Datasets:

rohanbalkondekar

/

HealthCare

like 0

<s>[INST] Hi. I have a ball like lump under my skin on my right n left butt cheek....where the lump is located the skin is dark. There is No pain! When I touch it, it kinda of feels like a tiny pebble. They are both no where near my anus or crack. Any idea what it can be n how I can get rid of it???? [/INST] Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma or neurofibroma or dermatofibroma. Or it may be some cyst or abscess. You should go for examination and if needed go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. </s>

<s>[INST] I have been having sharp pains go through the lower right back of the head that shoots over the to left whenever I cough, sneeze and bend over. My sister, great Aunt and now my mother has had a brain anerism (sp?), and now I am concerned since this has started only about three months ago. [/INST] Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to occipital neuralgia. Occipital neuralgia is a condition in which the nerves that run from the top of the spinal cord up through the scalp, called the occipital nerves, are inflamed. I suggest using anti-inflammatory medication such as Ibuprofen 400 mg three times a Dy. If the symptoms continue, I suggest seeing a neurologist and get evaluated. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. </s>

<s>[INST] I Have A Severe Allergy to Mold have had 3 surgeries , gone to an Allergest and we Live In Fl. I am thinking of going away for 3 Of The Worst Months we have here in Fl . to see if I Do Not Get An Infection then ??? Where would be THE BEST PLACE TO GO ??? [/INST] Hi there, Thanks for your query. Firstly, please appreciate that molds are omnipotent: they are present in every part of the world. So, there is no guarantee that one would not encounter molds at a particular place. The best way of combating allergy is to be on a regular preventive therapy with a combination of:-1. Levocetirizine 5 mg twice a day2. Montelukast 10 mg twice a day3. Elastin nasal spray/ Chat Doctor. If there is a transient flare up of allergic symptoms despite being on the above-mentioned </s>

<s>[INST] I have a canker sore on the back of my jaw but at a place where the jaw is connected to a inside of cheek. Whenever I close my mouth that part of skin is squeezed/contracted ( and thus my canker sore) .. I get canker sores frequently .. Its creating problems in eating and speaking...the canker sore is on soft part of skin behind the molar that connects to the inside of cheek and Im sure its not my wisdom teeth...Ive been under a lot of study related stress lately and m not getting proper sleep due to my studies... Im 18 yrs old... Any help wud be appreciated [/INST] Hello, welcome to Chat Doctor. It is common to have disturbed sleep during stress of study. Sleep problem decreases concentration, which further exacerbate stress related to study. Following steps will help you:-Make structured routine and give proper time for study.-Minimize caffeine intake (tea, coffee and cold Chat Doctor. For canker sores, meet nearby dentist for evaluation to rule out or treat dental problem. Wish you good health and all the best. </s>

<s>[INST] Hi- I fell down some stairs last night and have scrapes and bruises on both knees and my shin. Both knees are a bit swollen and is my shin but I can walk without much pain. The skin where I hit my shin is numb and there is barely any bruising at this point. I assume I hit it so hard that the bruising will come out over the next day or two. Should I be concerned about the area of skin that is numb to the touch? [/INST] Hello, I read carefully your query and understand your concern. The symptoms seem to be related to the injury. I suggest doing a X-ray of the knees for further evaluation. Meanwhile, I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using cold compresses for local application. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. </s>

<s>[INST] i have a strange small bump that appeared literally out of no where and this time my bf was next to me to see it. its happened before twice. the first one happened in september and it was on my left ankle and it started out as stinging and itching/burning and turned into a welt that was about 1 inch long and then about 30 later it disappeared. the second one was on monday this week and it was in the same spot but smaller and actually broke the skin and i ended up with a scatch. still have a small scab line. and now tonight i have the same looking bump but smaller by my collar bone. i dont know how to expain it [/INST] HI! Good morning. I am Chat Doctor answering your query. If I were your doctor, I would inquire from your history if you are exposed to any new substance/diet which could be allergic to your skin causing this problem. I would also advise you for an anti histamine for any allergic reaction, and for some basic blood investigations like a CBC, ESR, and a blood sugar test. If you were not relieved by the above, I would not hesitate to refer you to a Dermatologist (skin specialist) for further management. 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. </s>

<s>[INST] why should normet should be taking,i mean what does it work the phymacies told me to give it to my daugther why she have malaria, and she is just 7 months, and it was also presbribe for a friend of me for an infeaction proplem, thoes it work for this things [/INST] Hi there, Normet consists of a mix of Ofloxacin and Ornidazole, which is an antibiotic and antiprotozoal. It is usually given for infective diarrhea, where the specific cause of it is uncertain. I am sorry, but I have not heard of it being given for malaria before. Was it prescribed after a visit to the doctor, or did the pharmacist give it to you on their own? Does your daughter have diarrhea? If it was prescribed by a doctor for diarrhea, then go ahead. It takes at least three days for the results of stool investigations to be available, and if the child is ill, we sometimes start broad treatment first without waiting for the full results, because it might take too long. Hope this helps, and please let us know if you have further questions. </s>

<s>[INST] I am a male, 63 years old. I just had a lab test two weeks ago and the result shows that my hemoglobin and my hematocrit are both low. How can I get them at a normal level? What vitamin supplement can I take that I can buy over the counter? I can go to my doctor to get medicines but If I can just buy one, I will. (I had prostatectomy five months ago.) [/INST] Hello, This means you have anemia. If there has been a Chat Doctor. A man who it's a wide variety of normal foods usually does not become anemic. Do you have any abdominal pain, irregular bowels or do you pass black colored stools? Have you lost weight? If any of these is present, you would require to be investigated. If you only have been a poor eater or on a restricted vegetarian diet, then it is probably iron deficiency due to food deficient in iron. In such a case you can take a supplement which is rich in iron and vitamin C as vitamin C promotes absorption of iron. You had a prostatectomy. Have you checked your kidney functions? If they are abnormal, that can also be a cause of anemia in which case iron supplements would not help. If you were my patient, I would advise a kidney function test, serum Iron and a stool examination for occult blood as primary investigations. You are welcome to do these and get back to me and I shall be happy to be help. Have a good day! </s>

<s>[INST] Hello,I am a 36 year old woman and I weigh 11 stone.My problem is that I have a pain in my thigh which I can t pinpoint,it feels like blood isn t getting down to my feet as the pain can shift from my thigh to the bottom of my right leg.massage can help but not always.It has got really sore that when I have woke up I have an inch long purple/black bruise which isn t sore to touch on the outside of my right thigh.walking as well sometimes helps but not always.thanks [/INST] Hi, In your case, there are few information that would be very helpful for me (if you have provided): - do you have a low back pain (I assume not)- do you have a paresthesia in the legs or feet-did you have a history of any trauma to low back or gluteal area?- did you have a history of any intramuscular injection before the symptoms?- for how long do you have these problems? Please provide these answers to any doctor that you seek his/her advice in the future. Overall, based on the provided information, a thigh pain referring to the bottom of the leg most commonly originates from a nerve, a muscle or joint. I summarize them here: 1- Nerve: It is possible that you have a disk protrusion at a low back area. Sometimes a protruded disk induces pressure to the adjacent nerve and causes thigh pain. In some cases there is no low back pain. Also, if the sciatic nerve is irritated by any cause, it causes the same problem (this is a rare cause).2- muscle: a tight muscle area (Trigger Point) in some gluteal and thigh areas can cause posterior thigh pain with radiation to the leg. 3- Joint: There are small joints above and below any vertebral bone. We call them facet joint. If the facet joint of the L5 vertebra (the fifth vertebra) is irritated or damaged by any cause, it can cause thigh pain, which is sometimes not accompanied by a low back pain. In conclusion, if your problem is for only a few days you can take a 3-5 day course of an anti-inflammatory medication (such as Ibuprofen, Diclofenac, ...) and an anti-spasm medication (such as Baclofen), (certainly if you don't have any contraindication to use them. If you have the problem for more than 2 weeks you should be visited by a Physical Medicine and Rehabilitation specialist, Orthopedist, or Rheumatologist for a more accurate diagnosis. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] my uncle has been diagnosed with oesophegus cancer just this morning. there was alump on his neck which we got checked out and they said somethng about cancerious cells. he does not feel any discomfort when eating and no vimitting nothing! he feels normal so i mguess it is inthe initial stages. he is about 55 years of age and no health problem. quite fit in fact! i wanted to know about the survial rate and everything in general! =( [/INST] Thanks for your question on Chat Doctor. Treatment, prognosis and life expectancy of any cancer is depended on its staging. And this goes true with esophageal malignancy. So to determine staging in his case following investigation s are needed.1. CT scan of neck to see for local extent of disease.2. PET scan to see for distal spread of disease. If distal spread is present then it is known as stage 4 cancer, and it carries poor prognosis. Life expectancy is less than 1 year. Only palliative chemotherapy and radiotherapy is given. In the absence of distal spread surgical removal of esophagus with clear margin is the treatment of choice. Post-operative chemotherapy and radiotherapy is given to prevent local as well as distal spread. In these cases life expectancy is less than 5 years. Overall esophageal malignancy is not having good prognosis because of poor feeding issues after surgery. </s>

<s>[INST] Hi,I am travelling to India in two weeks where i will be visiting Delhi for 3-4 days, Agra for one day and Kerala for 7 days. I am wondering if I need to get my rabies shot? As I am currently an ex-pat living in China, I will have to pay a lot of money to even have a consultation with a doctor, so I dont ant to pay this money to be told that the shot isnt necessary.Also, I leave for Inia in 14 days so wont have time to get the full course of shots- If you do advise the shots, are two better than none at all or i the treatment not effective unless i have the full course?Many thanks in advance for your advice. [/INST] Hi. As per guidelines, pre exposure prophylaxis should be given to travelers going to rabies endemic area. But the final decision vary from individual to individual. As vaccine is quite costly, various studies have proved that it is not cost-effective actually. It is usually recommended to persons who would have long stay (a year or so) in endemic area or specifically to child Chat Doctor. In your case, as you are leaving in 14 days and will remain for 10 or so days and if it is not affordable, then you can go without it but only after making sure one thing that there must be rapid access to health care services and rabies immunoglobulin, if required. I hope this information will be helpful to you. Have a safe visit !! </s>

<s>[INST] my 1 month old son is showing signs of gas problem symptoms are -1) after feeding burping is not always proper gas will not come if we tap his back for 10-15 min 2) after some time he will show like he is swallowing some thing which has again come to his mouth from stomach, 3) some times milk will come threw his nose , 4)after sleeping 1/2 hour to 1 hour he will cry in sleep like he has some difficulty what i has to do can i try colicaid or grip water [/INST] Hi... Thank you for consulting in Chat Doctor. This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to Chat Doctor. Unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief. The two best ways to relieve this distress is - 1. Do not put the baby in lying position after feeding till the baby burps out the swallowed air.2. If still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. 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. </s>

<s>[INST] i had a tiny little lump on my left testical and was really uncomfortable and achey with sharp twinges going up into my stomache,i was refered for scan and it was all clear,but it was still there just the same months later i went back again had another scan again they said all clear and that they will refer me to urology but i aint had an appointment yet,since all this iseem to have slightly developed a womans chest and all of my lymph glands have been enlarged for a few years now.what could be wrong with me?thankyou [/INST] Hi, dear I have gone through your question. I can understand your concern. You may have gynecomastia with lymph node enlargement. You should go for ultrasound study of breast and fine needle aspiration cytology or biopsy of lymph node. It will give you exact diagnosis. Then you should take treatment accordingly. Your testicular lump is nothing to worry. All yours van reports are normal. 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. </s>

<s>[INST] I have had a burning throat for some time, and salty phlegm. I found that cutting out milk products and wheat helped, but a recent blood test suggested either I was dehydrated or had a kidney problem. I was advised to have a repeat blood test. Could there be a link between the burning throat and a kidney problem?I am 59. Female. Teetotal, non-smoker. 5ft 3ins in height, on no medication. Healthy. [/INST] Hi, dairy have gone through your question. I can understand your concern. You have burning throat and phlegm. It has no relation with kidney disease. You may have some respiratory tract infection. You need to take antibiotics like azithromycin, amoxiclav or levofloxacin for that. It is prescription based medicine so consult your doctor and take treatment accordingly. Take plenty of water. Repeat your complete blood count and serum creatinine level. If your creatinine level comes high then you need to go for complete kidney function test to search the cause. 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. </s>

<s>[INST] Hi, may I answer your health queries right now ? Please type your query here... I m 58, 5 7 about 235. Former smoker (quit in 93). This morning while seated on the phone I laughed so hard I could not breath in and I believe I passed out as my phone was on the floor and I could remember what I was doing for a few seconds. What s up with that? [/INST] Hi, There can be various reasons for this kind of fainting spells. It basically occurs when there is reduced blood flow to the brain. It can be due to heart related conditions (arrhythmia - abnormal rhythm), anemia, hypoglycemia (reduced sugar), hypotension (reduced blood pressure), brain disorders (seizures) or electrolyte imbalance (abnormal salts). However, sometimes prolonged standing, excessive heat (warm weather), increased stress or anxiety, prolonged fasting, increased alcohol intake can also cause such problems. I feel that take proper diet. Avoid the precipitating causes as discussed above. But do go for some investigations like complete blood count, electrolytes, ECG, fasting sugar and MRI brain. This will help us find the exact cause. Take care. Hope I have answered your question. Let me know if I can assist you further. </s>

<s>[INST] I have been experiencing a stiff neck blocked sinus with lots of nasal drip constant throat clearing and now feels like lump in my throat for about 6months. Its always on the left hand side..my shoulder feels tight and am feeling very anxious about it..I had antibiotics when it first started and it seemed to clear up but keeps returning sometimes worse than others... [/INST] HelloWelcome to Chat Doctor, The history and symptoms are suggestive of some viral infection affecting your respiratory system. The constitutional symptoms are maybe a flu like symptoms which will subside by itself. If the symptoms are not improving you may need lab investigations. For the present symptoms I would suggest you to follow1. Steam inhalation with vocals.2. Oral antihistamines.3. Oral antibiotics like Tab Autoclave.4. Oral NSAIDs. Thank you. </s>

<s>[INST] I have a daughter in autism spectrum (non-verbal) 22 yrs old. Over a week ago it first started with her itching her head mostly in the back of the head. Checked for lice but did not have that and her head doesn t look dry or flaky. She than got a head cold. She has not been eaten well for quite some time but now hardly eats or drinks. It has been a week now and she now has the cough. She has not had any energy and the last few days sleeping a lot and when she is awake she is crabby. Any suggestions? P.S. VERY hard to get blood tests done! [/INST] Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that her symptoms could be related to an allergic reaction on an infection. I would recommend trying an antiallergic Chat Doctor. If her symptoms are improved, there is nothing to worry about. It is also important to monitor her body temperature. Fever would indicate an infection and possible need of antibiotics. Hope to have been helpful! Kind regards, </s>

<s>[INST] I have gallstones & kidney stones. I have attacks of some sort a couple times a week..starts in the middle of stomach area high under ribs. Then it s my left side of body in front and then mostly in the back where it spreads to the right side also. Hurts to push in on my right front side. The burning and gas last 4-5 hrs. I m sore inside all the time & it s getting worse. Gallbladder doctor won t address the other pains. What kind of a doctor do I need to see & how do I find one. Each time I start for the ER it quits & I choose to wait till the next time. This has been going on since December 2013. [/INST] Hi.noted history of gallstones and kidney stones. in regard to your gallstones, it is best to see a general surgeon, for physical examination and clinical evaluation. in regard to your kidney stones, it is best to see a urologist. Your gallstones seem to be symptomatic, and it needs urgent evaluation. Diagnostics such as ultrasound, liver function tests and blood count will be directed accordingly. Definitive management is cholecystectomy (laparoscopic or open) and proper antibiotic regimen. Low fat, low salt diet is also advised. Hope this helps. Good day!!~ Chat Doctor. </s>

<s>[INST] Hi My dad is in his 70s and his nose is bleeding continuously for 2 days now. He is int he hospital but drs cannot find a solution yet. He is a nose cancer survivor and used to get nose bleeds often. But not like this. Do you have an answer for this? Thanks [/INST] Nose bleed (epistaxis) in nose cancer survivor can be due to a recurrence or complications of treatment (I presume that the cancer was treated with radiation therapy). If there is no evidence of disease recurrence on examination or imaging studies then complication of radiation therapy resulting in atrophy of lining (mucosa) and telangiectasia (dilated capillaries) is a possibility. If nasal packing with a Chat Doctor. I hope it is of help to you. Please discuss it with your treating doctors. </s>

<s>[INST] My son is 2 years old he is in coma from last one month , cause he had fits . Now he can moves has eyes but dont know why he doesnt knows who am I ? He was close to death. Now my question is when he will get out from the bed and play and walk like before? Everyday psytherapy doctor is visiting my home and giving him exercises [/INST] Thank you for consulting in Chat Doctor. I understand your concern as mother too. I worked in Orphans house during 6 years with such child Chat Doctor. Maybe you know nervous cells restore but slowly. I think he will study to walk again, but be patient. He needs medication help, constant physiotherapy, massage almost every day and of house exercises for improving blood circulation and innervation of muscles. He had epoxy and how many nervous cells died we don't know, but child has young organism, and you can receive good results. Now you just take care and love him, give him natural food, vitamins-B-complex with lysine is very good for him-5ml 2 times-1month give, 1 month -break, then again repeat. Discuss therapy with neurologist for improving of blood circulation in brain-ask about nootropes-pyracetam, calcium hopantenate or otherRecovery footage care would happy to review your child again after 2 weeks </s>

<s>[INST] Over the past 6 months, I have had lumps (of varying sizes) along my shin bone and even down to my ankle and into my kneecap. They move around, and vanish and then reappear. Currently there are only a few small ones, hardly as noticeable as they were before, but they are indeed there. I just recently got bloodwork and xrays done, and they say all is normal and to visit a specialist. Any ideas before I spend a fortune? [/INST] Hi! Welcome to Chat Doctor...AFTER GOING THROUGH YOUR DESCRIPTION, I could suggest the following in your case, as per my experience on needle biopsies from various kind of body lumps:1. These are all soft tissue knots/swellings as imaging study is normal2. They move around, and vanish and then reappear; therefore they are possibly related to vascular or lymph channels and never they are tumors!3. Some infective or parasitic lesions could feel like this also4. Skin nodules like panniculitis or skin lymphoma is rare possibilityTherefore the treatment only depends upon the diagnosis and for this you must see a surgeon or physician for some investigations, and please then revert to us!regards! </s>

<s>[INST] My daughter is in usa, experiencing pain from a wisdom tooth, taking Tylenol but not helping and is using eugenol on the area which is only helpin for a short time, is there anything she can take, she is a british student and is 23 years old. Can she alternate the Tylenol with ibrufren and take one followed by the other every few hours, is there any other over the counter remedy, please help [/INST] Thanks for your query, I have gone through your query. The pain can be because of the impacted tooth. If I am your treating doctor I would have suggested you to take, a course of antibiotics like amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic). And painkillers like ibuprofen paracetamol combination. But the medicines provide temporary relief. Consult an oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed. If the space is not available then you have to get the wisdom tooth removed. I hope my answer will help you, take care. </s>

<s>[INST] I m 35 weeks pregnant and for a time now have had throbbing pain off and on - both in my back and strangely, around my left clavicle . I broke the clavicle in a car accident 5 years ago and had it plated until it was healed, the plate was then removed. It doesn t normally give me any trouble but when I have this throbbing in my lower back, it seems as strong in the clavicle area. It s not even necessarily very painful - although its a very thin line between being painful or not, and it is a very strong, pulse . Could this be linked to blood pressure? When I had it checked 2 weeks ago, my bp was fine, as it has been throughout my pregnancy. I could understand the back pain , but particularly confused as to why my clavicle would be throbbing. Thanks. [/INST] Hi Haida. It is natural to have some off and on BCK pain at your stage of pregnancy. So no need to be worried about that unless its severe or persistently bothering. As the pregnancy progresses, the heart and lungs in the chest cavity are pushed upwards and also there are a lot of changes that take place in the circulation and blood volume. The throbbing the you feel in your left clavicle region may be due to the heart and big blood vessels moving upwards, which is normal for you. As you have been operated twice on left clavicle, there may be some hypersensitivity due to the scarring there. But nothing seriously seems wrong. Do get your regular checkups and mention this to your obstetrician. Wish you good luck. </s>

<s>[INST] I had sex with my fiance right after her period. And 2 days later she took postinor 2, she complained of stomach pains and drowsiness a day after then 5 days later she had vaginal bleeding. She is supposed to see her menses on the 28th but still hasnt seen no sigh of it. Is she pregnant? or just side effects of the drug? [/INST] Hello, I would be happy to help you with your question. The initial bleeding followed by the delay in her period is almost certainly related to the medication that she took. While it is very effective, it is not 100%. She should expect a week or two delay in her period, but should also check a pregnancy test weekly for at least a couple of weeks to rule out pregnancy. I hope that this helps and good luck! </s>

<s>[INST] Hi There I had a severe gout attack in may 2013, first one ever, never experienced such pain, doctor put me on steroids to clear it which worked, have been on Allipurin ever since only had a very small attack since. I had an heart attack 12 years ago when i was 38 years old, big shock. Have been suffering with dizziness and heaviness in my chest on and off since october, i have been admitted to hospital three times as i thought i was having another heart attack. paid to see consultant to find out what was wrong, they say i have not had another heart attack but are going to give me an angiogram this month to check me out. I wondered if taking Allupurin could have anything to do with the way i am feeling, i just want to feel normal again Any comments would be much appreciated [/INST] Hi, Allopurinol is not known to cause any chest heaviness and dizziness. Chest discomfort or heaviness is likely to be due to coronary artery disease. Golden test is coronary angiography (CAG) that you will be undergoing soon. You may undergo 2-D Echocardiography prior to CAG, and it will give information about your cardiac function particularly LVEF (left ventricular ejection fraction) and any diastolic dysfunction, to account for your dizziness (low cardiac output, if any). Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] Dear Sir.. I have positive HCV C. First time it detect in 2008 when i got blood test . I take some medicines homeopathic. But my SGPT values not normal.. I stop treatment. But after 2 years one dr. suggest me for PCR Test. Its surprise me that my PCR is negative. My dr. said you are clear from Hep. C and no need any medicine.. But sir in 2012 i have opportunity to going abroad for job my friend who helping me for job.. So i do HCV Elisa .. When my report come it shows HCV Reactive 10.5 out of 1.00 cuttoff rate. So sir what i do to reduce or negative Elisa report... My pcr negative.. Suggest me any good homeopatChatDoctoredicine.. Thanks [/INST] Hi, Thanks for consulting Chat Doctor ! I am really sorry to inform you that it is not possible to turn HCV negative, once it is confirmed as positive. Please follow up with a Gastroenterologist undergoing liver enzyme tests to assess and treat liver abnormalities which are possible with HCV. I am not sure about homeopatChatDoctoredicine. Kindly reconfirm, whether the tests are clearly positive or not, as you are mentioning that it is positive once and negative some other time. These results depend on the antigens and antibodies they are detecting. I can comment more if I get to see the reports properly. Let me know if you have any clarifications, you can close the discussion and rate the answer. If you like my answers and wish me to answer in the future, bring it to my attention: Chat Doctor. URL link is as follows:http://doctor.ChatDoctor .com/doctors/ </s>

<s>[INST] i am 34 yr old male i exercise regularily i m 6ft tall and weigh 95 kgs i am a regular tennis player for last one year or so i am having frequent chest discomfort no pain . i got my tmt and echo done 3 times in last one year both are absolutely fine with my tmt results going better than 100% whay is this frequent chest discomfort [/INST] Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases as your 2d echo and TMT (trade mill test) are normal. In my opinion, you are mostly having musculoskeletal cause for your chest discomfort. Your chest discomfort is associated with exertion (playing tennis), so musculoskeletal cause is more likely. So follow these steps for better symptomatic relief in musculoskeletal discomfort. 1. Avoid awkward movements. 2. Sit with proper back and chest support. 3. Apply warm water pad on affected areas of chest. 4. Avoid heavyweight lifting and strenuous exercise. 5. Avoid bad postures in sleep. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>

<s>[INST] Feel like i have kidney infection under my right rib in my back for 2 mnths now. Dr did xray..results say, multiple rounded calific densities with lucent centers in pelvis, a small punctate clification in hemipelvis. Have ct scans today, but what could this mean? [/INST] HelloThanks for query. You have done X-Ray of the abdomen for suspected kidney infection since 2 months which is reported to have multiple rounded calcific densities with radiolucent centers in pelvis, and a small punctate calcification in hemiplegia. The multiple calcified densities with radiolucent center are stones in the renal pelvis whereas small punctate calcification represent small calcified particles less than 2 mm in diameter which usually pass out through urine spontaneously. Chat Doctor. </s>

<s>[INST] I have dry mouth from taking WellbutrinXL. I have had sores in my mouth on the right side for the past 10 weeks. I have never smoked or drank alcohol. I had this in November too but 10 days of Keflex cleared it up. I took Keflex again 6 weeks ago and the condition improved but didn t go away. Is it throat cancer? I m a 60 year old female. (My father died at age 58 from toncil cancer but he smoked heavily) Thank you! Tricia [/INST] Hi, Tricia,Wellbutrin is known to cause Chat Doctor. Multiple sores in mouth repeatably might be due to some nutritional deficiency. Keflex is an antibiotic which can help only in case of infection. It will not work in absence of infection. Please GE in tough with your doctor from regular vitamin supplementation which will take care of this current problem. From symptoms, it does not seem to be cancer, but still after examination your doctor can throw more light on it. Bye and take care. </s>

<s>[INST] My mother had a picc line removed on oct 19th from her left arm, she was diagnosed with a blood clot in that arm about a week ago, she was given heprin in the hospital for about 24 hours and was taken off due to severe bleeding from a diverticulum in her bladder. Do the clots in arms break away and travel and is their any other treatment available [/INST] Hi, Thanks for asking. Looking at the query, my comments are as follows:1. The blood clot in arm diagnosis is called as "superficial thrombophlebitis"2. Heparin is usually the choice. 3. NSAIDs can be taken, if it is painful. The clots are very small and they get lased. It is nothing to worry about. The clots would be minute and would not obstruct any vessel. Any further queries, happy to help again. </s>

<s>[INST] I have had dry painful nose. I constantly have to blow my nose. Frequent nose bleeds is this serious [/INST] Welcome to Chat Doctor Frequently Chat Doctor. You could be having allergy as a possible co-existing condition. You can do steam inhalation. Avoid blowing your nose hard or inserting anything inside the nose. Get your blood pressure checked. Get a thorough checkup by your ENT Doctor and get required treatment. Avoid exposure to smoke, dust, pollution, use handkerchief if unavoidable. Eat healthy. </s>

<s>[INST] I have a congenital bicuspid aortic valve.Is coconut oil good for it?I also take flaxseed oil and is there anything that can help it and save myself from surgery later on. May I add that the regurgitation is minimal and I am 64years young and walk briskly every day for an hour.(female) [/INST] No medication has yet proven role in slowing the progression of stenosis of BAV. There are individual studies which said Statin group of medication and omega 3 fatty acid (flaxseed, cod fish oil) may help. However, at 64 years of age if there is no stenosis, I don't foresee any progression soon. Minimal regurgitation is inconsequential. Coconut oil doesn't help rather it may increase your bad cholesterol and would be harmful in long run. Regards </s>

<s>[INST] Hello doctor i am Ranjit..... actually i am the owner of Doberman dog 3 months old when i was playing with that one accidentally... dog has bitten me i have vaccinatted dog reguraly...... i did not found any wound in my fingers, is there any problems need to vaccinated for me [/INST] HI THANKS FOR POSTING YOUR QUERY ON Chat Doctor.GOING BY YOUR HISTORY, I WOULD LIKE TO TELL YOU THAT ANTI RABIES VACCINE SHOULD BE TAKEN ONLY IN WOUNDS IN WHICH THERE IS CONTAMINATION OF BLOOD, LICKS ON WOUNDS.BITES ON HEAD AND NECK.YOUR BITE DOES NOT SEEM TO BE OF ANY SUCH GRADING.SO I SUGGEST YOU TO OBSERVE YOUR DOG FOR 10 DAYS.IN CASE THE ANIMAL DIES, ANTI RABIES VACCINE IS INDICATED.ALSO AS YOUR DOGS ARE VACCINATED YOU SEEM TO BE CARRYING ALMOST ZERO RISK OF GETTING INFECTED WITH RABIES VIRUS.IN CASE IF YOU ARE STILL UNCOMFORTABLE OR DOUBTFUL, YOU CAN GO WITH VACCINATION SCHEDULE OF-0,7,14,28 AND BOOSTER DOSE ON 90TH DAY. A TOTAL OF FIVE DOSES.VACCINE MADE FROM DCC STRAIN-HUMAN DIPLOID ELL CULTURE VACCINE" SHOULD ONLY BE TAKEN.CONSULT YOUR DOCTOR FOR FURTHER ASSISTANCE.THANK YOU.TAKE CARE. </s>

<s>[INST] I THINK I MAY HAVE BI-POLAR. EVERY TIME I AM WITH MY PARTNER WE GET INTO AN ARGUEMENT. I END UP SHOUTING AT HIM AND AM OUT OF CONTROL. HE HAS A BRAIN INJURY. HE ALSO SHOUTS AND GETS OUT OF CONTROL. I GO FROM HAPPY, TO UPSET, TO ANGRY, TO SHOUTING, TO DEPRESSION, TO FEELING INSANE, TO SUICIDAL IDEATION, ALL IN AN HOUR OR SO, THEN I USUALLY CRY HARD, THEN FEEL OK, UNTIL IT ALL HAPPENS AGAIN. DOES THIS SOUND LIKE BI-POLAR?? [/INST] His had gone through your query. Bipolar disorder has two phases. One is depression and 2nd is manic phase. Treatment is necessary to maintain in euthymic phase that are between these two. Mood stabilizer play important role in bipolar disorder. It can be treated with sodium valproate, lithium or low dose olanzapine etc. Aggression can be controlled with anti-psychotic and mood can be controlled with mood stabilizers. Proper psychological evaluation is necessary before any treatment. So consult psychiatrist and get further assistance. I hope I have answered your query. Thank you. </s>

<s>[INST] I have had a head cold for three weeks now, (they usually only last a week for me) mostly just stuffy runny nose, but no sore throat... and have taken over the counter decongestants, and even tried allergy antihistamines in case it is my hayfever allergy and after a quick doctor visit a 3days course of what I think were antibiotics... (I live in china ;) All to no noticeable effect. Yesterday I awoke with swollen glands in my neck and a painful bump in my groin area between leg and abdomen (first time thats ever happened). Is that just part of the cold progressing to lymph system? [/INST] There few reasons for swollen glands, the most common is an infection. However, most of the time when we take antibiotics and does not improve, it could be secondary to viral infection, as mononucleosis, Cytamegalovirur. Other possibilities are parasites or non-infectious as lymphoma and leukemia. You should consult with your doctor and get some basic laboratory test to evaluate your medical condition. </s>

<s>[INST] , The doctor told me I had a sinus infection and took two each 7day and last was for 10 day antibiotics. Fighting it since end of august. I am dizzy, nausea,left ear is hurting, I get cold and hot,so hot that My bed will be soak. What do you think is wrong with me [/INST] Hi Dear, Understanding your concern. As per your query you have symptoms of sinus infections with dizziness and ear pain which are symptoms of chronic sinusitis and could be due to Eustachian tube dysfunction. Need not worry. I would suggest you to put nasal decongestant sprays for opening of sinuses. You should take antihistamines Levocetirizine and antibiotic such as Cephalosporin combination as infection is present. Montelukast is also effective for this. You should take steam inhalation. Visit ENT specialist once and get it examined. You should go for sinus X-ray and CT scan done as well. You can go for Chat Doctor. Do warm saline gargles. Hope your concern has been resolved. Get Well Soon. Best Wishes, </s>

<s>[INST] I have a family member who is depressed due to financial loss. she is accusing everyone in our family for steeling her shares and transferring under their names by forging her signatures. she believes that there is a big conspiracy going on behind he back and every one is trying to make her feel like she is a fool. she does not want to consider me as her child. [/INST] Degree understand your concerns went through your details. I can understand. The huge financial loss must have made her depressed too much and slowly triggered her paranoid personality disorder. Her mistrust towards other family members and accuse of conspiracy underlines her paranoid personality disorder. I, therefore, suggest you to consult a psychiatrist for treatment before the conditions worsens into schizophrenia. Take care. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. </s>

<s>[INST] I have copd asthma 3-4-5 vertebrates are in bad shape. I had surgery on my left knee but no luck with that but the doctor said he would not do knee replacement because he would not want to put me to sleep because of my breathing problems. I can not hardly walk and a lot of pain in my back also. Is there anything you could do to help me? [/INST] Thanks for your question on Chat Doctor. I advise you to first consult pulmonologist and diagnose yourself first. COPD and asthma are different entity and not the same. Treatment is also different. COPD is irreversible condition while asthma is fully reversible. COPD needs smoking cessation, pulmonary rehabilitation with chest physiotherapy and pulmonary vaccination with inhaled bronchodilator. Asthma needs identification of allergen, avoidance of it and anti-allergic Chat Doctor. So first diagnose yourself. And you can try physiotherapy for knee and back issues. </s>

<s>[INST] i am 24 years old with a 5years son, i am currently on paragard IUC for three months so i want to know if i can use a morning after pill if something goes wrong during sex. i also want to know if oralcon contraceptive can be used as emergency contraception and how. thank you [/INST] Hi, Paragard is a very effective contraceptive method. It is more than 99% effective in preventing pregnancy. Therefore, there is no need to use morning after pill sex. I could not figure out why you thought of using morning after pill while you are already on a very effective method of contraception. Oralcon contraceptive can be used as emergency contraception. You need to take 4 tables of Oralcon at the earliest after unprotected sex and 4 tablets again after 12 hours. I have written this just for your knowledge. I hope I have answered to your satisfaction. </s>

<s>[INST] Hiwe r making family planning...but not sure we r going tge ryt way or not...coz we hv been trying last six months...just need to know do.we need to go for hormone count test...?We hv completd two years of our marriage.Please help me with my query. [/INST] Hi, Thanks for the query. To increase the possibility of pregnancy, you have to plan unprotected intercourse around the time of ovulation. If your cycles are irregular, consult gynecologist once and go for investigations like :- Ultrasound-Thyroid hormonal profile-Prolactin levels estimation - Blood sugar levels etc. For your husband semen analysis. If your doctor recommends you may need to go hormonal profile including estrogen, progesterone, LH and FSH. With this workup if there is any problem in fertility, that can be detected and treated. You can go for follicular study to track the ovulation and plan intercourse around that period. This will increase the possibility of pregnancy. Take care. </s>

<s>[INST] My son is 5 yrs old.he is not asthematic but starts getting chronic dry cough inhumid wheather or in winters.no cough syrup effects.i ve been nebulizing him with levolin respules or somtimes budecort.are these safe for him.as he is already an adhd child. [/INST] Hi thanks for contacting Chat Doctor. If patient is not known case asthma and if no severe bronchoconstriction present then no need for nebulization. Nebulization given whenbronchoconstriction Present and rhonchi heard in auscultation... Your child can have Seasonal allergy for which fexofenedin like antiallergic Chat Doctor. ...... Symptomatic treatment done ... More water and healthy diet. One tsp turmeric powder added in hot milk useful.... </s>

<s>[INST] hi.recently i got my abdominal ultrasound done,which shoes enlarge liver ( the doctor who was doing said,it is due to outside food ),then later i consulted gestroentrologist,he examined my abdomin & got LFT test which results in normal.he said everything is normal.now i feel pinching pain whicChatDoctores & goes around my right upper abdomin.is it related to my liver??my stool colour & urine colour are normal. pls advice me...thanks [/INST] Hi, Welcome to Chat Doctor, I am Chat Doctor As LFT is normal it can be said that you don't have any active liver disease. Enlarged liver may occur in many conditions. Most commonly it is associated with fatty changes. When do you feel the pain? After or before taking meal? It may be due to peptic ulcer disease. Just take Lansoprazole 30 mg once daily before breakfast which will cure this condition. </s>

<s>[INST] I am 25 years old. Had an amazing job , been there 6 years. One sunday after coming home from church I just collapsed in our bedroom. It was as if I was in a trance. Sat that way for several hours. Then went into a type of siesure. Arms moving in all directions , eyes going to the back of my head. Head drawing back. Legs acting if I was a string doll. Lasted for 2 to 3 hours. In a little while it started over again. Next day arrived at the emergency room . They didnt know what to do with me so sent me home. Told me to go to a physicologist. I did. Went to several of them. They said it was not a mental problem that it was physical. Visit 3 Neurologist, they said nothing showed up. And all the while they could see the episodes for themselves. MRIS Several Scans, Blood work tested for everythink you can imagine. After 4 months of visiting Ga Doctors My parents decided to take me to the Mayo Clinic in Fla. We stayed a week. One test, One Dr. after another. 2 visits to the emergency room with severe episodes. 2weeks later returned for results of the test. ... Nothing showed up. They had no answers for me. Had to get around in a wheel chair and a walker. Came home very discouraged and still having the siesures. 2 or 3 a day. Many times my husband had to call the EMTs out because I would pass out.Finally went to a Physocologist and he prescribe a nerve pill for me to help with the strong hold the episodes had on me when I was drawing for hours. He said all he could do was to treat the symptoms. Thank God for such a kind man. I had been going to Dr. for months and they had given me nothing to help get me through this horrible.By now my family leave had ran out and I lost my job. I cannot drive a car, and have not since that first episode.I cannot walk around the block. knowing I could pass out. My grandmother stayed during the daytime and my husband took care of me at night even tho he was given out from a 12 hour job. We went to another Neuroglist and to another Rhematologist, as well as other Drs. that were suggested. None of them knew how to help me. The Neurologist did start me on a low dose of siesure meds. I am still experiencing episodes and causing my husband many heartaches. Can you tell me what could be wrong or what type of Dr. do I go to next. Which way do we turn now. Please help. My insurance will run out in may. What do I do then? May God guide your thoughts as you ponder this. Thank you. [/INST] Hi, Thank you for posting your query. I have noted your symptoms in detail. Thank you for providing detailed information regarding your case. Based on the description, there are two possibilities. The first would be epilepsy and the second would be non-epileptic seizures. You need to undergo a prolonged (24-72 hours) video EEG telemetry. Sometimes, the epileptiform activity is not picked up on the routine EEG, but gets picked up on prolonged EEG.PET scan of the brain would also be helpful in making a diagnosis. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/ </s>

<s>[INST] good morning doctor, iam from new delhi, my wife sufring from asthma since 10 years and hypothyroid from last 2 years, few weeks ago we consult with a doctor and he prescribed us some amway supplements ( nutrilite tripple guard, nutrilite daily, salmon omega-3 , ch balance, bio-c and siberian ginseng with ginkgo biloba ) but she put 5 kg weight and find difficult to breath. pls advice are these supplements are safe to take or what we should do now. [/INST] Hello Danish, Hope your wife is taking appropriate treatment for asthma (steroid inhalers) and hypothyroidism (thyroxine tablets). No supplement can substitute the correct treatment. Was your wife forced to take all these supplements because she was not getting adequate relief with prior treatment? Regarding safety of these supplementsnutrilite triple guard - it is claimed to contain extract of the plant Echinacea, a Central American herb. This plant is claimed to boost immunity and thus prevent common cold. Your wife is suffering from asthma, not common cold. There are reports of worsening of autoimmune disease after taking Echinacea So your wife should stop taking this product. You may try Tulsa leaf if available. Must be cheaper than Echinacea nutritive daily - it contains 24 vitamins and minerals similar to the multivitamin tablets available over the counter (like codex CZS, polygon CZS, sure at, recoil etc.). Will not be harmful. She may continue to take it Bio C - it contains 250 mg vitamin C the daily requirement is 60 mg only you are already getting 90 mg from nutritive daily. So unnecessary Siberian ginseng with ginkgo Balboa - they claim it improves mental sharpness Not necessary for your wives current disease. I would suggest you give priority to optimal treatment than spending thousands on supplements. Consult a pulmonologist and endocrinologist. Also discuss regarding possibility of sleep apnea </s>

<s>[INST] 41 year old female triglycerides level at 220 but my HDL is 47 LDL 77MCV-100.5MCH-34.1RDW-SD-46.6MPV-11.8AST-46 Doctor is only worried about the Triglycerides,and started me on fish oil. Should I be concerned with the other high numbers?Any thing else I can do to lower my Tris [/INST] Hi, dairy have gone through your question. I can understand your concern. Your triglycerides level is high. You should take low fat diet with high amount of polyunsaturated fatty acids. Your MCV is slightly higher. You should go for serum B12 level once. You may have it b12 deficiency. Your rest all reports are normal. No need to worry. 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. </s>

<s>[INST] I am under treatment of hair loss for last 7 months. My hair loss was not very huge as reported. I was using 1 mg finax , hair 4U ( 1 ml one time daily ) , alpecin & BTN forte for last 5 months. on 12.02.14 . and it was noticed that good result have came out. With in 3 months I will marry with some one. So my doctor advice me to discontinue finax 1 mg , and use of Minox...5% instead on hair4u. But I am afraid about the fact that as per information gather from internet that discontinue of finax1mg can lost hair very rapidly. So please tell me weather discontinue of finax 1mg can accelerate hair loss. or continue of alpecin , btn forte & minox 5% can help me out. [/INST] Hi there.1. Finax is finasteride, which will block male hormone acting on the hair follicle.2. Tapper final tab like alternate day for 30 days, then once in 2 days for 30 days and weekly twice for last month and stop using it completely.3. By tapering the medication, we can try to retain the thickened hair.4. You can safely continue maintop, alopecia and BTN forte supplements.don't worry this will help you. </s>

<s>[INST] Hi, Im a male, 38, Pune. Ive been suffering from Allergic Bronchitis since 2005. Im taking Homeopathy since 2005 & now Patanjali Ayurvedic Treatment since 1 year. My condition has improved, but the attack relapses upon climate change & Ive to temporarily depend on Rotahalers for relief. Kindly suggest a lifestyle/ exercises/ medicine for complete relief from this condition- Im prepared to go to any lenght to gain health. G1. [/INST] Thanks for your question on Chat Doctor. I can understand your concern. Best treatment of allergy is identification of allergen and if possible complete avoidance of it. So get done detailed allergy test to know the allergens. Once you know them, avoid them to the possible extent. Start combination of anti histamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) once a day at night. Take inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Do all these for 6 months, and you will be alright for sure. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>

<s>[INST] i have a girl 2 years old her stool is soft and pus cells are 6-7 protozoa are nill and direct examination few fecal leucocytes . culture negative for salonellla,shigella and staphyllococcus aureus . the stool smell very bad and she stoll immediately after she have food. please advice the reason and how to treat her [/INST] Hi, What your kid is having is not diarrhea and is only gastronomic reflux. It is quite common for babies of this age group to pass a small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. When the kid takes food, the stomach expands - then when it is contracting it sets off a waveform which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. This is the basis for gastronomic reflex. Do not worry. 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. The other possibility when it related is passing motion immediately after food is that it could have been worm infestation. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] I made some check ups last week . All comes normal ,except for lymphocytes ( 5.25) and neutrophils (1.4) . wBC Was normal (about 7,000) other than was normal . Checked my liver and spleen they were ok . I dont have any symptoms but iam concerned about these findings ! Shall i be freaked out ? What to do ? [/INST] Hello and welcome to Chat Doctor, Elevated lymphocytes with low neutrophils are seen in viral infections and chronic infections. Thus, your primary healthcare provider needs to look for viral or chronic infections. Identification of the focus of infection can be followed by its treatment. I suggest you to consult your doctor for clinical assessment and thus management. Thanks and take care Chat Doctor. </s>

<s>[INST] Dear doctor,I have a slight tingling throughout my right leg and there is an area of skin 4 by 5 inches or so, that feels senseless, at the top of my thigh on the back (top of hamstring). There is no pain or functional impairment.I did come back from a long airplane flight 3 days ago, I did wear pressure-socks up to the knee. Also, i did do some physical labor 2 weeks ago that still bothers my lower back a bit every now and then, like a brief pain shoots through.Not sure if these details are possibly related.What do you advise? Thank you in advance,Chris [/INST] Hi, Chris,welcome to Chat Doctor forum. You have tingling in the right thigh, after a long air journey. You had hard work, 2 weeks ago, and the back is still paining. Hi it appears that you have lumbar spondylosis, due to long journey there was a pressure on the sensory nerves coming out from the spinal cord. You may need to have M.R.I. of the spine for diagnosis, so I advise you to consult an orthopedic surgeon for diagnosis and treatment. Wishing for a quick and complete recovery. Thank you. </s>

<s>[INST] My 2 1/2 yr old little girl has seemed slightly warm to me over the past two weeks but not with a big difference in body temp per se via a thermometer. I also have just noticed that her nasal passages are very swollen, red and scabbed over (she is not a picker) and she freaks out and cries when i try to look at them. We have had the air conditioning on for 3 weeks straight due to the high temps outside and i am wondering if she could have started with a mild nasal irritation due to dry air thay progress to this tissue becoming distressed and consequently infected thetefore producing a low grade fever? I would appreciateany answers or advice. [/INST] Hi...by what you quote I feel that your kid might be going through a season allergy. Fever can be due to viral illness also. If the fever or the redness in the nose is not bothering her you need not worry. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards - </s>

<s>[INST] I dont have a gallbladdar to start, But i was taking omega 3 and felt nauseated alot so I quit taking it and since then I have had a green tary stool and pain where my gallbladdar was all the way to my back.I leaned on my right side and pinched some kinda organ days ago and the pain still isnt gone. Did I hurt my liver [/INST] Hi. Green tarry stools is suggestive of an infection of the intestinal tract. You have to go for the blood tests including for sugar and liver functions. Stool tests, culture and sensitivity and for occult blood. This will give an idea for the further management. A course of an antibiotic and metronidazole and probiotics may help. If the course of 5 days solves your problem you do not need any further treatment. If the problem persist, colonoscopy is warranted. You did no t hurt the liver. </s>

<s>[INST] I am online because my significant other is always working with his hands, yesterday he was outside tinkering with a lawn mower I am now really concerned because he cut him self and rust is a factor, his finger is now swollen badly around the nail, he has no health insurance and he is very reluctant to go to the doctor, what should we do, we have antibiotics but are not sure what we can do, i do know if there is any red lines it could be blood poisoning help, what should we do? [/INST] He needs to go to the ER regardless of insurance problems. I understand the reluctance, but it sounds like his finger is infected, and it will only get worse. You can't be sure the antibiotics you have would be appropriate for this type of infection. In addition, infection in closed spaces like the finger often require the injury to be opened to Chat Doctor. Antibiotics alone won't cure it. If it continues to spread, it could get into the blood or could cause damage to local bone and tendon, which could cause disability in the future. Plus if he hasn't had a tetanus shot in a while, he might need one. So best to be seen promptly. Hope this helps. </s>

<s>[INST] I have been having lower back pain. I have not engaged in aby activity to have caused it. It started on my right side above my hip and sometimes runs down my right leg. It has now moved to my left side and runs about 8 to 10in up from my hip. Doctor has presrcibed Tramodol 50mg which doesnt not help. Also, he has given me a sample of Lyrica 75mg which helps but it totally knocks me out. After doing the google sreach, I am wondering if it might be a kidney infection. If so, how could it treated outside of surgery? [/INST] You have not mentioned your age which is very important in case of back pain. As per your history I will advise you to take some painkiller like osteopath or biozobid-plus only when your back pain is worse enough or disturbing your routine work. Apart from this you can take some calcium supplements like shall or toscal-gem once daily preferably in afternoon. You can do some physiotherapy exercises after an expert opinion of physiotherapist. I will also advise you to sleep on a plain surface as it is very helpful in case of back pain. </s>

<s>[INST] I have been bitten by yellow flies while caring for numerous rabbits near Panama ity, FL. It looks like my flesh has been eaten inside above right ankle. The other bites are very deep with scabs and infection is coming out terribly. I do not have insurance and am unemployed this is why I do not seek medical care. I have type II diabetes also. [/INST] Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Some wild flies can bite you such terribly. As you are diabetic this wound probably is infected. I understand that you don't have money. You can go for the Grams staining, culture and sensitivity from the wound discharge. This can guide us for possible treatment. Once the antibiotics is taken accordingly than you can be recovers from the infections at earliest. Please take good care of wound hygiene as it is equally important in treating the infection. Please do regular cleaning and Chat Doctor. Betadine and detail can be used for the </s>

<s>[INST] Hello Doctor, I am married for 5 years and trying to concieve from last 4 years. My periods are regular . I am taking Oosure and cervifert capsules and of course eltroxin 50 mcg for control of thyroid, in my report AMH level is about. 1.8.and my TSH level is 28.32. My husbands report shows most of the times low sperm count its about 30-40 million but recentley his test report shows 65 million active sperm. my question is - am i conceive a baby normally or trying to using some other treatment. [/INST] Hello, Level of AMH is normal, but your TSH levels are very high suggesting that your hypothyroidism is out of control. For conception your TSH level should be around 2. You must talk to your doctor for increasing the dose of ELTON. It is better that your TSH levels become normal before conception takes place. As far as pregnancy is concerned you need ovulation and good patent Fallopian tubes along with good quality and quantity of sperms. Sinc you already are trying to conceive for past 4 years, you must consult a fertility expert and get yourself investigated and evaluated properly along with your husband. The count of 65 million sperm can make you conceive normally but since conception is not happening, the cause must be found out. Thanks </s>

<s>[INST] Ive had back pain for a long time and was diagnosed with fybro myalgia. Ive never liked that diagnosis because the pain has often been so severe I couldnt posibly beleive that people get through this with simple excersize and sevela. It hasnt helped much at all. Today I woke up with bruises over my spine and yesterday it hurt so much I had to crawl on the floor when I sorted through my laundry. Its the lower part of my back 2 larger dots that apear to be over the spongie parts of my disc and a half circle of smaller ones above the two. [/INST] Hello, I have studied your case. Usually nerve compression can't be seen on x-ray you may need MRI for this. There will be age related spondylitis but if there is any nerve compression then that may need specific treatment. I will advise you to do MRI instill time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. </s>

<s>[INST] My 12 year old son has had this perfect circle of dry skin that is raised and redish for the past few months. It will not shrink nor to away. It seems to have escalated as of last night into birght red color still raised and red but with not one clear circle but one inside the circle that were very prominent, almist like a worm? Could this be ringworm? [/INST] Hi... Thank you for consulting in Chat Doctor. By what you quote this may be a - 1. Eczema which is increasing in severity.2. Ring worm3. Larva migransSkin 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. Regards - </s>

<s>[INST] I just went to the hospital due to kidney infection. my pee smelled like shunk and the pain was horrible. I got antibiotics and I was drinking more water than before. after my dosage was over I started to get the pain again and my pee smells like shunk again. do I have a kidney infection again? does it have to do that my husband gives me oral sex and that we have rough sex? could it be that maybe he is the one that needs a check up? [/INST] Hello, Thank you for the query and welcome to Chat Doctor ! In order to help you more I will need more information about your health like did you have kidney infection or a lower urinary tract infection? Was any ultrasound done? Was there any complaint of kidney stone or ureteric reflux in your test? Kidney infection is an upper urinary tract infection which usually occurs from a blood spread on body infection or spread from lower urinary tract due to obstruction in tract or urinary reflux. I will advise get your urinalysis done and get an ultrasound done if not done previous to find if any cause of stone/reflux. If diagnosed a urinary infection proper course of antibiotics like ciprofloxacin for 5 to 7 days is needed to treat completely. You can have lower urinary infection from sex if not proper hygiene is maintained. Always pass urine after sex to avoid this. Hope this helped, contact back for future query. Takecare! </s>

<s>[INST] Hi, I am Neichuvoto Kiso from Dimapur, Nagaland ; India and am 41 years old. I have an inflamation type/numbness on the right side of my chest just below the ribs, this sometimes led to back pain. I have visited the doctor recently and he advised for endoscopy which was done and found that there is an ulcer in my stomach (entry part) for this he has prescribed medicine (Pylokit and Rekool) for 1 and half month. Can I know what is my actual sickness and what should be the best medicine for its treatment. It has already been 5 days but still that feeling of inflamation/numbness is there. Or is it that i go for further treatment. If so which hospital/doctor will be the best as per my place or Neighbouring states. Kindly advice. [/INST] Thanks for your question on Chat Doctor. I can understand your concern. Stomach ulcer can not cause right sided chest pain and numbness. By your history and description, possibility of Costco Chat Doctor. So avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Apply warm water pad on affected areas. Take simple painkiller like paracetamol or ibuprofen. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>

<s>[INST] hi my 11 yr old daughter has been unwell for nearly two years, and now at last the blood tests have come back with hb of 10, platelets of 86, and esr 58. She has had rash all over legs every three months or so and lethargy ??? her igE is over 400 as well. Do you think its lupus [/INST] Good evening mam. I would like to know more details on she's not keeping well. Is it fever. Mouth ulcers.body ache.joint pains? The blood tests do show a low platelet count and high ESR. The rashes are a bit non-specific but can be seen in any autoimmune condition. At this stage it is very hard to say if it is exactly lupus or something else. You need to get her ANA tested along with ENA profile. We must figure out a cause for this blood picture. These two tests will help us reach the diagnosis. Hope the information was useful. </s>

<s>[INST] Hi,my name is H. and my heart rate is 100, my blood pressure is 107/72, and my pulse is 72, should I be concerned because I am only 19 years old, with my no previous heart problems, or heart conditions, although I do get chest pain that last for a few seconds,so is this a problem? [/INST] Thanks for your question on Chat Doctor. I can understand your concern. You are having tachycardia (high pulse rate) and normal blood pressure. You are also young, so possibility of heart disease is very, very less. But better to get done screening for heart diseases by ECG. If ECG is normal then no need to worry about heart diseases. Sometimes stress can also cause tachycardia and Chest pain. So avoid stress and tension, be relaxed and calm. If you are having poor eating habit like junk food then gastritis can also cause chest pain. So avoid junk food and take antacid like proton pump inhibitor. Don't worry, you will be alright. Heart diseases are less likely in your case. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>

<s>[INST] Goodmorning from Rotterdam. Holland. My name is Leny Geurts and since 6 weeks I have this blatterinfection with the enterococcus aerogenus.We already tried several antibiotics like Furadantine and Pripam. But I have this terrible pain in my blatter that won"t leave. I have a supra pubic catheter, and a duodenum stoma, due to autonom disfunction of my nerve system. Since jan 2008, I learned that I have ALS(Lou Gehrings disease) and HSP6 so I am not able to walk and do not have much control over my spastical body. I am 53 years of age. Do You have any suggestion what to do?Since this morning I had no fever but the pain is thereble.Greetings Leny Geurts [/INST] Thanks for posting your query to Chat Doctor. As I understand you are suffering form some kind of genitourinary system disease. Catheterization is a predisposing factor for development of infection. Antibiotic treatment only is not effective for relief .you need to change the Cathay as and when required after examination by your surgeon. But if you are not getting relief you can try medically Fosfomycin for treating enterococcus after consulting to your surgeon. For pain and discomfort Fanatic acid with dicyclomine can be taken. For rest of the problem your neurosurgeon will guide you .take care. </s>

<s>[INST] I am female, 22 years old, approx 180 pounds. I was lactose intolerant, or at least doctors told me that I was. I used lactaid pills everytime I had cows milk in any form (milk, cheese). I could eat goat milk products without problems. I recently had my gall bladder removed. The surgeon said that the gall bladder removal would solve my lactose intolerance problem. I have since been able to eat cow milk products. Was the surgeon correct, or was my lactose intolerance before really a gall bladder problem all along. [/INST] Dear friend, greetings from Chat Doctor. Lactose intolerance is due to absence of lactase enzyme in the intestine. It is not related to gal bladder at all. Maybe that milk fat digestion and absorption requires bile salts which is stored in gal bladder. It's good that gall bladder is removed but I don't think that was the reason for your lactose intolerance!. Thanks and do contact us for more queries thank you </s>

<s>[INST] Hello, I just had mononucleosis. It started with an angina, with its usual process. I managed to get well in a month, after the diagnosis. My spleen was ok, my liver a little bigger. Around a week ago, I was told I dont have mononucleosis anymore, my liver is all fine now, just the EB virus is ending.. or how could I say? Lingering? I wasnt told to go to another blood test, so I would like to ask, if it is okay to kiss, if the EB virus is still lingering? How long will it .. linger? I was told I can even do sports, even though I read everywhere, that a person shouldnt do sports for atleast 2 months. Thank you in advance for your reply. I couldnt find a reply to my question anywhere. [/INST] Hi there, Good question, you don't need a repeat blood test, and it is good to hear you are overall recovering. It is difficult to know how long you will shed the virus in your saliva, so to play it completely safe I would check with the person you intend to share physical contact and let them know about your recent illness. Some experts believe the virus could be transmissible up to 6-18 months after getting the initial diagnosis though you most likely wouldn't have symptoms that far out after having the initial bout of symptoms. </s>

<s>[INST] I ve been pretty much in bed since Thursday - low grade fever on and off, very tired, heavy head. Went to dr Friday, they did a flu test which was negative. They said it s a virus that should clear up in a few days. I also have bronchiectasis whicChatDoctorpromises my immune system . Low grade fever now, first had it last Wednesday night. [/INST] Hello, i can understand your concern. Symptoms like fever, feeling tired, body aches all suggest a viral infection. While testing a flu, we usually do not do tests for each and every strain. So even if the flu test turns negative it can be a due to a new strain. Any viral fever would take a week time to recover fully. Donor pain if you have mild fever, body aches. It would clear on its own. Take paracetamol for fever and a multi vitamin tablet. Chat Doctor. </s>

<s>[INST] I am a student and needing to figure out a diagnosis with very little to go on...a 72 year old witChatDoctorplaints of rash near the gluteal fold on the right side. painful vesicular rash p=onset 2 days ago, no fever but occasional burning and sensitivity at the site. has applied triple antibiotic oint without relief. Widowed for 10 years with a steady boyfriend with whom she became sexually active with recently.. any suggestions? [/INST] This sounds like it might be herpes, either genital herpes, or given her age, herpes zoster (shingles). An initial outbreak of genital herpes (herpes simplex) can be quite painful. Shingles is caused by the same virus that causes chickenpox, and most often occurs in older people and is quite painful. The rashes from both viruses can look the same. They both can be treated by the same antiviral, acyclovir and other variants of it. Hope this helps. </s>

<s>[INST] Hello Dr Samul, My baby is 3 months old and suffering from cough from 3 days. Our Doctor advised to for inhalation and gave 2 syr. Epixyl LD and betnesol Oral Drop for 5 days treatment but still my baby is not keeping well and suffering a lot. Kindly advise [/INST] Howell come to ChatDoctorI really appreciate your concern. Discussion:- If this is allergic cough then it may some time to come sound, most of the time may not need any treatment in this age group, just need to be taken care for infection and fever would be matter of concern. Medication :- No specific treatment needed but pure honey can be tried at bed misadvise:- NO need to worry about this, and be patience it will come around. Comment:-Hope this information helps, take care and have a nice day. </s>

<s>[INST] My son was on a flight from cabo mexico and they had to turn around and take him back due to severe chest pain and shortness of breath, In some type of hospital now ekg normal but enzymes high, This facility not equiped for any extensive treatment what now? [/INST] Hi, Thanks for writing to Chat Doctor, I am Chat Doctor. ECG cannot pick MI all times . sometimes it can miss n this y we need other test to confirm it is MI . If it is infraction n there is no facility for PCI m there is hospital nearby u can reach about before 90 min it is better to take standard protocol of ACS n ten rush to that hosp to have c.Anglo n PCI if necessary . But if is not possible then thrombosed there n shift to hosp have PCI facility ...if I were your attending at that moment I would make sure it is ACS BCS myocarditis also have same features ... I hope this answered your question, if you have more feel free to ask. Regards. </s>

<s>[INST] I had a hysterectomy 2 years ago. Prior to this I had never had an irregular pap test. It was recommended due to frequent urge to uninate. It was totally un necessary. I read post operative lab reports all tissue and was healthy. I had a pap this past year, it was abnormal. I have gone back for another every three months. My doctor says it is cervical cancer. I no longer have a cervix. He is watching it and I am growing anxious. What happens now??? What would you recommend? [/INST] Hi, dairy have gone through your question. I can understand your concern. You already have hysterectomy. So your cervix is removed. There is no cervix. SO no need of doing pap smear test. Pap test is done for screening of cervical cancer. You can't have cervical cancer. No need to worry about that. Just be relaxed. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. </s>

<s>[INST] My sister had to have 2 open heart surgeries (back to back). In the process she had a heart attack. She was given a life saving drug which causes blood to be brought to major organs for life support. Extrementies do not receive the blood needed. She has developed dry gangrene and will have to have both legs amputated above the knees. Was there any other medicine or thing the drs could gave given her or done to have prevented this? [/INST] Hello, From your description it appears she was on isotropic agents. It shunts the blood to important organs away from the peripheral organs like limbs and it's a side effect of these Chat Doctor. So It's important to provide blood to important organs and protect them at cost of peripheral and it's important for life. So had to choose between the two, and we usually go it. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] I have had exrays and a mri on my neck and spine..I was told today by my famly physician I have a blockage in my spine that is pressing and possible perforating my nerve... causing loss of feeling and strength in my right arm.pain is ongoing 24 /7 from what I gather the blockage is in c5 c6how risky is this surgery and what is the prognosis with out [/INST] Hi, thanks for writing to Chat Doctor. As per the description, you suffer CERVICAL DISC DISEASE with RADICULOPATHY. As you have loss of muscle strength in your right arm, surgical decompression is necessary. Cervical discectomy yields excellent outcomes as you have only a single level disease. But there are certain complications inherent to the surgical procedure (like injury to the recurrent laryngeal nerve causing hoarseness of voice, injury to the esophagus or to the trachea etc.). Also, this procedure has to be carried out under GENERAL ANESTHESIA which by itself can produce many complications. In general, the risks and complications occur in a very few percentages of patients. Hope this information is helpful. Good day </s>

<s>[INST] Father-in-law- 65 years.My Father-in-law was diagonosed Gastric Cancer- stage 3A- a D2 radical gastrectomy was performed- after surgery the staging was Stage 3B- after the pathological final report- it is stage 4. The pathologists report : diagnosis is moderately differentiated adenocarcinoma-stomach, infiltrating the serosa. proximal resected margin and distal resected margin - free.Omentum metastatic deposit. 17/20 lymphnodes show metastatic deposits- pathological stage- T3 N3-stage 4.The doctors are planning chemotherapy wednesday/thursday this week- Me and wife far away from home (foreign country)- please could you give us a prognosis on his survival rate at this staging of the cancer.He is 65 years old and is diabetic, had a MI 2 years ago is fine now (but continues medication) and has an enlarged prostrate. the gastrectomy was done 2 weeks ago. Mr Samuel. [/INST] Hi, Thanks for writing in. Cancer is a challenging diagnosis and the course of disease is directed by treatment. With stage 3A stomach cancer about a third of people (38%) live at least 5 years. With stage 3B about 1 in 6 people (15%) live for more than 5 years. Survival for 5 years after first detection of cancer is a milestone and with the best treatments patients can survive 5 years or more with stage 3 stomach cancer.However, the staging has changed after 17 of 20 lymph nodes show metastasis, and presently it is in stage 4. Unfortunately, about 8 out of 10 (80%) people diagnosed with stomach cancer are stage four, meaning the cancer has already spread when they are diagnosed and this is the case with your father-in-law. Therefore, the survival statistics are lower than for stage 3 stomach cancers. Fewer than 1 in 20 people (5%) live for at least 5 years if they have stage 4 stomach cancer when they are diagnosed. </s>

<s>[INST] i am 21 years old, male. i have had good skin for almost my whole life. however in the past year i been stressing alot. n sudenly i broke out. n i cant seem to get the thought of acnes out of my head. do u think if i stop thinking bout them and stop stessing about them they will go away? [/INST] His admire you for positive outlook. Psychological stress is due to physical problem can be treated with motivational counseling and support. Proper treatment t of acne can cause relief in stress. Without treatment, it won't go away. Just relax and do not think about that which can lead to mild relief in acne. Sometimes stress causes pimples and acne. So treatment from both the side is mandatory. Consult dermatologist for acne. For stress Do not think much. Divert your thought. Exercise, meditation, deep breathing and hyperventilation, Relaxation. Healthy diet and antioxidant, proper sleep stress free activity. Do pleasurable activity, music and hobbiesDiscuss with friends and take advise. See all thing with different anglePositive outlook and confidence All this will help you to counter daily stressStill have a query then feel free to ask. Thank you. Happy to help you. </s>

<s>[INST] Yes, I have a very painful foot ulcer. I would like some help in home treatments at home.I am wearing the compression stockings, i do elevate my leg when possible. I am putting antibotic ointment on. nothing is giving me relief from pain. Do you have some extra help for me ? Thank-you charlene [/INST] **1. If nothing is giving relief probably infection has occurred in the ulcer, firstly make a Surgical appointment who will go for necessary examination and tests for any presence of Abscess, any spreading infection [cellulitis], or some bone infection or compromised blood circulation, and will check for blood sugar level and/or other immune compromised state and then will prescribe medicine according to the tests conducted and examination done.2. Avoid walking barefoot, wash the feet daily, Chat Doctor. Don't wait to treat a foot or skin problem. Follow your doctors guidelines. </s>

<s>[INST] hello! I just started getting a runny nose and watery eyes but that it! I am on aderall so i was wondering if there was anything that could help it? i have no headaches or any other pain just an annoying runny nose and very watery eyes, i cant stop sneezing and having to blow my nose! Im 20 years old, women, about 130 pounds, about 5,5 ft and my runny nose only started about 3 hours ago. I am prescribed with adderall (usually take 20 to 30 mg a day) and have regular pink eyes (got 5 pink eyes since beginning of october) and im on the birth control pill...and i smoke (between 5 cigs to a pack a day) is there any danger of me mixing anything up with any of those products? [/INST] Thanks for posting your query to Chat Doctor .runny nose and red eyes are mainly allergic in nature may be due environmental allergen or viral in origin .in both the condition treatment remain same that is symptomatic relief and avoid enc of allergen. The medication you're taking will be not much effective. I advise to take :1. Loratadine 10 mg with Montelukast 5 mg one time in a day to neutralize effect of allergen .2. Multivitamine to improve your immunity 3. Paracetamol 750 mg two times a day to receive inflammation.thanks. </s>

<s>[INST] i am 19 years old, I am 5 foot 2, 178 lbs. I have PCOS which I am being treated for as well as hypothyroid. I was sick but the cough has not gone away and now i notice a small lump at the base of my skull. My mother also got sick some time after I did and ended up with pneomonia. [/INST] Hi, Dear,Thanks for your query to Chat Doctor virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns about the skull lump and pneumonia, as your mother had it recently. Cause of the health problems you queried-AS the history is very short I am unable to comment on the cause of the Lump. Though I could suggest you the following causes for that lump-The lump on back of Skull could be Bug bite(if it is overnight appearance) /Boil or Fur uncle (as you already having air infection with cough)/Or could be incidental epidermis / sebaceous cyst, as it appears to be painless lump. As I don't have any direct photo of the lump / or not many details from you, I would advise you to consult surgeon.Hence, I would advise you to consult ER Surgeon, who would differentiate from other possible causes for the lump in that area. Hope this would resolve your query with full satisfaction. Welcome for any further query in this regard to ME by direct question at Chat Doctor. Write excellent review and hit thanks, to narrate your experience, which would improve my rating for many other visitors to Chat Doctor. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Consultant. M.S. Genl-CVTS </s>

<s>[INST] I was masturbating a few moments ago and when I rolled over I managed to jab the center of my penis on the pin on my belt buckle (that goes into the holes). Though it didn t pierce the skin (blunt trauma) it certainly hurt like hell, blood started coming out of my penis. The bleeding and pain has stopped, but I m really freaked out. What exactly happened down there? [/INST] Thanks for asking in Chat Doctor forum In Short: You might have injured your frenulum(fold of skin which holds foreskin when retracted. Explanation: Frenulum tear might have caused this as you injured yourself with belts part. If bleeding, pain has stopped, no wound and if you are able to retract foreskin normally during sex then no need to do anything. If not visit a doctor for further treatment. </s>

<s>[INST] I have tenderness from the inside of my chin to the corner of my mouth. I have four missing teeth on the lower same side as the pain.I have the sensation that my lip is swollen and have fairly steady pain in my lower middle ten teeth. I have the sensation of an increased amount of saliva and my tounge being swollen.I can feel a lump that I ve been told is the nerve that also feels swollen and it hurts when touched. The underside of my tounge burns almost all the time and this is on the left side of my face right beside my chin. I have had this for over a year and it began after I had a root canal on one of my lower front teeth. [/INST] Hello and welcome to Chat Doctor forum, Thank you for providing all the details about your last dental visit. From the dental history provided by you, I assume that the numbness and a feeling of swollen tongue is from a nerve injury which usually takes about 6 months to a yr to recover. A mild injury to the nerve occurs when the nerve to be anesthetized lies quite close to the tooth being treated. I will advise you to see a specialist(oral surgeon) for the same. Recovery is slow but complete, so you need not worry and kindly see the oral surgeon soon. I hope this answer was useful wish you good healthcare care. </s>

<s>[INST] On Monday at 11pm- My dog AMI was sprayed by a skunk. He ran right towards me, The sprayed skunk substance was all over his face and right eye. He was taken into the house and put into the tub by me, I scrubbed his face and flushed his eye repeatedly until he was feeling relief. Two days later Thursday at 5am I woke up for work and I thought I was having a stroke . The right side of my face was drooping and felt numb.My husband drove me to the ER. They did a neurological Exam and a CT and chest X ray and Lab work,The diagnosis was Bells Palsy. Is it possible that the contact with the skunk spray could have triggered this condition. Is it possible that the skunk spray substance could have triggered this nervous system problem. Thanks for taking the time to read my letter. Linda/ age 55 [/INST] Hello Linda, thanks for sharing your problem with us. Bells palsy is considered an idiopathic facial paralysis. There are many etiologic agents with a shared common pathway leading to facial neuropathy. Herpes simplex virus is the most likely etiologic agent of the Bells palsy, but there is different debate on this since many years. As you described the incident happened 2 days prior you got paralysis can not be in relation with the palsy because it is found that Skunk spray is a non-lethal deterrent and does not contain any poisons or other harmful chemicals that would cause permanent damage, even when exposed to the membranes of the eyes, nose or even mouth. So I don't think it has any relation with Bells palsy. But you can discuss with neurologist to find out the cause. Take care, Regaurds </s>

<s>[INST] Right leg numbness over a year, given diagnosis multiple sclerosis, pinched nerve, bulging disc, arthritis, numerous test done all negative, placed on steroids no success, final new test done carotid Doppler, abnormal, sent to ER for eval, sent home, left complete block, right partial block, vascular doctor pending consult appt, how devastated . [/INST] Hi, Welcome to Chat Doctor forum. Now the diagnosis is made, and the doctors will follow the treatment lines, accordingly. It causes obstructions to the blood flow to the brain. It may be due to the cholesterol, and either sclerosis or an external obstruction. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to hasten the recovery. Wishing for a quick and complete recovery. Thank you. </s>

<s>[INST] hello sir, i m 25 yrs male, and i am having the habit of masterbation without errection , with the help of a pillow or towel, so how could i get rid frm this problem, because my semin is not coming out while shaking when my penis is fully errected, plse help me ?? [/INST] Dear serve understand your concerns went through your details. Delayed ejaculation (DE) occurs when a man needs more than 30 minutes of sexual stimulation to reach orgasm and ejaculate. DE has multiple causes, including anxiety, depression, neuropathy, and reactions to medications. Please let us know whether you have any of these conditions. No Chat Doctor. Counseling, psychotherapy, sex therapy etc. can also help you. If you require more of my help in this aspect, please use this URL. http://yyyy.gl/yyyyyyyy. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. </s>

<s>[INST] I have had pain in the right side of my face for about 8 years. Ive been to see a neurologist, had 2 root canals off and on I have this severe pain that goes from all my teeth on the right side and goes up by my nose and generally last for minute or so. I cannot do anything but hold my face until the pain subsides. [/INST] Hello, Welcome to Chat Doctor. I can understand your concern, this pain can be due to periodontal or periapical problem or trigeminal neuralgia also but as you have pain in jaws don't worry don't take so much stress be relaxed and consult to dentist for Act treated tooth that if there is any periapical pathology present in RCT treated tooth causing pain. If there is periapical pathology then go for RE RCT and oral prophylaxis, but if you won't get relief then go to neurologist for opinion. Hope this will help you. </s>

<s>[INST] quick hx: of me, 57 yo female, 5 8 approx wt 165+, hx of varicose veins currently with painful swollen left ankle, inadvertently felt very strong pulse in abdomen while resting with leg elevated. took resting blood pressure, 134/87 heart rate 76. normally have low blood pressure. concerned about aneurysm. take no medications, avoid processed foods, keep active. I was a surgical scheduler for a vascular group which is why I am alarmed. [/INST] Here you have told you have varicose vein as well swollen left ankle. And usually your blood pressure use to be low but now its 138/87. Blood pressure is still key and not so high, but I would like to know do you have diabetes? If yes then since when? As well are you taking any medication for blood pressure? There are many things unclear so I am giving you general guideline. For varicose vein issue I suggest to use stocking to control it as well consult a vascular surgeon for his opinion. Here based on severity of problem doctor will guide you either for surgical management or conservative treatment with medication and regular use of stocking and doing physiotherapy treatment as well exercises. Now for your ankle swelling if this goes off along with varicose vein then good but if not as well till the time it is taking time to go away I suggest to use hot and cold pack for some pain relief and keep your leg elevated for reducing swelling. You can also use crew bandage or stocking at ankle level also to reduce the swelling. Keep doing frequent ankle-toe movement for reducing swelling further with muscle action. Here if you follow the steps by step process as per my suggestion it will definitely help you. Take care. </s>

<s>[INST] I fractured my clavicle approx 1.5 years ago and had it surgically repaired with a metal piece. It has been relatively pain free up until the last several months. Now it is very painful and the bone from the ventral line is very enlarged and looks like a large lump to about mid shoulder. [/INST] Hi, dairy have gone through your question. I can understand your concern. You may have some complication of fracture. You should go for x-ray of local part. It will give you exact diagnosis whether you have bony overgrowth or MAL union or some other cause. 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. </s>

<s>[INST] My son is 3 years old and woke up this morning that his stomach hurts. He ate breakfast and then would complain again that his stomach hurts. I asked him every time if he needed to throw up assuming he had the flu, he did not need to throw up. He tried to distract himself throughout the morning he kept complaining until he was in excruciating pain. I am now waiting to hear from the doctor at the hospital. What do we do? [/INST] Hi. Thanks for your query. The boy is just 3 years old, the causes of pain in abdomen in this age-group are a bit different. Commonest are:Abdominal lymphadenopathy. Appendicitis Worms. Consult a Pediatric Surgeon for a clinical examination. Go for the tests of blood, urine and stool. And an ultrasonography to confirm or to rule out the causes. A course of an antibiotic and anti-inflammatory medicines may help him. </s>

<s>[INST] HELLO, MY HUSBAND HAS A PAIN IN HIS GROIN, DOCTORS SAY ITS NOT A HERNIA, NOT A PULLED MUSLE, SO THEY GAVE HIM A EPIALDERMIAL SHOT IN HIS BACK, HE GOT A REAL BAD INFECTION AND HAD TO GO IN THE HOSPITAL,THAT WAS IN SEPT. 2010, AND IT IS JUST NOW HEALED UP. STILL HAS THE GOIN PAIN.NOW WHAT?? [/INST] Hello, In some cases it may be muscle spasm, kidney stone or infection in urinary tract or in the testes. As hernia has been excluded, we will advise looking for testes and the kidneys by ultrasound. It's better to check urine for infection. He can take simple pain relief medicines like paracetamol until the diagnosis is confirmed. If all these reports are OK, sometimes it may be because of some problems in the hip joint. Therefore, orthopedic consultation may be needed. Hope I have answered your query. Let me know if I can assist you further. Take care </s>

<s>[INST] hello i am Sarah 15 today I stook something unsafe in my boot and when i wanted to get it out i could not so i puled it out and blood came out with it and later this day when i went to the bath blood came out and it hurt as hell do i have to go to doctor? and if i have to what would happen ?please help me thank you [/INST] Hello, Welcome to Chat Doctor, As you got hurt and injured your foot because of something which stuck in your shoe and lead to your symptoms. As there was a bleeding following the injury it may be a sharp object which has damaged your foot. I would suggest you to follow1. Clean the wound with the antiseptics2. Take TT injection if you have not taken in last 5 years.3. Keep it Chat Doctor. You may require a course of antibiotics. Thank you. </s>

<s>[INST] im 3 month pregnant and i feel cramping and what it seems to be pressure on my upper stomach right below my chest. I have not met with a DR to check my health or the Baby s because i just found out yesterday. I sometimes feel supper bloated when i finish eating a whole meal. my question is why am i cramping and feel slight like poking in my stomach? [/INST] Hello misunderstand your concern. I think it is due to preparation of uterus for pregnancy that produce cramp. Bloated may be due to the hormonal imbalance that produce reflex, and you feel bloated. Other cause of cramps may be:Miscarriage: but it usually associated with bleedingEctopic pregnancyMuscular painHormonal changes safer side consult the gynecologist and do the following tests:Pelvic examination and USG. Advice for you: Chat Doctor. </s>

<s>[INST] hello docter.... my baby girl of 1 year 9 months has been getting hives for the last 2 months... usually after she gets up in the morning n after a afternoon nap.. allergy testing done showed she is allergic to milk. so we have stopped it and giving her isomil. but still ni improvement. she requires to be given allerid once a day otherwise the patches increase. what to do? worried abt giving allerid on a long term basis. [/INST] Hello, Thank you for asking at Chat Doctor. I went through your daughters history and would like to make suggestions for her as follows:1. I would like to know more about her milk allergy symptoms. How was milk allergy diagnosed? If she is really allergic to milk, taking any milk product (be it curd, buttermilk, butter, milk biscuits, milk chocolates, etc.) can cause her allergic reactions.2. If she is not taking any milk products and still she develops allergic reactions, I would suggest allergy testing for other foods such as soy, ground nut, wheat, rice, egg, seafoods, tree nuts, etc. This will help you to identify the allergy, if any.3. Hives can occur even without allergies. Possible causes are viral infections, bacterial infections, parasites, Chat Doctor. 4. As she is getting hives since 2 months, I usually suggest my such patients investigations like serum total IGE, allergy testing for common allergens, complete blood counts, ESR, stool examination, urine examination, etc. However, before suggesting investigations, I always take a detailed history about her each and every symptom, diet, environment, </s>

<s>[INST] I am 22 and was stung by a bee yesterday around this time. I was stung on the center of the sole of my foot. It was fine until around 10 pm last night when i noticed it was swelling and started to become painful. Over the course of the night it hasnt gotten any better. I am taking benadryl. Is the swelling normal this long after a sting? [/INST] Hi. Welcome to Chat Doctor . As you are stung by a bee on the sole of foot that has got swollen and painful, it is normal occurrence after bee sting and is due to allergic reaction or anaphylactic reaction with the toxic chemical released by the bee sting. It causes inflammation leading to swelling and pain. It can take at least 4 to 5 days to resolve and cannot resolve immediately after taking anti-allergics like Ben Chat Doctor. . You can continue taking Ben </s>

<s>[INST] Hi, may I answer your health queries right now ? Please type your query here... I had a lump on my face, not that big. The skin was not broken. I gave a good squeeze and white puss that smelt really bad came out. I have never suffered from spots, and have oily skin. Should i be worried about this. [/INST] HI, Dear,Thanks for the query regarding your daughter. I studied your query and understood your health concerns. Remedy-You seem to have Pimples and you should be worried as it would increase due to your oily skin of the face and would disfigure. I would advise you to Consult an ER Surgeon and you would be treated accordingly. So Don't worry and act fast as suggested. Welcome for any query to Chat Doctor and me in this regard. Have a Good Day. Chat Doctor. N. </s>

<s>[INST] Hello my sister came home today and said the dr told her he seen blotches on her teeth and that it could be bonne cancer . This is tuff and scary to deal with he wants to look again .She has to follow up with him in a wk for the second go round to see if its for sure. Just want to know what kind of cancer if it is she looking forward to? [/INST] Dear friend. Thanks for sharing your concern. To detect any type of cancer certain biopsies are done and mere glancing at a lesion cannot confirm a lesion to be cancer.Therefore, please donor be worried. Also give us complete history and symptoms so that we can arrive at a conclusion. Does she have any pain, bleeding,tumor like growth in gum or jaw? Does she find difficulty eating or swallowing? IF any habits, please mention. Answer these queries to help you better. Thanks. Wish you good health. Take care. </s>

<s>[INST] hello! My age is 24, Ill be 25 this August. Something is bothering me. I started smoking 12 months back, and I smoked about 2 cigarettes a day. Now it considerably increased to 5 cigarettes and I have cough that wouldnt go. Also, I have two patches on the either side of my inner cheeks, one is blackish (no pain, no swelling), and a scratch kind of white line on the other (no pain, no swelling). I have been coughing regularly for 25 -30 days now and have this strong urge as if there is something thats caught in my throat. Mucus is been produced normally out of cough. Two days before, I consulted a dentist and he said theres nothing to worry. I am taking antibiotics now. Some relief is there but i dont understand what is this. My tongue has few cuts fro the past two days and has this strange burning sensation. When i scratch these cuts, blood comes out (but very very little, as these are scratches that may have caused due to hard brushing that I do). Mucus is producing, I am clearing my throat every time im coughing. Im spitting it out. My throat is not comfortable these days. But since the time i have started taking medicines, amox and citrizine, it has gone a bit better. Im 24 smoking from 1 year, almost 4 cigs an average, should I worry??/ [/INST] Respected Sir, hi first about reason of what is this. it's clearly tobacco nicotine affecting your capillaries of lungs leading to worsening cough, affecting your inner cheek buccal mucosa giving it black patches and white lines. You have to quit smoking for lifetime if you want a happy healthy life in future otherwise beware of suffering from Tuberculosis or Cancer. It's in your hands whether you want to have healthy disease free life or the life cumbersome with burden of heavy diseases. I hope I have cleared your queries. Thanks regards bye take care </s>

<s>[INST] Hi, MY WIFE SUFFERING FOR THE FOLLOWINGS: 1. THROUGHT INFECTION LAST 2 MONTHS-MEDICINE TAKEN AMOXICILINE 250MG TWICE DAILY FOR MORE THAN 5 DAYS. 2.IN THE MOUTH SOME MOUTH ULSER ALSO. 3. TOUNG HAVING STRECH MARKS. 4.DIGESTIVE POWER IS VERY LESS.SO GOING TOILET FREQUENTLY. 5. HAVING A CONIC PROBLEM OF ACIDITY. 6. HAVING THYROED PROBLEM BUT UNDER CONTROL. 7. HAVING HIGH BLOOD PRESSURE. 8. HAVING COLOSTEROL PROBLEM BUT UNDER CONTROL. 9. AND ABOVE ALL SUFFERING MENTAL DEPRESSION. [/INST] Hello, I understand your concern and would explain that the ulcers in the mouth could be related to a fungal infection or vitamin deficiency. For this reason, I recommend performing a bacterial culture of the material in her oral ulcers and a stool analysis. Starting antifungal therapy may be needed. The depression is not related to the above issues, but health problems can exacerbate it. For this reason, an antidepressant may be needed. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] Hi I have a 2 swollen cyst- tumor in my right side of my neck, for 1 mo. and 4 days now, went to my doctor and he conduct a complete blood test and ultrasound of it. He give an antibiotic Penicillin and i went back to his clinic after 1 week.He conduct an ultrasound again. He refer me to a ENT specialist , and now done with biopsi. My doctor says he cannot say anything unless i am done with the test. I am waiting for my CT scan schedule now. What do you think is this? It scares me alot coz i am a motnher of a yrs old boy and my husband has a mandibular cancer also. Thank you! [/INST] Hi and welcome to Chat Doctor. Thank you for the query. Most such lesions are benign and usually indicate swollen lymph node, benign cyst, fibrous or lipoma. So I am sure this is your CAE. Of course, malignancies should be ruled out by biopsy and this will verify the exact diagnosis. Try not to worry because it won't change anything, but cancers are very rarely diagnose when there is such symptomatology. Wish you good health. Regards </s>

<s>[INST] i feel tired all the time i get angry or depressed sometimes which I manage by thinking angry thoughts and smoking smoking cigerets make me feel nothing like i have no emotions so i don t care if i huts someone or if they hurt me i sometimes think people are hiding things from me my heart rate is low but my head is always too hot i almost fall asleep if im in a hot room. i have drunk alot but it didnt use to effect me but now if i drink too much i wake up the next day remembering nothing [/INST] Hi there ~ I understand that you have been having problems with depression and being frustrated with it. Maladaptive mechanisms to deal with one's depression would involve diverting yourself by using substances that just reinforce the addiction cycle and make your psychiatric condition i.e. depression worse. Alcohol is also a depressant and could make depression worse by itself. You also have been having blackouts which indicates that your body is physiologically and physically dependent on alcohol. You need dead diction treatment and I think that you may need to see a psychiatrist and a substance abuse counselor to help you get over your depression and alcohol/nicotine dependence. I hope you seek help as soon as you can. Take care and have a nice day! </s>

<s>[INST] For over a year now Ive had a green smelly (discharge) coming out of my righthand nostrel an its seems to just be getting worst I always brush my teeth Im now always have to blow my nose to try clear it but 5mins later Im back to how it was full of green smelly stuff [/INST] You might have a low grade chronic sinus infection on that side or some kind of localized infection in the nasal tissue. Your best bet is to see an ear, nose, and throat specialist (ENT or otolaryngologies) and have it looked at. A course of antibiotics may be necessary to clear it up. Its possible you may have a partial blockage on that side or even a retained foreign body that is acting as a source of infection. Have it examined to identify the cause and get on the right treatment. Hope this helps. </s>

<s>[INST] hi ,im mov va 22 years old ,one weak ago i had done indirect inguinal hernia surgey .the doctor said that the name of operation is darning operation he didnt use mesh repair . about 3 days after the operation i feels like thick cord in the scrotum in the right side i think its connected to testis but its thick unlike the left side im really worry about that !! plz help me about this [/INST] Hello, Thanks for writing to us, I have studied your case with diligence. There is possibility of inflammation epididymis feeling like thicken cord on scrotum. Get clinical examination from your doctor. This can be reduced by medication like Trypsin chymotrypsin. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care </s>

<s>[INST] My friend has multiple symptoms of prinzmetal s angina. His family doc told him everything was normal, yet he continues to experience symptoms. As a last resort someone gave him some nitro pills and the chest pain subsided. His doctor has him on metoprolol and we have read that drug can increase the severity and frequency of the chest pain. Tonight he has mild chest pain and a headache that he claims is nearly debilitating and coming in waves across the left side of his head. He also claims his vision in the left eye is intermittently blurred with the headache. Please advise [/INST] Thanks for your question on Chat Doctor. I can understand your concern. No, metoprolol is not causing worsening of symptoms or chest pain in printzmetal angina. In fact, metoprolol is one of the treatment option for angina. Honestly speaking, I think your friend is having uncontrolled stress and anxiety related symptoms. Since his heart work up is normal, no need to worry about angina or other heart related symptoms. In my opinion, he should consult psychiatrist and get done counselling sessions. Try to identify stressor in his life and start working on its solution. He may need anxiolytic Chat Doctor. Don't worry, with counselling and anxiolytic </s>