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

I HAVE HAD A COUGH FOR A WEEK. THERE IS MUCUS THAT COMES UP. HAVE BEEN TAKING ROBITUSSIN DECONGESTANT FOR COUGH AND MUCUS. THIS HAS GONE THROUGH 4 OF US IN THE HOUSE MY HUSBAND FEELS VERY TIRED FROM IT AND HIS RIBS ARE SORE FROM COUGHING. WE LIVE IN RI.

Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of viral Upper respiratory tract infection is more. And history of similar complaints into family members suggest viral infection and spread. So avoid Robitussin syrup. I can have expectorant. So it will cause more coughing. Your rib pain is due to excessive coughing. So better to start antihistamines and anti-inflammatory Chat Doctor. Do warm water gargles 5-6 times a day. Avoid oily and spicy food.

<|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 A COUGH FOR A WEEK. THERE IS MUCUS THAT COMES UP. HAVE BEEN TAKING ROBITUSSIN DECONGESTANT FOR COUGH AND MUCUS. THIS HAS GONE THROUGH 4 OF US IN THE HOUSE MY HUSBAND FEELS VERY TIRED FROM IT AND HIS RIBS ARE SORE FROM COUGHING. WE LIVE IN RI.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of viral Upper respiratory tract infection is more. And history of similar complaints into family members suggest viral infection and spread. So avoid Robitussin syrup. I can have expectorant. So it will cause more coughing. Your rib pain is due to excessive coughing. So better to start antihistamines and anti-inflammatory Chat Doctor. Do warm water gargles 5-6 times a day. Avoid oily and spicy food.<|eot_id|>

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

Age 58 Male,suffering from cold for past 4 weeks was having medicine prescribed by family doctor, after which we went for CBC from which we came to know that WBC had gone to 1000 and RBC was low & platelets were normal after which we consulted a hematologist who had done bone marrow test by which we came to know that it is aplastic anemia but after that he didnt gave medicine and after a week today we did CBC again which is showing WBC count 900 rest is ok...... now the doc. gave one capsule to take for 15 days and see if it is curing by that can someone help me with this case as i am really tensed and not getting what is this all about ???? can someone tell me what is this diesease ? what is the cure ?????? and how to cure it ????? please share your experience i am really in need of your advice

Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Plastic anemia is a bone marrow disorder commonly due to megaloblastic anemia.2. It B12 should show improvement if it is secondary to megaloblastic anemia. 3. If oral It B12 is not helping, It B12 shots will be helpful. Take a nutritious diet. If other cells are responding, this will also improve. If you have any infection, better to take a granulocyte infusion till WBC improves to avoid risking any critical infections. Hope it helps. Any further queries, happy to help again.

<|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: Age 58 Male,suffering from cold for past 4 weeks was having medicine prescribed by family doctor, after which we went for CBC from which we came to know that WBC had gone to 1000 and RBC was low & platelets were normal after which we consulted a hematologist who had done bone marrow test by which we came to know that it is aplastic anemia but after that he didnt gave medicine and after a week today we did CBC again which is showing WBC count 900 rest is ok...... now the doc. gave one capsule to take for 15 days and see if it is curing by that can someone help me with this case as i am really tensed and not getting what is this all about ???? can someone tell me what is this diesease ? what is the cure ?????? and how to cure it ????? please share your experience i am really in need of your advice<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Plastic anemia is a bone marrow disorder commonly due to megaloblastic anemia.2. It B12 should show improvement if it is secondary to megaloblastic anemia. 3. If oral It B12 is not helping, It B12 shots will be helpful. Take a nutritious diet. If other cells are responding, this will also improve. If you have any infection, better to take a granulocyte infusion till WBC improves to avoid risking any critical infections. Hope it helps. Any further queries, happy to help again.<|eot_id|>

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

I had right inguinal surgery 15 days ago and my doctor removed my stitches removed yesterday. However the area around the incision feels itchy and red. My doctor did not prescribe any cream or medicine for the redness and itchiness. He only gave me some cream to treat the scar. Will the itchiness and redness heal on their own? Can I apply the scar treatment cream over the red area around the incision?

Hello, You have itching and redness around the area of incision is usually associated with skin vascular conditions such as hematoma or lymphangioma. Need not worry. It is not nerve damage rather localized damage. I would suggest you visit a physician once and get the area of damage examined. You should apply Thrombophob gel and ice pack on the site of the swelling. Chemotherapy and laser therapies are recent treatment options available and the most effective ways of reducing it. Apply numbing gel in the local area as well. It will take two to three weeks to heal it properly. 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 had right inguinal surgery 15 days ago and my doctor removed my stitches removed yesterday. However the area around the incision feels itchy and red. My doctor did not prescribe any cream or medicine for the redness and itchiness. He only gave me some cream to treat the scar. Will the itchiness and redness heal on their own? Can I apply the scar treatment cream over the red area around the incision?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, You have itching and redness around the area of incision is usually associated with skin vascular conditions such as hematoma or lymphangioma. Need not worry. It is not nerve damage rather localized damage. I would suggest you visit a physician once and get the area of damage examined. You should apply Thrombophob gel and ice pack on the site of the swelling. Chemotherapy and laser therapies are recent treatment options available and the most effective ways of reducing it. Apply numbing gel in the local area as well. It will take two to three weeks to heal it properly. 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 doctor,I have a pretty annoying problem

Hi Jasper. Nice to see a real good history, gone through and your English is perfectly normal. This is called frequency of micturition. The main cause can be a local infection in the bladder irritating, another is a stone in the urinary bladder irritating a particular part of bladder called a trig one- a very sensitive one. Another causes are like diabetes mellitus / insidious and so on. What you need is to find our TH root cause by routine tests of Blood and urine, urine culture sensitivity, ultrasonography of abdomen. This will find out the original cause. Then the treatment really easy. Please do not try anything at home. T looks you have mentioned your weight too much.

<|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 have a pretty annoying problem<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi Jasper. Nice to see a real good history, gone through and your English is perfectly normal. This is called frequency of micturition. The main cause can be a local infection in the bladder irritating, another is a stone in the urinary bladder irritating a particular part of bladder called a trig one- a very sensitive one. Another causes are like diabetes mellitus / insidious and so on. What you need is to find our TH root cause by routine tests of Blood and urine, urine culture sensitivity, ultrasonography of abdomen. This will find out the original cause. Then the treatment really easy. Please do not try anything at home. T looks you have mentioned your weight too much.<|eot_id|>

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

I am George Daniel , 56 year old wants to take angiogram and to consult the Dr. George Thayil. Now I am working in Dubai,what is the procedures and how many days will take for angio +consultation.some days back I am went a hospital with chest pain.taken the ECG, ECG was perfectly ok, I am having diabetes, hypertension and cholesterol but blood sugar and BP under control Ldl cholesterol is above normal Still I am taking medicines. If I am getting the telephone number of Lourdes hospital that is well to contact.

Hello, After going through your medical query I understand your concern and would like to tell you that angiogram is a daycare procedure which can take 4-8 hours depending on the site of puncture radial or femoral. If your angiogram is normal then you can go back the home same day or if you are going for angioplasty then 2-3 day hospital stay. 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 am George Daniel , 56 year old wants to take angiogram and to consult the Dr. George Thayil. Now I am working in Dubai,what is the procedures and how many days will take for angio +consultation.some days back I am went a hospital with chest pain.taken the ECG, ECG was perfectly ok, I am having diabetes, hypertension and cholesterol but blood sugar and BP under control Ldl cholesterol is above normal Still I am taking medicines. If I am getting the telephone number of Lourdes hospital that is well to contact.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, After going through your medical query I understand your concern and would like to tell you that angiogram is a daycare procedure which can take 4-8 hours depending on the site of puncture radial or femoral. If your angiogram is normal then you can go back the home same day or if you are going for angioplasty then 2-3 day hospital stay. 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.

hello doctor...my semen is often released during sleep... even sometimes it releases 3-4 times a week...and i feel weak physically..what i could do to stop this nocturnal ejections? is it something dangerous to my health..pls mail me to YYYY@YYYY

Thanks for asking in Chat Doctor forum In short

<|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 semen is often released during sleep... even sometimes it releases 3-4 times a week...and i feel weak physically..what i could do to stop this nocturnal ejections? is it something dangerous to my health..pls mail me to YYYY@YYYY<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for asking in Chat Doctor forum In short<|eot_id|>

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

Sir, i am f-mail 24years old , 5 height 50 kg weight , i am married 3 years before ,but i am not pregnant till now, so i am in treatment of my nearest doctor, as part of it, doctor advice me to take folinz for 1 month and Clome for 5 days, is this tablet make me pregnant ? what are the purpose of it?

Hi, I appreciate your concerns. If you have not conceived even after trying for three years, you need to find out the cause for it first. It is good to know that your BMI is normal. Are your menstrual cycles regular? To increase your chances of conception you need to have intercourse at least three times in a week and quit smoking (if smoking). Folinz in addition to zinc contains vitamin folic acid. This vitamin reduces the risk of baby having brain or spine abnormality. Therefore, all women planning pregnancy should take this tablet. It is important that you and your husband should see gynecologist and do baseline infertility work up (hormone test and fallopian tube patency test for you and semen analysis for your husband). Based on the results of investigations treatment can be planned. Closed is a tablet given for women who do not ovulate on their own. If you are taking this tablet you need to do serial ultrasound in the first month to make sure that you are ovulating and not responding with development of too many eggs. I hope I have answered your concerns.

<|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: Sir, i am f-mail 24years old , 5 height 50 kg weight , i am married 3 years before ,but i am not pregnant till now, so i am in treatment of my nearest doctor, as part of it, doctor advice me to take folinz for 1 month and Clome for 5 days, is this tablet make me pregnant ? what are the purpose of it?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, I appreciate your concerns. If you have not conceived even after trying for three years, you need to find out the cause for it first. It is good to know that your BMI is normal. Are your menstrual cycles regular? To increase your chances of conception you need to have intercourse at least three times in a week and quit smoking (if smoking). Folinz in addition to zinc contains vitamin folic acid. This vitamin reduces the risk of baby having brain or spine abnormality. Therefore, all women planning pregnancy should take this tablet. It is important that you and your husband should see gynecologist and do baseline infertility work up (hormone test and fallopian tube patency test for you and semen analysis for your husband). Based on the results of investigations treatment can be planned. Closed is a tablet given for women who do not ovulate on their own. If you are taking this tablet you need to do serial ultrasound in the first month to make sure that you are ovulating and not responding with development of too many eggs. I hope I have answered your concerns.<|eot_id|>

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

hi, my 1.03 yrs baby is suffering from fever from last 2-3 days. When given Paracetamol it goes off. Urine tested and showed RBCs 8-10 and acetone bodies +1 rest parameters are normal. No sore throat or cough. Is anything related to swine flu. Doctors diagnosed as UTI. I m worried as here in India we have Swine flu epidemic.

RVC can be sign of metabolic neuropathy, because Crystals of salt can hurt glomerulus. White blood cells will indicate infection. You told nothing about protein in urine, which also indicate infection more often in glomerulus. We need additional urine analysis-cytology, analysis for salts and other. You should consult at nephrologist. For treatment infection better use definite, because it is very sensitive to E.cold, which causes inflammation in kidney. Give to baby plenty of water. Recovery soon

<|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 1.03 yrs baby is suffering from fever from last 2-3 days. When given Paracetamol it goes off. Urine tested and showed RBCs 8-10 and acetone bodies +1 rest parameters are normal. No sore throat or cough. Is anything related to swine flu. Doctors diagnosed as UTI. I m worried as here in India we have Swine flu epidemic.<|eot_id|><|start_header_id|>assistant<|end_header_id|>RVC can be sign of metabolic neuropathy, because Crystals of salt can hurt glomerulus. White blood cells will indicate infection. You told nothing about protein in urine, which also indicate infection more often in glomerulus. We need additional urine analysis-cytology, analysis for salts and other. You should consult at nephrologist. For treatment infection better use definite, because it is very sensitive to E.cold, which causes inflammation in kidney. Give to baby plenty of water. Recovery soon<|eot_id|>

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

My widowed mom aged about 38 yrs. is suffering of some illusions and always depressed.she can hear things which we cant hear.she thinks the neighbours are talking about her badly.she shout very loudly to reply for that voice.she doesn t sleep at day or even in night.she forget her laugh long back.pls help..is there any treatment for this.

Hello... Thanks for your query. Talking to self and hearing voices that others do not are referred to as auditory hallucinations and hallucinatory behavior. These are symptoms of psychotic illness. Effective antipsychotics are available to deal with the condition. I would suggest a thorough psychiatric evaluation followed by appropriate antipsychotics for management. Sedatives can be prescribed for sleep difficulty. 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 widowed mom aged about 38 yrs. is suffering of some illusions and always depressed.she can hear things which we cant hear.she thinks the neighbours are talking about her badly.she shout very loudly to reply for that voice.she doesn t sleep at day or even in night.she forget her laugh long back.pls help..is there any treatment for this.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello... Thanks for your query. Talking to self and hearing voices that others do not are referred to as auditory hallucinations and hallucinatory behavior. These are symptoms of psychotic illness. Effective antipsychotics are available to deal with the condition. I would suggest a thorough psychiatric evaluation followed by appropriate antipsychotics for management. Sedatives can be prescribed for sleep difficulty. Regards Chat Doctor.<|eot_id|>

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

I am a 23 year old female. For the last couple years I have gotten little bumps a long my inner thigh/ bikini line. They are usually filled with a white pus and very small. About 4 days ago I felt one coming on but it never fully surfaced. It is deep under the skin. It about the size of a golf ball. If I touch it, it is hard and very swollen. Any ideas what it could be? How to get rid of it?

Welcome to Chat Doctor .1. It seems like a bacterial infection causing the lumpy collection after the infection to the hair follicle (carbuncle / fur uncle).2. It might be after the removal of the hair (shaving), infective cause due to irritation.3. In this case I would examine and give a course of antibiotics if the lumps are small, if they are large an incision and Chat Doctor. 4. Do not neglect - as this kind of infections do complicate.5. An ultrasound might need for its extensions (to the adjacent anatomical structures. See your GP as soon as possible, do not itch the area, and heel hygiene. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. 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: I am a 23 year old female. For the last couple years I have gotten little bumps a long my inner thigh/ bikini line. They are usually filled with a white pus and very small. About 4 days ago I felt one coming on but it never fully surfaced. It is deep under the skin. It about the size of a golf ball. If I touch it, it is hard and very swollen. Any ideas what it could be? How to get rid of it?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Welcome to Chat Doctor .1. It seems like a bacterial infection causing the lumpy collection after the infection to the hair follicle (carbuncle / fur uncle).2. It might be after the removal of the hair (shaving), infective cause due to irritation.3. In this case I would examine and give a course of antibiotics if the lumps are small, if they are large an incision and Chat Doctor. 4. Do not neglect - as this kind of infections do complicate.5. An ultrasound might need for its extensions (to the adjacent anatomical structures. See your GP as soon as possible, do not itch the area, and heel hygiene. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.<|eot_id|>

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

Hello sir. I am sandeep vasrani from Akola (Maharashtra) my mother is 70 years old & suffring from diabetes since last 9 years. 2 years ago we found that the liver is damaged because of diabetes & doctors said that my mother has a problem called liver cirrhosis. Now in these 2 years she has hospitalised for 3 times because ammonia level was increased. I want to know that how can I maintain amonia level .

Hello, Welcome to Chat Doctor. I read carefully your query and I understand your concern. The treatment for cirrhosis with increased ammonia level include medication e.g. Lactulose that decrease the absorption of ammonia and also dietary change, that include the use of vegetable protein instead of animal protein, it is considered add probiotic treatment that have the same effect, decreasing the ammonium level. The changes in diet that you should do to your mother to improve the survival are also, a sodium restrict diet, a low fat diet and adding antioxidant nutrients e.g. vitamin E, Link and adding also Folate and Vitamin B6. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Kind regards, Chat Doctor. Maria Bank

<|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. I am sandeep vasrani from Akola (Maharashtra) my mother is 70 years old & suffring from diabetes since last 9 years. 2 years ago we found that the liver is damaged because of diabetes & doctors said that my mother has a problem called liver cirrhosis. Now in these 2 years she has hospitalised for 3 times because ammonia level was increased. I want to know that how can I maintain amonia level .<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Welcome to Chat Doctor. I read carefully your query and I understand your concern. The treatment for cirrhosis with increased ammonia level include medication e.g. Lactulose that decrease the absorption of ammonia and also dietary change, that include the use of vegetable protein instead of animal protein, it is considered add probiotic treatment that have the same effect, decreasing the ammonium level. The changes in diet that you should do to your mother to improve the survival are also, a sodium restrict diet, a low fat diet and adding antioxidant nutrients e.g. vitamin E, Link and adding also Folate and Vitamin B6. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Kind regards, Chat Doctor. Maria Bank<|eot_id|>

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

I have benign hailey hailey for last 45 years .. Genetic . Used all medicines ... allopathy , homo, ayurvedic , siddha but no permanent relief . For last 2 years frequent flare- ups occur, in groins, armpits legs joints etc. foul smell and occasional lesions occur. Last 2 years using Steroids (Wysolone 10 to 30 mgs) with Candidermaplus cream. Any good remedy in homeo now - at keats 0000%. Whether it is possible to contain , eliminate foul smell, legions etc at least within 3 to 6 months. What would be the costs ..I am a pensioner (Bank retired). And aged 75 years. God s grace , all parameters of tests are normal. ...no sugar etc. kindly advise me. .. Natarajan.mr@ gmail.com Phone 044-0000//

Welcome sir you were using antifungal & steroids while you are saying its genetic. So you can take genetic constitutional medicine which works on your body system and hormones. Not only on your external part of body. Can you write down your full detail account to my patient perform /can you take a proper constitutional Medina with help of the nearest homeopathic physician .he wills each out his proper Medici.otherwise you can try to take that medicine Baptista q, nit acid 200 OD homeopatChatDoctored Chat Doctor. Com

<|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 benign hailey hailey for last 45 years .. Genetic . Used all medicines ... allopathy , homo, ayurvedic , siddha but no permanent relief . For last 2 years frequent flare- ups occur, in groins, armpits legs joints etc. foul smell and occasional lesions occur. Last 2 years using Steroids (Wysolone 10 to 30 mgs) with Candidermaplus cream. Any good remedy in homeo now - at keats 0000%. Whether it is possible to contain , eliminate foul smell, legions etc at least within 3 to 6 months. What would be the costs ..I am a pensioner (Bank retired). And aged 75 years. God s grace , all parameters of tests are normal. ...no sugar etc. kindly advise me. .. Natarajan.mr@ gmail.com Phone 044-0000//<|eot_id|><|start_header_id|>assistant<|end_header_id|>Welcome sir you were using antifungal & steroids while you are saying its genetic. So you can take genetic constitutional medicine which works on your body system and hormones. Not only on your external part of body. Can you write down your full detail account to my patient perform /can you take a proper constitutional Medina with help of the nearest homeopathic physician .he wills each out his proper Medici.otherwise you can try to take that medicine Baptista q, nit acid 200 OD homeopatChatDoctored Chat Doctor. Com<|eot_id|>

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

hi am a student being asked for following test before I join any JOB these tests are1. HBSAg (SPOT/ELISA)2. Chest X ray3. Typhoid (Widal)4. Urine routine and bile pigments5. Blood grouping and Rh Typing6. Stool check can u tell what are these for

Hilt me help you out regarding the testsHBSAg is to check for Hepatitis B infectionChest X-ray to rule out any respiratory ailment and also will assess if you are a smoker. Typhoid TIDAL is to check for typhoid fever. Urine routine for any urinary infection. Bile pigments to check your liver status. Blood grouping and Rh typing primarily for documentation and in case of emergencies for blood transfusionStool check for any gut infection. These are routine tests usually before a job to rule out any infection at the time of your joining and also for documentation purpose for your health insurance which the company may provide. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing 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: hi am a student being asked for following test before I join any JOB these tests are1. HBSAg (SPOT/ELISA)2. Chest X ray3. Typhoid (Widal)4. Urine routine and bile pigments5. Blood grouping and Rh Typing6. Stool check can u tell what are these for<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hilt me help you out regarding the testsHBSAg is to check for Hepatitis B infectionChest X-ray to rule out any respiratory ailment and also will assess if you are a smoker. Typhoid TIDAL is to check for typhoid fever. Urine routine for any urinary infection. Bile pigments to check your liver status. Blood grouping and Rh typing primarily for documentation and in case of emergencies for blood transfusionStool check for any gut infection. These are routine tests usually before a job to rule out any infection at the time of your joining and also for documentation purpose for your health insurance which the company may provide. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.<|eot_id|>

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

my 5 yr old has had the flu for a week. she had refused all medication until today. she took one dose of childrens motrin. her fever instintly broke but now she is cool, clamy and sweaty. she is up walking but very shaky and weak. is this normal? she is also drinking and eating more today. she has not had any vomiting, very few lose stools. mainly fever staying high and very tired.

Welcome to the ChatDoctorI understand your concerns. Don't worry. She seems to be in the convalescent phase of her illness. Return of appetite is a good sign. Fever is a catabolic state and many a times lead to weakness especially when associated with poor appetite. Do not worry about cold and clammy skin at fall of fever spikes as it's a normal response of body. I would recommend you to use acetaminophen for fever spikes instead of Motrin as first choice. Ensure regular healthy diet with plenty of fluids to keep her well HY Chat Doctor. Hopefully this will help you. I would be happy to help you in any further questions. 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: my 5 yr old has had the flu for a week. she had refused all medication until today. she took one dose of childrens motrin. her fever instintly broke but now she is cool, clamy and sweaty. she is up walking but very shaky and weak. is this normal? she is also drinking and eating more today. she has not had any vomiting, very few lose stools. mainly fever staying high and very tired.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Welcome to the ChatDoctorI understand your concerns. Don't worry. She seems to be in the convalescent phase of her illness. Return of appetite is a good sign. Fever is a catabolic state and many a times lead to weakness especially when associated with poor appetite. Do not worry about cold and clammy skin at fall of fever spikes as it's a normal response of body. I would recommend you to use acetaminophen for fever spikes instead of Motrin as first choice. Ensure regular healthy diet with plenty of fluids to keep her well HY Chat Doctor. Hopefully this will help you. I would be happy to help you in any further questions. Take care<|eot_id|>

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

Hi there, i have felt nauseated and unwell x 4 days. Pain on right side of back and now, just above illiac crest, now spreading towards front. pain increasing in intensity and comes and goes, Radiates toward groin , in waves. Nausea and dizziness increase with these waves 38 yr old female. there is no reason I know of for the nausea no fever , no significant changes in GU, of GI, only very slightly elevated BP

Hello. Thanks for writing to us. The pain that you have described seems to be due to a prolapsed disc causing a nerve root compression at the level of spinal cord. You need to get an MRI of the lower back done to detect the cause of the pain you are having. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile 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: Hi there, i have felt nauseated and unwell x 4 days. Pain on right side of back and now, just above illiac crest, now spreading towards front. pain increasing in intensity and comes and goes, Radiates toward groin , in waves. Nausea and dizziness increase with these waves 38 yr old female. there is no reason I know of for the nausea no fever , no significant changes in GU, of GI, only very slightly elevated BP<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello. Thanks for writing to us. The pain that you have described seems to be due to a prolapsed disc causing a nerve root compression at the level of spinal cord. You need to get an MRI of the lower back done to detect the cause of the pain you are having. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http<|eot_id|>

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

My husband was on Paternia, Carnisure and Evion for 3 months. His ealier Semen Analysis showed 20 Million, 10 Million and 65 million with an average of 30-40% motility in all the reports. Before our first IUI, the latest SA showed 5 Million. It it possible for the count to decrease so abruptly. Now he has been asked to continue Paternia, Carnisure, Evion, with an addition of Tamoxifen. Will his count increase.

HelloThanks for query. There are always variations in sperm count which depends upon the factors like time of collection of sperms, period of abstinence before test etc. To be true there is very little role for medicines to increase sperm count.However, following measure will help to increase sperm count to some extent .1) 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: My husband was on Paternia, Carnisure and Evion for 3 months. His ealier Semen Analysis showed 20 Million, 10 Million and 65 million with an average of 30-40% motility in all the reports. Before our first IUI, the latest SA showed 5 Million. It it possible for the count to decrease so abruptly. Now he has been asked to continue Paternia, Carnisure, Evion, with an addition of Tamoxifen. Will his count increase.<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloThanks for query. There are always variations in sperm count which depends upon the factors like time of collection of sperms, period of abstinence before test etc. To be true there is very little role for medicines to increase sperm count.However, following measure will help to increase sperm count to some extent .1) 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.

I have had this pain in my stomach since Thursday morning. It feels like I have been kicked in my stomach and there is a lot of pressure also. I am eating/drinking just fine and using the restroom with no problems. I wont see my doctor until Monday morning. What can I do until then?

HI. Thanks for your query and an elucidated history. The feeling of the pain like being kicked in the stomach without any obvious nausea, Chat Doctor. Lymph node mass or some other inflammation going on in the abdomen. I would advise you the following. Get Physical examination of the abdomen by a Surgeon. Ultrasonography of the abdomen. Test of blood. Urine and stool. All this thing will give a probable diagnosis which to be followed by a proper treatment.

<|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 this pain in my stomach since Thursday morning. It feels like I have been kicked in my stomach and there is a lot of pressure also. I am eating/drinking just fine and using the restroom with no problems. I wont see my doctor until Monday morning. What can I do until then?<|eot_id|><|start_header_id|>assistant<|end_header_id|>HI. Thanks for your query and an elucidated history. The feeling of the pain like being kicked in the stomach without any obvious nausea, Chat Doctor. Lymph node mass or some other inflammation going on in the abdomen. I would advise you the following. Get Physical examination of the abdomen by a Surgeon. Ultrasonography of the abdomen. Test of blood. Urine and stool. All this thing will give a probable diagnosis which to be followed by a proper treatment.<|eot_id|>

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

I am a 43 year old female, about 56 -150 lbs or so. I have M S and a disc problem C4 -C7, I am experiencing fluttering or spasma in my chest area. Wondering if heart related or not. Pulse is good. So hard to tell being that I have the MS and a disc problem on top of that...Frustrated

Thanks for your question on Chat Doctor. I can understand your concern. Fluttering sensation in chest area is commonly seen in arrhythmias (rhythm disturbances in heart). And you are also having MS (Mitral Stenosis). So possibility of arrhythmias like atrial fibrillation (AF), atrial flutter, supra ventricular tachycardia (SVT) etc. is more. And hence better to consult cardiologist and get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). On the basis of these reports, you will be anti arrhythmia Chat Doctor. Don't worry, with proper treatment, you will be alright. 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 am a 43 year old female, about 56 -150 lbs or so. I have M S and a disc problem C4 -C7, I am experiencing fluttering or spasma in my chest area. Wondering if heart related or not. Pulse is good. So hard to tell being that I have the MS and a disc problem on top of that...Frustrated<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. Fluttering sensation in chest area is commonly seen in arrhythmias (rhythm disturbances in heart). And you are also having MS (Mitral Stenosis). So possibility of arrhythmias like atrial fibrillation (AF), atrial flutter, supra ventricular tachycardia (SVT) etc. is more. And hence better to consult cardiologist and get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). On the basis of these reports, you will be anti arrhythmia Chat Doctor. Don't worry, with proper treatment, you will be alright. 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.

hi i am a 30 yr old female pulse rate is 79 blood pressure is 125/70 family history of heart disease. (grandmother on fathers side had 6 heart attacks last one large. my father had 2 heart attacks 1 when he was 41 then 11 months later the second which killed him) i was on duromine and had tachycardia my rate went up to 125 and blood pressure was up and had some palpitations which did not show up on ecg just wondering if i should wear a monitor for 24 hours. had blood test recently and my cholesterol is up.

Hello, Based on your family medical history, which gives you a higher risk for possible cardiac problems, I recommend you to do cardiac sonography and a cardiac stress test to see if everything is ok. You should keep in contact with a cardiologist. I don't think that an ECG Holder monitoring is important from what you are writing. 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 i am a 30 yr old female pulse rate is 79 blood pressure is 125/70 family history of heart disease. (grandmother on fathers side had 6 heart attacks last one large. my father had 2 heart attacks 1 when he was 41 then 11 months later the second which killed him) i was on duromine and had tachycardia my rate went up to 125 and blood pressure was up and had some palpitations which did not show up on ecg just wondering if i should wear a monitor for 24 hours. had blood test recently and my cholesterol is up.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Based on your family medical history, which gives you a higher risk for possible cardiac problems, I recommend you to do cardiac sonography and a cardiac stress test to see if everything is ok. You should keep in contact with a cardiologist. I don't think that an ECG Holder monitoring is important from what you are writing. 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.

Hello I have a 29 year old healthy active teacher who was sitting at lunch suddenly both arms became numb , she could not speak had a slight head ace. Went to hospital stayed over night, They ran every test possible. Then everything cleared up by next day. Could not find anything. But has in the past had pain in shoulders if worked at computer for a long time. Her grandmother has migrane head ackes. Could this be early sigh of MS?

Hello dear, Symptoms of Multiple sclerosis are variable and numbness in both arms can be a part of it, though headache is unusual in it. But diagnosis can't be made unless, there are hyperintense signals in magnetic resonance imaging(MRI) of brain in typical locations. So, if in this case all tests including MRI are normal, MS is unlikely. Still, its better to get a detailed examination with a neurologist. I hope it 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 I have a 29 year old healthy active teacher who was sitting at lunch suddenly both arms became numb , she could not speak had a slight head ace. Went to hospital stayed over night, They ran every test possible. Then everything cleared up by next day. Could not find anything. But has in the past had pain in shoulders if worked at computer for a long time. Her grandmother has migrane head ackes. Could this be early sigh of MS?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello dear, Symptoms of Multiple sclerosis are variable and numbness in both arms can be a part of it, though headache is unusual in it. But diagnosis can't be made unless, there are hyperintense signals in magnetic resonance imaging(MRI) of brain in typical locations. So, if in this case all tests including MRI are normal, MS is unlikely. Still, its better to get a detailed examination with a neurologist. I hope it helps.<|eot_id|>

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

Im 38 years old man in July 1999 i suffered from high fever had mumps problem which then converted to Epididymoorchitis that causes serious problem of infertility because of orchitis my FSH level is stil high about 32.5 mlu/ml.....high than normal range....kindly give me yours opinion how should i cure this problem........

Hello welcome to ChatDoctorMumps - viral infection can cause severe problem when it affects the testes. This is evident as your FSH value is on the higher sideUnfortunately there is not much we can do about the situation and bring the value down. However, you can consult a urologist and do some investigations like scrotal scan Some might do a testicular biopsy and see what type of cells are seen in the testis. A small portion the tissue can be frozen in proper centers which can be used later if there is evidence of spermatogenesis hope to have answered your query 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: Im 38 years old man in July 1999 i suffered from high fever had mumps problem which then converted to Epididymoorchitis that causes serious problem of infertility because of orchitis my FSH level is stil high about 32.5 mlu/ml.....high than normal range....kindly give me yours opinion how should i cure this problem........<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello welcome to ChatDoctorMumps - viral infection can cause severe problem when it affects the testes. This is evident as your FSH value is on the higher sideUnfortunately there is not much we can do about the situation and bring the value down. However, you can consult a urologist and do some investigations like scrotal scan Some might do a testicular biopsy and see what type of cells are seen in the testis. A small portion the tissue can be frozen in proper centers which can be used later if there is evidence of spermatogenesis hope to have answered your query Chat Doctor.<|eot_id|>

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

Hi My sister was rushed to the ER vomiting blood and melena. She is a 30 yr Hep C survivor without interferon . She decided to go the holistic route. MRI yesterday indicated nodules on her liver without concern for mets. She is scheduled for liver biopsy of nodules tomorrow. How concerning is this for liver cancer? She is presently asymptomatic from original ER symptoms. Also having CT scan tomorrow. Thanks

Hello, HCV induces chronic infection in 50 to 80% of cases. In rare cases infection can clear without treatment. Most of the infected cases show minimal or no symptoms during the initial few decades of infection. About 10 to 30 % of cases develop liver cirrhosis over 30 years of infection and those who develop cirrhosis have 20 times chances of developing liver cancer and this becomes 100 times more if a person Chat Doctor. Since your sister is suffering from hepatitis C for past 30 years and has not taken any treatment, the chances of hepatocellular carcinoma are very high. This can however be confirmed only by liver biopsy. 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 My sister was rushed to the ER vomiting blood and melena. She is a 30 yr Hep C survivor without interferon . She decided to go the holistic route. MRI yesterday indicated nodules on her liver without concern for mets. She is scheduled for liver biopsy of nodules tomorrow. How concerning is this for liver cancer? She is presently asymptomatic from original ER symptoms. Also having CT scan tomorrow. Thanks<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, HCV induces chronic infection in 50 to 80% of cases. In rare cases infection can clear without treatment. Most of the infected cases show minimal or no symptoms during the initial few decades of infection. About 10 to 30 % of cases develop liver cirrhosis over 30 years of infection and those who develop cirrhosis have 20 times chances of developing liver cancer and this becomes 100 times more if a person Chat Doctor. Since your sister is suffering from hepatitis C for past 30 years and has not taken any treatment, the chances of hepatocellular carcinoma are very high. This can however be confirmed only by liver biopsy. Thanks<|eot_id|>

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

hi.., iam 27 yrs old , with height 5ft and wt 65kg. i am married since last 2.5 yrs , want to conceive, but have found high levels of insulin in blood. As per doctor , have signs of PCOS, and am also over weight. have twice been given ovulation, olvulation has occured but no pregnancy. Iam prescribed Bigomet SR 500 , thrice a day , and Blong F. Will this help me in getting pregnant?

Hello dairy understand your concerned have PCs sign and cause insulin resistance. I would suggest taking proper treatment under advise of gynecologist after undergoing, reproductive hormone analysis, USG scan and ovarian follicle study. Bigomer Sr 500

<|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.., iam 27 yrs old , with height 5ft and wt 65kg. i am married since last 2.5 yrs , want to conceive, but have found high levels of insulin in blood. As per doctor , have signs of PCOS, and am also over weight. have twice been given ovulation, olvulation has occured but no pregnancy. Iam prescribed Bigomet SR 500 , thrice a day , and Blong F. Will this help me in getting pregnant?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello dairy understand your concerned have PCs sign and cause insulin resistance. I would suggest taking proper treatment under advise of gynecologist after undergoing, reproductive hormone analysis, USG scan and ovarian follicle study. Bigomer Sr 500<|eot_id|>

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

I have been on Metropolol for 4 weeks, prescribed for palpitations (400 in 24 hrs. per monitor) 50 mg. Also I have white coat syndrome, sometimes pressure rises, been under a great deal of stress, mostly apprehension re

With respect to palpitation, that is the sensation not the extra beats. The extra beats may not be harmful or even require treatment. If you have found no underlying heart disease or dangerous rhythm, the primary concern is to relieve your symptoms and anxiety. Finding nothing dangerous does not necessarily mean that heart rhythm is not the source of what you feel but knowing that it's not dangerous is often treatment enough. The best way to interpret your blood pressure is to take only recording done on schedule. Single measures should not prompt concern, particularly no those done under stress. Record your blood pressure on a schedule every day. It should be taken seated after a 10-15 min period of relaxation. A two-week average is what you use to make decisions about the need to take a medicine and its effect.

<|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 on Metropolol for 4 weeks, prescribed for palpitations (400 in 24 hrs. per monitor) 50 mg. Also I have white coat syndrome, sometimes pressure rises, been under a great deal of stress, mostly apprehension re<|eot_id|><|start_header_id|>assistant<|end_header_id|>With respect to palpitation, that is the sensation not the extra beats. The extra beats may not be harmful or even require treatment. If you have found no underlying heart disease or dangerous rhythm, the primary concern is to relieve your symptoms and anxiety. Finding nothing dangerous does not necessarily mean that heart rhythm is not the source of what you feel but knowing that it's not dangerous is often treatment enough. The best way to interpret your blood pressure is to take only recording done on schedule. Single measures should not prompt concern, particularly no those done under stress. Record your blood pressure on a schedule every day. It should be taken seated after a 10-15 min period of relaxation. A two-week average is what you use to make decisions about the need to take a medicine and its effect.<|eot_id|>

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

hi sir,ma mum is around 48 years she is losing her weight for the past few months but she is having dental infection and we took a general health check up for her and everything wuz normal but her esr is 44which is quite high for a women of her age......does tat indicate any serious problem like cancer or it is high due to her dental infection am v.tensed pls solve ma problem

Hi, dairy have gone through your question. I can understand your concern. There are many causes of high ESR. Tuberculosis, infection, anemia, autoimmune disease, paraprotienemia, malignancies all can lead to high ESR. She may Jane any of this cause. She should go for further investigation 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: hi sir,ma mum is around 48 years she is losing her weight for the past few months but she is having dental infection and we took a general health check up for her and everything wuz normal but her esr is 44which is quite high for a women of her age......does tat indicate any serious problem like cancer or it is high due to her dental infection am v.tensed pls solve ma problem<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, dairy have gone through your question. I can understand your concern. There are many causes of high ESR. Tuberculosis, infection, anemia, autoimmune disease, paraprotienemia, malignancies all can lead to high ESR. She may Jane any of this cause. She should go for further investigation 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.

I got infuenza virus almost 8 weeks ago. 7 days after getting the virus I started having asthma attacks daily and still do. At the beginning I needed 50 mg predinisone to regulate my breathing. Also on 3 different inhalers. I am a non-smoker with no other illnesses and never experienced asthma or any difficulty breathing before. I had 2 x-rays and 1 ct scan that was good. Therefore my doctor said I have allergies ? I have never been testing for allergies and personally think this influenza caused this . Your thoughts or recommendations would be appreciated

Hi, Welcome to Chat Doctor forum. As you describe, you had chest infection. If its viral infection, or an allergy it will have a bacterial infection and lead to pneumonia, if not treated promptly may lead to recurrent breathlessness. The infection of the tuberculosis also should be excluded. I advise you to consult a physician for diagnosis and treatment. I usually prescribe to my patient with such symptoms lifetime, D.E.C, theophylline,cetirizine etc. Wishing for a quick and complete recovery. 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: I got infuenza virus almost 8 weeks ago. 7 days after getting the virus I started having asthma attacks daily and still do. At the beginning I needed 50 mg predinisone to regulate my breathing. Also on 3 different inhalers. I am a non-smoker with no other illnesses and never experienced asthma or any difficulty breathing before. I had 2 x-rays and 1 ct scan that was good. Therefore my doctor said I have allergies ? I have never been testing for allergies and personally think this influenza caused this . Your thoughts or recommendations would be appreciated<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Welcome to Chat Doctor forum. As you describe, you had chest infection. If its viral infection, or an allergy it will have a bacterial infection and lead to pneumonia, if not treated promptly may lead to recurrent breathlessness. The infection of the tuberculosis also should be excluded. I advise you to consult a physician for diagnosis and treatment. I usually prescribe to my patient with such symptoms lifetime, D.E.C, theophylline,cetirizine etc. Wishing for a quick and complete recovery. Thank you.<|eot_id|>

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

My son is under 19 years old. His attitude has changed a lot after he spent one year in UBC as an international student with an excellent scholarship. He lived in the university residence alone without me because we stayed in Saudi Arabia. We provided him full support emotionally and financially. When he came back, he was overweight and he was depressed. He also failed in 5 subjects because he couldnt handle all the stress. We accepted these facts and got okay with it but he is still depressed and is now not as confident as he used to be. We need help ASAP. Thank you for your time.

Degree understand your concerns a days higher study is not as expected. Your son might have depressed due to so many causes such as exam performance, peer pressure, role and identity conflict, unsatisfactory study habits, lack of positive outlook about future or goal etc., etc., etc. Therefore, you need to consult a psychologist to ascertain the causes associated with his depression and treat it with psychotherapy. I can help you online if you desire so. 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: My son is under 19 years old. His attitude has changed a lot after he spent one year in UBC as an international student with an excellent scholarship. He lived in the university residence alone without me because we stayed in Saudi Arabia. We provided him full support emotionally and financially. When he came back, he was overweight and he was depressed. He also failed in 5 subjects because he couldnt handle all the stress. We accepted these facts and got okay with it but he is still depressed and is now not as confident as he used to be. We need help ASAP. Thank you for your time.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Degree understand your concerns a days higher study is not as expected. Your son might have depressed due to so many causes such as exam performance, peer pressure, role and identity conflict, unsatisfactory study habits, lack of positive outlook about future or goal etc., etc., etc. Therefore, you need to consult a psychologist to ascertain the causes associated with his depression and treat it with psychotherapy. I can help you online if you desire so. Good luck.<|eot_id|>

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

A lump appeared on my right armpit 5 days ago. It became very swollen and red. Today I have 2 more lumps one in each armpit. The three lumps are somewhat painful, and the original one is still red. I am 39 years old and have had positive anticardiolipin antibodies in the past found after 2nd miscarriage. What should I do?

Hi, dairy have gone through your question. I can understand your concern. You may have enlarged axillary lymph node. It can be due to reactive hyperplasia, tuberculosis or lymphoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.

<|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 lump appeared on my right armpit 5 days ago. It became very swollen and red. Today I have 2 more lumps one in each armpit. The three lumps are somewhat painful, and the original one is still red. I am 39 years old and have had positive anticardiolipin antibodies in the past found after 2nd miscarriage. What should I do?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, dairy have gone through your question. I can understand your concern. You may have enlarged axillary lymph node. It can be due to reactive hyperplasia, tuberculosis or lymphoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.<|eot_id|>

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

dear sir/madam my son is suffering from high fever and loose motion for the past 2 days and he had been in hospital and discharge after getting cured, while discharge doctor prescribed cefixime oral suspension ip taxim-o dry syrup and gramogyl. now he got fever, wheather fever will be cure by giving cefixime oral suspension ip taxim-o or we have to seperate drug

You will need paracetamol syrup for control of the fever. You have to get the correct prescription from your doctor as it is according to the weight of your child. So go back to your doctor and demand for the paracetamol syrup for the control of high temperature in your child. Until you get to a doctor do tepid sponging. That is use lukewarm water to wipe your children body to reduce the temperature. 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: dear sir/madam my son is suffering from high fever and loose motion for the past 2 days and he had been in hospital and discharge after getting cured, while discharge doctor prescribed cefixime oral suspension ip taxim-o dry syrup and gramogyl. now he got fever, wheather fever will be cure by giving cefixime oral suspension ip taxim-o or we have to seperate drug<|eot_id|><|start_header_id|>assistant<|end_header_id|>You will need paracetamol syrup for control of the fever. You have to get the correct prescription from your doctor as it is according to the weight of your child. So go back to your doctor and demand for the paracetamol syrup for the control of high temperature in your child. Until you get to a doctor do tepid sponging. That is use lukewarm water to wipe your children body to reduce the temperature. Take care.<|eot_id|>

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

I think I have a blood clot on my heel. Im not sure &I Im getting worried. I just had a big surgery &then they were drying to prevent blood clots but I think I have one. It only hurts at night. Ill wake up twice maybe with it hurting but once I put my leg up it stops.

Hello and welcome to Chat Doctor, Blood clots can develop in legs immobilization. Surgery is one of the cause of immobilization. Blood clots are legs are characterized by pain especially on moving or raising the leg. If you are also experiencing similar symptoms then probably you have developed a clot in the legs. You need to consult your surgeon for clinical assessment and investigations like Doppler ultrasound of the leg. In case any clot is detected, appropriate steps can be taken to clear the clot. Thanks and 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: I think I have a blood clot on my heel. Im not sure &I Im getting worried. I just had a big surgery &then they were drying to prevent blood clots but I think I have one. It only hurts at night. Ill wake up twice maybe with it hurting but once I put my leg up it stops.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello and welcome to Chat Doctor, Blood clots can develop in legs immobilization. Surgery is one of the cause of immobilization. Blood clots are legs are characterized by pain especially on moving or raising the leg. If you are also experiencing similar symptoms then probably you have developed a clot in the legs. You need to consult your surgeon for clinical assessment and investigations like Doppler ultrasound of the leg. In case any clot is detected, appropriate steps can be taken to clear the clot. Thanks and take care Chat Doctor.<|eot_id|>

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

I have sgot / sgpt levels of 90 and 93 respectively. bilirubin total 1.15, bilirubin direct 0.24, albumin 3.90.I have been taking aspertane for a few years and have about two drinks daily.what corrective action do i need to take to reduce sgot/sgpt. Thanks

Hi, I have read your liver test report and I will explain at you what needs to be done. For AST/ALT to get back at normal, we need to wait around 30 to 60 days, or sometimes even more. Here are some advice how to help your liver heal, and your AST/ALT get normal.- Fresh fruits and vegetables-Have plenty of water-Low fat diet. Don't use fast foods or fried-Some yoga, or a walking 3 or 4 times each weak will help you a lot- alcohol-free- Avoid foods high in salt or sodium-Try as much as you can to not use medication like Paracetamol, or Ibuprofen because they tend to alter the liver enzymes. Hope I have answered your query. If you have any other question, feel free to ask me.

<|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 sgot / sgpt levels of 90 and 93 respectively. bilirubin total 1.15, bilirubin direct 0.24, albumin 3.90.I have been taking aspertane for a few years and have about two drinks daily.what corrective action do i need to take to reduce sgot/sgpt. Thanks<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, I have read your liver test report and I will explain at you what needs to be done. For AST/ALT to get back at normal, we need to wait around 30 to 60 days, or sometimes even more. Here are some advice how to help your liver heal, and your AST/ALT get normal.- Fresh fruits and vegetables-Have plenty of water-Low fat diet. Don't use fast foods or fried-Some yoga, or a walking 3 or 4 times each weak will help you a lot- alcohol-free- Avoid foods high in salt or sodium-Try as much as you can to not use medication like Paracetamol, or Ibuprofen because they tend to alter the liver enzymes. Hope I have answered your query. If you have any other question, feel free to ask me.<|eot_id|>

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

for the past 3 weeks I get pins and needles a tigling feeling in my right arm that starts at my shoulder and runs down to my fingers and then my fingers fel numb and my entire arm feels heavy. it happens more when I lean with my elbow but it also happened out of no where as well?

Hello, The pain & tingling that you are experiencing in your arm is due to compression, irritation, damage to the peripheral nerves. Peripheral nerves can get affected due to diabetes or any other developing pathology. Visit ER or see a Neurologist, get physically examined and get all the tests for the developing Peripheral Neuropathy done. In the meantime take vitamin B with folic acid, take diet rich in calcium, iron and minerals. For pain take Acetaminophen (Tylenol)when needed. 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: for the past 3 weeks I get pins and needles a tigling feeling in my right arm that starts at my shoulder and runs down to my fingers and then my fingers fel numb and my entire arm feels heavy. it happens more when I lean with my elbow but it also happened out of no where as well?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, The pain & tingling that you are experiencing in your arm is due to compression, irritation, damage to the peripheral nerves. Peripheral nerves can get affected due to diabetes or any other developing pathology. Visit ER or see a Neurologist, get physically examined and get all the tests for the developing Peripheral Neuropathy done. In the meantime take vitamin B with folic acid, take diet rich in calcium, iron and minerals. For pain take Acetaminophen (Tylenol)when needed. 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.

On Sunday October 26 I was in an ATV accident and received a rather deep puncture wound on the front of my left shin. I was taken to the emergency room and received a good cleaning along with 2 stitches, X-rays revealed there were no objects or debris left inside the wound and my leg was not broken but had hyperextended during the crash. I visited an Orthopedic surgeon Wednesday the 29th of October where I was prescribed antibiotics but wasnt given a promise that it would prevent infection. I am in so much agony and pain as of right now, not only has the pain gotten worse but it is traveling up from my shin to my knee cap as well. I am almost 100% certain my puncture has gotten infected, I keep it clean and wrapped with gauze but it stays swollen and hot to the touch. I have become nauseous and lost my appetite these past 2 days and have noticed a bruise on the heel of my left foot which seems to grow increasingly. I did not notice the bruise until yesterday and it was dime size, now it is the size of a half dollar coin and is very purple. I am concerned I may have an infection in my bone as well because of the excruciating pain inside of my shin and knee cap now. I will call my Orthopedic Surgeon on Monday morning to schedule an appointment. What are the chances it may be developing into gangrene? Should I go ahead to the emergency room or can I wait? All other areas of my body that were injured have healed beautifully except for my left shin. Thank you so much for your time!

Hello, It seems that you are uncertain about following.1)Whether there is any infection at puncture site?2)Bruise gone unnoticed3)Whether there is any chance to develop gangrene?4)Have to wait and watch? Answers are here.first u have not mentioned that whether u have been prescribed any painkillers or not. Neither you have mentioned the name of antibiotic. Now,1) If u have developed any infection at your wound site, u probably have developed fever, which u have not mentioned .2)Bruise is called \"delayed bruise\" as it develops after about certain time of actual impact. If it is of purple color, it's in the phase of healing. No treatment required for that except painkillers.3)There is a chance to develop gangrene, when you leave your wound in unhygienic condition, do not take proper antibiotics, already have undiagnosed diabetes. Otherwise, there is negligible chance.4)If pain is unbearable there is no choice for wait and watch. Anyway if you have consulted an or tho. Surgeon, He must have given you painkillers, if surely not you should consult him. I am not suggesting you any painkiller online, because I do not know your gastric history. Get well soon.

<|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: On Sunday October 26 I was in an ATV accident and received a rather deep puncture wound on the front of my left shin. I was taken to the emergency room and received a good cleaning along with 2 stitches, X-rays revealed there were no objects or debris left inside the wound and my leg was not broken but had hyperextended during the crash. I visited an Orthopedic surgeon Wednesday the 29th of October where I was prescribed antibiotics but wasnt given a promise that it would prevent infection. I am in so much agony and pain as of right now, not only has the pain gotten worse but it is traveling up from my shin to my knee cap as well. I am almost 100% certain my puncture has gotten infected, I keep it clean and wrapped with gauze but it stays swollen and hot to the touch. I have become nauseous and lost my appetite these past 2 days and have noticed a bruise on the heel of my left foot which seems to grow increasingly. I did not notice the bruise until yesterday and it was dime size, now it is the size of a half dollar coin and is very purple. I am concerned I may have an infection in my bone as well because of the excruciating pain inside of my shin and knee cap now. I will call my Orthopedic Surgeon on Monday morning to schedule an appointment. What are the chances it may be developing into gangrene? Should I go ahead to the emergency room or can I wait? All other areas of my body that were injured have healed beautifully except for my left shin. Thank you so much for your time!<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, It seems that you are uncertain about following.1)Whether there is any infection at puncture site?2)Bruise gone unnoticed3)Whether there is any chance to develop gangrene?4)Have to wait and watch? Answers are here.first u have not mentioned that whether u have been prescribed any painkillers or not. Neither you have mentioned the name of antibiotic. Now,1) If u have developed any infection at your wound site, u probably have developed fever, which u have not mentioned .2)Bruise is called \"delayed bruise\" as it develops after about certain time of actual impact. If it is of purple color, it's in the phase of healing. No treatment required for that except painkillers.3)There is a chance to develop gangrene, when you leave your wound in unhygienic condition, do not take proper antibiotics, already have undiagnosed diabetes. Otherwise, there is negligible chance.4)If pain is unbearable there is no choice for wait and watch. Anyway if you have consulted an or tho. Surgeon, He must have given you painkillers, if surely not you should consult him. I am not suggesting you any painkiller online, because I do not know your gastric history. Get well soon.<|eot_id|>

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

2 weeks now I ve in pain with my tight shoulder, my dr did X-ray and gave shot of cortizone he mentioned a small tear, I went the following day and the joint specialist gave me my 2 shot, he said I had bone spurs but needed to get pain and swelling down from bursistis, 4 days later I can move my arm very little but more than the last two weeks, my question is how long does bursistis last? He mentioned in the back of his mind he hopes it s not (very long name) of something bring a very painful nerve disease, thanks for you help

Welcome to Chat Doctor I have gone through your query and understand your concern. Bursitis heals in nearly 3 weeks. But as you were having very fewer movements, so you are likely to be having frozen shoulder. In this mobilization exercises of shoulder and analgesic helps. Cortisone shots are also helpful. 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: 2 weeks now I ve in pain with my tight shoulder, my dr did X-ray and gave shot of cortizone he mentioned a small tear, I went the following day and the joint specialist gave me my 2 shot, he said I had bone spurs but needed to get pain and swelling down from bursistis, 4 days later I can move my arm very little but more than the last two weeks, my question is how long does bursistis last? He mentioned in the back of his mind he hopes it s not (very long name) of something bring a very painful nerve disease, thanks for you help<|eot_id|><|start_header_id|>assistant<|end_header_id|>Welcome to Chat Doctor I have gone through your query and understand your concern. Bursitis heals in nearly 3 weeks. But as you were having very fewer movements, so you are likely to be having frozen shoulder. In this mobilization exercises of shoulder and analgesic helps. Cortisone shots are also helpful. 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.

I am a female in my mid 30 s that has been losing my hair since last summer. I have been to dermatologists and no one has an answer. My scalp is itchy. burning, and sometimes flakey and red. Cortisone shots are the only thing that helps with the scalp problem and when the scalp isn t bothering me, it seems like less hair is falling out (it doesn t stop, just less). What can I do to stop this. I have lost over half of my hair and it was already fine and thin to begin with.

Hello, Thank you for posting on Chat Doctor. It seems you are suffering from Seborrhea dermatitis, which secondarily leads to hairball and thus It's important to treat it first hand. I would recommend you a short course of oral antifungal Chat Doctor. Use a medicated shampoo containing ketoconazole and salicylic acid twice a week. Take antihistamines as required for itching. Avoid excessive use of hair oil. As for the hairball, start oral supplements containing biotin and other essential vitamins and minerals (Collinear new) once a day for at least 3 months. Hope this will take care of your query. 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: I am a female in my mid 30 s that has been losing my hair since last summer. I have been to dermatologists and no one has an answer. My scalp is itchy. burning, and sometimes flakey and red. Cortisone shots are the only thing that helps with the scalp problem and when the scalp isn t bothering me, it seems like less hair is falling out (it doesn t stop, just less). What can I do to stop this. I have lost over half of my hair and it was already fine and thin to begin with.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thank you for posting on Chat Doctor. It seems you are suffering from Seborrhea dermatitis, which secondarily leads to hairball and thus It's important to treat it first hand. I would recommend you a short course of oral antifungal Chat Doctor. Use a medicated shampoo containing ketoconazole and salicylic acid twice a week. Take antihistamines as required for itching. Avoid excessive use of hair oil. As for the hairball, start oral supplements containing biotin and other essential vitamins and minerals (Collinear new) once a day for at least 3 months. Hope this will take care of your query. Thank you<|eot_id|>

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

Hello, my name is Khalia.I am contacting you regarding a question about food poisoning related to tachycardia.I am 18 years old have been diangosed with Neurocardiogenic Syncope after a positive tilt table test.The weird thing about this is my symptoms appeared suddenly of June of last year after a bout of food poisoning.Even though I have no prior health conditions related to my heart.I went to a Subway restaurant and got sick after eating contaminated mayonnaise.But after a day my symptoms left,so I never felt the need to seek treatment for food poisoning.But soon after I began developing symptoms of rapid heartbeat upon walking, lightheaded,hot flashes etc.I soon went to multiple physicians without any answers that lead me to my diagnoses by my cardiologist.And I have had a holter monitor test that showed an abnormal heartbeat (tachycardia). I have had various tests done that showed no direct problems with my heart that require attention.I am currently taking Propanolol 60 mg and Fludrocortisone 0.1 with little to no relief of my symptoms.Is this just a coincidence or is there a connection to food poisoning?

Hello, Khalid. It sounds to me like the food poisoning caused severe and rapid fluid loss from vomiting and/or diarrhea, which led to the \"neurocardiogenic syncope.\" The feelings you describe--rapid heartbeat, worse with walking (or other exertion); lightheadedness; hot flashes--are typical of what people experience just prior to passing out. These are also called \"pre-syncopal\" symptoms. You mention the Holder Monitor had showed an abnormally fast heart beat (tachycardia). How fast was it? Did the heart rate slow down when you started taking Propranolol? The \"Neurocardiogenic Syncope Syn Chat Doctor. Once the acute illness is over, and once you ready

<|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 name is Khalia.I am contacting you regarding a question about food poisoning related to tachycardia.I am 18 years old have been diangosed with Neurocardiogenic Syncope after a positive tilt table test.The weird thing about this is my symptoms appeared suddenly of June of last year after a bout of food poisoning.Even though I have no prior health conditions related to my heart.I went to a Subway restaurant and got sick after eating contaminated mayonnaise.But after a day my symptoms left,so I never felt the need to seek treatment for food poisoning.But soon after I began developing symptoms of rapid heartbeat upon walking, lightheaded,hot flashes etc.I soon went to multiple physicians without any answers that lead me to my diagnoses by my cardiologist.And I have had a holter monitor test that showed an abnormal heartbeat (tachycardia). I have had various tests done that showed no direct problems with my heart that require attention.I am currently taking Propanolol 60 mg and Fludrocortisone 0.1 with little to no relief of my symptoms.Is this just a coincidence or is there a connection to food poisoning?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Khalid. It sounds to me like the food poisoning caused severe and rapid fluid loss from vomiting and/or diarrhea, which led to the \"neurocardiogenic syncope.\" The feelings you describe--rapid heartbeat, worse with walking (or other exertion); lightheadedness; hot flashes--are typical of what people experience just prior to passing out. These are also called \"pre-syncopal\" symptoms. You mention the Holder Monitor had showed an abnormally fast heart beat (tachycardia). How fast was it? Did the heart rate slow down when you started taking Propranolol? The \"Neurocardiogenic Syncope Syn Chat Doctor. Once the acute illness is over, and once you ready<|eot_id|>

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

I have lose tissue damage towards the back of my mouth and it been feeling sore thats when I found a white spot that looks like it has a hole in it or a rip on my gum near the tissue damage at first I thought it was a canker sore which I been using medication on it but its not working its getting worse what can this be

Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint the lesion is appearing like canker sore, and it is the cause of sore area and can occur due to a number of causes like Physical injury, deficiency of iron and vitamin B12, stress, acid reflux etc. You can apply a numbing gel containing lidocaine or choline salicylate over it. You can take multivitamin supplements. Take Ibuprofen for pain. Suck on ice pops and do cold water rinses. Maintain a good oral hygiene. Avoid hot and spicy food and take a soft bland diet. In case if still there is no improvement consult an Oral Physician and get evaluated. Hope this information helps. 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: I have lose tissue damage towards the back of my mouth and it been feeling sore thats when I found a white spot that looks like it has a hole in it or a rip on my gum near the tissue damage at first I thought it was a canker sore which I been using medication on it but its not working its getting worse what can this be<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint the lesion is appearing like canker sore, and it is the cause of sore area and can occur due to a number of causes like Physical injury, deficiency of iron and vitamin B12, stress, acid reflux etc. You can apply a numbing gel containing lidocaine or choline salicylate over it. You can take multivitamin supplements. Take Ibuprofen for pain. Suck on ice pops and do cold water rinses. Maintain a good oral hygiene. Avoid hot and spicy food and take a soft bland diet. In case if still there is no improvement consult an Oral Physician and get evaluated. Hope this information helps. Thanks and regards. Chat Doctor.<|eot_id|>

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

Sir, I am having a 1 year old baby girl (weight 9.3 Kg). When she was in the age of 7-8 months , she had her food nicely. But now she is not taking enough food. Almost she refuse to have. She canot drink cow s milk when she awake but when was sleeping she will have. now i am giving her neopeptine to improve her appetite. whether it will work or not.please suggest any other medicine for heror any other way. e

For small child Chat Doctor. Neo peptide is good but it's a synthetic preparation. Maybe it shows burst of effect but would it sustain. On the other hand slow acting Ayurveda has sustained effect. For such babies ARVINDASAV is the best remedy. 5 ml of this liquid and 5 ml of water mixed may be given twice a day. Additionally, if you can get cherubic myrobalan (Habitat - better if you get big one), grind/ rub it against some clean, hard, rough surface like stone etc. by adding little water

<|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: Sir, I am having a 1 year old baby girl (weight 9.3 Kg). When she was in the age of 7-8 months , she had her food nicely. But now she is not taking enough food. Almost she refuse to have. She canot drink cow s milk when she awake but when was sleeping she will have. now i am giving her neopeptine to improve her appetite. whether it will work or not.please suggest any other medicine for heror any other way. e<|eot_id|><|start_header_id|>assistant<|end_header_id|>For small child Chat Doctor. Neo peptide is good but it's a synthetic preparation. Maybe it shows burst of effect but would it sustain. On the other hand slow acting Ayurveda has sustained effect. For such babies ARVINDASAV is the best remedy. 5 ml of this liquid and 5 ml of water mixed may be given twice a day. Additionally, if you can get cherubic myrobalan (Habitat - better if you get big one), grind/ rub it against some clean, hard, rough surface like stone etc. by adding little water<|eot_id|>

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

hiiiiiiii doc, i want to get some help and advice from you about a friend of mine. she always thinks that she is a loser and very selfish. she always want to die. many times i tried to make her understand reality but she couldnt understand me. plz help me

Degree understand your concerns went through your details. I suggest you not to worry much. Everyone has their own way of thinking. Usually friends, circumstances becomes the change catalyst. You are doing a good job with your friend. Do continue. Along with that bring in more of your friends to motivate your friend. Continuous motivation can change her attitude. If need be, consult a psychologist for counseling. 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: hiiiiiiii doc, i want to get some help and advice from you about a friend of mine. she always thinks that she is a loser and very selfish. she always want to die. many times i tried to make her understand reality but she couldnt understand me. plz help 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. Everyone has their own way of thinking. Usually friends, circumstances becomes the change catalyst. You are doing a good job with your friend. Do continue. Along with that bring in more of your friends to motivate your friend. Continuous motivation can change her attitude. If need be, consult a psychologist for counseling. 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.

Hello, I recently had a laparascopic surgery to remove an ovarian cyst. It s been 9 days since my surgery, and up until a couple of days ago, everything was fine. Starting about two or three days ago, I started having pain, not at my surgical site, but in the lower middle portion of my abdomen. In addition, the surgical site is now hard (only just got hard today) and is itchy and has a giant ridge of tissue. I m hoping this is normal, but I just wanted to make sure that there was no cause to worry. Can you help? Thanks!

Hi. Thanks for your query and an elucidated history. The cause of pain in the lower middle portion of the abdomen can be due to the following causes as after about 7 days of Laparoscopic Ovarian cyst Surgery

<|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 recently had a laparascopic surgery to remove an ovarian cyst. It s been 9 days since my surgery, and up until a couple of days ago, everything was fine. Starting about two or three days ago, I started having pain, not at my surgical site, but in the lower middle portion of my abdomen. In addition, the surgical site is now hard (only just got hard today) and is itchy and has a giant ridge of tissue. I m hoping this is normal, but I just wanted to make sure that there was no cause to worry. Can you help? Thanks!<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. Thanks for your query and an elucidated history. The cause of pain in the lower middle portion of the abdomen can be due to the following causes as after about 7 days of Laparoscopic Ovarian cyst Surgery<|eot_id|>

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

I ve had trouble breathing for awhile now. I am a 15 year old female and I might have precordial catch syndrome, but I am not 100% sure. I get the occasional stabbing pain in the left side of my chest. It last for a few minutes and it sometimes feels better if I apply pressure. other times, the pain is not intense and it hurts for a longer period of time. another problem I experience is trouble breathing. I find myself taking a deep breath every few minutes. I do this because I feel like it is impossible to get air without taking a deep breath. It almost feels like there is a huge bubble in my chest, keeping me from breathing, and when I take a deep breath, it allows enough air to satisfy me for a few minutes. Then the same problem happens again. This is really annoying, painful and kind of scary. I feels like my chest will suddenly close up, making it impossible to breath. Please help!

Thanks for your question on Chat Doctor. I can understand your concern. By your history and description possibility of stress and anxiety related breathing difficulty is more. But at your age of 15 years asthma can also cause similar symptoms. So we need to rule out asthma first before stamping anxiety as a cause. So get done PFT (Pulmonary Function Test) to rule out asthma. If PFT is normal then no need to worry about asthma. Stress and anxiety appear more in your case. So better to consult psychiatrist and get done counseling sessions, try to identify stressor in your life and start working on its solution. Sometimes only counselling and discussion with psychiatrist are sufficient to relieve stress and anxiety. You may need anxiolytic Chat Doctor. So avoid stress and tension. Be relax 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: I ve had trouble breathing for awhile now. I am a 15 year old female and I might have precordial catch syndrome, but I am not 100% sure. I get the occasional stabbing pain in the left side of my chest. It last for a few minutes and it sometimes feels better if I apply pressure. other times, the pain is not intense and it hurts for a longer period of time. another problem I experience is trouble breathing. I find myself taking a deep breath every few minutes. I do this because I feel like it is impossible to get air without taking a deep breath. It almost feels like there is a huge bubble in my chest, keeping me from breathing, and when I take a deep breath, it allows enough air to satisfy me for a few minutes. Then the same problem happens again. This is really annoying, painful and kind of scary. I feels like my chest will suddenly close up, making it impossible to breath. Please help!<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. By your history and description possibility of stress and anxiety related breathing difficulty is more. But at your age of 15 years asthma can also cause similar symptoms. So we need to rule out asthma first before stamping anxiety as a cause. So get done PFT (Pulmonary Function Test) to rule out asthma. If PFT is normal then no need to worry about asthma. Stress and anxiety appear more in your case. So better to consult psychiatrist and get done counseling sessions, try to identify stressor in your life and start working on its solution. Sometimes only counselling and discussion with psychiatrist are sufficient to relieve stress and anxiety. You may need anxiolytic Chat Doctor. So avoid stress and tension. Be relax 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.

Daughter, age 38, has CML. Was wondering what it would cost for the trip to Arizona, Cancer Center there. She has Kaiser here in Sacramento and we were told the trip and treatments were not covered. Yet she s getting drugs that make her tired, goes to work when the pain isn t a lot (2 or 3 days per week) and I can see no treatment being used/exercised. Linda Q

Thanks for your question on Chat Doctor. CML is blood cancer which is having excellent prognosis if proper treatment is given. Life expectancy is more than 10 years with five year survival rate almost 70-80%. So strict follow up and proper chemotherapy should be administered. It is having remission and crisis phases. So chemotherapy Chat Doctor. So for your mother, I advise you to consult oncologist and start the chemotherapy. She may be in the crisis stage. So clinical examination and chemotherapy is needed. Convince your mother about good prognosis of CML and importance of chemotherapy in CML.

<|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: Daughter, age 38, has CML. Was wondering what it would cost for the trip to Arizona, Cancer Center there. She has Kaiser here in Sacramento and we were told the trip and treatments were not covered. Yet she s getting drugs that make her tired, goes to work when the pain isn t a lot (2 or 3 days per week) and I can see no treatment being used/exercised. Linda Q<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. CML is blood cancer which is having excellent prognosis if proper treatment is given. Life expectancy is more than 10 years with five year survival rate almost 70-80%. So strict follow up and proper chemotherapy should be administered. It is having remission and crisis phases. So chemotherapy Chat Doctor. So for your mother, I advise you to consult oncologist and start the chemotherapy. She may be in the crisis stage. So clinical examination and chemotherapy is needed. Convince your mother about good prognosis of CML and importance of chemotherapy in CML.<|eot_id|>

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

I had what looked like a small pimple on my bottom but not it is hard, red and painful. I was able to squeeze it to relieve some pain. It does not appear to have pus. I have been applyin peroxice and neosporin. Cuould this be a staph infection? I have had one before. Should I get medical attention?

Hi, I had gone through your question and understand your concerns. It may be a staph infection, or it could due to worm infestation. Use antibiotic AMOXICILLIN 500 mg twice daily 3 days and ALBENDAZOLE 400 Single dose(for warm infestation). To decrease the inflammation use painkiller like IBUPROFEN. If it gets repeated continuously check for BLOOD SUGAR levels, because FRANCES are more common in diabetics and malnutrition. Use a multivitamin tablet daily. Maintain hygiene. You can also use alternate cold and warm compresses which will fasten the healing process. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

<|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 what looked like a small pimple on my bottom but not it is hard, red and painful. I was able to squeeze it to relieve some pain. It does not appear to have pus. I have been applyin peroxice and neosporin. Cuould this be a staph infection? I have had one before. Should I get medical attention?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, I had gone through your question and understand your concerns. It may be a staph infection, or it could due to worm infestation. Use antibiotic AMOXICILLIN 500 mg twice daily 3 days and ALBENDAZOLE 400 Single dose(for warm infestation). To decrease the inflammation use painkiller like IBUPROFEN. If it gets repeated continuously check for BLOOD SUGAR levels, because FRANCES are more common in diabetics and malnutrition. Use a multivitamin tablet daily. Maintain hygiene. You can also use alternate cold and warm compresses which will fasten the healing process. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions.<|eot_id|>

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

I have a bump that appears to be a spider bite or pimple about 2 inches above my penis. It is not blistering, nor does it have the head of a zit. It is tender, but doesn t sting, burn, or itch. The bump is probably a quarter inch wide and firm. It appeared a few days ago, maybe 3 or 4. Maybe getting smaller? Could it be herpes? I was exposed to the blood of someone with herpes when she cut herself and I was dressing the wound. Got her blood on my hands. Thanks!

Hi, Dear,Thanks for your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You seem to suffer from-Its definitely Herpes warts / but seems to be from furunculitis, which is subsiding over last few days. Your body defenses seem to have overridden the bacterial infection, with cellulitis presenting to you as a bump on the pubic area. So your lump is not Herpes.Don't Worry. This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS

<|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 bump that appears to be a spider bite or pimple about 2 inches above my penis. It is not blistering, nor does it have the head of a zit. It is tender, but doesn t sting, burn, or itch. The bump is probably a quarter inch wide and firm. It appeared a few days ago, maybe 3 or 4. Maybe getting smaller? Could it be herpes? I was exposed to the blood of someone with herpes when she cut herself and I was dressing the wound. Got her blood on my hands. Thanks!<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Dear,Thanks for your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You seem to suffer from-Its definitely Herpes warts / but seems to be from furunculitis, which is subsiding over last few days. Your body defenses seem to have overridden the bacterial infection, with cellulitis presenting to you as a bump on the pubic area. So your lump is not Herpes.Don't Worry. This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS<|eot_id|>

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

I am having respiratory/ breathlessness problem since last 8 months. After investgations, no Asthama or heart problem.ENT report and all other tests are normal. Now i am under treatment of Psychiatrist from last 2 months. Theprescribed medicines are;- 1)Rexipra 10 mg

Thanks for your question on Chat Doctor. I can understand your concern. Since your all cardiac and Pulmonary tests are normal, no need to worry about major heart and lung related causes. Uncontrolled psychiatric illness like depression, anxiety etc. can cause breathlessness. So in my opinion, better to consult another psychiatrist and get done counseling sessions. Counselling has a great role in psychological treatment along with Chat Doctor. Try to identify stressor in your life and start working on its solution. You may need newer psychiatric

<|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 respiratory/ breathlessness problem since last 8 months. After investgations, no Asthama or heart problem.ENT report and all other tests are normal. Now i am under treatment of Psychiatrist from last 2 months. Theprescribed medicines are;- 1)Rexipra 10 mg<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. Since your all cardiac and Pulmonary tests are normal, no need to worry about major heart and lung related causes. Uncontrolled psychiatric illness like depression, anxiety etc. can cause breathlessness. So in my opinion, better to consult another psychiatrist and get done counseling sessions. Counselling has a great role in psychological treatment along with Chat Doctor. Try to identify stressor in your life and start working on its solution. You may need newer psychiatric<|eot_id|>

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

hi i am 23 yrs old male. i have infective hepatitis 1 month ago my sgpt is till high & i am on diet i dont drink & smoke but i eat red meat & food outside its oily too..but now i am taking food from home only..now what kind of diet i must take & dont take..is it so that now i cant drink beer or have meat for whole life

Hi welcome to the Chat Doctor You have not mentioned which type of hepatitis you had... Here for at least month better to avoid outside foods Avoid excess fried and fatty meals and also avoid non veg foods Eat more and more fruits . Following food that are good for liver consumed more.... -beet roots -carrot -lemon juice -aloe vera-grapefruit juice-avocados etc.... Take care Prognosis also depend on type of hepatitis Consult physician for examination

<|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 23 yrs old male. i have infective hepatitis 1 month ago my sgpt is till high & i am on diet i dont drink & smoke but i eat red meat & food outside its oily too..but now i am taking food from home only..now what kind of diet i must take & dont take..is it so that now i cant drink beer or have meat for whole life<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi welcome to the Chat Doctor You have not mentioned which type of hepatitis you had... Here for at least month better to avoid outside foods Avoid excess fried and fatty meals and also avoid non veg foods Eat more and more fruits . Following food that are good for liver consumed more.... -beet roots -carrot -lemon juice -aloe vera-grapefruit juice-avocados etc.... Take care Prognosis also depend on type of hepatitis Consult physician for examination<|eot_id|>

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

I smell paint, but there is no source... Why do I smell this paint-like smell? I can smell paint where ever I go. I haven t been painting recently, nor been near any paint projects. The thing is, it is always strong and no matter where I go, it stays the same, so I think it s on me. I ve checked for paint and washed myself, but there are no signs of it. It would help if someone could explain this chemical smell.

Dear serve understand your concerns went through your details. Olfactory hallucinations or Phantasma is the medical term for an imaginary odor (phantom smell). Most phantom smells go away in time and are not caused by anything serious. But, for the patient it could cause distress and anxiety. Causes include nasal infection, nasal polyps, migraine, dental problems, exposure to certain chemicals etc. You can talk to your doctor regarding this. But there is no need to be panic. 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: I smell paint, but there is no source... Why do I smell this paint-like smell? I can smell paint where ever I go. I haven t been painting recently, nor been near any paint projects. The thing is, it is always strong and no matter where I go, it stays the same, so I think it s on me. I ve checked for paint and washed myself, but there are no signs of it. It would help if someone could explain this chemical smell.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Dear serve understand your concerns went through your details. Olfactory hallucinations or Phantasma is the medical term for an imaginary odor (phantom smell). Most phantom smells go away in time and are not caused by anything serious. But, for the patient it could cause distress and anxiety. Causes include nasal infection, nasal polyps, migraine, dental problems, exposure to certain chemicals etc. You can talk to your doctor regarding this. But there is no need to be panic. 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.

After eating ham and cabbage 2 nights ago, i got this really bad pain in my chest, right side. It wont go away. It hurts more as I move my head different ways. It hurts really bad when I sneese or cough, now swallowing. Is it gas, and how can I relieve it.

Hi. I can understand your concern. If the chest pain is disturbing your routine activity then get a chest x-ray done to rule out any lung infection, or it could be just a muscle pull. Do not lift heavy weightsPossibility of musculoskeletal pain is more. Ibuprofen is anti-inflammatory. You will definitely improve witChatDoctorbination of painkiller and muscle relaxant Chat Doctor. Also apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright in 1-2 weeks. But better to first rule out lung infection.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: After eating ham and cabbage 2 nights ago, i got this really bad pain in my chest, right side. It wont go away. It hurts more as I move my head different ways. It hurts really bad when I sneese or cough, now swallowing. Is it gas, and how can I relieve it.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. I can understand your concern. If the chest pain is disturbing your routine activity then get a chest x-ray done to rule out any lung infection, or it could be just a muscle pull. Do not lift heavy weightsPossibility of musculoskeletal pain is more. Ibuprofen is anti-inflammatory. You will definitely improve witChatDoctorbination of painkiller and muscle relaxant Chat Doctor. Also apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright in 1-2 weeks. But better to first rule out lung infection.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.

For a while now I have been getting an ache in my stomach near my belly button. When this happens it makes me feel as if I need to go to toilet, but when I get to the toilet I dont always have to go. I had treatment for small cell lung cancer 3 years ago could this be anything to do with that.

Hi. Thanks for your query and proper history. To think of the commonest causes first, the cause of the pain in the stomach near your belly button can be intestinal infection. As you have a history of small cell lung cancer 3 years ago, the secondaries from this cancer can be present in the lymph nodes of the mesentery and can cause similar pain. This can be confirmed by ultrasonography, tests of the blood, urine and stool and a physical examination by a Surgeon, the treatment will depend upon the findings. Till then complete a 5-day course of an antibiotic with metronidazole, probiotic and activated charcoal with anti-spasmodic tablets wherever necessary.

<|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: For a while now I have been getting an ache in my stomach near my belly button. When this happens it makes me feel as if I need to go to toilet, but when I get to the toilet I dont always have to go. I had treatment for small cell lung cancer 3 years ago could this be anything to do with that.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. Thanks for your query and proper history. To think of the commonest causes first, the cause of the pain in the stomach near your belly button can be intestinal infection. As you have a history of small cell lung cancer 3 years ago, the secondaries from this cancer can be present in the lymph nodes of the mesentery and can cause similar pain. This can be confirmed by ultrasonography, tests of the blood, urine and stool and a physical examination by a Surgeon, the treatment will depend upon the findings. Till then complete a 5-day course of an antibiotic with metronidazole, probiotic and activated charcoal with anti-spasmodic tablets wherever necessary.<|eot_id|>

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

I have a burning sensation on the feet, hands, urine gland & have rashes on my cheeks, I treated a lot, but no improvement, It is my unfortunate that Doctors can not Diagoniss my diseases. Can you pl tell me the actual cause of my diseases & Advice me what to do

Hello, Eczema or urticaria or autoimmune disease or allergic dermatitis may cause this problem. Still, many more causes may present like this. Until examination is done it is difficult to say what it is. Get it done eosinophil count, blood sugar, serum creatinine, and electrolytes. Check for thyroid status. Apply lactocalamine Kelly over the rash. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. 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: I have a burning sensation on the feet, hands, urine gland & have rashes on my cheeks, I treated a lot, but no improvement, It is my unfortunate that Doctors can not Diagoniss my diseases. Can you pl tell me the actual cause of my diseases & Advice me what to do<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Eczema or urticaria or autoimmune disease or allergic dermatitis may cause this problem. Still, many more causes may present like this. Until examination is done it is difficult to say what it is. Get it done eosinophil count, blood sugar, serum creatinine, and electrolytes. Check for thyroid status. Apply lactocalamine Kelly over the rash. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.<|eot_id|>

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

My BP has been extremely high for me the past two days. The last two times I have taken it, it has read 181 over 128 pulse 95 and most recently about 5 hours from the last time it is now 167 over 110 pulse 116. Though I took a BP pill 5 and 1/2 hrs ago ... can I take another one soon. MY head and neck are killing me and my head is going to explode,.My eyeballs are so sore,

Hello, The Headache and soreness of eyes both are related to the blood pressure being on the higher side. A disturbing fact that diastolic (lower) blood pressure is really high. You have to take antihypertensive medication in such setting, maybe the one you are on is not working good enough. So increasing the dose of same or adding another is the way forward. A visit to a doctor who can do the same is strongly suggested. Lastly along with blood pressure when the pulse is too high it would suggest anxiety as a common accomplishment. So try calming down as by being more anxious, the pressure would still fly to higher values. Do visit your doctor at the earliestRegards 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 BP has been extremely high for me the past two days. The last two times I have taken it, it has read 181 over 128 pulse 95 and most recently about 5 hours from the last time it is now 167 over 110 pulse 116. Though I took a BP pill 5 and 1/2 hrs ago ... can I take another one soon. MY head and neck are killing me and my head is going to explode,.My eyeballs are so sore,<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, The Headache and soreness of eyes both are related to the blood pressure being on the higher side. A disturbing fact that diastolic (lower) blood pressure is really high. You have to take antihypertensive medication in such setting, maybe the one you are on is not working good enough. So increasing the dose of same or adding another is the way forward. A visit to a doctor who can do the same is strongly suggested. Lastly along with blood pressure when the pulse is too high it would suggest anxiety as a common accomplishment. So try calming down as by being more anxious, the pressure would still fly to higher values. Do visit your doctor at the earliestRegards Chat Doctor.<|eot_id|>

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

Hi my name is Brittany and I ve just turned 19 on the 16th of this month. I now have no Medicaid and in need of care for my ear infection. I don t have a job and my family doesn t make much money. Is there any way I can get back on Medicaid and how much will it cost?? I really need dental care as well for my wisdom teeth. They ve been bothering me as well. Please help. I really need health insurance.

Hello, Welcome to Chat Doctor, It is possible that your ear infection is complicated leading to infection of the bone behind the ear called the mastoid bone. You require an appropriate antibiotic. The right antibiotic can be selected by doing a culture and sensitivity testing. Please consult your ENT surgeon for the same. You can take any over the counter painkiller after checking the dosage. 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: Hi my name is Brittany and I ve just turned 19 on the 16th of this month. I now have no Medicaid and in need of care for my ear infection. I don t have a job and my family doesn t make much money. Is there any way I can get back on Medicaid and how much will it cost?? I really need dental care as well for my wisdom teeth. They ve been bothering me as well. Please help. I really need health insurance.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Welcome to Chat Doctor, It is possible that your ear infection is complicated leading to infection of the bone behind the ear called the mastoid bone. You require an appropriate antibiotic. The right antibiotic can be selected by doing a culture and sensitivity testing. Please consult your ENT surgeon for the same. You can take any over the counter painkiller after checking the dosage. Thank you.<|eot_id|>

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

Im on the pill and was supposed to start my period on Monday. I hadnt had it by last night so I took a pregnancy test. It said that I was NOT pregnant. later that night i had sex with my boyfriend (using a condom since Im worried about sex on the sugar pills) and the condom broke. Is there a chance that I could get pregnant and do I need to take the morning after pill?

Hello dear, I understand your concern. In my opinion it might not result in pregnancy due to condom breakage while on sugar pills provided you have taken all the hormonal pills regularly without missing a single dose. So there might be no need of morning after pill. But if you had irregular intake previously then there might be risk of pregnancy. Relax and use pills regularly for better results 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: Im on the pill and was supposed to start my period on Monday. I hadnt had it by last night so I took a pregnancy test. It said that I was NOT pregnant. later that night i had sex with my boyfriend (using a condom since Im worried about sex on the sugar pills) and the condom broke. Is there a chance that I could get pregnant and do I need to take the morning after pill?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello dear, I understand your concern. In my opinion it might not result in pregnancy due to condom breakage while on sugar pills provided you have taken all the hormonal pills regularly without missing a single dose. So there might be no need of morning after pill. But if you had irregular intake previously then there might be risk of pregnancy. Relax and use pills regularly for better results Best regards...<|eot_id|>

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

History since age 17

HelloThanks for the query to Chat Doctor. Forum. Allergy test will find out sensitivity to certain allergen and usually helpful for asthma and allergy. As you mentioned that raised level of lipase and A L T. As gallbladder already removed, so you may get infection of liver also. In my opinion also get in M R I of liver as well as pancreas. In this type of cases usually patient develop pancreatitis, diagnosis can be confirmed by estimation of lipase and amylase. As you mentioned that suture is not healing, so get in HBA 1 C and also blood sugar examination. In my opinion at present you require.1 Allergy test as desired by your doctor .2 MRI of liver 3 Pancreatic enzymatic tests 4 Diabetes rule out. Consult a physician and get his opinion and all tests as mentioned above. 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: History since age 17<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloThanks for the query to Chat Doctor. Forum. Allergy test will find out sensitivity to certain allergen and usually helpful for asthma and allergy. As you mentioned that raised level of lipase and A L T. As gallbladder already removed, so you may get infection of liver also. In my opinion also get in M R I of liver as well as pancreas. In this type of cases usually patient develop pancreatitis, diagnosis can be confirmed by estimation of lipase and amylase. As you mentioned that suture is not healing, so get in HBA 1 C and also blood sugar examination. In my opinion at present you require.1 Allergy test as desired by your doctor .2 MRI of liver 3 Pancreatic enzymatic tests 4 Diabetes rule out. Consult a physician and get his opinion and all tests as mentioned above. Good luck.<|eot_id|>

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

My mother has been diagnosed of having ovarian cancer stage four. She is aged 70 years. She underwent one chemo and could not bear the pain and side effects of chemotherapy. She is presently on alternative medicine i.e. ayurvedic. Now ascetic fluid has accumulated in the abdomen and she is not able to eat and is suffering from breathlessness. Can the fluid be removed and if so will it accumulate and in how many days.

Hi, dairy have gone through your question. I can understand your concern. Your mother has ovarian cancer stage 4. So cure is not possible. Chemotherapy just work as palliative treatment but if she is unable to bear the side effects then treatment should not be given. There is no harm in alternative treatment in terminal stage cancer patients. She has as cities. It is very common in ovarian carcinoma. You can Chat Doctor. It will accumulate within few days. However, it can be

<|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 has been diagnosed of having ovarian cancer stage four. She is aged 70 years. She underwent one chemo and could not bear the pain and side effects of chemotherapy. She is presently on alternative medicine i.e. ayurvedic. Now ascetic fluid has accumulated in the abdomen and she is not able to eat and is suffering from breathlessness. Can the fluid be removed and if so will it accumulate and in how many days.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, dairy have gone through your question. I can understand your concern. Your mother has ovarian cancer stage 4. So cure is not possible. Chemotherapy just work as palliative treatment but if she is unable to bear the side effects then treatment should not be given. There is no harm in alternative treatment in terminal stage cancer patients. She has as cities. It is very common in ovarian carcinoma. You can Chat Doctor. It will accumulate within few days. However, it can be<|eot_id|>

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

I have had neck pain in the back of my neck for about 3 months. At first I thought it was stress, but I also have glands that swell off and on. My throat would feel swollen and I would think I was getting sick, but the next day I would feel fine. This happened for about two weeks. Then my left armpit began to swell. It, also goes up and down. I thought maybe I had mono or was allergic to my deodorant, but it just doesn t go away even though I have changed deodorants and am not having flu like symptoms. I went to my gynecologist and she felt a lump in my left breast. I had an exploratory mammogram and an ultrasound, but they said I was fine. My gynecologist says that I have dense breast tissue which could mask a lump during tests like I had. She wants to recheck me. Are the neck, glands or lump issue related? Should I be worried? I am 52 years old. YYYY@YYYY

As per your explanation I understand you have lymph node swelling under your arm and below the breast area towards later side. Here I suggest you need to understand lymphatic system is the one which carries waste metabolic end product from different part of our body to kidney and heart to get it filter here. And this lymphatic channels are present all over the body even in our fingers too. Lymph node is an oval-shaped organ of the lymphatic system, distributed widely throughout the body including the armpit and stomach and linked by lymphatic vessels. Lymph nodes are major sites of B, T, and other immune cells. Lymph nodes are important for the proper functioning of the immune system, acting as filters for foreign particles and cancer cells. Lymph nodes do not deal with toxicity, which is primarily dealt with by the liver and kidneys. If you feel there is a swelling in lemonade which is increasing and getting tender day by day then I suggest do not wait and visit your gone immediately along with a vascular surgeon to for having better idea on your issue. My aim is not to panic you but if there is anything related to cancer then early detection and treatment will help you to get cure easily. And neck pain can be possible with this. So I suggest first you need to evaluate on lymph node swelling and take treatment for it. Later still if neck pain continue you can visit or tho and physio for further advice and treatment. 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 neck pain in the back of my neck for about 3 months. At first I thought it was stress, but I also have glands that swell off and on. My throat would feel swollen and I would think I was getting sick, but the next day I would feel fine. This happened for about two weeks. Then my left armpit began to swell. It, also goes up and down. I thought maybe I had mono or was allergic to my deodorant, but it just doesn t go away even though I have changed deodorants and am not having flu like symptoms. I went to my gynecologist and she felt a lump in my left breast. I had an exploratory mammogram and an ultrasound, but they said I was fine. My gynecologist says that I have dense breast tissue which could mask a lump during tests like I had. She wants to recheck me. Are the neck, glands or lump issue related? Should I be worried? I am 52 years old. YYYY@YYYY<|eot_id|><|start_header_id|>assistant<|end_header_id|>As per your explanation I understand you have lymph node swelling under your arm and below the breast area towards later side. Here I suggest you need to understand lymphatic system is the one which carries waste metabolic end product from different part of our body to kidney and heart to get it filter here. And this lymphatic channels are present all over the body even in our fingers too. Lymph node is an oval-shaped organ of the lymphatic system, distributed widely throughout the body including the armpit and stomach and linked by lymphatic vessels. Lymph nodes are major sites of B, T, and other immune cells. Lymph nodes are important for the proper functioning of the immune system, acting as filters for foreign particles and cancer cells. Lymph nodes do not deal with toxicity, which is primarily dealt with by the liver and kidneys. If you feel there is a swelling in lemonade which is increasing and getting tender day by day then I suggest do not wait and visit your gone immediately along with a vascular surgeon to for having better idea on your issue. My aim is not to panic you but if there is anything related to cancer then early detection and treatment will help you to get cure easily. And neck pain can be possible with this. So I suggest first you need to evaluate on lymph node swelling and take treatment for it. Later still if neck pain continue you can visit or tho and physio for further advice and treatment. Take care.<|eot_id|>

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

MY PARTNER SAYS THAT HE FEELS WEIRD,HE SAYS THAT DURING THE DAY HE GETS A WEIRD FEELING ALL OVER HIS BODY,LIKE IF HE S DREAMING,HE FEELS SCARED AND DOES NOT KNOW WHERE HE IS,HE SAYS IT ONLY LAST FOR A FEW MINS AND THAT HE GETS FLASHBACKS OF HIS NIGHTMARES.

Degree understand your concerns went through your details. I suggest you not to worry much. But the description is not enough to diagnose any mental disorders. He may just be stressed or over worked. Ask him to take a vacation for a week or so. You can also take your partner to a psychologist who can diagnose the problem. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.

<|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 PARTNER SAYS THAT HE FEELS WEIRD,HE SAYS THAT DURING THE DAY HE GETS A WEIRD FEELING ALL OVER HIS BODY,LIKE IF HE S DREAMING,HE FEELS SCARED AND DOES NOT KNOW WHERE HE IS,HE SAYS IT ONLY LAST FOR A FEW MINS AND THAT HE GETS FLASHBACKS OF HIS NIGHTMARES.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Degree understand your concerns went through your details. I suggest you not to worry much. But the description is not enough to diagnose any mental disorders. He may just be stressed or over worked. Ask him to take a vacation for a week or so. You can also take your partner to a psychologist who can diagnose the problem. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.<|eot_id|>

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

My husband got into a bad cycling accident 3 days ago where he had a large gash on his forehead and road rash throughout his body. Today he has a lump on his neck about in inch about where it meets the back/shoulders. It does not hurt to move or to push on it but hes starting to have a bad headache. Should we be concerned and should we head back to the ER for them to check out?

Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Treatment of neck lump with headache-This lump in the neck appears to be of hematoma-as it's not painful on movement or to push. It would cause bad headache-due to the tissue trauma and tensile hematoma in the lump. Could be treated by-Cold compresses/Antibiotics/ Voltaren gel locally / with Tomophobe point locally would resolve the lump fast. If it liquifies, it may need to be Aspirated and compression bandage-to treat it. I would suggest consultation with ER Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N.

<|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 got into a bad cycling accident 3 days ago where he had a large gash on his forehead and road rash throughout his body. Today he has a lump on his neck about in inch about where it meets the back/shoulders. It does not hurt to move or to push on it but hes starting to have a bad headache. Should we be concerned and should we head back to the ER for them to check out?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Treatment of neck lump with headache-This lump in the neck appears to be of hematoma-as it's not painful on movement or to push. It would cause bad headache-due to the tissue trauma and tensile hematoma in the lump. Could be treated by-Cold compresses/Antibiotics/ Voltaren gel locally / with Tomophobe point locally would resolve the lump fast. If it liquifies, it may need to be Aspirated and compression bandage-to treat it. I would suggest consultation with ER Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N.<|eot_id|>

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

Hi, am not sure what s going on with my body for weeks, I ve been feeling a lot of anxiety and stress than I started feeling depressed. Than right now I feel like my arms are moving slowly and they feel heavy. I am having trouble eating, I ve lost a lot of weight and that s not supposed to be right I used to weigh 110 and it dropped to 101 and now am having trouble getting back my weight again

Hello, Your symptoms can be due to simple anxiety disorder or organic. Getting following blood test will help to rule out any organic cause behind these symptoms-blood pressure reading, bl. sugar, HBO, kidney and liver tests, TSH. If they are almost normal then the root cause is anxiety and can be managed with meds like-sertraline or paroxetine. There will be significant improvement in one to two weeks of treatment. The meds should be continued for few months after having complete improvement. 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: Hi, am not sure what s going on with my body for weeks, I ve been feeling a lot of anxiety and stress than I started feeling depressed. Than right now I feel like my arms are moving slowly and they feel heavy. I am having trouble eating, I ve lost a lot of weight and that s not supposed to be right I used to weigh 110 and it dropped to 101 and now am having trouble getting back my weight again<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Your symptoms can be due to simple anxiety disorder or organic. Getting following blood test will help to rule out any organic cause behind these symptoms-blood pressure reading, bl. sugar, HBO, kidney and liver tests, TSH. If they are almost normal then the root cause is anxiety and can be managed with meds like-sertraline or paroxetine. There will be significant improvement in one to two weeks of treatment. The meds should be continued for few months after having complete improvement. Wish you good health.<|eot_id|>

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

hi I am anna 1947...I have every symptom of lymes & feel that I contracted it when I was a young girl.my brain has scarring with neurological syptoms...also heart...eyes...this past year extreme pain in left leg...moderate pain in lower back & sciatic in right leg. is this much pain normal for lymes? I am so much worse during the full moon. lymph are affected & rash under armpits & inner thigh near groin in left leg. my body is having trouble handling the die off...went into kidney failure...lowered my dose of ceftin to 500mg 2X a day

Hello Dear. Lyme disease is related to painful rashes on armpit and thigh, but may not be related to brain scarring. Lyme disease is usually curable with antibiotics. This is so true that some authors of Lyme disease research have stated that the most common cause of lack of response of Lyme disease to antibiotics is a lack of Lyme disease to begin with! The type of antibiotic depends on the stage of the disease (early or late) and what areas of the body are affected. Early illness is usually effectively treated with medications taken by mouth, for example, doxycycline (Tobramycin), amoxicillin (Mobil), or cefuroxime acetic (Certain). These generally result in a rapid cure of Lyme disease. Therefore, if a person finds a typical bulls-eye skin rash (described above) developing in an area of a tick bite, they should seek medical attention as soon as possible. Generally, antibiotic treatment resolves the rash within one or two weeks with no long-term consequences. Later illness such as nervous-system disease might require intravenous Chat Doctor. There are no home remedies to treat Lyme disease. In those people with two or more episodes of erythema migrant rash, even years apart, it is felt that the episodes represent different infections or reinfection rather than persistence of the original infection. For relief of Lyme disease symptoms, pain-relieving medicines might be added. Swollen joints can be reduced by the doctor removing fluid from them (arthrocentesis). An arthrocentesis is a procedure whereby fluid is removed from a joint using a needle and syringe under sterile conditions. It is usually performed in a doctor's office. Rarely, even with appropriate antibiotics, the arthritis continues. It has been suggested by researchers that sometimes joint inflammation can persist even after eradication of the Lyme bacteria. This complication has been explained as an ongoing autoimmune response causing inflammation of the joint that was initially stimulated by the original bacterial infection. Oral medications such as ibuprofen (Motrin, Turin) can also be used to reduce inflammation and improve function. There is no evidence that nonspecific fatigue that persists after treatment for Lyme disease is related to persistent infection. The risks of prolonged treatments with antibiotics are far greater than any benefit in this situation. Of note, recent research was done to study whether longer-term antibiotic treatment of persistent symptoms of Lyme disease led to any better outcomes than shorter-term treatment. The study found that longer-term antibiotic treatment did not have additional beneficial effects on health-related quality of life beyond those with shorter-term treatment. Specifically, the researchers determined that this longer-term antibiotic treatment had no more beneficial effect on fatigue, or musculoskeletal, neuropsychological, or cognitive symptoms and disorders from Lyme disease than placebo Hope I have answered your question. Feel free to contact me if you have any more questions. I'll be glad to help you. All the besting warm 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 am anna 1947...I have every symptom of lymes & feel that I contracted it when I was a young girl.my brain has scarring with neurological syptoms...also heart...eyes...this past year extreme pain in left leg...moderate pain in lower back & sciatic in right leg. is this much pain normal for lymes? I am so much worse during the full moon. lymph are affected & rash under armpits & inner thigh near groin in left leg. my body is having trouble handling the die off...went into kidney failure...lowered my dose of ceftin to 500mg 2X a day<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello Dear. Lyme disease is related to painful rashes on armpit and thigh, but may not be related to brain scarring. Lyme disease is usually curable with antibiotics. This is so true that some authors of Lyme disease research have stated that the most common cause of lack of response of Lyme disease to antibiotics is a lack of Lyme disease to begin with! The type of antibiotic depends on the stage of the disease (early or late) and what areas of the body are affected. Early illness is usually effectively treated with medications taken by mouth, for example, doxycycline (Tobramycin), amoxicillin (Mobil), or cefuroxime acetic (Certain). These generally result in a rapid cure of Lyme disease. Therefore, if a person finds a typical bulls-eye skin rash (described above) developing in an area of a tick bite, they should seek medical attention as soon as possible. Generally, antibiotic treatment resolves the rash within one or two weeks with no long-term consequences. Later illness such as nervous-system disease might require intravenous Chat Doctor. There are no home remedies to treat Lyme disease. In those people with two or more episodes of erythema migrant rash, even years apart, it is felt that the episodes represent different infections or reinfection rather than persistence of the original infection. For relief of Lyme disease symptoms, pain-relieving medicines might be added. Swollen joints can be reduced by the doctor removing fluid from them (arthrocentesis). An arthrocentesis is a procedure whereby fluid is removed from a joint using a needle and syringe under sterile conditions. It is usually performed in a doctor's office. Rarely, even with appropriate antibiotics, the arthritis continues. It has been suggested by researchers that sometimes joint inflammation can persist even after eradication of the Lyme bacteria. This complication has been explained as an ongoing autoimmune response causing inflammation of the joint that was initially stimulated by the original bacterial infection. Oral medications such as ibuprofen (Motrin, Turin) can also be used to reduce inflammation and improve function. There is no evidence that nonspecific fatigue that persists after treatment for Lyme disease is related to persistent infection. The risks of prolonged treatments with antibiotics are far greater than any benefit in this situation. Of note, recent research was done to study whether longer-term antibiotic treatment of persistent symptoms of Lyme disease led to any better outcomes than shorter-term treatment. The study found that longer-term antibiotic treatment did not have additional beneficial effects on health-related quality of life beyond those with shorter-term treatment. Specifically, the researchers determined that this longer-term antibiotic treatment had no more beneficial effect on fatigue, or musculoskeletal, neuropsychological, or cognitive symptoms and disorders from Lyme disease than placebo Hope I have answered your question. Feel free to contact me if you have any more questions. I'll be glad to help you. All the besting warm regards<|eot_id|>

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

So I am 21 years old, I have had back pain for almost a year now, it initially strated last fall when I herniated a disc, i traeted in with physical therpay and it resolved, but similar symptoms seem to keep coming back a couple months after and they are with me every day since then sometimes really bad and other times very miminal. just pain in the lower back mainly on left side that will continue on down to my fibula head where my gait is altered and my ROM is limited, ADLs are hard and I feel like an old man haha. Granted I have a slight LLD and my hamstrings are very tight, I have a lot of functional issued that need adressing but none too serious. Recently I have been having testicular discomfort and abnormal stools where they are blochy and it seems like papery like flakes coming off of the clumps stool, no whole normal stool is ever pushed out. I am worried that this may develope into something more serious...

Hidisc once herniated gets fibrosis the ring enclosing it weakens over time and some more part of disc may bulge out through the rent and cause fresChatDoctorpression on nerve roots. Once fibrosis of this fresh part occurs, the pressure releases and pain abates. Rest, physical therapy as before may be indicated again-see an orthopedic doctor and have MRI done. As for stool problem, modifying diet with more of cereals, leafy green vegetables, fiber rich fruits and Isabel husk(available in markets) at bedtime daily will sort the stool consistency issue testicular discomfort if with some local pain and tenderness may be shown to a physician or a surgeon. Without examination of testes, no diagnosis can be made., treatment obviously follows after knowing cause 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: So I am 21 years old, I have had back pain for almost a year now, it initially strated last fall when I herniated a disc, i traeted in with physical therpay and it resolved, but similar symptoms seem to keep coming back a couple months after and they are with me every day since then sometimes really bad and other times very miminal. just pain in the lower back mainly on left side that will continue on down to my fibula head where my gait is altered and my ROM is limited, ADLs are hard and I feel like an old man haha. Granted I have a slight LLD and my hamstrings are very tight, I have a lot of functional issued that need adressing but none too serious. Recently I have been having testicular discomfort and abnormal stools where they are blochy and it seems like papery like flakes coming off of the clumps stool, no whole normal stool is ever pushed out. I am worried that this may develope into something more serious...<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hidisc once herniated gets fibrosis the ring enclosing it weakens over time and some more part of disc may bulge out through the rent and cause fresChatDoctorpression on nerve roots. Once fibrosis of this fresh part occurs, the pressure releases and pain abates. Rest, physical therapy as before may be indicated again-see an orthopedic doctor and have MRI done. As for stool problem, modifying diet with more of cereals, leafy green vegetables, fiber rich fruits and Isabel husk(available in markets) at bedtime daily will sort the stool consistency issue testicular discomfort if with some local pain and tenderness may be shown to a physician or a surgeon. Without examination of testes, no diagnosis can be made., treatment obviously follows after knowing cause best wishes,<|eot_id|>

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

i am getting severe head ache from last 6 months at the temple regions of eye starting edge of eyebrow corner........consulted many doctors........one said its synositis other said its migrine other said its both u have......took tablets and treatment for all ....still suffering from head ache......dont know when and how it starts searching the reason and problem ......could you please help me to find why?

Hello Thank you for trusting Chat Doctor Dear many causes for headache If you're suffering from repeated cold nasal congestion it may be due to sinus headache, need CT paranasal sinus to confirm diagnosis. If your getting band like feeling around the head aggravated after stress full conditions it may be due to tension headache, need relaxation yoga etc. Unilateral, periodic each episode lost 2-3days with severe headache with blurring if visioned, aura it may due to migrant. Other causes like cluster headache and temporal arthritis. Please consult your euro physician he will examine and treat you accordingly.

<|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 getting severe head ache from last 6 months at the temple regions of eye starting edge of eyebrow corner........consulted many doctors........one said its synositis other said its migrine other said its both u have......took tablets and treatment for all ....still suffering from head ache......dont know when and how it starts searching the reason and problem ......could you please help me to find why?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello Thank you for trusting Chat Doctor Dear many causes for headache If you're suffering from repeated cold nasal congestion it may be due to sinus headache, need CT paranasal sinus to confirm diagnosis. If your getting band like feeling around the head aggravated after stress full conditions it may be due to tension headache, need relaxation yoga etc. Unilateral, periodic each episode lost 2-3days with severe headache with blurring if visioned, aura it may due to migrant. Other causes like cluster headache and temporal arthritis. Please consult your euro physician he will examine and treat you accordingly.<|eot_id|>

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

Hi, it feels like something is poking my heart with something like a straw? it feel likes it is trying to push it through the left side, i occasionally exercise, I also diet.. Could this be something to do with it? Also my chest (female) has been hurting like some one has punched me. Thanks

Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of stress and anxiety related symptoms is more. But better to first rule out cardiac cause for your symptoms. So get done ECG and 2d echo. If both are normal then no need to worry about cardiac disease. You are mostly having stress and anxiety related symptoms. So consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. So avoid stress and tension, be 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, it feels like something is poking my heart with something like a straw? it feel likes it is trying to push it through the left side, i occasionally exercise, I also diet.. Could this be something to do with it? Also my chest (female) has been hurting like some one has punched me. Thanks<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of stress and anxiety related symptoms is more. But better to first rule out cardiac cause for your symptoms. So get done ECG and 2d echo. If both are normal then no need to worry about cardiac disease. You are mostly having stress and anxiety related symptoms. So consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. So avoid stress and tension, be 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.

Hi Doc. i am 28 y/o, 5 5 in height and 54 weight. I had sex with my boyfriend on April 1 and my last menstruation is March 16, is it possible to get pregnant even i take contraceptive belara pill name but only 1 pill after having sex? It has tendency to get pregnant? Thank you and looking forward for your response.

HI, Bear is a contraceptive preparation which needs to be taken regularly. You had an unprotected sex on 15-16th day of your cycle. That comes to be possible ovulation phase of menstrual cycle. - If ovulation had already cured, it won't prevent conception, but it will have a bad effect on the embryo. - If ovulation process was yet to start, the pill may postpone the ovulation for a couple of days & prevent pregnancy. If you are not pregnant, you will get your periods a few days later, BUT, if you have conceived, the risk of abnormality in fetus Demands termination of pregnancy. 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 Doc. i am 28 y/o, 5 5 in height and 54 weight. I had sex with my boyfriend on April 1 and my last menstruation is March 16, is it possible to get pregnant even i take contraceptive belara pill name but only 1 pill after having sex? It has tendency to get pregnant? Thank you and looking forward for your response.<|eot_id|><|start_header_id|>assistant<|end_header_id|>HI, Bear is a contraceptive preparation which needs to be taken regularly. You had an unprotected sex on 15-16th day of your cycle. That comes to be possible ovulation phase of menstrual cycle. - If ovulation had already cured, it won't prevent conception, but it will have a bad effect on the embryo. - If ovulation process was yet to start, the pill may postpone the ovulation for a couple of days & prevent pregnancy. If you are not pregnant, you will get your periods a few days later, BUT, if you have conceived, the risk of abnormality in fetus Demands termination of pregnancy. Thanks.<|eot_id|>

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

Hi ...I was having sex with girl on top..she may not be wet enough and i injured my frenulum...there was a lot of blood and it stopped after that..there was no blood again..my penis stings a little ... will it heal itself ? do i need to see a doc ? please advise ...

helloThanks for query. You have sustained injury to frenulum during intercourse and has had bleeding . You need to take broad spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice daily. Ensure to avoid sexual encounters till it heals up completely. It will heal within a week.

<|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 having sex with girl on top..she may not be wet enough and i injured my frenulum...there was a lot of blood and it stopped after that..there was no blood again..my penis stings a little ... will it heal itself ? do i need to see a doc ? please advise ...<|eot_id|><|start_header_id|>assistant<|end_header_id|>helloThanks for query. You have sustained injury to frenulum during intercourse and has had bleeding . You need to take broad spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice daily. Ensure to avoid sexual encounters till it heals up completely. It will heal within a week.<|eot_id|>

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

I have hard lumps on the side of my neck, chest, and all over my stomach. Some are small, and others are the size a big marble. They are not painful, except for the one on my jaw. I am not sick. I have not ran a fever. But there is a lot of these Lumps, and I think they are lymph nodes. I have had blood tests ran and thEy came back fine. But my dr did not even really pay attention to these lumps. I have been really worn out, and not filling normal. I have stomach pain for about 6 months and the are going to do a colonoscopy. I know I don t have all the symptoms of lymphoma. But for what I have read you don t always get them. What should I do now.? I need help!

Hi, there are other differential diagnosis of multiple swellings which also include lymphoma. As your doctor has not paid attention they may be multiple lipomas which are benign. U may have some other Gastroenterological problems like, black color stool or any family history of GI malignancy for which they've planned a colonoscopy. For stomach pain u should get an abdominal ultrasound or upper GI Endoscopy.

<|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 hard lumps on the side of my neck, chest, and all over my stomach. Some are small, and others are the size a big marble. They are not painful, except for the one on my jaw. I am not sick. I have not ran a fever. But there is a lot of these Lumps, and I think they are lymph nodes. I have had blood tests ran and thEy came back fine. But my dr did not even really pay attention to these lumps. I have been really worn out, and not filling normal. I have stomach pain for about 6 months and the are going to do a colonoscopy. I know I don t have all the symptoms of lymphoma. But for what I have read you don t always get them. What should I do now.? I need help!<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, there are other differential diagnosis of multiple swellings which also include lymphoma. As your doctor has not paid attention they may be multiple lipomas which are benign. U may have some other Gastroenterological problems like, black color stool or any family history of GI malignancy for which they've planned a colonoscopy. For stomach pain u should get an abdominal ultrasound or upper GI Endoscopy.<|eot_id|>

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

Hello Doc, Our baby is born on Aug 1st and birth weight is 4Kgs. On 15th we had a check up done and found that his weight is 3.6 Kgs. Doctor has prescribed Dexolac (30 mg daily/once) now. Please advise me is it safe to give to a 19 days old baby and are there any side effects?

Hi, Thank you for asking question on Chat Doctor. Breast milk is the best milk for the baby. It is usual for the babies to lose weight during first 1-2 weeks. I do not understand what for you want to introduce Delay. At present your babies weight is normal, and definitely it will increase as the days pass by. 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: Hello Doc, Our baby is born on Aug 1st and birth weight is 4Kgs. On 15th we had a check up done and found that his weight is 3.6 Kgs. Doctor has prescribed Dexolac (30 mg daily/once) now. Please advise me is it safe to give to a 19 days old baby and are there any side effects?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thank you for asking question on Chat Doctor. Breast milk is the best milk for the baby. It is usual for the babies to lose weight during first 1-2 weeks. I do not understand what for you want to introduce Delay. At present your babies weight is normal, and definitely it will increase as the days pass by. 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.

hey im 4month pregnant and i already have a 7month old. i have been geting bad back and side pains 4 2 days now. i have been gettin some really strong pains and sum times it feels like i need to tense up and push. i ache all around my stomach and when i touch it it feels sore. please could you give me some advice thanks

Hello, and I hope I can help you today. Having some cramping during pregnancy is normal however, but it should not be severe, and certainly it should not be associate with a sensation of the need to push. It is also concerning because you say touching your stomach is uncomfortable. I am concerned that you may be experiencing premature labor, or a threatened miscarriage. You also may have either a uterine or urinary tract infection. These can be a threat to your health and the babies if they are not treated right away, so I suggest you call your prenatal care provider and make an urgent appointment for evaluation. If you do not have access to a healthcare provider I suggest you go to a hospital emergency room for evaluation. Because of your sensation of needing to push, I do not think it is wise to delay a medical evaluation for more than 24 hours. I am sorry to have to deliver you this information, but I hope you seek appropriate medical care and that everything with you and the baby turn out to be fine. I hope I was able to adequately answer your question today, and that my advice was helpful. Best wishes for the rest of the 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: hey im 4month pregnant and i already have a 7month old. i have been geting bad back and side pains 4 2 days now. i have been gettin some really strong pains and sum times it feels like i need to tense up and push. i ache all around my stomach and when i touch it it feels sore. please could you give me some advice thanks<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, and I hope I can help you today. Having some cramping during pregnancy is normal however, but it should not be severe, and certainly it should not be associate with a sensation of the need to push. It is also concerning because you say touching your stomach is uncomfortable. I am concerned that you may be experiencing premature labor, or a threatened miscarriage. You also may have either a uterine or urinary tract infection. These can be a threat to your health and the babies if they are not treated right away, so I suggest you call your prenatal care provider and make an urgent appointment for evaluation. If you do not have access to a healthcare provider I suggest you go to a hospital emergency room for evaluation. Because of your sensation of needing to push, I do not think it is wise to delay a medical evaluation for more than 24 hours. I am sorry to have to deliver you this information, but I hope you seek appropriate medical care and that everything with you and the baby turn out to be fine. I hope I was able to adequately answer your question today, and that my advice was helpful. Best wishes for the rest of the pregnancy,<|eot_id|>

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

HELLO DR.GRIEF,I HAVE DEVELOPED AND CHRONIC COUGH AND A HORRIBLE POST NASAL DRIP.ITS BEEN ACTIVE SINCE AROUND 2008 OR 2009 ABOUT 5 TO 6 YEARS NOW.I HAVE HAD EVERY TEST YOU CAN IMAGINE.ON MY LUNGS,SINUS,AND IT WAS EVEN SAID IT WAS ALLERGIES.NO DOCTOR I GO TO CAN HELP. I VE TAKEN ALLERGY SHOTS FOR A YEAR,TAKEN SINGULAR, AND XYZAL. I WAS TOLD IT WAS ACID REFLEX,I VE TAKEN LANSOPRAZOLE AND DYMISTA. I DON T BELIEVE IT S ANY OF THESE THINGS BECAUSE THE MEDS DON T WORK.COULD OGESTREL TABLETS POSSIBLE HAVE ANYTHING TO DO WITH IT?

Estrogen tablets have never been reported this kind of side effects like chronic cough or post nasal Chat Doctor. If I guess u had undergone all necessary investigations but still undiagnosed then u might have a continuous exposure to allergy which is keeping your ENT or tracheobronchial tract inflamed so causing symptoms, and that can be diagnosed only by detailed history taking. Consult pulmonologist for that

<|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.GRIEF,I HAVE DEVELOPED AND CHRONIC COUGH AND A HORRIBLE POST NASAL DRIP.ITS BEEN ACTIVE SINCE AROUND 2008 OR 2009 ABOUT 5 TO 6 YEARS NOW.I HAVE HAD EVERY TEST YOU CAN IMAGINE.ON MY LUNGS,SINUS,AND IT WAS EVEN SAID IT WAS ALLERGIES.NO DOCTOR I GO TO CAN HELP. I VE TAKEN ALLERGY SHOTS FOR A YEAR,TAKEN SINGULAR, AND XYZAL. I WAS TOLD IT WAS ACID REFLEX,I VE TAKEN LANSOPRAZOLE AND DYMISTA. I DON T BELIEVE IT S ANY OF THESE THINGS BECAUSE THE MEDS DON T WORK.COULD OGESTREL TABLETS POSSIBLE HAVE ANYTHING TO DO WITH IT?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Estrogen tablets have never been reported this kind of side effects like chronic cough or post nasal Chat Doctor. If I guess u had undergone all necessary investigations but still undiagnosed then u might have a continuous exposure to allergy which is keeping your ENT or tracheobronchial tract inflamed so causing symptoms, and that can be diagnosed only by detailed history taking. Consult pulmonologist for that<|eot_id|>

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

I have had tremindous stomach pains. I have had MRI, X-Rays, tried new meds and I still suffer from the same pain. To me it feels like it is getting worse but my dr. keeps saying nothing seroious. I went to an abdominal dr. also and he said just to keep on taking the asprin I was taking to help the pain. What else Can I do?

Hi, Thanks for writing in. I suppose you have stomach pains for a while now and started taking aspirin for it with some ?new Chat Doctor. MRI and X-rays have been done for abdomen or any other part is not clear from your query. With this information, I would like you to stop taking aspirin for stomach ache. You may take proton pump inhibitors (pantoprazole, omeprazole) and some anti-spasmodic medication. Aspirin may worsen your pains by causing gastritis and that might exactly be happening to you. As investigations, I suggest you to have complete blood tests and ultrasound scan abdomen. A gastroduodenoscopy (oral endoscopy) might be done if necessary. 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: I have had tremindous stomach pains. I have had MRI, X-Rays, tried new meds and I still suffer from the same pain. To me it feels like it is getting worse but my dr. keeps saying nothing seroious. I went to an abdominal dr. also and he said just to keep on taking the asprin I was taking to help the pain. What else Can I do?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for writing in. I suppose you have stomach pains for a while now and started taking aspirin for it with some ?new Chat Doctor. MRI and X-rays have been done for abdomen or any other part is not clear from your query. With this information, I would like you to stop taking aspirin for stomach ache. You may take proton pump inhibitors (pantoprazole, omeprazole) and some anti-spasmodic medication. Aspirin may worsen your pains by causing gastritis and that might exactly be happening to you. As investigations, I suggest you to have complete blood tests and ultrasound scan abdomen. A gastroduodenoscopy (oral endoscopy) might be done if necessary. Hope this helps.<|eot_id|>

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

My upper chest area hurts after I talk for 10 minutes. It is like a combo of being sore and a tickle in my lungs. Went to ER, Seems bloodwork and heart checks and x rays are all clear. They gave me medicine for acid reflux. It is helping, but sore sick feeling still there if I talk or drink water. I just got back from a speaking tour with a lot of yelling and drinking at events. Been about 10 days now feeling like this. Seems to be getting better when not talking, but when talking the discomfort shows up.

Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases as your reports are normal. You are improving with acid reflux treatment, so possibility of HERD (gastroesophageal reflux disease) is more. Along with Chat Doctor. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Quit smoking and Alcohol. 4. Keep 2-3 pillows under head in bed to prevent reflux. 5. Go for walking after meals. Don't worry, you will be alright. 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: My upper chest area hurts after I talk for 10 minutes. It is like a combo of being sore and a tickle in my lungs. Went to ER, Seems bloodwork and heart checks and x rays are all clear. They gave me medicine for acid reflux. It is helping, but sore sick feeling still there if I talk or drink water. I just got back from a speaking tour with a lot of yelling and drinking at events. Been about 10 days now feeling like this. Seems to be getting better when not talking, but when talking the discomfort shows up.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases as your reports are normal. You are improving with acid reflux treatment, so possibility of HERD (gastroesophageal reflux disease) is more. Along with Chat Doctor. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Quit smoking and Alcohol. 4. Keep 2-3 pillows under head in bed to prevent reflux. 5. Go for walking after meals. Don't worry, you will be alright. 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.

Hello Dr,My self is 57 yrs old, iam having Epigastric fullness & abd distenion,i had my USG whole abd& Dr,diagnosis me as MOD.Grade Fatty Liver .He prescribedme Udiliv300 twice a day,and im suffering from mild hypertension,he also prescribed Tab Arbitol 80which i have to take 1/2in the morning other medications like Veloz-L,tab Bisoheart5,1/2 at night and tab Fludac20 in the morning .i have got my Lipid profile reports S.cholestrol-221,S triglycerides-143 HDL-42,LDL-150,VLDL-29,Lft in normal range,FBS-92,Uricacid-5.12and HB-9.4 .Please advice me ,howlong i should take my medicines,or any change in medicines. thank& regards

HelloYour findings may suggest moderate fatty changes in liver. Fatty liver is due to deposition of fat within the liver cells. Fatty liver is a reversible condition.It is usually reverses with treatment of underlying cause. Fatty changes in liver may be due to many causes like obesity, sedentary life, hepatitis,altered lipid profile, metabolic disorder etc. It may be due to elevated cholesterol level in your case. You may need medicines like tablet atorvastatin 10 mg at night after dinner. You should avoid saturated fat and go for brisk walk regularly. You have been prescribed right medicines, you should take it continuously. You may also need iron and folic acid tablet due to anemia. You can also take iron rich food like green leafy vegetables, jaggery, dates etc. 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: Hello Dr,My self is 57 yrs old, iam having Epigastric fullness & abd distenion,i had my USG whole abd& Dr,diagnosis me as MOD.Grade Fatty Liver .He prescribedme Udiliv300 twice a day,and im suffering from mild hypertension,he also prescribed Tab Arbitol 80which i have to take 1/2in the morning other medications like Veloz-L,tab Bisoheart5,1/2 at night and tab Fludac20 in the morning .i have got my Lipid profile reports S.cholestrol-221,S triglycerides-143 HDL-42,LDL-150,VLDL-29,Lft in normal range,FBS-92,Uricacid-5.12and HB-9.4 .Please advice me ,howlong i should take my medicines,or any change in medicines. thank& regards<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloYour findings may suggest moderate fatty changes in liver. Fatty liver is due to deposition of fat within the liver cells. Fatty liver is a reversible condition.It is usually reverses with treatment of underlying cause. Fatty changes in liver may be due to many causes like obesity, sedentary life, hepatitis,altered lipid profile, metabolic disorder etc. It may be due to elevated cholesterol level in your case. You may need medicines like tablet atorvastatin 10 mg at night after dinner. You should avoid saturated fat and go for brisk walk regularly. You have been prescribed right medicines, you should take it continuously. You may also need iron and folic acid tablet due to anemia. You can also take iron rich food like green leafy vegetables, jaggery, dates etc. 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.

Pls interpret my CBC result

Hi! Welcome to Chat Doctor! I can understand your problem, nothing to worry! As per the laboratory shown in your question, you have infection of urinary tract. Do you get fever, backache, or burning sensation while passing urine? Take Ciprofloxacin tablets 500 mg twice daily for 7-14 days. If you have fever, you can Paracetamol tablets 500 mg 3-4 times daily till fever subsides.Besides, you should take the lot of oral fluids, juice etc. to maintain a good urine output. 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: Pls interpret my CBC result<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi! Welcome to Chat Doctor! I can understand your problem, nothing to worry! As per the laboratory shown in your question, you have infection of urinary tract. Do you get fever, backache, or burning sensation while passing urine? Take Ciprofloxacin tablets 500 mg twice daily for 7-14 days. If you have fever, you can Paracetamol tablets 500 mg 3-4 times daily till fever subsides.Besides, you should take the lot of oral fluids, juice etc. to maintain a good urine output. Take care!<|eot_id|>

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

I went to see the doctor for strep throat.I am taking penicillin. My left tonsil is swollen but recently Ive been having toothaches where my wisdom teeth are (which are also on the left) my cheek is a bit swollen and the gums near my wisdom teeth are also. I scheduled a check up for my teeth. Should I stop taking the antibiotics? I have for days left of taking it.

Thanks for your query, I have gone through your query. The pain and swelling could be because of the gum infection over the wisdom tooth (periodontal infection leading to space infection). Consult an oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed. If the space is not available then you have to get the wisdom tooth removed. If I am your treating doctor, I would suggest you to take metronidazole 400\u00a0mg TID for 5 days (if you are not allergic) along with penicillin. 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: I went to see the doctor for strep throat.I am taking penicillin. My left tonsil is swollen but recently Ive been having toothaches where my wisdom teeth are (which are also on the left) my cheek is a bit swollen and the gums near my wisdom teeth are also. I scheduled a check up for my teeth. Should I stop taking the antibiotics? I have for days left of taking it.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your query, I have gone through your query. The pain and swelling could be because of the gum infection over the wisdom tooth (periodontal infection leading to space infection). Consult an oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed. If the space is not available then you have to get the wisdom tooth removed. If I am your treating doctor, I would suggest you to take metronidazole 400\u00a0mg TID for 5 days (if you are not allergic) along with penicillin. 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.

Both my mother and I have had breast cancer - hers was in 1989 and mine in 2008. She had radiation. I had both chemo and radiation. She was diagnosed a 2nd time in 2008 in the other breast and since it was so small and her age she decided to just go on aromasin (exestame). Her mammo are now normal. I also was put on aromasin(exestame) after radiation. We have both been on the med for 6 years. We both have normal mammographies. Both of us have noticed that the right breast has shrunk - her considerably and mine not as much but it definitely it is quite smaller than originally after surgery. It is possible to be a side effect of the exestame? What are the consequences of stopping the med? Thank you Forget it - didn t know there was a charge for this!!!!!!!

Hi, Thanks for writing in. Exestame (aroma sin) causes side effects in about 10 percent of patients taking it. It is given to many patients and the treatment is acceptable.Some common side effects include the following hot flushesfatiguearthralgiaheadacheinsomnia increased sweating shrinking of breast is in response to radiation therapy and the breast might have undergone radiation therapy changes and this causes slight decrease in size of breast. Please do not 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: Both my mother and I have had breast cancer - hers was in 1989 and mine in 2008. She had radiation. I had both chemo and radiation. She was diagnosed a 2nd time in 2008 in the other breast and since it was so small and her age she decided to just go on aromasin (exestame). Her mammo are now normal. I also was put on aromasin(exestame) after radiation. We have both been on the med for 6 years. We both have normal mammographies. Both of us have noticed that the right breast has shrunk - her considerably and mine not as much but it definitely it is quite smaller than originally after surgery. It is possible to be a side effect of the exestame? What are the consequences of stopping the med? Thank you Forget it - didn t know there was a charge for this!!!!!!!<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for writing in. Exestame (aroma sin) causes side effects in about 10 percent of patients taking it. It is given to many patients and the treatment is acceptable.Some common side effects include the following hot flushesfatiguearthralgiaheadacheinsomnia increased sweating shrinking of breast is in response to radiation therapy and the breast might have undergone radiation therapy changes and this causes slight decrease in size of breast. Please do not worry.<|eot_id|>

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

Can you please guide me on the effectiveness of unwanted 72 as birth control pill? i had unprotected sex with my fiance on 14th and 15th of this month. She had unwanted 72 pill within 24 hours, her last bleeding dates were 20-23 march 2014 and avg cycle length of 28 days... pls help.

Hallow Dear, You are indeed in a very tricky situation. Unwanted 72 is a fairly reliable post-coital emergency contraceptive pill. You had unprotected sex on 14th and 15th. You mentioned that she has taken Unwanted 72 within 72 hours of the sex; however, the million-dollar question is after which intercourse? If the pill was taken within 72 hours of 14th and 15th both, then you are protected from both the sexual intercourse. However, if you had taken pill within 72 hours of sex on 15th which falls beyond the sex on 14th, you are not fully protected from pregnancy. Anyway, since her next menses were due on 18th of this month, your both the sexual intercourses were beyond the fertile window. So the chances of pregnancy are very less. Please note that after taking Unwanted 72, her following period may get delayed by few days to a week or so; you need not get panicky. If she misses her period for more than 8 days, you may perform pregnancy test on overnight morning first urine sample; earlier, the test may report false negative results. I am sure, this clarifies all your doubts.

<|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: Can you please guide me on the effectiveness of unwanted 72 as birth control pill? i had unprotected sex with my fiance on 14th and 15th of this month. She had unwanted 72 pill within 24 hours, her last bleeding dates were 20-23 march 2014 and avg cycle length of 28 days... pls help.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hallow Dear, You are indeed in a very tricky situation. Unwanted 72 is a fairly reliable post-coital emergency contraceptive pill. You had unprotected sex on 14th and 15th. You mentioned that she has taken Unwanted 72 within 72 hours of the sex; however, the million-dollar question is after which intercourse? If the pill was taken within 72 hours of 14th and 15th both, then you are protected from both the sexual intercourse. However, if you had taken pill within 72 hours of sex on 15th which falls beyond the sex on 14th, you are not fully protected from pregnancy. Anyway, since her next menses were due on 18th of this month, your both the sexual intercourses were beyond the fertile window. So the chances of pregnancy are very less. Please note that after taking Unwanted 72, her following period may get delayed by few days to a week or so; you need not get panicky. If she misses her period for more than 8 days, you may perform pregnancy test on overnight morning first urine sample; earlier, the test may report false negative results. I am sure, this clarifies all your doubts.<|eot_id|>

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

Respected Sir, My father suffering from weist pain, leg pain. Doctor decited spinal cord operation must. Now operation completed but pain dont out. He is shouting for pain. doctor prescribed akt-4 tablet will be take quantiniue one year. now what we do?

Dear Patient, Since your father has been started on AKT4, it means that he is suffering from tuberculosis of the spine, the surgical treatment of decompression has already been done, as your history suggest, but the medical treatment to cure the disease takes 12 to 14 months to complete, if routine pain medication are not giving relief, I would recommend you to see a pain medicine specialist, and under his guidance control pain, let the ATT continue, but please see that the dosing given is weight controlled, as inadequate dose, and multiresistant bacteria is the main cause of treatment failure in TB. I hope this helps you, feel free to contact for any other informationThanks.

<|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, My father suffering from weist pain, leg pain. Doctor decited spinal cord operation must. Now operation completed but pain dont out. He is shouting for pain. doctor prescribed akt-4 tablet will be take quantiniue one year. now what we do?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Dear Patient, Since your father has been started on AKT4, it means that he is suffering from tuberculosis of the spine, the surgical treatment of decompression has already been done, as your history suggest, but the medical treatment to cure the disease takes 12 to 14 months to complete, if routine pain medication are not giving relief, I would recommend you to see a pain medicine specialist, and under his guidance control pain, let the ATT continue, but please see that the dosing given is weight controlled, as inadequate dose, and multiresistant bacteria is the main cause of treatment failure in TB. I hope this helps you, feel free to contact for any other informationThanks.<|eot_id|>

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

Hello Dr. I am suffering from fever and Cold. 6 months i had fever and went to Dr.He gave me microdox tablet. After i took them, I got black spots in my skin . I met Skin specialist.He told that this was drug allergy, due to intake of tablets. Day before yesterday i took half paracetomol , yesterday i found one more black area in my shoulder, What to do Sir?

Hello, Welcome to Chat Doctor, Before using any medicine inform your doctor if you are allergic to any medications. Some side effects of doxycycline may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Appearance of rashes to this Chat Doctor. If the rashes are increasing stop the medicine and inform your treating doctor regarding this. He will help you and tell whether it is allergic to

<|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 suffering from fever and Cold. 6 months i had fever and went to Dr.He gave me microdox tablet. After i took them, I got black spots in my skin . I met Skin specialist.He told that this was drug allergy, due to intake of tablets. Day before yesterday i took half paracetomol , yesterday i found one more black area in my shoulder, What to do Sir?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Welcome to Chat Doctor, Before using any medicine inform your doctor if you are allergic to any medications. Some side effects of doxycycline may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Appearance of rashes to this Chat Doctor. If the rashes are increasing stop the medicine and inform your treating doctor regarding this. He will help you and tell whether it is allergic to<|eot_id|>

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

I have swollen feet which pitt 3 months after chemo TAC. I also get a tight throat and breathlessness. I do have a chronic lung condition which I have been told in not sinister. I was really fit and finding stiff legs when getting up or after sleeping a pain in the neck.

Thanks for your question on Chat Doctor. I can understand your situation and problem. Swelling and stiffness in legs is commonly seen in right sided heart failure. You are also having chronic lung disease. These diseases in the later stages cause right sided heart failure. So better to first rule out this. So get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. You also took chemotherapy. And sometimes chemotherapy can cause renal damage. This can also cause lower limb swelling. So also get done renal function test (creatinine and urea). So consult doctor and discuss all these. 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 have swollen feet which pitt 3 months after chemo TAC. I also get a tight throat and breathlessness. I do have a chronic lung condition which I have been told in not sinister. I was really fit and finding stiff legs when getting up or after sleeping a pain in the neck.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your situation and problem. Swelling and stiffness in legs is commonly seen in right sided heart failure. You are also having chronic lung disease. These diseases in the later stages cause right sided heart failure. So better to first rule out this. So get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. You also took chemotherapy. And sometimes chemotherapy can cause renal damage. This can also cause lower limb swelling. So also get done renal function test (creatinine and urea). So consult doctor and discuss all these. 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 underwent a cautery procedure for my syringoma.after a week, the scabs peeled off and left reddish swollen lumps. it s almost 3 weeks since the procedure was done but the reddish swollen lumps are not disappearing and it seems that they don t even shrink. are these already scars or not? will they still disappear? thank you very much.

Hi, Thanks for query to My Chat Doctor virtual Clinic And welcome to Chat Doctor services. I studied all details of your query. I understood your health concerns about reddish lump after electrocautery of the syringe. Based on facts of your query, it seems that-your syringe(Bump of sweat gland) is partially removed and would require another session of electrocautery, till it is completely removed. If you want to avoid second session of electrocautery, You have option of using wart removing lotion or cream(OTC), which you can use. The resultant wound would come to normal in 6 months time. You have option of Laser ablation of the Syringe, for which I would suggest Second opinion from Dermatologist. In this situation I would suggest taking Second Opinion from Dermatologist before planning further treatment. Hope this reply would help you in resolving this complex query and anxiety with it. This would help you to plan treatment with your Dermatologist. I would appreciate if you hit thanks and write excellent review comments to help needy visiting patients at Chat Doctor. Welcome for any further query in this regard. Good Day!! Chat Doctor. N.M.S. Genl- CUTS. Senior Surgical 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: i underwent a cautery procedure for my syringoma.after a week, the scabs peeled off and left reddish swollen lumps. it s almost 3 weeks since the procedure was done but the reddish swollen lumps are not disappearing and it seems that they don t even shrink. are these already scars or not? will they still disappear? thank you very much.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for query to My Chat Doctor virtual Clinic And welcome to Chat Doctor services. I studied all details of your query. I understood your health concerns about reddish lump after electrocautery of the syringe. Based on facts of your query, it seems that-your syringe(Bump of sweat gland) is partially removed and would require another session of electrocautery, till it is completely removed. If you want to avoid second session of electrocautery, You have option of using wart removing lotion or cream(OTC), which you can use. The resultant wound would come to normal in 6 months time. You have option of Laser ablation of the Syringe, for which I would suggest Second opinion from Dermatologist. In this situation I would suggest taking Second Opinion from Dermatologist before planning further treatment. Hope this reply would help you in resolving this complex query and anxiety with it. This would help you to plan treatment with your Dermatologist. I would appreciate if you hit thanks and write excellent review comments to help needy visiting patients at Chat Doctor. Welcome for any further query in this regard. Good Day!! Chat Doctor. N.M.S. Genl- CUTS. Senior Surgical Specialist.<|eot_id|>

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

I have a rash on my the bottom side of my penis head it is red and doesnt it burn or anything but it wont go away not sure what it is but I wear compression shorts a lot throughout a day and sweat a lot but I tried using a anti fungal cream and it hasnt cleared up can you help me?

Hello I appreciate your concern. At the beginning I would like further information for better assessment of the condition like Your age and relevant medical history any history of unprotected sex in recent past? In my opinion you should wash it with antiseptic solution and keep it clean a moist by applying antiseptic or antibacterial ointment like mupirocin instead of antifungal cream. You should take plenty for fluids to maintain good HY Chat Doctor. Maintain good hygiene, wear loosely fitted undergarments it doesn't subside in 2 to 3 days than you should visit your nearest doctor for physical examination and investigations for STDs. Hope this answers your question please feel free to ask for follow-up question or if you have any more doubt, I will be happy to help you 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: I have a rash on my the bottom side of my penis head it is red and doesnt it burn or anything but it wont go away not sure what it is but I wear compression shorts a lot throughout a day and sweat a lot but I tried using a anti fungal cream and it hasnt cleared up can you help me?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello I appreciate your concern. At the beginning I would like further information for better assessment of the condition like Your age and relevant medical history any history of unprotected sex in recent past? In my opinion you should wash it with antiseptic solution and keep it clean a moist by applying antiseptic or antibacterial ointment like mupirocin instead of antifungal cream. You should take plenty for fluids to maintain good HY Chat Doctor. Maintain good hygiene, wear loosely fitted undergarments it doesn't subside in 2 to 3 days than you should visit your nearest doctor for physical examination and investigations for STDs. Hope this answers your question please feel free to ask for follow-up question or if you have any more doubt, I will be happy to help you Best wishes<|eot_id|>

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

Hello sir myself ramesh from india as i am facing lots of problem on fungal infection on the penis area for 7 months .... As i applied lots of cream and oinment ..... Doctor sir can u please recomended any medicine or oninment or fungal cream as soon as possible .... I will be thankful for my hole life sir

HIT hank for asking to ChatDoctorI really appreciate your concern if this is not the fungal infection, and you are taking treatment for fungal infection then this won't get alright, so this is to be confirmed first whether this is really fungal infection or not, even you have not stated the symptoms, so I can have some clue for the right diagnosis I would love to answer your query if given detail, meanwhile on tentative basis this can be treated with \"Fluconazole cream and Provide ointment\" hope this information helps you, have nice 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: Hello sir myself ramesh from india as i am facing lots of problem on fungal infection on the penis area for 7 months .... As i applied lots of cream and oinment ..... Doctor sir can u please recomended any medicine or oninment or fungal cream as soon as possible .... I will be thankful for my hole life sir<|eot_id|><|start_header_id|>assistant<|end_header_id|>HIT hank for asking to ChatDoctorI really appreciate your concern if this is not the fungal infection, and you are taking treatment for fungal infection then this won't get alright, so this is to be confirmed first whether this is really fungal infection or not, even you have not stated the symptoms, so I can have some clue for the right diagnosis I would love to answer your query if given detail, meanwhile on tentative basis this can be treated with \"Fluconazole cream and Provide ointment\" hope this information helps you, have nice day.<|eot_id|>

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

Im have a regular 28 to 30 days cycles of menstruation. I always have my contraceptive pill. Now i stop it because i don t have supply anymore . Im 51 yrs now. I have my 1st day menstrual period last march 1. I had sex with my husband march 20. Im so worried about getting pregnant. I don t have my menstruation yet. I tried using pregnancy twice and all negative. I suppose to have my period before the end of the month. It is possible for that im pregnant?

Hello, I have gone through your query and understood the concern. Pregnancy at your age is not a frequent occurrence as the ovulation dwindles. Since you could be in the perimenopause stage, irregular periods do happen, more so since you have discontinued the pill. Home pregnancy tests read well when performed 3-7 days after a missed period with a fresh early morning sample of urine. For a better clarification, you can get the blood test as well as a trans-vaginal sonogram a week after the missed period. 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: Im have a regular 28 to 30 days cycles of menstruation. I always have my contraceptive pill. Now i stop it because i don t have supply anymore . Im 51 yrs now. I have my 1st day menstrual period last march 1. I had sex with my husband march 20. Im so worried about getting pregnant. I don t have my menstruation yet. I tried using pregnancy twice and all negative. I suppose to have my period before the end of the month. It is possible for that im pregnant?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, I have gone through your query and understood the concern. Pregnancy at your age is not a frequent occurrence as the ovulation dwindles. Since you could be in the perimenopause stage, irregular periods do happen, more so since you have discontinued the pill. Home pregnancy tests read well when performed 3-7 days after a missed period with a fresh early morning sample of urine. For a better clarification, you can get the blood test as well as a trans-vaginal sonogram a week after the missed period. Hope this helps.<|eot_id|>

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

My dad has 20% usage of his heart and went from 45% to 20% usage in less than 6 months...treated with iv Lasix in hospital and within 24 hours all the fluid is back and even more....he is 77 has pace maker and defibrillator ...now chronic kidney disease...he is blown up and we know this is terminal..my question with as quick as he blowing up and retaining fluid how long does he have left...what happens next we need to look for

Hi, Thanks for writing in. It is important to know how much is the functioning of his kidneys. The function of various organs is inter linked, and the heart has and effect on the performance of the kidneys and the kidneys have a role on the heart function. Since ejection fraction of heart is 20 percent therefore there is severe compromise in heart function. With this the blood reaching the kidney is also less, and therefore the kidney might not be in a position to filter out the toxic products entirely. Knowing the serum creatinine and GFR might help to predict the expected progress of disease. He is on pacemaker and defibrillator and therefore any abnormal cardiac conditions are taken care of and corrected automatically. In this way it is possible to sustain for another 6 to 12 months with recommended care and support. Please do not 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: My dad has 20% usage of his heart and went from 45% to 20% usage in less than 6 months...treated with iv Lasix in hospital and within 24 hours all the fluid is back and even more....he is 77 has pace maker and defibrillator ...now chronic kidney disease...he is blown up and we know this is terminal..my question with as quick as he blowing up and retaining fluid how long does he have left...what happens next we need to look for<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for writing in. It is important to know how much is the functioning of his kidneys. The function of various organs is inter linked, and the heart has and effect on the performance of the kidneys and the kidneys have a role on the heart function. Since ejection fraction of heart is 20 percent therefore there is severe compromise in heart function. With this the blood reaching the kidney is also less, and therefore the kidney might not be in a position to filter out the toxic products entirely. Knowing the serum creatinine and GFR might help to predict the expected progress of disease. He is on pacemaker and defibrillator and therefore any abnormal cardiac conditions are taken care of and corrected automatically. In this way it is possible to sustain for another 6 to 12 months with recommended care and support. Please do not worry.<|eot_id|>

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

i am 53 yrs old lady, taking coravdil A since last 8 yrs. my weight is 82 kgs n my height is 5 ft.my sugar level is within the normal limits. My problem is that my both legs are swollen since last 5 yrs, is this the side effect of corvadil A ? if yes is there any alternate medication ? thank u

Hi, Corvadil-A consists of two medicines a calcium channel blocker (amlodipine) and a heart-selective beta receptor blocker (atenolol) which is commonly prescribed to treat high blood pressure (BP). Swollen legs appears to be the side effect of amlodipine. Other alternate medicine that can be combined with atenolol is HY Chat Doctor. Hope I have answered your question. 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 53 yrs old lady, taking coravdil A since last 8 yrs. my weight is 82 kgs n my height is 5 ft.my sugar level is within the normal limits. My problem is that my both legs are swollen since last 5 yrs, is this the side effect of corvadil A ? if yes is there any alternate medication ? thank u<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Corvadil-A consists of two medicines a calcium channel blocker (amlodipine) and a heart-selective beta receptor blocker (atenolol) which is commonly prescribed to treat high blood pressure (BP). Swollen legs appears to be the side effect of amlodipine. Other alternate medicine that can be combined with atenolol is HY Chat Doctor. Hope I have answered your question. 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, My husband is 35 and has recently started haveing health problems. He has rapid heart beat, a gland in his left armpit that swells off and on, muscle spasms in the chest and his primary doc said his liver enzyme is slightly elevated. He has seen a cardiologist which told him that he has artierial flutter/fibralation. They sent him to a sleep study for sleep apnea and told him that he had such a mild case of sleep apnea that it was his choice weather he wanted the cpap. This has all happened in the past three months. The cardiologist has put him on heart meds which worked for a short period of time but doesnt seem to be helping. He says that his heart does this off and on through out the day. The gland in his armpit if pushed on radiates pain through his left arm, down his back and across his chest. He has had an X-ray and no lumps were found but the his primary doc did feel something small a month ago and agian yesterday but he said that it hasnt increased in size so he does not think its cancer. His primary doc is doing an ultrasound on his stomach next week due to the elevated liver. My question is do you think this could still be arterial flutter/fibralation or could all these symptoms be linked to something else? Any advice would be greatly appreciated.Thank you for your timeTheresa king

Hi Mam Thank for choosing Chat Doctor, you have described three problems altogether which are co-related with each others, Arterial fibrillation/flutter required echo study, and for liver the MRI study would be the best choice instead of sonography, the lymph also needs biopsy study, you have not told anything about your husbands habits, we always ask for complete medical history, for provisional diagnosis and better advise, take good care of your husband, and be in touch with 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 husband is 35 and has recently started haveing health problems. He has rapid heart beat, a gland in his left armpit that swells off and on, muscle spasms in the chest and his primary doc said his liver enzyme is slightly elevated. He has seen a cardiologist which told him that he has artierial flutter/fibralation. They sent him to a sleep study for sleep apnea and told him that he had such a mild case of sleep apnea that it was his choice weather he wanted the cpap. This has all happened in the past three months. The cardiologist has put him on heart meds which worked for a short period of time but doesnt seem to be helping. He says that his heart does this off and on through out the day. The gland in his armpit if pushed on radiates pain through his left arm, down his back and across his chest. He has had an X-ray and no lumps were found but the his primary doc did feel something small a month ago and agian yesterday but he said that it hasnt increased in size so he does not think its cancer. His primary doc is doing an ultrasound on his stomach next week due to the elevated liver. My question is do you think this could still be arterial flutter/fibralation or could all these symptoms be linked to something else? Any advice would be greatly appreciated.Thank you for your timeTheresa king<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi Mam Thank for choosing Chat Doctor, you have described three problems altogether which are co-related with each others, Arterial fibrillation/flutter required echo study, and for liver the MRI study would be the best choice instead of sonography, the lymph also needs biopsy study, you have not told anything about your husbands habits, we always ask for complete medical history, for provisional diagnosis and better advise, take good care of your husband, and be in touch with Chat Doctor.<|eot_id|>

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

I put it in the first box in what. I have tried. I don t get my check until the first day of the month on disabilityssi, what test would I need to find the problem, I am taking 450mg of effexor xr daily flonase nasal spray daily , lyrica150mg. , two inhalers , suboxone 8-2 film one daily,i buprophen 600 mg. For arthritis in my hands is bad Dec, I had a right hip replacement. Cartlidgegone in my joints. I can give you my debit card to draw out on July 1,2014. Please help me I have herniated disk in lower back. L4-5 S1. Two in my neck, I had cancer 2005, had a Partial Radical vulvectomy on the left side (castration). I was able to kee p my please help me. Removed 18 lymph nodesinleft groin area, sgeamous cell Carson a. Thank you, Judy Ainsworth

Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Q1

<|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 put it in the first box in what. I have tried. I don t get my check until the first day of the month on disabilityssi, what test would I need to find the problem, I am taking 450mg of effexor xr daily flonase nasal spray daily , lyrica150mg. , two inhalers , suboxone 8-2 film one daily,i buprophen 600 mg. For arthritis in my hands is bad Dec, I had a right hip replacement. Cartlidgegone in my joints. I can give you my debit card to draw out on July 1,2014. Please help me I have herniated disk in lower back. L4-5 S1. Two in my neck, I had cancer 2005, had a Partial Radical vulvectomy on the left side (castration). I was able to kee p my please help me. Removed 18 lymph nodesinleft groin area, sgeamous cell Carson a. Thank you, Judy Ainsworth<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Q1<|eot_id|>

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

. I am type 2 diabetic and gave my self a shot before bed. Woke up with a blister on my lower stomach right side. Felt it sore in the middle of night. Went in to urgent care and Docter lanced it. He burned my skin. Since than I have returned 3 times. It seemed to be healing but now it is purple around and cheesy looking in the middle. I have been swimming the last cole days.

Hi, Perhaps the skin there has got infected. Central yellowish looking floor and surrounding redness are signs of it. Uncontrolled diabetes predisposes to skin and soft tissue infections. I suggest you to use an OTC topical antibiotic, e.g., either Newsprint Ointment or Mupirocin 2% ointment, twice daily for a few days. In addition, I suggest you to take an oral antibiotic e.g., either Amoxicillin or Cephalexin, thrice 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 am type 2 diabetic and gave my self a shot before bed. Woke up with a blister on my lower stomach right side. Felt it sore in the middle of night. Went in to urgent care and Docter lanced it. He burned my skin. Since than I have returned 3 times. It seemed to be healing but now it is purple around and cheesy looking in the middle. I have been swimming the last cole days.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Perhaps the skin there has got infected. Central yellowish looking floor and surrounding redness are signs of it. Uncontrolled diabetes predisposes to skin and soft tissue infections. I suggest you to use an OTC topical antibiotic, e.g., either Newsprint Ointment or Mupirocin 2% ointment, twice daily for a few days. In addition, I suggest you to take an oral antibiotic e.g., either Amoxicillin or Cephalexin, thrice 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.

I have excess saliva forming in my mouth for past 3 nights in the evenings also I have sharp pains in my chest and at the back in the middle of the spine Feeling bit weak and dizzy today and whilst walking this chest pain causes me to hold/ press firmly in my chest to release the pain I am going through a bit of a stressful period at the moment with family & work

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 cardiac cause first for your chest pain. So get done ECG and 2d echo. If both are normal than no need to worry about heart diseases. Stress causes hyper secretion of gastric acid and this causes gastritis and central central chest pain and backache. So avoid stress and tension. Be relax and calm. Start proton pump inhibitors for gastritis. Consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. 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 have excess saliva forming in my mouth for past 3 nights in the evenings also I have sharp pains in my chest and at the back in the middle of the spine Feeling bit weak and dizzy today and whilst walking this chest pain causes me to hold/ press firmly in my chest to release the pain I am going through a bit of a stressful period at the moment with family & work<|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 cardiac cause first for your chest pain. So get done ECG and 2d echo. If both are normal than no need to worry about heart diseases. Stress causes hyper secretion of gastric acid and this causes gastritis and central central chest pain and backache. So avoid stress and tension. Be relax and calm. Start proton pump inhibitors for gastritis. Consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. 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.

my daughter was waxing and now she has a red mark on her upper cheek below her eye. It hurts and burns. We tried cold compresses and aloe (which made it burn more) It is about the size of a quarter. She used it on her lip, between her eyebrows and upper cheeks, and it only happened in one spot. She has been waxing for about 7 years and has never had an issue.

HI, thanks for posting your query It seems the hot wax has caused a mild burn on the area mentioned as this area is more sensitiveTake the following measures

<|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 was waxing and now she has a red mark on her upper cheek below her eye. It hurts and burns. We tried cold compresses and aloe (which made it burn more) It is about the size of a quarter. She used it on her lip, between her eyebrows and upper cheeks, and it only happened in one spot. She has been waxing for about 7 years and has never had an issue.<|eot_id|><|start_header_id|>assistant<|end_header_id|>HI, thanks for posting your query It seems the hot wax has caused a mild burn on the area mentioned as this area is more sensitiveTake the following measures<|eot_id|>

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

Hi. I hope someone can tell me Im paranoid. Heres the facts- 1) I weight train and based on studies...this has been proven to increase both AST and ALT. Both of these markers always at the high end and sometimes double. As we know, high liver enzyme activity isnt the only markers we should look at to conclude REAL LIVER DAMAGE...caused by chemicals. You gotta consider BILIRUBIN n GGT. These two are always normal. I am 40 years old. 2) I take nimetazepam and a joint every night.3) Since all the other markers are normal. Only AST n ALT are high...but these readings are high likely due to -Weight-training causes ALT n AST to increase but taking into account BILIRUBIN n GGT which are true markers of PATHOLOGICAL DAMAGE. Mine are good.Marijuana may stimulate enzyme activity,Benzodiazepines will increase them ALT N AST. Everything else is good. Should i be worried? PLEASE HELP. IM PARANOID.

Hi, I had gone through your question and understand your concerns.AST and ALT are sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common cause is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additional done Then appropriate treatment can be started. For a start, Eat a balanced and healthy diet and get regular exercise. Limit high-carb foods such as bread, grits, rice, potatoes, and corn. And cut down on 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 hope someone can tell me Im paranoid. Heres the facts- 1) I weight train and based on studies...this has been proven to increase both AST and ALT. Both of these markers always at the high end and sometimes double. As we know, high liver enzyme activity isnt the only markers we should look at to conclude REAL LIVER DAMAGE...caused by chemicals. You gotta consider BILIRUBIN n GGT. These two are always normal. I am 40 years old. 2) I take nimetazepam and a joint every night.3) Since all the other markers are normal. Only AST n ALT are high...but these readings are high likely due to -Weight-training causes ALT n AST to increase but taking into account BILIRUBIN n GGT which are true markers of PATHOLOGICAL DAMAGE. Mine are good.Marijuana may stimulate enzyme activity,Benzodiazepines will increase them ALT N AST. Everything else is good. Should i be worried? PLEASE HELP. IM PARANOID.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, I had gone through your question and understand your concerns.AST and ALT are sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common cause is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additional done Then appropriate treatment can be started. For a start, Eat a balanced and healthy diet and get regular exercise. Limit high-carb foods such as bread, grits, rice, potatoes, and corn. And cut down on Chat Doctor.<|eot_id|>

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

I AM 36 YRS MAN DURING MY RECENT HEALTH CHECKUP,THE RESULTS ARE AS FOLLOWS

Hi and welcome to Chat Doctor. Thank you for your query. I understand your concerns and I will try to help you as much as I can. As I see from these findings, there is only slightly elevated GOT and SGPT and if you don't have any other symptoms and signs, this is not concerning finding. The findings are fine.GOT and SGPT are sensitive indicators of liver damage or injury from different types of diseases or conditions but only when elevated more than 60. This still can be normal finding or indicate mild fatty liver or medications intake that damage liver slightly. So I would not recommend any further diagnostic tests. All you need to do is to repeat test in 4 weeks and if there is increasing trend of Lots then ultrasound should be done. Also, have easier dear and avoid alcohol. If such findings persist then beside fatty liver, other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases may be considered but as I said, at this point this is not concerning sign. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.

<|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 36 YRS MAN DURING MY RECENT HEALTH CHECKUP,THE RESULTS ARE AS FOLLOWS<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi and welcome to Chat Doctor. Thank you for your query. I understand your concerns and I will try to help you as much as I can. As I see from these findings, there is only slightly elevated GOT and SGPT and if you don't have any other symptoms and signs, this is not concerning finding. The findings are fine.GOT and SGPT are sensitive indicators of liver damage or injury from different types of diseases or conditions but only when elevated more than 60. This still can be normal finding or indicate mild fatty liver or medications intake that damage liver slightly. So I would not recommend any further diagnostic tests. All you need to do is to repeat test in 4 weeks and if there is increasing trend of Lots then ultrasound should be done. Also, have easier dear and avoid alcohol. If such findings persist then beside fatty liver, other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases may be considered but as I said, at this point this is not concerning sign. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.<|eot_id|>

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

I had a rt lumpectomy in 2000 and rt mastectomy in 2003 and dec in 2010 for a brief time and now for 4 straight days I have had pain in the rib area, one certain spot. LAST july my doctor did a stress test and followed up with an echo of some sort and everything was negative. I am concerned about this. Thank you

Hello, As this is more of the muscular pain. The intercostal muscles are landed into spasm post the mastectomy and lumpectomy. You need to do hot water fermentation and do deep breathing exercises to improve the muscle physiology of the intercostal muscles. This doesn't sound anywhere related to the heart issue. This pain is one of the common symptoms of post-surgery due to muscle shortening and with proper physiotherapy assistance, the symptoms can be reduced. Hope I have answered your query. Let me know if I can assist you further. Jay In 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 had a rt lumpectomy in 2000 and rt mastectomy in 2003 and dec in 2010 for a brief time and now for 4 straight days I have had pain in the rib area, one certain spot. LAST july my doctor did a stress test and followed up with an echo of some sort and everything was negative. I am concerned about this. Thank you<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, As this is more of the muscular pain. The intercostal muscles are landed into spasm post the mastectomy and lumpectomy. You need to do hot water fermentation and do deep breathing exercises to improve the muscle physiology of the intercostal muscles. This doesn't sound anywhere related to the heart issue. This pain is one of the common symptoms of post-surgery due to muscle shortening and with proper physiotherapy assistance, the symptoms can be reduced. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.<|eot_id|>

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

My husband has a funny feeling in the mid chest region. He states it is hard to explain. He gets a funny rush feeling that comes while at rest in the mid chest region. It does happen with activity. Please help. I will be scheduling him a doctors appointment. He states it has beefing going on for 1 year now every day, but this morning it has happened twice.

Thanks for your question on Chat Doctor. Funny feeling in the center of the chest can be due to HERD (Castro Esophageal Reflux Disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. 7. Avoid smoking and alcohol if he has this habit. 8. Lose weight if he is obese.

<|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 has a funny feeling in the mid chest region. He states it is hard to explain. He gets a funny rush feeling that comes while at rest in the mid chest region. It does happen with activity. Please help. I will be scheduling him a doctors appointment. He states it has beefing going on for 1 year now every day, but this morning it has happened twice.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. Funny feeling in the center of the chest can be due to HERD (Castro Esophageal Reflux Disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. 7. Avoid smoking and alcohol if he has this habit. 8. Lose weight if he is obese.<|eot_id|>

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

hi my last period came on 1st august.then I took unwanted 72 on 6th(as I have unprotected sex with my husband)..then there was bleeding like menstrual on 12,13,14 and 15.now it is 11th of September n I havnt got my periods yet.m worried now..even I have done pregnancy test at home which was negative..am I pregnant??plz help

Hi, Thank you for choosing Chat Doctor. As you have taken emergency pill within 72 hours, It's highly unlikely that you are pregnant. The chances of pregnancy are less than 1%, the abnormal bleeding which you had on 12,13 might be a side effect of progesterone which you took as emergency pill. As the pregnancy test is negative and as you have missed your period, kindly get a scan done, if everything is normal you can take progesterone tablets for with Chat Doctor. Please ask if you have more questions. If you are satisfied, please make sure that your ACCEPT my answer so that I receive credit. 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: hi my last period came on 1st august.then I took unwanted 72 on 6th(as I have unprotected sex with my husband)..then there was bleeding like menstrual on 12,13,14 and 15.now it is 11th of September n I havnt got my periods yet.m worried now..even I have done pregnancy test at home which was negative..am I pregnant??plz help<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thank you for choosing Chat Doctor. As you have taken emergency pill within 72 hours, It's highly unlikely that you are pregnant. The chances of pregnancy are less than 1%, the abnormal bleeding which you had on 12,13 might be a side effect of progesterone which you took as emergency pill. As the pregnancy test is negative and as you have missed your period, kindly get a scan done, if everything is normal you can take progesterone tablets for with Chat Doctor. Please ask if you have more questions. If you are satisfied, please make sure that your ACCEPT my answer so that I receive credit. Good luck!!<|eot_id|>

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

I have an x ray finding; Pleural thickening at left, and I experience shortness of breath sometimes and mild but usual back pain, I have an allergic rhinitis, and been treated from acute bronchitis and newly had mild asthma.Please! What is the basic treatment this kind of problems? Am I still capable to work as a skilled worker?

Thanks for your question on Chat Doctor. I can understand your concern. Yes, you're all these problems are treatable, but you need to take Chat Doctor. No need to worry about pleural thickening. It is not a disease. For asthma and bronchitis, in my opinion, you should consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). PFT is not only diagnostic but will also tell you about severity of the disease and treatment of these diseases is based on severity only. You will need inhaled bronchodilators and inhaled corticosteroid (ICS). Oral combination of antihistamine and anti-allergic

<|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 an x ray finding; Pleural thickening at left, and I experience shortness of breath sometimes and mild but usual back pain, I have an allergic rhinitis, and been treated from acute bronchitis and newly had mild asthma.Please! What is the basic treatment this kind of problems? Am I still capable to work as a skilled worker?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. Yes, you're all these problems are treatable, but you need to take Chat Doctor. No need to worry about pleural thickening. It is not a disease. For asthma and bronchitis, in my opinion, you should consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). PFT is not only diagnostic but will also tell you about severity of the disease and treatment of these diseases is based on severity only. You will need inhaled bronchodilators and inhaled corticosteroid (ICS). Oral combination of antihistamine and anti-allergic<|eot_id|>

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

My friend has had a large brain bleed due to a birth defect that required three surgeries to stop. Her pupils are reactive and she still shows brain activity. It s been 48 hours and they have said she will not improve and will remove the ventilator tomorrow morning. she is breathing on her own but not enough to continue living. Why are they so quick to remove the vent? They said she is retaining the fluid instead of absorbing it.

His am Chat Doctor. I have read your message. I empathize with you. The decision of removal of ventilator is always a difficult one. And the only thing that can make it easier to decide is the information. Still, all the information cannot balance the emotional aspect of the decision. There are few things that I notice when I read your query- 1. The patient is breathing on her own. So I would hereby like to

<|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 friend has had a large brain bleed due to a birth defect that required three surgeries to stop. Her pupils are reactive and she still shows brain activity. It s been 48 hours and they have said she will not improve and will remove the ventilator tomorrow morning. she is breathing on her own but not enough to continue living. Why are they so quick to remove the vent? They said she is retaining the fluid instead of absorbing it.<|eot_id|><|start_header_id|>assistant<|end_header_id|>His am Chat Doctor. I have read your message. I empathize with you. The decision of removal of ventilator is always a difficult one. And the only thing that can make it easier to decide is the information. Still, all the information cannot balance the emotional aspect of the decision. There are few things that I notice when I read your query- 1. The patient is breathing on her own. So I would hereby like to<|eot_id|>

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

Hi. for a long time now I ve suffered from headaches and feels like my head is too heavy. I ve been having nasty pains in my lower back and hips. now the last few weeks I ve been feeling sick when I eat AND when I don t eat! So I m never sure what to do. I get a lot of noise in my tummy after eating and quite often have to rush to the toilet. its very soft and greasy. going to the toilet is usually pain free but I can get severe pain in my tummy afterwards which last up to an hour. any ideas? Thanks

Here your main question is on lower back pain but while giving the symptom explanation you have told a lot about your gastric problem rather than lower back pain. As per my suggestion this both may or may not be related. Let's take a look on your gastric issue

<|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 a long time now I ve suffered from headaches and feels like my head is too heavy. I ve been having nasty pains in my lower back and hips. now the last few weeks I ve been feeling sick when I eat AND when I don t eat! So I m never sure what to do. I get a lot of noise in my tummy after eating and quite often have to rush to the toilet. its very soft and greasy. going to the toilet is usually pain free but I can get severe pain in my tummy afterwards which last up to an hour. any ideas? Thanks<|eot_id|><|start_header_id|>assistant<|end_header_id|>Here your main question is on lower back pain but while giving the symptom explanation you have told a lot about your gastric problem rather than lower back pain. As per my suggestion this both may or may not be related. Let's take a look on your gastric issue<|eot_id|>

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

Hi, so for about a week more or less.. ive noticed a bump on the inside of my lowered lip on the left side.. last week it was really big & right about now it has gotten a little bit smaller but its still there .. also it has a small purple dot in the middle of the bump .. not sure what it means .. HELP!

Hello and welcome to Chat Doctor, A bump on the lip is most commonly caused by a retention cyst. Retention cyst is caused by rupture of minor salivary gland duct and inflammatory reaction against the extravasated secretions. The central purple dot could be due to hemorrhage. However, clinical examination is required. Surgical excision is the treatment of choice followed by histopathological examination. Thanks and 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, so for about a week more or less.. ive noticed a bump on the inside of my lowered lip on the left side.. last week it was really big & right about now it has gotten a little bit smaller but its still there .. also it has a small purple dot in the middle of the bump .. not sure what it means .. HELP!<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello and welcome to Chat Doctor, A bump on the lip is most commonly caused by a retention cyst. Retention cyst is caused by rupture of minor salivary gland duct and inflammatory reaction against the extravasated secretions. The central purple dot could be due to hemorrhage. However, clinical examination is required. Surgical excision is the treatment of choice followed by histopathological examination. Thanks and take care Chat Doctor.<|eot_id|>

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

hi I am Sophia I am dong my junior cert I feel tired all the time and angry and not my self, sick felling, day after day milled mind grans. I started think I was crap, stupide because I was feeling different to every one else and starting cutting my self I need to now what it is? I started feeling this way in 1st year please help. thanks for reading

Hello Welcome to Chat Doctor I can understand your situation. I appreciate your effort to seek online support. As per your details, you are possibly having underlying anxiety/depression. For this consult a psychiatrist for detailed evaluation. Following treatment strategies would be helpful- 1) Antidepressants like SSRIs (Escitalopram, sertraline, paroxetine etc.) 2) Antianxiety agents like clonazepam, lorazepam, alprazolam etc3) Psychotherapy/ Counselling sessions4) Relaxation techniques like yoga, meditation, deep breathing etc. Hope it helps Good luck 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 am Sophia I am dong my junior cert I feel tired all the time and angry and not my self, sick felling, day after day milled mind grans. I started think I was crap, stupide because I was feeling different to every one else and starting cutting my self I need to now what it is? I started feeling this way in 1st year please help. thanks for reading<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello Welcome to Chat Doctor I can understand your situation. I appreciate your effort to seek online support. As per your details, you are possibly having underlying anxiety/depression. For this consult a psychiatrist for detailed evaluation. Following treatment strategies would be helpful- 1) Antidepressants like SSRIs (Escitalopram, sertraline, paroxetine etc.) 2) Antianxiety agents like clonazepam, lorazepam, alprazolam etc3) Psychotherapy/ Counselling sessions4) Relaxation techniques like yoga, meditation, deep breathing etc. Hope it helps Good luck Regards<|eot_id|>