dear. I have gone through your question. I can understand your concern. Your cholesterol levels are not much higher. Still if you want to reduce it then you should take low fat diet with high amount of polyunsaturated fatty acids. You can take Chat Doctor. But it is prescription medicine, so you should consult your physician and take it according to his advice. 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\|> Hi Docs,My daughter 36 weeks birth, ~ 2.2 Kgs now and one month now is having grade 1 acid reflux. Every couple of hours she generally clenches her fists and her eyes are stuck on one side with the legs straightened. She is on Lanzol (once a day) and Domstal (1Ml three times a day). She is having gas all the time, any thing I can do lessen her pain... Thanks in advance. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Preterm babies often have laxity of muscles including that of the lower end of the food pipe which may cause the stomach acids to reflux. The acid is otherwise essential for the digestion of the food. The solution is not in giving Landon although Coastal may be given. The main solution is proper burping of the baby. Hold the child erect on your lap for around 20 mins after each feed. It should take care of the problem. If you put down the baby on the bed soon after the feed, reflux is not unusual. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 65 year old with radical right nephrectomy in 2012. Today, I was scheduled for 4 tooth extractions, however, my dentist turned down as my creatinine was 1.47 today and he needs a consent from my treating urologist who is abroad now and not recheable. Can you please suggest if I can go ahead with the extractions. I am not taking any regular medications now. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi Dear, welcome to Chat Doctor. Understanding your concern. As per your query you want to go for tooth extraction with creatinine level 1.47. Normal creatinine level is 0.5-1.4 mg/DL, and you can go ahead with extraction. I would suggest you to go ahead with one by one tooth extraction rather than having it at a once as it can lead to excessive tissue laceration and could be complicating as well. Chances of healing are impaired in that case. Need not worry. You should visit oral and maxillofacial surgeon once and get it examined and start treatment accordingly. It would be better if consult from urologist is there as he/she is aware of whole situation. 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 had breast cancer back in 2010 and had a lumpectomy I have had fluid in my breast since then my surgeon has drained it out several times now he says the fluid has turned to gel and it is a hard mass in in my breast and he said it is nothing to worry about he can take it off if I want him to but i am not sure what to do. Ireally don t want him to do that. If i don t take it off what will happen. my email is not setup presently. email setup now. YYYY@YYYY <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, dairy have gone through your question. I can understand your concern. You have history of breast cancer. You should go for removal of that fluid filled breast lump and histopathological examination. Furthermore, you should go for this surgery to rule out and residual tumor cells or recurrence. Consult your doctor and plan accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. 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 been having shortness of breath the last few days, went to doc yesterday and BP was 180/90. This was with the 3 antihypertensives I take. Anyway, said my heart sounded ok and lungs sounded ok. No swelling in limbs. Ordered a d dimer and today was told it came back positive and they will schedule me for CT sometime next week. I am on my period now, could that cause this? I had thyroid biopsy about 6 weeks ago now, could that be it? I am prone to worry excessively and am trying not to. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thank you for writing on Chat Doctor. I understand your concern. You shouldn't worry too much. You scheduled for CT which men that it's not an urgency to do it. As a general rule prior to do a d dimer it's been done a prediction score for the risk of pulmonary embolus. I'm convinced that your doctor is suspecting pulmonary embolism. Pulmonary embolic are clots that normal are formed in the veins of lower extremity that travel and block pulmonary arteries. As I see you don't have any pain in the limbs which is a good thing and lowers the risk that you might have thrombus in the lower extremities. You have had a biopsy of your thyroid but the results of biopsy are not shown. It's a great importance to know the results of it. The biopsy may be related to these high d dimer. Periods general do not increase the d dimer The cases for high D dimer excluding the clot formation include infection which increases dimer at high level. Age, whit hit increases somehow and some other causes like pregnancy, trauma, surgery. You just have to wait, and I know is not easy to stay with fear, but a CT is going to be performed and a diagnosis hopeful will come and things can go for better. 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\|> Hi, my son 11 years old was playing basketball and injured his ring finger. Theres is a bruising seen between 3rd and 4th phalanges. I applied cold compress and bandaged together, but he is still complaining of pain. Today is 3rd day, bruising going away, theres no sweeling, should I still X-ray him? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello First I will advise doing x-ray and rule out any unicortical fracture in your finger. According to your history it looks that there is possibility of injury to soft tissue due to injury. If you are having swelling and pain you can strap your finger to get proper rest to joint. And apply crêpe bandage for support and compression. Use ice packs to reduce swelling, inflammation and pain. Physiotherapy with ultrasound and Tens will help you, For early healing you can take Tab Colin [it C] and antioxidant with anti-inflammatory [Tab enzymic plus]. If there is no relief them you may need to consult doctor again. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Dear Sir/Maam,I have Avascular Necrosis on both my hip joints. Stage 2 and Stage 3 respectively. I April 2010 it was diagnosed in MRI. Since then i am asking homeopathy medicines. Now the recent MRI report showed that there is an advance in disease. I want to know will will cow urine therapy actually works for AVN on hip joint and are there any other alternative treatment for AVN apart from surgery.Regards, <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello. The general treatment protocol account to modern med for Avascular necrosis is surgical management. There r many times tested Ayurvedic medicines which I can assure would give u symptomatic relief if not full cure. In order to advice u a good treatment schedule I would need to know more about the symptoms and signs you are having along with duration and severity. Also, the details of the investigations done by 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 had a small pimple like projection on on labia monora, i thought it may get alright by 3 to 4 days, but now it has turned to a small lump and the whole left labia minora is swollen. I feel it very painful to sit , walk and touch. pls let me what is due to and any treatment for this. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, dairy have gone through your question. I can understand your concern. You may have some inflamed cystic lesion or some benign tumor. You should consult your gynecologist and go for examination. Then take treatment accordingly. If needed you can go for biopsy of that lump to know exact cause. 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\|> Hello, I am a 28yr old active female. For the last year or two I have experienced chest tightness. I also started rock climbing about a year ago. I am not sure if this pain is caused by climbing... but I dont think its connected. I was anorexic for about 2 yrs. in college. Since then, I have been healthy - no blood pressure issues. I told my primary care physician about his in September, and he attributed my heart pain to muscle issues. I am still having it, however. Also, I recently have had a lot of left shoulder pain (had left elbow tendonitis last year) and my left middle finger has been numb at the tip for about 2 weeks. This could be a pinched nerve, in my opinion, but Im getting a little concerned since its all on my left side and Im still getting this heart pain. Any thoughts? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out cardiac cause for your symptoms because left sided chest pain and shoulder discomfort are more associated with heart diseases. So get done ECG, 2d echo and stress test (trade mill test) first. If all these are normal then no need to worry about heart diseases. Sometimes, 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. 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\|> I had this lump in the back of my head for years. The last few months it has been hurting badly. It is like a knife going in and out. Also I have been dizzy for the last few weeks and lost my balance a few times. I cannot even walk without hanging on to something. I finally lie down and do not move. I cannot see my doctor for another few weeks. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Respected user, Welcome to Chat Doctor.come have evaluated your query thoroughly.* There are different reasons for lumps of the head. Which may vary from benign soft tissue lesion as sebaceous cyst, others or certain tumors as Osceola or others.* Need clinical examination for the same, evaluation in form of CT or MRI according to the clinical evaluations to decide further line of management. Hope this will help you for sure. Welcome for any further guidance. Regards dear 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 think I have a cyst and Im very scared. Its very swollen and pops frequently with puss and blood. My biggest fear is that its gone into my leg, as it hurts, I can hardly walk and a particular long vein on my left has is popping out and is red, not the typical green my veins usually are. Please help!!!! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for posting you query to Chat Doctor .cyst are fluid filled sac and formed below layer of skin or in the internal organ. Usually they produce symptom depend upon compressive effect on neighboring organ. Cyst are filled with blood or pus only when they become secondarily infected .if you are having any pulsatile swelling it will not be cyst but something else.treatment of cyst is surgical removal, so you should contact to General Surgeon for local examination and then take treatment accordingly. Hope you would be satisfied with my answer. Feel free to communicate if any query.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 a cluster of 3 slightly raised spots on the external side of my foreskin. I also have larger raised patches that are itchy on the shaft of the penis and scrotum. I am 30 years old and sexually active. I live in a foreign country in business so going to the hospital is problematic due to language problems. Any advice would be welcome. Thanks in advance. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello,There are many conditions which can lead to these symptoms. It may be a small sebaceous cyst following infection of the hair follicle, herpes infection, force spot, parasitic infection, eczema or allergic reaction. All these conditions can produce these symptoms, to make the diagnosis you need to undergo physical examination and lab test. Then it will be easy to treat the condition. I would suggest you to consult your doctor for proper diagnosis and treatment. Thank You. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi , I have problem in erection , I could have a hard penis during , but by stopping physical stimulation the penis shrinks quickly specialy if I stands up , I haven t morning ercection for a very long time , is it venous leakage , and if it is , is the over masterbuation is the reason <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Degree understand your concerns went through your details. I suggest you not to worry much. Most of the erectile dysfunction and lack of interest in sexual matters come out of anxiety and lack of knowledge. You are anxious or rather apprehensive about what might happen sexually after marriage. You are worried about your sexual performance. Such worries, rather apprehension Chat Doctor. Nothing wrong shall happen. Have faith and confidence. Stop worrying about future. Masturbation cannot have any adverse effect on your erection, but anxiety regarding health due to masturbation can affect. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hello, m madhavi, intern at JLN hospital, my father is having dull pain at right hypochondriac and periumblical region off and on since six months. pain was prominent before meals.endoscopy was done which revealed esophageal candidiasis and fluconazole*14 days OD was given but pain is still persisting and increasing in frequency. plz guide me about the illness: diagnosis and treatment. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> welcome to ChatDoctori had gone through your fathers history and I can understand your concern towards your dad Madeira, Candidiasis is a fungal infection caused by yeasts from the genus Candida. Candida albicans is the predominant cause of the disease. Esophageal candidiasisPatients with esophageal candidiasis may be asymptomatic or may have 1 or more of the following symptoms:Normal oral mucosa (>50% of patients)DysphagiaOdynophagiaRetrosternal painEpigastric painNausea and vomitingTreatment 1 Esophageal Candidiasis requires systemic therapy with fluconazole for 14- 21 days.2 Parenteral therapy with fluconazole may be required initially if the patient is unable to take oral medications. 3 Daily suppressive antifungal therapy with fluconazole 100-200 mg/d is effective for preventing recurrent episodes, but it should be used only if the recurrences become frequent or are associated with malnutrition due to poor oral intake and wasting syn Chat Doctor. 4 Recommended alternatives for fluconazole-refractory disease include itraconazole, voriconazole, caspofungin, micafungin, anidulafungin, and amphoteric B. I hope I have cleared your query thank 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 grand daughter is 16 years old. She recently lost her father after a 3year battle with cancer She has been in two psychiatric facilities. She has been home in a private day school for the last six months. She is still giving her mom my daughter a difficult time. She wont take her meds and is mistreating her brother. She doesnt want her mother to have any social life. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Degree understand your concerns went through your details. From the given information it is evident that your granddaughter is not out of the threshold of the traumatic mental shock she received due to the death of her father. She should continue getting her treatment through psychiatric facility. She is only 16, and therefore she should be encouraged to lead a social life instead to keeping her indoors. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have chicken pox , i am 16 and i have had it since last week but the blisters started showing up yesterday and now im covered in them, the only problem i have is i have a chest pain and cannot sleep because of it i run out of breath easily and heavily breath most of the time depending on how bad it is.. any advice on how i could take care of my self? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for contacting ChatDoctorI am sorry to hear that you have contacting chicken pox at the age of 16. Chicken pox is a childhood disease that is usually self limiting and has little complications in young child Chat Doctor. From your description I am concerned that you may have pneumonia in addition to your chicken pox. I recommend that you seek medical attention. Hope I answered your question. Please contact us again with your medical concerns <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Klebsiella Oxytoca has been diagnosed from a j-tube site, drs know nothing about this "bug" im also a brittle diabetic with triopathy, severe gastroparesis and chronic malnutrition, age 26, female 5 foot 5 weight is 92lbs can someone PLEASE help me have had a fever all day today of 100.9 then had a drop to 94.6 about an hour ago <\|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. This is the stent associated infection advice you should do culture and sensitivity from the J tube. This will tell us more about the sensitivity pattern of the organisms. Taking Chat Doctor. Please maintain good hygiene locally. This is equally important in treating the infection. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Doctor, I am 26 years old and have healthy body,my problem is my both breast looks little bit big and unable to wear any tight T shirts. I dont have any pain on it as of now. could you please let me know should i tak any surgery or can solve this problem by taking treatment without surgery. At present i am in chennai i dont know whom i hav to contact. please suggest me. Thanks <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> If you have recently delivered a baby and you're lactating it is physiological to have heaviness in breasts and size also increases because of it. If not, then if you feel that you're uncomfortable with the size of your breasts, you have options of either undergoing surgery in which part of your breast is remove die breast reduction surgery or u can get it reduced using liposuction also. You need to consult a plastic surgeon for his opinion. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 flu about 4 weeks ago .and I got over it ok and nouw I have rely bad chest pain.it feels like I have broke my chest bone.and when I try and move or lift somthing it hurts.also when I cough it hrt and not much mucus cmes of. Can you tell whats up with me its herd to breath as well. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of pleuritic chest pain is more. And it is seen commonly with lung infection and bronchitis. You are also having cough and difficulty on breathing so possibility of bronchitis and lung infection is high. You also had flu infection. And this can also cause bronchitis and lung infection. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is needed for the diagnosis of bronchitis. You may need inhaled bronchodilators, inhaled corticosteroid (ICS) and antibiotics. So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I had a deep cavity filled about 31/2 months ago its my top molar in the very back on the left side. I went back to the Dentist and had an x ray with no sign of infection. He said I probably have nerve damage but its just killing me the pain gos all the way up into my temple and down into my chin. Any advise? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, thank you for consulting with Chat Doctor. Actually sometimes the infection is in initial phase which does not show on an x-ray. If the pain is so severe it proves that the infection has spread to the apical region and because of filling a pressure is getting developed which is causing this problem. Better you should go for a root canal treatment in the tooth as this will Chat Doctor. Thank you Hope it will help you. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I had a cesarean 5 months ago but I don t think that is related. I had a 24 hour stomach viruses yesterday and now I have what feels to be gas bubbles in both my shoulders, at the tops, where they juncture with my neck. It only really hurts when I breathe in deep or laugh. How can I get this pain to go away? I have been rotating my shoulders but that doesn t seem to be helping. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi welcome to Chat Doctor ... This type of pain on breathing can occur also from viral muscle ache or from musculoskeletal pain..... But before that work up needed to rule out cardiac and respiratory causes..... 1.auscultation 2. EKG 3.chest x-ray 4.CRP etc.... According to cause further treatment given... If infective etiology than antibiotic might be needed... If no significant cause found than ibuprofen needed for muscular pain. Take Paradise :Pulmonologist consultation for examination and further work up... Hope this will 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\|> My 6 yr old daughter has had a ever for 3 dats now almost reaching a temp of 104. I took her to the ER and they said its probably viral, but the fever isn t staying down. Then she is telling me her stomach feels weird and doesn t want to eat. What is wrong? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> It's called award in Ayurveda. If other medicines are not working pl give her water/ tea/ milk boiled with Holy basil leaves and may also give her 1/4 tsp turmeric powder once a day with water or honey. Duchy powder (Diaspora Cordelia powder) is also a choice to add. Anyone or two or all may be started on availability. There are capsules also available Tulsa (Holy b.), Hard Chat Doctor. ), Duchy of Himalaya herbals. There are no side effects. These are natural. Can be given with other <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am a 37 year old female. I m a diabetic and have had a very mild heartack in Oct 2013. I ve also had a stent. My left upper shoulder is hurting over to my collar bone just below my left ear and feels sore under my arm and the far left side of my breast. My bp is 128/82. What could be causing this? Its not exactly a pain just more of a soreness. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have severe shoulder blade pain and high blood pressure. Well there can be many reasons for symptoms you mention in query like bursitis, tendinitis, cardiac condition like angina, cervical spondylosis or wrong movement. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order CT scan, x-ray or physical examination like movement of shoulder. Doctor may prescribe muscle relaxant, anti-inflammatory, vitamin supplement for quick healing or recommend physical therapy. Doctor may also refer you to cardiologist in case of angina. For now give proper rest to shoulder, apply warm compresses and take ibuprofen or acetaminophen for pain. Hope your concern has been resolved. Get Well Soon. Best Wishes, <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi...the skin around my nose keeps drying..the dryness is so severe that it starts peeling...it started with skin on the nose folds...and then it has spread to nearby areas on my cheek..and a little bit on my chin....if i apply Moisturiser the dryness goes away...but it comes back again the next day...and this has causes a red stain on my infected skin as well...can you advice me ? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello. Thanks for writing to us at Chat Doctor The Chat Doctor. Seborrhea dermatitis is an inflammatory condition of the skin which classically involves areas rich in sebaceous glands like scalp, face (eyebrows, glabella, nasolabial folds, chin etc.) and chest/pre-sternal area. Itching is usually a symptom. If I was the treating doctor I would have asked you to apply a mild to moderately potent topical steroid e.g. demonize 0.05%, twice daily for a few days. Seborrheic dermatitis is a steroid responsive condition and steroids bring immense improvement in this condition. Since seborrhea dermatitis can recur therefore it is important to be on a maintenance regime to sustain the improvement achieved with topical steroid. Topical immunomodulators such as tacrolimus Or pimecrolimus are effective in maintaining the improvement achieved with topical steroids. This is all the more important because steroids cannot be used on face forever I would suggest that you visit a dermatologist in your region for a confirmatory diagnosis. Your dermatologist may ask you to use a topical steroid initially for a short duration of 2 weeks and thereafter may taper them to once daily Or alternate day application before finally with <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 was pushed into the top end corner of a couch and bumped the side of my hip. Its just above the hip bone and theres a hard lump like 12 centremetres long going across. Im worried because on the first day i got it i couldnt pee,poop,cough light with out it being so painful im scareddd! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Welcome to Chat Doctor. Looks like you have got a hematoma (blood clot) following the bump. It occurs when there is an injury to a vessel following trauma, leading to collection of blood in the region. It will get absorbed slowly but will take a few weeks in this process. You may take painkillers for your pain. But keep a watch over the swelling, and on case it becomes more painful or red you will need to get it removed, as that means that it has got infected. Hope I have been helpful. 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\|> A 13 year old freshman complains of pain in his right knee. You note a raised area on the anterior, proximal tibia. Edema and pain are present at the same spot. You have him do a deep knee bend and note he has difficulty standing up. What is the problem? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, This seems to be a case of patellar tendinitis, or infra patellar bursitis. It is an inflammatory degenerative condition. All you need to do is to prevent excessive knee flexion (bending) avoid squatting, heavy weights lifting with knee in flexion, excessive stair climbing. You need to do ice fomentation twice or thrice a day, and local physiotherapy in the form of ultrasound therapy should be good. Take care. Hope I have answered your question. Let me know if I can assist you further. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am 51 years old in relatively good health, except for heart palpitations and anxieties. night before last I woke up feeling a little queasy and weak, the next morning I was belching what I had eaten the day before. I went to the bathroom 4 times successively that morning. Last night I had cramps and a slight queasy feeling in my stomach, I went to the bathroom this morning and did a small but regular stoll, felt better after. Now I have eaten only chicken and rice soup and applesauce and toast with ginger ale. The cramps come and go especially after I eat, and I cant pass gas or very little and cant go to bathroom even thought I feel I have to. I am belching Ok. The only change is that I started taking digestive enzymes about 1 and a half weeks ago. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Increased heart rate & 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 & 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 & thyroid function test to see for any associated abnormality if any. Looking at your symptoms, you also seem to have gastritis. So you can take Tab Pantoprazole 40 mg once daily before breakfast. Thanks Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I fell during skateboarding. Did not notice my wrist was swollen till I got home. it s been almost two months now. my right wrist has full rotation. it only hurt when I put weight on it. the pain is located near the styloid process, on the medial side on my wrist. it doesn t seem to be getting better. It is also noticeably weaker and feel restrained compared to my left wrist. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, I have studied your case, and you may be having fracture of the wrist joint. I would recommend you to visit an orthopedic surgeon and see if there is any old fracture. Also, if there is any inflammation of the tendon sheath. This can also present with such symptoms. I would suggest you to apply hot water fomentation and compression bandage. This will take care of this pain for time being. After x-ray and clinical examination you can go ahead with final management. I hope this answer will be useful for you. Let me know if there is any other followup questions. 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 have some type of asthma attacks. My work is at night shift. If asthma starts, it will cured with the use of some antibiotics and inhalers. Is there is any medication for the disease not come. Is montelukast 10 mg is useful. Give me an answer. Now I am using Monelukast 10 mg + levozetrizine 5 mg (over the counter) and taking every evening, is that helpful. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi and thanks for the query, Asthma is a disease classified as a chronic obstructive bronchopneumopathy. This means that it stays for a long time, and also has an inflammatory and allergic aspect. Family history and specific diseases like acute bronchiolitis in childhood could predispose one to getting asthma. Once it is there, there is no magic one Chat Doctor. However, there is a particular sternal 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 doc my age is 23.its my third year of marriage.till now i dint get pregnancy.we went to doc ,we used medicines but no use.my doubt is my mother in law got pregnent after 7 years of her marriage.could u olz tell me if this heridity problem will come to my hus and we also have the same problem? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HelloHowever, there may be many reasons of INFERTILITY in male and female. In male azoopermia (oligospermia) is one of the most common reason and I have seen that this problem is a hereditary problem, but it is not scientifically proven. This may be the reason of delayed conception for your mother-in-law. Same reason may be in your case also, but before any judgement your husband must be examined for SEMEN analysis. You should get an ultrasound of Fallopian tube, uterus and also hormonal test for yourself. Get in complete fertility test and thereafter deal accordingly. Hope you will get good result. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 ptsd from severe abuse childhood to adulthood. If woken i startle and have a sharp intake of breathe and may kind of cry out. It also happens if someone knocks on the door, some loud noises etc. I am on several meds for anxiety depression ocd. will it ever go away? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi dear, PTSD is one kind of anxiety disorder, and it completely goes away with proper medication and other therapy like psychotherapy. So for best result in anxiety and depression both medication and psychotherapy use is much useful then either alone. So discuss with your treating doctor for psychotherapy. On which medication you are and how much improvement you have with medication?there are medication which acts on OCD depression and PTSD like SSRI, SARI, NASA group of medicine. 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\|> There is right mastoid air cell partial opacification. There is no evidence of a nasopharyngeal mass. There is mild bilateral maxillary sinus mucosal thicking. My results. Including multiple supratentorial white matter foci of increased T2 signal in a nonspecif patern. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello Welcome to Ask a doctor service. I have reviewed your query and here is my advice. It is the nonspecific type of appearance that does not indicate any obvious pathology, but it needs to be correlated with clinical conditions or condition, you have not provided the basic information like chief clinical complaint for which the MRI being done, you have not provided the age and gender in absence of this bit difficult to comment in specific, your detail query will be appreciated. Hope I have answered your query, let me know for further assistance. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 was diagnosed with mono about 6 weeks ago....I am still very fatigued and out of it but my main concern has been the progressive but gradual swelling of the right side of my face and both of my eyes. My forehead has also now started swelling and it is very concerning. I had an MRI done of both my brain and sinuses and it was all good with no signs of tumor or swelling of the brain. Is this normal with mono? And how long until these symptoms will start to fade? thanks <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, I understand your concern. I am Chat Doctor, Infectious diseases specialists, responding to you. No, such symptoms are not common with mono. You should be thoroughly examined by for such a swelling. Continue the medication prescribed to you till that time. I think it will be a week or that to complete the diagnosis. I will be glad to answer your further query. Thank you for your contact to Chat Doctor. Wish you the best health. Thank you, 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\|> My 5 year old daughter had fever for last 3 days , I was giving her meftal syrup and cepodem 100 for her cough. Today, though she doesnt have fever, the cough seems worse and she is not able to sleep with the constant coughing. In fact she puked twice and took out a lot of phlegm. She also has a runny nose. Please advice what can I give her for the cough , will sinerest help? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Has she ever had wheezing earlier? I think with the upper respiratory tract infection still laryngeal edema and other upper airway edema has not settled. That is why she is having severe cough. Only having antibiotic is not enough. She needs bed rest, an antihistamine like loratadine, small about of bronchodilator like terbutaline, and a steroid like dexamethasone. Plenty of warm water and gargling throat using pinch of salt added warm water will also help relieving cough quickly. If your daughter is a wheezing better to nebulize once and give child the loratadine, terbutaline and a steroids.also. It is ok to give sincerest to relieve nasal congestion. Hope TTI s helps. Thank you. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hi..i m geting a pin prick type of pain in my left lower side of abdomen as well as on the left lower part of back since 2-3 days. pain is not continuous. pain occurs 3-4 times in a day and exists hardly 1 minute. few days back i had burning sensation in my urination.i had done urine test and the report is like this:appearance: hazyprotein: detected(trace)Nitrite: detectedWBC: Large in nosBacteria: detected,moderateNote:i was having my period when i gave the urine sample.please give advice... <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello. In your urine test bacteria are detected. By the positive analysis and your symptoms is recommended take antibiotic. Before taking antibiotic you must collect a sample of your urine and give the doctor for realizing a urine culture(detect the bacteria that cause infection and antibiotics that kill bacteria). After giving the sample to the doctor, starting empirical treatment, pending culture results. Fosfomycin or Cefuroxime are Widely used in the treatment of lower urinary tract infection. Please consult your local doctor for a prescription. Also tell you that if you have fever, it means that infection of lower urinary tract has progressed to kidney, and therefore you must go to Emergency Service. I wish you good health.(If the answer has helped you, please indicate this) <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> my father has been scratched by a dog teeth in the leg .It was an outside dog so whether my father should take injection or not and what might be the cost of the injection if he takes <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Dear User, 1. Since the dog was aggressive we must assume it had rabies. 2. Even a bite by an animal which is not aggressive, like a cat can cause rabies. 3. I recommend "January Diagnostics" company (5 ml injection) costing 1,780 Rs. It is a good company. It has a Dacha Japan collaboration. 4. Immediately take the course of injections. Do it right now. Thanks for asking, Chat Doctor. www.bit.ly/ask Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> i have been reported by a radiologist tht i have grade 2 renal parechymal disease in my right kidney and im searching for a good nefrologist in hyderabad. The right kidney measures 86/26 mm while my left kidney is normal with measrement of 108/40 mm plz advice me to the best nefrologist in hyderabad. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, dairy have gone through your question. I can understand your concern. You have renal parenchymal disease. You should go for complete kidney function test to search the exact cause, if needed go for kidney biopsy then you should take treatment accordingly. Consult your nephrologist 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\|> My son has had a temp since Friday I took him to the doc he said some redness in the throat gave us antibiotics as a back up as he did not improve we started to give them to him at bedtime on sat he is now complaining that the end of penis is stinging when he urinates he temp is dropping but he still has a reduced appetite should I return to the doc he has amoxicillin. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HiT hank you for asking ChatDoctorI have gone through your query. Your sons' problem is most likely urinary tract infection. A routine urine test can rule out that. Such case I advise antibiotics like definite which covers gram negative bacteria of urinary infection and recommend taking more water. Barley water or cranberry juice helps in alkalinizing urine. Hope this may help you. Let me know if you have any further query. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> i suffered right abdomen pain a month ago, when consulted with the doctor, he said it would be large intestine infection and prescribed me bacillus antibiotics. I got relief from Pain. Now again for past three days, I feel the pain. Can you please explain me why this pain would occur? what is the root cause for this pain? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, thanks for the query to Chat Doctor. ForumMild pain inn abdomen whether it is on the left side or right side, mostly root causes are, Amoebic colitis, Worm infestationRare cause tuberculosis. In your case pain (recurrent) may be due to amoebic colitis, so please have a treatment, anti-amoebic, for whole four weeks. Get in anti worm treatment also. Still you feel that there is pain, then require full examination physical as well blood and U/S. Good luck. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I just had another ct scan, report say the liver show a punctate right lobe 5mm.ive also had a wedge removal of leuft lung in oct and it was stage 1 carcimoa at same time there was a 4mm mass in right lung.does this mean there is cancer in liver now.im also a big weight lose weight 100 pounds now. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Ct scan may be nonspecific for lesions smaller than 5 mm and in this case, MRI scan should be done for better evaluation especially if there was history of other cancer. ALSO, PET scan would be better option. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I had hurt my ankle a little during track last week but I figured Id be fine but today it really hurt so I was kind of favoring it while walking but then I tried to take a normal step on it and it cracked and my whole foot hurt but I figured I was fine but its been killing all day and I noticed my whole foot/ankle was a little swollen at work what do I do <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for contacting. Do hot and cold therapy (take one bucket of lukewarm water and one bucket of cold water. Dip your leg in lukewarm water for 3 mins then in cold water for one min do it 7-10 times) for one week, do less walking. Be careful while stairs climbing, elevate your legs while sitting or lying, apply crêpe bandage. It will relieve the swelling, do active exercises of toes and ankle, don't wear tight shoes or heel shoes. I hope it will help you, and you will find the answer useful. Let me know if I can assist you further. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> lump wrapped around blood vessel next to heart the size of a baseball and spread to lymphnoid on left side. Active. Is this operable & what are survival chances? Suggestions. My uncle is around 65y.o 61 tall,about 180lbs & losing weight. smoke about 40 years. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, dairy have gone through your question. I can understand your concern. You may have aneurysm or blood vessels tumor or tumor arising from soft tissue. You should go MRI it will give exact site, size and spread. Then you should consult cardiovascular surgeon. 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 pain under right arm pit since two months. It spread to left arm pit also. Doctor prescribed gabapentin for cervical spondylytis. Some times muscles just below the arm become tight and some time free. I am also suffering from anxiety. the arm pain not responding to ibu profin <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, If to been diagnosed with CS and on medication now, then I will advise you to start doing some neck muscle strengthening exercises as in CS there might be a change in the normal curvature of the cervical spine which may lead to nerve entrapment and lead to abnormal nerve functions of which you are facing some. Try even the stretching exercise for the upper limb as a whole. If you think you need a help of guiding the exercise prescription you can meet up a physiotherapist for the same and get some learning. Most cases have responded well with conservative therapy in my clinical experience of 12 years. Also, research supports the effect of physiotherapy guided exercises in CS. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am a 62 yo man who suffers severe back pain on the lower right side of my back. Pain is very very severe when in certain positions, particularly when I try to stand up from being seated. Pain is like a muscle spasm and appears to "lock". On occasions pain affect lower base of spine on both sides. Ive had problem for many months but has got much worse recently. My doc is largely puzzled but offers paracetamol. can u help? ...SB <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, thanks for writing to Chat Doctor. As your pain is occurring only during certain positions and is not present at rest, the most probable reason could be a STRAINED MUSCLE. The general guidelines of management are as follows -* avoid activities which puts additional strain on the involved muscles* Ice packing to alleviate the acute pain* Once the acute pain subsides, Moist heat fomentation is to be done to relax the muscles* Physiotherapy to stretch and strengthen the back muscles* Occasional analgesics & muscle relaxants as needed. 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\|> can costochondritis be associated with mild fever and chills? I had chest pains with fever and chills. I ve had cc in the past, so I took a flexaril. The pain went away, but I had a fever with chills. Now that has resolved, but I m left wtih a dull heavy feeling in my chest. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi thanks for asking question... Noted you have chest pain with fever and chills... You have history of Costco Chat Doctor. Rest is done for it... But as you have fever with chills, so it could be suggestive of acute viral infection of respiratory tract or acute bronchitis like condition if cough is present... At that time CBC has to be done to look for lymphocytes or necrophilia. Symptomatic management done. And if needed antibiotic given.... Just now you are recovering so no need for worry... Rest is done... If your condition increasing then you should consult doctor for your physical examination esp. Auscultation... 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\|> What is best way to lower level of inflammation in one s body (elder), to combat knee osteoarthritis, and prevent subsequent damage to other organs and systems, ie. heart and brain especially. I always prefer natural solutions. Thanks so much for considering my question. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi there. Combating inflammation knee osteoarthritis in elderly can be tough, but not impossible. First you have to understand that osteoarthritis mainly arises due to normal degenerative processes that occur with ones aging. So the best way to reduce inflammation and pain is to reduce the factors that cause them. The most important aspect of the treatment that I prescribe to my patients is physiotherapy. Not only does it strengthen the qua Chat Doctor. Secondly if the muscles are strengthened the surface of the bones that rub against each other and cause pain in osteoarthritis are less prone to do so and the further rate of degeneration comes down. Analgesics can help control acute flares. But like you, I prefer less of allopathic treatment for osteoarthritis and more of exercises. With their muscles becoming stronger they become more confident of ambulating around the house as well. I am not very certain of the extent natural remedies and alternative medicines can help. And rest assured that inflammation arising in osteoarthritis is least likely to affect the heart and brain. There is no correlation. Some lifestyle changes like avoiding too much of climbing stairs or squatting can be avoided. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 been recently diagnosed with H pylori.. i have been give the triple treatment of calithramycin, amoxxicilin and omeprazole.. is dis something very serious and does this have some long term implications etc.can u plz give some detailed information about Hpylori. thnx <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HiT hanks for choosing Chat Doctor for your query. I appreciate your concern towards H pylori infection which normally causes break in the lining of the stomach (peptic ulcer). H pylori is an exceptional bacterium which can survive in the acidic environment of the stomach producing tissue damage result in ulcer. Since this is a bacterial infection, hence antibiotics are used for 2 weeks to kill H pylori. Along with antibiotics Omeprazole is given for a period of 4-6 weeks to suppress the acid production and to increase the healing process of the ulcer. It is not a serious condition, usually triple treatment is sufficient to cure this condition. You must avoid taking Alcohol, hot and spicy foods, NSAID painkiller, smoking, caffeine, carbonated sweetened soft Chat Doctor. I hope all your doubts have been clarified in a simple language,Feedback in this regard is highly appreciated. 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\|> Last night I woke up and went to the toilet, I am on my period and when I tried to use the toilet a sharp pain came into my right hand side. The pain was so bad it took my breath away and I become clammy and my vision blurred ever so slightly. I managed to get back to bed and lay until it went away (an hour later) today the pain is now in my lower right side in my back. I first thought it was my appendix but I am not sure as the pain is mostly in my back rather then the front. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi ! Good evening. I am Chat Doctor answering your query. From the history and shifting of the pain to your back, without a clinical assessment, the diagnosis goes more in favor of a ureteric colic due to a ureteric stone, and/or a renal pain. If I were your doctor, I would advise you to consume sufficient water along with an anti-spasmodic Chat Doctor. Further treatment would depend on the results of assessment and investigations. 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\|> What could be the cause of shallow chest pains? I have pains on my left side seemingly in the surface chest muscle. It has been going on off & on & recently has been getting worse. Any ideas?Height: 5 11 about 130 lbs., 59 years old. Never smoked. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Although not the only cause of chest pain, these heart problems are common causes: Coronary Artery Disease, or CAD. A blockage in the heart blood vessels that reduces blood flow and oxygen to the heart muscle itself. This can cause pain known as angina. AS the pain is involving the left side of chest it can be a pain of cardiac origin. Gastroesophageal reflux disease (HERD). Esophageal hypersensitivity. Peptic ulcers and severe anxiety can also mimic the symptoms however some baseline tests likened mill test 2d echo and lipid profile are advice to rule out the cardiac cause of pain. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have a golf ball sized lump on my right inner thigh (where the thigh meets my testicles) accompanied by a large purple bruise around it.. When squeezed it feels like it pops but nothing comes out of my leg.. When trying to drain the lump I get nothing but blood.. Sometimes a very bright red and other times a very dark colored blood. Any ideas? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, Dear, you need to consult Surgeon, It could be Varicose vein lump or could be boiled with cellulitis. Dual Image Doppler study and physical examination from Surgeon would fix the cause of the lump on the back of the leg. This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> A month ago I was having trouble breathing with pains in my chest. I had a series of test done and all came back normal. I also have a instal hernia and had the endoscopy done. Well, about a week ago, I was still having chest discomfort and my doctor prescribed medium twice a day. Now, I have noticed these small, sore bumps inside my right chest muscle. Im feeling better except now Im concerned about these bumps that hurt to the touch. What could they be? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question completely understand your question chest pain can be due to a variety of reasons whether it be cardiac, lung related or just gastritis, peptic ulcer.in your case as small swellings are present a FNAC of the swelling should be done, and accordingly it can lead to a diagnosis histologically .it seems like these swellings and chest discomfort over ribs is due to Costco 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 7 weeks preg and my OG give me susten injection for a week per one injection for 6 weeks and 200 mg for oral taken. Before i have two times abortion at 6 months and another time is one and half month. Is is safe for taken Susten injection and intake? I worry for my baby, is there any side effect to baby? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, It is considered to be safe during pregnancy. Injection Austen is a natural form of female hormone progesterone commonly prescribed to support and maintain early pregnancy of early pregnancy, and it is also helping to prevent miscarriages. It is not known to cause any harmful effects to unborn baby hence there is nothing to worry about it. Hope I have answered your question. Let me know if I can assist you further. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I have had a cold, mainly a cough since November. It was a cold, went away and came right back. I am not sure the cough ever really stopped. Now I have pain in the right side and back when I cough. I have no fever (I did during the main part of the cold) and my energy level is okay -not great but not terrible. I have to sleep sitting up even with Nyquil. Is there really anything I need to be concerned with? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> From your history as you said cough is present since November it shows it is either infectious origin. You did not say whether it is productive cough or Chat Doctor. Anyway it can be bacterial or viral origin. Now we can try empirical antibiotic and cough syrup for one week. I suggest you to have tab-novacef 500 twice a day for 5 days and syrup-corex thrice a day. Even if you do to get relieved with it, you can get a Chester to visualize the lungs. And the pain on right side back is probably due to continuous 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. I took postinor 2 twice the previous month and I got my period. I then had sex on the 1st of September and I think I was ovulating, so I took postinor 2 immediately. I feel strange,so I did a urine test whicChatDoctore back negative(I did this 8 days after unprotected sex). Please what are my chances of still being pregnant? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Thanks for letting us know your health concern. You are well protected even if you were ovulating during the sexual act as you took the emergency contraceptive pill soon after the intercourse. The home pregnancy test cannot read so soon if you suspect pregnancy. You have to go for the blood test. Also, since you consumed the emergency contraceptive pill several times in recent times, your hormone balance is going to be disrupted and a such, you can expect erratic cycles. Do not use the pill more than once or twice per year. Instead, go for regular contraception. Please get further help from your consultant. 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\|> Dear Drs,My father has been diagnosed with lung and adrenal gland cancer, in which the spreading point was from his lungs. We asked for more than one medical opinion regarding his treatment and basically we have two options; the first is to conduct several extensive chemotherapy sessions and then switch to radiotherapy or surgery. The second was that his condition was very rare that it can be treated by surgery first and then less sessions of chemotherapy can be conducted. I know that the immunity for a person gets very low after having chemotherapy and I am really concerned of him having chemotherapy first and surgery afterwards, so I want to ask which of the two options is a better one? And whether there are any other options for treatment? My father is 63 years old, a smoker, has type II diabetes, and had successful colon cancer surgery in 1983.I would really appreciate your medical opinion in this case and hope to get your answer very soon.Thank you,Tina <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, dairy have gone through your question. I can understand your concern. Hr has lung cancer and spread into a Chat Doctor. Treatment options are surgery, chemotherapy and radiotherapy. According to my opinion first he should go for chemotherapy then afterward he can go with surgery and radiotherapy. Chemotherapy will reduce the size of cancer and decrease the chance of further spread. So it's better to have chemotherapy first. 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\|> Hello I took the day afyer pill on the 22 the same day I has sexual intercourse and we didnt use protection be he didnt ejaculate in me later I started feeling nauseous and dizzy allso my breast hurt and had headaches and im bloated I took a pregnancy test and it came out negative on the 30th could I be pregnant oris this all because of the pill? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello dairy understand your concerned have taken the emergency contraceptive pill on the same day of unprotected sexual intercourse. It is highly effective in preventing the pregnancy if taken with in 24 hours. It has 95-97% effective in preventing the pregnancy. Nausea, dizziness, breast tenderness, bloating are due to hormonal imbalance caused by the day after pill. Pill also cause delay in the period by the 8-12 days.Meanwhile, avoid stress, take healthy diet, Chat Doctor. Hope this may help you Best regards <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> about daily, my 9 y.o. daughter who is half asian and half caucasian, experiences internal hip pain in her right hip. our pediatrician has not been able to diagnose her. he did think it was referred pain after discovering on an xray that she was impacted w/ stool . she began a regiment to help her regularity and it seemed to improve. however, it has returned, though she is regular now. the pain can be relieved by ibuprofen or acetaminophen. she does not have swollen fingers/joints that we can visually see. her hip s range of motion does not seem at all impaired upon examination and manipulation. it used to happen more at night and nowadays it is more in the afternoons. not so much in the mornings. she can get it when she s been sitting for a long time, while walking or running. sometimes she is in tears b/c of the pain. sometimes it is on the other hip. sometimes her knee hurts. she has not lost weight, she is athletic, with a healthy/ normal amount of exercise.for her age. she is in a PE group where she runs a mile, twice a week. i don t know if these symptoms are related, but here are other things that happen infrequently for her--so i don t know if it is associated with her hip pain. sometimes she is dizzy when laying down in bed flat. she often has stomach aches (maybe just food allergies ) right after eating. just the other day at PE, when she ate a meal about an hour before PE, she told me afterward that when they were beginning to exercise, she had NO ENERGY and felt weak, but pushed herself to continue b/c she enjoys sports with friends. i think that day was the day she told me that while she was running, for about 5 seconds, her vision got dark and blue and she stopped running and it soon returned to normal. scary! don t know if any of these things are related. would appreciate any help. thanks. grateful, k <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> ADDING MILK TO CHILD DIET IS MAJOR MISTAKE AND NOBODY THINKS ABOUT ITE SHOULD NOT ADD ANIMAL MILK TO DIET AFTER 2 YEAR AND UNTI2 YEARSBREASTFEED ISREQUIREDYOU CAN ADD JUICES FRUITS VEGETABLES CEREALS ALL THE SYMPTOMS ARE TO MILK ALLERGY AND SLOWLY EVERY SYSTEM IS INVOLVED INCLUDING BONES ADVISE YOU TO STOP ALL MILK AND DIARY FROM DIET NOT EVEN SHAMPOO SOAPS AND CREAMS HAVING MILK YOU CAN CONFIRM BY GETTING BLOOD SERUM TESTED FOR SPECIFIC ANTIBODIES FOR MILK AND AFTER ELIMINATION DIET 3 WEEKS ARE NEEDED TO RECOVER FROM DISEASE <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello Doctor...I am very happy that I have been blessed with boy baby on 2nd April 5:37 pm.Mother and the baby are fine.I wanted to have few clarification on the treatment provided to the baby.The doctor had advised to take blue fin test on 3rd april and test are as follows Free T3 Sample Serum Result 1.03 freet T4- 1.09 and TSH 9.67.Today morning when the pediatrician has advised to keep the baby in the photo therapy and has told us take one more blood test tomorrow morning.My question and want a suggestion from your end the following 1.Is the phototherapy harmful to the baby in any way ? what is the caution to be taken 2.is it fine to to keep taking blood test within the two days of the birth of the baby All i really understand its for the traetment and i am very much confused because i dont have any clarity on this from the doctor side <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi! I understand your concern. The baby had been started on photo therapy for jaundice. The baby may develop a rash due to it, but that goes in a few days. Also using protective covering for the eyes and genitals is required. But treating jaundice is more important than these side effects as high jaundice may cause brain damage. Regarding blood tests whatever important investigation is required need to be done for proper treatment. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I m 76 years old and about 5 days ago I started feeling a really sharp pain on the right upper part of my knee. I ve been limping because walking is extremely painful and if I sit for too long I have to stand and wait a while before I can walk....what might this pain be or mean and what should I do? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, As you are 76 and having pain in the upper part of the knee, have you ever taken an x-ray. Because there should be some degenerative changes of the knee joint and the ligament injuries. Having an MRI or X-ray will be of God choice to understand the pathology. As this pain makes you slow down and locks you up while taking instant movement I will advise you to use the knee brace and do hot water fermentation. Because the muscle spasms need to be corrected, and also the weaker muscles needs support, so the inflammation over the knee joint internal structures do not go high. Also doing some simple exercises like - static Qua Chat Doctor. Additional exercises like straight leg raise on supine lying and side lying will be of benefits. In my clinical practice of over 12 years, most geriatric cases reported with similar pain are advised for exercise in low intensity. They respond well. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 daughter was told that she has baby asthma {she kept coughing very often}, doctor gave me fenistil drop to give her twice a day to open her airways {they very narrow} how long I should keep giving her these drops, obviously she is much better now, but I am worried if I stop the cough will come back <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions as follows:1. Feisty Chat Doctor. So basically they treat nose-throat (upper airway) related cough. They have not a great role in childhood asthma (lower airways).2. If she is not having symptoms, and you have completed the duration of the course suggested by doctor, I would suggest you to discontinue 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 thick clear mucus the back of my throat. Ichoke when I eat and have to go spit it out. This is very bothersome. I don t go out to eat anymore because Im afraid I will choke in front of everyone. I do have many allergies but never had this problem. What can I do. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your concern. Choking in patients with allergy is mostly due to angioedema. It is sudden spasm of muscles of wind pipe and food pipe. Most common cause for angioedema is uncontrolled allergies. So in my opinion, you should consult allergy specialist and get done allergy testing. Best treatment of allergy is identification of allergen and if possible complete avoidance of it. So to know the allergens, allergy testing is must. You also need anti-allergic Chat Doctor. So consult allergist and discuss all these. 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, for the past few days I have experienced a dull ache in the lower abdominal area and around the groin. I have slight feelings of nausea and there is slight discomfort when urinating - no blood is being passed. Is this an accurate description of kidney stones or a urine infection? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, I had gone through your question and understand your concerns. You have already mentioned the two possible causes for your symptoms1. Urinary tract infection is the common among the two but in UTI you will have fever also. If you were my patient I will suggest you to take plenty of water and syrup.catwalk but at the same time I will ask you to have urinalysis done to rule out infection and start antibiotic accordingly.2. If you have stone also you will have similar symptoms as you are not having fever. I suggest you to take a XRAY-KUB to rule out the stone but if you have stone the pain will be severe mostly like a colic. Hope this answers your query. 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\|> In the morning when I wake up i find it haRd to breath as when I do there is quite an intense pain below my ribs (diaphragm) area and stomach when I push gently between ribs in the middle it s very painfull i find a little bit of relief laying on my side but this can also make the pain worse on the side i lay on. I generally sleep on my stomach so i thought it was.probably just that. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Howell come to ChatDoctorI really appreciate your concern such breathing difficulty could be due to some allergic condition may be associated with hyper-acidity, condition can manage altogether and the best option would be "Tab Omeprazole 40 mg with Tab Risperidone 30 mg once in day, this is for acidic problem and Tab Loratadine one tab for breathing difficulty, 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\|> Any information on ADEM,my husband on 50mg prednisone daily for 8wks has had to attacks,right side in July then relapsed in August on the left side,will this come back when weaned off prednisone? YYYY@YYYY realise u had to pay for this site,thought someone would help from the kindness of heart not pocket <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> I read your question, and I am sorry about your husbands' illness.ADAM is a disease which affects mainly child Chat Doctor. Adults comprise only about 3% of the cases (perhaps because some cases are difficult to separate from multiple sclerosis). Usually ADAM responds well to corticosteroid treatment, but about 5% of patients do experience relapses when weaned of the prednisone treatment and also there is a risk of developing multiple sclerosis in the future. However, since as I said adult cases are rare, these figures I just gave must be taken cautiously, because they are numbers taken from studies where most patients were child <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> hello Doctor... my name is rajni singh..age 30 married... its almost 3 yrs of my married life...i m over weighted...my height is 5 ft 7 inches and my weight is 85 kgs.. i had used the contraceptive pills unwanted 72 for about 20 months after my marriage.. my periods are regular...once i had detected for thyroid but now it is absolutely normal... since the monthe of january 2011.. i hv not used any contraceptive pills... my husband is absolutely fine and have no abnormal life style... his age is 32 yrs and we have normal sexual life..we are trying for a long time like almost a year... i want to get pregnant as i know i m running of my age.. kindly mail me what to do to get pregnant .... thanks <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello. Thanks for writing to us. For a successful conception, you need to have a regular sex on every alternate day during your fertile days-day 9 to day 16 of your cycle. Start taking folic acid supplements. In case you still do not conceive in next six months then consider getting yourself evaluated at an infertility specialist. I hope this information has been both informative and helpful for 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 doctor about three years ago I had scans on my kidneys and I was told I had poly on my kidneys which I was told at the time were benign or harmless and I was discharged suddenly this week I am getting a strong itchy feeling under my rib cage both front and back do you think I should see my doctor or do you think it will eventually go away <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, In most cases only close followup is required. You can opt for three monthly follow up with periodic ultrasound scan and renal function test(RFT). If there is no HUN(HY Chat Doctor. Treatment is only required when renal function worsen. The pain may not be associated with your cystic disease, and you can take over the counter available analgesics like paracetamol for pain relief. Hope I have answered your query. Let me know if I can assist you further. Take care <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> im 9 wks pregnant and just went to the bathroom because i thought i was having discharge, but when i wiped and looked at the toilet paper there was blood on it. it wasnt dark or clotting, but i didnt bleed at all with my first child and im really scared now. please help me. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello, I have gone through your query and understood the concern. As per your description, it appears as if you had some fresh spotting. This needs further evaluation. Please contact your health care provider to plan further management. Most often, some subtle bleeds occur within the membranes and this can manifest as spotting. A sonogram of the pelvis, preferably in the trans-vaginal route will help to know the status of the pregnancy. Please abstain from any stressful activity and take absolute bed rest. If there is no more fresh bleeding, the course of the pregnancy is likely to be uneventful now. Take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am female 28 years. I have lupus nephritis stage 4. I am on cellcept 3000. I took one pill of immodium a few days ago to stop diarrhea since I was traveling by plane. I was throwing upon the plane. Since then I have some abdominal swelling and constipation . Could the immodium have affected my kidneys? What should I do? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, it is unlikely that Imodium has affected your kidney. What is your serum creatinine level and has it recently increased. MMF can produce diarrhea and vomiting. Did you recently start the medicine of increase its dose? SHE can affect almost all body organs, what were your involvements at diagnosis and whether you are in remission or active disease. All this has to be considered to find out the cars of abdomen swelling and vomiting. You can follow up with your nephrologist, and he should be able to sort it out for 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 on L5 AND L4 lumber disk.My latest MRI showed that my nerve in my T1 Lumber is inflamed.What should I do? Is it going to heal by it selves or I have to do something about it.I just had an epidural shot on my back.After 10 days I got better, but I know the pain is going to come back.I am 51 years old woman, and I have this pain for 24 years and every year gets worst.Know I am waiting to be seen by a pain management doctor.Can you help me what I should do? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for writing in. Going by what you have written, L4 L5 disc is giving you trouble. This means you L5 exiting nerve root is getting compressed. Further you have mentioned T1 lumbar is inflamed. There must be a mistake in typing, and it looks like you have typed T1 instead of L1. Any ways look like steroid injections are being given to you regularly to keep the pain away. For complete evaluation, for present MRI details are required to know which nerve roots are compressed and to what degree, The disc pathologies also need to be carefully assessed to explain the best form of treatment and whether conservative treatment can continue or surgery is required. Hope this helps. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My mom had a total knee replacement 8 days ago and has severe burning on the front of her knee. It s worse when she s sitting and extends her knee to straighten her leg. She s considering going to the Emergency Room. Is this level of burning pain normal at 8 days post op? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Welcome to Chat Doctor I have gone through your query and understand your concern. You are likely to be having burning pain due to some of cutaneous nerves may have been damaged during surgery of knee replacement. You should also look for other causes of neuropathy such as diabetes and thyroid disease by ruling them out. Analgesic such as ibuprofen for pain relief can be of use. Mecobalamine is of use to reduce burning sensations. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Lost my dog of 16 years, then moved to new location. Within 6 months got broken into and one week later had my care stolen. Had my tenant of 5 years move out and left a non paying tenant behind. Got a really nosey neighbor that won t leave me alone. Turned 60 in September and now feel I cannot tolerate anyone coming over to my home. Went to the doctor and he put me on 20mg of Paxil. Came to the realization that I m an introvert. I also lost my best friend of 20 some years only because I couldn t take his bad temper. All this happened within a two year timeframe. Am I OK to want to left alone for now? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> His had gone through your query. Depression can be treated with multi modality approach. Treatment depend upon symptoms severity. Mild to moderate depression can be treated with medicines like SSRI with psychotherapy. Paxil contains paroxetine and it is SSRI. It is very good Chat Doctor. Other SSRI like Escitalopram, sertraline can be useful. Besides medicines psychotherapy and counseling will help. In your case Psychotherapy like Cognitive behavior therapy(CBT) will help. So consult therapist and go for it. Continuous compliance to medicines will help to recover fast. Still have query then feel free to ask. Thank you. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> I am 10 weeks and just found out via culture that I had a low amount of beta strep b. I am not going to use an antibiotic at this time because unfortunately I break out in a yeast rash on my neck, back, face, and arms from antibiotic use. (so annoying and gross). Can you tell me more about beta strep b and the risks involved during pregnancy? Thanks! <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi there,Since you have strep B infection during pregnancy, you need to keep some points in mind. The worry with group B streptococcus(GBS) is that if present in pregnant women especially during the last few weeks it can be transmitted to the baby during delivery and can cause infection in baby called meningitis and septicemia which are quite serious. So, you need to take antibiotics in labor through the intravenous route to prevent the transmission of these bacteria to your baby. The usual antibiotic given is penicillin, but if you are allergies an alternative is given. It would be advisable to take antibiotic for the strep b infection now also, and you could consider taking it with a local antifungal cream for the thrush, especially if you have grouped B strep in your urine culture. Do remember to repeat strep b culture at 36 weeks, and please inform your obstetrician that you have had this infection during this pregnancy, to make sure you get intrapartum antibiotics to prevent transmission of bacteria to your baby. Hope this helps. Regards. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Im having pain in my right side around my liver or gallbladder=er it comes and goes I lift heavy boxes all day at work off and on , I just had a herinia operation in july and last year I had a hysterectomy done could there be something else wrong now <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello Right sided abdominal pain may be due to many reasons like liver, gall bladder pathology, renal problem etc. It is also important to exclude musculoskeletal cause as you are a heavy worker. It may be due to muscle pull also. You need clinical correlation and investigations like routine hologram, random blood sugar, liver function test, renal function test, urine RE/ME and ultrasound of abdomen. Ultrasound is important in your case as it can exclude many possibilities. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> My mother in Law has copd and is on Hospice care at this time. She is swelling around stomach area, and now water is starting to come out of her nose also. She only has 10pct lung capacity at this time, and no pulse oxygen reading on left side. Are her Kidneys filling with fluid and starting to shut down? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Thanks for your question on Chat Doctor. I can understand your situation and problem. COPD is chronic progressive disease. In end stages it can cause systemic complications like Right sided heart failure, left sided heart failure, pulmonary edema, fluid overload, hypotension and renal shut down. So for her symptoms like ascites (water in stomach), water coming from nose and mouth (pulmonary edema) can be due to Either heart failure or fluid overload due to renal shutdown. Since she is already in hospice care, there is nothing much we can do. But these are not good signs for her. She is going towards end stage disease. Better to accept the fate. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 cancerous tumor removed from the upper part of my rectum in june. I had an ileostomy and in august I was reconnected. I started chemo the end of August and everything was going well. When I started radiation October 2 I started having problems having a bowel movement or passing gas. I was admitted to the hospital with small bowel obstruction. I was given enemas everyday and laxatives to remove the blockage. After being discharged and now being finished with radiation I still cant eat a regular meal or have regular bowel movements. I asking for any recommendations or helpful hints. Thanks <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for writing in. Cancer is a challenging condition and requires long time treatment and support. Since you are having an ileostomy, there is a chance that scar tissue is present after surgery and radiation and this is causing the discomfort in passing normal bowel movements. You have also had an intestinal obstruction and given regular enemas and laxatives. It is suggested that you take foods rich in dietary fibers and this will cause better stool formation and reduce chances of constipation. Early in the morning you can have a glass of warm water as you wake up and this can stimulate early morning bowel movements. You can eat small meals at shorter intervals in place of less frequent large meals. Reduce the amount of oils in your food. Please do not worry. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hi, I am 22years old girl,I have allergy related asthama since 6-7 years now,I have been taking montair lc and foracort 200,whenever I am exposed to dust,air conditioner or I have tomatoes I start sneezing and I have cold almost throughout the year,is there any cure? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, thanks for using Chat Doctor With some allergens such as food, desensitization treatment can cause the allergic response to decrease with time. This treatment involves decreasing the persons' sensitivity to food. With dust, it is more difficult and the best way to avoid a response would be to decrease your exposure. If you limit your exposure to your known triggers, you would have a decrease in your allergy symptoms. If this is not possible then you can use medications to help to decrease the symptoms. I hope this helps <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> Hello. I used to be on the NuvaRing but have been off it for the past 2 months because of problems with express scrips. My period has been off cycle since being off the NuvaRing. A few days ago I started having cramps around the area of my ovaries (especially my right side), and having bouts of nausea . Last night I took a pregnancy test and it came out positive. I have since taken two additional tests whicChatDoctore out negative. Tonight I started spotting a thick brown discharge and having lower back pains. Any ideas on what could be going on? I ve read about chemical pregnancies and am wondering if that is what I am going through? Thank you for your time. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> HI I understood your concern. If you have negative pregnancy tester than nothing to worry, But if you are in doubt with tester than please do following two test1. Blood B-ChatDoctor level- IT will definitely show your pregnancy it shows you are pregnant than do 2. Pelvic USG to locate pregnancy. If everything comes normal, and you are not planning for pregnancy than use contraception such as1 condoms2 cops like T novel on/T felon if you are not Hypertensive/migraine/obese patient3 IUD if you have already a one kid.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\|> Ive been experinencing a lot of neck pain an shoulder pain along with headaches dizziness numbness an nausea. I had a MRI of my neck an my results said I have low lying cerebellar tonsills. The doc didnt know much about this other than I needed to have a MRI done on my brain Im wondering what my next step should be? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, Thanks for writing in. The cerebellar tonsils are the most inferior portion of the cerebellum, a part of the hind brain which is important for motor coordination. Normally, these tonsils are wholly inside the skull. In the case of Arnold-Chiari, the tonsils are low-lying, below their normal level. It can cause severe headaches. You should discuss with your neurosurgeon and see if you really need a surgical decompression or methods to regularize CSF flow from ventricles through the cervical cord. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 an EMT. We were called to the home of an 11-week-old infant boy who was listless and had trouble breathing. The parents said he hasn t been smiling lately and hasn t had any facial expressions either. The baby s eyes were open but he wasn t able to focus. He wasn t ab e to grab my finger when I put it out. His foot fell back on the bed when I lifted it up. Originally, I thought it could be Aspergers but the parents said he hasn t had a bowel movement in three days. We took him and he was admitted. I was just curious what it could have been? Maybe some kind of bacterial infection? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, It could be seizure or shock. As this condition should also be evaluated for child abuse or shaken baby syn Chat Doctor. . For that first thoroughly examination of infant is required. Some important investigations may be needed Like Eye examination, fundoscopy to rule out retinal hemorrhages, Ct brain and bone examination to check out any fracture. Marks on back and arms can be suspected for abuse. Shock can be because of sepsis, or deny <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>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 had pcod and high testostrone. My OBGYN prescribed me Diane 35 (for 3months), obimet sr 500mg for the first 3months. After that she asked me to get the blood test done. When i have done the test i was still having pcod nd testostrone is little higChatDoctore little down after usig the medicine). Later we started for pregnancy and she kept me on obimet sr 500mg and B-long f. This is the 6th month of this course. i have completed 3months of diane 35, obimet sr. now as i m trying for pregnancy and my follicle size was not developing she asked me to use B-long f. And this month (today is 22nd day) when the follicle was 19*18 on 13th day, i have taken the injection fertigyn 10,000 iu and i have taken the scan again on 15th day but it was not ruptured. I have not taken any injection again and havent done any scan and i started taking duphaston from 19th day by guessing that my follicle might be ruputred. And having relation from day 13 itself. Am i going in the correct way? Do i have chances of getting pregnant? Thanks in advance <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hi, You are going in correct way. Chances of conception are 25% per ovulatory cycle. Better option is to induce ovulation with some tablets which your doctor will prescribe. It's better to have relation at least on alternate days OR three times in week, irrespective of follicle size for better chances of conception. Also, ultrasound doesn't detect all follicular ruptures. It's very rare for follicle not to rupture after Foreign injection So no need to worry about follicular rupture. 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 am 19 years old and male. I did something very idiotic the other day. I attempted to abuse cough syrup medicine to try and trip on it. During the experience and severe diaria and shortly after I think I had a severe panic attack or a mild heart attack im not sure as I did not seek medical attention but I would like to know what may have actually happened. The panic attack happened with the symptoms of this. I felt a freezing cold sensation in my feet which rose up my legs and into my chest and armpits. I can describe this similarly to the feeling of when having a catscan I think it is and they inject you with that chemical that makes your groind and armpits feel very warm, except it was freezing cold. Along with that my heart started pounding and I was twitching and trembling. I was sweeting profusely and I had the feeling that I was about to die. I was scared for my life but the feeling passed after a few minutes. I know what I did was stupid and I would just like to know what may have happened. <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Degree understand your concerns went through your details. I suggest you not to worry too much. Don't say panic attack. It was just panic. Everyone gets panic when they fear and their fear overwhelms them. We fear when we walk through a lonely place at night and suddenly hears some sound. Then panic happens. We sweat, heart pounds, goose bumps.etc. That is panic and simply that was what happened to you. Panic attacks are related to repeated panic situation where there is nor real fear or reason. Panic attacks are after math of medium to short term anxiety disorder. Do not self diagnose. If you want to be sure, you can visit your local physician. For more you can post a direct question to me in this website. I shall answer you in detail. For more http://psychocure.blogspot.com/Hope this answers your query. Available for further clarifications. Good luck. <\|eot_id\|>
<\|begin_of_text\|><\|start_header_id\|>system<\|end_header_id\|> You are a helpful assistant helping individuals with their medical queries <\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> In general, a change in a single allele of an oncogene can result in tumor growth or cancer, while it takes two changes in both alleles of tumor suppressor genes. How do you explain this difference? What do these genes code for normally? In a healthy person, what role are the oncogenes and tumor suppressor genes playing, and how do they do it? <\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|> Hello and welcome to Chat Doctor, I will explain to you briefly the difference between tumor suppressor genes and oncogenes. Oncogenes are coded by proteins called proto-oncogenes. Proto-oncogenes are encoded by two alleles. Mutation of any one of the alleles converts proto-oncogene to oncogene. Oncogene is responsible for particular malignancy. The role of proto-oncogene in health is to keep a check on uncontrolled growth of cells. Tumor suppressor genes are encoded by two alleles. Mutation of both these alleles is required for development of malignancy. Tumor suppressor genes in health also prevent development of malignancy. Mutation of these genes may be genetic or is caused by chemicals, physical damage like radiations, etc. Thanks and take care Chat Doctor. <\|eot_id\|>