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If you are a doctor, please answer the medical questions based on the patient's description. | My mother 90 years old is diagnosed with colon cancer stage 4 1 month ago? Are there drugs to prolong her life? She is lack of sodium and potassium. Are there are tablets she can take to supplement sodium and potassium. She has internal bleeding due to colon cancer. Other than blood transfusion, any other method to stop her internal bleeding? | Hi, dairy have gone through your question. I can understand your concern. She has colon cancer stage 4. It is last stage and surgery is not possible. Treatment of choice is chemotherapy and radiotherapy. Despite treatment prognosis remains poor. And life expectancy is very low. We can not stop internal bleeding. Sodium, potassium and iron supplements are required to maintain electrolytes and hemoglobin. 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. | 899 |
Answer this question truthfully | What is Hepatic angiosarcoma and what is it associated with? | Hepatic angiosarcoma is a rare and aggressive form of liver cancer that arises from the cells lining the blood vessels within the liver. It is associated with exposure to certain environmental toxins, such as arsenic and vinyl chloride, which are commonly found in industrial settings. Hepatic angiosarcoma may also be associated with other risk factors, such as chronic liver disease, alcohol abuse, and smoking. Symptoms of this condition may include abdominal pain, weight loss, fatigue, and jaundice. Treatment for Hepatic angiosarcoma typically involves a combination of surgery, chemotherapy, and radiation therapy, but the prognosis for this condition is generally poor. It is important for individuals who work in industries where they may be exposed to these toxins to take appropriate safety measures to prevent exposure and to seek medical attention if they experience any symptoms. | 953 |
Answer this question truthfully | What is the association between obstructive sleep apnea and systemic hypertension, and why is it difficult to manage? | Obstructive sleep apnea is associated with difficult to manage systemic hypertension due to increased sympathetic tone. | 236 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, after having an ultrasound they discovered 2 polyps, 1 is 0.5mm and the other 0.7mm and there are many small ones. They have suggested having the gall bladder removed to reduce the risk in future years. I am 39 and healthy and was wondering if this is the best option? | Hi. Noted gallbladder polyps on ultrasound result. Even if you are not experiencing any symptom right now, one important thing to know about gallbladder polyps are their risk for malignancy transformation, hence, the advice of your doctor for surgery. It is best if you consult with a doctor, preferably a general surgeon, so you can discuss with him the plan of management for your case (conservative or clinical monitoring of your polyps vs surgical intervention). Definitive treatment is cholecystectomy (removal of your gallbladder along with the polyps), which can be done laparoscopically (gold standard) or through open technique. Hope this helps. Good day!!~ Chat Doctor. | 951 |
Answer this question truthfully | Among NRTIs, which medication is known to cause hyperpigmentation specifically on the palms and soles of the feet? | Emtricitabine is the NRTI that is known to cause hyperpigmentation on the palms and soles of the feet. NRTIs, or nucleoside reverse transcriptase inhibitors, are a type of medication used to treat HIV and hepatitis B. Emtricitabine is one of several NRTIs that can cause skin discoloration as a side effect, but it is unique in that it tends to cause hyperpigmentation specifically on the palms and soles of the feet. This side effect is usually harmless and does not require treatment, but it is important to talk to a healthcare provider if you experience any unusual skin changes while taking emtricitabine or any other medication. | 748 |
Answer this question truthfully | What type of drugs can be used to decrease aqueous humor production? | Aqueous humor production can be decreased with α2 agonists. | 127 |
If you are a doctor, please answer the medical questions based on the patient's description. | I was diagnosed with Primary hyperparathyroidism for about 6 years before removal of parathyroid! My bone scare shows cervixal osteopenia not far from full forse osteoporosis. I feel hard on my tail bone to point It make me dizzy, sick, weak, nausea and not sure if I need it looked at | Hello ! I read your question and understand your concern. I would recommend treatment of hypocalcemia from hyperparathyroidism, which is induced by the intervention you have done. This is the cause of your osteopenia. I would also recommend tests like bone densitometry to measure the real problem. This problem can be treated only symptomatically, but once initiate it is difficult to stop. Oral calcium supplements and Vitamin D in the form of calcitriol would increase calcium levels in your blood and stop osteopenia from progressing. However, at high doses, calcium supplements can cause gastrointestinal side effects, such as constipation, in some people. Diet modification would also be helpful | 986 |
If you are a doctor, please answer the medical questions based on the patient's description. | i am 31 years old,height 177cm, &weight 70 kg,i have a pain on my left foot(its paining between my two fingers & my toh).my uric acid is 6.9 i am felling a pain in my vains but its only in my lower part of foot,none of my other body parts is paining.after 3-4 days its automatically stop & then their is no pain but whenever their is a change in temperature its start again.I am taking a medicine(zyloric) for it. is it paining due to uric is it paining due to uric acid,or something ales please help me. | Hello, If you are having gout then such pain can be there due to alternation in levels of serum uric acid. Serum uric acid levels in blood changes with change in temperature. It can precipitate in cold in joints and increase the pain. You may take a good effective analgesic in such case. The indomethacin in Chat Doctor. Take care. Hope I have answered your question. Let me know if I can assist you further. | 914 |
If you are a doctor, please answer the medical questions based on the patient's description. | My son appears to have bitten by something.. He has a rash on his arms and legs bumps red in color slightly raised and very itchy!! He appears to have bitten by something on his shoulder above his arm pit that is white in color the size of a quarter. | Hi I do care for your concern. Your history suggest of unknown insect bite. However, white headed bump around arm may be due to infection. I would advise Consulting your physician to know whether it is insect bite mark of infected bump. Regarding itching taking medicine such as cetirizine twice a day will relieve you of symptoms, in case of infection antibiotics may be needed. Hope I have answered your question, if you have more feel free to ask. Thank you. | 713 |
If you are a doctor, please answer the medical questions based on the patient's description. | I just had a wisdom tooth extracted yesterday (it was fully in, so simple extraction in dental office). They prescribed hydrocodone for pain, but it made me sick, so I do not want to take it again. I am now feeling better from taking the hydrocodone, but the extraction site is giving me pain. I took two extra strength excedrin about 1 hour ago. I am still having pain. Can I now take either 1 or 2 Alleve to get rid of the pain? I am trying to avoid the hydrocodone. thanks. | Hi, Thanks for posting the query, I would like to tell you that pain, swelling, numbness are common after wisdom tooth removal, you don't worry about the symptoms as they will subside after some times by its own, you just follow the post extraction instructions given to you properly, take complete course of antibiotics and analgesics, at home take lukewarm saline and antiseptic mouthwash rinses, take multivitamin supplements and complete rest. Hope you find this as helpful, Take care! | 972 |
Answer this question truthfully | Which type of cancer is gallbladder carcinoma classified as? | Adenocarcinoma. | 75 |
If you are a doctor, please answer the medical questions based on the patient's description. | On the inner side of my knee there is a recurring blood spot that appears under the skin. It is bright in color then starts to fade completely. It reappears a few days later, the shape of the blood blotch changes each time but it is at the same place and very red like blood. What is this? It doesn t hurt but it has a cycle twice a month of reappearing. Sometimes it is in dots and it showed up this morning again and now it is a solid blotch. Sheri Gallagher | Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, your symptoms are quite peculiar. This could be hematoma, which is presence of normal tissue at an abnormal site for that, or it could be vascular tumor. We normally proceed with MRI a non-invasive way to see what's inside, The conformation is usually by biopsy. The treatment is surgical excision or chemotherapy, depending on cause and extent. I hope that answers your query. If you want any more clarification, contact me back. | 973 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi Im 15 around 56kg and 169 cm male. I currently have a bad case of chickenpox at the moment and have these dark red scabs all over my face. Will they turn into scars and if so are they permanent? My mouth and throat is infect as well as under and on my foreskin. Will urinating frequently affect my genital area? As urinating is so painful at the moment | Hello, Welcome to Chat Doctor, It is highly communicable 1-2 days before the appearance of rash and 4-5 days thereafter. After which virus tends to die out and looses the capacity to transmit disease to normal individuals. The scabbing usually begins 4-7 days after the rash and completed by 30 days. During the scabbing period you are sterile and will not transmit disease to others. This is a disease which will affect all parts of the body from head to toe including the genitals. Thank you. | 849 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, My dad is been diagnosed for fever, he received antibiotic for viral fever. But the viral fever brought joint pains along with it. after the viral fever the joint pains still continued since a month. on recommendation fron a doctor we got all type of blood test done. the report indicated ESR count is 40 which is on the higher side. I would like to know is there any real problem and how will it be cured. | HiT hanks for askingBased on your query and findings my opinion is1. ESR is quite high in your fathers case and is probably related to the fever and now to the joint pains. 2. ESR is an indicator of an underlying disease process which raises with disease and settles to normal with resolution of the cause. It is only a prognostic indicator and not a diagnostic indicator.3. In your fathers' case it will reduce with the resolution of joint pains as chronic inflammation around joints have raised the ESR.4. You need to focus on bringing down joint pains rather than worrying about a raised ESR. Hope this helps | 1,024 |
If you are a doctor, please answer the medical questions based on the patient's description. | hi,am 26 yr old.i was married 2010 but not am not conceived so am going to check .doc said both ovried having lot of follicles.so am in under treatment.now am going to follicular study.9th day rv-msf and lo-9.5*8.1 EM THICKNESS-7.5 MM11th day rv-msf and lo(i think corrosion)fluid EM thichness 8.7 mm.if any possible to pregnent as.thanks a lotweight 59 | Hi, You are in right age for pregnancy. But by scan you don't seem to be ovulating. Hormonal imbalance is one of the commonest reason.1. Weight should be Ht in CMS - 100, roughly. If higher reduce weight by controlled diet, not fasting & regular exercise2. Check your Thyroid profile, Blood sugar, Serum prolactin. If repeated follicular scans show no dominant follicle, kindly get started on Ovulation induction Chat Doctor. You have very good follicular count in ovaries, so chance of pregnancy is high All the best | 872 |
Answer this question truthfully | What is the recommended next step for evaluating internal hemorrhoids with bright red bleeding in high-risk individuals? | The recommended next step for evaluating internal hemorrhoids with bright red bleeding in high-risk individuals is a colonoscopy. While internal hemorrhoids are a common cause of rectal bleeding, it is important to rule out other more serious conditions such as colorectal cancer, especially in high-risk individuals such as those with a personal or family history of colorectal cancer or inflammatory bowel disease. Colonoscopy is a procedure that allows a healthcare professional to examine the entire colon and rectum for any abnormalities, including hemorrhoids and cancerous or pre-cancerous lesions. During the procedure, any suspicious areas can be biopsied or removed for further evaluation. If the colonoscopy is normal, the bleeding is likely due to the internal hemorrhoids, and further treatment can be directed towards managing the hemorrhoids. | 977 |
Answer this question truthfully | What is the primary use of Buspirone and in what order is it typically prescribed for treating the condition? | Buspirone is primarily used to treat generalized anxiety disorder, which is a condition characterized by excessive and persistent worry or anxiety about everyday events or activities. It is considered a second-line treatment option, meaning that it is typically prescribed after other medications or therapies have been tried and found to be ineffective or have intolerable side effects. Buspirone works by affecting the levels of certain chemicals in the brain that are involved in anxiety and stress. Patients receiving Buspirone should be monitored for any potential side effects and should discuss any concerns or symptoms with their healthcare provider. | 767 |
If you are a doctor, please answer the medical questions based on the patient's description. | 5 month old has been sick for 5days. Took him to doc yesterday. They said hes probably almost done with it and well hydrated. This morning I woke up to him choking on thick Mucusy vomit. Every other time hes thrown up its been really thin and watery. He didnt throw up hardly at all yesterday only once | HI...by what you quote I feel that the infant is having severe form of GER (gastroesophageal reflux). Your daughter will need - 1. Antireflux therapy - Proton pump inhibitors + antiemetics2. Always make her lie down in a propped up position - as in the care seat. She should not be sleeping completely flatly.3. Avoid heavy feeding and feeding more times and in small liquors.4. This type of GER is the root cause for the constipation she is having. She needs expert gastroenterology consultation. Regards - | 809 |
Answer this question truthfully | What is the main difference in cell wall thickness between Gram positive and Gram negative bacteria? | Gram positive bacteria have a much thicker cell wall compared to Gram negative bacteria. This is due to the fact that Gram positive bacteria have a layer of peptidoglycan that is much thicker than the layer found in Gram negative bacteria. The thicker cell wall of Gram positive bacteria gives them greater structural support and protection against environmental stressors such as antibiotics and host immune responses. It also makes them more susceptible to certain types of antibiotics that target the cell wall, such as penicillin. | 634 |
Answer this question truthfully | Which imaging technique is used to detect follicular thyroid cancer, echocardiography or ultrasound? | Neck ultrasound may be performed to detect follicular thyroid cancer. | 169 |
Answer this question truthfully | What is the association between pure red cell aplasia (PRCA) and Good syndrome as paraneoplastic syndromes? | Pure red cell aplasia (PRCA) and Good syndrome are both rare disorders that can be associated with an underlying cancer as a paraneoplastic syndrome. Thymoma, which is a type of tumor that develops in the thymus gland, is the most commonly associated cancer with both PRCA and Good syndrome. In these cases, the immune system attacks and destroys red blood cells, leading to anemia in PRCA and a range of symptoms in Good syndrome, including recurrent infections, diarrhea, and skin rashes. The exact mechanisms by which thymoma leads to these paraneoplastic syndromes are not fully understood, but they are thought to involve an immune-mediated response to the tumor cells. | 781 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi. Im 17 years old and live in new zealand. Lately i have found a lumpy sort of veiny thing leading off my right testicle. I think there is also a small one leading from my right one and i am really really scared i have cancer. Sometimes it hurts when i urinate | Welcome to Chat Doctor .1.Don't worries its not a cancer / not expected in your age group and symptoms are not corresponding towards it.2. It looks like inflammatory / infective etiology which is causing the lumpy feeling.3. An HY Chat Doctor. 4. If you are my patient I would have examined and ask for the ultrasound scrotum to identify the nature of the lump its source and extensions.5. Depending on the findings - most probable treatment in your case could be antibiotic treatment. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. | 836 |
If you are a doctor, please answer the medical questions based on the patient's description. | I have pain in both my lower limb thereby restricting my movement, pain is not stationery but keeps shifting from one place to the other, centre of the pain is usually accompanied with a swelling. I am taking ice bath four times a day, have replaced my footwear to a softer one and doing the knee press and foot front & back exercise twice daily but no relief for the past 45 days, please suggest a permanent remedy. | Hello, If your pain is with swelling and in both lower limbs than there are some other reasons for that like | 524 |
If you are a doctor, please answer the medical questions based on the patient's description. | Our doctor switched our son (14 yrs) from Flixotide to Seretide claiming that Seretide has lesser Cortisone in it. The doctor recommended reducing Cortisone dose as it slows down the activity of the growth hormone. Could you kindly shed some light on this topic? Can we revert back to Flixotide or Ventoline? Would you recommend something else for him? Thanks in advance | It is not true that Fluoride has less steroid. In fact, both sere tide and fluoride have one steroid, its just that the type of steroid is different. Both have different potency, but they are present in each of the pumps in equipment strengths. You can continue with fluoride. Albuterol is the main ingredient in Ventolin, and its use is limited to controlling an acute attack and that's it. It cannot substitute for Sere tide or Fluoride. | 809 |
If you are a doctor, please answer the medical questions based on the patient's description. | I am a bicyclist. Had a lump on left ischium, thought bursitis, then realized it changed from one lump to three. Shotty nodes. We treated w keflex, maybe got smaller. Rode again and developed an inguinal node also. Pcp thinks muscle inflammation, chiropractor says not likely, gyn says leg shaving. C.T. Negative, ultrasound negative. Still there, month four. Any suggestions? | Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having inguinal lymph node enlargement. The most common cause for this is infection. Since your reports are normal and still swellings are persistent, better to get done excision biopsy of the nodes. Histopathological examination of these nodes will diagnose your problem. If this is also negative for infection then no need to worry about any major disease. | 842 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi! My daughter is 16 month old and when i brush her teeth after her guns are bleeding, also last days i hae noticed a bit of bad breath from her mouth. Her teetho on ack came out two days ago and she had a temparature and was very grumpy and had sleeping prolems. Is this is normal? | Hi. Thanks for the query. As per your complaint it seems that your daughter is in the Teething age and gum pain and bleeding can be due to swollen and inflamed gums that are common during teething.However, bleeding gums and bad breath can also be due to infection in gums in case if you are not maintaining a proper oral hygiene. I would suggest you to consult a Periodontist and get evaluated and in case if it is due to teethe then you can simply do cool compresses over the gums and apply numbing gel containing Lidocaine to relieve pain. Maintain a good oral hygiene and brush her teeth regularly. In case if it is due to gum infection then cleaning of teeth will help. Give her Tylenol to reduce fever. Hope this helps. Regards. | 1,016 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, may I answer your health queries right now ? Please type your query here...hi i have frequently short of breath and wheni breath in too many times hardly my heart start palpitationi feel weak and break downeverytime i see a specialist they gave me ganaton and controloc then lexapro and xanax.i need to know what cause and how to get rid of this sicknessis bothering me and i cant concentrate on my work | Hello Fairbanks for using Chat Doctor.come have evaluated your query thoroughly.* This is in relation with psychosomatic manifestation of underlying stress and anxiety disorder.* Surely working recommendations for best recovery are - Deep breathing exercises - Dedicated meditation sessions - Behavior therapy - Counselling sessions - YOGA - Avoidance of smoking, alcohol, any abuse substances if using - Sound, regular sleep of 8 hrs.- Avoid stress, anxiety Hope to clarify your query. Welcome for further assistance . Thanks for using Chat Doctor .com & giving opportunity to assistWishing fine recovery Regards. | 1,022 |
If you are a doctor, please answer the medical questions based on the patient's description. | My son is 4 years old. He took milk of magnesia yesterday and hasn t pooped yet. He took some this morning too, and so far, nothing. Gets cramps every now and then. But no poop. The bottle says to call a dr if don t poop after taking. Should I worry? | Hello, I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions | 366 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi,Iam 29 yrs old .. Trying for baby since 2 yrs. Got HSG test done 2 months back.both the fallopian tubes were blocked. After the test one of the tube got opened. We tried again last month but failed. This month doc has adviced me to take siphene 150mg from day 3 to day 7. My periods started on May 7th. So ideally ill b taking siphene from 9th. Can i know the possible ovulation dates bcoz i need to join my husband during this time as he lives in a different city.Thanks,Pavithra | Hello welcome to ChatDoctorAfter you have taken sphere tablets recommended by your doctor, please get a scan done and look for the follicular development from day 10 or 11 of the cycleSince your partner stays else where, you can do the scan in his place and plan what is called timed intercourse. This is more reliable and effectiveThere are LH strips available, but you will have to follow them daily from the 11th day and plan the day ahead. This of course is not very effectiveness you all the best Chat Doctor. | 997 |
If you are a doctor, please answer the medical questions based on the patient's description. | i am 30 years old. I am now suffering from pulmpnary tuberculosis. I have taken AKT4 for 2 month then now taking AKT2 for about two and half month and continuing. My weight is about 68 kg. I have a small white flesh inside my mouth near tonsil. No pain no iching. No problem with swalling. It is seen from about 25 days . Is it oral cancer. | Welcome to Chat Doctor, Small white thing next to tonsil could be a Tonsillolith (also called tonsil stone). They are usually made up of calcium and results in bad breath. You could try removing it by strong gargling or a cotton bud. It if still remains visit a ENT Surgeon who can remove it by irrigation or scooping. If it cannot be removed then the ENT Surgeon may consider other diagnosis and may take a biopsy to rule out cancer. Hope that answers your question. Chat Doctor. (if the answer has helped you, kindly indicate this) | 874 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, My 5 month old baby girl has tiny \"pen dot sized\" faint red spots on her hands and feet. Looks like she may have them on her chest and stomach as well. She is not fussy nor does she appear to be uncomfortable. She does not seem to have a fever either. Any idea what it could be? | Hi...as of now I can say that as the dots are not bothering her, you need not worry about it. But... Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. | 809 |
Answer this question truthfully | How would you define asthma? | Asthma is a reactive obstructive airway disease caused by inflammation and bronchoconstriction, which leads to high resistance to airflow. | 166 |
If you are a doctor, please answer the medical questions based on the patient's description. | I have a 6 week pregnancy.My first scanning report gave an impression that I have an intrauterine gastation sac with multiple internal separation .The embryo possess normal cardiac visibility.Dr suggest a follow up after 12 days .is their any problem with my pregnancy | Hello, The USG scan showing normal cardiac visibility at 6 weeks gestation and multiple separations indicate to chorionic hemorrhages which is a matter of concern. With bed rest and taking pregnancy supporting hormone (progesterone -- as per advice of treating gynecologist) would help. Please don't worry. Follow the advice properly and go for repeat scan after 12 days to confirm. Hope I have answered your query. Let me know if I can assist you further. | 724 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, may I answer your health queries right now ? Please type your query here...Hi,my 7 yr old has had a stomache bug since Sunday with vomiting and diaorrea.The vomiting has stopped last night but today his stools are very sloppy and now pale yellow in colour and smell horrendous.He s managing to keep fluids down and I m giving him calpol and ibuprofen in age appropriate doses.Should I take him to see a Dr if it s still persisting tomorrow? | Hi, It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. You need not worry. As you say that your kid is able to keep down the liquids which you give him, that means, I take it that he is not deny Chat Doctor. So do not worry. Hope I have answered your query. Let me know if I can assist you further. | 920 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I ve just been diagnosed with an intraosseous lipoma in the femoral neck of my hip. I have been discharged and have been told I need no further MRI imaging in the future. I was just checking this was appropriate as I have read on the Internet that these lesions need periodic imaging to keep an eye on it as they pose a rare but real threat of malignant transformation? | Thanks for your question on Chat Doctor. In my opinion you should not worry much about cancer. Lipoma is benign soft tissue tumor mostly containing fat tissue. It is painless and harmless. Rarely it turned into malignancy, liposarcoma. But the chances of this is very, very rare. Only 0.0001%. So no need to worry much about malignancy. But, yes you should definitely get done follow up of this lesion annually by MRI. Look for size and contours of lesion in follow-up scans. But at present no need to worry much. No possibility of cancer. | 912 |
Answer this question truthfully | Who are the individuals that are more likely to develop oral candidiasis? | Individuals who are immunocompromised or using oral steroids are more likely to develop oral candidiasis. | 178 |
If you are a doctor, please answer the medical questions based on the patient's description. | when i was seven weeks pregnant i picked up an eighty pound resident and hurt my back and the rn on duty at the time thought i was having a miscarriage however i was not able to have an xrays done till recently and i found out that i have retrolisthesis would you say it was caused by pregnancy or an injury from picking that resident up? I had no prior back problems | Well the cause of your issue could be anything out of what you think, but now you need to focus more on treatment as well as precautions. For this you can visit an or tho or physio doctor get your mom done and based on the severity of your issue they will guide u in this with few posture related advice as well exercise to strengthen the back. If it looks severe on MRI then the or tho would also guide for any kind of surgical corrections. Don't get panic and just follow the steps by visiting or tho or physio, and you should be fine. Take care | 920 |
If you are a doctor, please answer the medical questions based on the patient's description. | I had episodes of seizures in Feb 2016 I have been doing fine until lately when I woke up o bathroom floor ,not sure how I got there .amb crew got me up but I was OK by then .I now feel fine most days but some days have problems walking and feel really bad some days | Hello! Welcome on Chat Doctor ! The difficulty walking could be related to a partial paralysis after the seizure (which is quite a common phenomenon). Confusion after the seizure could also explain the gait difficulty. Anyway, I would recommend performing a brain MRI in order to exclude any possible brain lesions, which can lead to seizures and gait disturbances. You should discuss with your doctor on this test. Hope you will find this answer helpful! Best wishes, | 734 |
If you are a doctor, please answer the medical questions based on the patient's description. | i had a very bad chest infection 2/3 weeks ago ,my rib cage was aching with coughing ,since it has cleared i am left with a sort of muscle pain below my ribs ,its not a consistant dull pain it comes now and again depending on which way i move or lie ,thank you | Thanks for your question on Chat Doctor. I can understand your concern. Follow these steps for better symptomatic relief in musculoskeletal pain.1. Avoid heavyweight lifting and strenuous exercise.2. Avoid movements causing pain. Avoid sudden jerky movements of chest.3. Sit with proper back support.4. Apply warm water pad on affected areas.5. Take painkiller and muscle relaxant Chat Doctor. 6. Wear rib belt.Don't worry, you will be alright with all these in 1 week. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 827 |
If you are a doctor, please answer the medical questions based on the patient's description. | hi, my age is around 30 (thirty). i have got fever (102 or 103 degree) about two weeks before. after i took paracetamols and as i felt better i stopped taking medicine. then the next day i got fever again. so i took paracetamols again and felt better. but i soon as i stop taking medicine i get fever. this is happening for one month and i am still taking paracetamols. as i am sustaining the fever for a long time ,is that sign typhoid or any other disease? | Hi, As your fever is there since long and took no active treatment. It requires evaluation of your case. You might require few investigations to get some clue about your problem. Go for, Complete blood testing like, TC, Dc, ESR, platelet count, MP. S tidal. Go for routine urine check up.If you require go for x-ray chest and ultrasound abdomen. Consult your doctor and after all reports go for treatment accordingly. Take plenty of water and light diet. Ok and take care. | 930 |
If you are a doctor, please answer the medical questions based on the patient's description. | Mom has high cholesterol, after ECG test they said she may have heart problem now,but w dont exactly know what it is since she hasnt have complete check up and test yet. She is taking simvastatin.She is having stomachache and one time she was so nauseous and spit bit blood. | HIT hank for asking to ChatDoctorI really appreciate your concern and looking to the history given here I would like to say that the symptoms that your mother has are not related with heart disease and this could be some hyperacidity problem, or gastritis, if it is blood stain saliva then this could be dental condition, in my opinion your mother need be examined clinically for final diagnosis, hope this information helps you, take care and have a nice day. | 734 |
If you are a doctor, please answer the medical questions based on the patient's description. | im 34 yr old and for the last five to six years, after eating I will get bloated and at night time, I feel like I cant breath im so bloated, then I will get the runs, and I went to a specialist and he mention IBS but here is the catch.... it only happens in the winter ...... in the summer time I can eat what ever I want, but once the winter hits, I have to change my eating habits, but I still get the symptoms. the specialist also told me to take probiotics but that did not help much. | Welcome to Chat Doctor It could be acid peptic disease with periodicity or an IBS. It is immaterial as both are benign conditions. What is important to know is whether you are losing weight or appetite or have any black tarry stools. You should get 3 consecutive samples of stool occult blood, CBC and ESR. IBS is also known to have periodicity as may not be throughout the year. If stool occult blood is positive, you may require upper GI and lower GI endoscopy. Take care | 961 |
If you are a doctor, please answer the medical questions based on the patient's description. | My daughter has a severe bruise on her calf and it has a real hard lump in the middle of it and it has bruised all the way down her leg to her foot and the bruising is dark purple? Could you please tell me if I should be concerned about this or what we should do about this? | Hi. Thanks for your query. This looks to be post-traumatic, meaning after a trauma. Dark purple bruise with a lump is suggestive of a hematoma. It is possible that she does not remember how it occurred as it would have been mild Because of the typical fat distribution in this area, it was not noticed easily. If this is bruise, the treatment is conservative. Anti-inflammatory medicines would help if given in a proper dosages. IF it is not painful, if the local temperature is not raised you can have a wait and watch policy. Keep it under observation and will settle in one to 3 seeks time. If you are suspicious of an infection, you have to start her on an antibiotic and anti-inflammatory medicines. Yes, you should be concerned about this. | 1,020 |
Answer this question truthfully | What are the organs that secrete nascent HDL? | Nascent HDL is secreted by the liver and intestine. | 96 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi,my son is 7 years old. He has been getting alot of headaches recently and today when he came home from school he complained of a headache and started to cry,he is sleeping at the minute, i have also noticed that his forehead at the top righthand side looks swollen,it feels very hard? He has had a couple of nose bleeds also in the last few weeks. | Hi, headache in a 7-year-old child could be due to hypertension, refractive error in eyes, trauma to head or intracranial pathology. Most common cause of headache is refractive error, so you should get your child eyes check for refractive error. Other causes could be hypertension so get the blood pressure checked. MRI brain should be done to rule out intracranial pathology. Revert with above reports. Take care. | 764 |
If you are a doctor, please answer the medical questions based on the patient's description. | thank you. I am experiencing right side lower flank back pain, pinching feeling , pain is comes and goes, have been a week. I had UTI last week and took antibiotic and uti has been resolvedafter UTI, my GFR was 80 with normal creatinine and bun, my doctor said my kinddy function should be ok because no signs and symptoms of protein in urine. am I experiencing kiddey failure? so worried. should I go to emergency? | Hi, Your symptoms are not suggestive of kidney failure. Flank pain after a recent UTI can be due to new or unresolved pyelonephritis (infection of kidney). Did you undergo an ultrasonogram during your last visit? If your flank pain persists, you should go to the emergency, to rule out a kidney infection or other conditions like stones, using urine microscopy and ultrasonogram. Meanwhile, take the lot of fluids. Please let me know of you need any further clarification. Wish you a speedy recovery, | 916 |
Answer this question truthfully | What is the significance of increased serum I M levels in primary sclerosing cholangitis and primary biliary cholangitis? | Primary sclerosing cholangitis and primary biliary cholangitis are both associated with increased serum levels of immunoglobulin M (I M). Immunoglobulin M is a type of antibody produced by the immune system in response to infections or other foreign substances. The exact reasons for the elevated I M levels in these conditions are not fully understood, but it is thought that chronic inflammation and damage to the bile ducts may play a role. Monitoring I M levels can be useful in the diagnosis and management of these conditions, as well as in assessing disease activity and response to treatment. | 721 |
If you are a doctor, please answer the medical questions based on the patient's description. | I started drinking a lot of water on Monday to start a new heath regimen, when I usually only drink 1 or 2 bottles a day. Therefore was having frequent urination due to my increase of fluids. Then around noon on Monday, my lower back started to hurt, feeling like a muscle pain, this has continued all the way until today Wednesday. I noticed today that there are four small bruise going a long my lower back and it feels very tight and sore. I did not fall or hit it on anything. Any idea what could be going on? | Hello. Thanks for writing to us. The pain in the back and the muscle pain that you are having is due to electrolyte imbalance. The sudden loss of excessive fluid and electrolytes from the body has caused this pain. Electrolyte rich fluids will help in reducing the pain. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http | 917 |
Please answer with one of the option in the bracket | Q:A previously healthy 41-year-old woman comes to the physician for the evaluation of recurrent episodes of palpitations and sweating over the past month. Her symptoms typically start after swimming practice and improve after drinking ice tea and eating some candy. She has also had a 5-kg (11-lb) weight gain over the past 3 months. She works as a nurse. Physical examination shows no abnormalities. Fasting serum studies show:
Glucose 38 mg/dL
Insulin 260 μU/mL (N=11–240)
Proinsulin 65 μU/mL (N <20% of total insulin)
C-peptide 5.0 ng/mL (N=0.8–3.1)
Insulin secretagogues absent
Which of the following is the most likely cause of her symptoms?"?
{'A': 'Exogenous administration of insulin', 'B': 'Binge eating disorder', 'C': 'Pancreatic β-cell tumor', 'D': 'Factitious use of sulfonylureas', 'E': 'Peripheral resistance to insulin'}, | C: Pancreatic β-cell tumor | 864 |
If you are a doctor, please answer the medical questions based on the patient's description. | hello doctor, am 15 years old. and i have had severe pimples .. and i still have them, mostly on my forehead , and cheeks . It is very embarassing for me. i cannot concentrate on anthing. i also have acne scars on my face . mainly in my forehead and cheeks. How can i get rid of them quickly? | Hi....., Thanks for choosing Chat Doctor., Why You're worrying this., It is common in Your age..., If U take care of Your Skin., It will control easily..., This is called.ACNE VULGARISM...., It is due to Hormonal action....ok.,1) Frequent washes with Triclosan soap...2) Tab Isotretinoin 20 mg daily for 2 months.,3) Topical apply ZYCLIN-NANO, or CLINTON., 2 times daily.,4) Take plenty of vegetables and fresh fruits..., ok...good luck., | 730 |
If you are a doctor, please answer the medical questions based on the patient's description. | I just had an echo gram and nuclear stress test since I was getting some chest pain which I believe is stress. I had a widow maker heart attack in 2007 and just on medications. One of the cardiologists at the hospital yesterday suggested an angioplasty test. Is that necessary? | Thanks for your question on Chat Doctor. I can understand your concern. Yes, in your case Angiography is needed. And if block is there than angioplasty is needed. You had heart attack in 2007. So you are having high risk for cardiac diseases. You are also having chest pain at present. So possibility of Coronary artery disease is more in your case at present. And for the diagnosis of this, Angiography is must. Angiography is not only diagnostic, but it will also cure the obstruction by putting Stent (angioplasty). So better to get done Angiography and if needed angioplasty. Hope I have solved your query. Wish you good health. Thanks. | 918 |
If you are a doctor, please answer the medical questions based on the patient's description. | I was taking an OTC med but it seemed to be affecting my cognitive abilities a great deal. I have been off the med for about 2 weeks and my allergies are killing | Hi, Thanks for using Chat Doctor, You are having allergic problem with dust in the form of itching and Rhinitis. Yes taking anti allergy medication can affect your cognitive abilities. Please consult physician and take proper allergy tests like your IGE level and even in vitro allergy test can be done. There are relatively non sedating anti allergy medication which can help and even if it is necessary to use short term oral steroids can be given by your doctor. This is good that you are taking precaution and avoiding dust this should help you. In dust hose mite is there if allergy is specific it can be treated with immunotherapy. Hope this helps. Take care. Good Luck. Chat Doctor. D | 852 |
Please answer with one of the option in the bracket | Q:A 70-year-old man presents for a routine checkup. He says that he recently completely lost hearing in both ears and has been having occasional flare-ups of osteoarthritis in his hands and hips. Past medical history is significant for hypertension diagnosed 25 years ago that is well controlled. Family history is significant for his brother, who recently died from prostate cancer. The patient's blood pressure is 126/84 mm Hg. Laboratory findings are significant for an alkaline phosphatase level that is more than 3 times the upper limit. Right upper quadrant ultrasound and non-contrast computed tomography of the abdomen and pelvis reveal no significant abnormalities. Which of the following is the most likely complication of this patient’s condition??
{'A': 'Pulmonary metastasis', 'B': 'Cushing syndrome', 'C': 'Osteoid osteoma', 'D': 'Hypoparathyroidism', 'E': 'Osteosarcoma'}, | E: Osteosarcoma | 903 |
Answer this question truthfully | What product is formed when 2-phosphoglycerate is converted by the enzyme enolase? | When 2-phosphoglycerate is converted by the enzyme enolase, it forms phosphoenolpyruvate (PEP). | 177 |
Answer this question truthfully | What is conus medullaris syndrome and what are some of the symptoms associated with it? | Conus medullaris syndrome is a type of neurological disorder that affects the lower spinal cord and can result in symmetric motor weakness. The conus medullaris is the tapered end of the spinal cord, and damage to this area can cause a variety of symptoms, including weakness, numbness, and tingling in the lower extremities, as well as problems with bladder and bowel function. Other symptoms may include sexual dysfunction, saddle anesthesia (loss of sensation in the area of the body that would come into contact with a saddle), and muscle atrophy. The severity and duration of symptoms can vary depending on the extent of the damage to the conus medullaris. Treatment may involve medication, physical therapy, and surgery in some cases. | 827 |
Answer this question truthfully | What does a physical exam for hiatus hernia entail? | Physical examination of patients with hiatus hernia is usually normal and unhelpful in the diagnosis. In some cases, hiatus hernia may develop to gastroesophageal reflux disease (GERD) at which the physical examination is usually associated with the following:
Patients with GERD usually appear ill and uncomfortable due to the retrosternal pain.
Hypertension spicking specially in patients already with pre-existing hypertension.
Skin examination of patients with hiatus hernia is usually normal.
Hoarseness of voice Laryngitis Otitis media Dental erosions
Neck examination of patients with hiatus hernia is usually normal.
Wheezes Bronchitis
Cardiovascular examination of patients with f is usually normal.
Epigastric tenderness
Neuromuscular examination of patients with hiatus hernia is usually normal. | 859 |
If you are a doctor, please answer the medical questions based on the patient's description. | I have a friend who has been on a drinking binge for the last 2 days, at least. Yesterday he says he did a bunch of cocaine- amount unknown. He was in a fight today (I know this sounds awful) and showed up to my house. Hes now complaining of 4/10 right upper quadrant pain, but it looks like its more than that. Vital signs are OK- BP 130/84. HR slightly elevated. One episode of N&V- no blood.Any thoughts? | Welcome to the Chat Doctor Here history of trauma present.... Hence, it could be trauma induced muscular strain pain.... But internal bleed or organ injury also has to be rule out... For that examination and x-ray and USG like investigation done needed EKG done Ibuprofen prescribed for five days Hot compress helpful and avoid strenuous work up Take care Consult pulmonologist for examination without delay with keeping my answer in mind | 851 |
Answer this question truthfully | What is the reason for NSAIDs and ACE inhibitors causing edema? | NSAIDs and ACE inhibitors can cause edema due to their potential to impair renal function. | 153 |
If you are a doctor, please answer the medical questions based on the patient's description. | my small brother age 18 has been paralysis attack about last moth ago....he is under the treatment of dr anupam sahni.......he is not able to right...get tired after 10 lines....not able to speech clearly...what short of tratment should do to make ghis voice clear....and sir how long it will take to recover | Hi, Recovery after paralytic attack depends on the severity of the stroke and the will power of the patient. There is no specified time limit in which recovery is guaranteed, sometimes it takes a few months only sometimes even a lifetime is not enough. Though full recovery is rare but more is they will better are the results. Take care. Hope I have answered your question. Let me know if I can assist you further. | 723 |
Answer this question truthfully | What is the recommended treatment for a pheochromocytoma? | The recommended treatment for a pheochromocytoma is surgical excision. | 127 |
Answer this question truthfully | How does chronic exposure to arsenic lead to an increased risk of cancer, and what is the role of metabolites such as dimethyl-arsenic in this process? | Chronic exposure to arsenic can increase the risk of cancer by inhibiting the activity of enzymes involved in DNA repair. Specifically, metabolites such as dimethyl-arsenic can bind to zinc finger motifs in Base-Excision Repair and Nucleotide-Excision Repair enzymes, preventing them from functioning properly. As a result, damaged DNA may not be repaired correctly, leading to mutations and an increased risk of cancer. Therefore, individuals who are exposed to arsenic on a regular basis, such as those who work in certain industries or live in areas with high levels of arsenic in the soil or water, may be at increased risk for developing cancer. It is important for individuals in these situations to take appropriate precautions to minimize their exposure to arsenic, such as using protective equipment and consuming clean drinking water. | 995 |
If you are a doctor, please answer the medical questions based on the patient's description. | Got bitten by Cat 3 months (Mar 20) ago on my hand...got vaccinated with rabies immunoglobulin and a series of scheduled shots. Last July 10, the same cat bit me again in the face...I washed it with soap and water and applied antibacterial ointment...do i need to get another set of shots? Thanks | Thanks for posting you query to Chat Doctor. There are different vaccines are available in market based on different method of preparation but in your case you had vaccination 3 months back so no need to take complete vaccination if previously taken completely i.e. 5 doses. But as cat bite on face so take booster vaccination in form of single shot of vaccine .hope you are satisfied with my answer. Feel free to communicate if any query.regards, Chat Doctor. | 758 |
Answer this question truthfully | Where are exotoxin genes usually located, and how are they encoded? | Exotoxin genes are typically not part of the bacterial chromosome, and instead are encoded by plasmids and bacteriophages. Plasmids are small, circular pieces of DNA that can replicate independently of the bacterial chromosome, while bacteriophages are viruses that can infect bacteria and integrate their genetic material into the bacterial genome. | 416 |
If you are a doctor, please answer the medical questions based on the patient's description. | I am 5 weeks pregnant. About 2 to 3 days ago, I realized that my left side labia minora began to swell and become very sore. I have had similar experiences before on the labia minora and my ob/gyn said it was likely due to an infected sweat gland. Any thoughts why this would happen during pregnancy? Do I need to be concerned? | Hello, and I hope I can help you today. Skin conditions, such as moles, rashes, and boils, can get worse during pregnancy from the hormones. You do perspire more when you are pregnant, so blockage of your sweat gland if it has been a problem for you before can recur. Treatment for this lesion however you did before, whether with warm soaks, antibiotics, or Chat Doctor. I hope I was able to answer your question adequately and that this advice was helpful. Best wishes, | 798 |
Answer this question truthfully | What are the medical conditions that contraindicate the use of mannitol and why? | Mannitol is contraindicated in patients with anuria and/or heart failure. Anuria is a condition where the kidneys are not producing urine, and mannitol can further decrease urine output, leading to potential kidney damage. In patients with heart failure, mannitol can increase the workload on the heart and exacerbate symptoms such as shortness of breath and edema. Therefore, in patients with these conditions, alternative treatments should be considered, and the use of mannitol should be avoided. It is important to consult with a healthcare professional before using mannitol or any other medication. | 684 |
If you are a doctor, please answer the medical questions based on the patient's description. | hallo,my baby 21 month have spots on all shes body,doctros savde is eczma,but i dont think.becaus they are on all body,and now they come on shes face,they give me chlorphenamine elexir 2mg/5ml i us too days,and i not see then is go in good ,still same,they smonetyme coming very read,sametime look white.thanks | Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. | 774 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I have a query about my mother, she had a fall last year outside on some ice, she hurt her right arm and leg. The leg seems ok but there is a severe pain still in her upper arm, we have been to the doctor, she gave tramadol tables, bu that hasn t helped. Is there anything else you can suggest? | Hi, thank-you for providing the brief history. As we need to know the age of you mother and also if any clinical pathologies like diabetes and hypertension are there which interfere in the healing process of the inflammation. Since she had a fall on ice this could be a hairline fracture or just a ligament sprain. After a thorough clinical examination and x-ray of the region can help guide the next medical management. Taking quick icing or hot water fermentation should help relief the pain and after which small exercises should regain the muscle strength back. Regards Jay In Chat Doctor. | 894 |
If you are a doctor, please answer the medical questions based on the patient's description. | I am almost 30 yrs old and weigh about 155. Where I live we are infested with buffalo gnats and have gotten many bites which are horrible to deal with. A couple days ago I had a pain in the back of my head at the bottom of the skull and thought I had received another bite but found that there was a small bump there. It hurt when you pressed on it and the pain has gotten worse. You do not even have to press on it anymore to feel the pain. What could this be? | HI, thanks for using Chat Doctor It is possible that area that was bitten has been infection. This can sometimes occur with areas with itchy bites, bacteria can be introduced into the skin. Infection can result in the formation of a painful lesion such as an abscess. It may be best to have the area looked at by your doctor. If it is an abscess, then it may need incision and Chat Doctor. Antibiotics may also be needed. I hope this helps | 905 |
Answer this question truthfully | What is the significance of the presence of nephrotic syndrome and SLE together, and what condition is it suggestive of? | The presence of nephrotic syndrome and SLE together is suggestive of membranous nephropathy, which is a type of kidney disease characterized by thickening of the glomerular basement membrane. | 311 |
Answer this question truthfully | Which chromosomal abnormality is frequently linked to endocardial cushion defects? | Trisomy 21, also known as Down syndrome, is commonly associated with endocardial cushion defects. | 179 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi | Hello! Welcome and thank you for asking on Chat Doctor! I would like to explain to you that a heart murmur can be related to different cardiac disorders. From the other hand the palpitations and shortness of breath time after time could be a sign of cardiac arrhythmia. Of course energy Chat Doctor. I would also recommend performing some tests to evaluate better his heart function and structure | 399 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello,I have had a mild pain in the right side of my abdomen for a couple months now. The thing is, I only feel the pain when I touch the area. I have had ultrasounds and they said the results are normal. I am still concerned though. What are your ideas on what could be the cause of this pain.Thanks | Hello and Welcome appreciate your concern. I would recommend an ECG, if that's normal the Gall stones could be the next likely cause. You can get Liver function tests done to see for any abnormality in consult with your doctor. It could be HERD or dyspepsia I would empirically recommend a two-week course of PPI such as Pantoprazole and a pro kineticlike topside to see for improvement, if symptoms persist then an endoscopy may done in consult with your doctor to rule out other cause swishing you best of healthThanks | 824 |
If you are a doctor, please answer the medical questions based on the patient's description. | hi doctor my brother is 10 year old and he is suffering from fever from last 8 days and today in diagonosis he is suffered from typhoid. medicines are (XCEF 100DT AND AZITHROMYCIN)IS IT OK AND WHAT PRECAUTIONS AND DIET SHOULD BE GIVEN TO HIM FOR A SPEEDY RECOVERY? | Hi welcome to the Chat Doctor I appreciate your concern for using this site to solve problems.... For typhoid continue prescribed medicine and complete the course of antibiotic.... Follow below helpful suggestions.... -take rest -fluid given more -small meal taken with frequent interval -fruit juice more -personal hygiene maintained with frequent handwashing -Avoid fried foods and fried non veg for few days -potato, boiled chicken etc. can be given If after two weeks no improvement than further work up will be decided Take care Hope your concern solved Consult physician for examination and further discussion about typhoid | 895 |
If you are a doctor, please answer the medical questions based on the patient's description. | I have been having intermittent low grade fever for about two months. I m also having rib pain, headaches, breathlessness, night sweats, swollen face and sometimes hands, intermittently very bad fatigue, some joint pain. I have tested negative for all autoimmune markets, Lyme, ect. Everything seems fine. Blood cultures have also not shown a thing. Dr does not know what it is and has ordered a CAT scan with contrast of chest, abdominal and pelvic areas. I am very nervous. Any ideas of what it may be or what else to check for? | Hi. You have not mentioned your country and your age and weight. You have not mentioned the findings of chest x-ray and ultrasound abdomen. You may be a case of tuberculosis of chest. For diagnosis of tuberculosis of chest, u require CBC with ESR, sputum AFB, CXR etc. If u do not have abdominal complaints, then go for CT chest first only. If CT chest out to be negative, then u can go for other investigations. If u have any other query then ask. Take care. | 990 |
If you are a doctor, please answer the medical questions based on the patient's description. | I am taking testertone therapy. I went to have my pellets reinserted today and was told my HCT level was 56.3 and was not able to get my pellets because of this. I have been referred to a Hemotologists. Why has caused this to happen and what can I expect when I go to this Doctor? | Hello and welcome to Chat Doctor, HCT stands for hematocrit. Hematocrit is the measurement of packed red blood cells. The upper limit of packed cell volume in females is less than. Value of 56.3 is a high value. Thus, this high value of packed cell volume has to be investigated and managed accordingly. High packed cell volume is usually due to polycythemia which may be primary or secondary. You will need to consult a hematologist as suggested by your treating doctor. Thanks and take care Chat Doctor. | 785 |
If you are a doctor, please answer the medical questions based on the patient's description. | my girlfriend is experiencing severe and painful spasms in her abdomen, they start around the solar plexus area and extend down to the mid stomach. we have been to the doctor 4 times now and all dugs prescribed have been ineffective, the drugs include omeprozale, buscopan and ranitidine. each doctor has mentioned acid reflux despite the fact that she experiences no burning sensation. i have done some research and to me it seems like a hiatus hernia is more likely. could you please advise me because she is in a lot of pain and is unable to work and its getting worse | Hi. Thanks for your query. The pain around the solar plexus is not likely to be due to hiatus hernia as acidity and HERD will be associated too. This nature of the pain you explained in your girlfriend is spasmodic in nature. This can be due to | 815 |
Answer this question truthfully | What is Choledocholithiasis, and what are its various classifications? | Choledocholithiasis can be classified as Primary or Secondary. | 132 |
If you are a doctor, please answer the medical questions based on the patient's description. | For a while now my left armpit has been swollen. I did have a rash over the top of both my breast it was a small rash while I was pregnant. I just thought it was a heat rash, it did come back few months after I gave birth but again I thought It was a heat rash because it only lasted a few days. But the swelling remains in my armpit. I was wondering if I should be worry. There is no pain or tender when touched. | Hi, You are having swelling in left maxilla at present. There is a past history of rash on breasts. As you said the rash may be heat rash.militia It seems that in left maxilla, the swelling may be enlarged lymph node. So, there is no need to worry. There may be infection in rash, so the lymph nodes in maxilla might be enlarged. However, you consult dermatologist or surgeon for confirmation. I hope you got my answer. Thanks. | 840 |
If you are a doctor, please answer the medical questions based on the patient's description. | my two year old son has woke up at 2 a.m. screaming his tummy hurts the last two nights, nothing seems to help the problem. yesterday during the day he seemed happy and fine not a word about his tummy .. could this be serious or just a tummy ache. first night he threw up & second night just held his stomach | Hi, Thanks and welcome to Chat Doctor. Stomach in a toddler may be due to urinary tract infection, worm infestation or simple colicky pain due to indigestion. Cyclopam syrup 3 times daily will give temporary relief. Better consult pediatrician to arrive at they correct diagnosis. If you like you may give a deforming agent like Albendazole empirically. Hope this reply serves your purpose. Please feel free to ask further queries if any. Chat Doctor. V. Subrahmanyam. | 776 |
If you are a doctor, please answer the medical questions based on the patient's description. | xray cervical spine no fracture seen alignment is anatomic no prevertebral soft tissue swelling detected very minimal loss of disc height is seen at the c4/5 level the remaining intervening cervical disc spaces appear preserved the visualised neural exit foramina outline normally rudimentary cervical ribs are noted bilaterally the lung apices appear clear this is my result after an exray due to numbness pins and needles in my left hand could u please explain briefly what it is exactly as im looking for another opinion from outside my gp doctors in australia thankyou | Hi This X-Ray report will be passed off as normal in your case since the symptoms(pins and needles in hand) do not match the report(decrease in disc height at C 4-5). In my opinion you could be having 1.cervical nerve root pressure(which will be evident in MRI) 2. Carpal Tunnel syn Chat Doctor. I suggest that you start painkillers, muscle relaxant and gabapentin and get the above-mentioned tests one by one. | 983 |
If you are a doctor, please answer the medical questions based on the patient's description. | I am 37 years old, 171cm and 70 Kg. I feel that the upper part of my left testis ( not left testis ) have some sore pain like a heart pulse. This happen after i have been mastrrbate 3 time in two days (Sat and Sun) last week. And I am riding motorcycle to work. Would you please help me out ? Is riding motorcycle cause this problem ? the vibration of the seat. Thank you very much | HelloThanks for your query, based on the facts that you have posted it appears that you have infection of the Epididymis(Epididymitis). Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis,1) Routine urine test 2) Ultrasound Scanning of Scrotum need to take broad spectrum antibiotic like \u010ceferin along with anti-inflammatory Chat Doctor. Ensure to | 806 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I am 23weeks and 2 days. I have acute bronchitis and chronic cough. I just experienced chronic coughing and vaginal bleeding. I thought I was urinating at first, because I have a weak bladder, until I got up and saw blood...and it was a lot. There is no pain, maybe light cramping but no major pain. Is that normal? | Respected user, thanks for using Chat Doctor.come have evaluated your query thoroughly.* Coughing is not right now that much important as lot vaginal bleeding at 23 weeks pregnancy.* I strongly recommend emergency visit to ER, get examined with clinical & ultrasound evaluation for proper management of both vaginal bleed and bronchitis. Hope to clarify your query. Welcome for further assistance. Thanks for using Chat Doctor .com & giving opportunity to assistWishing fine recovery from the same. Regards dear take care. | 840 |
If you are a doctor, please answer the medical questions based on the patient's description. | HiMy son is 9 yrs old and has had a terrible barking cough esp at night x3-4dys. He is on Allegra, albuterol, and advair but it doesnt seem to help as fast as I would like. I took him to an allergist about 2 yrs ago for a similar problem and he did not have allergies per their test panel. Any suggestions on what to do now? Thank you | Hello, Welcome to Chat Doctor, The symptoms suggests me that your son is having viral bronchitis, it will take some time for the symptoms to come down. As he is taking appropriate treatment, as it is a viral infection it has to come down by itself the treatment what he is receiving is the supportive treatment and the symptoms will come down in 3-5 days following the onset of the symptoms and the treatment received. As he was tested for the allergen it may not be due to allergy, it is a viral infection which will come down. Thank you. | 875 |
If you are a doctor, please answer the medical questions based on the patient's description. | I had an injection into my tailbone due to it being severly dislocated its been about a week and the pain is twice what it use to be. I just dont think i can go through the injections again due to the pain from the needle. The doctor had to insert in about 5 different time until he could find the right spot to put the meds in. What do i do now?? | Hello, Injury in tail bone is very painful. I think injection of steroid should be last option, and it should not be repeated before one month. I have the following suggestions.1. Sitz bath-sit in tub daily for half to one hour fill with gentle warm water.2. Avoid sitting on hard surface for long time.3. Use a cushion with ring shape in office, so pressure is not there on your tailbone. I hope these steps will be helpful for you. Let me know if there is any other followup questions. Thanks | 842 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I have 2 soft lumps (one bigger then the other) on side of my left shin. The bigger of the two aches when standing or sitting for periods if time. They are not ball shapped but more like 1/2 of a boiled egg. I was a bartender for most of my life (20+yrs) so standing for ling periods if time was common. I am currently 48 yrs old and female. Cancer does run in my family,mainly intestinal and breast. Do you think I should be concerned? | Hi...thanks for sharing your problem here in this forum.... As you said that there are two lumps each of size 1/2 of egg size...to give you most probable diagnosis I need to know some history like duration, pain,increase or decrease in size, any tenderness, mobility,...all these points are important... Even then the history you provided it seems like these are non cancerous lesions may be lipoma\u2019s, or they may be venous dilatation... I will advise you to consult your surgeon to give you proper diagnosis and treatment option...thanks Chat Doctor. | 996 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi,I am bino, 27 years old, i have a problem of losing my sperm, every time when i am urenating the sperm is going outside and my pressure of sperm discharge become low and also it;s effect my body, i am become week.after 3 months i am going to get marry. so please if there is any solution.Thanks. | Degree understand your concerns went through your details. Human being do not lose sperm. Understand your sperm is a waste product. Whenever you are sexually aroused, sperm is produced and stored in your body. Sperm is a waste product. If you do not masturbate or engage in sexual activities, your body finds another way to throw the sperm out. The usual procedure is through nocturnal emission (night fall) or through urine. Secondly you cannot become weak because of this reason and this has got no effect on your marriage. Do not be anxious. If you require more of my help in this aspect, please use this URL. http | 915 |
Please answer with one of the option in the bracket | Q:A 43-year-old man is brought to the emergency department by his wife because of a 1-hour history of confusion and strange behavior. She reports that he started behaving in an agitated manner shortly after eating some wild berries that they had picked during their camping trip. His temperature is 38.7°C (101.7°F). Physical examination shows warm, dry skin and dry mucous membranes. His pupils are dilated and minimally reactive to light. His bowel sounds are decreased. The patient is admitted and pharmacotherapy is initiated with a drug that eventually results in complete resolution of all of his symptoms. This patient was most likely administered which of the following drugs??
{'A': 'Scopolamine', 'B': 'Rivastigmine', 'C': 'Atropine', 'D': 'Physostigmine', 'E': 'Neostigmine'}, | D: Physostigmine | 804 |
Please answer with one of the option in the bracket | Q:A 45-year-old man presents with 2 weeks of low-grade fever, malaise, night sweats, orthopnea, and shortness of breath. Past medical history is unremarkable. He reports a long-standing history of intravenous drug use for which he has been hospitalized a couple of times in the psychiatry ward. His vital signs upon admission show a blood pressure of 100/80 mm Hg, pulse of 102/min, a respiratory rate of 20/min, and a body temperature of 38.4°C (101.0°F). On cardiac auscultation, there is an S3 gallop and a 3/6 holosystolic murmur heard best along the right sternal border. There are fine rattles present over the lung bases bilaterally. Which of the following tests would be of the greatest diagnostic value in this patient??
{'A': 'Procalcitonin', 'B': 'B-type natriuretic peptide', 'C': 'CPK-MB', 'D': 'Blood culture', 'E': 'C-reactive protein'}, | D: Blood culture | 869 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, im 17 years old and having erection problems. Ive noticed one day that my erection was weak and not as big. i didnt think much of it so i kept masterbating. but 3 weeks ago Ive noticed i dont get morning erections or random erections, i cant even give myself one. could my penis be tired and my telling me to give it a break? | HiT hank you for asking ChatDoctorI have gone through your query. If you are masturbating too much this can occur. Do abstinence for 2 to 3 days then you will get the normal erections back. Also have enough exercises and have nutritious foods. Foods like egg, meat, seafoods, various nuts like almonds, cashew, peanut and citrus fruits all help also. Wear loose underwear. Avoid underwear while sleeping. Get some mind relaxation by doing breathing exercises also. Hope this may help you. Let me know if anything is not clear. Thanks. | 866 |
Please answer with one of the option in the bracket | Q:A 65-year-old woman arrives for her annual physical. She has no specific complaints. She has seasonal allergies and takes loratadine. She had a cholecystectomy 15 years ago. Her last menstrual period was 9 years ago. Both her mother and her maternal aunt had breast cancer. A physical examination is unremarkable. The patient is given the pneumococcal conjugate vaccine and the shingles vaccine. A dual-energy x-ray absorptiometry (DEXA) scan is obtained. Her T-score is -2.6. She is prescribed a new medication. The next month the patient returns to her primary care physician complaining of hot flashes. Which of the following is the most likely medication the patient was prescribed??
{'A': 'Alendronate', 'B': 'Denosumab', 'C': 'Raloxifene', 'D': 'Teriparatide', 'E': 'Zoledronic acid'}, | C: Raloxifene | 807 |
If you are a doctor, please answer the medical questions based on the patient's description. | my 11 year old son is complaing of pain in his testicles its not bad enough that he cant play outside but i can tell he is uncomfortable he has a appointment with his doctor she could not see him till wensday he is a nervous wreck and im a single mom im hoping u can explain to us what will happen during the exam | Pain in testicles at this age could be due to trauma or infections most commonly. If it is an acute event with sudden onset pain and color change in his scrotal area, then it is advised that he is seen by a doctor immediately. If it is gradual with fever more of infection. His genitals along with a thorough abdomen examination will be done. If there is any suspicion, he might be directed for an ultrasound scan | 726 |
Answer this question truthfully | What to expect if I have Mastitis (Outlook/Prognosis)? | The condition usually clears quickly with antibiotic therapy. | 116 |
Answer this question truthfully | Which organism is responsible for causing primary amoebic meningoencephalitis? | Naegleria fowleri is the organism responsible for causing primary amoebic meningoencephalitis. | 172 |
If you are a doctor, please answer the medical questions based on the patient's description. | My baby is 8 months old. His weight last 7 month was 8.10kg. Is this healthy weight. Do i should start with nan products. which one? are these products healthy? or any other diet I should start for baby. He has nachani kheer n dad n rice khimti milk n even breast fed..i even give him vegetable soup | Welcome to Chat Doctor I went through your question. Weight of you baby is absolutely normal. You have not mentioned your babies height. Routinely I do not recommend market available or packed food products if home made food can be given. Keep a variety to feed him with balanced diet.(like Hindi, Daliyah, DAL, banana, kheer, rice, curd)Hope I answered your query. Feel free to ask if another query.thanks. | 706 |
Answer this question truthfully | What is the potential consequence of decreased cartilage mineralization of open epiphyseal growth plates in children with rickets? | Decreased cartilage mineralization of open epiphyseal growth plates may cause short stature in children with rickets. | 247 |
If you are a doctor, please answer the medical questions based on the patient's description. | I went to an oral surgeon to remove a broken tooth that has become infected, problem is, they would not do the extraction because my BP was HIGH, (3 readings) 175/105, 175/113,and 150/109, now what? I need this tooth removed, any help would be great, thanks. Tom in Glendora, ca. | Thanks for your query, I have gone through your query. The tooth can be extracted once the blood pressure comes down, particularly the diastolic blood pressure is more than 100mmhg, it has to come down below 100. Consult a general physician and get it checked once more and alter the dose. Once it becomes normal then you can get your tooth removed. Meanwhile you can take a course of antibiotics. I hope my answer will help you, take care. | 719 |
If you are a doctor, please answer the medical questions based on the patient's description. | hi, my mother-in-law is on dialysis for about one year at the start of dialysis she was in good health but she is getting down and down very low energy level, loss of appetite and extreme weakness that all the time she is on the bed. she has a dialysis twice a week.i am so much worried about her can u please help me out in this regard? | Hi I have understood your concern probabilities of her problems are1.insufficient dialysis, maybe she needs weekly thrice dialysis2.anemia secondary to chronic kidney disease3.vitamin deficiencies, during dialysis water-soluble vitamins lost.4.electrolyte imbalances like hypophosphatemia, hypo and hyperkalemia.I can suggest you to check1. Serum sodium, potassium,phosphate and calcium2.hemoglobin levelstreatment1.if hemoglobin is less than 8 GMS she needs transfusion.2.supplement her with becosules3.depending upon serum electrolytes she needs correction4.depending upon her volume status , acid levels and creatinine she may need weekly 3 times dialysis. | 996 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hamstring pain. Can I take ibuprofin for the pain? I know how to stretch the hamstring, I know several stretches. Will a heat pack help? How long will the hamstring take to heal? I felt the pain about 4 weeks ago but still entered the Mothers Day Classic 8k run on 11 May. I did some running, mostly walked. The pain was less when I was running than walking. | Hi, I had gone through your question and understand your concerns. Muscle tightness is because its over-lengthened, stretching will not resolve the problem because its already over-stretched, stretching will most likely irritate the muscle further. Problem lies in the opposing muscle group. You can do this for prevention or treatment | 693 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi This is Harish, I 22 years old . I am a software engineer. I am affected by jaundice for last 6 months, my billurubin level is always changing that too excess in indirect count and my direct count is always in normal. (total Bilurubin | Hi Harish, Looking at the clinical history and excess indirect bilirubin, I would think of hemolysis as the major cause. The RBC is being broken at increased levels, which is more than the liver load, and hence you are having indirect bilirubin in high levels. If you get a \"reticulocyte count\" test done, and it is more, then we can suspect hemolysis. You can get the reticulocyte count done first, and then further evaluation can be thought of. Do attach the whole report is possible further queries, happy to help again. | 762 |
If you are a doctor, please answer the medical questions based on the patient's description. | My mother-in-law is 58 years old and she has diabetes and in 2008 she was diagnosed with heart disease. She just found out she has heart valve leakage and her heart is enlarged. Her doctor said she is not a candidate for surgery. What is her lifespan? | Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that we can not determine what her lifespan is, only based on what your refer. There are some stages of heart failure. Besides, this is a clinical syn Chat Doctor. I would like to directly review her cardiac ultrasound for a more professional opinion. I would also like to know if she has leg swelling or shortness of breath. An optimization of her current therapy may be needed. Hope to have been helpful! Wishing good health, | 794 |
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