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<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> i have had a milky green dicharge ever since i had me daughter almost 4 years ago, it is getting thicker and happening more often, i need to change me undies several times a day as they are always wet, it also bleches my undies so i have started throwing them away, when i have intercouse i have pain in my lower tummy and it shoots up my sides aswell, its affecting my realationship but im too embarresed to see my doctor or talk to my partner about the issue, i read up about discharge health and found only bad things about having milky green discarge now im even more worried. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi thanks for your question. The commonest cause of vaginal discharge along with painful intercourse is fungal infection of vaginal. The pain lower abdomen during intercourse could also be due to involvement of cervix by infection. There is nothing to be afraid of. You can discuss the issue with your partner. It is 100% curable disease, nothing to worry. Consult nearby gynecologist who may prescribe you Chat Doctor. Hope this answers 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|> last week I noticed that I had this weird oval shaped thingy with a brown center and a red other ring. Now Ive notice more small red bumps popping up some are staring to look like the first bump. I cant get an appointment to see my dermatologist until last next month. I wen to patiets first the doctor said allergies and gave me a cream, which I thought was just crazy becuase most creams say not to put on large areas. But these bumps are starting to pop up not only on my stomach but my legs as well. Please help!! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello Mia, You are right that it is difficult to put creams on large urticaria eruptions. If these lesions are red and itchy and resolve within hours but start again at different sites (part of body), it is most likely urticaria. Triggers can be : physical (so do NOT scratch), cold/hot induced, stress (makes it worse), occasionally menstruation-related, but more commonly idiopathic. You need long-acting antihistamines like fexofenadine 180 mg AM 90 mg PM plus/minus cetirizine 10 mg lunchtime plus/minus HY Chat Doctor. You may need the treatment for 6 weeks to 3 months depending on speed of resolution. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi my name is heidi I work In a pharmacy which I started 4 months ago ever since I worked their I get jittery nervous ,sweaty hands.before I got this job I had no pharmacy experience and I get really scared to miss up anything I wish my nervous would calm down I just dont know how <|eot_id|><|start_header_id|>assistant<|end_header_id|> Held Dear in absence of your age family background earning expectation past experience my advice is based on small details provided by you if your problems are not solved revert to me if you want further opinion please provide details as above As a person dealing with behavioral science I can assure you it is normal for the person to feel as you are feeling in the start of new profession or work. You need to put you best so that you're earning and satisfaction level may improve from your shop join stress management program take up relaxation exercises start interacting with friends and family All these will improve your behavior For immediate help get in touch with a psychiatrist who will give you some nerve soothing and mood controlling Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi ,Can head tensions be accompanied with hypertension /? I went to the emergency yesterday . My blood pressure was 168 /108 . I had pain at the back of the head. The doctor told me it is head tension. But I am concerned about the levels of blood pressure. Does head tension increase levels? Thank you <|eot_id|><|start_header_id|>assistant<|end_header_id|> I have gone through your question and Appreciate your concern. Blood pressure is common problem. Accumulation of cholesterol in Blood vessels lead to hypertension. Head tension stress also can cause Hypertension. Sedentary lifestyle junk food and stress All can lead to hypertension. Get your cholesterol levels checked. Continue your antihypertensive medication Along with lipid lowering Chat Doctor. Exercise regularly. Healthy food like fruits and vegetables Should be taken. Thanks. U can write me back for any 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 hav been recently suffering from fevour & irritating coughing from past 1& 1/2 week,i hav consulted a leading chest specialist,who gave me maxzone 1gm twice a day,dexona once fr three days,treatment lasted fr a weak along with budsol & mucimac nebulisation,now two days back he changed the tretament to rubimentin & dozoride(dozroride). now i am nt able to tak & cough regularly otherwise being okay,plz help me <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello dear, welcome to Chat Doctor.come have evaluated your query thoroughly.* You are on perfect line of management , along with that additional guidelines for better recovery-Maintain HY Chat Doctor. - Consume balanced, nutritious diet.- Regular walking in fresh air, deep breathing exercises, YOGA.- Avoid exposure to dust, pollen if needed to use triple layered face mask-Avoid smoking, alcohol if using.- Gargles with salted lukewarm water added peppermint oil 3 times a day- Antipyretic as paracetamol as and when required.- Keep regular follow up with your doctor. Hope this will help you for sure. Wishing fine recovery. 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 have just suffered bulging discs in my cervical spine at the c5/6 and c6/7. Having lots of nerve pain through my neck, right shoulder and arm. Cannot sleep. Do you have any suggestions to help. I have just started taking neurotin in the last 24 hours. Not helping so far. Movement feels the best, but they have suggested not using my arm much. I use a manual wheelchair due to a 27 yr old spinal injury at the T12 area. So, need to use it some. Laying or sittjng still causes more shooting pain. I am looking to see if there is something I can do naturally to help me sleep and to lessen the pain. Thank you. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, I had gone through your question and understand your concerns. In my opinion you may add some muscle relaxants and steroid intramuscular injections and some anticonvulsant that helps you sleep easier with lesser pain attacks. Neck exercises like extension, retraction, shoulder retraction, and isometric hold are highly suggestive in such cases. You may ask your neurosurgeon for further evaluation to recommend you the required dosing according to your condition. Sometimes a surgical solution is better especially after 6 months of treatment by physiotherapy and medications. Spinal surgeons can remove just the protruding portion of the disk. Rarely, however, the entire disk must be removed. In these cases, the vertebrae may need to be fused together with metal hardware to provide spinal stability. Rarely, your surgeon may suggest the implantation of an artificial disk. Please click on THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I was in a car accident two nights ago, and I got a knot on the right side of my forehead. The knot is now gone, but when I touch where the knot was because there s still a cut I can feel movement in my head. Is this normal? I haven t had no headaches or anything and they did CT scans that night and nothing was found. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi ! Good evening. I am Chat Doctor answering your query. Once the CT scan was normal, and it is two days post trauma, I do not consider it anything to be apprehensive about. I am hopeful that with time it would be alright, and you will be relieved of your symptoms. In case it persists, or increases, then only you might have to get it reviewed by the treating doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi Doc, My son is 02 years old and for couple of days his poo color has changed. After normal poo he is again going poo is very small quantity with greenish color and sticky. Though this is happening 02 to 03 times in a day. He is eating good and is having both cow milk and mother s milk. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I am glad that you have put up your query at Chat Doctor. I understand your cause of concern. But I would like to reassure you since greenish stools are often normal. Greenish stools may occur when food might be moving through the large intestine too quickly, such as due to diarrhea. As a result, bile doesn't have time to break down completely. Green stool can also be caused by taking iron supplements or eating certain foods such as green leafy vegetables, green food coloring, such as in flavored Chat Doctor. Foods with dark purple coloring, such as Kool-Aid, popsicles, and gelatin (Jell-O), can also result in greenish or green stools. In case you wish to be even more certain, I insist that you consult a pediatrician. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 having a lot of pains all over my body. My scalp hurts to the touch, it also feels like I have a pressure headache, my stomach and back hurts to the touch and a lot of my joints are aching. I m also having a difficult time staying awake and holding temperature (hot flashes and cold spells). <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, There is a possibility of a viral infection where the patients feel body aches, hot flushes and coldness. It leads to muscle cramps all over the body and the patients suddenly become restless and are unable to stand. These symptoms can last for 1 to 2 weeks. You are advised to visit a nearby hospital for a general checkup. Hope I have answered your query. Let me know if I can assist you further. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have been having issues with my stomach, I feel bloated or my stomach is swollen, I also am having problems with my digestion my food sits in my upper stomach for days with this is very painful. With this comes constipation . I have tried fiber and yogurt and digestion enz, lots of water cutting down on my food . I might feel better through the day but it comes right back. Any suggestions. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello and thanks for posting. First, sorry to hear about your trouble. Second, there are many potential issues that need to be ruled out, and you should see a gastroenterologist to assist in this before anyone just states it is just irritable bowel syn Chat Doctor. I do not know your age, but there is a website called breakingtheviciouscycle.info that you can look into to make some changes in the diet and eliminate potential contributing factors. Best of luck <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have a TBI and have problems with muddled thinking. I was taking my Toprol at 9 a.m. at work and at bedtime. This week I changed the time for my morning Toprol to 1 p.m. This seems to have improved my focus and concentration at work, but now I am muddled after work. Would more COQ10 and/or omega3/6/9 help this? Is there anything else that might help? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thank you for posting your query. Cognitive symptoms following traumatic brain injury (TBI) spontaneously improve over time. However, COQ 10 and omega 3 fatty acids may help (there is no hard data in literature though regarding their efficacy). Another medication that could help you is paracetamol. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/ <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, I have a friend who has what is believed to be a pulled chest or pectoral muscle. He went to the emergency room and they took an x-ray and basically rushed him out of the door due to his lack of insurance. His symptoms are extreme pain, with no bruising or swelling. It hurts when he lays down and even when he swallows. He was prescribed Ibuprofin 800 as well as a muscle relaxer but the pain does not let up. Is there anything else he can do? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your friends situation and problem. He is having chest pain on swallowing and lying down, and not improving with painkiller (ibuprofen) so possibility of HERD related pain is more. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Lying down position makes reflux easier. So better to keep 2-3 pillows under head in the bed to prevent reflux. Ask him to avoid painkiller Chat Doctor. Start proton pump inhibitors (antacid). Ask him to avoid stress and tension, avoid hot and spicy food, avoid large meals, instead take frequent small meals. Ask him to quit smoking and alcohol if he has these habits. He will mostly improve with all these. If not improving than consult gastroenterologist and get done upper GI (gastrointestinal) copy. Hope I have solved your query. Wishing good health to your friend. 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 DocMy brother was diagnosed with Hepatitis E witChatDoctorplicated malaria a week back, his conditionis getting worse as his Bilirubin levels are constantly rising and are now at 21 and his enzymes have crossed 3000, my question is that what could be causing the constant rise inbilirubin levels ? <|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. This may be sign of serious liver damage and there may be a coinfection with other hepatitis types, so it should be ruled out first. Also there may be homeostasis or hemolytic anemia and more detailed evaluation should be performed so that treatment can be started on time. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> i had lost my 5 months baby 6 months ago, after testing bolld i found rubella igg and cmv igg positive bt igm was negative after that i took an injection for rubella and medicine for c now again whaen i m tested it reduced bt again positive little amt what to do is it affect my future preganancy <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi thanks for posting your query on Chat Doctor. I would like to clarify to you, that as long as the test is positive, there is high risk of the future pregnancy getting affected by rubella as well as CMV virus. Risk of congenital malformations is very high. You should not conceive as long the results of tests turn negative. Consider having TORCH TEST next time when you check your blood liters. Consult your family doctor for further assistance, 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|> had lower back pain for 3 months now and was told this was due to a weak back...esp gets weak as the day goes on, sitting and standing make it worse.how long will it take to strenthen my back as being doing exercises for 2 months and still not much better <|eot_id|><|start_header_id|>assistant<|end_header_id|> Dear patient. Greetings from Chat Doctor !!! I am Chat Doctor and shall be answering your question. Back strengthening exercises usually increase the back muscle tone within 2 weeks time. It also depends on the type of exercise, duration and the correct technique. I would advise you to visit a physiotherapist to learn back extension exercises. If you are gym going, I am sure you would have access to the back extension machine, rowing exercised and traps pull down. I hope this helps you out. If you have any more questions, please do not hesitate to write back to me. Yours sincerely, 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|> A few days ago, my penis was itching really bad after I got out of the shower. I ve had sexually intercourse with 2 different partners. Also my ballsack was really dry and looked kind of cracked. My penis and ballsack was like that for about 2 days. After those 2 days I noticed that there was a wet spot that smelled fishy on the underside of penis. I washed it in the shower but the next day the smell and the spot was back. I washed it tonight but this time it turned red and looks as if some skin peeled off. The spot is sensitive to touch. I m really scared. Do you know what it is? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Yes, you apprehensions are right, and it is possible that you might have contracted an STD. You need to get a complete workup done for STD. It could be a bacterial infection as well happening on a trauma. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or want any further details about this same issue you can use the below-mentioned link:bit.ly/ 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 done heart health checkup. Below is my complete report details for your supportI am 30 yrs old unmarried male having 77Kg wt and 172 cm ht.1) my cholesterol level is 1282) fasting sugar is 90 and pp is 1103) tsh level is 2.3 4) chest x ray pa is clear and normal5) ecg show sinus tachycardia6) echocardiogram show concentric lvh with Gr. I diastolic dysfunction.7) blood pressure is 122/808) anxiety, stess level is high9) total veg, non smoker, non drinkerIs my heart is healthly, how much I worry about my heart. I feel chest pain with palpitation when I got excite or sad or happy etc... <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, welcome to our site. I am Chat Doctor. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your querulous reports are normal to a large extent. However, your echocardiography does suggest VH or left ventricular hypertrophy. This usually happens when your heart is pumping blood against a resistance to the flow of blood. It is usually a feature of hypertension, but you have mentioned a normal blood pressure.However, you have also indicated that you have a type A personality- anxiety and stress. This may be causing an undue load on the heart. I would seriously suggest that you meet a local doc to prescribe you a medicine from the group of ACE-I or Arms. And do try relaxation techniques. To really make sure all is fine with the heart, you may want to try a stress test-treadmill/dobutamine. I hope this helps you. Inform the reports mentioned above so I can be of help further. Best of luck. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Looking forward to your return query with the details asked so that I can help you further.(If the answer has helped you, please indicate this) <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> DOC, MY WIFE HAD FEVER N WAS TOLD HER CREATINE LEVEL WAS VERY HIGH.SHE HAD TREATMENT IN HOSPITAL N NOW UNDER MEDICATION FOR ABOUT A YEAR BUT HER CREATINE LEVEL IS NOT GOING DOWN TO NORMAL AND DOCTOR SAYS HER BLOOD IS VERY LOW.HOW TO BRING DOWN HER CREATINE LEVEL TO NORMAL? <|eot_id|><|start_header_id|>assistant<|end_header_id|> HI, THANK YOU FOR POSTING YOUR QUERY ON Chat Doctor.AS PER YOUR CLINICAL HISTORY YOUR WIFE COULD MOST LIKELY HAVE "ACUTE KIDNEY INJURY ON CHRONIC RENAL FAILURE.THIS CAN Present WITH ELEVATED CREATININE LEVELS, CAUSES INCLUDE CHRONIC PYELONEPHRITIS OR RENAL STONES. G.F.R ESTIMATION CAN HELP TO GRADE THE DISEASE.RENAL ULTRASOUND CAN GIVE ACCURATE MORPHOLOGY OF KIDNEY DETAILS.TREATMENT INCLUDES REPEATED SESSIONS OF HEMODIALYSIS WILL HELP.ANTIBIOTICS CAN BE ALSO USED.CONSULT YOUR NEPHROLOGIST FOR FURTHER ASSISTANCE.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|> hello sir i m 27 yr old male married since last year . we hv been trying for a child but are still not successfull. my wife is 26 yr old and her TSH levels are slightly elevated. she also has galactorrhoea since last 4 years. her prolactin levels are about 25 units. she had been started on thyroxine 25 mcg OD daily and tab cabergoline 0.25 mg once weekly recently along with tab oflox-oz 1 bd & tab fluconazole 150 mg stat . my semen analysis was normal except for 8-10 pus cells. what does it indicate. what investigations should i undergo? is this the right treatment we are taking? is cabergoline better then bromocriptine if we desire pregnancy? sir plz reply . we would be highly obliged <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello dear, I understand your concern. In my opinion you are on correct line of treatment. Your wife has problems of hypothyroidism and galactorrhea both are the cause of female infertility. They might cause hormonal imbalance leading to irregular ovulation and irregular cycles. Cabgoline is better than bromicriptine and increases the conception chances. Cabgoline is given as tapering dose and the prolactin level is repeated after the course. The prolactin level is only mildly elevated.(up to 20 ng/ml is taken as normal). But both the problems are correctable and once the level becomes normal the conception becomes successful. Presence of pus cells in semen indicate infection, and it needs a course of antibiotics to be taken. Nothing to worry. Avoid stress. As both your and your partners problems are correctable and reversible. There are good chances of pregnancy once they are corrected. Hope this helps. Best regards.... <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My thirteen year old daughter is experiencing acute sharp abdomen pains at LLQ that is radiating to umbilical area. She also has been vomiting. She underwent a CT of abd/pelvis and all was normal except small amount of fluid in the cul-de-sac. Could this be residual fluid from a ruptured ovarian cyst? Should we be concerned? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. Thanks for your query. Yes, small fluid in the Cul-de-sac has to be bothered about as the age of your daughter is just 13, and we do not get fluids in the abdomen unless there is a problem. It may be a fluid from the ruptured follicle as you are right suspecting, if the dates are coinciding with possible ovulation period, which is normally 14 days prior to the next expected period. If she gets asymptomatic within a few days nothing to worry; you can follow up the fluid with simple ultrasonography. If the condition does not resolve, she will need further studies including the tests of blood, urine and stool and if required Diagnostic Laparoscopy for seeing the interior of the stomach, and to get the fluid for analysis to find the probable cause. The other causes in a child of 13 years can be appendicitis, tuberculosis, primary peritonitis. And so on. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have a history of bile duct stenosis with elevated LFTs and pain as is typical with gallstones. I do not have gallstones. Over the past four weeks, I have become very lightheaded, dizzy and nauseous at times, with tender swollen lymph glands and increased tiredness. The vice-like pain around my ribs is constant - unaffected by eating - and causes me to have a cough when lying flat. I now also have shoulder tip pain and a dull ache over my left kidney region. Any advice? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hola. Liver pathology , gallbladder pathology and kidney pathology are the diagnoses to consider. The sensitive test to detect pathologies of these three organs is the ultrasound. As you also feel tired and have pain, is necessary to be examined and make the ultrasound as soon as possible to establish diagnosis and right treatment. I wish you good health.(In case the answer would have been useful 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 mother is 61 years old. she has severe pain and stiffness in abdomen (precisely the area below breasts and above the belly button). At same time, the blood pressure is around 230/120. even after taking blood pressure pills, the pressure isnt coming down. Bu her major discomfort is the pain in abdomen! what could be causing it? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello! Welcome on Chat Doctor! I understand your concern and would recommend brining your mother to the nearest ER service for some tests: -a resting ECG and cardiac enzymes-an abdominal ultrasound-complete blood count-liver and kidney function tests-lipase and amylase for pancreatitis- a chest X-ray study. Her blood pressure values are really high, but they could be a reaction to extreme pain. Hope you will find this answer helpful! Kind regards, <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi doc, i woke up the other morning and had two small itchy lumps that looked like bites on my neck i figured they were from mozzies but they havent gone away and they are getting redder. ive had ring worm a while ago on my leg and it was there for ages i couldnt get rid of it with cream the doctor had to prescribe me something i was thinking it could be that but im not sure ???? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for query to My Chat Doctor virtual Clinic. I studied all details of your query. I understood your health concerns about causes of small itchy lumps on neck. Causes of small itchy lumps on neck.-After reviewing your query facts, In my opinion these 2 may not be correlated with each other. In my opinion these 2 small lumps seem to be from mosquito bites or insect bites overnight, as you noticed these lumps overnight in the next morning. Earlier day you were not having them. And these 2 small lumps are itchy and might be getting redder due to handling of the lumps and itch reaction. But still as you are worried and as you already have Chronic ringworm on your leg, chance of getting it on your neck needs to be ruled from Dermatologist if need be, after the consultation from your family doctor. Hope this reply would help you in resolving this complex query and anxiety with it.Don't forget to hit thanks and write excellent review comments to help needy visitors at Chat Doctor. Welcome for any further query in this regard. Chat Doctor. N.M.S. Genl- CUTS. Senior Surgical Specialist. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi i feel as if I may have a yeast infection its kind of itchy down there and when i recently went pee there was a little tiny bit of blood when i wiped also i recently went to my obgyn n for my yearly and left a urine sample n it came back with blood in it what could be wrong <|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. Yes, itchiness and bleeding from the downside is suggestive of infection. But without proper microscopic examination it will be difficult to predict that which type of infection it is. I suggest you to diagnose yourself by microscopic examination of the discharge that is coming out. You can so Grams staining from the discharge. Report will tell us the possible pathogen and its treatment. If its yeast than antifungal treatment is the choice of treatment. Please maintain good hygiene until you are diagnosed. Avoid sexual intercourse during the period. And if your partner is having same symptoms than both partner should take the treatment. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi Doc, My wife is 28yr old and 15 weeks pregnant. Recently she has been feeling a frequent urge to urinate but passes very less urine. She was advised to go for a urine routine and urine culture tests. The reports have come today and E.Coli growth was diagonosed of 0000. Is it dangerous to her or to the baby? What should be the next step? Please advise. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello dear, I understand your concern. In my opinion the urinary infection is caused by organism called E.cold. Urinary tract infections (UTI) are commonly seen in pregnancy. Among them the E.cold is the most common organism causing UTI. Nothing to worry. As by taking appropriate antibiotics course the UTI can be treated. But the untreated UTI might cause uterine irritability leading to preterm pains. Take adequate fluids up to 3 liters per day and cranberry juice to prevent UTI. Because deny Chat Doctor. As such nothing to worry. I suggest you to finish the course of antibiotics. Also get a urine examination done after finishing the antibiotic course to ensure the clearance of infection. Hope this helps. Best regards... <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hello, my wife is going through follicular study on her 16 cycle day her rt ovary is 10*9mm lt ovary is 9*9 mm and et-8mm, i don t know the problem as we have taken the medicine and 4 folicule injection 3 of 75 iui and 1 of 150 iui as doc say there is no result this month can she further go for the study or wait for next month she has 31 days cycle and we are trying for baby for last two years <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello. Thanks for writing to us. The results of the follicular study are not suggestive of ovulation. The follicles of at least 15-18MM size are needed for a successful ovulation. She needs a complete hormonal assessment to find out the cause of these ovulatory cycles. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have not had sex in almost 2 years but was having a problem which I thought was yeast infection. Nothing over the counter was working so I went to the doctor and was diagnosed with Trich. Can trich be dormant that long? Also, they gave me metronidazole 2 days ago. Today I noticed there is a discoloration around my rectum. Is this normal? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Welcome to Chat Doctor, The history and symptoms suggests me that you are having a fungal infection, but it should be confirmed by physical examination. Don't be embarrassed to show and confirm the diagnosis. The fungus is the normal commensalism of this area which will be kept under control by the helpful organisms, whenever there is a change in environment because of multiple reason this fungus will multiply and produces the symptoms. I would suggest you to follow1. Keep the area Chat Doctor. 2. Topical antifungal cream should be applied.3. Tab Rifleman, 150 mg single dose will help to control the symptoms.4. For itching, you can take anti histamines. Thank you. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am 33yrs old lady.I have fibroid of 15cm and diagnoised as subserous fibroid. Is there any homeo treatment to cure it or shrink it. My height is 152cms and weight is 63kg. Does not have any other medical problems. <|eot_id|><|start_header_id|>assistant<|end_header_id|> HI Panama, welcome to the Chat Doctor forum, Yes there are definite homeopatChatDoctoredicines to shrink subserous type of fibroid, you need to have regular medicines for it and definitely you can be benefitted with homeopathy. Bedore we start the treatment we need certain information regarding your disease and some information regarding your personal profile. Do mail me the details on Chat Doctor. Com and I will surely guide you in a better way. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have a bunch of bruises on my legs and arms, which I can t totally account for. I took a pretty good fall and the pool last weekend where I twisted my ankle when they all started showing up. I only twisted my ankle. My ankle is only mildly bruised. Following this by a 3 or 4 days later I got a severe cramp in my calf muscle in the middle of the night and for the past two days my calf has been hurting. Is this something I should follow up with my MD? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Bruising and calf pain following injury may be due to calf muscle strain with bruising. Bruising may be due to blood vessels injury lead to blood leakage lead to hematoma formation. Avoid exertion, use compression, take rest. Elevate the limb. Use NSAIDs if necessary. If symptoms not improved please consult your physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My finace was seen at the ER about a month and half ago for throwing up blood and having it come out the other end also, He was also having serious chest pains. They did a number of tests, including blood work, EKG, and Xray s and the only thing they came up with was a possible mild stroke and told him to take baby asprin. As of today he is still experincing the chest pains and he has been brusing from the inside out everytime the chest pains are serious. Can anybody give me an idea of what might bw wrong? Please. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of gastritis due to gastric ulcer is more in your fiancé s case. Acute gastritis, gastric ulcer can cause chest pain and hematemesis (blood in vomiting). So better to consult gastroenterologist and get done upper GI copy for the diagnosis of this. He should avoid stress and tension. Ask him to avoid hot and spicy food, large meals. Ask him to take proton pump inhibitors and prokinetic Chat Doctor. Don't give aspirin, this will worsen chest pain and hematemesis. Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your fiancé. Thanks. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am 55 and have been under great stress of caregiving for 3 years. My own health is deterioating. BP goes from 89/50 to 145/125. I feel awful when my bp is out of whack Last night I had the 145/125 spike after an arguement..My chest was very heavy, Pain in my L shoulder area and today woke with a dull fog and lingering headachel The heaviness in my chest waxes and wanes. At what point does it get called an emergency <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that the heaviness in your chest may be related to high blood pressure. But, I would recommend consulting with your attending physician for a physical exam and some tests to exclude other possible causes of chest pain and uncontrolled blood pressure: - a chest X-ray study- a resting ECG-complete blood count for anemia-kidney and liver function tests-thyroid hormone levels for possible dysfunction- blood electrolytes for possible imbalance-fasting glucose-blood lipid profile for dyslipidemia. A cardiac stress test is needed to exclude possible coronary artery disease. Meanwhile, I would recommend some tips to help maintain a normal blood pressure: - avoid salt and caffeine intake-perform a lot of physical activity (aerobics, walking). - try to lose some pounds if you are overweight. Stress seems to play an important role in your symptoms. Yoga and meditation may help in this regard. 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|> for last 1 week i have been experiencing pain in most of the joints like ankle knee hip and wrist. I have never before had anything like it except for a stiff lower back which still persists.the pain remains even while sleeping.it is difficult to take the first step in the morning. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, you are having multiple joint pains, with early morning stiffness, and these are signs of early arthritis of inflammatory nature, It must for you to get yourself investigated for this, and the primary screening is done with a battery of tests, including CBC, ESR,CRP, RF.one other possibility is post viral arthralgia, which becomes a possibility if you have had an episode of fever in the recent past. In both these conditions, a short course of steroids to reduce inflammation is helpful but has to be taken under guidance of your doctor. I hope that answers your query. If you want any more clarification, contact me back. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am suffereing from excruciating pain in my low back, radiating to my legs espacially left leg since last month, MRI of Dorso-Lumber Spine done on 15th Dec gave impression of DISC BULGE, ANNULAR TEAR, LATERAL RECESSES NARROWING AND EXITING NERVE MILD COMPRESSION (L.R) IS SEEN IN L4. 5 LEVEL; NO OTHER GROSS ABNORMALITY SEEN I have been advised of continous pelvic traction of 12.5 kg for 30 mins BDand given pawan mukta Asan for pacticePlease give me more suggession.Indrani RayFemale 35 YearsSiliguriDarjeeling,West bengal,India <|eot_id|><|start_header_id|>assistant<|end_header_id|> Dear patient Your MRI of dorsal umber spine suggests disc bulge and tear with nerve compression that means disc has come out of its space and is compressing the nerve root which is responsible for sharp pain in legs. You are taking strict bed rest and pelvic traction that is a correct treatment. But how much relief is The from current treatment that u have not mentioned. If you have been on traction for a week and not getting relief then you should go for epidural steroid injection. It acts by reducing swelling and inflammation around nerve root And is a harmless old procedure. You can visit pain specialist nearby you for same. And if you are getting better with traction continental for few more days and you we get relief. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 58 year old male, 170 lbs, physically fit, eating healthy. All recent physicals normal, colonoscopy 2yrs ago normal. Recent blood work shows I am anemic! These values test low: Hemoglobin is 12.9, hematocrit is 39, mcv 80, mch 26.7, rdw 16.9 (high). What kind of doctor should I begin with, an internist or a hematologist? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that general practitioner even can help you. You can start with Liven Z tablet. Take one tablet a day. Do follow-up hemoglobin per month to check the response of treatment. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at 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|> when i got home from work a little bit ago I peed and when I wiped there is a hard lump just inside of my vagina and it bled. I just made an appt with my dr for tomorrow morning but it is freaking me out. It was not there 3 hours ago when I went to work and used the restroom. What could it be? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for query to My Chat Doctor virtual Clinic. I studied all details of your query. Your query information is insufficient and confusing to comment on the nature of the lump in vagina. In this background I would suggest consulting your family doctor who would check it in all its aspects and if need be would refer you to Gone specialist doctor to check up unexpected lump in vagina which was not there 3 hours back and which bled? Going by the limited facts, In My Opinion you seem to have problem of -Bartholdi Cyst/Boil of the labia major which bled due to the friction while you were on the job. To confirm this cause, from many other causes, I would suggest you Second opinion from Gone doctor who is the right doctor to help you out from this worry. Hope this satisfies your query.Don't forget to hit thanks and write excellent review comments to help needy visitors at Chat Doctor. Welcome for any further query in this regard. Chat Doctor. N.M.S. Genl- CUTS. Senior Surgical Specialist. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have a friend who recently is having dizzy spells. We have sort of figured if he ate to much sugar then stand up he gets dizzy. This does not happen all the time. He does have a drain tube in for gall bladder that is to be removed. Could this be causing the problem? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for your question. After going through your question, there are following possibilities for your friends symptoms-1) Reactive hypoglycemia - this is due to sudden release of insulin after sugar intake which lead to low blood sugar level (hypoglycemia) which can be confirmed by doing blood sugar level during episode of dizziness.2) Postural Hypotension - fall in blood pressure after standing from lying down or sitting position. Which can be confirmed by checking blood pressure in lying down and standing position.3) Other rare possible causes may be - - Syncope. - Deny Chat Doctor. - Inadequate nutrition. It may not be related to his gall bladder <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My brother who is just 44yrs of age had confirmed heart attack last week, and has been told that he needs to go for open heart surgery since one artery is completely blocked and other two are half, is there any other way in ayurveda arteries start working perfectly fine <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello thanks for posting at Chat Doctor. I wish to inform you that there is no treatment in Ayurveda that can treat blockages in the heart arteries. Your brother is young and has blockages involving all the three arteries of the heart (triple vessel disease). He is prone to cardiac complications if surgery is not done. Any cardiac episode like a heart attack can decrease his heart pumping function and will considerably affect his quality of life. Please do not waste time looking for alternative Ayurveda treatment because it is simply not going to help. I have seen patients do very well after bypass surgery. Open-heart surgery is very well tolerated by patients, and they usually have a good quality of life. A bypass graft remains patent for 15-20 years. I have also seen patients who were reluctant to undergo a bypass surgery when it was the right time and later suffer. My opinion is to go ahead firmly with the decision of a bypass surgery. Wishing him good health. Regards <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello I have been sick for months . Started with a heavy cold, then pneomomia. I feel run down , fatigued, chronic sore throat, weak, my heart feels like it is not beating corrrctly, intermittent low grade fever and so much joint pain. Sometimes my shoulders, then my wrists, then my legs and hips, and a headache that never goes, just gets worse then subsides. These last few symptoms have developed in the last month. I have no energy or ambition but do what I must do. I am a nurse practitioner and keep thinking this will pass but it isnt. I have been taking advil only for joint pain relief. Any suggestions would be appreciated. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Welcome to the magical world of health care, I went through your query, and if seems you are suffering reactive arthritis, which is a natural body mechanism to an organism, but the defense part goes astray and start attacking the joints. The most effective medication is the use of short course of steroids, but this has to be taken under guidance of a doctor. If you have a rheumatologist in your area, please contact one and the things will improve. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. 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 There! I am in bali and a few days ago notcies some red smallish bites on my arm . It was after i applied sunblock but i have never had an allergic reaction to this brand before. Three days later they are now down both arms and a little on my legs. Not to be seen on my torso or feet at all. They have become itchy and sore. I also have bumps under my skin on both my arms now too. They are redish but the bumps are more colourless and white. I don t usually suffer from skin reactions and have used dermaid ( a cortisone cream) as well as ice but neither have helped. Thanks for any info you can give me! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, You may be having purity simplex. There are itchy erythematous popular lesions on extremities. It may be caused by some irritants or allergens.cosmetics,sunscreen, dust, insects, pollens, fume,deodorant, soap.avoid soap during bath, you can use detail liquid. Avoid stress and worried, which can exacerbate the disease. Antihistaminics like levocetirizine might improve the disease. Antibiotics may be taken, if there is infection. Steroids in tampering dose may be taken, if it is severe. Application of mild steroids might help in curing the disease. I hope you got my answer. 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 was doing calf raises in the gym and heard a pop along with pain behind my right knee. Immediately I had to stop. I can straighten my knee out and hold body weight. I cannot climb a step putting any weight at all on the same leg. There s no swelling in the knee area. Weakness and terrible pain in the center of the back portion of the knee! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, thank-you for providing the brief history of you. As you have pain in the center of the knee back side and climbing down the stairs or up is difficult I suspect It to be a meniscus strain. Also, taking a thorough clinical examination will help rule out the knee injury. Also, an MRI will help understand the grade of injury. Having physical therapy after a proper rest should provide you better knee stability and mobility.in my clinical practice such cases are treated slowly and Gradually keeping in mind to avoid future problems coming up. Regards Jay In Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My daughter, age 23 is having severe abdominal pain. These stabbing pains are lasting about 5 minutes. She went to the doctor yesterday, before these symptoms started and was diagnosed with a probable uti and prescribed antibiotics. There are stomach bugs running around our town right now. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi! Good evening. I am Chat Doctor answering your query. If I were your family physician, I would have advised your daughter for a urine routine/microscopic and culture sensitivity test before starting the antibiotic. Also, a routine blood test like a complete blood count and a stool test for ova and cyst would be worthwhile, and treated if positive. If all the reports are inclusive, I would not hesitate to get her examined by a gynecologist along with an ultrasound of the abdomen to rule out any pelvic infection and pathology. Further management would depend on the findings of physical examination and results of related 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|> I have had an allergic reaction to hair dye. I have taken antihistamine, It started off with 2 lumps 1 either side of the back of my neck. This morning I woke up with quite a large lump behind my ear and some throughout the bottom of my scalp. I am worried as they wasn t there this morning. What should I do and what could this be? Is it serious? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, thanks for using Chat Doctor The lymph nodes are present in different points in the body. They respond to infection and inflammation present with the vicinity of their location. There are lymph nodes in the neck, in the area of the chin. They would have responded to the allergic reaction on your scalp. You can consider using anti-inflammatory painkillers such as ibuprofen, Catalan, aspirin or naproxen. In addition, the use of anti histamines would also be very helpful. This would include meds such as Benadryl, Allegra, Zyrtec, carnitine, Arius. 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|> Hi, Sir,I am vivek and I am writing from India. i just want to know about the drawbacks of using Asthalin, as I am suffering from breathing problem for the last couple of years. Actually I came to know from my friends that prolonged using of same medicine will hamper my life and there are some negative impact . So if you could suggest me some tips or other alternative medicines or treatment to survive from the current situation that would be more helpful to me. So hope you understand the situation and do the needful. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello dear, thanks for your question on Chat Doctor. In my opinion you should first consult pulmonologist and get done 1. Chest x ray2. PUT (pulmonary function test)To rule out asthma and bronchitis. And inhaled treatment is best for asthma and bronchitis. But the Chat Doctor. Stalin is having albuterol. It is short-acting beta 2 agonists. Its Action lasts for of 2-3 hours. So short term relief is there. Newer inhaled bronchodilators like long acting beta 2 agonist(LAB) with inhaled corticosteroid (ICS) are preferred now. Their action last for 10-12 hours. So twice daily dosing is needed. They are more effective and less toxic than Stalin. So they should be started in your case. Better to consult pulmonologist and diagnose yourself first. Then start appropriate treatment.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 have broke out in a rash down both sides of my stomach, starting under my breasts down to about my hips. Its about hand width wide. Ive been extremely tired, not being able to wake up in the mornings feeling like I just need more sleep until around 11:00 am. then I feel the need to take a nap. I take gabapentin, Norco and other medications for neck and back issues so these places dont hurt or even itch except for at night and only a little then. I have been taking a Benadryl at night so I wont have the urge to scratch them. Wondering what this might be. Im thinking shingles but do not know. Any information would be appreciated. thank you <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for your question on ChatDoctorI do understand your pain and discomforts As per your history is concerned you are right, and it is herpes zoster a virus which is called as shingles in medical science. So do a clinical examination first by your local doctor, and he will prescribe you a course of antiviral [ACYCLOVIR], for pain use capsaicin cream, numbing agents like lidocaine, and a short course steroid orally. Hope that 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|> Sir, my maternal uncle has problem related to kidney dis function, the cretanine count is 14 mg/Dl, Urea 261.08 mg/DL, Uric acid 10mg/Dl, Haemoglobin 4.00 g/Dl, the problem seems very serious, we are poor in money cant afford expensive treatment please help?? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, seeing the reports patient is in serious condition and needs urgent hospitalization and treatment in ways of blood transfusion and hemodialysis and other supportive care. If affordability is a problem you can always go to government hospital for treatment or any medical institute where patients are treated free or at very nominal costs. Kindly take quick action and get him hospitalized as he needs urgent care. 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|> Mirena I am 21 years old and have been married for almost two years. Last February we decided to get birth control so I had the IUD known as Mirena inserted. Ever since I have been experiencing major cramps between my lower abdomen and my pelvic area. I have also had issues with over discharging to the point that pads are useless. Along with this, I have been having uncomfortable pains when urinating almost as if I have a UTI. Is this due to the Mirena? What should I do? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for posting your query. In the current scenario, your symptoms are more likely to be due to the IUD inside, the hormone effects thereupon. I would suggest a review of the IUD and check if there is any displacement. This can be done through a clinical exam followed by a pelvic scan. Heavy bleeding can be due to the hormone effect of the IUD as well as the uterine irritability. Infection also has to be ruled out. If the position is not disturbed and if there is no sign of any infection, the hormone effect settles down in course of time. Else, removal is the option. 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 did a scan yesterday and it adequate fetal movements,the placenta is in the anterior position and not low lying,nurchal cord twice and the cervix is competent measuring 4.5cm.can you please address what each of those mean and whether i should worry or not. Marion <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for the query. I understand your concern. The meaning of the USG readings are- 1. Fetal movements adequate... it indicates normal fetal movements... the fetus is in good health (no effects of nuclei cords on baby. While USG scan was done 2. Placenta is anterior (It is attached to front wall of uterus & it is not low-lying(It is in safe place-so no risk of placenta prefix- causing risk in delivery) 3. Nuclei cord twice- Nuclei cord means cord around neck of fetus... Here baby has 2 rounds of placenta around neck. 4. Cervix is competent-Cervix is normal length (shortening of cervix indicates nearing of delivery. ). So here it signifies safety of baby, no risk or delivery these days. * In all it shows cord around babies neck with two rounds .... Bur baby is not affected, nor there is cervical sign of early labor. Nuclei cords may get automatically relieved, still we keep a watch on fetal wellbeing & possibility of labor(with cord around neck then becomes a sign of concern) Please show the report to your treating gynecologist for specific advise. 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|> as a personal trainer what sort of resistance training program should i focus on for someone who shattered their tibia, fibula and femur in a car accident twelve months ago. they are able to fully weight bear on their leg but cannot do any high impact work. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, As the person had a fracture 12 months ago, I think an x-ray or CT should be taken before starting any high strenuous workout. In most cases, the bone heals better but always have to start with low intensity and modify to high intensity over a period of 3-4 months of time. As we need to first improve the overall composition of the bone and make it ready for the stress and strain. Understanding the biomechanics of the bone is important before doing any physical exercise which is mostly into the training program. 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|> What are some simple steps that a person can take to cope with a loved one who has a chronic back ailment and takes powerful medicines to cope with depression ? Also, what is high blood pressure and what impact does the combination of these ailments produce in clinical studies. She seems to have excellent medical care. She has multiple therapist for her back and pain management. In short, my worry is what are the long term affects on the off-injured partner s physical and psychological state of mind from exposure to such demonstrative suffering. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, I have studied your case and reports with diligence. Osteoporosis may be associated leading to diffuse pain in back. Periodic flare up of arthritic pain can be due to seasonal changes, due to excess activity, lack of exercises, excessive travelling. Check your bone strength with DEXA SCAN and you can start medication according to level of osteoporosis, And also check your it B12 and it D3 level. You can reduce pain by doing regular exercises and medication. I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies. You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case you need to take diet rich in calcium and vitamin D. Along with the pain you have depressive symptoms as well and that needs to be taken care of. Cognitive behavioral therapy is a good option. 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. If you find this answer helpful do not hesitate to rate this answer at end of discussion. 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|> Hello there - my 5 year old daughter has a grey/blue/black mark about 4mm wide and long directly underneath her bottom front tooth (this is an adult tooth that came through about 6 months ago) and the gum looks lower than the tooth next to it... Have a dentist appointment booked for next Thursday but I m a bit worried... what could it be? she is fit and healthy but possibly doesn t have the best oral hygiene but we re trying.... thanks <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello and welcome, the black/blue mark may be due to dental carries. Visit your dentist and get it checked. The carries can be excavated and filled with vitapex-gic or any other tooth colored material. As the tooth is erupted recently, gums look ugly as the adjacent teeth are yet to erupt, which is known as ugly duckling stage. The gums looks regular and proper tooth alignment occurs only after eruption all anterior teeth. Oral hygiene maintenance is very important. Poor oral hygiene will result in plaque and food debris accumulation. This results in gingivitis. Get the scaling done by your dentist. Use soft-bristled toothbrush to clean your teeth twice daily. Wash your mouth after every meal.always brush your teeth from up to down in upper arch and down to up in lower arch. Use chlorhaxidine containing mouthwash to prevent plaque accumulation. 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|> hello doctor, my mom is 56 yrs old, 2 months back she ws suffering 4rm jaundice n the doctor prescribed udiliv 300, jaundice ws cured but after few days my started developing rashes , n its not disappearing at any cost, we ve consulted 5 doctors so far,nobody could help us, n it gets even more intense at night, please helpjaundice is cured i need advise for the rashes that has developed <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello! Thank you for the query. Jaundice is not a disease but the symptom. To make it disappear the cause needs to be removed. So it is advisable to have some diagnostics and find the cause of jaundice. Adílio or any other medicine won't help without knowing what is causing it. Jaundice can be caused by many diseases like bile ducts blockage by stones, liver cirrhosis, liver viral infection, blood disorders with hemolysis, pancreas cancer, liver cancer and many more. So it is advisable to have abdominal ultrasound, liver tests (AST, ALT,GTP), pancreas enzymes (amylase), HCV and HBV antibodies, urinalysis. Abdominal CT might be necessary if no finding in ultrasound. Hope this will help. Regards. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My wife has just had 13 weekly treaments of Taxol, sometimes with Avastin. Straight afterwards she started having severe upper back pain, mainly on her left side, and is only able to lie down with a hot water bottle. She is unsure about pain killers, fearing that they may adversely affect her stomach. Do you have any suggestion? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Both these anti-cancer Chat Doctor. So it has to be there. Yes, I have suggestions. Only criteria your wife n you have to believe in holistic Ayurveda remedies.Painkillers are of no use except in very severe pain sometimes. Start giving her Turmeric powder in warm milk or water (1 tsp to 1 glass of liquid) twice a day. Its tasteless, safe, side effect less and healer, anti-inflammatory, bacteriostatic herb. Useful in cancer too.whatever little. If she doesn't like it then capsule Hard <|eot_id|>

<|begin_of_text|><|start_header_id|>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 grandson is having nightsweats tonight. He also had them last night. Tonight he is going from warm sweats to cold sweats. He is on amoxicillin 500 mg. I also gave him motrin at 8:30. He is about 5 and weighs about 105 lbs. Should I be concerned or just wait it out? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi iam 31 age, 2 yers after the marriage not getting baby, we done semen analysis test according to the Doctor ...the Results is below. Physical Examination ( Date on Report 26-03-2012 ) Colour - Whitish Volume - 2.0 ML Odour - Normal Liquification - 30 Minutes Reaction - Alkaline MICROSCOPIC EXAMINATION Total Count - 60 Million Active Motile - 60% Slugglish Motile - 10% Non Motile - 30% Pus Cells - 1-2/HPF RBC - NIL Epithelial Cells - Occasional Dear Doctor, Please not i have only one testis right now....Because the other one is abnormal position and its removed in 2006.. Please give me a answer...there is any problem with my result...? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for your query. I have read your query & I understand your concerns. From what you describe it appears to be a good report. There is absolutely no problem in conceiving. One testis is enough for producing adequate number of sperms. Hence, donor worry & keep trying for pregnancy. I believe you will be able to have children with the above report. All the best. I hope I answered your query. I will be available for any followup queries you have. 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 granddaughter is 23 years old. she fell at work and cleaning chemicals (she works cleanup at a hog processsing plant) splashed and she swallowed some. they had her rinse her mouth out and the burning finally went away. she was not sent for medical attention. now she is coughing up blood. seems to be quite a bit. she went to dr but they seem to be afraid to touch her. she she be taken to er in bigger hosp. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your concern. She is having hemoptysis (blood in sputum, coughing). She also had exposure to chemicals. So during this exposure, she might have inhaled this chemical in her lungs. This kind of inhalation lung injury can cause bronchitis and bronchitis is the most common cause for hemoptysis. So better to consult pulmonologist and get done clinical examination of respiratory system. She will need inhaled bronchodilator and inhaled corticosteroids (ICS) along with anti-inflammatory Chat Doctor. Don't worry, she will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Its been six years since I broke my back L1 bursted lately I have been having more pain a mri is being done on Monday or maybe tlhis is just living with a broken back we will see on Monday. Is there a book out how to live with a broken back some days my pain is more severe. I dont know if I am doing too much or is this part of it. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for your query. After going through your query I came to know that you are suffering from post dramatic chronic backache after L1 burst. Trust fracture occurred 6 years back, so it is unlikely to be directly related to it. It may be due to weakness of bone and muscles and vitamin and trace element deficiencies specially vitamin D and vitamin B 12. Back exercises, neurotrophic such as mecobalamine and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) give relief. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised if it is lower than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You need to do MRI TO RULE OUT other causes. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I missed 3 pills roughly half way through packet Im on femedette pill I took 2 and carried on as normal I bleed for 3 days after missed the 3 but like I said carried on taking rest as normal plus took extra week from new packet its been a week since taking last pill and still no period I took a test yesterday negative but did have unprotected sex in the 3 days <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, I think without taking advice of your doctor you have taken this medicine by your own. This is very risky, and it seems that there is hormonal imbalance due to way you have taken tablets. This is the reason you did not get period. Wait for 2-3 days, if you did not get period, consult your doctor. Now onwards never go for self-medication for hormonal medicine without consulting your doctor. Ok and take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am taking currently starting to take Percocet. I have had back surgery 2 yrs ago on my L4-5. 8 months after my surgery, my 3-4 disc was herreniated. So I have back pain & nerve pain in my legs. Is there any laxative or stool softener I can take if I need to to stay regular? And I also have 5-500s, is there much difference between the 325 s vs 500 s? Looking for advise. Thank you. vjp <|eot_id|><|start_header_id|>assistant<|end_header_id|> Dear-thanks for using our service and will give you my medical advice.First, the composition of Percent is narcotic and acetaminophen. The 5 mg is the narcotic part and 500 mg is acetaminophen. The component that gives you constipation is the narcotic part (5 mg) for which an increase in acetaminophen dose will give you risk of liver damage but not constipation. I will advise you to try physical or massage therapy and epidural block if no improvement. It depends on the level of damage that you will improve fast or not. If you have not had MRI of lumbosacral in more than 2 years, it is advisable to have it. 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 took the morning after pill levonelle 18 hours after my partner and I had sex when the condom burst. He said he didn t ejaculate however it was better that i took the pill after it happened to be on the safe side. I took the pill on Monday and have had no side affects or anything since taking it. 10 days before sleeping with my partner i had my period. Is there still a risk that i can still get pregnant even after taking the morning after pill. Help on this matter would be appreciated. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for using Chat Doctor. Fertile period is between 10th day to 18th day in normal regular cycle of 28 day duration. As you had sex on 10th day and taken morning after pill, chances of conception are negligible. Failure rate of morning after pill is 5%. Not completely effective in preventing conception. Regular use of emergency pill is not recommended. If You get delayed periods by a week or 2 get pregnancy test done. Hope this helps you. Regards <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have been experiencing episodic light headedness and sudden feelings of being anesthetized. I have had a full blood work done, all normal. I have no loss of balance and or coordination. These episodes are not accompanied by any pain or feeling of fatigue. It seems to happen when I am sitting or standing still and made better by getting up and moving around. These episodes have happened while driving, and it comes on out of nowhere, feeling perfectly fine just prior to. My doctors don t know what it is, but have ruled out a lot that they feel it is not. I have been referred to a neurologist. I am at a loss as to what can be causing these episodes or how to manage or eliminate them. HELP! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello. Thank you for the question. I understand your concern. In my opinion there is nothing to worry about. It seems all psychological stress. The fact that you get better just moving around and don't have other troubles is in favor of this diagnosis. Just don't think about it anymore. I would recommend you take Alprazolam 0.25 twice daily for a week. You will feel better. If you don't you may need an EEG to rule out a rare type of partial epilepsy. Hope to have been helpful. Thank you for using Chat Doctor. Best wishes 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 has been taking metoprolo titrate 25 mg. am and pm. She had a pacemaker put in on Wednesday. She is feeling tired and lightheaded. Her current bp is 102/68 heart rate is 62. I am thinking of not giving her this med tonight because of the the low blood pressure. Need your opinion. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, thank you for approaching. Currently, your mothers blood pressure and heart rate are still withing the normal range but on the lower end of it. Typically, pacemakers are implanted because of either low or irregular heart rate, and they frequently require adjustment of their rate after the initial implantation. The purpose of the medication she receives is to slow down the natural heart rate. The best thing to do right now if your mother is presenting symptoms of tiredness and lightheartedness is to interrogate the pacemaker and see whether increasing the pacing rate has any beneficial influence of her. I would attempt not to change the medication dose right now, since I do not know why is she receiving the metoprolol. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 Good MorningI am 33 years old IT professional working in Bangalore India. My wife has some health issue....1. She could not walk much...legs get swell2. hair falling 3. Digestion problem.4. She does not sleep properly.5. we both smoke. 2-3 perday sharing.6. weakness7. and very enger and rigid.Please help me out how to work out to increase her hemoglovin... and other ...? <|eot_id|><|start_header_id|>assistant<|end_header_id|> HiI understand your concern.1st of all she requires body check up and routine tests like CBC, FT, LFT and thyroid profile. Medical cause need to be rule out 1st. Hemoglobin can increase with medicines which has iron content. There are lots of preparation of multivitamin available which will help in weakness and for general health. For a good sleep following will helpful certain routines and lifestyle modification will help you like fix sleep schedule and stick on it, no daytime sleep exercise that makes you fatigueRelaxation, yoga and meditations avoid alcohol and smoking, avoid heavy meal in dinner, avoid tea coffee soft Chat Doctor. But go for physical check up and get well soon. 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 had a mammogram that was abnormal. I was set up for an ultrasound with the following findings. My left axillary adenopathy. Findings were multiple enlargd lymp nodes are indentified in the left axilla (6 to 8). The largest measures 2.5 x 0.9 x 1.2 cm. Radioligist suggest ct of the chest after iv contrast. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, dairy have gone through your question. I can understand your concern. You have multiple enlarged lymph node. It is mostly due to metastatic carcinoma. You have abnormal demography, so you have chances of breast cancer. Or you may have some other pathology. Go for ct scan as you advised. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hellow my close relative is suffering from severe lower backache doc told after examine x ray that it is l5 s1 disc degeneration he gave painkiller and antacids pain releaved but nausea is persistent since yesterday what is reason and treatment of nausea..shud v go for further investigation blood tests r within normal limits <|eot_id|><|start_header_id|>assistant<|end_header_id|> Disc degeneration itself usually doesn't cause nausea. Pain from the disc problem and painkillers can cause nausea. If he has only been having nausea for a day or 2 after taking painkillers, I would not worry about it. If he were my patient, I would ask if the nausea started after taking the pain pills. If it did, I would consider changing the pain medicine or prescribing something specifically for nausea. If he had lots of problems with nausea before taking painkillers or if it continues after he stops them, I would start investigating further. Hope I have answered your query. If you have any further questions I will be happy to help. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> my child is4.5 year old premature born in 7th month and weight was around8oo gr.now he is still under weight 12kg.since nov he got fever,coughing and nosia.doctor gave him amoxil,adol and vintoline 10 days but nothing helps then they starts augmentin for 5days.after completing dose 4or 5 days later he start coughing and low fever <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions: 1. How many days per month does your kid cough or feel breathless?2. How many nights per month does your kids sleep gets disturbed due to the above symptoms?3. Does your kid feel breathless when running around or playing with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My 3 year old has been having nose bleeds for the past few days. He does not know how to blow his nose and today I went to wipe his nose clean and noticed a bead. He then sniffed up and now I can t see it. Will it eventually come out on its own and could it be causing the bleeding, whining? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, If I were your treating Doctor for this case of severe pain under the left rib cage, I would come up with three possibilities, these include: 1. Close his 1 nostril and ask him to blow.2. Consult ENT doctor for removing a bead by instrument, because it can move deeply.3. For nose bleeding you can use ice, Escorting, Etamsylate(Alstat, Diagnose). Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your baby good health. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi I have severe pain from somewhere around the stomach, it feels like hard stabbing that will lasts for about 2minutes off and on, I had a scope put into the stomach the doctors could not find anything in the stomach, do you think I should inquire about the pancreas and if so what kinds of test would I need to have done? At times I am afraid and think I am having a heart attack...HELP!!! <|eot_id|><|start_header_id|>assistant<|end_header_id|> HI. As you have a suspicion get EKG done. The cause of such severe stabbing pain in abdomen can be due to pancreatitis, intestinal obstruction ureteric colic. The best way is to get a CT scan of the abdomen as it will also show the reasons that the ultrasonography will miss. Also go for blood tests like lipase and amylase. Go to ER get admitted, go for standing x-ray of the abdomen to see for intestinal obstruction. Diagnosis done this way will lead to further proper management. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 years old.I have good physical health. But my mental status is not like that. I am always in a confution state. I am doing meditation and yoga but of no use. I am feeling alone. I have no friends. I am really afraid to talk to them about my personal problems just because i feel that i am always criticised about my mistakes. I can t take any decision properly. I can t take any stern decision.I always talk with god only. I feel that he is always with me.What all unhappiness comes i talk with god only. I can t reveal my problems to my mother also. I feel that they will criticise me for my mistakes. What i have to do now? In my job also every one is telling that i am not intelligent and not good for my job. I am a post gratuate in Sociology besides I have taken MA in journalism and Now i am doing MBA in Tourism but no use. I have a child but she is very intelligent and she is scoring marks in everything. My husband is no more.He expired and i am alone for the last nine years. But i am afraid to marry because i don t know why.I sometime feel i want sex but sometimes i feel i don t want and feel that all people are mad because i feel sex is a bad thing .I feel ashamed to do sex. But sometimes i get so much urged in sex that i can t even control my self. But when i got married also i feel ashamed to do sex with him. But after that when become ok he started rejecting me and not even looking at me. Everybody is saying that i am beautiful but i don t feel like that. But my husband also did nt love me. Ireally like to hear from him that he loves me a lot and i really want a lot of kisses and huggings but he didnt give me that tome even if i asked him also. But Now what can i do? He is also not with me now. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Degree understand your concerns went through your details. I suggest you not to worry much. I can understand the condition you are in. Furthermore, I sincerely suggest that you do not have any mental troubles. You are just disappointed with life. I know what disappointment is. But, if god closes a door in front of you, he also opens ten other doors. But, if you stand in front of that closed door, you may not be able to see the other open doors. You need to get away from that closed door and see wide. You are worried that you are worthless. How can a person, who is qualified so much, can say she is worthless? You should change your attitude towards life. That is all the treatment you want. Think positively. There are a lot of people like you, or far more troubled than you. In fact 80% people far more troubled than you, in one way or other. Understanding life should clear your problem. Believe me. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. 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|> Hey doctor,I am suffering from fatty liver with hepatomegaly in going stage 1 to stage 2.I was a regular drinker for about five years.Now I am not drinking from previous 15 days.Currently I m on simple diet,specialy sujested by doctor, 2 Days before I went to my doctor and he suggested some test like LFT,Hepatitis and stool test all are normal,there is no chronic and no cirrhosis but I am suffering from dull pain in my right side due to swelling in liver.current liver size is 17cm.For 2-3 days i m taking beat im my diet in juice today evening i had red stool(loose motion).Is it because of beat or any thing serious.Vinay kumar <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi and welcome to Chat Doctor. Thank you for your quarry. This is only mild hepatomegaly and first stage of fatty liver so u you don't have to be very concerned. It is still completely reversible. In the beginning it is treated by changing lifestyle and dietary habits and this is usually enough. Sometimes certain medicines can be prescribed. Of course avoiding alcohol, fats and toxic Chat Doctor. Loose motion can be caused by fatty liver, this shouldn't worry you. Just often do LFT check-ups and see is there improvement.Wish you good health. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have 20+ mosquito bites all over my legs from being out on the softball field. I have tried every over the counter topical hydrocortisone cream there is with no relief, along with just about every over the counter antihistamine I can find with no relief. The bites are now quarter size and unbareabley itchy. What can I do help the itch and calm and inflammation?? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Welcome to Chat Doctor. A short course of steroids by mouth (Tablet prednisolone 5 mg twice daily for a week, then once daily for another week) along with antihistamines will help you. Some individuals will have allergy to Mosquito bites and insect bites. Repeated mosquito bites (even one or two) may lead to the persistence of the problem. Protection to the leg and forearms with full pants and full sleeves in the evening and night hours is the only permanent solution for these individuals. Consult your Dermatologist, he/she will help you in this regard. Wish you a speedy recovery. Chat Doctor. Morgan <|eot_id|>

<|begin_of_text|><|start_header_id|>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 25 years old male and i m having problem with my hair as my hair suffer a substantial loss in the frontal and anterior over the last year when i consulted with a doctor she prescribe me with morr F solution and curlzvit tablet plz let me know the effectiveness of these medicine and their side effects. thanks <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, It may be used for hairless. It will work by increasing the blood supply to the scalp or affected area. Possible side effects are: 1. Dermatitis.2. Excessive hair growth on face.3. Headache.4. Itching. Culprit is a multivitamin tablet may be useful to avoid the hair fall. So I think I answered your questions still have queries please feel free to ask. Hope I have answered your query. Let me know if I can assist you further. Take care <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have had hand, foot and mouth disease since November 20, 2016. I have been to my Kaiser Physician on three occasions. He has had me on a steroid cream, which I use two weeks and then stop one week, and repeat. I cannot seem to get rid of this virus. I have also been using lavender salt baths each morning for 20 minutes. Please help! Sincerely, Susie <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Welcome to Chat Doctor! I understand your concern. Actually there's no specific treatment for hand-foot-and-mouth disease. Signs and symptoms of hand-foot-and-mouth disease usually clear up in seven to 10 days. A topical oral anesthetic may help relieve the pain of mouth sores. Acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin IB, others) may help relieve general discomfort. Some advices that I can give are:-Suck on ice pops or ice chips.- Chat Doctor. -Rinse your mouth with warm water after meals.-Avoid salty or spicy foods.-Avoid acidic foods and beverages, such as citrus fruits, fruit <|eot_id|>

<|begin_of_text|><|start_header_id|>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 66 & recently diagnosed with Type II diabetes. My left leg is very painful when I get up or walk. Tight muscle in calf. Knee is swollen, painful, and unstabale. Same leg upper inner thigh feels like a muscle pulled. Painful when entering or exciting car. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Pain may be due to peripheral vascular disease or cellulitis or calf muscle spasm or compartmental syn Chat Doctor. Until examination is done it is difficult to say what it is. Please elevate the limb, use cold and warm compression, use painkiller medication. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I have had a cramping feeling in my spine between my shoulder blades for quite some time (a couple of years). I am now starting to get a consistent ringing and sensation in my inner ears. My esophagus has an agitated sensation. Am I experiencing first stages of lung cancer? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi I am Chat Doctor. . In my opinion i don't think your inner ear or your agitated esophagus are correlated to your lungs nor your cervical spines. For my patients I would suggest X-rays, CT, MRI on your cervical spine to exclude any kind of disc herniation which may cause such chronic neuropathic pain. Painkillers like advice tab when needed, hot massages with topical gels, muscle relaxants, physiotherapy, B12 vitamin supplementation will be effective for such cases. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Dear Doctor. I had been a tabacco chewer for the last 10 years or so. For the last one and half year, I have quit any form of tabacco use. Still, I feel constricting chest pain very often. I also have frequent attacks of bronchitis. Can you please tell why my situation is not improving even after quitting Tabacco? Thanks. Sambar. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Respected user, thanks for using Chat Doctor.come have evaluated your query thoroughly.* Cause of bronchitis decided the management plan* Your case require evaluation clinically with x-ray, diagnostic bronchoscopy, pulmonary function test * Quitting tobacco protects you from further damage from it, but what about the old insult carried out to bronchi or alveoli, that has to be recovered Hope this clears your queryThanks for keeping trust in our medical services Regards. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hello doctor! i missed my last periods.. my LMP was 25 june2012.. n my UPT came positive on 4th august. on 5th august i had two drops of brown discharge .. and on 6th august again two drops of brown discharge par vagina .. i consulted myh gynaec.. she done USG n said theres no fetal pole yet seen.. this is my second pregnancy (first issue is 6 yrs old).. pls help me in this condition,, what worse can happen to my..n wat best can be done in my case.. thanks a ton!! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello and thanks for the query, well considering your history and your LMP date you have missed your periods since your urine pregnancy test has come back positive which is due to raised beta Chat Doctor levels, and it would be better if you got a repeat USG after a few days and the brown discharge could be due to an ectopic pregnancy, so I would advise you to get a blood levels of Beta Chat Doctor also. Your gynecology would guide you regarding the management of the situation .take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> i have been suffering with allergic rhinitis foe several months , have visited many doctors and have been given the sam medicine over and again but no improvement and now i have severe chest congestion as well kindly help,i dont know what is that which iam allergic to <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello. Thank you for asking at Chat Doctor. I went through your history. Were I treating you, looking at your symptom severity, I would suggest you intranasal corticosteroid sprays for 1-2 weeks and montelukast for 2-4 weeks. Once your symptoms are well controlled, I would change over to montelukast and levocetirizine. Apart from above, I would also suggest you daily nasal saline sprays 3-4 times. For chest congestion, montelukast may work, personally I would prescribe a bronchodilator-expectorant cough syrup at the beginning. I would also suggest you regular breathing exercises and nutritive diet rich in vitamins and minerals with adequate warm fluids. Please avoid exposure to smoke, dusts and air-pollution as much as possible. For diagnosis of allergy, I would suggest you to consult an Allergist-Immunologist who will perform allergy testing and suggest avoidance measures and allergen specific immunotherapy, if appropriate. Hope this will be helpful to you. Wish you fast recovery and the best of the health. Regards. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> My 19 year old daughter away at college has had a fever on and off for 7 days and now a cold, fatigue and productive cough. She was finally able to get to the health center yesterday and started her on antibiotics for possible sinus infection. Could these symptoms be anything else and is it normal to be this sick for a week and a half now? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your concern. Yes, possibility of Sinus infection is more likely in your daughters case. Antibiotics are the mainstay of treatment for sinusitis. So tell her to finish the course of antibiotic. Along with antibiotic, she should also do steam inhalation and warm water gargles 5-6 times a day. Plenty of fluids orally will also be helpful. Don't worry, she will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am in CMF chemo therapy for Breast cancer (no metastasis). I have had 7 treatments and one more to get. I have gotten a minor case of shingles. I also have a fever sore and developed one one a previous treatment. My white counts are always low and I get neuprogen after chemo. Should I get the final chemo treatment or is my immune system going to suffer. I do not want to develop a worse case of shingles or catch the flu etc. Thank you <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, CMF chemotherapy for breast cancer causes lowering of healthy blood cells circulating in body. Thereby, lowering immunity makes the high possibility of contacting shingles when exposed to it. You should start taking treatment of shingles (anti-viral medicines, pain medicines and other symptomatic treatment) with an expert advice and report about the outbreak to your treating cancer doctor team. Most of the time, the next cycle is delayed to avoid further Chat Doctor. A very good personal hygiene & preventing exposure to infections helps. Hope I have answered your query. Let me know if I can assist you further. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I am 48 female, feel healthy, always active,, but I do have a kidney stone, the other day I had this pain on my left thigh and could not step on my let, excruciating pain.. dr took xray, and gave two shots steroids. used a walker for a day and then a cane for two. feeling better.. dr said it was just wear and tear on my bones. (age creeping in) but now lately I pee a lot and have dry mouth <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Kidney stones usually do not cause any pain in thigh. Please find out from your treating physician, the exact cause of your pain. Taking steroid injections without a proper diagnosis can be harmful. Since you are passing more urine, you should check your blood sugar level to rule out diabetes. Please check if your doctor has prescribed any diuretic (Chat Doctor. This can also make you pass a lot of urine and have <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello My husband is 48 years old in general good health but recently he is complaining of numbness and tingling in left side of chest. His family history includes bp and early heart disease. Should I be concerned? We don t have health insurance right now but I ll be signing up soon. How urgent is this situation? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Yes, you should definitely consult doctor for these symptoms because these symptoms are more suggestive of heart disease, and he is having strong family history of heart diseases. So, consult doctor and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). If all these are normal, then no need to worry about heart diseases. Sometimes, simple muscle spasm can also cause similar symptoms. So, apply warm water pad on affected areas of chest. Give him simple painkiller like Paracetamol or Ibuprofen. Don't worry, he will be alright with all these but first rule out heart diseases. Hope I have answered your query. Let me know if I can assist you further. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I get an electric shock sensation almost like if you lick your finger and touch a battery, but only happens while im using my glass face touch screen appliances i have gotten different phones etc.. and still the same sensation, and i dont know if its relevant but ive been noticing my finger are slightly swollen. Do you have any advice on what this could be <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Electric shock sensation while using glass face touchscreen appliances are due to Altered Capacitance in your skin. You may consult a Dermatologist in your area for further evaluation Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hello, I ve had a bit of a sinus infection and cold for a few days but the last few days I ve been feeling uncomfortable pain in my chest / upper abdomen. I thought I d pulled something in Kettlebells but today when I walk my chest and back are very sore, with every step I take. It hurts to cough and my head is really sore. I m a bit worried <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Welcome to Chat Doctor, THe symptoms are suggesting me that you are having lower respiratory tract infection (LETI) following the infection of sinuses. Because of the LETI you are having these symptoms. For my patients with these symptoms I would have advised1. Take Rest2. Steam Inhalation with Vapor Caps3. Chat Doctor. Oral Broad spectrum Antibiotics for minimum of 5 days.5. Oral Antihisatmines6. Oral Antacids. In most of the patients with this treatment the symptoms will improve, hope if you take this treatment by consulting your doctor, symptoms may come down. 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|> Ive suffered from my first kidney stone on my right side, and now that this pain has passed, I now have (nerve) burning pain at top of right leg that extends halfway down to my knee. When I stand, its not too bad, but when I sit, the pressure from my stomach (I am fat), sets it off. It feels more like a pinched nerve, but could this be related to the kidney stone? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, many thanks for the query! Well, this seems more like Sciatica, pain due to compression/irritation of sciatic nerve or of one of five spinal nerve roots that give rise to sciatic nerve. This needs confirmation with physical examination by your doctor. Treatment is according to the cause of sciatica & severity of pain. To know more about kidneys, you need to do- FT, USG PUB, Urine (R/M). Wish you a good health. Take care. Regards. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi. I have had lower abdominal pain, as well as pain on the right side of my belly button for almost 6 months now, off and on. It has become pretty severe. None of the doctors I have seen have known. I have been told possible colon problem or maybe ovarian cysts. But I was wondering if my sprintec birth control could be the issue. Could that be causing the pain? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. Thanks for your query and an elucidated history. Sprintek birth control also can cause the problem that you have. Your history of pain in lower abdomen and to the right of abdomen is suggestive of colitis or so. I would advise you the following: Colonoscopy CT scan of the abdomen. Tests of stool for 3 consecutive days. Tests of blood and urine too. All these investigations will lead to diagnosis and plan for 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|> Hello, I m a hiker and recently have been experiencing knee pain. No known injury. No swelling and I can do other exercise with no pain, such as arc trainer and treadmill. The pain happens when I m hiking. No swelling. Pain responds to ibuprofen. I m 54 years old. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, as you mentioned your age and a brief history I suspect it to be a minimal muscle weakness of the knee. As we age the body becomes weak and degenerative changes keeps happening. You need to do some knee strengthening exercises like reverse walking and jogging which will avoid this end range pain and help the end of range of muscle torque. Avoid using treadmill for time being and focus on free exercises. With the grace of God I wish you a speedy recovery <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Every morning I wake up I continuously sneeze for five minutes. I have seasonal allergies but I take allergy medicine for it. My allergies take place during the spring/summer. Therefore I dont see a reason why my constant sneezing is taking place. What do you think? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Individuals having seasonal allergy may be sensitive to dust or other allergens in the environment. At present, you seem to be having sneezing episodes in the morning. This is due to the presence of dust or Dan Chat Doctor. When you go to the bed in the night the senses of your body will be low. The dust and other allergens will get accumulated inside the nose. When you wake up in the morning, the senses are back and this will indicate the brain about the presence of allergens and then the nose starts clearing it, inducing sneezing and running nose. Hence, avoid sleeping in front of the AC or under the fan and change your pillow cover every night before going to the bed. Continue with the medicines for allergy. Regards <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi I have been experiencing pulse above my navel. one thing about me is that I am a hypochondriac and I also have gastritis . I started noticing the pulse during one of my gastric episodes. have been burping alot too. Dec 2011 I had an abdominal ultrasound to check for Aortic Aneurysm and it can out negative and since 2010 almost every year i have been having a full abdominal ultrasound and everything is okay. is the pulse something normal for me. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Dear friend, welcome to Chat Doctor! It is common to have pulsations felt above the navel in thin lean individuals. Since USG was normal, there is no worry about the aneurysm. If you are thin and/ or anxious, you may feel pulse of the abdominal aorta easily. Neglect and be happy. Take care, and please keep me informed of your progress. Good Luck! I hope to have answered your query satisfactorily. 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|> Last 2 months my 2.5 Yrs kid is suffering with cold and running nose and we saw an ent specialist and completed one course of antibiotics now continuing with allegra syrip for cold and otrovin nasal drops .they said this is because of enlarged adenoids.Can you help me to identify the root cause.. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi.... by what you quote I feel that your kid is having a seasonal rhinitis or a moderate to severe persistent allergic rhinitis. This is definitely not an infection so no need to use antibiotics at all. Simple logic is that an infection cannot go on like this for 2 months. This is definitely allergy. Coming to your query about adenoids - you should consider adenoids only if the kid is having snoring and inadequate or disturbed night sleep and daytime sleepiness. If these are not there this could be simple allergic rhinitis. I suggest you consult a pediatric allergist who can assess the kid and prescribe intranasal steroid which is the Chat Doctor. 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|> HiI had my top molar exactracted under local it had curly roots and took the dentist 20 mins to completeCouple of hours later I was sitting at home and began to get cold and clammy sweat while I was feeling hot I felt like I was going to throw up and I had that rushing sound in my ears like I was going to pass out... Normal? The length and trauma of removal caused greater reaction? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that either you have got Septicemia following the tooth extraction which is due to bacteria entering the blood in case if your molar was infected leading to increase in body temperature and other symptoms that you experienced. In case if it is not the case there can be allergic reaction to the medicines [antibiotics and painkillers] that the dentist might have given you following extraction. You should consult your dentist and get evaluated and in case if there is septicemia antibiotics has to be taken along with Tylenol to get relieved. In case if it is allergic reaction change of the medicine will help. Hope this information helps. Thanks and 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 ve been experiencing a smelly order from my vagina sort of a musky smell and it started to go away and then I had sex with my partner and the next day my vagina felt very irritated. I took a shower to clean it and everything and it didn t go away it s a burning intense itching feeling all over my vulva (I think that s correct) Its so intense I can t stand it . It s been like his for about week. My partner has a foot nail fungus and I remember him messing with his feet around the same time this happened. a few day ago he said his testicles started having a tingling sensation and I brought up maybe he got jock itch from his feet. Then I thought maybe that s what is happening to me. I do handle his dirty socks as well.. is this possible? Please help!! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for posting in Chat Doctor. I understand your concern. Foul vaginal odor and itching in vagina are symptoms suggestive of yeast infection, which could have been caused due to poor genital hygiene. Kindly do the following to overcome the same. 1. Cleanse the area with mild antiseptic solution like Salon twice daily. 2. Apply antifungal vaginal pessary or cream containing medication like fluconazole or fluconazole. 3. Take Tablet. Levocetirizine once a day to counter itching. 4. Wear loose fitting undergarments preferably made of cotton. 5. Abstain from sexual activities till the symptoms subside completely. Maintain good personal hygiene. Gradually, you should be able to overcome the symptoms and be back to normal. Hope the information provided would be helpful. All the best. Chat Doctor. S., MBBS., MD. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> HI sir, iam a dentist aged 26/f , single, i found out 2 lumps in my neck rt side post auricular n cervical. i consulted an oncologist he advised for FNAC,blood smear study , mantoux test n routine blood test. the results were normal smear study, negative mantoux n reactive lymphadenitis, ESR-50 . My mom s a breast carcinoma patient . im under vaccination for cervical carcinoma two doses... do i have to worry? or wat further follow up should i do? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Nothing to worry right now. Reactive lymphadenitis is common finding. You should be on to follow up. You should search for any infective etiology at the Chat Doctor. Exact size, shape, consistency, fixity to the underlying structures should be carefully examined. If the lymph node decrease in size no need of any investigation. Anyway, As you have family history of breast cancer it is better to go for clinical breast examination at three years interval. Take care. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> hi,my 8 year old son who is termed autistic is also on synthroid. he also has adhd. his doc put him on Strattera which was working well as per his concentration at school and anywhere else goes but his anxiety and stress level were the same(high).doc started him on Prozac two weeks back.he became more extrovert ,anxiety was gone ,started focusing and listening less became a bit more mischieveous.today he had somekind of dizzinees attack at school.his heartbeat was very fast .had to call an ambulance and was admitted to emergency.its a sideeffect of prozak which causes dizziness is wats my feeling is. Strattera is good for his concentration and calmness but doesn t work on him as stress and anxiety is concerened.Any suggestions??Strattera and any other anxiety and stress relieving drug combination??anything??plz help <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for asking this question. The fact is that Strategy (Atomoxetine) was prescribed for your sons ADHD (Attention Deficit and Hyperactivity Disorder). You state that your son is also taking Synthroid (Levothyroxine), which a replacement for a natural hormone (chemical) that occurs in the body. I will directly answer you question by saying that Prozac (Fluoxetine) when given with Strategy, causes problems in blood pressure and heart rate. This is dependent on the exact dose of Prozac that is given and your sons weight. If you wished to continue Prozac therapy, then you would definitely have to go to a Doctor who would precisely calculate the right dose of Prozac for your son. There is a remote possibility that the Synthroid medication is causing the anxiety response in your son. All your son needs is a dosage adjustment. Kindly seek a child psychiatrist. <|eot_id|>

<|begin_of_text|><|start_header_id|>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 really worried about burgulars or bad people entering my home at night and am extremely worried about how I would manage to get my daughter out if this was to happen. I check wardrobes, cupboard, in closest a, under beds and repeat overly check windows. I cant lie comfortable and sleep I sit up listening out for things until I fall asleep and if I wake up I do the same again. What can I do? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello thanks for asking from ChatDoctorYou have worries that bad people or burglars are entering your hours and repeated thinking that how would you manage to get your daughter out of this. You have habit of repeated checking cupboards, closet or under beds. These symptoms are causing related worries and making you uncomfortable to such degree that you are not able to sleep. Such symptoms are due to severe anxiety and OCD only. Consult a psychiatrist for proper treatment of such symptoms. Medicines like SSRIs as Fluoxetine, Paroxetine etc. are used in high doses in OCD. Other Chat Doctor. Consult a psychiatrist for prescription of these <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> I m 65yrold female. Exercise frequently;speed walk, hike, vegetarian. Lately tired all the time, nauseous a lot, yet somewhat hungry and getting increasingly more and more irritable and lessening patience. Sudden outburst of anger. History of depression . Take numerous vitamin supplements and 100mg of wellbrutrin daily. Thinking of increasing dosage when see psychiatrist for next appnt. But mostly concerned about tiredness and nausea . <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, Thanks for choosing Chat Doctor for posting your query. From the description that you have given it appears that you are having a recurrence of depression. Your complaints of nausea and tiredness can be a part of your depressive symptoms. Although you are already on 100 mg of Wellbutrin, you still can have a recurrence. Your psychiatrist may like to change your antidepressant and also add mood stabilizer as you are having a recurrent depressive disorder. Also in old age it is advisable to get your electrolytes and thyroid hormone levels checked. Besides consider starting sessions of cognitive behavioral therapy with your psychiatrist. Lastly good diet and regular exercise go along way in maintaining your health. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link: bit.ly/ Chat Doctor. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi, I had all 4 wisdom teeth extracted 7 days ago. My lower left is slightly swollen and there is a nasty sour taste coming from it. I called my oral surgeon and he said it was fine, just continue with salt water rinses. I am wondering if I can use a piece of gauze over it to get rid of the taste or will that be a bad idea? Thanks! <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hi, Thanks for posting your query.It's just the taste coming from the healing orifices where your wisdom teeth used to be. It's a natural part of the process, the taste will go away eventually. Definitely keep up with the salt water rinses and the antiseptic mouthwashes. Do Floss. Floss well in the backs of those molars next to where your wisdom teeth used to be. You'd be surprised at the amount of plaque that can build there, and bacteria from your healing mouth can gather there and hold that bad taste. Hope this will help you. Warm regards <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi Dr, I am 23 years old and I have been married for 1 year now. Since from November last year in 2013 up to date I have been trying for a baby with no success. After making love with my partner 2-3 weeks later I would have some cramps and always feeling tired, feeling like vomiting and painful breast. I always have a hope that I am pregnant but few weeks later I would see my period. What should I do to increase my chances of getting pregnant? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Hello, thank you for posting your query to Chat Doctor. Have you been continuously trying since past ten moths or did u give breaks in between? If you tried continuously since all these months, then I'd suggest you to get your scan done for POD, ovarian and uterine physiology along with a detailed checkup for thyroid and other hormones, And blood tests. Your husband also needs to be investigated in details at the same time. You could come back with all the reports to us, or you can see a doctor, with those reports. Meanwhile, do not lose hope and keep trying, as there is no hard and fast rule for the ratio of success rate to the no. of attempts in this matter. Some couples are first time lucky, and many others take much longer to get that positive on their pregnancy test. Also, don't stress over it, as it hampers one's chances of conceiving. Both you and your husband must follow a healthy lifestyle, that includes a combination of healthy mind, body and soul (exercises, healthy diet and peace of mind). With this, you should also keep in mind the basic pointers like keeping your waist slightly elevated with a pillow after intercourse, and not immediately visiting the toilet etc. All the best! <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> On Wednesday I had a routine physical and was given the Tetanus Shot on my left arm... today (Friday) I noticed that I have two small red bumps on my arm about a fingertip apart (one of the red bumps is from the injection of the needle). I also have faint bruise under the bumps (bruise is shaped like a line that extends to almost my armpit). In addition, my arm is sore, at times the bumps sting, and shoulder/clavicle is sore). Are these normal side effects after having a tetanus shot?Background: Gender - FemaleAge - 25 years oldHeight - 54Weight - 115 <|eot_id|><|start_header_id|>assistant<|end_header_id|> HiT hanks for posting your query on ChatDoctorI appreciate your concern towards the painful bumps following the injection of tetanus toxic. These are not the normal side effects after having In T.T. Apparently the features described are suggestive of inflammation of the soft tissue cause by infection resulting in abscess formation. Take some NSAID painkiller like Ibuprofen for the pain and swelling, get examined by a doctor for proper assessment and possible incision and Chat Doctor. Hope this answers your query. 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 received a low dose steroid injection yesterday for seasonal allergies. This morning I am feeling a lot if anxiety, which I have a history of. Could this be from the steroid injection? I take zoloft for it and have not really had any anxiety for a long time. If it is a side effect, the shot is supposed to last for four weeks! Will I feel this way the whole time? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Degree understand your concerns went through your details. I suggest you not to worry much. Steroid injection may not be the reason for your anxiety. Anxiety is always triggered when something anxious happen. For you, you are already having anxiety disorder. The anxiety you are feeling now is just because of the obsessive thinking related to the injection. Such a condition shall be vanishing within a day or two. Please do not worry. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. <|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|> You are a helpful assistant helping individuals with their medical queries <|eot_id|><|start_header_id|>user<|end_header_id|> Hi I am experiencing a sharp cold pain stabbing pain in my chest just beaide my left breast and also the lower left part of my stomach. The pain is so much that I cant stand and even breathing makes it worse, I have been to the docs many times and they have found nothing at all. I have been experiencing this pain my whole life but it has only gotten alot worse just recently. I am 17 years old. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having mostly anxiety and related HERD (gastroesophageal reflux disease). But since you have left sided chest pain, better to get done ECG first to rule out cardiac cause. If ECG is normal then no need to worry much for cardiac cause. You are having anxiety and HERD. Anxiety is well known risk factor for HERD. So control of anxiety is needed. 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. So avoid stress and tension. Be relax and calm. For HERD, start Proton pump inhibitors. Avoid hot and spicy food. Don't worry, you will be alright. <|eot_id|>