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If you are a doctor, please answer the medical questions based on the patient's description.

hi my name is AAAAA from Trinidad&Tobago both of my tubes have cysts and i tried birth control to regulate my periods but i don t see my periods every month and i haven t seen it or the year i am 25years old and i want to know what i can take to bring my periods regular and get me pregnant , i was and have never gotten pregnant all the try i tried please help me doctor the safe way to please thank.

Hi, In the present scenario, you should see an expert infertility specialist and get properly examined and investigated. The cause of your tubal cysts should be treated and tubal patency and function tested. The cause of your irregular periods should be diagnosed through hormonal assays, trans-vaginal sonogram and treated. You should maintain a healthy weight, avoid stress and eat healthy. Hope you find this information helpful. Take care.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hi my name is AAAAA from Trinidad&Tobago both of my tubes have cysts and i tried birth control to regulate my periods but i don t see my periods every month and i haven t seen it or the year i am 25years old and i want to know what i can take to bring my periods regular and get me pregnant , i was and have never gotten pregnant all the try i tried please help me doctor the safe way to please thank.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, In the present scenario, you should see an expert infertility specialist and get properly examined and investigated. The cause of your tubal cysts should be treated and tubal patency and function tested. The cause of your irregular periods should be diagnosed through hormonal assays, trans-vaginal sonogram and treated. You should maintain a healthy weight, avoid stress and eat healthy. Hope you find this information helpful. Take care.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

One of relatives is down with appendicitis, he is advised to undergo surgery for the same. Tell me more about the surgeries done for removal of appendicitis. What are the complications of the same?

Appendectomy is the surgical removal of the appendix, a small, finger-shaped pouch that is located at the junction between the large and small intestines. The surgery is the standard treatment for inflammation and infection of the appendix and patients usually recover from appendectomy without experiencing complications. A ruptured appendix is considered a medical emergency. Surgeons use one of two surgical techniques open appendectomy or laparoscopic appendectomy for removal of appendix. The choice of method is made by the surgeon on a case-by-case basis. Paralytic illus and wound infection may occur following the operation.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: One of relatives is down with appendicitis, he is advised to undergo surgery for the same. Tell me more about the surgeries done for removal of appendicitis. What are the complications of the same?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Appendectomy is the surgical removal of the appendix, a small, finger-shaped pouch that is located at the junction between the large and small intestines. The surgery is the standard treatment for inflammation and infection of the appendix and patients usually recover from appendectomy without experiencing complications. A ruptured appendix is considered a medical emergency. Surgeons use one of two surgical techniques open appendectomy or laparoscopic appendectomy for removal of appendix. The choice of method is made by the surgeon on a case-by-case basis. Paralytic illus and wound infection may occur following the operation.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I had a laparoscopic removal of my appendix and gallbladder three weeks ago today. Saw the doctor a week ago for my follow-up; my incisions were a bit red, but he said they werent infected and said everything was healing fine. A couple days later my whole belly started itching and have been ever since. Call the surgeon, said use 1% Hydrocortisone cream and Ive been using that 2 or 3 times a day. However, over the past couple of days, my largest and lowest incision (the one in the muscle) has gotten more red, though it is not hot, swollen, and Im not running a fever; I feel fine. Do I need to worry? Everything is just itchy!!!

Hi and welcome to Chat Doctor. Thank you for your query. This is nothing uncommon, and it seems like to be minor wound infection. I wouldn't even apply cortisone cream, it should heal by itself. Just keep it clean and Chat Doctor. If you notice out discharge or wound dehiscence you should seek help, but till that don't have to worry. Fever shouldn't be related to such a small wound infection. Wish you good health.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I had a laparoscopic removal of my appendix and gallbladder three weeks ago today. Saw the doctor a week ago for my follow-up; my incisions were a bit red, but he said they werent infected and said everything was healing fine. A couple days later my whole belly started itching and have been ever since. Call the surgeon, said use 1% Hydrocortisone cream and Ive been using that 2 or 3 times a day. However, over the past couple of days, my largest and lowest incision (the one in the muscle) has gotten more red, though it is not hot, swollen, and Im not running a fever; I feel fine. Do I need to worry? Everything is just itchy!!!<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi and welcome to Chat Doctor. Thank you for your query. This is nothing uncommon, and it seems like to be minor wound infection. I wouldn't even apply cortisone cream, it should heal by itself. Just keep it clean and Chat Doctor. If you notice out discharge or wound dehiscence you should seek help, but till that don't have to worry. Fever shouldn't be related to such a small wound infection. Wish you good health.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

My ankles and the tops of my feet are swollen on and off...just like when I was pregnant over 16 years ago...no way I am now...seems to be better after laying down and/or sleeping for several hours overnight and even during the day...as it is, I do not sleep much or even get good sleep when I do...not enough down time...too much on my mind...not sure what to do?

Hello I have read your query and feel that you have dependent edema in your feet which could be due to-1-Long standing hours2-increased salt intake3-Excessive walking or exercise4-using high heels or tight footwear. I suggest you-1-Decrease your salt intake2-rest your legs avoid standing for long hours at a stretch.3-elevate your legs if you are sitting on a chair by using a footrest .4-try reducing your weight if you are overweight5-Use flat comfortable shoes for walking. Hope that solves your concern.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My ankles and the tops of my feet are swollen on and off...just like when I was pregnant over 16 years ago...no way I am now...seems to be better after laying down and/or sleeping for several hours overnight and even during the day...as it is, I do not sleep much or even get good sleep when I do...not enough down time...too much on my mind...not sure what to do?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello I have read your query and feel that you have dependent edema in your feet which could be due to-1-Long standing hours2-increased salt intake3-Excessive walking or exercise4-using high heels or tight footwear. I suggest you-1-Decrease your salt intake2-rest your legs avoid standing for long hours at a stretch.3-elevate your legs if you are sitting on a chair by using a footrest .4-try reducing your weight if you are overweight5-Use flat comfortable shoes for walking. Hope that solves your concern.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, for months now I have had a swollen occipital node, some days it is about the size of a grape others the size of a pea. I do have thyroditis, and celiac disease . Could they be related to the swollen node? Lately the node has been sore and causing me worsened migraines. I have had daily headaches for as long as I can remember. It runs in my family, but they have been a lot worse lately. Should I be concerned?

Hi, Thank you for posting your query. Swollen node in the neck is not related to thyroiditis or celiac disease. The swelling in the node is either due to a bacterial infection or malignancy. In view of the relatively small size and long duration, infection is more likely as a cause. I suggest you take a course of antibiotics. If the node is still swollen, you can either go for a fine needle aspiration or biopsy of the node to find out the cause of the swelling. I hope it helps. Please get back if you require any further information. Best wishes, Chat Doctor. Ly/

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, for months now I have had a swollen occipital node, some days it is about the size of a grape others the size of a pea. I do have thyroditis, and celiac disease . Could they be related to the swollen node? Lately the node has been sore and causing me worsened migraines. I have had daily headaches for as long as I can remember. It runs in my family, but they have been a lot worse lately. Should I be concerned?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thank you for posting your query. Swollen node in the neck is not related to thyroiditis or celiac disease. The swelling in the node is either due to a bacterial infection or malignancy. In view of the relatively small size and long duration, infection is more likely as a cause. I suggest you take a course of antibiotics. If the node is still swollen, you can either go for a fine needle aspiration or biopsy of the node to find out the cause of the swelling. I hope it helps. Please get back if you require any further information. Best wishes, Chat Doctor. Ly/<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Good Afternoon, My mom is 68 and went to the hospital her left long is completely covered with namonia spelling sorry and is going into the right. She is full code and so off the oxygen is 23 pulse is 18 so they put her on a vintalator she has had a stroke, heart atack in the previous she has smoked for the longest i can remember what are her chance of pulling out of this? My sister is the POA and is keeping her on it, is it fare to her or what??? Please let me know. Worried Daughter

Respected user, hi I evaluated your query thoroughly. Sorry to hear about the issue.*Prognosis depends on many factors - age - associated comorbid conditions like heart attack / CV stroke / kidney malfunctions / diabetes - immunity - hemoglobin level - body response to treatment - competency of doctors - efficacy of molecules used in treatment & much more list not possible to narrate whole here.*Considering all your narrations, her prognosis is guarded, not that much good as normal person suffering from pneumonia recovering in days. - She may take very long time for recovery & may not recover also (I pray to God that doesn't happen) after your long jugglery with all ventilator period. - I can suggest seeing the progress of the patient on ventilator for 5-7 days discuss with the consultant in details regarding this & then decide to continue the treatment or wean her off from ventilator for resting her sole in peace. Hope this clears your query. Thanks for using Chat Doctor & keeping trust in our medical services Regards

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Good Afternoon, My mom is 68 and went to the hospital her left long is completely covered with namonia spelling sorry and is going into the right. She is full code and so off the oxygen is 23 pulse is 18 so they put her on a vintalator she has had a stroke, heart atack in the previous she has smoked for the longest i can remember what are her chance of pulling out of this? My sister is the POA and is keeping her on it, is it fare to her or what??? Please let me know. Worried Daughter<|eot_id|><|start_header_id|>assistant<|end_header_id|>Respected user, hi I evaluated your query thoroughly. Sorry to hear about the issue.*Prognosis depends on many factors - age - associated comorbid conditions like heart attack / CV stroke / kidney malfunctions / diabetes - immunity - hemoglobin level - body response to treatment - competency of doctors - efficacy of molecules used in treatment & much more list not possible to narrate whole here.*Considering all your narrations, her prognosis is guarded, not that much good as normal person suffering from pneumonia recovering in days. - She may take very long time for recovery & may not recover also (I pray to God that doesn't happen) after your long jugglery with all ventilator period. - I can suggest seeing the progress of the patient on ventilator for 5-7 days discuss with the consultant in details regarding this & then decide to continue the treatment or wean her off from ventilator for resting her sole in peace. Hope this clears your query. Thanks for using Chat Doctor & keeping trust in our medical services Regards<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi...we have been trying to get pregnant for the past few months and have not been able to....I had an ultrasound done last September and i am wondering if my results may be why i have not been able to get pregnant. Im not really understanding my findings. I am 40 years old. My findings are

HelloThanks for your query. You seem to be having fibroid or adenomyosis. In both these cases, the wall of the uterus gets thickened, and is not able to support a pregnancy.Also, your age is 40, at which ovarian aging starts. Please consult an Infertility Specialist for ovarian reserve testing, and assessment of uterine cavity via laparoscopy and hysteroscopy. You might require ART (assisted reproductive technology) in order to conceive. All the best.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi...we have been trying to get pregnant for the past few months and have not been able to....I had an ultrasound done last September and i am wondering if my results may be why i have not been able to get pregnant. Im not really understanding my findings. I am 40 years old. My findings are<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloThanks for your query. You seem to be having fibroid or adenomyosis. In both these cases, the wall of the uterus gets thickened, and is not able to support a pregnancy.Also, your age is 40, at which ovarian aging starts. Please consult an Infertility Specialist for ovarian reserve testing, and assessment of uterine cavity via laparoscopy and hysteroscopy. You might require ART (assisted reproductive technology) in order to conceive. All the best.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I am a 73 year old woman with a history of ovarian cancer stage 2 since 2004. I underwent surgery and was told they got all the cancer, I underwent 7 cycles of chemo. My cancer returned in 2007 and was again operated on for the cancer, they also removed my appenbdix and fixed a hernia. I have been on different types of chemo since then the latest being the pill VP16. I have had NED several times during this time, only for it to return again. It is limited to the abdominal area, liver and kidney. The organs are not affected, it seems the tumors are outside. I am now at a point wher I dont feel I want to take any more chem, definetly not through my port, and I believe the VP16 is losing its power, as it seems to be active again, although slow growing. So I would like to know about alternative methods and would be interested in knowing about Oxy or Oxy DHO.Can you make any suggestions. I am on the following meds, Benicar HCT 40/25, Warfarin (for blood clots), Proprananol er, lexapro 30mg, macrobid 100mg, vicadin as needed, and vesicare 5mg

Thanks for your question on Chat Doctor. I can understand your concern. Resistance to chemotherapy develops after 5-7 years of treatment. And you are experiencing the same thing. Your cancer is now inoperable. So better to consult oncologist and ask for palliative newer chemotherapy Chat Doctor. You can start palliative treatment in the form of pain management and nutritional support. Consult psychiatrist for end of life issues. Hope I have solved your query. Wish you good health. Thanks.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I am a 73 year old woman with a history of ovarian cancer stage 2 since 2004. I underwent surgery and was told they got all the cancer, I underwent 7 cycles of chemo. My cancer returned in 2007 and was again operated on for the cancer, they also removed my appenbdix and fixed a hernia. I have been on different types of chemo since then the latest being the pill VP16. I have had NED several times during this time, only for it to return again. It is limited to the abdominal area, liver and kidney. The organs are not affected, it seems the tumors are outside. I am now at a point wher I dont feel I want to take any more chem, definetly not through my port, and I believe the VP16 is losing its power, as it seems to be active again, although slow growing. So I would like to know about alternative methods and would be interested in knowing about Oxy or Oxy DHO.Can you make any suggestions. I am on the following meds, Benicar HCT 40/25, Warfarin (for blood clots), Proprananol er, lexapro 30mg, macrobid 100mg, vicadin as needed, and vesicare 5mg<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. Resistance to chemotherapy develops after 5-7 years of treatment. And you are experiencing the same thing. Your cancer is now inoperable. So better to consult oncologist and ask for palliative newer chemotherapy Chat Doctor. You can start palliative treatment in the form of pain management and nutritional support. Consult psychiatrist for end of life issues. Hope I have solved your query. Wish you good health. Thanks.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

just got a filling on saturday and the same tooth started hurting yesterday and the pain got worst by 11 pm. I had some chocolate last night as well. Is it normal to hurt after getting a filling or was it the chocolate or something else? I took an advile 500mg pain realiver 3 hours ago and it went away.our health queries right now ?

Thanks for your query, I have gone through your query. The pain after the filling can be because of two reasons, The first reason could be a decay involving the pulp and over that restoration has been done. This can cause severe pain in the tooth. The second cause could be any high points or extra filling material over the chewing surface. Consult your dentist and get these two things ruled out. You need to take a radiograph to see the extent of decay. If the decay is involving pulp, then the previous filling has to be removed, and it should be restored with RCT. If there is high points then, it has to be reduced. The painkillers will work for 3-4 hours, after that again the pain will come. So consult the dentist immediately. I hope my answer will help you, take care.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: just got a filling on saturday and the same tooth started hurting yesterday and the pain got worst by 11 pm. I had some chocolate last night as well. Is it normal to hurt after getting a filling or was it the chocolate or something else? I took an advile 500mg pain realiver 3 hours ago and it went away.our health queries right now ?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your query, I have gone through your query. The pain after the filling can be because of two reasons, The first reason could be a decay involving the pulp and over that restoration has been done. This can cause severe pain in the tooth. The second cause could be any high points or extra filling material over the chewing surface. Consult your dentist and get these two things ruled out. You need to take a radiograph to see the extent of decay. If the decay is involving pulp, then the previous filling has to be removed, and it should be restored with RCT. If there is high points then, it has to be reduced. The painkillers will work for 3-4 hours, after that again the pain will come. So consult the dentist immediately. I hope my answer will help you, take care.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

My teeth are suddenly breaking. Ive had 2 fillings break loose and just this evening I had tooth structure loss on a FRONT tooth at gum line almost in between 2 teeth - no previous repair to this tooth before. What in the world could be happening for my teeth to suddenly start deteriorating like they are doing??

Hello, There is no need to take tension, as the tooth structure you are mentioning at the gum line between two teeth, it can be calculus, which is similar to tooth structure but a debris which has become hard and situated at the same area. And the fillings which has become loose were not done properly. There is nothing to worry just visit your dentist and get complete scaling with re-filling done. Thank you

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My teeth are suddenly breaking. Ive had 2 fillings break loose and just this evening I had tooth structure loss on a FRONT tooth at gum line almost in between 2 teeth - no previous repair to this tooth before. What in the world could be happening for my teeth to suddenly start deteriorating like they are doing??<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, There is no need to take tension, as the tooth structure you are mentioning at the gum line between two teeth, it can be calculus, which is similar to tooth structure but a debris which has become hard and situated at the same area. And the fillings which has become loose were not done properly. There is nothing to worry just visit your dentist and get complete scaling with re-filling done. Thank you<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Earlier this evening I tripped and hit my head on a metal beam. The head ache is a dull ache. My vision is fine. About an hour and a half after I hit my head that s when the my stomach got queasy. This lasted for a half hour. I ate supper and have had no issues of upset stomach but do have a dull head ache. With these symptoms do you think I could have a concussion?

Hello, The diagnosis of a concussion is best made after a visit to a doctor knowledgeable in such injuries who can solicit the proper history surrounding the events that occurred just prior and just after the fall. If you are still experiencing the dull headache then, my best suggestion to you is that you be seen at an URGENT CARE center or even an ER. I cannot know without examining you further what may or may not be happening to your head and there certainly is the possibility that you suffered a CONCUSSION. Therefore, my advice is to be seen as soon as possible. I would not stay home to rest or relax unless you have absolutely no headache or head pain and have perfect recall of everything that happened before and after the fall. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Earlier this evening I tripped and hit my head on a metal beam. The head ache is a dull ache. My vision is fine. About an hour and a half after I hit my head that s when the my stomach got queasy. This lasted for a half hour. I ate supper and have had no issues of upset stomach but do have a dull head ache. With these symptoms do you think I could have a concussion?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, The diagnosis of a concussion is best made after a visit to a doctor knowledgeable in such injuries who can solicit the proper history surrounding the events that occurred just prior and just after the fall. If you are still experiencing the dull headache then, my best suggestion to you is that you be seen at an URGENT CARE center or even an ER. I cannot know without examining you further what may or may not be happening to your head and there certainly is the possibility that you suffered a CONCUSSION. Therefore, my advice is to be seen as soon as possible. I would not stay home to rest or relax unless you have absolutely no headache or head pain and have perfect recall of everything that happened before and after the fall. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

My baby girl is 16 months old and weighs 8.3 kgs and is 78 cms tall.She is very active and also eats quite well and she is also walking.But she is not gaining much weight according to her age.Her daily diet is as follows- 8.30 am--Breakfast-Broken wheat with milk and sugar/Idli(2)/Ragi with milk 11 am- Fruits 1 banana and dates/apple and honey/mango/chiku 1.30pm lunch--Rice, dal,vegetable,fish/meat/egg 3.30pm-one bowl curd with jaggery/juice 6pm- Potato fingers (homemade) with cheese/Sooji Kheer/omlette with cheese 8.30pm-dinner -rice,dal, vegetables I am also breastfeeding her. It would be really helpful if you could provide me some suggestions.

Hi... Thank you for consulting in Chat Doctor. I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if she/ he is not eating well. 2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause Chat Doctor. Regards -

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My baby girl is 16 months old and weighs 8.3 kgs and is 78 cms tall.She is very active and also eats quite well and she is also walking.But she is not gaining much weight according to her age.Her daily diet is as follows- 8.30 am--Breakfast-Broken wheat with milk and sugar/Idli(2)/Ragi with milk 11 am- Fruits 1 banana and dates/apple and honey/mango/chiku 1.30pm lunch--Rice, dal,vegetable,fish/meat/egg 3.30pm-one bowl curd with jaggery/juice 6pm- Potato fingers (homemade) with cheese/Sooji Kheer/omlette with cheese 8.30pm-dinner -rice,dal, vegetables I am also breastfeeding her. It would be really helpful if you could provide me some suggestions.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi... Thank you for consulting in Chat Doctor. I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if she/ he is not eating well. 2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause Chat Doctor. Regards -<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hello Doctor, My daughter is 9 1/2 years old, from the age of 2 years she is been allergic to cold. She always breathes through mouth and her nostrils get blocked. When we force her to close her mouth and breath through nose she starts coughing and has continuous sneezing and running nose. We have approached many clinics, but the medicine provided was only nozil drops, cough cyrups lik biodryl, relent, quiet and sinarest. Due to which she is unable to concentrate on her studies and we are worried about her future and her health. Some doctors told that she will be fine when she is 12 years old, but some doctors told that there is nerve growth in her nose, which needs to be operated. Please advise

Hello, Thank you for asking at Chat Doctor. I went through your daughters history and understand your concern. I would like to know more about her like - Has she had any CT scan of sinuses done so far? Has her nose been ever examined by an ENT surgeon from inside? If yes, what is her status of sinuses and adenoids? Does she snore while asleep? For allergies - What are the best and worst seasons for her? Has she ever had wheezing or breathing difficulty? Does she regurgitate or have heartburn, especially after hot/spicy foods? Does she have any other medical conditions? From your history, I would like to make following suggestions to you

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hello Doctor, My daughter is 9 1/2 years old, from the age of 2 years she is been allergic to cold. She always breathes through mouth and her nostrils get blocked. When we force her to close her mouth and breath through nose she starts coughing and has continuous sneezing and running nose. We have approached many clinics, but the medicine provided was only nozil drops, cough cyrups lik biodryl, relent, quiet and sinarest. Due to which she is unable to concentrate on her studies and we are worried about her future and her health. Some doctors told that she will be fine when she is 12 years old, but some doctors told that there is nerve growth in her nose, which needs to be operated. Please advise<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thank you for asking at Chat Doctor. I went through your daughters history and understand your concern. I would like to know more about her like - Has she had any CT scan of sinuses done so far? Has her nose been ever examined by an ENT surgeon from inside? If yes, what is her status of sinuses and adenoids? Does she snore while asleep? For allergies - What are the best and worst seasons for her? Has she ever had wheezing or breathing difficulty? Does she regurgitate or have heartburn, especially after hot/spicy foods? Does she have any other medical conditions? From your history, I would like to make following suggestions to you<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

i twisted my ankle two nights ago. it is slightly swollen and not very painful, but today was my first long day back at work since the accident-standing all day. i have horrific lower back pain on my right side, the same side as my ankle injury. are they related? any advice on relieving pain

Hello, Thanks for writing to us, I have studied your case with diligence. Yes ankle injury and back pain can be related. Instability may increase due to tear and laxity of ligament. I will advise repeating MRI ankle for soft tissue involvement. Till time, you can continue use supportive splint or brace. Physiotherapy like ultrasound and TENS will help in early healing. If age is more you can manage it conservatively with brace and physio. Complication can be ankle arthritis, profound instability, recurrent fall, inability to walk. 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.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i twisted my ankle two nights ago. it is slightly swollen and not very painful, but today was my first long day back at work since the accident-standing all day. i have horrific lower back pain on my right side, the same side as my ankle injury. are they related? any advice on relieving pain<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thanks for writing to us, I have studied your case with diligence. Yes ankle injury and back pain can be related. Instability may increase due to tear and laxity of ligament. I will advise repeating MRI ankle for soft tissue involvement. Till time, you can continue use supportive splint or brace. Physiotherapy like ultrasound and TENS will help in early healing. If age is more you can manage it conservatively with brace and physio. Complication can be ankle arthritis, profound instability, recurrent fall, inability to walk. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

hello doctor, i m a 23 year old boy . I started masturbating at the age of around 16 or 17 , but i left it when i was around 20. But after i left it , frequent night emissions became the problem. At first i thought it would reduce by time but it has not stopped untill now and i am very much upset due to this. i encounter nightfall atleast 2-3 times in a week and it has degraded my health . Please suggest me some measures or guidelines in this regard. Thank you

HelloThanks for your query, based on the facts that you have posted it appears that you have problem of night emission since 2-3 years. It is natural to have night emission at the age of adolescence and in the majority of cases it gets cured of its own without any treatment over a period of few years. It has been proved scientifically that night emission does not have any negative effect on any systems or organ in body. Following measure will help you to resolve your problem1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hello doctor, i m a 23 year old boy . I started masturbating at the age of around 16 or 17 , but i left it when i was around 20. But after i left it , frequent night emissions became the problem. At first i thought it would reduce by time but it has not stopped untill now and i am very much upset due to this. i encounter nightfall atleast 2-3 times in a week and it has degraded my health . Please suggest me some measures or guidelines in this regard. Thank you<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloThanks for your query, based on the facts that you have posted it appears that you have problem of night emission since 2-3 years. It is natural to have night emission at the age of adolescence and in the majority of cases it gets cured of its own without any treatment over a period of few years. It has been proved scientifically that night emission does not have any negative effect on any systems or organ in body. Following measure will help you to resolve your problem1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Chat Doctor.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi Doctor, I am 31 year old,married 10 month before. my report detail. volume -7 ml ph - 7.5 sperm concentration - 17 million/mlrapid progressive

HelloYour semen analysis findings may indicate low sperm count and excess abnormal morphology sperms. You may need clinical correlation and few investigations like routine hologram, random blood sugar, ultrasound of scrotum. Sperm count is low. Normally it should be at least 20 millions/ml. Normal morphology sperms are also low. At least 16 % sperms should have normal morphology sperms for natural fertilization. Motility is normal. Normally it should be at least 55 %. Your findings suggest over all 70% motile sperms, so it is normal. You should take healthy and nutritious food. Avoid smoking and alcohol if you take it. Take antioxidants and go for regular exercise. Avoid wearing tight undergarments. If infertility persists then you may need assisted fertilization technique. Get well soon. Take Care Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi Doctor, I am 31 year old,married 10 month before. my report detail. volume -7 ml ph - 7.5 sperm concentration - 17 million/mlrapid progressive<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloYour semen analysis findings may indicate low sperm count and excess abnormal morphology sperms. You may need clinical correlation and few investigations like routine hologram, random blood sugar, ultrasound of scrotum. Sperm count is low. Normally it should be at least 20 millions/ml. Normal morphology sperms are also low. At least 16 % sperms should have normal morphology sperms for natural fertilization. Motility is normal. Normally it should be at least 55 %. Your findings suggest over all 70% motile sperms, so it is normal. You should take healthy and nutritious food. Avoid smoking and alcohol if you take it. Take antioxidants and go for regular exercise. Avoid wearing tight undergarments. If infertility persists then you may need assisted fertilization technique. Get well soon. Take Care Chat Doctor.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

hello dr.i am 37 years,obess female,my breast size is 42,boobs r very loose,i would like to know about how it will become tight without surgery ,i little heard about male sperm therapy .is it sucessfuk for this purpose?

Welcome to Chat Doctor Good Earthier are many home remedies you may try. Use 2 ice cubes and gently massage them over the surface of the breasts. You can do this 2-3 times a day for 10 minutes each. This helps to toughen the skin and regulate skin tone. You may also use Olive oil gentle massage 2-3 times a day in the similar fashion. You may use Lemongrass or Spearmint oil, 2 Chat Doctor. There are breast lift and firming lotions available over the counter also, and you may try them. Eat a nutritious diet in nuts, fresh fruits and vegetables to improve vitality and skin tone and texture.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hello dr.i am 37 years,obess female,my breast size is 42,boobs r very loose,i would like to know about how it will become tight without surgery ,i little heard about male sperm therapy .is it sucessfuk for this purpose?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Welcome to Chat Doctor Good Earthier are many home remedies you may try. Use 2 ice cubes and gently massage them over the surface of the breasts. You can do this 2-3 times a day for 10 minutes each. This helps to toughen the skin and regulate skin tone. You may also use Olive oil gentle massage 2-3 times a day in the similar fashion. You may use Lemongrass or Spearmint oil, 2 Chat Doctor. There are breast lift and firming lotions available over the counter also, and you may try them. Eat a nutritious diet in nuts, fresh fruits and vegetables to improve vitality and skin tone and texture.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Trouble breathing for 18 months.......all tests were preformed....everything ok.....now echocardiogram show right side of heart enlarged. Doctor says it s a lung problem......what would cause enlargement ? I did have a PE event 4 years ago & take warfin.

Thanks for your question on Chat Doctor. Right sided heart is directly rated to lungs. So lung diseases can cause right heart enlargement. Lung diseases like1. COPD (Chronic Obstructive Pulmonary Disease)2. Bronchiectesis3. Interstitial Lung Disease (OLD)4. Pulmonary embolism etc better to consult pulmonologist and get done chest x-ray and PFT (Pulmonary Function Test) for the diagnosis of lung disease. Yes, pulmonary embolism can cause right heart enlargement if the embolic are chronic. So consult pulmonologist and discuss all these.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Trouble breathing for 18 months.......all tests were preformed....everything ok.....now echocardiogram show right side of heart enlarged. Doctor says it s a lung problem......what would cause enlargement ? I did have a PE event 4 years ago & take warfin.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. Right sided heart is directly rated to lungs. So lung diseases can cause right heart enlargement. Lung diseases like1. COPD (Chronic Obstructive Pulmonary Disease)2. Bronchiectesis3. Interstitial Lung Disease (OLD)4. Pulmonary embolism etc better to consult pulmonologist and get done chest x-ray and PFT (Pulmonary Function Test) for the diagnosis of lung disease. Yes, pulmonary embolism can cause right heart enlargement if the embolic are chronic. So consult pulmonologist and discuss all these.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

doctor i am suffering from pain form last one year in my right scortum , i have also visited cmc vellore 3 months back but sir after doing all the test they left me without any medicine sir still iam suffering from the pain and few doctor in kolkata told me that i am seffering from orchitis i had a lot of antibiotics and hetrzen for the last year sir but the pain has reduced to certain extent but not completely i also have visited amri hospital

Hello, TESTICULAR PAIN could be due to epididymitis, or inflammation of the testicles, caused by the STI chlamydia. Gangrene, or the death of tissues, as a result of untreated testicular torsion or trauma. A HY Chat Doctor. An inguinal hernia. I suggest you to consult a doctor for further investigation and treatment. Therefore, I suggest consulting a urologist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: doctor i am suffering from pain form last one year in my right scortum , i have also visited cmc vellore 3 months back but sir after doing all the test they left me without any medicine sir still iam suffering from the pain and few doctor in kolkata told me that i am seffering from orchitis i had a lot of antibiotics and hetrzen for the last year sir but the pain has reduced to certain extent but not completely i also have visited amri hospital<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, TESTICULAR PAIN could be due to epididymitis, or inflammation of the testicles, caused by the STI chlamydia. Gangrene, or the death of tissues, as a result of untreated testicular torsion or trauma. A HY Chat Doctor. An inguinal hernia. I suggest you to consult a doctor for further investigation and treatment. Therefore, I suggest consulting a urologist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hello my left side of my arm near my fingers and around the heart feel uncomfortable like something is there. I went to a cardiologist and he said that my heart is fine and nothing is wrong and that it can be stress from my excessive typing on the computer. Is there anyway to solve this issue.

Hi, thank you for providing a brief history. Well as you mentioned in your message about you feeling uncomfortable on left arm and hands. Well of course one will get panic and look for a cardiac symptom. It is really to appreciate that you took immediate step and met a cardio. Now since the cardio has mentioned not to worry with the anything as nothing is wrong lets look up to the other factors.it may be a stress or work related issue. Since you mentioned you do a lot of typing that means you use a computer and there will be a lot of stress on the muscles around the neck and the chest muscles. Now taking this into consideration about your job profile I suspect it to be an issue with your repetitive stress injury. That means you have pain and aches due to work related issues. Constant sitting, long hours working, position of your neck and arms. Why don't you try doing some regular breathing exercises, meditation, simple neck exercises and upper limb exercises. Kindly see to even this that you take regular frequent breaks during your working time. As it will help to avoid stress on muscles and avoid work related injuries. Hope you will be fine.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hello my left side of my arm near my fingers and around the heart feel uncomfortable like something is there. I went to a cardiologist and he said that my heart is fine and nothing is wrong and that it can be stress from my excessive typing on the computer. Is there anyway to solve this issue.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, thank you for providing a brief history. Well as you mentioned in your message about you feeling uncomfortable on left arm and hands. Well of course one will get panic and look for a cardiac symptom. It is really to appreciate that you took immediate step and met a cardio. Now since the cardio has mentioned not to worry with the anything as nothing is wrong lets look up to the other factors.it may be a stress or work related issue. Since you mentioned you do a lot of typing that means you use a computer and there will be a lot of stress on the muscles around the neck and the chest muscles. Now taking this into consideration about your job profile I suspect it to be an issue with your repetitive stress injury. That means you have pain and aches due to work related issues. Constant sitting, long hours working, position of your neck and arms. Why don't you try doing some regular breathing exercises, meditation, simple neck exercises and upper limb exercises. Kindly see to even this that you take regular frequent breaks during your working time. As it will help to avoid stress on muscles and avoid work related injuries. Hope you will be fine.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I m on 5mg of Coumadin for DVT. I recently had an Echo and it showed slight calcification of aortic valve, so should I be on Vitamin K2 and if so how much and I have read it should be MK4 not MK7? Is this true, K1 thins the blood and should not be used with Coumadin, but MK4 has nothing to do with blood thinning, but only with calcium regulation?

No form for vitamin should be taken while you are on Coumadin analogue. Also, the calcification on aortic valve is age related degeneration and no studies throughout Europe, America or Asia, have found it to reverse with vitamin K analogue, it's a fad and not backed by scientific data, so as a cardiologist I would ask you to refrain from it, as there is no evident benefit, and in your case it can harm. Regards Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I m on 5mg of Coumadin for DVT. I recently had an Echo and it showed slight calcification of aortic valve, so should I be on Vitamin K2 and if so how much and I have read it should be MK4 not MK7? Is this true, K1 thins the blood and should not be used with Coumadin, but MK4 has nothing to do with blood thinning, but only with calcium regulation?<|eot_id|><|start_header_id|>assistant<|end_header_id|>No form for vitamin should be taken while you are on Coumadin analogue. Also, the calcification on aortic valve is age related degeneration and no studies throughout Europe, America or Asia, have found it to reverse with vitamin K analogue, it's a fad and not backed by scientific data, so as a cardiologist I would ask you to refrain from it, as there is no evident benefit, and in your case it can harm. Regards Chat Doctor.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

hello doctor i have a problem and i need solution for it.actully now a days i dont known why but i am behaving so aggressive which i dont like.my confidence level also very i always have fear that i am not as pretty as otheres.i think i am ugly and not so good looking girl.i have so many goals to achive but i am not concentrating it.i also weak in studies i want to do good job in my work but i dont known i cant do this.i always wanted to apprecite my work it dose not happing to me.i known if my work is good i get the apprecition but i am not giving my 100% to my needs i am unable to concenter on my daily work.for example i am fat i always wanted to be slim and good looking to attract all.but i always fails to do this so plz doctor what will you suggest me.

Degree understand your concerns went through your details. I suggest you not to worry much. Anger always comes due to frustrations in life. Frustrations are normal with everyone. People learn to ignore frustrations when they get experienced. Do you get angry to circumstances outside your home as you get angry at your house? Your office, bus stand, railway station, neighbors etc. If yes, you might need to get evaluated for anger issues. If NO, just understand and compare the two situations, and you can be better yourself. You are frustrated as well as disappointed due to your negative self appraisal. You are you. Never try to become another person which can be a disaster. Be realistic. Consult a psychological counselor. If you require more of my help in this aspect, Please post a direct question to me in this URL. http

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hello doctor i have a problem and i need solution for it.actully now a days i dont known why but i am behaving so aggressive which i dont like.my confidence level also very i always have fear that i am not as pretty as otheres.i think i am ugly and not so good looking girl.i have so many goals to achive but i am not concentrating it.i also weak in studies i want to do good job in my work but i dont known i cant do this.i always wanted to apprecite my work it dose not happing to me.i known if my work is good i get the apprecition but i am not giving my 100% to my needs i am unable to concenter on my daily work.for example i am fat i always wanted to be slim and good looking to attract all.but i always fails to do this so plz doctor what will you suggest me.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Degree understand your concerns went through your details. I suggest you not to worry much. Anger always comes due to frustrations in life. Frustrations are normal with everyone. People learn to ignore frustrations when they get experienced. Do you get angry to circumstances outside your home as you get angry at your house? Your office, bus stand, railway station, neighbors etc. If yes, you might need to get evaluated for anger issues. If NO, just understand and compare the two situations, and you can be better yourself. You are frustrated as well as disappointed due to your negative self appraisal. You are you. Never try to become another person which can be a disaster. Be realistic. Consult a psychological counselor. If you require more of my help in this aspect, Please post a direct question to me in this URL. http<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi. Sometimes my heart feels like it is getting squeezed, and the my chest tightens up and my left arm feels relly heavy. I do not have any burning sensation in my stomach, my stomach- as far as i know- has nothing to do with this. I would appreciate help soon because i am worried about this

Hello, Please let me know your age, if any risk factors for cardiac illness like obesity, smoking, family history, or hypertension. These symptoms are very much suggestive of heart disease, and you should get yourself evaluated. Get ECG, echo and TMT done if needed. You need to be started on medicine as early as possible. Also get lipid profile and sugars tested once. Till then, you can have tab Arbitrate whenever you have squeezing in chest. Hope I have answered your query. Let me know if I can assist you further.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi. Sometimes my heart feels like it is getting squeezed, and the my chest tightens up and my left arm feels relly heavy. I do not have any burning sensation in my stomach, my stomach- as far as i know- has nothing to do with this. I would appreciate help soon because i am worried about this<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Please let me know your age, if any risk factors for cardiac illness like obesity, smoking, family history, or hypertension. These symptoms are very much suggestive of heart disease, and you should get yourself evaluated. Get ECG, echo and TMT done if needed. You need to be started on medicine as early as possible. Also get lipid profile and sugars tested once. Till then, you can have tab Arbitrate whenever you have squeezing in chest. Hope I have answered your query. Let me know if I can assist you further.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I have had left knee replacement done twice, the last time being Feb. 2013. My knee still hurts when walking or standing and my lower leg and ankle area swell and hurt a lot. Also my left leg hurts down the front part of my leg into the ankle area. It is hard to walk or stand for any length of time due to the pain. What might be the cause and what can I do to help alleviate the pain. Even at night in bed, my unoperated leg aches like crazy.

Thanks for your query. I have gone through your complaints in details. You are having pain in your ankle not the operated site. You are also having pain on non operated site. What was the reason For first revision surgery? You need better clinical evaluation to rule out orthopedic and non-orthopedic causes of you pain. Need to consult orthopedic as well physician. I have this is just helpful to guide you for further treatment. Best luck

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have had left knee replacement done twice, the last time being Feb. 2013. My knee still hurts when walking or standing and my lower leg and ankle area swell and hurt a lot. Also my left leg hurts down the front part of my leg into the ankle area. It is hard to walk or stand for any length of time due to the pain. What might be the cause and what can I do to help alleviate the pain. Even at night in bed, my unoperated leg aches like crazy.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your query. I have gone through your complaints in details. You are having pain in your ankle not the operated site. You are also having pain on non operated site. What was the reason For first revision surgery? You need better clinical evaluation to rule out orthopedic and non-orthopedic causes of you pain. Need to consult orthopedic as well physician. I have this is just helpful to guide you for further treatment. Best luck<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I have been diagnosed with a 1x1 centimeter cyst in my brain. Neurologist said it is benign he believes ive had it since i was born. I dont know how and why he believes that. I recently had an mri to follow up and their was a minimal increase. Do benign cyst grow? Or only malignant cyst grow? Also, is it tru that MRI scans shorten your life? Ive heard mri scans take away 5-10 years of your life expectancy. Im concerned and thank you for your help.

Benign cysts can also increase in size, but their rate of growth is very slow compared to malignant ones. MRS magnetic resonance spectroscopy can distinguish benign from malignant lesions by studying metabolite peaks. It is part of MRI scan. You can discuss it with your doctor. And NO not true, MRI scanning does not take away any day from a persons' life. It has no known harmful effects on human body.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have been diagnosed with a 1x1 centimeter cyst in my brain. Neurologist said it is benign he believes ive had it since i was born. I dont know how and why he believes that. I recently had an mri to follow up and their was a minimal increase. Do benign cyst grow? Or only malignant cyst grow? Also, is it tru that MRI scans shorten your life? Ive heard mri scans take away 5-10 years of your life expectancy. Im concerned and thank you for your help.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Benign cysts can also increase in size, but their rate of growth is very slow compared to malignant ones. MRS magnetic resonance spectroscopy can distinguish benign from malignant lesions by studying metabolite peaks. It is part of MRI scan. You can discuss it with your doctor. And NO not true, MRI scanning does not take away any day from a persons' life. It has no known harmful effects on human body.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi I was wondering if you can help me. I have had abdominal pains for the last few weeks with sharp pains coming and going. It has recently got worse with the pain being sometimes unbearable. I am late on my period by 4 weeks but have had negative pregnancy test so I put the missed period down to me loosing a couple kilos. The abdominal pain I m getting has been accompanied by a pressure like feeling in the left side of my chest , this has also got worse. I have also been getting a lot of pain In my left leg , sometimes becoming numb. Pain in my lower abs is constant and making it hard for me to walk around and stand up for long. Can you help me with what this could be? I have also had an eating disorder for 7 years and have a BMI of 16.5

Hi welcome to Chat Doctor forum. Thanks for asking a question to Chat Doctor. F. You had abdominal pain since few weeks. sometimes light and sometimes heavy. Sometimes pain radiating to left side of chest. You also get pain and numbness of left leg. Pain in lower abdomen is constant, Period is late by 4 weeks. And you have got an eating disorder. As pain is constant in lower abdomen, and coming down to legs, it appears to be the urinary tract infection, or stones in the urinary tract. Other causes are worms in the abdomen, if female, pelvic disease may be there. I advise you to consult a surgeon for diagnosis and treatment. Best regards.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi I was wondering if you can help me. I have had abdominal pains for the last few weeks with sharp pains coming and going. It has recently got worse with the pain being sometimes unbearable. I am late on my period by 4 weeks but have had negative pregnancy test so I put the missed period down to me loosing a couple kilos. The abdominal pain I m getting has been accompanied by a pressure like feeling in the left side of my chest , this has also got worse. I have also been getting a lot of pain In my left leg , sometimes becoming numb. Pain in my lower abs is constant and making it hard for me to walk around and stand up for long. Can you help me with what this could be? I have also had an eating disorder for 7 years and have a BMI of 16.5<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi welcome to Chat Doctor forum. Thanks for asking a question to Chat Doctor. F. You had abdominal pain since few weeks. sometimes light and sometimes heavy. Sometimes pain radiating to left side of chest. You also get pain and numbness of left leg. Pain in lower abdomen is constant, Period is late by 4 weeks. And you have got an eating disorder. As pain is constant in lower abdomen, and coming down to legs, it appears to be the urinary tract infection, or stones in the urinary tract. Other causes are worms in the abdomen, if female, pelvic disease may be there. I advise you to consult a surgeon for diagnosis and treatment. Best regards.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

when i eat egg noodle my stomach starts feeling really bad and i want to barf. my mouth gets watery and i get goosebumps. but when i eat eggs its fine, so i dont think its the egg. also when i eat deep fried food i also get the same problem. how can i fix this

HI, thanks for using Chat Doctor The symptoms that you experience may indicate that you are allergic to one of the components in the meal. If you use eggs with no reaction then it may be the noodles or other ingredient added. If the same ingredient is added to the fried foods then you may be able to identify it. If it is difficult to identify then you should consider allergy testing. This can be in the form of blood tests or skin prick testing. I hope this helps

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: when i eat egg noodle my stomach starts feeling really bad and i want to barf. my mouth gets watery and i get goosebumps. but when i eat eggs its fine, so i dont think its the egg. also when i eat deep fried food i also get the same problem. how can i fix this<|eot_id|><|start_header_id|>assistant<|end_header_id|>HI, thanks for using Chat Doctor The symptoms that you experience may indicate that you are allergic to one of the components in the meal. If you use eggs with no reaction then it may be the noodles or other ingredient added. If the same ingredient is added to the fried foods then you may be able to identify it. If it is difficult to identify then you should consider allergy testing. This can be in the form of blood tests or skin prick testing. I hope this helps<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

i am 21 year old.i started masturbating at the age of 16 year.i did it twice or thrice in a week since then.now i want to stop doing it anymore but the thing is that now i m worried that is masturbating leads to impotency.my ejaculation reduces to 1-2 min and even not sure about the semen count..plz help as i m young enough to recover if i have any problem

Hi welcome to Chat Doctor .... I can understand your concern... It is good now you are masturbating only 2 to 3 times per week which is normal... If frequency more than that then there is worry... Still to avoid over masturbation watch less porn if habit.... Yoga, meditation and regular exercise done. Healthy and balanced diet taken. Fruits more.... Avoid bad habit like smoking and alcohol. For your sperm count you can investigate with semen analysis ... Collect semen in clean container by masturbation... Take care. Hope your concern solved.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i am 21 year old.i started masturbating at the age of 16 year.i did it twice or thrice in a week since then.now i want to stop doing it anymore but the thing is that now i m worried that is masturbating leads to impotency.my ejaculation reduces to 1-2 min and even not sure about the semen count..plz help as i m young enough to recover if i have any problem<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi welcome to Chat Doctor .... I can understand your concern... It is good now you are masturbating only 2 to 3 times per week which is normal... If frequency more than that then there is worry... Still to avoid over masturbation watch less porn if habit.... Yoga, meditation and regular exercise done. Healthy and balanced diet taken. Fruits more.... Avoid bad habit like smoking and alcohol. For your sperm count you can investigate with semen analysis ... Collect semen in clean container by masturbation... Take care. Hope your concern solved.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hey I have a lump under my chin on the upper most part. When ever I gently rub it it s numb and the bump is hard. My glands have swollen but i saw a doctor and they gave me medication for the swollen glands. I m most concerned about my lump under my chin

Hi, Dear,Good afternoon. Thanks for the query to my Chat Doctor online-clinic. I studied your query in-depth. I can understand your concerns for your chin lump.-In my opinion the hard lump under your chin is -hardened pimple -first possibility / and or hardened with died out-infected -sebaceous cyst.-The fact that your doctor advised medicines goes in favor of infective pathology of the chin lump and the swollen neck glands with it.-. I would advise --Alert-A review with ER-Surgeon for the steps to be taken with his advice is a must and urgently advisable in your case.-Hope this would resolve your worry-some query. Wellcome again to Chat Doctor. Have a good day.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hey I have a lump under my chin on the upper most part. When ever I gently rub it it s numb and the bump is hard. My glands have swollen but i saw a doctor and they gave me medication for the swollen glands. I m most concerned about my lump under my chin<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Dear,Good afternoon. Thanks for the query to my Chat Doctor online-clinic. I studied your query in-depth. I can understand your concerns for your chin lump.-In my opinion the hard lump under your chin is -hardened pimple -first possibility / and or hardened with died out-infected -sebaceous cyst.-The fact that your doctor advised medicines goes in favor of infective pathology of the chin lump and the swollen neck glands with it.-. I would advise --Alert-A review with ER-Surgeon for the steps to be taken with his advice is a must and urgently advisable in your case.-Hope this would resolve your worry-some query. Wellcome again to Chat Doctor. Have a good day.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi my 2yrs old daughter suffering with night caught since 10 days, we have already used amoxilin as doctor proscribed, and she is having heavy cold as we ll please suggest me can I use ambrolite -s syrup ? She is facing lots of breathing problem and snoring as we ll

Your child seems to have allergic rhinitis that is a risk factor for asthma. Continue the prescription by her doctor. Ambrolite-s syrup will help ease her symptoms. I suggest you give her montelukast or singular sachet daily in the evening for a month. Further, protect her from cold and consult her doctor for snoring to confirm whether this is due to adenoids enlargement or this is some wheezy sound. Best of luck for your child.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi my 2yrs old daughter suffering with night caught since 10 days, we have already used amoxilin as doctor proscribed, and she is having heavy cold as we ll please suggest me can I use ambrolite -s syrup ? She is facing lots of breathing problem and snoring as we ll<|eot_id|><|start_header_id|>assistant<|end_header_id|>Your child seems to have allergic rhinitis that is a risk factor for asthma. Continue the prescription by her doctor. Ambrolite-s syrup will help ease her symptoms. I suggest you give her montelukast or singular sachet daily in the evening for a month. Further, protect her from cold and consult her doctor for snoring to confirm whether this is due to adenoids enlargement or this is some wheezy sound. Best of luck for your child.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

My right foot has mortons nuromas, and my foot doctor fitted me with crthodic. Pain was still bad and he gave me injection cortisone , told him was having leg pain, 4days later foot feels fine but dull ache in leg. Should i give it more time or see my M.D.

Hi, since the pain is in the leg which is different from the pain in the foot that you had before, I would be concerned particularly about a blood clot in the leg. Maybe its just muscular pain but I would like to be sure it's not a clot-this can be easily excluded by an ultrasound of the veins in the leg. Since this is a specialized test that needs a physician to order and interpret it, I would recommend that you give a call to your MD. Please let me know if that was helpful. Thanks!

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My right foot has mortons nuromas, and my foot doctor fitted me with crthodic. Pain was still bad and he gave me injection cortisone , told him was having leg pain, 4days later foot feels fine but dull ache in leg. Should i give it more time or see my M.D.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, since the pain is in the leg which is different from the pain in the foot that you had before, I would be concerned particularly about a blood clot in the leg. Maybe its just muscular pain but I would like to be sure it's not a clot-this can be easily excluded by an ultrasound of the veins in the leg. Since this is a specialized test that needs a physician to order and interpret it, I would recommend that you give a call to your MD. Please let me know if that was helpful. Thanks!<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hello. Im 19 years old, and Ive had a problem for the past few weeks. Every single night, I have had the same dream. In this dream my 1 year old son dies, and everyone keeps telling me that Im responsible, and I wake up each night in tears. It sits over me all day, and its pretty much all I can think about. I havent spoken to my partner about it, as I fear he will probably just tell me to think about different things. Do you think you can help me? Emma

Hi dear. I had gone through your query. I understand your concern. Chat Doctor. It has nothing with real life. Sometimes constant thinking about it will lead to anxiety symptoms. Usually it doesn't require treatment until it affect your daily routine. It can be treated with mild anxiolytic. Sleep remedies like benzodiazepine can also help to reduce it. For detail evaluation you can consult psychiatrist. Still if you have a query then feel free to ask. Thank you.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hello. Im 19 years old, and Ive had a problem for the past few weeks. Every single night, I have had the same dream. In this dream my 1 year old son dies, and everyone keeps telling me that Im responsible, and I wake up each night in tears. It sits over me all day, and its pretty much all I can think about. I havent spoken to my partner about it, as I fear he will probably just tell me to think about different things. Do you think you can help me? Emma<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi dear. I had gone through your query. I understand your concern. Chat Doctor. It has nothing with real life. Sometimes constant thinking about it will lead to anxiety symptoms. Usually it doesn't require treatment until it affect your daily routine. It can be treated with mild anxiolytic. Sleep remedies like benzodiazepine can also help to reduce it. For detail evaluation you can consult psychiatrist. Still if you have a query then feel free to ask. Thank you.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

what is the maximum milligram amount a pain management doctor can prescribe in a 24 hour day,because my doctor is telling me 140 milligrams of morphine equivelant is all he con give me by law in Tennessee is this true. Mydiagnosis is c-1 through-6 herniated and ruptured disc and sciatica in my loler back.

Hi, thank-you for providing the brief history of you. A thorough clinical neuromuscular assessment is advised. As you have cervical disc and lumbar disc degenerative disc disease, the medicine prescribed in any of the dosage will have a temporary pain relief as the majority of medications are for symptomatic relief. Also, no pain management specialist will induce more or high Chat Doctor. I will recommend you to undergo physical therapy like therapeutic ultrasound therapy and TENS therapy which will have effect on reduction of the pain and the research supports the best of these modalities for pain relief. Also, you need to perform regular exercises to strengthen the muscles of the neck and back to regain the inter vertebral disc space and avoid compression on nerve roots physiologically. In my clinical practice most cases with cervical and lumbar disc degenerative disc disease works well with physical therapy. RegardsJay In

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: what is the maximum milligram amount a pain management doctor can prescribe in a 24 hour day,because my doctor is telling me 140 milligrams of morphine equivelant is all he con give me by law in Tennessee is this true. Mydiagnosis is c-1 through-6 herniated and ruptured disc and sciatica in my loler back.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, thank-you for providing the brief history of you. A thorough clinical neuromuscular assessment is advised. As you have cervical disc and lumbar disc degenerative disc disease, the medicine prescribed in any of the dosage will have a temporary pain relief as the majority of medications are for symptomatic relief. Also, no pain management specialist will induce more or high Chat Doctor. I will recommend you to undergo physical therapy like therapeutic ultrasound therapy and TENS therapy which will have effect on reduction of the pain and the research supports the best of these modalities for pain relief. Also, you need to perform regular exercises to strengthen the muscles of the neck and back to regain the inter vertebral disc space and avoid compression on nerve roots physiologically. In my clinical practice most cases with cervical and lumbar disc degenerative disc disease works well with physical therapy. RegardsJay In<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Last normal period started August 31st. Then noticed lighter red bleeding 8 days earlier than was intended in September on the 23rd and then in October on the 19th, the same thing happened and in November on the 15th, the same thing again..all lasting only a few days..my duration runs 5-7 days and these were 2-3 days..there has been tenderness in the breasts, heaviness in the abdomen , irritability , moodiness and crying a lot and recently (last couple of weeks) some light fluttering on my right side..took 1 pregnancy test that came up negative..then took 2 a little more than a week later that came up positive.. I am wanting to know from when should I calculate by to figure out the due date being that I had this happen..I was told they go by your last normal period. I have been looking for answers and there just doesn t seem to be a straight forward one..

Hello, You are suffering from irregular period/spotting along with Pre Menstrual Syn Chat Doctor. Several reasons of irregular period like hormonal imbalance, stress/anxiety, ovarian cyst/ POD, thyroid problem, wt gain/extreme loss, irregular eating habits etc. But first exclude pregnancy by doing blood test for B-ChatDoctor. Need to investigate properly to rule out underlying pathology by USG lower abdomen, Thyroid profile, LH/FSH, blood estrogen & progesterone level, PPBS etc. So consult with your doctor and take suggestive measures. Avoid salty food/coffee in 2nd half of period, Avoid stress by yoga/deep breathing, Control body wt, Take healthy diet, Use Tab FLUOXETINE 20\u00a0mg OD with Cap PRIM OSA 1000 mg daily and wear tight breast support for some relief, may need OCP/Progesterone pill, maintain personal hygiene and need proper sleep. Be well.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Last normal period started August 31st. Then noticed lighter red bleeding 8 days earlier than was intended in September on the 23rd and then in October on the 19th, the same thing happened and in November on the 15th, the same thing again..all lasting only a few days..my duration runs 5-7 days and these were 2-3 days..there has been tenderness in the breasts, heaviness in the abdomen , irritability , moodiness and crying a lot and recently (last couple of weeks) some light fluttering on my right side..took 1 pregnancy test that came up negative..then took 2 a little more than a week later that came up positive.. I am wanting to know from when should I calculate by to figure out the due date being that I had this happen..I was told they go by your last normal period. I have been looking for answers and there just doesn t seem to be a straight forward one..<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, You are suffering from irregular period/spotting along with Pre Menstrual Syn Chat Doctor. Several reasons of irregular period like hormonal imbalance, stress/anxiety, ovarian cyst/ POD, thyroid problem, wt gain/extreme loss, irregular eating habits etc. But first exclude pregnancy by doing blood test for B-ChatDoctor. Need to investigate properly to rule out underlying pathology by USG lower abdomen, Thyroid profile, LH/FSH, blood estrogen & progesterone level, PPBS etc. So consult with your doctor and take suggestive measures. Avoid salty food/coffee in 2nd half of period, Avoid stress by yoga/deep breathing, Control body wt, Take healthy diet, Use Tab FLUOXETINE 20\u00a0mg OD with Cap PRIM OSA 1000 mg daily and wear tight breast support for some relief, may need OCP/Progesterone pill, maintain personal hygiene and need proper sleep. Be well.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I am a 5 year survivor of nasopharygeal carcinoma. My worse side affect is the breathing issues that I am now having. I also have a deviated spectrum. The muscus is so bad and thick and I rinse with nasal rinse 7-8 times a day. Any suggestions to help with this, and when talking to others what is the medical turn used for this issue? Thanks for any suggestions!

Thanks for your question I completely understand your question you may be suffering from upper / lower resp tract infection along with rhino sinusitis you need to consult a pulmonologist to evaluate the condition and to rule out other causes like Mets. Pulmonologist may start you on some broad spectrum antibiotics and nasal decongestants like lifetime and fexofenadinesteam inhalation three times ll help you can discuss the above-mentioned diagnosis and treatment with the pulmonologist who will guide u regarding the disease and prescribe you the treatment thanks feel free to ask more questions may god bless you with good health

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I am a 5 year survivor of nasopharygeal carcinoma. My worse side affect is the breathing issues that I am now having. I also have a deviated spectrum. The muscus is so bad and thick and I rinse with nasal rinse 7-8 times a day. Any suggestions to help with this, and when talking to others what is the medical turn used for this issue? Thanks for any suggestions!<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question I completely understand your question you may be suffering from upper / lower resp tract infection along with rhino sinusitis you need to consult a pulmonologist to evaluate the condition and to rule out other causes like Mets. Pulmonologist may start you on some broad spectrum antibiotics and nasal decongestants like lifetime and fexofenadinesteam inhalation three times ll help you can discuss the above-mentioned diagnosis and treatment with the pulmonologist who will guide u regarding the disease and prescribe you the treatment thanks feel free to ask more questions may god bless you with good health<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, I am a 27 year old male and an avid workout enthusiast. I recently completed a 19 week training program and noticed a lump above my belly button when I pushed inward. It is not protruding outward and does not hurt to touch or move. It also has not limited my range of motion in any manner. Over the course of the week I have rested and the lump has decreased. I initially thought hernia, but could it be an abdominal strain?

HI, Good Evening.@My current impression of your case is -Epigastric Hernia due to the defect in the Line Alba, which protrudes due to increased Intra-abdominal pressures during the work-out.-Other possibility could be -Para-umbilical Hernia due to the defect just above belly button-Pre-peritoneal fat herniation without any entrappment-or/ non-trapped pre-peritoneal fat.-abdominal strain is the cause of the above three diseases. I would advise Sports Medicine-doctor-to help you out on the corrective steps to relive of this problemRevert after 2 was for review of your case at Chat Doctor by direct private query. Hope this resolves your issues with your health ailment. Write strong recommendations without fail ASAP. Good Night from INDIA. With Regards Chat Doctor. N. Super-specialist in NCCD-Non-Curable Chronic Disorders and Rejuvenation therapies in tissue and organ failures

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, I am a 27 year old male and an avid workout enthusiast. I recently completed a 19 week training program and noticed a lump above my belly button when I pushed inward. It is not protruding outward and does not hurt to touch or move. It also has not limited my range of motion in any manner. Over the course of the week I have rested and the lump has decreased. I initially thought hernia, but could it be an abdominal strain?<|eot_id|><|start_header_id|>assistant<|end_header_id|>HI, Good Evening.@My current impression of your case is -Epigastric Hernia due to the defect in the Line Alba, which protrudes due to increased Intra-abdominal pressures during the work-out.-Other possibility could be -Para-umbilical Hernia due to the defect just above belly button-Pre-peritoneal fat herniation without any entrappment-or/ non-trapped pre-peritoneal fat.-abdominal strain is the cause of the above three diseases. I would advise Sports Medicine-doctor-to help you out on the corrective steps to relive of this problemRevert after 2 was for review of your case at Chat Doctor by direct private query. Hope this resolves your issues with your health ailment. Write strong recommendations without fail ASAP. Good Night from INDIA. With Regards Chat Doctor. N. Super-specialist in NCCD-Non-Curable Chronic Disorders and Rejuvenation therapies in tissue and organ failures<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, Good Morning Doc. Recently I am noticing that I have formation of some white color fungi formation inside the foreskin of my penis. Whenever I take bath I wash it thoroughly and there is no problem till end of the day and thereafter itching will start from time to time. As a research work I noticed that if I won t take bath and if I won t wash the penis head by removing the foreskin, then the formation of white yest is more. What is the reason for this? and I am more interested to know why it is happening like this? Pl. advice

Hi, Thanks for writing in. It can be due to Atlantis which is infection of the region between the glans or head of penis and foreskin. This happens because of secretions collecting when you do not take bath or maintain hygiene. Simply giving yourself regular baths will solve the problem. If you do not take precautions then severity of Atlantis will increase leading to fibrosis which can cause difficulty in passing urine and having erection during sex.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, Good Morning Doc. Recently I am noticing that I have formation of some white color fungi formation inside the foreskin of my penis. Whenever I take bath I wash it thoroughly and there is no problem till end of the day and thereafter itching will start from time to time. As a research work I noticed that if I won t take bath and if I won t wash the penis head by removing the foreskin, then the formation of white yest is more. What is the reason for this? and I am more interested to know why it is happening like this? Pl. advice<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for writing in. It can be due to Atlantis which is infection of the region between the glans or head of penis and foreskin. This happens because of secretions collecting when you do not take bath or maintain hygiene. Simply giving yourself regular baths will solve the problem. If you do not take precautions then severity of Atlantis will increase leading to fibrosis which can cause difficulty in passing urine and having erection during sex.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hello! I am a Type 2 diabetic. I woke up last Friday and found that I could not use my right hand. When I put up both hands and hold them in front me the left hand stays in place. The right hand has a significant droop and all the fingers and thumbs were numb. I went to see my PCP and he also noticed that my right hand and arm were much colder to the touch. I was not able to hold a pen, brush my hair, or hold anything in my right hand. I have an appointment with a Neurologist this Friday. I have regained use of the hand and can now right and hold a half full glass of water. However, the pain has increased in the hand. I am happy that I have about a 50% improvement in my right hand but am confused why I had my initial loss of function in the hand and why their is now more pain. I know this could be many things but do you have two or three conditions that could be causing this. I

THANKS you have pain and weakness in right upper limb only which 50 % improved without treatment. Cause of right upper limb monoparesis with pain, most probably is right brachial phlebitis, an autoimmune condition which improved after some time. If you will take steroid for 1 month, it will be rapid improvement. You are diabetic and if you have weakness also in right lower limb than it is right side hemiparesis than may be due to left side infarct in brain. My diagnosis is you have right brachial phlebitis. It will improve in 3 months. So you should take steroid

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hello! I am a Type 2 diabetic. I woke up last Friday and found that I could not use my right hand. When I put up both hands and hold them in front me the left hand stays in place. The right hand has a significant droop and all the fingers and thumbs were numb. I went to see my PCP and he also noticed that my right hand and arm were much colder to the touch. I was not able to hold a pen, brush my hair, or hold anything in my right hand. I have an appointment with a Neurologist this Friday. I have regained use of the hand and can now right and hold a half full glass of water. However, the pain has increased in the hand. I am happy that I have about a 50% improvement in my right hand but am confused why I had my initial loss of function in the hand and why their is now more pain. I know this could be many things but do you have two or three conditions that could be causing this. I<|eot_id|><|start_header_id|>assistant<|end_header_id|>THANKS you have pain and weakness in right upper limb only which 50 % improved without treatment. Cause of right upper limb monoparesis with pain, most probably is right brachial phlebitis, an autoimmune condition which improved after some time. If you will take steroid for 1 month, it will be rapid improvement. You are diabetic and if you have weakness also in right lower limb than it is right side hemiparesis than may be due to left side infarct in brain. My diagnosis is you have right brachial phlebitis. It will improve in 3 months. So you should take steroid<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

My heart was beating erratically in my chest that it was moving my chest on its own and my throat started to feel like it was tightening. This lasted about fifteen minutes. Id like to Know what that is. Im fourteen and I have high blood pressure as well.

Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Palpitation in your case could be due to elevated blood pressure or anxiety or any cardiac rhythm abnormality. I advise you to consult a physician and get yourself worked up for these conditions. You may need few tests like BP measurement, ECG, 2d Echo, holder study or any other tests to rule out these conditions.In the meanwhile I suggest you not to take any stress and avoid situations that cause your symptoms.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My heart was beating erratically in my chest that it was moving my chest on its own and my throat started to feel like it was tightening. This lasted about fifteen minutes. Id like to Know what that is. Im fourteen and I have high blood pressure as well.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Palpitation in your case could be due to elevated blood pressure or anxiety or any cardiac rhythm abnormality. I advise you to consult a physician and get yourself worked up for these conditions. You may need few tests like BP measurement, ECG, 2d Echo, holder study or any other tests to rule out these conditions.In the meanwhile I suggest you not to take any stress and avoid situations that cause your symptoms.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi,I am a 23 years old female.About 6 months ago I first noticed after a shower that these little lumps under my skin on my shoulder appeared. These are painless, and have only gotten a bit longer and thicker since the first appearance. They only appear after a shower or after putting body lotionon, for a few seconds or minutes and then disappear again.They feel swollen like lymph nodes.My family has a history for cancer, however after doing some research could these be parasites?Any help or direction with this would greatly be appreciated.Thanks

Hi, You have mentioned this lesion appeared after using some lotion then this may be due to hypersensitivity reaction. Little swelling at the shoulder which disappears sometime surely not related to any sort of cancer. At this region there are no major lymph nodes. Parasitic infection may be there but without clinical examination of the lesion it is difficult to comment. You should visit a dermatologists' office for better guidance.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi,I am a 23 years old female.About 6 months ago I first noticed after a shower that these little lumps under my skin on my shoulder appeared. These are painless, and have only gotten a bit longer and thicker since the first appearance. They only appear after a shower or after putting body lotionon, for a few seconds or minutes and then disappear again.They feel swollen like lymph nodes.My family has a history for cancer, however after doing some research could these be parasites?Any help or direction with this would greatly be appreciated.Thanks<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, You have mentioned this lesion appeared after using some lotion then this may be due to hypersensitivity reaction. Little swelling at the shoulder which disappears sometime surely not related to any sort of cancer. At this region there are no major lymph nodes. Parasitic infection may be there but without clinical examination of the lesion it is difficult to comment. You should visit a dermatologists' office for better guidance.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

dear sir/mami m 29yrs old with 184cm height n 81kg weight. my problem is that my chest is bulging from the center and there s lots of tissues in the nipple area, which looks like ladies breast. sir plz suggest some remedy 4 this problem...... i feel shy due to this problem.....!! i ll b thankful 4 ur reply

Dear serve understand your concerns went through your details. Your chest is not bulging because of hormonal issues. They are bulging because of lack of exercise. Do physical exercises. Include 20 to 30 chest push ups twice daily for tightness of chest muscles. If you require more of my help in this aspect, please use this URL. http

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: dear sir/mami m 29yrs old with 184cm height n 81kg weight. my problem is that my chest is bulging from the center and there s lots of tissues in the nipple area, which looks like ladies breast. sir plz suggest some remedy 4 this problem...... i feel shy due to this problem.....!! i ll b thankful 4 ur reply<|eot_id|><|start_header_id|>assistant<|end_header_id|>Dear serve understand your concerns went through your details. Your chest is not bulging because of hormonal issues. They are bulging because of lack of exercise. Do physical exercises. Include 20 to 30 chest push ups twice daily for tightness of chest muscles. If you require more of my help in this aspect, please use this URL. http<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi,I recently came to know that i have an polyp in my uterus & 3.5 cm Cyst on right ovary.My Doctor suggested to wait for one month & then she would do Hysteroscopy & Laproscopy.I dont want any surgeries.Are there home remedies to dissolve these.Thank You,

Listerine POLYPS and CYSTS are completely CURABLE (success rate up to 75 - 80 %)with the help of AYURVEDA medicines and there is NO NEED of HYSTERECTOMY. It takes 04 - 06 MONTHS for complete treatment and the patient is alright. But before moving ahead, I need answers of following questions - 1. Do you suffer from HEAVY MENSTRUAL BLEEDING ? 2. If yes, then for HOW MANY DAYS IN A MONTH ? 3. Are you taking any MEDICINES for this e.g. Norethisterone or others ? Please elaborate. In my clinic, females with uterine polyps and cysts often come with above three presentations and just telling that the doctor has given them a time of 01 - 02 months for hysterectomy, but 90 % of them never considered the option after completion of treatment. To plan a treatment, your complete medical history needs to be seen first. Hope the answer will help you. Kind regards....

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi,I recently came to know that i have an polyp in my uterus & 3.5 cm Cyst on right ovary.My Doctor suggested to wait for one month & then she would do Hysteroscopy & Laproscopy.I dont want any surgeries.Are there home remedies to dissolve these.Thank You,<|eot_id|><|start_header_id|>assistant<|end_header_id|>Listerine POLYPS and CYSTS are completely CURABLE (success rate up to 75 - 80 %)with the help of AYURVEDA medicines and there is NO NEED of HYSTERECTOMY. It takes 04 - 06 MONTHS for complete treatment and the patient is alright. But before moving ahead, I need answers of following questions - 1. Do you suffer from HEAVY MENSTRUAL BLEEDING ? 2. If yes, then for HOW MANY DAYS IN A MONTH ? 3. Are you taking any MEDICINES for this e.g. Norethisterone or others ? Please elaborate. In my clinic, females with uterine polyps and cysts often come with above three presentations and just telling that the doctor has given them a time of 01 - 02 months for hysterectomy, but 90 % of them never considered the option after completion of treatment. To plan a treatment, your complete medical history needs to be seen first. Hope the answer will help you. Kind regards....<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, My boyfriend and I were having sex and before he put the condom on he was rubbing his penis around my vagina. Not inside just around the labia. I was wondering could the pre ejaculation fluid still get me pregnant from outside of the actual canal (if so, how?) Also would penetrating me straight after, push the fluids in me?

Thank you for trusting Chat Doctor The chances of you getting pregnant are very, very slim from what you just explained, but you know it's not impossible. Studies have shown that in some individuals this pre-ejaculatory fluid does actually have some spermatozoa and as u mentioned, during the actual intercourse, what was deposited around the vulva might actually be pushed into the vagina and up to the cervix and hence pregnancy.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, My boyfriend and I were having sex and before he put the condom on he was rubbing his penis around my vagina. Not inside just around the labia. I was wondering could the pre ejaculation fluid still get me pregnant from outside of the actual canal (if so, how?) Also would penetrating me straight after, push the fluids in me?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thank you for trusting Chat Doctor The chances of you getting pregnant are very, very slim from what you just explained, but you know it's not impossible. Studies have shown that in some individuals this pre-ejaculatory fluid does actually have some spermatozoa and as u mentioned, during the actual intercourse, what was deposited around the vulva might actually be pushed into the vagina and up to the cervix and hence pregnancy.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I am 30 years old and trying to conceive our 2nd child. Our first child is now 8 years old (same father). This cycle, I did 100 mg of Clomid on days 5-9 and went for the progesterone test on Day 22. On Day 23, I got a positive Ovulation Predictor Kit result along with ovarian pain and tenderness. The bloodwork results (from a draw on Day 22) showed that I did not ovulate. I am not surprised as I believe I ovulated on Day 24 or so. I am now on Day 29. My doctors office did not mention having my progesterone levels tested again but are sending me to a reproductive endocrinologist on a referral. I truly believe I ovulated around Day 24. My average cycle is around 38 days, which would mean a luteal phase of 14 days. Could I be pregnant or does the negative results on the bloodwork (taken before I believe I ovulated) indicate otherwise?

Hello, and I hope I can clarify this for you. You are absolutely correct in the fact that the length of your cycle is related to when you ovulate... and your ovulation date is 14 days back from when you got your period, rather than counting 14 days from the start of your period. It is typical for most women to have a 14-day luteal phase, as you suggested. You absolutely may ovulate later in your cycle. I do not know how long you and your partner have tried to conceive before trying Closed. I would not recommend trying Closed at all unless you have tried for a year (meaning unprotected sex at least 2-3 times per week) and not become pregnant. A reproductive endocrinologist is an appropriate referral if you have a history of infertility for one year, and if you fail at least 3 cycles of Closed. They can prescribe Closed and combine it with intrauterine insemination, which can increase the success rate. Even though you may have had a child together before, there can be an issue with the male partner too, and it would be advisable he gets his sperm count evaluated. But you can still have conceived this cycle if you ovulated on the closed, and continued to have unprotected sex at least a week after your ovulation kit showed positive. Your progesterone level pre-ovulation is not relevant at all. So- if you don't get a period by day 35 or so, do a pregnancy test. And if you didn't conceive this cycle, a reproductive endocrinologist might be a better choice to manage your Closed. I hope this answered your question, and best of luck in getting pregnant. Take care,

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I am 30 years old and trying to conceive our 2nd child. Our first child is now 8 years old (same father). This cycle, I did 100 mg of Clomid on days 5-9 and went for the progesterone test on Day 22. On Day 23, I got a positive Ovulation Predictor Kit result along with ovarian pain and tenderness. The bloodwork results (from a draw on Day 22) showed that I did not ovulate. I am not surprised as I believe I ovulated on Day 24 or so. I am now on Day 29. My doctors office did not mention having my progesterone levels tested again but are sending me to a reproductive endocrinologist on a referral. I truly believe I ovulated around Day 24. My average cycle is around 38 days, which would mean a luteal phase of 14 days. Could I be pregnant or does the negative results on the bloodwork (taken before I believe I ovulated) indicate otherwise?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, and I hope I can clarify this for you. You are absolutely correct in the fact that the length of your cycle is related to when you ovulate... and your ovulation date is 14 days back from when you got your period, rather than counting 14 days from the start of your period. It is typical for most women to have a 14-day luteal phase, as you suggested. You absolutely may ovulate later in your cycle. I do not know how long you and your partner have tried to conceive before trying Closed. I would not recommend trying Closed at all unless you have tried for a year (meaning unprotected sex at least 2-3 times per week) and not become pregnant. A reproductive endocrinologist is an appropriate referral if you have a history of infertility for one year, and if you fail at least 3 cycles of Closed. They can prescribe Closed and combine it with intrauterine insemination, which can increase the success rate. Even though you may have had a child together before, there can be an issue with the male partner too, and it would be advisable he gets his sperm count evaluated. But you can still have conceived this cycle if you ovulated on the closed, and continued to have unprotected sex at least a week after your ovulation kit showed positive. Your progesterone level pre-ovulation is not relevant at all. So- if you don't get a period by day 35 or so, do a pregnancy test. And if you didn't conceive this cycle, a reproductive endocrinologist might be a better choice to manage your Closed. I hope this answered your question, and best of luck in getting pregnant. Take care,<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

2-weeks ago I had a lower right impacted wisdom tooth removed as well as the ajioning molor. I have been monitoring the hole left closly, keeping it clean. Up until a day or two ago the bottom of the hole was black, now it appears brown and spongy. Is this tissue fillling in or should I be concerned. Also, my jaw is still stiff and painful and does not open fully. As it has been 2-weeks shouldn t this be better by now?

Thanks for your query, I have gone through your query. The turning of black to brown color in the socket is normal, nothing to be panic. The limited mouth opening can be because the local muscle contraction or soreness. The clot will be initially reddish later it becomes brown and later calcifies to become callus(soft bone). Nothing to be panic, do not touch that area with your finger, because it might dislodge the clot and result in infection. Do saline gargling. I hope my answer will help you, take care.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: 2-weeks ago I had a lower right impacted wisdom tooth removed as well as the ajioning molor. I have been monitoring the hole left closly, keeping it clean. Up until a day or two ago the bottom of the hole was black, now it appears brown and spongy. Is this tissue fillling in or should I be concerned. Also, my jaw is still stiff and painful and does not open fully. As it has been 2-weeks shouldn t this be better by now?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your query, I have gone through your query. The turning of black to brown color in the socket is normal, nothing to be panic. The limited mouth opening can be because the local muscle contraction or soreness. The clot will be initially reddish later it becomes brown and later calcifies to become callus(soft bone). Nothing to be panic, do not touch that area with your finger, because it might dislodge the clot and result in infection. Do saline gargling. I hope my answer will help you, take care.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I have been dealing with some type I skin rash that seems to stem from a sore area between my scrotum and rectum. I have tried all types of anti fungal creams due to suspected jock itch, creams seem to make it worse, and I have found the only way to get any relief is to heavily apply Gold Bond medicated powder which only helps for a short while. Please help it I driving me insane.

Hello, Thanks for the query to Chat Doctor. Forum. This type of intense itching usually occurs in the night and may be,1 Edematous dermatitis, diagnosis can be confirmed by physical examination by a dermatologist and biopsy of effected part.2 Due to thread worm there develops itching around anus opening (as pin worm) and this spread to others part as seems to be in your case. Diagnosis can be confirmed by stool examination. Take a worm treatment. 3 Sometimes hemorrhoid causes itching around anus and its surroundings so consult a surgeon so that diagnosis can be confirmed. In my opinion first consult a dermatologist and get his opinion. Good luck.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have been dealing with some type I skin rash that seems to stem from a sore area between my scrotum and rectum. I have tried all types of anti fungal creams due to suspected jock itch, creams seem to make it worse, and I have found the only way to get any relief is to heavily apply Gold Bond medicated powder which only helps for a short while. Please help it I driving me insane.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thanks for the query to Chat Doctor. Forum. This type of intense itching usually occurs in the night and may be,1 Edematous dermatitis, diagnosis can be confirmed by physical examination by a dermatologist and biopsy of effected part.2 Due to thread worm there develops itching around anus opening (as pin worm) and this spread to others part as seems to be in your case. Diagnosis can be confirmed by stool examination. Take a worm treatment. 3 Sometimes hemorrhoid causes itching around anus and its surroundings so consult a surgeon so that diagnosis can be confirmed. In my opinion first consult a dermatologist and get his opinion. Good luck.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, may I answer your health queries right now ? Please type your query here...Hi i have had a long problem which started with my ears being ichy and the problem just stayed there even with alot of visits to my doctor with alot of different answers and now i my glands in my neck are up and have been for a long time but not sure if they have been up since the problem started with my ears. It has worried me but im not one of the best people that can explain to a doctor what is going on with me. the other problem i have had with my ears is they make like a thumpping sound in my ear on the left when i hear a high pitch sound like when im making myself a drink and sturring my drink in a mug and the spoon hits the mug making a high pitch chime. I dont feel ill i feel fine but am confussed and worried i am still seeing my doctor about this but they do appear to be at a lost i am yet to ask to see a ear nose and throat specialist. just wont another insight into this.Regards Ian

Hi Dear, Welcome to Chat Doctor, As per your query you have severe itching in ears with swollen glands in neck. Well there can be many reasons for itching like slightest accumulation of debris, even a dead hair, may be felt as an itching sensation ear canal dermatitis, Otis media, lymphadenopathy and wax buildup. Allergic reaction can also be one of the reasons. I would suggest you to consult ENT specialist for proper examination. Doctor may order CT scan and examine with horoscope. Doctor may prescribe antibiotics gentamicin for a week along with corticosteroid ear Chat Doctor. For now, you can put 2

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, may I answer your health queries right now ? Please type your query here...Hi i have had a long problem which started with my ears being ichy and the problem just stayed there even with alot of visits to my doctor with alot of different answers and now i my glands in my neck are up and have been for a long time but not sure if they have been up since the problem started with my ears. It has worried me but im not one of the best people that can explain to a doctor what is going on with me. the other problem i have had with my ears is they make like a thumpping sound in my ear on the left when i hear a high pitch sound like when im making myself a drink and sturring my drink in a mug and the spoon hits the mug making a high pitch chime. I dont feel ill i feel fine but am confussed and worried i am still seeing my doctor about this but they do appear to be at a lost i am yet to ask to see a ear nose and throat specialist. just wont another insight into this.Regards Ian<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi Dear, Welcome to Chat Doctor, As per your query you have severe itching in ears with swollen glands in neck. Well there can be many reasons for itching like slightest accumulation of debris, even a dead hair, may be felt as an itching sensation ear canal dermatitis, Otis media, lymphadenopathy and wax buildup. Allergic reaction can also be one of the reasons. I would suggest you to consult ENT specialist for proper examination. Doctor may order CT scan and examine with horoscope. Doctor may prescribe antibiotics gentamicin for a week along with corticosteroid ear Chat Doctor. For now, you can put 2<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

My mother in law sufering from jundice from five days her eyes became very yelloish and not eating any thing only crud. See was became very week and which diets to be given to them and she was taking only Blood Presure medecine. Please give me some guidence so i can do my best doctor. Thank you

Hello really appreciate your concern for your mother-in-law. In my opinion you should give her fruit juices, fresh fruits, vegetables and dietary fiber in her diet. You can give her high glucose diet if she is not diabetic. Syp lactulose can be given if she is having constipation and improve her motion. Antiacidity medicine like pantoprazole or sanitizing is also advisable. Multivitamin supplements can be given for speedy recovery and meet the deficiency of vitamins. Hope this answers your question, please do write back to me with her reports so that I will be able to tell you more precisely. Best wishes

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My mother in law sufering from jundice from five days her eyes became very yelloish and not eating any thing only crud. See was became very week and which diets to be given to them and she was taking only Blood Presure medecine. Please give me some guidence so i can do my best doctor. Thank you<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello really appreciate your concern for your mother-in-law. In my opinion you should give her fruit juices, fresh fruits, vegetables and dietary fiber in her diet. You can give her high glucose diet if she is not diabetic. Syp lactulose can be given if she is having constipation and improve her motion. Antiacidity medicine like pantoprazole or sanitizing is also advisable. Multivitamin supplements can be given for speedy recovery and meet the deficiency of vitamins. Hope this answers your question, please do write back to me with her reports so that I will be able to tell you more precisely. Best wishes<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

i been experiencing numbless and pain in both of my legs, for about 8 months. My leg are tingling, sharp stabbing pain , about the last too weeks my right foot start hurting I couldnt put any pressure on it and the ball of my right foot feels like theres a blister there but its not. I have not been told that Im a diabetic but it do run it the family a sister and a brother has it

Symptoms of Diabetes include frequent urination, increased hunger and thirst, Itching private parts, Burning feet and also numbness of foot. As you are having risk, you can get Glucose tolerance test done every year. If the test results are normal you can repeat it every year. For prevention of Diabetes, follow healthy lifestyle with diet less in refined sugars and carboy Chat Doctor. Exercise 150 mins a week. Hope my advice will be of help to you. You can get back to me with test results.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i been experiencing numbless and pain in both of my legs, for about 8 months. My leg are tingling, sharp stabbing pain , about the last too weeks my right foot start hurting I couldnt put any pressure on it and the ball of my right foot feels like theres a blister there but its not. I have not been told that Im a diabetic but it do run it the family a sister and a brother has it<|eot_id|><|start_header_id|>assistant<|end_header_id|>Symptoms of Diabetes include frequent urination, increased hunger and thirst, Itching private parts, Burning feet and also numbness of foot. As you are having risk, you can get Glucose tolerance test done every year. If the test results are normal you can repeat it every year. For prevention of Diabetes, follow healthy lifestyle with diet less in refined sugars and carboy Chat Doctor. Exercise 150 mins a week. Hope my advice will be of help to you. You can get back to me with test results.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

hello sir, best regards. im a medical student in bangladesh of final year. my brother had a prblem right now. he has multiple matted erythema specially on chest with sever pruritus. i prefered him Fexofenadine, but improvement is not significant. should i use Imidazoles & topical steroids. pls , help me, sir. i cant able my seniors right now. thank u, sir

Thanks for your question on Chat Doctor. I can understand your concern. Multiple matted arrhythmia with pruritic can be due to urticaria (skin allergy). And in my opinion, it is better to give combination of anti-allergic (montelukast) and anti histamine (fexofenadine) instead of plain fexofenadine. You can also apply steroid cream (mometasone). In severe cases, oral steroids (prednisone) is also advisable. If he still feels itching then consult dermatologist and get done clinical examination and skin Biopsy for confirmation. Hope I have solved your query. I will be happy to help you further. Wishing good health to your brother. Thanks.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hello sir, best regards. im a medical student in bangladesh of final year. my brother had a prblem right now. he has multiple matted erythema specially on chest with sever pruritus. i prefered him Fexofenadine, but improvement is not significant. should i use Imidazoles & topical steroids. pls , help me, sir. i cant able my seniors right now. thank u, sir<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. Multiple matted arrhythmia with pruritic can be due to urticaria (skin allergy). And in my opinion, it is better to give combination of anti-allergic (montelukast) and anti histamine (fexofenadine) instead of plain fexofenadine. You can also apply steroid cream (mometasone). In severe cases, oral steroids (prednisone) is also advisable. If he still feels itching then consult dermatologist and get done clinical examination and skin Biopsy for confirmation. Hope I have solved your query. I will be happy to help you further. Wishing good health to your brother. Thanks.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

hi doc, i mc Dec 2013 and i tried straight away all in vain, my doc prescribe me to take ova care of 30days, any chance of getting pregency? my period is 28 cycle and i bleed from 9th this month to 13th, i started my ova care on 14th my hig fertile day will be 19th to 23th can i do sex and see if i can conceive?

Hello, Ovacare is a nutritional supplement to facilitate ovarian function and is found to be beneficial in POD cases. You can give a fair trial of 6 months with medicine and unprotected sex on your best fertile days. Actually, you can confirm your ovulation day by LH surge test, a home test, and try with unprotected sex from the day the test comes positive for 5 days at a stretch mostly you should conceive. In case there is no positive response in 6 months, I would suggest you both to get investigated thoroughly and get specific treatment, in case there is some problem. Scientific treatment offers the best fertility in most of the cases. Hope I have answered your query. Let me know if I can assist you further.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hi doc, i mc Dec 2013 and i tried straight away all in vain, my doc prescribe me to take ova care of 30days, any chance of getting pregency? my period is 28 cycle and i bleed from 9th this month to 13th, i started my ova care on 14th my hig fertile day will be 19th to 23th can i do sex and see if i can conceive?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Ovacare is a nutritional supplement to facilitate ovarian function and is found to be beneficial in POD cases. You can give a fair trial of 6 months with medicine and unprotected sex on your best fertile days. Actually, you can confirm your ovulation day by LH surge test, a home test, and try with unprotected sex from the day the test comes positive for 5 days at a stretch mostly you should conceive. In case there is no positive response in 6 months, I would suggest you both to get investigated thoroughly and get specific treatment, in case there is some problem. Scientific treatment offers the best fertility in most of the cases. Hope I have answered your query. Let me know if I can assist you further.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I have a red rash on my chest. I was wondering if it could have been caused by red rice yeast. I had been taking one tablet until about two weeks ago, my gp suggested I up the dosage to two, then eventually three. I have not changed laundry detergent; in fact, I use the dye-free detergent. Could it be caused by a virus? Or is it dermatitis? I did have a rash on my hand this past spring which I thought was caused by contact with my horses hay. I was careful to use gloves and it went away. It seems to me I remember reading that yeast causes rashes. Thank you.

Hi, It could be a seborrhea dermatitis. The rash in seborrhea dermatitis is Chat Doctor. It most commonly involves the scalp. However, other sites that may be affected include chest, face, etc. Seborrhea dermatitis is a steroid responsive Dermatitis. I suggest you to use a moderately potent topical steroid cream e.g. either Mometasone Furnace cream or Triamcinolone Acetone cream, twice daily for a week. Hope I have answered your query. Let me know if I can assist you further.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have a red rash on my chest. I was wondering if it could have been caused by red rice yeast. I had been taking one tablet until about two weeks ago, my gp suggested I up the dosage to two, then eventually three. I have not changed laundry detergent; in fact, I use the dye-free detergent. Could it be caused by a virus? Or is it dermatitis? I did have a rash on my hand this past spring which I thought was caused by contact with my horses hay. I was careful to use gloves and it went away. It seems to me I remember reading that yeast causes rashes. Thank you.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, It could be a seborrhea dermatitis. The rash in seborrhea dermatitis is Chat Doctor. It most commonly involves the scalp. However, other sites that may be affected include chest, face, etc. Seborrhea dermatitis is a steroid responsive Dermatitis. I suggest you to use a moderately potent topical steroid cream e.g. either Mometasone Furnace cream or Triamcinolone Acetone cream, twice daily for a week. Hope I have answered your query. Let me know if I can assist you further.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi , I am only 18 years old and for two days now i have this pain in the center of my lower back . When I get up i feel the pain and if i sit for two long . Also when i walk i sorta have to bend my knees and make this strange arch with my body so i can move around .

Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query what you have described is an acute/sudden onset of pain in the back that is restricting the mobility. Since you have not mentioned it, I am assuming that you have not developed any symptoms in the legs yet. I would sincerely suggest an MRI of the LS spine. The MRI would be able to give us the information as to the cause of pain in the bathe medicines can be prescribed accordingly. So do let us know the report of MRI for further suggestion hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi , I am only 18 years old and for two days now i have this pain in the center of my lower back . When I get up i feel the pain and if i sit for two long . Also when i walk i sorta have to bend my knees and make this strange arch with my body so i can move around .<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query what you have described is an acute/sudden onset of pain in the back that is restricting the mobility. Since you have not mentioned it, I am assuming that you have not developed any symptoms in the legs yet. I would sincerely suggest an MRI of the LS spine. The MRI would be able to give us the information as to the cause of pain in the bathe medicines can be prescribed accordingly. So do let us know the report of MRI for further suggestion hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, My son is 2yrs 7 months. He is suffering from cough with wheezing (repeated infections since past one and half months). Initially he was on nebulization and the doctor prescribed Azithral for 5 days.He recovered a bit and again after 4/5 days the same situation of persistent cough and wheezing continued. We got the blood test done. His eosinophilia is 20%. Doctor has prescribed for LIvolin syrup and Banoside syrup (3ml twice daily for 20 days).Please advice.

Hello welcome to Chat Doctor , Based on your children history and treatment received most likely reason for his cough seems to be allergic (reactive airway disease), chances of which are more if there is family history of allergic also. If your child responds immediately to nebulization, chances of allergic cough are very much. Inhalation therapy are best recommended treatment for such type of cough, also you need to check your immunization, apart from routine vaccines he needs yearly flu vaccination. As these are prescription Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, My son is 2yrs 7 months. He is suffering from cough with wheezing (repeated infections since past one and half months). Initially he was on nebulization and the doctor prescribed Azithral for 5 days.He recovered a bit and again after 4/5 days the same situation of persistent cough and wheezing continued. We got the blood test done. His eosinophilia is 20%. Doctor has prescribed for LIvolin syrup and Banoside syrup (3ml twice daily for 20 days).Please advice.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello welcome to Chat Doctor , Based on your children history and treatment received most likely reason for his cough seems to be allergic (reactive airway disease), chances of which are more if there is family history of allergic also. If your child responds immediately to nebulization, chances of allergic cough are very much. Inhalation therapy are best recommended treatment for such type of cough, also you need to check your immunization, apart from routine vaccines he needs yearly flu vaccination. As these are prescription Chat Doctor.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

My father(age-50yrs, height-6 feet, weight- I dont know, medical history- victim of piles) has a wound in his food pipe.Because of which his stomach is fattening,without eating anything(he does not feels hungry ). And a specimen of some part has been sent to Mumbai for diagnosis(byopsis). And we are afraid that diagnosis may lead to cancer. So, I wanted to know can this be a cause of cancer to any extent?

Hi, dairy have gone through your question. I can understand your concern. He may have esophageal cancer or may be some benign lesion. Biopsy give the exact diagnosis, and then you should take treatment accordingly. Biopsy is not a cause of cancer spread. It just a diagnostic procedure. Just wait for your biopsy diagnosis and then 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.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My father(age-50yrs, height-6 feet, weight- I dont know, medical history- victim of piles) has a wound in his food pipe.Because of which his stomach is fattening,without eating anything(he does not feels hungry ). And a specimen of some part has been sent to Mumbai for diagnosis(byopsis). And we are afraid that diagnosis may lead to cancer. So, I wanted to know can this be a cause of cancer to any extent?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, dairy have gone through your question. I can understand your concern. He may have esophageal cancer or may be some benign lesion. Biopsy give the exact diagnosis, and then you should take treatment accordingly. Biopsy is not a cause of cancer spread. It just a diagnostic procedure. Just wait for your biopsy diagnosis and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hello, I did a test on typhoid and malaria fever and this was my result, I hope to get if I am OK or need medical attention.Widal reaction test is below

Hello, tidal test can't be interpreted as other investigation s. We need your history of salmonella contact. 1st of all you haunt mentioned your country. Depending on how common the disease in your country the cut-off mark for the test changes. Your travel history should be mentioned to get an idea of your travelling to endemic countries. You have to mention whether you have had the disease earlier, clinically or subclinically. Whether you have had typhoid vaccine. All these facts are needed for interpretation. Less you have contacted with s.type and s.paratyphoid tidal test results would make more sense.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hello, I did a test on typhoid and malaria fever and this was my result, I hope to get if I am OK or need medical attention.Widal reaction test is below<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, tidal test can't be interpreted as other investigation s. We need your history of salmonella contact. 1st of all you haunt mentioned your country. Depending on how common the disease in your country the cut-off mark for the test changes. Your travel history should be mentioned to get an idea of your travelling to endemic countries. You have to mention whether you have had the disease earlier, clinically or subclinically. Whether you have had typhoid vaccine. All these facts are needed for interpretation. Less you have contacted with s.type and s.paratyphoid tidal test results would make more sense.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

would like an opinion 1) should I see an orthopedic or neurosurgeon 2) Have to climb stairs 20 x a day, make it worse? Will try to make this easy to readCervical.................C4-5 mild loss of the normal cervical lordosis with a mild focal kyphosis. C3-4 mild posterior disc bulge without evidence of significantspinal canal or neural forminal stenosis C4-5 posterior disc oesteophytic complex which result in mild spinal canal narrowing. Minimal bilateral neurall foraminal narrowing C5-6 small posterior disc complex and uncovertebral hypertrophy resulting in mild bilateral neural foraminal stenosis Minimal spinal canal narrowingLumbar...................Osteoporosis L3-4 diffuse bulge. worse on right questionable slight mass effect on right l4 nerve root L4-5diffuse disc bulge, small broad based central and right posterior paracentral disc herniation with extension to right neural foramen slight mass effectt on right L4-5 nerve roots is posible L5-S1 posterior annular tear and small broad based posterior central disc herniationALL of my pain is in my muscles,total bilateral down to feet including feet, walk flat footed.....Knuckles in hands enlarged mostly pinky and thumb knuckles again bilateral.Muscles in neck stiff 24/7 Can all of this derive from the spinal situation.....or a muscle disorder. dr did blood test for MS, came out positive. He said only way to tell for sure is a brain cat scan looking for lesions. 35 yrs ago diagnosied with hydrocephlaus with lesions and report had the word blockage. At loma linda and night before surgrey was cancel.I am 68 so really dont want surgery. lumbar is 24/7 cervical when pain occurs is on a scale of 9.9 Would like your opinion and I know its hard without seeing me. Thankyou Also numbness, tingling twitching burning charly horse, Numbness entails both legs and fingers on both hands. sorry this is so lengthy C4-5Posterior disc complex and uncovertebral hypertrophyresulting in mild bilateral neural forminal stenosis. mimimal spinal canal narrowingLumbar...............

HelloFindings suggests multi-level degenerative changes in cervical spine. Degenerative changes are generally age related findings. It is due to chronic stress on annulus fibrosis. At C5-6 level, there is disc complex with hypertrophy of uncut which is causing mild narrowing of neural form amen in both sides. Minimal narrowing noted in central spinal canal. In lumbar vertebra there are more degenerative changes. There are diffuse discs bulge at multiple levels. Majority of degenerative disc disease patients are benefited by conservative treatment in the form of physiotherapy, analgesics and muscle relaxants. Surgery is advised in non responding cases. Physiotherapy helps in strengthening of para spinal muscles, and it prevents further changes. Since you have mild findings, most likely you will need physiotherapy only. Get well soon. Take Care Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: would like an opinion 1) should I see an orthopedic or neurosurgeon 2) Have to climb stairs 20 x a day, make it worse? Will try to make this easy to readCervical.................C4-5 mild loss of the normal cervical lordosis with a mild focal kyphosis. C3-4 mild posterior disc bulge without evidence of significantspinal canal or neural forminal stenosis C4-5 posterior disc oesteophytic complex which result in mild spinal canal narrowing. Minimal bilateral neurall foraminal narrowing C5-6 small posterior disc complex and uncovertebral hypertrophy resulting in mild bilateral neural foraminal stenosis Minimal spinal canal narrowingLumbar...................Osteoporosis L3-4 diffuse bulge. worse on right questionable slight mass effect on right l4 nerve root L4-5diffuse disc bulge, small broad based central and right posterior paracentral disc herniation with extension to right neural foramen slight mass effectt on right L4-5 nerve roots is posible L5-S1 posterior annular tear and small broad based posterior central disc herniationALL of my pain is in my muscles,total bilateral down to feet including feet, walk flat footed.....Knuckles in hands enlarged mostly pinky and thumb knuckles again bilateral.Muscles in neck stiff 24/7 Can all of this derive from the spinal situation.....or a muscle disorder. dr did blood test for MS, came out positive. He said only way to tell for sure is a brain cat scan looking for lesions. 35 yrs ago diagnosied with hydrocephlaus with lesions and report had the word blockage. At loma linda and night before surgrey was cancel.I am 68 so really dont want surgery. lumbar is 24/7 cervical when pain occurs is on a scale of 9.9 Would like your opinion and I know its hard without seeing me. Thankyou Also numbness, tingling twitching burning charly horse, Numbness entails both legs and fingers on both hands. sorry this is so lengthy C4-5Posterior disc complex and uncovertebral hypertrophyresulting in mild bilateral neural forminal stenosis. mimimal spinal canal narrowingLumbar...............<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloFindings suggests multi-level degenerative changes in cervical spine. Degenerative changes are generally age related findings. It is due to chronic stress on annulus fibrosis. At C5-6 level, there is disc complex with hypertrophy of uncut which is causing mild narrowing of neural form amen in both sides. Minimal narrowing noted in central spinal canal. In lumbar vertebra there are more degenerative changes. There are diffuse discs bulge at multiple levels. Majority of degenerative disc disease patients are benefited by conservative treatment in the form of physiotherapy, analgesics and muscle relaxants. Surgery is advised in non responding cases. Physiotherapy helps in strengthening of para spinal muscles, and it prevents further changes. Since you have mild findings, most likely you will need physiotherapy only. Get well soon. Take Care Chat Doctor.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

My son fell and hit the side of his face on the floor. There was no bleeding, but there is a huge bump on his gums on the side that he fell on. The bump hurts to touch, but otherwise isnt painful; just very swollen. Does he need to see a dentist about this?

Hi. Can understand your concern. As per your complaint swelling and bruising of gums after injury can happen due to inflammation caused due to injury. It may also be due to internal bleeding due to rupture of blood vessels causing bruising and lump formation. It may also be associated with fracture of the jaw bone if there is difficulty in opening and closing of mouth and pain. I would suggest you to take your son to a dentist to get him ruled out for the cause of him signs and symptoms. The dentist will take desired x-rays and clinical examination to give correct diagnosis and treatment can be planned. Till the time you can give him cold packs by wrapping ice in a cloth and placing intermittently over the affected area. In case of pain painkiller in child doses can be given. But you should visit a dentist soon. Hope your query is solved. Thanks and regards. Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My son fell and hit the side of his face on the floor. There was no bleeding, but there is a huge bump on his gums on the side that he fell on. The bump hurts to touch, but otherwise isnt painful; just very swollen. Does he need to see a dentist about this?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. Can understand your concern. As per your complaint swelling and bruising of gums after injury can happen due to inflammation caused due to injury. It may also be due to internal bleeding due to rupture of blood vessels causing bruising and lump formation. It may also be associated with fracture of the jaw bone if there is difficulty in opening and closing of mouth and pain. I would suggest you to take your son to a dentist to get him ruled out for the cause of him signs and symptoms. The dentist will take desired x-rays and clinical examination to give correct diagnosis and treatment can be planned. Till the time you can give him cold packs by wrapping ice in a cloth and placing intermittently over the affected area. In case of pain painkiller in child doses can be given. But you should visit a dentist soon. Hope your query is solved. Thanks and regards. Chat Doctor.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I have been ill for three months now and I believe I have a bad infection I have symptoms that include head pain and pain in my muscles but they seem to subside if I am laying still if I try to do anything my body aches from a burning in my arms legs and feet my primary gave me liboflaxian but to no avail it was taken in the beginning of my sickness . I believe I had this before but not as bad I m dizzy to the point I can not drive . I took amoxicillian the first time I had this and a few years later when these symptoms showed again I took Cipro both times before it seemed to work any suggestions I am getting worse

If you think you have some infection, do CBC, ESR tests along with urine routine and microscopic examinations. Do you have fever?if yes, keep record of it.recurring headache can be caused due to many reasons. Do you wear glasses regularly?if no go for an eye check up. If yes then also do it. With the tests I told, visit a doctor, till then for the body ache you can take Coquitlam tablet twice a day after food. For the burning sensation in arms and the legs, as you were sick for a long time, so this happens when you Chat Doctor. It might be due to deficiency of vitamins specially Vito, take B complex tablet once every day for 10 days. And visit a doctor in person asap. Because if you have infection your TLC count ll be increased then you need wide spectrum antibiotics course then.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have been ill for three months now and I believe I have a bad infection I have symptoms that include head pain and pain in my muscles but they seem to subside if I am laying still if I try to do anything my body aches from a burning in my arms legs and feet my primary gave me liboflaxian but to no avail it was taken in the beginning of my sickness . I believe I had this before but not as bad I m dizzy to the point I can not drive . I took amoxicillian the first time I had this and a few years later when these symptoms showed again I took Cipro both times before it seemed to work any suggestions I am getting worse<|eot_id|><|start_header_id|>assistant<|end_header_id|>If you think you have some infection, do CBC, ESR tests along with urine routine and microscopic examinations. Do you have fever?if yes, keep record of it.recurring headache can be caused due to many reasons. Do you wear glasses regularly?if no go for an eye check up. If yes then also do it. With the tests I told, visit a doctor, till then for the body ache you can take Coquitlam tablet twice a day after food. For the burning sensation in arms and the legs, as you were sick for a long time, so this happens when you Chat Doctor. It might be due to deficiency of vitamins specially Vito, take B complex tablet once every day for 10 days. And visit a doctor in person asap. Because if you have infection your TLC count ll be increased then you need wide spectrum antibiotics course then.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hello sir,am 25yrs old,i had a history of tuberculosis 4 yrs back I took 9 months treatment and repeated my chest xray it was normal,recently while undergoing a medical check up for gulf country my Xray showed opacity of right hilum,but my PPD TEST was negative am really worried,will my old TB scar heal?

Howell come to ChatDoctorI really appreciate your concern, if you have completed the course of tuberculosis then it may not be any lesion detected in x-ray if this is so then it may be resistance case of tuberculosis, and it has to be taken under consideration PPD test is not specific one for any decision, better to get done the repeat x-ray, it is highly requiring differentiating the lesion from tuberculosis, hope this information helps.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hello sir,am 25yrs old,i had a history of tuberculosis 4 yrs back I took 9 months treatment and repeated my chest xray it was normal,recently while undergoing a medical check up for gulf country my Xray showed opacity of right hilum,but my PPD TEST was negative am really worried,will my old TB scar heal?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Howell come to ChatDoctorI really appreciate your concern, if you have completed the course of tuberculosis then it may not be any lesion detected in x-ray if this is so then it may be resistance case of tuberculosis, and it has to be taken under consideration PPD test is not specific one for any decision, better to get done the repeat x-ray, it is highly requiring differentiating the lesion from tuberculosis, hope this information helps.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

My five year old constantly complains of a tummy ache right behind her belly button. She tells me it s like someone punched her. We have tried doing the dairy free approach and nothing. It happens at all times during the day...even at night. She s not constipated. Any suggestions?

Hi, Before commenting about the causes, it would be better if we know about the duration of abdominal pain and any aggregating or relieving factors. Any night awakening because of abdominal pain? Any recent history of viral infections? Any altered bowel habits or blood-tinged stools? Her weight and growth pattern? Her schooling and absenteeism? Anyone in the family has migraine history? I know you are worried, but we need these details before commenting on the causes. I would advise you to visit a pediatrician to examine your children tummy to rule out any surgical causes. Hope I have answered your query. Let me know if I can assist you further.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My five year old constantly complains of a tummy ache right behind her belly button. She tells me it s like someone punched her. We have tried doing the dairy free approach and nothing. It happens at all times during the day...even at night. She s not constipated. Any suggestions?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Before commenting about the causes, it would be better if we know about the duration of abdominal pain and any aggregating or relieving factors. Any night awakening because of abdominal pain? Any recent history of viral infections? Any altered bowel habits or blood-tinged stools? Her weight and growth pattern? Her schooling and absenteeism? Anyone in the family has migraine history? I know you are worried, but we need these details before commenting on the causes. I would advise you to visit a pediatrician to examine your children tummy to rule out any surgical causes. Hope I have answered your query. Let me know if I can assist you further.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi I have had this problem since August 2008. I have severe pain dull and achy and sometimes sharp in my upper left side of my stomach. I have symptoms of pain, wheezing in the exact spot of my pain and alcohol causes it to be more painful. I also feel the pain radiate to my back. Its literally one particular spot but because my stomach is always distended and swollen its hard to know where it is sometimes. I have seen several doctors but nothing. I have taken several tests, but nothing. I have tried different diet but nothing. Any ideas what this sounds like? The pain is always there, never leaves, but the wheezing comes and goes, like the back pain.

Hi. Thanks for your query. Read the history and understood the problems. You have a long-standing problem, severe pain - dull and achy and sometimes sharp in the left upper abdomen. Increases on alcohol, radiation to the back; there is a particular spot in the abdomen which is always distended, hard, Visited many Doctors, several tests done, tried different diets. Pain is constant, wheezing is there. All the symptoms taken together are suggestive of the following probable diagnosis

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi I have had this problem since August 2008. I have severe pain dull and achy and sometimes sharp in my upper left side of my stomach. I have symptoms of pain, wheezing in the exact spot of my pain and alcohol causes it to be more painful. I also feel the pain radiate to my back. Its literally one particular spot but because my stomach is always distended and swollen its hard to know where it is sometimes. I have seen several doctors but nothing. I have taken several tests, but nothing. I have tried different diet but nothing. Any ideas what this sounds like? The pain is always there, never leaves, but the wheezing comes and goes, like the back pain.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. Thanks for your query. Read the history and understood the problems. You have a long-standing problem, severe pain - dull and achy and sometimes sharp in the left upper abdomen. Increases on alcohol, radiation to the back; there is a particular spot in the abdomen which is always distended, hard, Visited many Doctors, several tests done, tried different diets. Pain is constant, wheezing is there. All the symptoms taken together are suggestive of the following probable diagnosis<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Have several small hurting and pus and blood filled bumps along belt-line that continue to occur...is musculum contagiasium, boils, scabies, an sti, herpes simplex, allergy to pet dander, clothes, detergent, or bleach, or something new...only appear in groin area...not on penis.

Hi, dairy have gone through your question. I can understand your concern. You may have some benign cysts or some skin lesions or something else. You should go for biopsy of that lesion. It will give you exact idea regarding 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.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Have several small hurting and pus and blood filled bumps along belt-line that continue to occur...is musculum contagiasium, boils, scabies, an sti, herpes simplex, allergy to pet dander, clothes, detergent, or bleach, or something new...only appear in groin area...not on penis.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, dairy have gone through your question. I can understand your concern. You may have some benign cysts or some skin lesions or something else. You should go for biopsy of that lesion. It will give you exact idea regarding 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.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

hi, i am 25 year old married from 2.5 year from last 8 months i m trying to concieve but not getting the result.i have pcod and very irregular periods.i had an ovalution checking ultrasound done which was normal size of growth of my eggs were normal.my periods are always 8 to 10 days late and during that late period phase i have urine burning and constipation.ive done urine test which was also normal no infection

Hi, I think you should take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 months. Discuss with your doctor regarding this. If it doesn't work then you can go for HSG to see for tubal patency and if it is normal you can try for GUI. Do a semen analysis of your husband. Hope I have answered your question. Regards Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hi, i am 25 year old married from 2.5 year from last 8 months i m trying to concieve but not getting the result.i have pcod and very irregular periods.i had an ovalution checking ultrasound done which was normal size of growth of my eggs were normal.my periods are always 8 to 10 days late and during that late period phase i have urine burning and constipation.ive done urine test which was also normal no infection<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, I think you should take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 months. Discuss with your doctor regarding this. If it doesn't work then you can go for HSG to see for tubal patency and if it is normal you can try for GUI. Do a semen analysis of your husband. Hope I have answered your question. Regards Chat Doctor.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

My 12 month old who is competely healthy has these tiny, dark red spots under the skin of the soles of her feet. They arent itchy or painful, theyre flat. Shes been drinking and urinating a lot more and has loss a little bit of her appetite. Is this something serious?

Hi...by what you quote I think that it could be a simple viral exanthem, or it could be hand foot mouth disease. Whatever it is I suggest you show her to her regular pediatrician and get the opinion to be on the safer side. 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.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My 12 month old who is competely healthy has these tiny, dark red spots under the skin of the soles of her feet. They arent itchy or painful, theyre flat. Shes been drinking and urinating a lot more and has loss a little bit of her appetite. Is this something serious?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi...by what you quote I think that it could be a simple viral exanthem, or it could be hand foot mouth disease. Whatever it is I suggest you show her to her regular pediatrician and get the opinion to be on the safer side. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

My daughter have recently given birth to a baby boy 6 days back. she is having problem of breast feeding as earlier milk was not coming & now baby is finding difficulty in feeding because of which he cries lot more. In order to overcome this issue we have started giving Lactodex 1 approx 40 to 50 ml in every 2 to 3 hrs time i.e 300 to 320 ml per day.Kindly advise whether we are doing right thing or is there any optionWe await for your valuable replyChirag Dave

Thanks for asking I have gone through your question. Your daughter given birth 6 days back and baby having difficulty in breastfeeding. He has been started about 320 ml of lactose 1 daily. I want to advise you that there is no substitute for mothers milk. Every mother can breastfeed her baby. Because there are so many advantage of mothers milk1. Those infant take exclusive breast milk are get less frequent illness like loose motions, asthma .2. Exclusive breastfeed baby have better IQ then milk powder feed baby, and in one study they earn more than milk powder feed when they become adult. So try, try and try till baby start take breastfeeding. There may be some reason that interfere breastfeeding, like inverted nipples, tight breasts, improper technique for feeding, so you can rectify these problems or can consult lactation constant or your gynecologist or pediatrician. You expressed breast and the milk that expressed should be given by spoon. Regarding your query for volume of milk we recommend about 120mL to 150mL per kg per day. So if weight is about 3 kg, we recommend about 360mL per day. These volume is just rough estimate, make the feed some extra what baby take last time. It baby finish 50 ml then next time your prepare 60 ml of feed, and so on. Baby should pass 6-8 time urine in 24 hours indicate sufficient intake hope i able to answer your query and I will be very happy baby start taking breastfeed, thanks

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My daughter have recently given birth to a baby boy 6 days back. she is having problem of breast feeding as earlier milk was not coming & now baby is finding difficulty in feeding because of which he cries lot more. In order to overcome this issue we have started giving Lactodex 1 approx 40 to 50 ml in every 2 to 3 hrs time i.e 300 to 320 ml per day.Kindly advise whether we are doing right thing or is there any optionWe await for your valuable replyChirag Dave<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for asking I have gone through your question. Your daughter given birth 6 days back and baby having difficulty in breastfeeding. He has been started about 320 ml of lactose 1 daily. I want to advise you that there is no substitute for mothers milk. Every mother can breastfeed her baby. Because there are so many advantage of mothers milk1. Those infant take exclusive breast milk are get less frequent illness like loose motions, asthma .2. Exclusive breastfeed baby have better IQ then milk powder feed baby, and in one study they earn more than milk powder feed when they become adult. So try, try and try till baby start take breastfeeding. There may be some reason that interfere breastfeeding, like inverted nipples, tight breasts, improper technique for feeding, so you can rectify these problems or can consult lactation constant or your gynecologist or pediatrician. You expressed breast and the milk that expressed should be given by spoon. Regarding your query for volume of milk we recommend about 120mL to 150mL per kg per day. So if weight is about 3 kg, we recommend about 360mL per day. These volume is just rough estimate, make the feed some extra what baby take last time. It baby finish 50 ml then next time your prepare 60 ml of feed, and so on. Baby should pass 6-8 time urine in 24 hours indicate sufficient intake hope i able to answer your query and I will be very happy baby start taking breastfeed, thanks<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, I have been battling a cold for about a week now. Within the last 3 or 4 days, Ive developed a wet cough where my chest and throat feel like theyre on fire and sometimes yellowish mucus comes up. It never comes up when I blow my nose, only when I cough hard. Please help! Thank you

Thanks for your questioning my opinion you are suffering from bacterial upper/ lower resp tract infection you need to visit a Pulmonologist, who may request for a chest X-ray and a sputum culture and sensitivity and accordingly the most suitable and effective medicines can be started in my patients I usually start them on broad spectrum cephalosporins and clavulinic acid along with some decongestants steam inhalation will help a lot of done thrice a day thanks feel free to ask more questions

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, I have been battling a cold for about a week now. Within the last 3 or 4 days, Ive developed a wet cough where my chest and throat feel like theyre on fire and sometimes yellowish mucus comes up. It never comes up when I blow my nose, only when I cough hard. Please help! Thank you<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your questioning my opinion you are suffering from bacterial upper/ lower resp tract infection you need to visit a Pulmonologist, who may request for a chest X-ray and a sputum culture and sensitivity and accordingly the most suitable and effective medicines can be started in my patients I usually start them on broad spectrum cephalosporins and clavulinic acid along with some decongestants steam inhalation will help a lot of done thrice a day thanks feel free to ask more questions<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

My son s great toe and the toe next to it are infected. One doctor told him that he has trench foot. He hurt his great toe at work, it jammed the toenail back into the curticle. The skin on this great toe started to peel off and swell, then it split in the crease, the second toe started to turn red and peel off. He has a lot of pain in his foot and it travels up into his calf and behind his knee. He had an MRI which didn t show any infection in the bone but the pain is really bad. He was told by wound care to let it dry but it looks worse now than before. This has been going on for more than two months. The pain is so bad he can t sleep. He is a coalminer. He has changed socks often while working. No one seems to want to do any thing to help him. His foot has started to swell now. What is the next course he needs to take. in

Hello, As per your clinical history is concerned, please follow like this

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My son s great toe and the toe next to it are infected. One doctor told him that he has trench foot. He hurt his great toe at work, it jammed the toenail back into the curticle. The skin on this great toe started to peel off and swell, then it split in the crease, the second toe started to turn red and peel off. He has a lot of pain in his foot and it travels up into his calf and behind his knee. He had an MRI which didn t show any infection in the bone but the pain is really bad. He was told by wound care to let it dry but it looks worse now than before. This has been going on for more than two months. The pain is so bad he can t sleep. He is a coalminer. He has changed socks often while working. No one seems to want to do any thing to help him. His foot has started to swell now. What is the next course he needs to take. in<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, As per your clinical history is concerned, please follow like this<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

3 yr old female has urine that has no smell, yet mucus like discharge that looks like egg yolks or kind of like if toilet paper sits in water for a long time

Hi, your child is passing urine which is yolk like means it is thick white in appearance, this is suggestive of urinary tract infection or high phosphate levels in urine. I suggest you to do urine routine microscopy and culture test to look for infection in child. Further treatment will depend on above reports. Your doctor has also started antibiotic, so he is also thinking of urinary tract infection. If you have already done it then revert with reports. Take care.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: 3 yr old female has urine that has no smell, yet mucus like discharge that looks like egg yolks or kind of like if toilet paper sits in water for a long time<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, your child is passing urine which is yolk like means it is thick white in appearance, this is suggestive of urinary tract infection or high phosphate levels in urine. I suggest you to do urine routine microscopy and culture test to look for infection in child. Further treatment will depend on above reports. Your doctor has also started antibiotic, so he is also thinking of urinary tract infection. If you have already done it then revert with reports. Take care.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

i have had two neck surgeries and two mid back sugeries and they noticed i have a bulging disc below where the rods and screws in my back is. i have had severe pain lately. and i woke up with bruises on my back . and i have not bumped it. what is this from

Hello, I have studied your case. If your MRI says herniating disc then this can lead to compression of exiting nerve root which later on supply lower limb. Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. Neurotropic medication like methylcobalamine and pregabalin will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. Spine extension exercises will help you. I will advise checking your it B12 and it D3 level. MRI shows disc compressing on nerve root then re -surgery decompression is permanent solution. 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. Take care.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i have had two neck surgeries and two mid back sugeries and they noticed i have a bulging disc below where the rods and screws in my back is. i have had severe pain lately. and i woke up with bruises on my back . and i have not bumped it. what is this from<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, I have studied your case. If your MRI says herniating disc then this can lead to compression of exiting nerve root which later on supply lower limb. Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. Neurotropic medication like methylcobalamine and pregabalin will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. Spine extension exercises will help you. I will advise checking your it B12 and it D3 level. MRI shows disc compressing on nerve root then re -surgery decompression is permanent solution. 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. Take care.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I noticed lately I accidently suck my stomach in most of the time, and when I sit or stand up straight with my stomach relaxed it hurts, especially when I breathe. When I breathe in like that is causes a sharp pain to go from the center of my diaphragm up to the middle of my chest. Is it just because the muscles around my stomach have tightened up? Or could it be something else? Also, I did slip and fall backwards on a hill a few weeks ago, and landed with my hands extended backwards with most of my weight landing on them. It ended up hurting my chest and spine/shoulders really badly, but I thought it was feeling better. (I went to the doctor, got an x-ray done on my ribs and he said I was fine and I probably just hurt some muscles) Could the muscles just not be fully healed yet and causing the pain?

Hello, I read carefully your query and understand your concern. You symptoms seem to be related to muscle pain. OTC pain relievers are effective at treating chest tightness caused by muscle soreness. I recommend to use Tylenol or Ibuprofen three times a day to relieve the pain. Warm compresses can also be helpful. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I noticed lately I accidently suck my stomach in most of the time, and when I sit or stand up straight with my stomach relaxed it hurts, especially when I breathe. When I breathe in like that is causes a sharp pain to go from the center of my diaphragm up to the middle of my chest. Is it just because the muscles around my stomach have tightened up? Or could it be something else? Also, I did slip and fall backwards on a hill a few weeks ago, and landed with my hands extended backwards with most of my weight landing on them. It ended up hurting my chest and spine/shoulders really badly, but I thought it was feeling better. (I went to the doctor, got an x-ray done on my ribs and he said I was fine and I probably just hurt some muscles) Could the muscles just not be fully healed yet and causing the pain?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, I read carefully your query and understand your concern. You symptoms seem to be related to muscle pain. OTC pain relievers are effective at treating chest tightness caused by muscle soreness. I recommend to use Tylenol or Ibuprofen three times a day to relieve the pain. Warm compresses can also be helpful. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hello I am in china. I had some pain in my lower stomach . I though that I may eat some thing wrong that y it is bloating so finally I just went to had a C T scan today in china. The result came back show that I had a fluid in my pelvic . Is it some thing I have to worry about or not please help. I really don t trust DR in china

Hello, Thanks for writing in. Free fluid in pelvis can mean many things.1. Little amount of fluid can be normal in females.2. Fluid can result from any infection in the bowel.3. Fluid in abdomen can also be due to serious conditions.4. Trauma to abdomen can lead to fluid.5. In diseases of liver, kidney and heart fluid accumulates in abdomen. Please get yourself examined properly by internal medicine specialist.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hello I am in china. I had some pain in my lower stomach . I though that I may eat some thing wrong that y it is bloating so finally I just went to had a C T scan today in china. The result came back show that I had a fluid in my pelvic . Is it some thing I have to worry about or not please help. I really don t trust DR in china<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thanks for writing in. Free fluid in pelvis can mean many things.1. Little amount of fluid can be normal in females.2. Fluid can result from any infection in the bowel.3. Fluid in abdomen can also be due to serious conditions.4. Trauma to abdomen can lead to fluid.5. In diseases of liver, kidney and heart fluid accumulates in abdomen. Please get yourself examined properly by internal medicine specialist.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi I have an annoying fluttering/twitching feeling in my upper right abdomen area right under the rib. It feels as if i am 6 months pregnant (which i am not 6 tests different times of day all negative) Anyidea what on earth this could be? I have no health insurance and very worried. Thank you.

Thanks for your question on Chat Doctor. I can understand your situation and problem. Possibility of stress and anxiety related symptoms is more in your case. But better to rule out heart related diseases like arrhythmia first. Arrhythmia is disturbance in the rhythm of heart. And when this present, it gives fluttering, vibratory feeling in the lower chest or upper abdomen. And if arrhythmia is present then prompt treatment is needed because it is life-threatening condition. So better to get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi I have an annoying fluttering/twitching feeling in my upper right abdomen area right under the rib. It feels as if i am 6 months pregnant (which i am not 6 tests different times of day all negative) Anyidea what on earth this could be? I have no health insurance and very worried. Thank you.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your situation and problem. Possibility of stress and anxiety related symptoms is more in your case. But better to rule out heart related diseases like arrhythmia first. Arrhythmia is disturbance in the rhythm of heart. And when this present, it gives fluttering, vibratory feeling in the lower chest or upper abdomen. And if arrhythmia is present then prompt treatment is needed because it is life-threatening condition. So better to get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I have been working out and running for several weeks now and this is the first time I have been running since middle school. I ve notice the past two days a slight sharp pain when I inhale all the way. The pain is in the center of my chest. Is this like a pulled muscle surrounding my lung?

Thanks for your question on Chat Doctor. I can understand your concern. Yes, possibility of pulled muscle is more likely. So apply warm water pad on affected areas of chest. Take simple painkiller and muscle relaxant Chat Doctor. Avoid heavyweight lifting and strenuous exercise. Avoid sudden jerky movements of chest. 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.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have been working out and running for several weeks now and this is the first time I have been running since middle school. I ve notice the past two days a slight sharp pain when I inhale all the way. The pain is in the center of my chest. Is this like a pulled muscle surrounding my lung?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. Yes, possibility of pulled muscle is more likely. So apply warm water pad on affected areas of chest. Take simple painkiller and muscle relaxant Chat Doctor. Avoid heavyweight lifting and strenuous exercise. Avoid sudden jerky movements of chest. 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.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

i recently had a circumsision done 3 weeks ago, i am healing nicely but there is still some sweling around the cut line, how long will the swelling fade away completely(its mostly swollen on the underside nad the topt side is okay). also i am corncened about the frenelum being a bit tight when i am erect, i di not have the problem before circumsizing, will it loosen up as time go on or what?

HelloThanks for query. Swelling at the site of suture line is common after circumcision due to edema of sub cutaneous tissue, and normally it takes 4-6 weeks for complete healing and get normalized like a normal skin. The frenulum which is tight now will become soft and supple once wound heals up completely. Clean and wash your genital with warm water twice daily and apply soothing ointment like Newsprint or Betadine twice daily. Thanks Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i recently had a circumsision done 3 weeks ago, i am healing nicely but there is still some sweling around the cut line, how long will the swelling fade away completely(its mostly swollen on the underside nad the topt side is okay). also i am corncened about the frenelum being a bit tight when i am erect, i di not have the problem before circumsizing, will it loosen up as time go on or what?<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloThanks for query. Swelling at the site of suture line is common after circumcision due to edema of sub cutaneous tissue, and normally it takes 4-6 weeks for complete healing and get normalized like a normal skin. The frenulum which is tight now will become soft and supple once wound heals up completely. Clean and wash your genital with warm water twice daily and apply soothing ointment like Newsprint or Betadine twice daily. Thanks Chat Doctor.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

i am using Depiwhite cream and calamine lotion since 10 month but spots didnt go. What i do sir ? i have dark spots and hyper pigmentaion on the cheeks . Iam using Depiwhite in the night and Kojiwit lotion before bath and Markal lotion after bath. What I do use?

Hello, Welcome to Chat Doctor. The hyperpigmentation on your face as described by you could be due to plasma. I would recommend you to use a face wash twice a day ideally a one containing glycolic acid as it helps in exfoliation and to even out the skin tone. The most important product will be a sunscreen. Half an hour before going out apply a sunscreen and reapply it every three to four hours. Continue the creams that you have been using. You could consider chemical peels like glycolic acid peels and retinol peels. You can get these done by a dermatologist. Have healthy diet consisting of anti oxidants (fruits and vegetables). Hope this helps you. Take care.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i am using Depiwhite cream and calamine lotion since 10 month but spots didnt go. What i do sir ? i have dark spots and hyper pigmentaion on the cheeks . Iam using Depiwhite in the night and Kojiwit lotion before bath and Markal lotion after bath. What I do use?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Welcome to Chat Doctor. The hyperpigmentation on your face as described by you could be due to plasma. I would recommend you to use a face wash twice a day ideally a one containing glycolic acid as it helps in exfoliation and to even out the skin tone. The most important product will be a sunscreen. Half an hour before going out apply a sunscreen and reapply it every three to four hours. Continue the creams that you have been using. You could consider chemical peels like glycolic acid peels and retinol peels. You can get these done by a dermatologist. Have healthy diet consisting of anti oxidants (fruits and vegetables). Hope this helps you. Take care.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

i have sever back pain, not all the time usually at night or when i rest. it goes down left side of my buttocks and hurts when i put pressure on that side of my body. for example when i put weight on left leg when i walk. is there anything i can take for the pain ? have been using a heat pack. but nothing really helps.

Hello and welcome, Thanks for your query. When you say your pain is usually at night, is it because you sleep on your back and thus apply pressure on your lower back and/or left leg (mainly till your mid-thigh) ? Does the pain start from her lower back and go down till mid-thigh? If yes, this could most probably be her Sciatic nerve being irritated and is also called Sciatica. Let me list few of the most common causes of sciatica

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i have sever back pain, not all the time usually at night or when i rest. it goes down left side of my buttocks and hurts when i put pressure on that side of my body. for example when i put weight on left leg when i walk. is there anything i can take for the pain ? have been using a heat pack. but nothing really helps.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello and welcome, Thanks for your query. When you say your pain is usually at night, is it because you sleep on your back and thus apply pressure on your lower back and/or left leg (mainly till your mid-thigh) ? Does the pain start from her lower back and go down till mid-thigh? If yes, this could most probably be her Sciatic nerve being irritated and is also called Sciatica. Let me list few of the most common causes of sciatica<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Im a 19 year old female. Yesterday a hot red bump the size of a nickel formed on my knee that only hurt if you touched it but I could feel its presence all day. This morning I woke up and it hurt to walk down the stairs or bend my knee at all. It doesnt itch like a staph infection would. I just hope it isnt too serious.

Hi, Dear,Thanks for the query to My Chat Doctor Clinic. I studied your query in details and understood your health concerns.-Treatment and Cause of your lump on knee-a-Mostly it is-a Hive ? Or a Boil on the knee.b-Show it to family doctorate would treat it with -Tb NSAID and Antibiotics -if it doesn't remove after Tb-NSAIDs in 24 -48 hrs. This advice would help you to plan treatment with your doctor. Hope this resolves your query. Wellcome for further query in this regard. Have a Good Day...!! With Regards

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Im a 19 year old female. Yesterday a hot red bump the size of a nickel formed on my knee that only hurt if you touched it but I could feel its presence all day. This morning I woke up and it hurt to walk down the stairs or bend my knee at all. It doesnt itch like a staph infection would. I just hope it isnt too serious.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Dear,Thanks for the query to My Chat Doctor Clinic. I studied your query in details and understood your health concerns.-Treatment and Cause of your lump on knee-a-Mostly it is-a Hive ? Or a Boil on the knee.b-Show it to family doctorate would treat it with -Tb NSAID and Antibiotics -if it doesn't remove after Tb-NSAIDs in 24 -48 hrs. This advice would help you to plan treatment with your doctor. Hope this resolves your query. Wellcome for further query in this regard. Have a Good Day...!! With Regards<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

all my life since I was 3 or 4 I would get headaches that made weak and tired The funny thing that it was the smell of dolls or playboh and bleach. When I was 13 I was at the boardwalk playing games when I started to feel sick we start to move and I was walking black out but still walking. Walked into some guy and fall straight back my bother in law stopped me from hitting my head he laid me down I a woke to my sister slapping me. Now I am 48 years old and 10 years ago I got up to go to work and had a nasty taste in my mouth and a nasty smell in my nose I was like I guess I getting a cold and went to work. I ate my lunch went back to work I was standing I put my arms on the table and put my head down thats all I remember I was told I was holding my self up but falling the grab me and took me to the lunch room and sat me down I was drooling did not know any one was taken home and I slept that happened a few times before I saw a doctor and he said I was having seizures because of t2 white matter on my brain now I have all things getting worst now 2 times my face and tongue have gone numb with tingling feeling for just few minutes. So what is going on now?

Hi, Thank you for posting your query. Based on the symptoms, the most likely diagnosis is seizures. So, I agree with your doctors' diagnosis. Partial seizures can cause tongue and facial numbness. T2W hyperintense lesions on MRI of brain are not suggestive of a serious disease. As of now, you should be on anti-seizure medications, such as oxcarbazepine. This would reduce the chances of seizure recurrence. I hope it helps. Please get back if you require any further information. Best wishes, Chat Doctor. Ly/

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: all my life since I was 3 or 4 I would get headaches that made weak and tired The funny thing that it was the smell of dolls or playboh and bleach. When I was 13 I was at the boardwalk playing games when I started to feel sick we start to move and I was walking black out but still walking. Walked into some guy and fall straight back my bother in law stopped me from hitting my head he laid me down I a woke to my sister slapping me. Now I am 48 years old and 10 years ago I got up to go to work and had a nasty taste in my mouth and a nasty smell in my nose I was like I guess I getting a cold and went to work. I ate my lunch went back to work I was standing I put my arms on the table and put my head down thats all I remember I was told I was holding my self up but falling the grab me and took me to the lunch room and sat me down I was drooling did not know any one was taken home and I slept that happened a few times before I saw a doctor and he said I was having seizures because of t2 white matter on my brain now I have all things getting worst now 2 times my face and tongue have gone numb with tingling feeling for just few minutes. So what is going on now?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thank you for posting your query. Based on the symptoms, the most likely diagnosis is seizures. So, I agree with your doctors' diagnosis. Partial seizures can cause tongue and facial numbness. T2W hyperintense lesions on MRI of brain are not suggestive of a serious disease. As of now, you should be on anti-seizure medications, such as oxcarbazepine. This would reduce the chances of seizure recurrence. I hope it helps. Please get back if you require any further information. Best wishes, Chat Doctor. Ly/<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I am a 38 yo woman with Lupus. I have been having muscular pains in both legs, mostly on the left side. Now my left knee is starting to hurt. I don t remember injuring my knee, but it hurts along with the muscular pain. Any thoughts of what could be the problem?

Hi, Given the history of lupus, your knee pain can be attributed to damage done by lupus to your knee joint. Kindly do hot pack twice a day and do low level impact exercises for your knees. Quadriceps isometrics exercises and heel slides, rotation of ankle. Pulling and pushing of ankles will strengthen the muscles of leg and will help you out in decreasing pain, you can also contact physiotherapy clinic where machines like (tens, it) can receive you of your pain. Stretching exercises of qua Chat Doctor. Go swimming, cycling and steam bath twice a week will surely help. Hope you find the answer useful. Let me know if I can assist you further.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I am a 38 yo woman with Lupus. I have been having muscular pains in both legs, mostly on the left side. Now my left knee is starting to hurt. I don t remember injuring my knee, but it hurts along with the muscular pain. Any thoughts of what could be the problem?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Given the history of lupus, your knee pain can be attributed to damage done by lupus to your knee joint. Kindly do hot pack twice a day and do low level impact exercises for your knees. Quadriceps isometrics exercises and heel slides, rotation of ankle. Pulling and pushing of ankles will strengthen the muscles of leg and will help you out in decreasing pain, you can also contact physiotherapy clinic where machines like (tens, it) can receive you of your pain. Stretching exercises of qua Chat Doctor. Go swimming, cycling and steam bath twice a week will surely help. Hope you find the answer useful. Let me know if I can assist you further.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

hi, im 25 year old female suffering from female pattern baldness which has kicked in only from past year and a half. i have thinning hair all over the scalp. i was on minoxidil 2% for a year but now i have stopped it. i know stopping it causes hair to shed. i also take thyronorm 100mg everyday as i suffer from thyroid since when i was 7 yrs old. is there any natural way (by using essential oils etc) to reverse female pattern baldness? pls reply..im desperate

Hi, You seem to have halogen effluvium. There may be some cause. In your case most probable cause may be thyroid dysfunction. Please take regular treatment for hypothyroidism.you are taking thermoform 100, continue it and have regular check up for thyroid dysfunction. Consult physician or endocrinologist. Take biotin containing tab for long time. Apply mild steroid lotion like mometasone lotion daily at night. And have herbal shampoo. Almond oil you may apply to improve the quality of the shaft of hairs. Have patience and positive approach. You might get good result after few months. Thanks.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hi, im 25 year old female suffering from female pattern baldness which has kicked in only from past year and a half. i have thinning hair all over the scalp. i was on minoxidil 2% for a year but now i have stopped it. i know stopping it causes hair to shed. i also take thyronorm 100mg everyday as i suffer from thyroid since when i was 7 yrs old. is there any natural way (by using essential oils etc) to reverse female pattern baldness? pls reply..im desperate<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, You seem to have halogen effluvium. There may be some cause. In your case most probable cause may be thyroid dysfunction. Please take regular treatment for hypothyroidism.you are taking thermoform 100, continue it and have regular check up for thyroid dysfunction. Consult physician or endocrinologist. Take biotin containing tab for long time. Apply mild steroid lotion like mometasone lotion daily at night. And have herbal shampoo. Almond oil you may apply to improve the quality of the shaft of hairs. Have patience and positive approach. You might get good result after few months. Thanks.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

hai sir i have chest pain in left upper zone ...... i have taken chest x ray for chest ...that radiologist given a report is small inhomogeneousopacity in left lower zone likely representing pneumonic infiltrate like that /////////like that any thing to be worry sir?

Thanks for your question on Chat Doctor. I can understand your concern. Your chest pain is mostly due to pneumonia. Pneumonia causes pleurisy (inflammation of pleura). And this causes pleuritic pain. Upper lobe pneumonia can be due to either tuberculosis or bacterial infection. So better to get done sputum examination for AFB (acid fast bacilli) to rule out tuberculosis. Also get done sputum culture to isolate the causative organism for pneumonia. You may need antibiotics or anti-tubercular Chat Doctor. So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hai sir i have chest pain in left upper zone ...... i have taken chest x ray for chest ...that radiologist given a report is small inhomogeneousopacity in left lower zone likely representing pneumonic infiltrate like that /////////like that any thing to be worry sir?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. Your chest pain is mostly due to pneumonia. Pneumonia causes pleurisy (inflammation of pleura). And this causes pleuritic pain. Upper lobe pneumonia can be due to either tuberculosis or bacterial infection. So better to get done sputum examination for AFB (acid fast bacilli) to rule out tuberculosis. Also get done sputum culture to isolate the causative organism for pneumonia. You may need antibiotics or anti-tubercular Chat Doctor. So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Friend of mine has been diagnose will oral trush and was given antibiotics, mouthwash, and some lozenges to sucked on. And it has been 3 weeks and he still has thrush in his tongue. Is there any chance you could tell why it hasnt cleared yet?...... Just concern

Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern.First we need to find out why the oral thrush is there?is it because of candida infection? Usually such severe oral thrush occurs in cases of Immune suppressed status. I would suggest you to get his following investigations done

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Friend of mine has been diagnose will oral trush and was given antibiotics, mouthwash, and some lozenges to sucked on. And it has been 3 weeks and he still has thrush in his tongue. Is there any chance you could tell why it hasnt cleared yet?...... Just concern<|eot_id|><|start_header_id|>assistant<|end_header_id|>Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern.First we need to find out why the oral thrush is there?is it because of candida infection? Usually such severe oral thrush occurs in cases of Immune suppressed status. I would suggest you to get his following investigations done<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hello, I am a 20 year old female and have been getting stabbing pains on the lower right side of my abdomen everyday for about 4 weeks now. I know it cant be my appendix for it was removed in 2010. I have noticed that above the scar of my appendix removal the area seems risen, and beneath the scar the area is flat. Should i be worried and seek further help?

Hi, Noted the history of appendectomy in 2010, but there is now pain in the scar which is elevated. This can happen due to the following reasons as per the short history that you have provided. Incisional hernia that can develop in the scar, this may be the reason for elevation and the hernia causing compression or stretching over a nerve that gets you the sharp pains.Hence, I would advise you the following in such a situation

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hello, I am a 20 year old female and have been getting stabbing pains on the lower right side of my abdomen everyday for about 4 weeks now. I know it cant be my appendix for it was removed in 2010. I have noticed that above the scar of my appendix removal the area seems risen, and beneath the scar the area is flat. Should i be worried and seek further help?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Noted the history of appendectomy in 2010, but there is now pain in the scar which is elevated. This can happen due to the following reasons as per the short history that you have provided. Incisional hernia that can develop in the scar, this may be the reason for elevation and the hernia causing compression or stretching over a nerve that gets you the sharp pains.Hence, I would advise you the following in such a situation<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Respected Sir,Im 18 years old and im experiencing hairloss.I can see reduced density of hair in my head and my hairs are thinning.I stayed away from home for 2 years and water was muddy there.I dont sleep regulerly sometimes 12,1,2,3 etc and get up as i wish and also i dont have diet at proper time maybe breakfast at 12 lunch at 5 .Iam always tensed as im a student and hairloss makes it further worse.Please help me.2 doctors whom i consulted told me that im suffering from androgenetic alopecia.My Father is not bald and my mothers father was not bald but my grandfather was bald and 5 of my uncles are bald.

Hello, Thank you for posting on Chat Doctor. I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, cosmetic products etc. From your description, it seems you might be having Male pattern hair loss or An Chat Doctor. If I were your dermatologist/trichologist, I would like to take through history including family history, history of recent major trauma/illness/stress/medications etc., and recommend some basic investigations like CBC, blood sugar, Thyroid function test. I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3-6 months. Also, would put you on solution containing 10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q era etc.). Finasteride can be used in selected patients after thorough counselling and checking your liver function. Finasteride, inhibits metabolism of testosterone at hair root level. It sometime leads to embarrassing side effects like impotency, decrease in semen volume but which are totally reversible on stopping the

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Respected Sir,Im 18 years old and im experiencing hairloss.I can see reduced density of hair in my head and my hairs are thinning.I stayed away from home for 2 years and water was muddy there.I dont sleep regulerly sometimes 12,1,2,3 etc and get up as i wish and also i dont have diet at proper time maybe breakfast at 12 lunch at 5 .Iam always tensed as im a student and hairloss makes it further worse.Please help me.2 doctors whom i consulted told me that im suffering from androgenetic alopecia.My Father is not bald and my mothers father was not bald but my grandfather was bald and 5 of my uncles are bald.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thank you for posting on Chat Doctor. I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, cosmetic products etc. From your description, it seems you might be having Male pattern hair loss or An Chat Doctor. If I were your dermatologist/trichologist, I would like to take through history including family history, history of recent major trauma/illness/stress/medications etc., and recommend some basic investigations like CBC, blood sugar, Thyroid function test. I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3-6 months. Also, would put you on solution containing 10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q era etc.). Finasteride can be used in selected patients after thorough counselling and checking your liver function. Finasteride, inhibits metabolism of testosterone at hair root level. It sometime leads to embarrassing side effects like impotency, decrease in semen volume but which are totally reversible on stopping the<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I Have a pain in my lower stomach which to begin with feels like period pains, the pain goes all the way up to my hip and lower left side of back. it last for about 4 days and fells like a dragging pain, almost like i have a brick attached to my side, each time is about 7-10 days before my period, please help? thanks s

Hi, The type of pain you experience before your cycles, is normal, this is due to the hormonal changes which happen just before the cycles start, this is known as symptoms of \"premenstrual syn Chat Doctor. The pain may continue till first two days of cycle and then slowly subside, this is known as dysmennorhea. An antispasmodic/analgesic will be of great help at this time, avoid coffee, tea and stress, also try yoga and meditation. If the pain continues for more than 3 days, you may need to see a gynecologist for an examination and an ultrasound scan. If your cycles are regular and no changes in flow, there is nothing much to worry

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I Have a pain in my lower stomach which to begin with feels like period pains, the pain goes all the way up to my hip and lower left side of back. it last for about 4 days and fells like a dragging pain, almost like i have a brick attached to my side, each time is about 7-10 days before my period, please help? thanks s<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, The type of pain you experience before your cycles, is normal, this is due to the hormonal changes which happen just before the cycles start, this is known as symptoms of \"premenstrual syn Chat Doctor. The pain may continue till first two days of cycle and then slowly subside, this is known as dysmennorhea. An antispasmodic/analgesic will be of great help at this time, avoid coffee, tea and stress, also try yoga and meditation. If the pain continues for more than 3 days, you may need to see a gynecologist for an examination and an ultrasound scan. If your cycles are regular and no changes in flow, there is nothing much to worry<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I had an injection into my tailbone due to it being severly dislocated its been about a week and the pain is twice what it use to be. I just dont think i can go through the injections again due to the pain from the needle. The doctor had to insert in about 5 different time until he could find the right spot to put the meds in. What do i do now??

Hello, Injury in tail bone is very painful. I think injection of steroid should be last option, and it should not be repeated before one month. I have the following suggestions.1. Sitz bath-sit in tub daily for half to one hour fill with gentle warm water.2. Avoid sitting on hard surface for long time.3. Use a cushion with ring shape in office, so pressure is not there on your tailbone. I hope these steps will be helpful for you. Let me know if there is any other followup questions. Thanks

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I had an injection into my tailbone due to it being severly dislocated its been about a week and the pain is twice what it use to be. I just dont think i can go through the injections again due to the pain from the needle. The doctor had to insert in about 5 different time until he could find the right spot to put the meds in. What do i do now??<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Injury in tail bone is very painful. I think injection of steroid should be last option, and it should not be repeated before one month. I have the following suggestions.1. Sitz bath-sit in tub daily for half to one hour fill with gentle warm water.2. Avoid sitting on hard surface for long time.3. Use a cushion with ring shape in office, so pressure is not there on your tailbone. I hope these steps will be helpful for you. Let me know if there is any other followup questions. Thanks<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

A week and a half ago I had a really bad Charlie horse. My leg swelled and hurt so I went to the ER and I was checked for blood clots in my Left leg. There was no blood clot. The said it was a bakers cyst. My calf hurts going up and down steps it is still swollen. I have been wearing compression socks hoping it would help but when I take off the sock my leg swells and the pain set in. It burns in the lower calf. I don t know what to do any more. I tried stretching and icing Andy advill and Aleve. I have to limp to walk.

while wedges, specially designed cushions placed under the legs to elevate your feet while sleeping. Compression socks, hosiery, or calf sleeves, which provide graduated compression that helps reduce swelling. Graduated compression means that the hosiery is the tightest around the areas of your worst swelling (usually your feet or lower leg). While comfortable to wear, the hosiery helps relieve discomfort from swelling. Low-impact exercise, which helps with circulation and can alleviate swelling. This may include walking, yoga, or light aerobics. Thank you

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: A week and a half ago I had a really bad Charlie horse. My leg swelled and hurt so I went to the ER and I was checked for blood clots in my Left leg. There was no blood clot. The said it was a bakers cyst. My calf hurts going up and down steps it is still swollen. I have been wearing compression socks hoping it would help but when I take off the sock my leg swells and the pain set in. It burns in the lower calf. I don t know what to do any more. I tried stretching and icing Andy advill and Aleve. I have to limp to walk.<|eot_id|><|start_header_id|>assistant<|end_header_id|>while wedges, specially designed cushions placed under the legs to elevate your feet while sleeping. Compression socks, hosiery, or calf sleeves, which provide graduated compression that helps reduce swelling. Graduated compression means that the hosiery is the tightest around the areas of your worst swelling (usually your feet or lower leg). While comfortable to wear, the hosiery helps relieve discomfort from swelling. Low-impact exercise, which helps with circulation and can alleviate swelling. This may include walking, yoga, or light aerobics. Thank you<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

My husband is having a dull tightness in his right abdomen. He describes it as a feeling of being full after eating small meals and a feeling that his stomach is balled up in one area. He has been very gassy and sometimes a pain or an uncomfortable feeling is there and stays there for a while until he lays down. He states that when he lifts his arms up there is a feeling like it is being pulled because of how tight it is. He has had blood work, stool samples, x-rays, liver enzyme test, pretty much everything except for a CT or MRI and everything has came back normal but he is still having the same feeling. We do not have a clue as to what else could be causing this.

Hi. Thanks for your query. Just to recapitulate

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My husband is having a dull tightness in his right abdomen. He describes it as a feeling of being full after eating small meals and a feeling that his stomach is balled up in one area. He has been very gassy and sometimes a pain or an uncomfortable feeling is there and stays there for a while until he lays down. He states that when he lifts his arms up there is a feeling like it is being pulled because of how tight it is. He has had blood work, stool samples, x-rays, liver enzyme test, pretty much everything except for a CT or MRI and everything has came back normal but he is still having the same feeling. We do not have a clue as to what else could be causing this.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. Thanks for your query. Just to recapitulate<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

One week ago I got a sinus infection and started taking a Z pack. My nose became raw and painful and I thought it was just from excessive blowing and wipeing. I thought I might be getting some kind of skin infection around my nose so I started applying antibiotioc ointment. I have finished all my antibiotics and it has still not cleared up. It is now swollen and gets very crusty. After I wash it and remove the crust it seems to drain clear fluid.

Most runny noses are caused by allergies or by viruses. While Z PAK (oral azithromycin) is indeed an antibiotic used in the treatment of bacterial sinusitis - usually differentiated for the above causes by the presence of high fever, severe pain behind the eyes, and thick greenish mucus - it would usually work. If it did not work for you, it is most likely that your symptoms were not caused by a bacterium. If you still have any of the signs of bacterial sinusitis (described above) you should see your doctor. If not, I would usually tell my patients to try over-the-counter cold and flu medication or an antihistamine. You could use some Vaseline on the skin around your nose to better protect the skin.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: One week ago I got a sinus infection and started taking a Z pack. My nose became raw and painful and I thought it was just from excessive blowing and wipeing. I thought I might be getting some kind of skin infection around my nose so I started applying antibiotioc ointment. I have finished all my antibiotics and it has still not cleared up. It is now swollen and gets very crusty. After I wash it and remove the crust it seems to drain clear fluid.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Most runny noses are caused by allergies or by viruses. While Z PAK (oral azithromycin) is indeed an antibiotic used in the treatment of bacterial sinusitis - usually differentiated for the above causes by the presence of high fever, severe pain behind the eyes, and thick greenish mucus - it would usually work. If it did not work for you, it is most likely that your symptoms were not caused by a bacterium. If you still have any of the signs of bacterial sinusitis (described above) you should see your doctor. If not, I would usually tell my patients to try over-the-counter cold and flu medication or an antihistamine. You could use some Vaseline on the skin around your nose to better protect the skin.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I had a terrible coughing attack due to allergies - one week ago. Two days later it felt like someone hit me with a baseball bat along the curved portion of my ribs. And it hurts worse now, 5 days later. Sneezing almost brought me to my knees. Any suggestions?

HelloSevere cough, pain in the ribs and uninterrupted sneezing may be due to these reasons, these include

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I had a terrible coughing attack due to allergies - one week ago. Two days later it felt like someone hit me with a baseball bat along the curved portion of my ribs. And it hurts worse now, 5 days later. Sneezing almost brought me to my knees. Any suggestions?<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloSevere cough, pain in the ribs and uninterrupted sneezing may be due to these reasons, these include<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

My 10 year old boy has a cluster of tiny blisters (about 30 over a 3 1/2 inch area) on his chest and several others on his abdominal. He has had them for about two weeks. It seems like a few more have popped up over the last several days. What could this be?

Hi, Thank you for asking question on Chat Doctor. Looks like staphylococcal skin infection. Antibiotic containing ampicillin and oxacillin for 5 days may help. Local application of antiseptic lotion or ointment will help in recovery. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My 10 year old boy has a cluster of tiny blisters (about 30 over a 3 1/2 inch area) on his chest and several others on his abdominal. He has had them for about two weeks. It seems like a few more have popped up over the last several days. What could this be?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thank you for asking question on Chat Doctor. Looks like staphylococcal skin infection. Antibiotic containing ampicillin and oxacillin for 5 days may help. Local application of antiseptic lotion or ointment will help in recovery. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

hello I tend to swell up from eating simple things. My top lip is swollen now. really dont know what causes me to keep swelling up. I have had a allergy test done several years ago and then I had another one done about a year ago and they came out totally diffierent. Food allegies is what I was told first time with a list of the foods and then the last time I was just told I have very senisitve skin.

Hi, Thanks for using Chat Doctor. Swelling suggest allergy / infection of glands. Since swelling after eating, it suggests mostly allergy. To control the swelling, rash, itching due to allergy, antihistamines and steroids can be used. Avoid the food you are allergic to. For skin prick test you can ask for specific allergens to test. After that you shod take immunotherapy based on the test to relieve problem otherwise ite test is for diagnosis and not for treatment. If you have any other associated symptoms like rhinitis, sinusitis, asthma or dermatitis then get back for further management. Hope I answered your question. Consult your doctor for further examination and management. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hello I tend to swell up from eating simple things. My top lip is swollen now. really dont know what causes me to keep swelling up. I have had a allergy test done several years ago and then I had another one done about a year ago and they came out totally diffierent. Food allegies is what I was told first time with a list of the foods and then the last time I was just told I have very senisitve skin.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for using Chat Doctor. Swelling suggest allergy / infection of glands. Since swelling after eating, it suggests mostly allergy. To control the swelling, rash, itching due to allergy, antihistamines and steroids can be used. Avoid the food you are allergic to. For skin prick test you can ask for specific allergens to test. After that you shod take immunotherapy based on the test to relieve problem otherwise ite test is for diagnosis and not for treatment. If you have any other associated symptoms like rhinitis, sinusitis, asthma or dermatitis then get back for further management. Hope I answered your question. Consult your doctor for further examination and management. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Left Shoulder injury of a right handed person. An ultrasound has verified that I have severe diffuse subscapularis tendinopathy, however no significant partial or full thickness tear is evident. There is minor infraspinatus calcific tendonitis. There is moderate supraspinatus tendinopathy & a very small bursal surface anterior supraspinatus tendon tear immediately adjacent to the biceps interval, 9 x 5 x 3mm & mild thickening of the subacromial bursa, 2.2mm on abduction. I had a bursal injection & taken Celebrix & switched to Proxen. I have obtained no pain relief & becoming very frustrated at the lack of use of the shoulder & the extreme pain caused by some (normal) movements. I ride a road bike (upright - not racing) to & from work daily & doing it gently, to minimise bumps to the shoulder. If the anti inflammatory drugs are not working, is it because there is no inflammation but there is another problem. Could it be pinched nerve & if so, how is it corrected. I m seeing an Osteo who is massaging the muscles around the area & avoiding the shoulder itself. I welcome any ideas on what the problem may be & the appropriate course of action. thanks Peter

Thanks for the information. Depending on time since injury initial immobilization in a broad arm sling for 2-3 weeks is necessary to heal minor tears, bursitis,afterwards active shoulder exercises are begun very gently intermittently along-with oral anti-inflammatory for the period of pain. Gradually sling is discarded for longer periods of time intermittently. The process may take as long as 6 weeks to heal completely. After six weeks normal shoulder activity and muscle building exercises are indicated to bring back strength of shoulder.Also, any diabetes should be ruled out with blood and urine tests think it should heal with this regime

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Left Shoulder injury of a right handed person. An ultrasound has verified that I have severe diffuse subscapularis tendinopathy, however no significant partial or full thickness tear is evident. There is minor infraspinatus calcific tendonitis. There is moderate supraspinatus tendinopathy & a very small bursal surface anterior supraspinatus tendon tear immediately adjacent to the biceps interval, 9 x 5 x 3mm & mild thickening of the subacromial bursa, 2.2mm on abduction. I had a bursal injection & taken Celebrix & switched to Proxen. I have obtained no pain relief & becoming very frustrated at the lack of use of the shoulder & the extreme pain caused by some (normal) movements. I ride a road bike (upright - not racing) to & from work daily & doing it gently, to minimise bumps to the shoulder. If the anti inflammatory drugs are not working, is it because there is no inflammation but there is another problem. Could it be pinched nerve & if so, how is it corrected. I m seeing an Osteo who is massaging the muscles around the area & avoiding the shoulder itself. I welcome any ideas on what the problem may be & the appropriate course of action. thanks Peter<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for the information. Depending on time since injury initial immobilization in a broad arm sling for 2-3 weeks is necessary to heal minor tears, bursitis,afterwards active shoulder exercises are begun very gently intermittently along-with oral anti-inflammatory for the period of pain. Gradually sling is discarded for longer periods of time intermittently. The process may take as long as 6 weeks to heal completely. After six weeks normal shoulder activity and muscle building exercises are indicated to bring back strength of shoulder.Also, any diabetes should be ruled out with blood and urine tests think it should heal with this regime<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I am having pain on the lower right side under my breast. The pain is also felt on the right back under my shoulder blade and under my arm pit. The pain under my breast feel like a muscle spasm and it awakens me from my sleep. I had the pain before went to the dr and was told it was a bladder infection but then the urine test did not affirm that. The pain went away but not it has returned 2x as painful.

Welcome to Chat Doctor I have gone through your query and understand your concern. Your pain may some kind of chest infection specially if you're having fever. It can be confirmed by x-ray chest PA view. You are likely to benefitted by analgesic such as ibuprofen for pain relief, antibiotics to control infection and be complex to recover from disease. Second possibility is muscular pain. Treatment of it is rest and analgesic such as ibuprofen. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I am having pain on the lower right side under my breast. The pain is also felt on the right back under my shoulder blade and under my arm pit. The pain under my breast feel like a muscle spasm and it awakens me from my sleep. I had the pain before went to the dr and was told it was a bladder infection but then the urine test did not affirm that. The pain went away but not it has returned 2x as painful.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Welcome to Chat Doctor I have gone through your query and understand your concern. Your pain may some kind of chest infection specially if you're having fever. It can be confirmed by x-ray chest PA view. You are likely to benefitted by analgesic such as ibuprofen for pain relief, antibiotics to control infection and be complex to recover from disease. Second possibility is muscular pain. Treatment of it is rest and analgesic such as ibuprofen. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

CT head without contrast showed atrophy and changes of chronic ischemic white matter disease. I have noticed swelling in several places on my head which is slightly painful to touch and when I lay with the back of my head on a hard surface. I am 70 years old, have PKD, controlled blood presure. What is there to be concerned about? Linda Bench

Hi, Thank you for posting your query. The CT brain findings are not something to be concerned about. Atrophy (shrinkage of brain) is normal with advancing age, and is a natural process, which can not be reversed. Regarding ischemic changes (lack of blood supply to brain), you should get your risk factors screened for (including BP, sugar, cholesterol, etc.). After consulting a doctor, you may need to take aspirin to prevent further brain ischemia. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: CT head without contrast showed atrophy and changes of chronic ischemic white matter disease. I have noticed swelling in several places on my head which is slightly painful to touch and when I lay with the back of my head on a hard surface. I am 70 years old, have PKD, controlled blood presure. What is there to be concerned about? Linda Bench<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thank you for posting your query. The CT brain findings are not something to be concerned about. Atrophy (shrinkage of brain) is normal with advancing age, and is a natural process, which can not be reversed. Regarding ischemic changes (lack of blood supply to brain), you should get your risk factors screened for (including BP, sugar, cholesterol, etc.). After consulting a doctor, you may need to take aspirin to prevent further brain ischemia. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I have had side effects taking the levonelle morning after pill. Took it on Sunday morning, experienced heeadaches, queasiness, period started within four days of taking it, diaorrhoea and feel drained! I was wondering how long do these side effects last? This is now five days later. Thanks.

Tithe appearance and duration of side effects with hormonal pills differ from person to person. In certain women, side effects reduce with subsequent cycles. Fluctuations in hormone levels caused by the menstrual cycle can trigger headaches for some women. Other women may find that the Chat Doctor. Taking your birth control pill at the same time every day may help reduce side effects. This is because your hormone levels remain steady. If you take a pill early one morning and then take one again in the afternoon the next day, it creates a gap between doses. This can cause a shift in your hormone levels and may prompt a headache. Hope that was helpful. Let me know if I can assist you further. Regards

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have had side effects taking the levonelle morning after pill. Took it on Sunday morning, experienced heeadaches, queasiness, period started within four days of taking it, diaorrhoea and feel drained! I was wondering how long do these side effects last? This is now five days later. Thanks.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Tithe appearance and duration of side effects with hormonal pills differ from person to person. In certain women, side effects reduce with subsequent cycles. Fluctuations in hormone levels caused by the menstrual cycle can trigger headaches for some women. Other women may find that the Chat Doctor. Taking your birth control pill at the same time every day may help reduce side effects. This is because your hormone levels remain steady. If you take a pill early one morning and then take one again in the afternoon the next day, it creates a gap between doses. This can cause a shift in your hormone levels and may prompt a headache. Hope that was helpful. Let me know if I can assist you further. Regards<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I have left erector in constant spasm, causes severe pain/fatigue across lower back. When I try to walk, bend, or stairs becomes unbearable. Sitting/ lying relieves. Now I am experiencing sob when back is tight / painful, very sob, have to sit. I have limited scleroderma, why sob, can this have connection to scleroderma?

Dear- I reviewed your question with care and will try to help you with my medical advice. Scleroderma is a diffuse disease characterized for hardness of the connective tissue and back. It is a systemic condition which means that can affect any part of the body, including your lungs. You might be having shortness of breath because of this too. The back pain and spasm is probably secondary to the Scleroderma too. I recommend you to see a rheumatologist to evaluate the status of the disease and have X-ray of the low back too. I hope that my advice has been helpful Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have left erector in constant spasm, causes severe pain/fatigue across lower back. When I try to walk, bend, or stairs becomes unbearable. Sitting/ lying relieves. Now I am experiencing sob when back is tight / painful, very sob, have to sit. I have limited scleroderma, why sob, can this have connection to scleroderma?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Dear- I reviewed your question with care and will try to help you with my medical advice. Scleroderma is a diffuse disease characterized for hardness of the connective tissue and back. It is a systemic condition which means that can affect any part of the body, including your lungs. You might be having shortness of breath because of this too. The back pain and spasm is probably secondary to the Scleroderma too. I recommend you to see a rheumatologist to evaluate the status of the disease and have X-ray of the low back too. I hope that my advice has been helpful Chat Doctor.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi name is manny I m 32 year old I m trying to get pregnant I had my medication from India doctor told me to use susten VT 200 for ten day.i had my period on April 17 she told me to use after intercourse . But I forget the date when I have to start using this . Can u guide me please.

Hi, Susten Vt contain progesterone. It should be taken after ovulation to support luteal phase. It makes uterine environment favorable for implantation and support early pregnancy. Furthermore, it should be taken from 15th to 25th day of your cycle. Furthermore, it can be available in oral and vaginal form. - Oral form

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi name is manny I m 32 year old I m trying to get pregnant I had my medication from India doctor told me to use susten VT 200 for ten day.i had my period on April 17 she told me to use after intercourse . But I forget the date when I have to start using this . Can u guide me please.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Susten Vt contain progesterone. It should be taken after ovulation to support luteal phase. It makes uterine environment favorable for implantation and support early pregnancy. Furthermore, it should be taken from 15th to 25th day of your cycle. Furthermore, it can be available in oral and vaginal form. - Oral form<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Doc I have a problem when defacating, it hurts a lot in my back passage and I have to usually help the motion on its way with a gloved finger , I ve been using a prescribed lidocaine cream to help but it s so tight and painful now I can t even touch it and the lidocaine doesn t help with this part of the problem. The pain has been there for over 24 hours and it s like having dental pain in my ass. I can touch the cheeks and the first part of the anal opening (my wife says it looks purple and swollen to look at) its inside it, it is very tight and if I try to insert a finger the pain is excruciating what do I do?Sorry doc I forgot to add some of my history I didnt think Id get an answer, my stools are quite loose (I take movicol, latulose and senna) I am on quite a high dose of morphine due to a large open wound from an appendectomy 6 years ago (wound still open and has become a fistula/sinus with an operatoin performed to remove it but it came back) chronic infection and abscesses and recurrent MRSA of which Im constantly on doxycilene fluclox,cef,met amoxicillin etc etc

Hi, Thanks for posting the query, Your symptoms suggest that you have a problem of constipation, it is not a serious condition just upset the patient too much. It is generally helped by taking good amount of fluids orally, consuming high fiber rich diet like green leafy vegetables , salads, fruits. Consult to a Gastroenterologist and find there is any reason for such symptoms and get it relieved by some laxatives. If you have any Dental problems you can visit to a Dentist and get the checkup done. Hope this helps out. Regards....

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Doc I have a problem when defacating, it hurts a lot in my back passage and I have to usually help the motion on its way with a gloved finger , I ve been using a prescribed lidocaine cream to help but it s so tight and painful now I can t even touch it and the lidocaine doesn t help with this part of the problem. The pain has been there for over 24 hours and it s like having dental pain in my ass. I can touch the cheeks and the first part of the anal opening (my wife says it looks purple and swollen to look at) its inside it, it is very tight and if I try to insert a finger the pain is excruciating what do I do?Sorry doc I forgot to add some of my history I didnt think Id get an answer, my stools are quite loose (I take movicol, latulose and senna) I am on quite a high dose of morphine due to a large open wound from an appendectomy 6 years ago (wound still open and has become a fistula/sinus with an operatoin performed to remove it but it came back) chronic infection and abscesses and recurrent MRSA of which Im constantly on doxycilene fluclox,cef,met amoxicillin etc etc<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for posting the query, Your symptoms suggest that you have a problem of constipation, it is not a serious condition just upset the patient too much. It is generally helped by taking good amount of fluids orally, consuming high fiber rich diet like green leafy vegetables , salads, fruits. Consult to a Gastroenterologist and find there is any reason for such symptoms and get it relieved by some laxatives. If you have any Dental problems you can visit to a Dentist and get the checkup done. Hope this helps out. Regards....<|eot_id|>