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

Hi! Dr. I am researching treatment for symptoms that I have had all my life. I apparently have trouble fighting off cold and respiratory illnesses or an UTI. I feel run down about 80% of the time, as it feels like my body is constantly fighting off some type of bug or virus. exercise seems to exacerbate the problem. I feel it is due to either some type of immune or allergic problem. Do you know of any tests that could determine what the problem is? I was looking to possibly take Echinacea to treat this and maybe strengthen my immune system. But being unregulated by the FDA it s hard to know which brand or how much Echinacea I would need to use safely.

Hi I do care for your concern. The recurrent infections may be due to decreased immune response or poor hygiene conditions. I would advise having checked your blood glucose levels and if found high consult your physician and get appropriate medicines for that. Taking multivitamins such as zirconia and fresh green leafy vegetables and fruits will help to increase the immunity level. Regarding the medicine it's better to consult with your alternate medicine doctor. Hope your condition improves soon. Hope I have answered your question if you have more feel free to ask. Thank you.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi! Dr. I am researching treatment for symptoms that I have had all my life. I apparently have trouble fighting off cold and respiratory illnesses or an UTI. I feel run down about 80% of the time, as it feels like my body is constantly fighting off some type of bug or virus. exercise seems to exacerbate the problem. I feel it is due to either some type of immune or allergic problem. Do you know of any tests that could determine what the problem is? I was looking to possibly take Echinacea to treat this and maybe strengthen my immune system. But being unregulated by the FDA it s hard to know which brand or how much Echinacea I would need to use safely.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi I do care for your concern. The recurrent infections may be due to decreased immune response or poor hygiene conditions. I would advise having checked your blood glucose levels and if found high consult your physician and get appropriate medicines for that. Taking multivitamins such as zirconia and fresh green leafy vegetables and fruits will help to increase the immunity level. Regarding the medicine it's better to consult with your alternate medicine doctor. Hope your condition improves soon. Hope I have answered your question if you have more feel free to ask. Thank you.<|eot_id|>

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

49yr old female type2 diabetes for 7 yrs...having an bilateral great toe ulcer, non healing for last 1 year. Right

Hi, dairy have gone through your question. I can understand your concern. Cause of your non-healing ulcer is diabetes. It impairs the vascular supply. Your HbA1c is very high. Which suggest poor control of your diabetes. So you should control your diabetes first. You can take insulin or oral anti-diabetic Chat Doctor. Once your sugar is under control your ulcer will heal faster. Consult your doctor and 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: 49yr old female type2 diabetes for 7 yrs...having an bilateral great toe ulcer, non healing for last 1 year. Right<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, dairy have gone through your question. I can understand your concern. Cause of your non-healing ulcer is diabetes. It impairs the vascular supply. Your HbA1c is very high. Which suggest poor control of your diabetes. So you should control your diabetes first. You can take insulin or oral anti-diabetic Chat Doctor. Once your sugar is under control your ulcer will heal faster. Consult your doctor and 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.

Ok so idk if it could be stress or somethig else but on Feb 9th my mom went to jail because she got into a big fight with my grandparents trying to defend me..Feb 10 I was really stressed out trying to pay the bond and trying to get my mom out, I was emotionally destroyed..Feb 11, after I had sex I wiped, had light pink blood. Feb 12, lots of brown blood, had to put on a pad, had lots of cramps. Feb 13, a lil bit of brown blood, rarely any cramps. Feb 14

Hi, Dear,Welcome to Chat Doctor. Based on the facts of your query, You seem to suffer from-yes, this nausea and brown discharge could be from hormonal imbalance with more stress hormones causing gastritis and the brown discharge after the sex could only be due to the with Chat Doctor. Possibility of pregnancy due to missed pills with unprotected sex, after recent sex, as a cause of this nausea and brown discharge-is very, very less. Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. suggests Good Day!!

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Ok so idk if it could be stress or somethig else but on Feb 9th my mom went to jail because she got into a big fight with my grandparents trying to defend me..Feb 10 I was really stressed out trying to pay the bond and trying to get my mom out, I was emotionally destroyed..Feb 11, after I had sex I wiped, had light pink blood. Feb 12, lots of brown blood, had to put on a pad, had lots of cramps. Feb 13, a lil bit of brown blood, rarely any cramps. Feb 14<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Dear,Welcome to Chat Doctor. Based on the facts of your query, You seem to suffer from-yes, this nausea and brown discharge could be from hormonal imbalance with more stress hormones causing gastritis and the brown discharge after the sex could only be due to the with Chat Doctor. Possibility of pregnancy due to missed pills with unprotected sex, after recent sex, as a cause of this nausea and brown discharge-is very, very less. Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. suggests Good Day!!<|eot_id|>

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

I have Sarcoidosis. They are now looking at other auto immune illness. The joints in my arms and hands have had a lot of problems this summer. What does the TPO AB 116.2 mean? I know the standard is =5.5 IU/ml . What is it?this says free. I won t pay. Do not send emsils

TPO DAB is thyroid peroxidase antibody. It is usually seen on a higher side with people who have inflammatory hereditary condition like Rheumatoid arthritis, graves disease etc. Here basically your body immune system will be always active even against your body cell and so that there will be ongoing damage happening at cellular level. TPO DAB test results are also high for people who are with long term thyroid gland problem like Hugo or hyperthyroidism. Your test result is 116.2 indicates there is ongoing damage happening for your thyroid gland cell by your body immune system. And there is only one way to reduce this is consulted your treating doctor talk to him about this. And take appropriate medication to reduce the damage. As well do regular walk and also check with dietician on anti-inflammatory diet for thyroid patients. Follow the steps given properly, and it will be really useful for 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 have Sarcoidosis. They are now looking at other auto immune illness. The joints in my arms and hands have had a lot of problems this summer. What does the TPO AB 116.2 mean? I know the standard is =5.5 IU/ml . What is it?this says free. I won t pay. Do not send emsils<|eot_id|><|start_header_id|>assistant<|end_header_id|>TPO DAB is thyroid peroxidase antibody. It is usually seen on a higher side with people who have inflammatory hereditary condition like Rheumatoid arthritis, graves disease etc. Here basically your body immune system will be always active even against your body cell and so that there will be ongoing damage happening at cellular level. TPO DAB test results are also high for people who are with long term thyroid gland problem like Hugo or hyperthyroidism. Your test result is 116.2 indicates there is ongoing damage happening for your thyroid gland cell by your body immune system. And there is only one way to reduce this is consulted your treating doctor talk to him about this. And take appropriate medication to reduce the damage. As well do regular walk and also check with dietician on anti-inflammatory diet for thyroid patients. Follow the steps given properly, and it will be really useful for you. Take care.<|eot_id|>

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

I am recovering from a fairly serious cellulitis infection for which I was hospitalized. When I was running fever I felt alot of tightness in my chest. No more fever, but I still feel the tightness even while resting. My heart seems to beat rather strongly when I move around. I have mild asthma and take medicine for that so my breathing is fine.My question is

Hello, I passed carefully through your question and would explain that it is necessary performing a comprehensive differential diagnosis between different possible causes that may lead to this clinical scenario

<|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 recovering from a fairly serious cellulitis infection for which I was hospitalized. When I was running fever I felt alot of tightness in my chest. No more fever, but I still feel the tightness even while resting. My heart seems to beat rather strongly when I move around. I have mild asthma and take medicine for that so my breathing is fine.My question is<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, I passed carefully through your question and would explain that it is necessary performing a comprehensive differential diagnosis between different possible causes that may lead to this clinical scenario<|eot_id|>

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

Had a large, golf ball size, lump on side of my upper thigh for almost 10 years... I was told it was a fat pocket, so never had it looked at... well a few days ago, an EXTREMELY smelly beige/white puss started to leak from it, so I squeezed and it shot out.... I kept at it, and now the golf ball size lump is almost nothing.... this puss was the worst smell ever! Should I be concerned?

Hi, Dear thanks for the query to Chat Doctor virtual clinic. I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, Dear You seem to suffer from Chronic Abscess from Cold Abscess due to inguinal TB lymphadenitis as there is no pain and is with white pus, characterisitic of TB lymphadenitis. As the lump is in the upper thigh, it could be Sebaceous Cyst. Check with Blood Sugar for diabetes to rule out diabetes as the cause of its recurrence. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. Chat Doctor. N.M.S. Genl-CVTS -Senior Surgical Consultant

<|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: Had a large, golf ball size, lump on side of my upper thigh for almost 10 years... I was told it was a fat pocket, so never had it looked at... well a few days ago, an EXTREMELY smelly beige/white puss started to leak from it, so I squeezed and it shot out.... I kept at it, and now the golf ball size lump is almost nothing.... this puss was the worst smell ever! Should I be concerned?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Dear thanks for the query to Chat Doctor virtual clinic. I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, Dear You seem to suffer from Chronic Abscess from Cold Abscess due to inguinal TB lymphadenitis as there is no pain and is with white pus, characterisitic of TB lymphadenitis. As the lump is in the upper thigh, it could be Sebaceous Cyst. Check with Blood Sugar for diabetes to rule out diabetes as the cause of its recurrence. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. Chat Doctor. N.M.S. Genl-CVTS -Senior Surgical Consultant<|eot_id|>

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

Hello. I am a 40 year old female. I weigh 143 pounds and am approximately 5 ft 2. I have been having back pain since 2010 and have been seeing a chiropractor every 2 weeks. I do Back strengthening stretches every day which takes me about 45 minutes. I had an x-ray done a few months ago and all it showed was some narrowing at the bottom of my spine which my family doc says nothing to worry about. I am waiting for the hospital to call to schedule an mri. I have more pain on my left lower area than the right side. Both my hips hurt and have pain and tightness in top of legs, and pain shoots down just past my knee. My family doctor diagnosed me with fibromyalgia. I have lumps to the left of my spine that feel like jelly, but feels good when i massage them. I am just wondering what all this could mean?

Hello, As most times when there are spinal degenerative changes leading to nerve root entrapment leading to pain and aches. Usually, strengthening the muscles is the only choice for fibromyalgia pain. As there is inflammation in the fibers of the muscles the inflammation can be overcome by improving the metabolism of the muscle. Due to the weakness of the muscle fibers leading to fatigue to set in faster. Due to which the pain keeps occurring on and off. Doing proper and guided exercises will help improve the overall muscle fiber function and give a good outcome score. 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: Hello. I am a 40 year old female. I weigh 143 pounds and am approximately 5 ft 2. I have been having back pain since 2010 and have been seeing a chiropractor every 2 weeks. I do Back strengthening stretches every day which takes me about 45 minutes. I had an x-ray done a few months ago and all it showed was some narrowing at the bottom of my spine which my family doc says nothing to worry about. I am waiting for the hospital to call to schedule an mri. I have more pain on my left lower area than the right side. Both my hips hurt and have pain and tightness in top of legs, and pain shoots down just past my knee. My family doctor diagnosed me with fibromyalgia. I have lumps to the left of my spine that feel like jelly, but feels good when i massage them. I am just wondering what all this could mean?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, As most times when there are spinal degenerative changes leading to nerve root entrapment leading to pain and aches. Usually, strengthening the muscles is the only choice for fibromyalgia pain. As there is inflammation in the fibers of the muscles the inflammation can be overcome by improving the metabolism of the muscle. Due to the weakness of the muscle fibers leading to fatigue to set in faster. Due to which the pain keeps occurring on and off. Doing proper and guided exercises will help improve the overall muscle fiber function and give a good outcome score. 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.

hello sir.....i am 28 years old....i am suffering from a hair loss...i dont know which shampoo suits for me.....could you please suggest any shampoo that control my hair loss....and one thing i want to know if i dont use shampoo and just use water only in my hair it is good for my hair or not.......when i use water only i have very few hair loss......is it okay i never use shampoo for more than 3 months please help me???

Hello, Welcome to Chat Doctor. Shampoo to hair and scalp is equivalent to soap for body. Shampoos job is to clean the dirt and oil from the scalp and hair. Shampoo has no role in controlling hair loss. It is not okay if you do not use shampoo for 3 months. Grime and oil won't be washed off by water alone. You need to consult a dermatologist to diagnose the condition causing hair fall. Hope this helped, 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: hello sir.....i am 28 years old....i am suffering from a hair loss...i dont know which shampoo suits for me.....could you please suggest any shampoo that control my hair loss....and one thing i want to know if i dont use shampoo and just use water only in my hair it is good for my hair or not.......when i use water only i have very few hair loss......is it okay i never use shampoo for more than 3 months please help me???<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Welcome to Chat Doctor. Shampoo to hair and scalp is equivalent to soap for body. Shampoos job is to clean the dirt and oil from the scalp and hair. Shampoo has no role in controlling hair loss. It is not okay if you do not use shampoo for 3 months. Grime and oil won't be washed off by water alone. You need to consult a dermatologist to diagnose the condition causing hair fall. Hope this helped, Take care.<|eot_id|>

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

Hello, I am Danielle. I recently got the results of a ultrasound that said I have a thickening of my endometrial stripe of 1.3 cm. I am experiencing pain in my lower abdomen when any pressure is applied and I also have pain when emptying my badder. What could this be? I have an appointment with my ob on monday and I am nervous. Cancer runs high in my family.

Hi, Please remember pain is not a feature for cancer unless secondarily infected. Apart from this according to COG norms, endometrial thickness > 4 mm needs biopsy to exclude cancer. Your pain in lower abdomen Is mostly due to bladder infection/ inflammation/stone. - get your urine checked & treated accordingly with a physician advice. The family history suggests being in contact with an Oncologist, Thanks.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hello, I am Danielle. I recently got the results of a ultrasound that said I have a thickening of my endometrial stripe of 1.3 cm. I am experiencing pain in my lower abdomen when any pressure is applied and I also have pain when emptying my badder. What could this be? I have an appointment with my ob on monday and I am nervous. Cancer runs high in my family.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Please remember pain is not a feature for cancer unless secondarily infected. Apart from this according to COG norms, endometrial thickness > 4 mm needs biopsy to exclude cancer. Your pain in lower abdomen Is mostly due to bladder infection/ inflammation/stone. - get your urine checked & treated accordingly with a physician advice. The family history suggests being in contact with an Oncologist, Thanks.<|eot_id|>

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

Had a boil that drained a day ago. However it is still bleeding. It is a more of a watery blood like discharge. I have been putting an antibiotic cream on it along with bandage. Should I be concerned? When should the bleeding subside approximately? I am not taking antibiotics yet. Thanks.

Hey. Welcome to Chat Doctor. Well, after Chat Doctor. So please do not be worried about that. As you are using an antibiotic cream on it, you can continue doing the same. Also see that the bandage you use to close the wound is changed daily after cleaning the wound with antiseptic solution. If you have any swelling or itching in the adjacent skin area, then you can apply warm compress on that area (not on the wound) to relieve it. Hope I have answered your question. If you have any questions, then I will be happy to answer it. Take good care. Regards.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Had a boil that drained a day ago. However it is still bleeding. It is a more of a watery blood like discharge. I have been putting an antibiotic cream on it along with bandage. Should I be concerned? When should the bleeding subside approximately? I am not taking antibiotics yet. Thanks.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hey. Welcome to Chat Doctor. Well, after Chat Doctor. So please do not be worried about that. As you are using an antibiotic cream on it, you can continue doing the same. Also see that the bandage you use to close the wound is changed daily after cleaning the wound with antiseptic solution. If you have any swelling or itching in the adjacent skin area, then you can apply warm compress on that area (not on the wound) to relieve it. Hope I have answered your question. If you have any questions, then I will be happy to answer it. Take good care. Regards.<|eot_id|>

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

My wife was diagnosed with TB in January 2011.Plural effusion had taken place for removing water from her right chest n then she was put on antibiotics for TB.She is taking medicines from last 1.5 months now.Since then we have not indulged in kissing,oral sex or penetrative sex.Is it safe to kiss n ve sex now or shud we wait for couple of months more?

Thanks for your question on Chat Doctor. I can understand your concern. Your wife is having tubercular pleural effusion. It is classified as extrapulmonary tuberculosis. And so it is not infectious to you or others. Only pulmonary tuberculosis (involving lung) is infectious. So you can do kissing, sex without fear of spread of infection as your wife is having extrapulmonary TB. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. 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 wife was diagnosed with TB in January 2011.Plural effusion had taken place for removing water from her right chest n then she was put on antibiotics for TB.She is taking medicines from last 1.5 months now.Since then we have not indulged in kissing,oral sex or penetrative sex.Is it safe to kiss n ve sex now or shud we wait for couple of months more?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. Your wife is having tubercular pleural effusion. It is classified as extrapulmonary tuberculosis. And so it is not infectious to you or others. Only pulmonary tuberculosis (involving lung) is infectious. So you can do kissing, sex without fear of spread of infection as your wife is having extrapulmonary TB. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks.<|eot_id|>

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

HiMy doctor has made for me an colonoscopy test this morning and so I still have a bright blood in stool. But I have noticed Black skin in my stool looks like apple skin (I did not eat apple) is that a blood and should I ask my doctor for anther test like endoscopy to see if I have a stomach cancer?

Hi, dairy have gone through your question. I can understand your concern. Bright bleeding in stool comes from lower gastrointestinal tract. If you have dark bleeding then it comes from stomach. Still you should go for endoscopy to search the cause of bleeding. 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: HiMy doctor has made for me an colonoscopy test this morning and so I still have a bright blood in stool. But I have noticed Black skin in my stool looks like apple skin (I did not eat apple) is that a blood and should I ask my doctor for anther test like endoscopy to see if I have a stomach cancer?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, dairy have gone through your question. I can understand your concern. Bright bleeding in stool comes from lower gastrointestinal tract. If you have dark bleeding then it comes from stomach. Still you should go for endoscopy to search the cause of bleeding. 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 Doctor, I spits blood while brushing my teeth. But not gum bleeding. Some times in mucous from nose and mouth also streaks of blood is seen. I had an head injury two yrs back and I have pain still . Is that is the cause of any internal bleeding inside or like ?? I have migraine also. Please advice. Thanks Rekha.

Thanks for your query, I have gone through your query. The bleeding gums could be because of the gum infection. Consult your oral physician and get your teeth cleaned and maintain oral hygiene after that by brushing your teeth twice daily, and you can use mouth wash. Consult a neurophysician for the migraine and get an MRI done to rule out any lesions in the brain. 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: Dear Doctor, I spits blood while brushing my teeth. But not gum bleeding. Some times in mucous from nose and mouth also streaks of blood is seen. I had an head injury two yrs back and I have pain still . Is that is the cause of any internal bleeding inside or like ?? I have migraine also. Please advice. Thanks Rekha.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your query, I have gone through your query. The bleeding gums could be because of the gum infection. Consult your oral physician and get your teeth cleaned and maintain oral hygiene after that by brushing your teeth twice daily, and you can use mouth wash. Consult a neurophysician for the migraine and get an MRI done to rule out any lesions in the brain. 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.

A young child of almost 4 years was prescribed 250mg of Klacid because of a infection of the chest which caused a continuous coughing, after a week of taking this medicine the cough subsided. The child went to school for just a day and came back coughing and sneezing. How should this cough be treated and with what medicine if a PEDITRICIAN IS TO PRESCIBE MORE MEDICINE TO GET RID OF THIS COUGH.

This looks like an allergic cough or a viral infection.Also, could be asthma. Child should not take this medication continuously. The AAP recommends that a child less than 5 year old should to receive cough medicine as it stops protective cough reflexes that are protective to prevent build up of congestive secretions and increases chances of pneumonia in these little child Chat Doctor. You could look out for sources of allergy-dust mites, pets, smoke or paint vapors. Zyrtec child

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: A young child of almost 4 years was prescribed 250mg of Klacid because of a infection of the chest which caused a continuous coughing, after a week of taking this medicine the cough subsided. The child went to school for just a day and came back coughing and sneezing. How should this cough be treated and with what medicine if a PEDITRICIAN IS TO PRESCIBE MORE MEDICINE TO GET RID OF THIS COUGH.<|eot_id|><|start_header_id|>assistant<|end_header_id|>This looks like an allergic cough or a viral infection.Also, could be asthma. Child should not take this medication continuously. The AAP recommends that a child less than 5 year old should to receive cough medicine as it stops protective cough reflexes that are protective to prevent build up of congestive secretions and increases chances of pneumonia in these little child Chat Doctor. You could look out for sources of allergy-dust mites, pets, smoke or paint vapors. Zyrtec child<|eot_id|>

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

hi Dr Justin Glaister ,i would like to ask u , i have a problem i have smaaall black dots on my teeth and i removed them for a couple of times before but they keee on comming backhow can i remove them once and for all are they a kind of bacteria ? or maybe a deficiency in something and thats y they come bkthankxx...

Thanks for your query, I have gone through your query. The stains can be because of the habits like coffee, tea, or smoking. The other possible cause of black stains can be because of the chromogenic bacteria, or it can be secondary to the use of mouth wash also. Consult an oral physician and get it evaluated. If it is because of the coffee or tea or smoking, get the teeth cleaned and avoid the habits and rinse your mouth soon after eating anything. If it is chromogenic bacterial infection you need to consult an oral physician and take a course of antibiotics and get scaling done. 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: hi Dr Justin Glaister ,i would like to ask u , i have a problem i have smaaall black dots on my teeth and i removed them for a couple of times before but they keee on comming backhow can i remove them once and for all are they a kind of bacteria ? or maybe a deficiency in something and thats y they come bkthankxx...<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your query, I have gone through your query. The stains can be because of the habits like coffee, tea, or smoking. The other possible cause of black stains can be because of the chromogenic bacteria, or it can be secondary to the use of mouth wash also. Consult an oral physician and get it evaluated. If it is because of the coffee or tea or smoking, get the teeth cleaned and avoid the habits and rinse your mouth soon after eating anything. If it is chromogenic bacterial infection you need to consult an oral physician and take a course of antibiotics and get scaling done. 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.

Hi my nose is feeling static often and I would like to know why?I suffer from vasamotor rhinitis (minute temperature change, air pressure and stress influence) and allergic rhinitis, and wake up with congested nose, headache, dizzyness and nausea about once a week. Is it to do with this?

Hi, you are quite written that vasomotor rhinitis can be aggravated by several stimuli including changes IG temperature, humidity, barometric pressure, steel of fumes, pollutant, excitement, emotional stress, anxiety, spicy food, alcohol intake etc. it can be present in mixed form with allergic rhinitis. You should try to avoid all those factors as much as possible. You can use nasal spray of any one of these for symptomatic relief like elastane, loratadine, fluticasone propionate or budesonide nasal spray. Wish you all the best, 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 nose is feeling static often and I would like to know why?I suffer from vasamotor rhinitis (minute temperature change, air pressure and stress influence) and allergic rhinitis, and wake up with congested nose, headache, dizzyness and nausea about once a week. Is it to do with this?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, you are quite written that vasomotor rhinitis can be aggravated by several stimuli including changes IG temperature, humidity, barometric pressure, steel of fumes, pollutant, excitement, emotional stress, anxiety, spicy food, alcohol intake etc. it can be present in mixed form with allergic rhinitis. You should try to avoid all those factors as much as possible. You can use nasal spray of any one of these for symptomatic relief like elastane, loratadine, fluticasone propionate or budesonide nasal spray. Wish you all the best, thanks.<|eot_id|>

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

Hi doctor, my close friends had met with accident last week and subsequently slipped into coma following head injury. What are chances of him coming out of this state? What is the duration of coma he is likely to be in?

The outcome for coma and vegetative state depends on the cause and on the location, severity, and extent of neurological damage

<|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, my close friends had met with accident last week and subsequently slipped into coma following head injury. What are chances of him coming out of this state? What is the duration of coma he is likely to be in?<|eot_id|><|start_header_id|>assistant<|end_header_id|>The outcome for coma and vegetative state depends on the cause and on the location, severity, and extent of neurological damage<|eot_id|>

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

Hi, I am having typhoid... I have follow the prescription of the doctor around 12-14 days & also visited to the doctor thrice ...but now it has 6 days gap & I could nt visit to my doctor....Does a blood report is enough to know the status...how do I come to know that my typhoid is over & what should I do so that it wont come back...one more thing does the recovery of hair is possible??

Hi thanks for contacting Chat Doctor... Noted you have typhoid since 14 days... Which antibiotic you have given ??? For its clearance confirmation blood or stool culture done... Follow up to physician done for at least month.... Here for few days follow these advice.... More fruit juice Soft and bland diet. Egg protein and pulse useful. Outside food and junk foods avoided. More water. Small meal at frequent interval.... Hair loss in typhoid is reversible....after resolution of infection.... 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, I am having typhoid... I have follow the prescription of the doctor around 12-14 days & also visited to the doctor thrice ...but now it has 6 days gap & I could nt visit to my doctor....Does a blood report is enough to know the status...how do I come to know that my typhoid is over & what should I do so that it wont come back...one more thing does the recovery of hair is possible??<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi thanks for contacting Chat Doctor... Noted you have typhoid since 14 days... Which antibiotic you have given ??? For its clearance confirmation blood or stool culture done... Follow up to physician done for at least month.... Here for few days follow these advice.... More fruit juice Soft and bland diet. Egg protein and pulse useful. Outside food and junk foods avoided. More water. Small meal at frequent interval.... Hair loss in typhoid is reversible....after resolution of infection.... Take care. Chat Doctor.<|eot_id|>

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

Respected Sir,Here we need your valuable suggestion. Our patient is from Allahabad(UP). The patient Mr. Anmol, 18 years of age is suffering from severe pain. According to the doctors of our locality, this is the case of cyst in kidney and no treatment is needed. But the patient is suffering from extreme pain. Our question is Is the ayurvedic treatment is possible for this problem?.Thanking you!

HelloYour patient findings suggest simple cyst in right kidney. Simple renal cysts are generally age related developmental findings, and it only requires follow-up ultrasound. Renal cysts may require treatment if there is pain, increase in size of cysts, infection etc. Ayurvedic treatment is generally not helpful in such finding. Pain may be due to some other reasons. Your patient may need proper clinical evaluation and further investigations. Besides routine investigations he may need CT scan of abdomen. Treatment depend upon findings. 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: Respected Sir,Here we need your valuable suggestion. Our patient is from Allahabad(UP). The patient Mr. Anmol, 18 years of age is suffering from severe pain. According to the doctors of our locality, this is the case of cyst in kidney and no treatment is needed. But the patient is suffering from extreme pain. Our question is Is the ayurvedic treatment is possible for this problem?.Thanking you!<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloYour patient findings suggest simple cyst in right kidney. Simple renal cysts are generally age related developmental findings, and it only requires follow-up ultrasound. Renal cysts may require treatment if there is pain, increase in size of cysts, infection etc. Ayurvedic treatment is generally not helpful in such finding. Pain may be due to some other reasons. Your patient may need proper clinical evaluation and further investigations. Besides routine investigations he may need CT scan of abdomen. Treatment depend upon findings. Get well soon. Take Care Chat Doctor.<|eot_id|>

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

My mother aged about 70 is a patient of chronic hypertension.She has now developed severe chest infection.In earlier years he responded well to ceftum 500.Now the dotctor has advised Augmentin1000 duo every 12 hours.Will it suit her or ceftum is safer and better?

Thanks for your question on Chat Doctor. I can understand your concern. No, augmenting is having better coverage and superior to septum. Augmenting is having combination of Amoxicillin and clavulinic acid. Septum is having cefuroxime. Combination with clavulinic acid makes augmenting better antibiotic. It is having higher bacterial coverage. It acts not only on gram positive bacteria but also on gram negative and anaerobic bacteria. So don't replace augmenting with septum. Augmenting will mostly suit her and treat her lung infection. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. 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 mother aged about 70 is a patient of chronic hypertension.She has now developed severe chest infection.In earlier years he responded well to ceftum 500.Now the dotctor has advised Augmentin1000 duo every 12 hours.Will it suit her or ceftum is safer and better?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. No, augmenting is having better coverage and superior to septum. Augmenting is having combination of Amoxicillin and clavulinic acid. Septum is having cefuroxime. Combination with clavulinic acid makes augmenting better antibiotic. It is having higher bacterial coverage. It acts not only on gram positive bacteria but also on gram negative and anaerobic bacteria. So don't replace augmenting with septum. Augmenting will mostly suit her and treat her lung infection. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.<|eot_id|>

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

I am taking POPs and I know you can t be more than 3 hours late. I take my pill everyday at 11pm. Yesterday, Friday, I had unprotected sex at around 10 am. He did not ejaculate inside but some got on my thighs, not sure how close to my vagina, and we had sex again about 20 minutes later. Friday night I took my pill almost exactly 3 hours late, around 1

Hello misunderstand your concerned not worry. According to your questions, you are on the regular birth control pill. As you took just after 3-hour delay from your routine, this not affect the contraception effect. If you are on the regular birth control pill then no matter your partner ejaculated in or out the vagina, you are fully protective. Birth control pill is very effective in preventing the pregnancy around 99 percent. So no need of Plan B pill. Dose of birth control pill to prevent the pregnancy as emergency contraception

<|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 taking POPs and I know you can t be more than 3 hours late. I take my pill everyday at 11pm. Yesterday, Friday, I had unprotected sex at around 10 am. He did not ejaculate inside but some got on my thighs, not sure how close to my vagina, and we had sex again about 20 minutes later. Friday night I took my pill almost exactly 3 hours late, around 1<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello misunderstand your concerned not worry. According to your questions, you are on the regular birth control pill. As you took just after 3-hour delay from your routine, this not affect the contraception effect. If you are on the regular birth control pill then no matter your partner ejaculated in or out the vagina, you are fully protective. Birth control pill is very effective in preventing the pregnancy around 99 percent. So no need of Plan B pill. Dose of birth control pill to prevent the pregnancy as emergency contraception<|eot_id|>

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

Good afternoon. One of my relative is coming from Bangladesh, who is suffering from cirrhosis of lever. He has already send his treatment details and the clinical report to me. Now he is asking for the cost of the treatment. Can I send the papers through e-mail which he sent to me to you for the advice. Kindly help me.

Hi, How are you? I am so sorry to hear about your relatives' diagnosis. The treatment of cirrhosis depends on multiple factors including the cause of cirrhosis (alcohol, hepatitis, etc.) the age of the patient, his physical fitness and if he is suffering from any symptoms due to the cirrhosis. If the patient does not have any symptoms or is only mildly symptomatic, then he will be treated with medications only to control the symptoms and prevent any complications. But if his symptoms are severe or not being controlled with medications, then the best option will be to proceed with a liver transplantation. Please do let me know where your place of residence is so I can guide you to the nearest specialty center to get evaluated. Hope this helped, and please do not hesitate to contact me for any further details - [email protected]

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Good afternoon. One of my relative is coming from Bangladesh, who is suffering from cirrhosis of lever. He has already send his treatment details and the clinical report to me. Now he is asking for the cost of the treatment. Can I send the papers through e-mail which he sent to me to you for the advice. Kindly help me.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, How are you? I am so sorry to hear about your relatives' diagnosis. The treatment of cirrhosis depends on multiple factors including the cause of cirrhosis (alcohol, hepatitis, etc.) the age of the patient, his physical fitness and if he is suffering from any symptoms due to the cirrhosis. If the patient does not have any symptoms or is only mildly symptomatic, then he will be treated with medications only to control the symptoms and prevent any complications. But if his symptoms are severe or not being controlled with medications, then the best option will be to proceed with a liver transplantation. Please do let me know where your place of residence is so I can guide you to the nearest specialty center to get evaluated. Hope this helped, and please do not hesitate to contact me for any further details - [email protected]<|eot_id|>

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

On Nov. 25, 2012, I had my gallbladder taken out due to the presence of multiple stones. Two weeks before, i had the mrcp and the results confirm that there is no stone in the bile duct. The day after surgery, I was informed by the surgeon of NYU that the xray taken during the surgery shows a shaded surgery which could mean the presence of a stone in the bile duct or it could just be the imperfection of the xray. To confirm, I need to have another mri which i did last Friday, Jan. 31st. The surgeon informed me yesterday that indeed i have a 7mm stone in the bile duct and suggested that i should have the stone taken out before i travel on February 18th. If I have the stone taken when i come back to NY on March 31st, what would be the consequence?

Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). Presence of stone in bile duct should be treated as an emergency. As it may cause obstruction to the bile duct leading to fever, jaundice, and abdominal pain. It may also obstruct pancreatic duct leading to pancreatitis which can be serious also. SO get it removed as soon as possible hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and 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 Nov. 25, 2012, I had my gallbladder taken out due to the presence of multiple stones. Two weeks before, i had the mrcp and the results confirm that there is no stone in the bile duct. The day after surgery, I was informed by the surgeon of NYU that the xray taken during the surgery shows a shaded surgery which could mean the presence of a stone in the bile duct or it could just be the imperfection of the xray. To confirm, I need to have another mri which i did last Friday, Jan. 31st. The surgeon informed me yesterday that indeed i have a 7mm stone in the bile duct and suggested that i should have the stone taken out before i travel on February 18th. If I have the stone taken when i come back to NY on March 31st, what would be the consequence?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). Presence of stone in bile duct should be treated as an emergency. As it may cause obstruction to the bile duct leading to fever, jaundice, and abdominal pain. It may also obstruct pancreatic duct leading to pancreatitis which can be serious also. SO get it removed as soon as possible hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.<|eot_id|>

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

I am suffering from allergic cough since last three months. In last year , the same was cure by HomeopatChatDoctoredicine . the last year even best of Allopathic Dr recommended Montair LC for lifetime. But HomeopatChatDoctoredcine cured it . This year it is again started . But Homeopathic is also not working . Montair LC ( allopathic ) daily consumption is tough on health

Hi welcome to ChatDoctori had gone through your query and understand your concerns.-if you take homeopathic constitutional similar to treat the allergy, the problem can't be rec cured again, but if you take homeopatChatDoctoredicines on acute symptomatic base the problem recur again. Possible cause;-there is a mastic block in your body which prevents the cure. So you need both constitutional and miasma tic treatment for complete cure. Consult your local homeopathic physician for correct diagnosis of the case and remedy to fit your complaints I hope this is helpful for you, 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 suffering from allergic cough since last three months. In last year , the same was cure by HomeopatChatDoctoredicine . the last year even best of Allopathic Dr recommended Montair LC for lifetime. But HomeopatChatDoctoredcine cured it . This year it is again started . But Homeopathic is also not working . Montair LC ( allopathic ) daily consumption is tough on health<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi welcome to ChatDoctori had gone through your query and understand your concerns.-if you take homeopathic constitutional similar to treat the allergy, the problem can't be rec cured again, but if you take homeopatChatDoctoredicines on acute symptomatic base the problem recur again. Possible cause;-there is a mastic block in your body which prevents the cure. So you need both constitutional and miasma tic treatment for complete cure. Consult your local homeopathic physician for correct diagnosis of the case and remedy to fit your complaints I hope this is helpful for you, thank you<|eot_id|>

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

Tell me what kind of bug would be in a bed it is tiny, but visible to the naked eye? They are round and black. they are smaller than a blackberry seed. Is this a bed bug? What can I do about it? They bite and the area swells and gets quite itchy. I sprayed the mattress with Lysol disinfectant and we didn t get bit for awhile I also washed blanket and sheets with hot water with bleach. Thank you, Evy Ross

Hi Eve Ross, Thanks for posting in Chat Doctor. Swelling and itching at the site of insect bite is mainly due to allergic reaction. Tiny bugs on bed are usually bed bugs. You don't have to worry much and do the following

<|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: Tell me what kind of bug would be in a bed it is tiny, but visible to the naked eye? They are round and black. they are smaller than a blackberry seed. Is this a bed bug? What can I do about it? They bite and the area swells and gets quite itchy. I sprayed the mattress with Lysol disinfectant and we didn t get bit for awhile I also washed blanket and sheets with hot water with bleach. Thank you, Evy Ross<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi Eve Ross, Thanks for posting in Chat Doctor. Swelling and itching at the site of insect bite is mainly due to allergic reaction. Tiny bugs on bed are usually bed bugs. You don't have to worry much and do the following<|eot_id|>

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

Hi I have a lump that has been on the left side of my throat for almost 20 years and I believe it is due to my thyroid no matter the diet I cant lose weight I get confused easy Im always tired I have dry skin my hair is a mess its dry and brittle and falls out sometimes I was messing with the lump like all day and now my neck feels tight and irritated I am come a lot and seem to have a slow pulse please enlighten me on what this could be

Thanks for your question on Chat Doctor. I can understand your situation and problem. You're all symptoms like weight gain, weakness, tiredness, hair trouble, skin issues, slow heart rate etc. are suggestive of hypothyroidism. And lump can be due to either small colloid goiter or thyroid nodule. So better to consult doctor and get done 1. Ultrasound examination of neck 2. Thyroid function test (TSH, Free T3 and Free T4). You will mostly have hypothyroidism and treatment is daily thyroxine tablet according to thyroid function test report. So consult doctor and discuss all these.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi I have a lump that has been on the left side of my throat for almost 20 years and I believe it is due to my thyroid no matter the diet I cant lose weight I get confused easy Im always tired I have dry skin my hair is a mess its dry and brittle and falls out sometimes I was messing with the lump like all day and now my neck feels tight and irritated I am come a lot and seem to have a slow pulse please enlighten me on what this could be<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your situation and problem. You're all symptoms like weight gain, weakness, tiredness, hair trouble, skin issues, slow heart rate etc. are suggestive of hypothyroidism. And lump can be due to either small colloid goiter or thyroid nodule. So better to consult doctor and get done 1. Ultrasound examination of neck 2. Thyroid function test (TSH, Free T3 and Free T4). You will mostly have hypothyroidism and treatment is daily thyroxine tablet according to thyroid function test report. So consult doctor and discuss all these.<|eot_id|>

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

Health Question

Dear friend, greetings from Chat Doctor. I understand your problems... You might be having steatohepatitis or fatty liver ... As all your test results are normal. But this condition is totally reversible. You need you strictly follow some lifestyle changes ... You need to exercise at least walk 1 to 2 hours a day . Do practice yoga and meditation . Try to avoid stress . You need to consume more of green leafy vegetables and other fiber rich food stuffs like . Its, miles, try and avoid carboy Chat Doctor. . If you are alcoholic you need to stop .also smoking . Try and follow this advice and recheck your complete hepatobiliary profile . After 2 to 3 months and see the distance . Do contact us for any doubts . . 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: Health Question<|eot_id|><|start_header_id|>assistant<|end_header_id|>Dear friend, greetings from Chat Doctor. I understand your problems... You might be having steatohepatitis or fatty liver ... As all your test results are normal. But this condition is totally reversible. You need you strictly follow some lifestyle changes ... You need to exercise at least walk 1 to 2 hours a day . Do practice yoga and meditation . Try to avoid stress . You need to consume more of green leafy vegetables and other fiber rich food stuffs like . Its, miles, try and avoid carboy Chat Doctor. . If you are alcoholic you need to stop .also smoking . Try and follow this advice and recheck your complete hepatobiliary profile . After 2 to 3 months and see the distance . Do contact us for any doubts . . THANK YOU .<|eot_id|>

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

hi,,doc.,,,actually sumtimes there occurs a huge pain in my heart but doesnt lasts for long,,,it jst stays fo hardly 15-20 mins,,,and after then evrythng seems to b perfectly alright.. so,,can u plz tel me that,,,can it be a case of hole in my heart??

Hi, Chest pain should never be underestimated and should be evaluated in detail. Hole in heart generally does not pain in the chest. Cardiac chest is exertional that is it occurs during exercise or exertion and relieved by rest. Cardiac chest pain is diffused and is not localized.I'll recommend you to get an ECG, 2Echo, Chest X-ray and stress test for diagnosis. Further treatment will depend on the results of these tests. Hope I have answered your query. Let me know if I can assist you further.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hi,,doc.,,,actually sumtimes there occurs a huge pain in my heart but doesnt lasts for long,,,it jst stays fo hardly 15-20 mins,,,and after then evrythng seems to b perfectly alright.. so,,can u plz tel me that,,,can it be a case of hole in my heart??<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Chest pain should never be underestimated and should be evaluated in detail. Hole in heart generally does not pain in the chest. Cardiac chest is exertional that is it occurs during exercise or exertion and relieved by rest. Cardiac chest pain is diffused and is not localized.I'll recommend you to get an ECG, 2Echo, Chest X-ray and stress test for diagnosis. Further treatment will depend on the results of these tests. Hope I have answered your query. Let me know if I can assist you further.<|eot_id|>

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

I have had breathless and feel like I can t breath doctors sent me for scan on my lungs chest and heart all came back clear I gave up smoking 7 months ago doctor said I had asthma been on antibiotics and steroids feeling a bit better but still not feeling great got anxiety to feeling very low with it all I have no front sinus on the front of my head I was wondering if this had something to do with the way am feeling my nose runs I have hayfever I just can t get anything that helps me so please can you help I go on holiday on Saturday

Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should first get done PFT (Pulmonary Function Test) to rule out bronchitis. Your current symptoms are more in favor of bronchitis. You had history of smoking. And bronchitis is more common in smokers. So get done PFT first. It will also tell you about severity of the disease. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). If PFT is normal than possibility of stress and anxiety related breathing difficulty is more. So consult psychiatrist and get done counseling sessions. Don't worry, you will be alright. But first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have had breathless and feel like I can t breath doctors sent me for scan on my lungs chest and heart all came back clear I gave up smoking 7 months ago doctor said I had asthma been on antibiotics and steroids feeling a bit better but still not feeling great got anxiety to feeling very low with it all I have no front sinus on the front of my head I was wondering if this had something to do with the way am feeling my nose runs I have hayfever I just can t get anything that helps me so please can you help I go on holiday on Saturday<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should first get done PFT (Pulmonary Function Test) to rule out bronchitis. Your current symptoms are more in favor of bronchitis. You had history of smoking. And bronchitis is more common in smokers. So get done PFT first. It will also tell you about severity of the disease. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). If PFT is normal than possibility of stress and anxiety related breathing difficulty is more. So consult psychiatrist and get done counseling sessions. Don't worry, you will be alright. But first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks.<|eot_id|>

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

Hello,I m 23year I got married 3 years ,my period irregular and doctor prescribed siphene50mg tablet for 5th day period I take this tablet and I get pregnant and 7 week miscarriage and again take this tablet and my last period 16.05.2017 and this Month period no came and I will urine test test at home in 19.06.2017the result is positive.doctor prescribed progesterone soft gelatin nutrogest 200mg once a day at night.she did not done any test even to confirm pregncy?and why take this tablet ?benefit and side effects?can you please suggest above prescribed medicine should be taken?

Hi.cap micronized progesterone 200\u00a0mg helps in supporting the pregnancy as you had a miscarriage previously. Avoid weight carrying and contact with the husband for 3 months real fol to be taken for the growth and multiplication of cells ultrasound to see location of pregnancy, evidence of Gestational sac and fetal heart sounds to be done now also B sugar levels 2hrs after 75g glucose.TSH levels to be done along with CBC, Bag, sV Chat Doctor. HIV to be done

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hello,I m 23year I got married 3 years ,my period irregular and doctor prescribed siphene50mg tablet for 5th day period I take this tablet and I get pregnant and 7 week miscarriage and again take this tablet and my last period 16.05.2017 and this Month period no came and I will urine test test at home in 19.06.2017the result is positive.doctor prescribed progesterone soft gelatin nutrogest 200mg once a day at night.she did not done any test even to confirm pregncy?and why take this tablet ?benefit and side effects?can you please suggest above prescribed medicine should be taken?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi.cap micronized progesterone 200\u00a0mg helps in supporting the pregnancy as you had a miscarriage previously. Avoid weight carrying and contact with the husband for 3 months real fol to be taken for the growth and multiplication of cells ultrasound to see location of pregnancy, evidence of Gestational sac and fetal heart sounds to be done now also B sugar levels 2hrs after 75g glucose.TSH levels to be done along with CBC, Bag, sV Chat Doctor. HIV to be done<|eot_id|>

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

Hi. Me and my husband have been trying to get pregnant since september. We were successful in January and at 9 weeks I had a miscarrage. I am an athlete and I have really took a step back with working out. I am a vegetarian but eat fish, and I do like to drink wine on occasion usually with dinner. I am getting frustrated with trying every month and learning that I am once again unsuccessful with getting pregnant. So my question is does it take longer to get pregnant after a miscarriage? And do you have any advice on what else I could do.

Hello dear, I understand your concern. In my opinion there are good scopes of getting pregnancy. Because you had already got previous pregnancy spontaneously. But the cause for miscarriage should be evaluated and should be prevented from repeating in further pregnancy. The various causes for pregnancy loss in 1st trimester are genetic anomalies, hormonal abnormalities like thyroid abnormalities, progesterone insufficiency, diabetes,any infections, any uterine anomalies etc. The above causes can be ruled out by necessary investigations like thyroid profile, blood sugars, ultrasound etc. Also practicing of intercourse daily increase the conception chances. Avoidance of stress and anxiety regarding pregnancy are most important as they are also one of the causes of infertility. So relax. Hope this helps. Best regards...

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi. Me and my husband have been trying to get pregnant since september. We were successful in January and at 9 weeks I had a miscarrage. I am an athlete and I have really took a step back with working out. I am a vegetarian but eat fish, and I do like to drink wine on occasion usually with dinner. I am getting frustrated with trying every month and learning that I am once again unsuccessful with getting pregnant. So my question is does it take longer to get pregnant after a miscarriage? And do you have any advice on what else I could do.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello dear, I understand your concern. In my opinion there are good scopes of getting pregnancy. Because you had already got previous pregnancy spontaneously. But the cause for miscarriage should be evaluated and should be prevented from repeating in further pregnancy. The various causes for pregnancy loss in 1st trimester are genetic anomalies, hormonal abnormalities like thyroid abnormalities, progesterone insufficiency, diabetes,any infections, any uterine anomalies etc. The above causes can be ruled out by necessary investigations like thyroid profile, blood sugars, ultrasound etc. Also practicing of intercourse daily increase the conception chances. Avoidance of stress and anxiety regarding pregnancy are most important as they are also one of the causes of infertility. So relax. Hope this helps. Best regards...<|eot_id|>

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

Hello,I have a septated cyst on my right kidney. Recently, lower back pain and tummy ache when I pee.Recent urlne sample shows +2 protein and blood. I exercise a lot and have v high protein diet. Kidney function is fine. I get migraines though.My Dad has PKD...I saw genetics specialist today who suggested MRI. Im only 32. Is septated cyst likely to be cancer? If not, what is it?L

Hi, Thanks for using Chat Doctor. Not all septated cyst are malignant, as you have family history of PKD, it could be a PKD, your pain abdomen and blood in urine could also be due to PKD.MRI is a better investigation for soft tissue swellings, better to get it done. Consult your doctor for examination and management. Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hello,I have a septated cyst on my right kidney. Recently, lower back pain and tummy ache when I pee.Recent urlne sample shows +2 protein and blood. I exercise a lot and have v high protein diet. Kidney function is fine. I get migraines though.My Dad has PKD...I saw genetics specialist today who suggested MRI. Im only 32. Is septated cyst likely to be cancer? If not, what is it?L<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for using Chat Doctor. Not all septated cyst are malignant, as you have family history of PKD, it could be a PKD, your pain abdomen and blood in urine could also be due to PKD.MRI is a better investigation for soft tissue swellings, better to get it done. Consult your doctor for examination and management. Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards<|eot_id|>

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

heart palpitations . admitted into the hospital two days ago and being diagnose with low potassium in my blood thus causing palpitations . received a bag of potassium chloride injection in the hospital thru a needle n drip it into my blood . got out of hospital afew hours later . now still having heart palpitations not really sure if it really is but i went out to meet my friend ysd afternoon till night was waling ard the mall and i keep feelin a gush of blood being pumped up and followed by regular heart beat and after a while it happened again . and continue thru out the day till night and i have a appointment with the heart specialist on 1th of sept 1 month more i dont know if i can hold on for that long . i dont know what this is but im feeling very uncomfortable

Hello, This can be a cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases which gives feeling of palpitations. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holder monitoring. So visit nearby cardiologist for this investigation. Ln order to abort such episodes you should try to cough hard. Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day which will control the palpitations. If none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. Hope this helps you and get back if you have any other 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: heart palpitations . admitted into the hospital two days ago and being diagnose with low potassium in my blood thus causing palpitations . received a bag of potassium chloride injection in the hospital thru a needle n drip it into my blood . got out of hospital afew hours later . now still having heart palpitations not really sure if it really is but i went out to meet my friend ysd afternoon till night was waling ard the mall and i keep feelin a gush of blood being pumped up and followed by regular heart beat and after a while it happened again . and continue thru out the day till night and i have a appointment with the heart specialist on 1th of sept 1 month more i dont know if i can hold on for that long . i dont know what this is but im feeling very uncomfortable<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, This can be a cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases which gives feeling of palpitations. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holder monitoring. So visit nearby cardiologist for this investigation. Ln order to abort such episodes you should try to cough hard. Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day which will control the palpitations. If none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. Hope this helps you and get back if you have any other doubts.<|eot_id|>

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

I have recently replaced my implanon birth control so I kind of expected to have irregular bleeding for awhile. But it seems like since I have become sexually active, my period starts the next day after I have sex and lasts for 5 to7 days each time. I m sick of bleeding every week and don t know how it is possible for me to get off my period for two days, then have sex and start again the next.day. Is some thing wrong with me? Could it just be my body still adjusting to the hormones? I have had new implanon for 5 months now.

Hi there, Since its 5 months since you had the Implant replaced it seems a little unlikely that the bleeding is due to Implant. Bleeding after sex could be due to other causes such Cervical polyp, cervical erosion, which needs to be checked by a Gynecologist. Could you please tell me when did you have your last PAP smear? The bleeding could also be due to pelvic inflammatory disease. Kindly see a Gynecologist and get an internal examination done for the same. Hope this helps. Regards.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have recently replaced my implanon birth control so I kind of expected to have irregular bleeding for awhile. But it seems like since I have become sexually active, my period starts the next day after I have sex and lasts for 5 to7 days each time. I m sick of bleeding every week and don t know how it is possible for me to get off my period for two days, then have sex and start again the next.day. Is some thing wrong with me? Could it just be my body still adjusting to the hormones? I have had new implanon for 5 months now.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi there, Since its 5 months since you had the Implant replaced it seems a little unlikely that the bleeding is due to Implant. Bleeding after sex could be due to other causes such Cervical polyp, cervical erosion, which needs to be checked by a Gynecologist. Could you please tell me when did you have your last PAP smear? The bleeding could also be due to pelvic inflammatory disease. Kindly see a Gynecologist and get an internal examination done for the same. Hope this helps. Regards.<|eot_id|>

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

hi I ve had loose stools and abdominal pains and cramps for sometime . My WBC is slightly high and ESR also raised. When I smoke or eat it seems to trigger the pain mainly from the upper right side of abdomen. I thought it was a lactose intolerance but I m now concerned it may be more sinister? Please help I m really worried

Hi and thanks for the query, These characteristics are compatible with an acute infectious process. This is not compatible with lactose intolerance. You must have had a past history while younger and the association of fever, raised white blood cells and erythrocyte sedimentation rates make this possibility unlikely. It is reasonable to do a stool examination and culture to exclude Typhoid and E cold infections. Collection of further samples and sending to the laboratory should be followed by administration of specific broad spectrum antibiotics like quinolones. You should consult your family care physician for further advice, Kind regards. Bain LE, MD.

<|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 ve had loose stools and abdominal pains and cramps for sometime . My WBC is slightly high and ESR also raised. When I smoke or eat it seems to trigger the pain mainly from the upper right side of abdomen. I thought it was a lactose intolerance but I m now concerned it may be more sinister? Please help I m really worried<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi and thanks for the query, These characteristics are compatible with an acute infectious process. This is not compatible with lactose intolerance. You must have had a past history while younger and the association of fever, raised white blood cells and erythrocyte sedimentation rates make this possibility unlikely. It is reasonable to do a stool examination and culture to exclude Typhoid and E cold infections. Collection of further samples and sending to the laboratory should be followed by administration of specific broad spectrum antibiotics like quinolones. You should consult your family care physician for further advice, Kind regards. Bain LE, MD.<|eot_id|>

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

Hi, may I answer your health queries right now ? Please type your query here...dr,im trying for pregnency ,now itz14 of my periodsnow im having throat infection,now can i take any anti boitic tablets?if ok,then will it cause any side effects in pregenency?if not what antibiotics can i take? and my weight is little high,thtz my tommy is big,so now can i do any excercises for tommy now?

Hi, Chat Doctor. I welcome you to Chat Doctor VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. Furthermore, I will suggest you the best possible treatment options. Please do not worry. There are safe antibiotics available for use during the pregnancy period. Antibiotics of penicillin group, cephalosporin can be used safely during pregnancy. Secondly if you are pregnant or trying to get pregnant, I will suggest you to opt for a healthy lifestyle, healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in daily diet.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, may I answer your health queries right now ? Please type your query here...dr,im trying for pregnency ,now itz14 of my periodsnow im having throat infection,now can i take any anti boitic tablets?if ok,then will it cause any side effects in pregenency?if not what antibiotics can i take? and my weight is little high,thtz my tommy is big,so now can i do any excercises for tommy now?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Chat Doctor. I welcome you to Chat Doctor VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. Furthermore, I will suggest you the best possible treatment options. Please do not worry. There are safe antibiotics available for use during the pregnancy period. Antibiotics of penicillin group, cephalosporin can be used safely during pregnancy. Secondly if you are pregnant or trying to get pregnant, I will suggest you to opt for a healthy lifestyle, healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in daily diet.<|eot_id|>

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

My daughter has had a rash now for a while. (maybe a month) I always thought it was just dry skin or sensitivity to soap. But now I have it. Mine is on my inner elbow, the sides of my stomach and some on my inner thighs. Hers is pretty bad on her inner elbows and inner thighs but is also on her back and stomach. It looks like a patches of little red bumps and it is itchy.

Hello, Thanks for the query, You might be suffering from scabies. As both your child and you are affected, it must be an infective condition. Apply permethrin cream. It is safe and very effective. If there is itch take an anti histamine tablet. A photograph would have helped me in giving a closer diagnosis. Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https

<|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 has had a rash now for a while. (maybe a month) I always thought it was just dry skin or sensitivity to soap. But now I have it. Mine is on my inner elbow, the sides of my stomach and some on my inner thighs. Hers is pretty bad on her inner elbows and inner thighs but is also on her back and stomach. It looks like a patches of little red bumps and it is itchy.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thanks for the query, You might be suffering from scabies. As both your child and you are affected, it must be an infective condition. Apply permethrin cream. It is safe and very effective. If there is itch take an anti histamine tablet. A photograph would have helped me in giving a closer diagnosis. Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https<|eot_id|>

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

i have the flu virus now for 5 days . The day before i finished an antibiotic for chest infection . i suffer from allergies and when i get a chest cold i get asthma . i take plumicort turbo inhaler 200 micrograms 2 puff twice a day and when i need too i take salamol 100 micrograms , 2 puffs 3 times a day . i dont always have to take the salomol . on day 3 of the flu i started to cough up mucous which had traces of blood for the day .proior to this i hab been coughing up green mucous after finishing the antibiotoc. by late evening day 3 i started wheezing very badly snd couldnt breath very well so i took the salomol but after taking the 3 doses to no avail i decided to try my sons symbicort turbo inhaler 100 micrograms 4 puffs which helped a lot . is it ok to continue to use this as my gp is not availabe

Hi, I think your chest infection must have cleared by now, sometimes traces of blood do come in mucus when there is severe infection, if you get again you can visit your doctor for check up. If it has stopped after your infection is cured then you can stop worrying about it. Now about your asthma, Pulmicort 200 which you take is budesonide, which is steroid. And Symbicort which your son uses is budesonide plus a long acting bronchi dilator. Ideally when inhalers are given it is adjusted to minimum dose at which patient is comfortable. Since you where comfortable on Pulmicort 200 you should continue the same thing. But for now until you get medical attention you can take Symbicort 100, 4 puffs 2 times, if you have heart problem, or you are old you should go to your doctor before starting your sons' inhaler. Your symptoms of asthma increased due to your lung infection after 2-3 days you will be fine like before, and you will be comfortable on your inhalers itself thank you 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 the flu virus now for 5 days . The day before i finished an antibiotic for chest infection . i suffer from allergies and when i get a chest cold i get asthma . i take plumicort turbo inhaler 200 micrograms 2 puff twice a day and when i need too i take salamol 100 micrograms , 2 puffs 3 times a day . i dont always have to take the salomol . on day 3 of the flu i started to cough up mucous which had traces of blood for the day .proior to this i hab been coughing up green mucous after finishing the antibiotoc. by late evening day 3 i started wheezing very badly snd couldnt breath very well so i took the salomol but after taking the 3 doses to no avail i decided to try my sons symbicort turbo inhaler 100 micrograms 4 puffs which helped a lot . is it ok to continue to use this as my gp is not availabe<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, I think your chest infection must have cleared by now, sometimes traces of blood do come in mucus when there is severe infection, if you get again you can visit your doctor for check up. If it has stopped after your infection is cured then you can stop worrying about it. Now about your asthma, Pulmicort 200 which you take is budesonide, which is steroid. And Symbicort which your son uses is budesonide plus a long acting bronchi dilator. Ideally when inhalers are given it is adjusted to minimum dose at which patient is comfortable. Since you where comfortable on Pulmicort 200 you should continue the same thing. But for now until you get medical attention you can take Symbicort 100, 4 puffs 2 times, if you have heart problem, or you are old you should go to your doctor before starting your sons' inhaler. Your symptoms of asthma increased due to your lung infection after 2-3 days you will be fine like before, and you will be comfortable on your inhalers itself thank you Chat Doctor.<|eot_id|>

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

Hi, I used to consider this a major problem and was very fearful of it becoming known by others. I have autophagia. A self diagnosis, so I m not sure if it s legit. I compulsively chew off and eat any callus that forms on my body. Having done so since I was around 5-6 I now have a ready supply of thick skin all over my hands and feet. I also compulsively eat my lips. It seems to be prompted by a variety of things. First and foremost is hunger, then comes anxiety, boredom, stress and finally loneliness. As i said, In recent years having exposed some friends to my behaviour I m no longer fearful of talking about it. I m concerned if this form of pica will damage me over the long term. I m 24 now and haven t experienced any side effects apart from the gradual sharpening of my teeth. Also considering the fact that my calluses have grown in size, the appearance of my hands and feet are rather grotesque. So ultimately i want to be able to stop this behaviour, any advice?

Hello thanks for asking from ChatDoctorThe symptoms you have mentioned like biting callus on skin of body could be occurring due to some impulse control disorder. These symptoms are related to compulsive nail-biting or odynophagia. As you have mentioned already that the problem get aggravated by anxiety provoking stimuli. I would advise you to consult a Psychiatrist for treatment. The complaints are causing significant distress to your social and personal life and also causing your body to look ugly so consulting a psychiatrist is need of hour. Medicines like Fluoxetine have very good results in decreasing these compulsive undesired behavior. Attend behavior therapy sessions for relaxation. Thanks, hope this helps 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, I used to consider this a major problem and was very fearful of it becoming known by others. I have autophagia. A self diagnosis, so I m not sure if it s legit. I compulsively chew off and eat any callus that forms on my body. Having done so since I was around 5-6 I now have a ready supply of thick skin all over my hands and feet. I also compulsively eat my lips. It seems to be prompted by a variety of things. First and foremost is hunger, then comes anxiety, boredom, stress and finally loneliness. As i said, In recent years having exposed some friends to my behaviour I m no longer fearful of talking about it. I m concerned if this form of pica will damage me over the long term. I m 24 now and haven t experienced any side effects apart from the gradual sharpening of my teeth. Also considering the fact that my calluses have grown in size, the appearance of my hands and feet are rather grotesque. So ultimately i want to be able to stop this behaviour, any advice?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello thanks for asking from ChatDoctorThe symptoms you have mentioned like biting callus on skin of body could be occurring due to some impulse control disorder. These symptoms are related to compulsive nail-biting or odynophagia. As you have mentioned already that the problem get aggravated by anxiety provoking stimuli. I would advise you to consult a Psychiatrist for treatment. The complaints are causing significant distress to your social and personal life and also causing your body to look ugly so consulting a psychiatrist is need of hour. Medicines like Fluoxetine have very good results in decreasing these compulsive undesired behavior. Attend behavior therapy sessions for relaxation. Thanks, hope this helps you.<|eot_id|>

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

The skin on my forehead and my nose (from in between my eyebrows down too my cheeks) are really dry and flakey also very sensitive. I try moisturizing a lot but it doesnt seem to help much. What can I do to make those areas soft and smooth like the rest of my face.

Hi, It seems that you may be having seborrhea dermatitis. Skin of nose, paranasal area and forehead might develop flakes and Dan Chat Doctor. Stress, worries and anxiety may exacerbate the disease. Be calm and cool. Take a short course of steroids in tampering dose. Take antifungal like fluconazole 150 mg once week for few weeks. Apply mild steroid with antibiotic cream on the nose and forehead. If you have Dan

<|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: The skin on my forehead and my nose (from in between my eyebrows down too my cheeks) are really dry and flakey also very sensitive. I try moisturizing a lot but it doesnt seem to help much. What can I do to make those areas soft and smooth like the rest of my face.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, It seems that you may be having seborrhea dermatitis. Skin of nose, paranasal area and forehead might develop flakes and Dan Chat Doctor. Stress, worries and anxiety may exacerbate the disease. Be calm and cool. Take a short course of steroids in tampering dose. Take antifungal like fluconazole 150 mg once week for few weeks. Apply mild steroid with antibiotic cream on the nose and forehead. If you have Dan<|eot_id|>

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

Hello I used to suffer from panic attacks in the past and was prescribed Fluoxitine. That sorted the problem out

Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are going through a difficult time due to your stress-related problems. Now, stress is well known to trigger anxiety / panic attacks and this is probably the reason for the re-emergence of your symptoms. Panic attacks can be treated with medication (like SSRIs) as well as psychological therapy like CBT. I would advise you to consult a psychiatrist in your place for detailed evaluation and to decide on the type of treatment that would be best suited for you. Wish you all the best.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hello I used to suffer from panic attacks in the past and was prescribed Fluoxitine. That sorted the problem out<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are going through a difficult time due to your stress-related problems. Now, stress is well known to trigger anxiety / panic attacks and this is probably the reason for the re-emergence of your symptoms. Panic attacks can be treated with medication (like SSRIs) as well as psychological therapy like CBT. I would advise you to consult a psychiatrist in your place for detailed evaluation and to decide on the type of treatment that would be best suited for you. Wish you all the best.<|eot_id|>

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

Hi, my name is Wesley. I have had this cough for about 5 days now, along with a slightly stuffy nose. I am more worried about my cough though, because i smoke regularly and i am only 21. After i acquired this cough it wasnt a very serious thing, but i tried to smoke a cigarette and i could barely take 2 puffs of it. So i have not taken a puff of a cigarette for about 4 days now and still have the cough and slightly stuffed nose. Will my throat be alright ?

Hello ! You seem to have allergic response to cigarette smoke. It can cause Allergic rhinitis and Bronchial Asthma. , that will result in your nose getting stuffy and your airways to constrict making it difficult for air that you breathe in and out to pass along your airways. Since how long have you been smoking ? What form of smoking ? How many per day ? Do you wheeze ? For symptomatic benefit for your current episode, u will need to do steam inhalation, take decongestant/ antihistamine medication, antibiotic if you have purulent phlegm on coughing. Do warm saline gargle. Get yourself checked by a physician in person. If there is evidence of constricted airways then you will need bronchodilator n steroid Chat Doctor. Get a Chest X-ray and Spirometry done for evaluation. Do quit smoking.

<|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 Wesley. I have had this cough for about 5 days now, along with a slightly stuffy nose. I am more worried about my cough though, because i smoke regularly and i am only 21. After i acquired this cough it wasnt a very serious thing, but i tried to smoke a cigarette and i could barely take 2 puffs of it. So i have not taken a puff of a cigarette for about 4 days now and still have the cough and slightly stuffed nose. Will my throat be alright ?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello ! You seem to have allergic response to cigarette smoke. It can cause Allergic rhinitis and Bronchial Asthma. , that will result in your nose getting stuffy and your airways to constrict making it difficult for air that you breathe in and out to pass along your airways. Since how long have you been smoking ? What form of smoking ? How many per day ? Do you wheeze ? For symptomatic benefit for your current episode, u will need to do steam inhalation, take decongestant/ antihistamine medication, antibiotic if you have purulent phlegm on coughing. Do warm saline gargle. Get yourself checked by a physician in person. If there is evidence of constricted airways then you will need bronchodilator n steroid Chat Doctor. Get a Chest X-ray and Spirometry done for evaluation. Do quit smoking.<|eot_id|>

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

Ive had a nasty cold for a week and a half; cough, fever, plugged sinuses, etc. In the last couple of days Ive noticed bumps on my legs, that looks like bug bites, but hurt like bruises. I have one on the side of y foot and it hurts to walk. it feels like a sprained ankle. Any ideas?

Hi and thanks for the query, I do not think this could be due to the cold you had. Fever and bumps, should be well examined to check for any abscesses. If present, anti bionics specific against staphylococci would be most appropriate. In case of redness, pain and swelling only, this could be an allergic reaction. Anti-allergic Chat Doctor. A clinical review easily makes the difference and orients the choice of treatment. Kind regards

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Ive had a nasty cold for a week and a half; cough, fever, plugged sinuses, etc. In the last couple of days Ive noticed bumps on my legs, that looks like bug bites, but hurt like bruises. I have one on the side of y foot and it hurts to walk. it feels like a sprained ankle. Any ideas?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi and thanks for the query, I do not think this could be due to the cold you had. Fever and bumps, should be well examined to check for any abscesses. If present, anti bionics specific against staphylococci would be most appropriate. In case of redness, pain and swelling only, this could be an allergic reaction. Anti-allergic Chat Doctor. A clinical review easily makes the difference and orients the choice of treatment. Kind regards<|eot_id|>

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

I am 50 years old have tachycardia, but lately all I want to do is sleep. I injured my back in 2000. Get headaches alot, can go 2 to 3 days not eating. Get dizzy standing up. am on Cymbalta 60mg once a day,Metoprolol ER 100mg once a day,Lisinopril 10mg once a day, Morphine 30mg 1 every 8 hours, Methadone 10mg eight times a day. Also am 5 6 and weigh 232. I know over the winter I got lazy. Sometimes walking just wears me out and my heart beats out of my chest, yesterday my pulse was very high and I was just sitting.

Hello, You may be having some condition here, a tachycardia while sitting and getting effortless may be signs of heart failure. You need to get checked by a cardiologist to do EKG, echocardiography, and some labs. Some thyroid dysfunction may be a differential here. So, I suggest doing a thyroid profile. Also, check your blood pressure regularly as it may be lowered too much with you medications. 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 50 years old have tachycardia, but lately all I want to do is sleep. I injured my back in 2000. Get headaches alot, can go 2 to 3 days not eating. Get dizzy standing up. am on Cymbalta 60mg once a day,Metoprolol ER 100mg once a day,Lisinopril 10mg once a day, Morphine 30mg 1 every 8 hours, Methadone 10mg eight times a day. Also am 5 6 and weigh 232. I know over the winter I got lazy. Sometimes walking just wears me out and my heart beats out of my chest, yesterday my pulse was very high and I was just sitting.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, You may be having some condition here, a tachycardia while sitting and getting effortless may be signs of heart failure. You need to get checked by a cardiologist to do EKG, echocardiography, and some labs. Some thyroid dysfunction may be a differential here. So, I suggest doing a thyroid profile. Also, check your blood pressure regularly as it may be lowered too much with you medications. 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 m 31 yrs old having a one and a half yr old daughter. Missed my period this month and checked after 10 days of the scheduled date, confirming pregnancy. Consulted my gynaecologist the same day and she gave me the medicine mifegest stating two tablets to be taken today and 4 tablets to be taken after 48 hours. Kindly brief me up regarding what all exactly will happen during this so that i can be mentally prepared for it.

Hi, mightiest is given to soften the cervix, and it is embryo toxic also. You can have bleeding after taking this or may not be. 4 tablets given to you is of bisoprolol which will initiate the uterine contractions, and you will have abortion after that. You can have heavy bleeding along with pain after 4 to 6 hours of taking it. Bleeding can persist for few days. You can take some painkillers for that. Hope I have answered your question. Regards Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I m 31 yrs old having a one and a half yr old daughter. Missed my period this month and checked after 10 days of the scheduled date, confirming pregnancy. Consulted my gynaecologist the same day and she gave me the medicine mifegest stating two tablets to be taken today and 4 tablets to be taken after 48 hours. Kindly brief me up regarding what all exactly will happen during this so that i can be mentally prepared for it.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, mightiest is given to soften the cervix, and it is embryo toxic also. You can have bleeding after taking this or may not be. 4 tablets given to you is of bisoprolol which will initiate the uterine contractions, and you will have abortion after that. You can have heavy bleeding along with pain after 4 to 6 hours of taking it. Bleeding can persist for few days. You can take some painkillers for that. Hope I have answered your question. Regards Chat Doctor.<|eot_id|>

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

HI my son has scimiter syndrome, has had two recent seizures, moderate learning difficulties, short stature, 5th finger clinodactyly, 2/3toe syndactyly, lumbar lordosis, one leg longer than the other, poor teeth, previous hypercalcaemia. Have you any ideas as to why he has all these problems ?

Hello, Such multiple congenital anomalies are seen in chromosomal and multifactorial genetic disorders. You need to do chromosomal and genetic analysis to identify exact chromosomal or genetic defect. Consult your pediatrician and ask for these studies. Results of these studies may not help in treatment. Treatment will be as per the problems your baby is facing e.g., seizures, pulmonary hypertension, hypocalcemia, etc. 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 my son has scimiter syndrome, has had two recent seizures, moderate learning difficulties, short stature, 5th finger clinodactyly, 2/3toe syndactyly, lumbar lordosis, one leg longer than the other, poor teeth, previous hypercalcaemia. Have you any ideas as to why he has all these problems ?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Such multiple congenital anomalies are seen in chromosomal and multifactorial genetic disorders. You need to do chromosomal and genetic analysis to identify exact chromosomal or genetic defect. Consult your pediatrician and ask for these studies. Results of these studies may not help in treatment. Treatment will be as per the problems your baby is facing e.g., seizures, pulmonary hypertension, hypocalcemia, etc. Hope I have answered your query. Let me know if I can assist you further.<|eot_id|>

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

I have a lump above my belly button and it pulses. I am waiting for ct results now. It could be crohns or a aeortic anerism and i am very worried. I am a 43yr old woman, just became a grandma. have had to miss work because of pain in rib cage and right side in appendix area.what do i do?? I dont have a Dr.

Hello! Thank you for the query. Lump above the belly button is most likely a hernia (abdominal or umbilical) especially if this lump is located under the skin. Hernia should be less visible when lying down and more visible when standing. Pain can be more intense when coughing or lifting heavy objects. Crowns or aneurysm do not give a lump symptom. If you are thin person, you may palpate some pulse from regular aorta. Hope this will help. Regards.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have a lump above my belly button and it pulses. I am waiting for ct results now. It could be crohns or a aeortic anerism and i am very worried. I am a 43yr old woman, just became a grandma. have had to miss work because of pain in rib cage and right side in appendix area.what do i do?? I dont have a Dr.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello! Thank you for the query. Lump above the belly button is most likely a hernia (abdominal or umbilical) especially if this lump is located under the skin. Hernia should be less visible when lying down and more visible when standing. Pain can be more intense when coughing or lifting heavy objects. Crowns or aneurysm do not give a lump symptom. If you are thin person, you may palpate some pulse from regular aorta. Hope this will help. Regards.<|eot_id|>

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

hi i am 19 yrs old female, and I have been sick for the past three weeks. the first week, I had a stomach pains, mager head aches body aches and chills, my temp went up and down from 99.2 to 101.fer. and did not have the strength to get out of bed. the second week, same symtoms but fever went up(101.2-101.9) and coughing went away and I gain some strength back, this week, the same things as the first week, but again fever has gone up. 101.5-102.1, I just checked it again about 5min ago and it is 102.3. is this normal, I have never been sick for more then 2-3 days. and only once has my temp been over 103.5, (I was7)

Hi, From history it seems that you got long period of having fever and requires evaluation of your case. This requires some investigations to conclude proper diagnosis of having your fever. Go for complete blood checking like TC, DC, ESR, MP, platelet count. S. Tidal. Go for routine urine check up.If you require go for x-ray chest. After all reports your doctor come to diagnosis and plan of proper treatment can be started.Meanwhile, take rest and take light diet. Ok and take care.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hi i am 19 yrs old female, and I have been sick for the past three weeks. the first week, I had a stomach pains, mager head aches body aches and chills, my temp went up and down from 99.2 to 101.fer. and did not have the strength to get out of bed. the second week, same symtoms but fever went up(101.2-101.9) and coughing went away and I gain some strength back, this week, the same things as the first week, but again fever has gone up. 101.5-102.1, I just checked it again about 5min ago and it is 102.3. is this normal, I have never been sick for more then 2-3 days. and only once has my temp been over 103.5, (I was7)<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, From history it seems that you got long period of having fever and requires evaluation of your case. This requires some investigations to conclude proper diagnosis of having your fever. Go for complete blood checking like TC, DC, ESR, MP, platelet count. S. Tidal. Go for routine urine check up.If you require go for x-ray chest. After all reports your doctor come to diagnosis and plan of proper treatment can be started.Meanwhile, take rest and take light diet. Ok and take care.<|eot_id|>

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

I just read the article on symptoms of walking pneumonia and I have many of them. Started with a heavy deep cough in the lungs last week; now it seems to be breaking up leaving me with a sore throat, digestive problems, some diarrhea, no energy. I am 72 yrs old and have CAD. Should I see my doctor?

Thanks for your question on Chat Doctor. Yes you should definitely consult your doctor and get done 1. Clinical examination of respiratory system 2. Chest x-ray. You are having the following risk factors for pneumonia. 1. Old age 2. Coexisting Coronary artery disease (CAD). And your symptoms like cough, mucus production, low energy, fever etc. are suggestive of pneumonia. Chest x-ray is must for the diagnosis of pneumonia. Treatment of pneumonia consists of appropriate antibiotics, anti histamine and anti-inflammatory Chat Doctor. The normal course of treatment is 7-10 days.

<|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 just read the article on symptoms of walking pneumonia and I have many of them. Started with a heavy deep cough in the lungs last week; now it seems to be breaking up leaving me with a sore throat, digestive problems, some diarrhea, no energy. I am 72 yrs old and have CAD. Should I see my doctor?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. Yes you should definitely consult your doctor and get done 1. Clinical examination of respiratory system 2. Chest x-ray. You are having the following risk factors for pneumonia. 1. Old age 2. Coexisting Coronary artery disease (CAD). And your symptoms like cough, mucus production, low energy, fever etc. are suggestive of pneumonia. Chest x-ray is must for the diagnosis of pneumonia. Treatment of pneumonia consists of appropriate antibiotics, anti histamine and anti-inflammatory Chat Doctor. The normal course of treatment is 7-10 days.<|eot_id|>

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

i am hema roy i gone to gynacolgist for treatment ofpergnancy she done the sonagraphy of my stomach and nutrous she ask me to take tablets like tab azee 250 tab flucas 150 tab cor-3 , i started but i got immediately stomach pain back pain vomiting and more side effects should i stop to take theses tablets pls suggest

Hi, Based on the history given you seem to be suffering from some sort of mixed vaginal infection for which your doctor prescribed a combination of medications.1. Azee-250 commonly prescribed to treat infections caused by susceptible bacteria can cause abdominal cramps, diarrhea, and vomiting.2. Lucas-150 is used to prevent and treat infection caused by fungus or yeast. It is also known to cause headache, vomiting, abdominal pain, and diarrhea. Take the above medications after the meals and if vomiting or abdominal pain persist contact your doctor to prescribed alternate effective but safer antibiotics to eradicate the vaginal infection.3. Cor 3 Tablet is multivitamin commonly prescribed to treat anemia. Generally it is well tolerated however, its side effects are minor which include heartburn, itching or rash. 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 hema roy i gone to gynacolgist for treatment ofpergnancy she done the sonagraphy of my stomach and nutrous she ask me to take tablets like tab azee 250 tab flucas 150 tab cor-3 , i started but i got immediately stomach pain back pain vomiting and more side effects should i stop to take theses tablets pls suggest<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Based on the history given you seem to be suffering from some sort of mixed vaginal infection for which your doctor prescribed a combination of medications.1. Azee-250 commonly prescribed to treat infections caused by susceptible bacteria can cause abdominal cramps, diarrhea, and vomiting.2. Lucas-150 is used to prevent and treat infection caused by fungus or yeast. It is also known to cause headache, vomiting, abdominal pain, and diarrhea. Take the above medications after the meals and if vomiting or abdominal pain persist contact your doctor to prescribed alternate effective but safer antibiotics to eradicate the vaginal infection.3. Cor 3 Tablet is multivitamin commonly prescribed to treat anemia. Generally it is well tolerated however, its side effects are minor which include heartburn, itching or rash. 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 pleural effusion from 20 days and i am taking akt medicince and other prescribed by my doctor.fever tends to be volatile.and cough has decreased.but i am still on bedrest.i have become restless..my energy has gone.i am not liking it.what to do.how many more days will it take to cure completely.i have taken out 1l of fluid as suggested by doctor.thanks.please reply.

Respected user, Warm welcome to Chat Doctor.come have gone through your concern in depth.* The prognosis and recovery time depends upon the response of medicines, host immune response, virulence of the causative organism supportive care, dietary supplements, moral of the patient & other factors.* So the case requires multiple factors evaluation from different angles still if you give follow-up x-ray and reports with all investigations of the starting phase, more insight can be provided in your case. Hope this will help you for sure. Wishing you fine recovery. Regards.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i have pleural effusion from 20 days and i am taking akt medicince and other prescribed by my doctor.fever tends to be volatile.and cough has decreased.but i am still on bedrest.i have become restless..my energy has gone.i am not liking it.what to do.how many more days will it take to cure completely.i have taken out 1l of fluid as suggested by doctor.thanks.please reply.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Respected user, Warm welcome to Chat Doctor.come have gone through your concern in depth.* The prognosis and recovery time depends upon the response of medicines, host immune response, virulence of the causative organism supportive care, dietary supplements, moral of the patient & other factors.* So the case requires multiple factors evaluation from different angles still if you give follow-up x-ray and reports with all investigations of the starting phase, more insight can be provided in your case. Hope this will help you for sure. Wishing you fine recovery. Regards.<|eot_id|>

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

I was in a car accident a week ago. I overslept nd missed work today (slept 18 hrs) woke up feeling still sleepy and tired and with a metallic taste in my mouth. is that a sign of a concussion? my head hurts all the time but doctors at er didnt think i should be checked for a concussion

Hello, Metallic taste in the mouth and tiredness are not SPECIFIC symptoms of having a concussion though they can be found present who have suffered a concussion. If you are certain that you struck your head against something in the car and immediately following the blow to the head you suffered any DISRUPTION or LAPSE in awareness or consciousness or if you are unable to recall good detail of what happened just before or after the accident then, you may wish to see a neurologist with concussion experience for a 2nd opinion. 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 was in a car accident a week ago. I overslept nd missed work today (slept 18 hrs) woke up feeling still sleepy and tired and with a metallic taste in my mouth. is that a sign of a concussion? my head hurts all the time but doctors at er didnt think i should be checked for a concussion<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Metallic taste in the mouth and tiredness are not SPECIFIC symptoms of having a concussion though they can be found present who have suffered a concussion. If you are certain that you struck your head against something in the car and immediately following the blow to the head you suffered any DISRUPTION or LAPSE in awareness or consciousness or if you are unable to recall good detail of what happened just before or after the accident then, you may wish to see a neurologist with concussion experience for a 2nd opinion. 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.

I have been suffering from severely dry skin on my face for about 6 weeks. The outside corners of my eyes are red and my eyes themselves are itchy. I also have very chapped lips and the area around my nose is red and itchy and raw. My nostrils have cracks, too. I have had this in the past but it has never lasted this long. Is it possible I have an infection? Also interesting is that I dont have any dry skin anywhere else...

Hi, It seems that probably you may be having atomic dermatitis. You have itchy sensation on face. And you have charities and fissures on nasal areas. Kindly consult the dermatologist. I would suggest.- tab methyl prednisolone 8 mg thrice a day for 5 days then to tapper 4 mg every 5 days.- antibiotic like azithromycin 250 mg thrice a day for one week- antihistamines like desloratidine once a day at night daily till itch is relieved-apply mild steroid with juridic acid cream on the cracked areas and lips- moisturizer cream like liq paraffin on face daily in morning after bath-avoid soap on face-avoid exposure to sun-avoid fish, chicken,eggs, nuts,bringer, curd,milk products, banana in diet-avoid contact with dust, fume,cosmetic, pollens, wool.etc-keep mind cool, no worries and tension-have patienceThis would help you. Thanks Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have been suffering from severely dry skin on my face for about 6 weeks. The outside corners of my eyes are red and my eyes themselves are itchy. I also have very chapped lips and the area around my nose is red and itchy and raw. My nostrils have cracks, too. I have had this in the past but it has never lasted this long. Is it possible I have an infection? Also interesting is that I dont have any dry skin anywhere else...<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, It seems that probably you may be having atomic dermatitis. You have itchy sensation on face. And you have charities and fissures on nasal areas. Kindly consult the dermatologist. I would suggest.- tab methyl prednisolone 8 mg thrice a day for 5 days then to tapper 4 mg every 5 days.- antibiotic like azithromycin 250 mg thrice a day for one week- antihistamines like desloratidine once a day at night daily till itch is relieved-apply mild steroid with juridic acid cream on the cracked areas and lips- moisturizer cream like liq paraffin on face daily in morning after bath-avoid soap on face-avoid exposure to sun-avoid fish, chicken,eggs, nuts,bringer, curd,milk products, banana in diet-avoid contact with dust, fume,cosmetic, pollens, wool.etc-keep mind cool, no worries and tension-have patienceThis would help you. Thanks Chat Doctor.<|eot_id|>

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

hi i had typhoid two years before. got treated.now i have 9month old son and i have temperature 99 degree C from last two days specially at night , having oily mouth, body pain , head ache, hot flashes and weakness.my weight is 53 KG and my height is 5feet one inches and my age is 31. am a lactating mother. should i go for typhe dot test.

Thanks to ChatDoctorI can understand your concern being lactating mother, you need to undergo investigations like CBP.ESR, WIDAL and MP tests .which indicate cause of fever normally but try to wane slowly the lactation for your child typhoid may repeat after 1st attack use paracetamol, antibiotic like definite o200mg for 5 days.normally it will subside .don't worry if persistent fever please check the investigations and consult your family doctor or Chat Doctor, DON'T 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: hi i had typhoid two years before. got treated.now i have 9month old son and i have temperature 99 degree C from last two days specially at night , having oily mouth, body pain , head ache, hot flashes and weakness.my weight is 53 KG and my height is 5feet one inches and my age is 31. am a lactating mother. should i go for typhe dot test.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks to ChatDoctorI can understand your concern being lactating mother, you need to undergo investigations like CBP.ESR, WIDAL and MP tests .which indicate cause of fever normally but try to wane slowly the lactation for your child typhoid may repeat after 1st attack use paracetamol, antibiotic like definite o200mg for 5 days.normally it will subside .don't worry if persistent fever please check the investigations and consult your family doctor or Chat Doctor, DON'T WORRY<|eot_id|>

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

my 5 year old little sister is masturbating frequently...at school, at home, in the car, it doesn t matter. if she s caught because someone walks into the room, she had no regards for that person and continues to do so. i know it s a normal behavior, but she s already suffering from bladder infection and the consistent rubbing is making her raw. it s something that s been going on for years, but became more frequent when she turned 5. she denies doing it....and has a severe attitude when you try to talk to her about it. aside from talking to a pediatrician, is there anything else we can do? do we need to consider seeing a counselor?

Hello. I have reviewed your query and here is my advice. The children behavior is never masturbation. As you already know it is a normal behavior. But if the frequency is increasing and the girl becomes careless, then the problem is never normal. Here you should take this as behavioral disorder. Child Chat Doctor. Their behavior can be changed with the help of many psychological techniques like distraction, reward, punishment etc. Use them wisely. I can help you if you need. Hope I have answered your query. You can contact me for treatment options. Let me know if I can assist you further.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: my 5 year old little sister is masturbating frequently...at school, at home, in the car, it doesn t matter. if she s caught because someone walks into the room, she had no regards for that person and continues to do so. i know it s a normal behavior, but she s already suffering from bladder infection and the consistent rubbing is making her raw. it s something that s been going on for years, but became more frequent when she turned 5. she denies doing it....and has a severe attitude when you try to talk to her about it. aside from talking to a pediatrician, is there anything else we can do? do we need to consider seeing a counselor?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello. I have reviewed your query and here is my advice. The children behavior is never masturbation. As you already know it is a normal behavior. But if the frequency is increasing and the girl becomes careless, then the problem is never normal. Here you should take this as behavioral disorder. Child Chat Doctor. Their behavior can be changed with the help of many psychological techniques like distraction, reward, punishment etc. Use them wisely. I can help you if you need. Hope I have answered your query. You can contact me for treatment options. 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 father is suffering from Non alcoholic steatohepatitis...with acute attack of hepatitis E.. But at present all enzymes are in range.Inflammation has gone..But bilirubin is fluctuating between 12 and 13..Its not coming down..how much time will it take to come down to normal?

Hi welcome to the Chat Doctor In acute hepatitis complete bilirubin recovery sometimes may take time up to 3 months... Your bilirubin very high, hence take precautions not to take fatty foods much as liver needs rest in hepatitis from fat digestion... Take fruit juices, Apple juice, coconut water more Sugar cane juice beneficial Avoid outside foods strictly for few weeks Green leafy vegetables more Ad\u00edlio tablet can be prescribed (300 mg dose) for your condition Take care Hope your concern solved Follow your treating physician advise and regularly examined by him for at least 2 to 3 months duration

<|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 father is suffering from Non alcoholic steatohepatitis...with acute attack of hepatitis E.. But at present all enzymes are in range.Inflammation has gone..But bilirubin is fluctuating between 12 and 13..Its not coming down..how much time will it take to come down to normal?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi welcome to the Chat Doctor In acute hepatitis complete bilirubin recovery sometimes may take time up to 3 months... Your bilirubin very high, hence take precautions not to take fatty foods much as liver needs rest in hepatitis from fat digestion... Take fruit juices, Apple juice, coconut water more Sugar cane juice beneficial Avoid outside foods strictly for few weeks Green leafy vegetables more Ad\u00edlio tablet can be prescribed (300 mg dose) for your condition Take care Hope your concern solved Follow your treating physician advise and regularly examined by him for at least 2 to 3 months duration<|eot_id|>

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

yes, my left side was 149 over 92, the other side was 151 over 101 my arm..there has been tingling over my left arm since last week thats why i think it may just be a pinch nerve but early this morning i got scared bec there is a tightness but it feels more like near my underarm..i have no med insurance right now..what should i do..

Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that such differences in blood pressure are normal and are related to the anatomical changes in blood vessels between the arms. Anyway, your blood pressure values are above the normal ranges, and you should consult with your attending physician and perform some tests (chest X-ray study, resting ECG, complete blood count, kidney and liver function tests, fasting glucose, etc.) to exclude possible causes of high blood pressure. You may need to start antihypertensive Chat Doctor. But, high blood pressure does not explain your tingling sensation in the left arm. Are your symptoms (tingling over the left arm) modulated by arm position changes? This would be indicative of a nerve pain. In such case there is nothing to worry about. A nerve conduction study would help determine possible nerve compression. Meanwhile, regarding your high blood pressure, I would recommend some tips to help you have a better control on your blood pressure

<|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: yes, my left side was 149 over 92, the other side was 151 over 101 my arm..there has been tingling over my left arm since last week thats why i think it may just be a pinch nerve but early this morning i got scared bec there is a tightness but it feels more like near my underarm..i have no med insurance right now..what should i do..<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that such differences in blood pressure are normal and are related to the anatomical changes in blood vessels between the arms. Anyway, your blood pressure values are above the normal ranges, and you should consult with your attending physician and perform some tests (chest X-ray study, resting ECG, complete blood count, kidney and liver function tests, fasting glucose, etc.) to exclude possible causes of high blood pressure. You may need to start antihypertensive Chat Doctor. But, high blood pressure does not explain your tingling sensation in the left arm. Are your symptoms (tingling over the left arm) modulated by arm position changes? This would be indicative of a nerve pain. In such case there is nothing to worry about. A nerve conduction study would help determine possible nerve compression. Meanwhile, regarding your high blood pressure, I would recommend some tips to help you have a better control on your blood pressure<|eot_id|>

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

Hi I am experiencing some numbness on one side of my face. It started about 6 hers ago and soon after the numbness appeared I got a bad headache. The headache disappeared but after I would loose track of what I was saying and I would be thinking one thing and I would say something different not realizing it. Is this normal?

Hello! I read your question and understand your concern. I think that these symptoms may be caused by a small stroke. Furthermore, I would like to know if you have measured your blood pressure. Do you suffer from arterial hypertension or diabetes ? The headache is not a common symptom in stroke, but it may be related to migraine, high blood pressure etc. I would recommend consulting the neurologist, have a good neurological examination, a full blood work, a blood lipids analysis and a brain CT scan. Further, tests like cardiac check up and Doppler ultrasound of the carotid vessels may be needed to establish the cause. Hope to have been of help. 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: Hi I am experiencing some numbness on one side of my face. It started about 6 hers ago and soon after the numbness appeared I got a bad headache. The headache disappeared but after I would loose track of what I was saying and I would be thinking one thing and I would say something different not realizing it. Is this normal?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello! I read your question and understand your concern. I think that these symptoms may be caused by a small stroke. Furthermore, I would like to know if you have measured your blood pressure. Do you suffer from arterial hypertension or diabetes ? The headache is not a common symptom in stroke, but it may be related to migraine, high blood pressure etc. I would recommend consulting the neurologist, have a good neurological examination, a full blood work, a blood lipids analysis and a brain CT scan. Further, tests like cardiac check up and Doppler ultrasound of the carotid vessels may be needed to establish the cause. Hope to have been of help. Best wishes!<|eot_id|>

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

iam a 42 year old woman 5 5 125lbs relativley good health,but in the past 2 months i have had major tendon pain in wrists,knees,back of knees,feet,both shoulders,both wrists and right hip well now its in my right lower jaw and seems to also in my bones very very painfull its getting worse every day can you help with diagnosis of whats going on way

Hello, Your symptoms could be related to arthritis or any other metabolic disorder. For this reason, I would recommend consulting with your attending physician for a physical exam and some tests

<|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: iam a 42 year old woman 5 5 125lbs relativley good health,but in the past 2 months i have had major tendon pain in wrists,knees,back of knees,feet,both shoulders,both wrists and right hip well now its in my right lower jaw and seems to also in my bones very very painfull its getting worse every day can you help with diagnosis of whats going on way<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Your symptoms could be related to arthritis or any other metabolic disorder. For this reason, I would recommend consulting with your attending physician for a physical exam and some tests<|eot_id|>

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

I have had a bad cough for quite a while and the doctor gave me Advair because he thought my lungs were probably inflamed from all the coughing. I thought he told me to use it twice a day but now I am feeling shaky. Should I only use it once a day. I do not have asthma or copd

Adverse is a combination of Fluticasone, a corticosteroid, is the anti-inflammatory component of the combination, and albuterol, a long acting beta-a Chat Doctor. Together, they help prevent symptoms of coughing, wheezing and shortness of breath. It may sometimes cause shakiness, but other Asthma medications are causing it more frequently. I would suggest consulting with your physician before changing the dose, it might make more sense choosing a different

<|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 bad cough for quite a while and the doctor gave me Advair because he thought my lungs were probably inflamed from all the coughing. I thought he told me to use it twice a day but now I am feeling shaky. Should I only use it once a day. I do not have asthma or copd<|eot_id|><|start_header_id|>assistant<|end_header_id|>Adverse is a combination of Fluticasone, a corticosteroid, is the anti-inflammatory component of the combination, and albuterol, a long acting beta-a Chat Doctor. Together, they help prevent symptoms of coughing, wheezing and shortness of breath. It may sometimes cause shakiness, but other Asthma medications are causing it more frequently. I would suggest consulting with your physician before changing the dose, it might make more sense choosing a different<|eot_id|>

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

I woke up this morning, got up, and had the worst case of vertigo I ve ever had. Couldn t get my balance at all, fell back on the bed, sat up, and within a minute, it was gone. Had a couple of slight feelings of vertigo during the day, took betahistine hydrocholoride and am not quite normal yet. Should I be worried that s it s a symptom of something else?

Acute onset severe vertigo may be due to many reasons and common are benign paroxysmal positional vertigo(BPPV), acute vestibular neuritis and less commonly posterior circulation stroke. BPPV is positional, lasting for few seconds associated with nausea or vomiting. Vestibular neuritis is severe vertigo And associated with some viral infection. Most serious condition is posterior circulation stroke but is usually associated with additional brain stem signs and symptoms. Your case seems to be BPPV most likely if no additional symptoms are present. You need to consult neurologist if symptoms increases or persists. Hope you recover well.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I woke up this morning, got up, and had the worst case of vertigo I ve ever had. Couldn t get my balance at all, fell back on the bed, sat up, and within a minute, it was gone. Had a couple of slight feelings of vertigo during the day, took betahistine hydrocholoride and am not quite normal yet. Should I be worried that s it s a symptom of something else?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Acute onset severe vertigo may be due to many reasons and common are benign paroxysmal positional vertigo(BPPV), acute vestibular neuritis and less commonly posterior circulation stroke. BPPV is positional, lasting for few seconds associated with nausea or vomiting. Vestibular neuritis is severe vertigo And associated with some viral infection. Most serious condition is posterior circulation stroke but is usually associated with additional brain stem signs and symptoms. Your case seems to be BPPV most likely if no additional symptoms are present. You need to consult neurologist if symptoms increases or persists. Hope you recover well.<|eot_id|>

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

My wife has gone through MRI of Lower portion because Doctor said She suffers from Cervicle/Lumber Spondlitis . In this scan Doctor observed that there are lesions in her bones . What are the implications ?? Is it possible that She can have Cancer . Now they have asked her to go though Bone Scan . Please explain !!

Hello, Usually, with the MRI scan, we can analyze the soft tissue of the body, but the bone scan is for assessing the construction of the bones if they are strong enough with proper deposits. As there is no mention the clinical symptoms it will become wrong on our part to comment over the orthopedist decision. The bone scan is only referred to post-MRI if the Orthopedist finds clinical complaints different from what actually it is shown in the MRI. Also, spondylitis is a common thing we find sometimes in every 3 Rd individual. In my practice of 12 years, I have seen almost a bunch of cases for spondylitis and most of them have responded well to medication and Physical therapy. Also, cancer cannot be detected in the bone scan. Bone scan only reveal the composition of the bones. For cancer, if suspected there might be advised to take blood reports or a biopsy. Please follow the Orthopedist guidelines for now without any worry. Hope I have answered your query. Let me know if I can assist you further. Take care 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: My wife has gone through MRI of Lower portion because Doctor said She suffers from Cervicle/Lumber Spondlitis . In this scan Doctor observed that there are lesions in her bones . What are the implications ?? Is it possible that She can have Cancer . Now they have asked her to go though Bone Scan . Please explain !!<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Usually, with the MRI scan, we can analyze the soft tissue of the body, but the bone scan is for assessing the construction of the bones if they are strong enough with proper deposits. As there is no mention the clinical symptoms it will become wrong on our part to comment over the orthopedist decision. The bone scan is only referred to post-MRI if the Orthopedist finds clinical complaints different from what actually it is shown in the MRI. Also, spondylitis is a common thing we find sometimes in every 3 Rd individual. In my practice of 12 years, I have seen almost a bunch of cases for spondylitis and most of them have responded well to medication and Physical therapy. Also, cancer cannot be detected in the bone scan. Bone scan only reveal the composition of the bones. For cancer, if suspected there might be advised to take blood reports or a biopsy. Please follow the Orthopedist guidelines for now without any worry. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor.<|eot_id|>

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

hi. i have pain in m left side of jaw by ear area. i have difficulty moving my neck to the left. . have not injured my jaw. i feel headachey on left side. painful to eat or open my mouth wide. it does sound crunch.y. no pain releif helps. this has now been for a few weeks.

Hello, Welcome Thanks for consulting Chat Doctor, You have mentioned that you have pain in your left side of jaw and area of ear and difficulty in opening of mouth, don't worry you have Temporomandibular disorder left side take this medication for 1\u00a0week you will get relief, Tablet Flexion MR one tab in a day Ointment Diclofenac sodium Local application twice daily on left side of face where you feel pain Capsule vitamin B complex one capsule in a day Some points you should remember are take soft diet, and avoid excess mouth opening. If your problem continues then consult physician. Hope this will help 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. i have pain in m left side of jaw by ear area. i have difficulty moving my neck to the left. . have not injured my jaw. i feel headachey on left side. painful to eat or open my mouth wide. it does sound crunch.y. no pain releif helps. this has now been for a few weeks.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Welcome Thanks for consulting Chat Doctor, You have mentioned that you have pain in your left side of jaw and area of ear and difficulty in opening of mouth, don't worry you have Temporomandibular disorder left side take this medication for 1\u00a0week you will get relief, Tablet Flexion MR one tab in a day Ointment Diclofenac sodium Local application twice daily on left side of face where you feel pain Capsule vitamin B complex one capsule in a day Some points you should remember are take soft diet, and avoid excess mouth opening. If your problem continues then consult physician. Hope this will help you.<|eot_id|>

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

both legs at ankles swollen light headed severe headache wont go away. feel week at times. had major back surgery in Jan went through the front for a spinal fusion. had two other surgeries done and each one had problem with loosing cranial fluid one of which but me back in the hosp for 45 days I believe there is a small leak the fluid settles in my lower legs and causes headaches and problems with sight.

Hi, Thanks for your query. There are numerous causes and conditions that produce swelling in the ankles. A few important causes are chronic venous insufficiency, Heart related issues, kidney disorders, liver problems, water retention etc. A thorough and detailed evaluation along with a few investigations are needed to establish the correct diagnosis. I suggest you to consult a General physician for further evaluation and management. I do hope that you have found something helpful, and I will be glad to answer any further query. 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: both legs at ankles swollen light headed severe headache wont go away. feel week at times. had major back surgery in Jan went through the front for a spinal fusion. had two other surgeries done and each one had problem with loosing cranial fluid one of which but me back in the hosp for 45 days I believe there is a small leak the fluid settles in my lower legs and causes headaches and problems with sight.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for your query. There are numerous causes and conditions that produce swelling in the ankles. A few important causes are chronic venous insufficiency, Heart related issues, kidney disorders, liver problems, water retention etc. A thorough and detailed evaluation along with a few investigations are needed to establish the correct diagnosis. I suggest you to consult a General physician for further evaluation and management. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care<|eot_id|>

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

I have had a yellow tongue since march. My regular doctor sent me to a specialist. He ran some test they came back positive. I do have herd and my doctor is treating me for that. Some days my tongue looks better and some days it looks horrible. Now Im wondering if everything I eat and drink is staining it. Im tired of dealing with it especially when its noticeable. Do you have any suggestions?

Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint the yellow coating over the tongue seems to be Yeast infection known as Thrush, and it can be treated with antifungal medicines like Statin mouthwash gargles, clotrimazole lozenges and taking more of Probiotics like Yogurt in diet. In case if it is not Thrush the other cause for it can be simply poor Oral hygiene and deposit of dead cells, food debris and bacterial over growth over the tongue papillae. It can be cleaned by regular cleaning of tongue with a tongue scraper or a soft toothbrush. Gargle with 1

<|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 yellow tongue since march. My regular doctor sent me to a specialist. He ran some test they came back positive. I do have herd and my doctor is treating me for that. Some days my tongue looks better and some days it looks horrible. Now Im wondering if everything I eat and drink is staining it. Im tired of dealing with it especially when its noticeable. Do you have any suggestions?<|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 yellow coating over the tongue seems to be Yeast infection known as Thrush, and it can be treated with antifungal medicines like Statin mouthwash gargles, clotrimazole lozenges and taking more of Probiotics like Yogurt in diet. In case if it is not Thrush the other cause for it can be simply poor Oral hygiene and deposit of dead cells, food debris and bacterial over growth over the tongue papillae. It can be cleaned by regular cleaning of tongue with a tongue scraper or a soft toothbrush. Gargle with 1<|eot_id|>

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

My twin boys of 8 months have had diarreha for just over 5 weeks now. Both have very raw bottoms (cream is being used to treat) and it s now getting to the stage now where they both are refusing to eat any food and bork or be sick at the touch of it to their mouths. Stool samples have been sent off and come back neg of a virus infection. Any help please as in desperate need...

Hi, Few more points I would like to know- 1. Whether this started following introduction of any particular food item in their diet?2. Approximate frequency of stools in a day?3. Whether stools are bloody or mucus containing?4. Are the having fever? Possibilities are gastroenteritis or milk protein allergy. In some babies, this may even be a normal transient phenomenon. If no fever and bloody stools, in such cases I used to give a course of zinc supplementation and probiotics to see the response and further workup accordingly. Meanwhile, to reduce the rash, keep the area as 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 twin boys of 8 months have had diarreha for just over 5 weeks now. Both have very raw bottoms (cream is being used to treat) and it s now getting to the stage now where they both are refusing to eat any food and bork or be sick at the touch of it to their mouths. Stool samples have been sent off and come back neg of a virus infection. Any help please as in desperate need...<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Few more points I would like to know- 1. Whether this started following introduction of any particular food item in their diet?2. Approximate frequency of stools in a day?3. Whether stools are bloody or mucus containing?4. Are the having fever? Possibilities are gastroenteritis or milk protein allergy. In some babies, this may even be a normal transient phenomenon. If no fever and bloody stools, in such cases I used to give a course of zinc supplementation and probiotics to see the response and further workup accordingly. Meanwhile, to reduce the rash, keep the area as Chat Doctor.<|eot_id|>

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

I have Hep C and liver problems> I need to know what my options are. I had a blood transfussion in 1970 when I had my son and it didnnt show up till now. I am seening Dr. Lake in Hillsboro for my liver issues. Please let me know if there is anything you can help with. Pam owen 503-848-8283Thankyou

Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I understand your concern. You should know that chronicity is the hallmark of Hepatitis C Virus. So you need to get treatment in any case. I would advise you're following

<|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 Hep C and liver problems> I need to know what my options are. I had a blood transfussion in 1970 when I had my son and it didnnt show up till now. I am seening Dr. Lake in Hillsboro for my liver issues. Please let me know if there is anything you can help with. Pam owen 503-848-8283Thankyou<|eot_id|><|start_header_id|>assistant<|end_header_id|>Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I understand your concern. You should know that chronicity is the hallmark of Hepatitis C Virus. So you need to get treatment in any case. I would advise you're following<|eot_id|>

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

I have been suffering with a burning pain from the bottom of my neck to my left shoulder blade..I have c2-4 pressing on the spinal cord but not bad enough for surgery according to neuro surgeon I also have some tears in the rotator cuff.I have had 3mris abd two mylagrams everything is mild but shouldn t be causing the pain there..do u hhave any idea

Hi, Thank you for posting your query. I have noted your symptoms. They are most probably related to the nerve compression in the cervical (neck region). This results in pain and tingling in the areas mentioned by you. No requirement of surgery is good news. You would feel better with medications such as pregabalin or gabapentin capsules. In addition, physiotherapy would also help. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/

<|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 suffering with a burning pain from the bottom of my neck to my left shoulder blade..I have c2-4 pressing on the spinal cord but not bad enough for surgery according to neuro surgeon I also have some tears in the rotator cuff.I have had 3mris abd two mylagrams everything is mild but shouldn t be causing the pain there..do u hhave any idea<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thank you for posting your query. I have noted your symptoms. They are most probably related to the nerve compression in the cervical (neck region). This results in pain and tingling in the areas mentioned by you. No requirement of surgery is good news. You would feel better with medications such as pregabalin or gabapentin capsules. In addition, physiotherapy would also help. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/<|eot_id|>

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

Hi my age is 32 Years, I had a follicle study done. It reads as follows ; 9th Day - ROF & LOF

Hi, I appreciate your query would clarify the report of your follicular study to you. On the 9th day, in the right and left ovaries (OF and LOF) - there was no DF - which means, dominant follicle. Again the same findings persisted till the 13th day, that is there was no dominant follicle in any of the ovaries. ET - refers to endometrial thickness which was 8 mm on Day 13. Collection in POD was nil, which is normal. Now, to explain a normal follicular study to you. By day 9, the ovaries start producing dominant follicles, that is among the many eggs present in the ovaries, one starts maturing to develop into the dominant egg for that month. By day 13 generally, if you have a regular 28-day menstrual cycle, the dominant egg reaches a size of 20 - 22 mm. Generally on day 14, ovulation occurs, that is the mature dominant egg is released from the ovary, and it is then ready for fertilization by the sperm. This is the normal studyHowever, in your case, there is no dominant follicle seen till day 13, which means that you are having an ovulatory cycle. That is, no mature egg is developing for ovulation this month. Anovulatory cycles are a major cause for not being able to conceive.POD (Polycystic ovarian disease) is one of the leading causes of an ovulation, apart from other conditions. You need to consult a gynecologist, and undergo further investigations for POD to rule out the cause of this follicular study. Also, you might require treatment and ovulation induction (medicines to stimulate formation of follicles in the ovary). In case your cycles are delayed (longer than 28 - 30 days), there is a minor possibility that your follicles are maturing later than normal, for e.g., in a 35-day cycle, the day of ovulation would be 14 days before periods, that is on day 20 or 21. Hope this helped 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 age is 32 Years, I had a follicle study done. It reads as follows ; 9th Day - ROF & LOF<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, I appreciate your query would clarify the report of your follicular study to you. On the 9th day, in the right and left ovaries (OF and LOF) - there was no DF - which means, dominant follicle. Again the same findings persisted till the 13th day, that is there was no dominant follicle in any of the ovaries. ET - refers to endometrial thickness which was 8 mm on Day 13. Collection in POD was nil, which is normal. Now, to explain a normal follicular study to you. By day 9, the ovaries start producing dominant follicles, that is among the many eggs present in the ovaries, one starts maturing to develop into the dominant egg for that month. By day 13 generally, if you have a regular 28-day menstrual cycle, the dominant egg reaches a size of 20 - 22 mm. Generally on day 14, ovulation occurs, that is the mature dominant egg is released from the ovary, and it is then ready for fertilization by the sperm. This is the normal studyHowever, in your case, there is no dominant follicle seen till day 13, which means that you are having an ovulatory cycle. That is, no mature egg is developing for ovulation this month. Anovulatory cycles are a major cause for not being able to conceive.POD (Polycystic ovarian disease) is one of the leading causes of an ovulation, apart from other conditions. You need to consult a gynecologist, and undergo further investigations for POD to rule out the cause of this follicular study. Also, you might require treatment and ovulation induction (medicines to stimulate formation of follicles in the ovary). In case your cycles are delayed (longer than 28 - 30 days), there is a minor possibility that your follicles are maturing later than normal, for e.g., in a 35-day cycle, the day of ovulation would be 14 days before periods, that is on day 20 or 21. Hope this helped you.<|eot_id|>

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

My father was diagnosed with ealry stages of dementia 6 months ago and is on medication to slow the progression. Prior to Christmas, he developed \"noise\" in his head. sometimes he says it is a hissing; other times it is a feeeling of wind blowing in his head. it is very disturbing for him. he is agitated and not sleeping. We have had him to an ENT specialist several times, who says that it is not tinitis nor infection. could it be linked to the dementia?

Hi, Welcome to Chat Doctor forum. It appears that the hissing is in his head, not in the ears. Tinnitus is felt usually in the ears. As you describe it appears to be the auditory hallucination, due to the dementia. I advise you to consult a neurologist for diagnosis and treatment. You may need to have a C.T.scan for diagnosis, and to exclude the tinnitus. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods, to have recovery of the brain tissue, and general health. 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: My father was diagnosed with ealry stages of dementia 6 months ago and is on medication to slow the progression. Prior to Christmas, he developed \"noise\" in his head. sometimes he says it is a hissing; other times it is a feeeling of wind blowing in his head. it is very disturbing for him. he is agitated and not sleeping. We have had him to an ENT specialist several times, who says that it is not tinitis nor infection. could it be linked to the dementia?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Welcome to Chat Doctor forum. It appears that the hissing is in his head, not in the ears. Tinnitus is felt usually in the ears. As you describe it appears to be the auditory hallucination, due to the dementia. I advise you to consult a neurologist for diagnosis and treatment. You may need to have a C.T.scan for diagnosis, and to exclude the tinnitus. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods, to have recovery of the brain tissue, and general health. 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.

Hi, I am a 64 year old lady. I have had a morpine pain pump for 8 years at 8.59 mg day. Was doing great until my 2 physicians moved out of stat and have a new replacement which removed the pump on Oct 1, since he does not believe in the pump. I had no choice. Since I have a spinal headache,diarrhea 25-28 times a day with vomiting, cold, clammy dizzy, severe back pain awful sweet smell comes off of my skin. Unable to sleep for 49 hours and absolutely misserable. Today he ordered 25mcg fentanyl one patch every 3 days plus compazine. He just told me I had to tough it out. Do you have any suggestions it is very hard to take care of myself when husband is at work. Thank you so much. Donna

Hi Donnie can understand your depend on morphine pump and finding hard with switch over....but it is well documented that fentanyl patch is equally effective and dosing has to monitored for optimum level of relief. Cause of diarrhea may be diagnosed by a gastroenterologist and treated according to cause, only maintain good electrolyte and water balance with plenty of fluids intake. Spinal headache may be requiring a review by a neurons specialist, usually cerebrospinal fluid examination and CSF pressure has to be measured and tap is done best wishes 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 a 64 year old lady. I have had a morpine pain pump for 8 years at 8.59 mg day. Was doing great until my 2 physicians moved out of stat and have a new replacement which removed the pump on Oct 1, since he does not believe in the pump. I had no choice. Since I have a spinal headache,diarrhea 25-28 times a day with vomiting, cold, clammy dizzy, severe back pain awful sweet smell comes off of my skin. Unable to sleep for 49 hours and absolutely misserable. Today he ordered 25mcg fentanyl one patch every 3 days plus compazine. He just told me I had to tough it out. Do you have any suggestions it is very hard to take care of myself when husband is at work. Thank you so much. Donna<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi Donnie can understand your depend on morphine pump and finding hard with switch over....but it is well documented that fentanyl patch is equally effective and dosing has to monitored for optimum level of relief. Cause of diarrhea may be diagnosed by a gastroenterologist and treated according to cause, only maintain good electrolyte and water balance with plenty of fluids intake. Spinal headache may be requiring a review by a neurons specialist, usually cerebrospinal fluid examination and CSF pressure has to be measured and tap is done best wishes regards<|eot_id|>

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

my mother is having very strong pains on the right side of her head. what tests need to be performed to see what is going on? The dr put her on pain meds for now. She had a mini stroke a few years back and had stents placed. Could this pain be due to the stents? She will be 75 in December

Hello dear Your mothers complains may be due to primary headache (less likely), in background of previous stroke vascular etiologies are more consistent. Unilateral headache with Stent placed may be due to occlusion. Other reason may be temporal arthritis. You need to consult a neurologist for proper evaluation. You can send ESR, routine blood test. Rest investigations can be discussed with your doctor. Hope you found the answer helpful. Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: my mother is having very strong pains on the right side of her head. what tests need to be performed to see what is going on? The dr put her on pain meds for now. She had a mini stroke a few years back and had stents placed. Could this pain be due to the stents? She will be 75 in December<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello dear Your mothers complains may be due to primary headache (less likely), in background of previous stroke vascular etiologies are more consistent. Unilateral headache with Stent placed may be due to occlusion. Other reason may be temporal arthritis. You need to consult a neurologist for proper evaluation. You can send ESR, routine blood test. Rest investigations can be discussed with your doctor. Hope you found the answer helpful. Chat Doctor.<|eot_id|>

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

My husband s left shoulder has been paralyzed for about 1 year and a half. He has been experiencing breathing difficulties caused by the left diaphragm and arthritis in the neck is now causing him to be almost totaling staring at the ground with neck pain and weakness. In total are these symptoms related? No diagnosis as of yet.

Hi, Phonic nerve palsy can cause both these, shoulder paralysis and diaphragm pathologies. Phoenix nerve originates from cervical vertebra in neck. And it supplies shoulder joint and diaphragm. So any pathology of a cervical vertebra which is causing Phoenix nerve damage can cause neck pain, shoulder paralysis and diaphragm pathologies. So in my opinion, you should definitely get done MRI of cervical spine to identify Phoenix nerve injury. Hope I have answered your query. Let me know if I can assist you further.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My husband s left shoulder has been paralyzed for about 1 year and a half. He has been experiencing breathing difficulties caused by the left diaphragm and arthritis in the neck is now causing him to be almost totaling staring at the ground with neck pain and weakness. In total are these symptoms related? No diagnosis as of yet.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Phonic nerve palsy can cause both these, shoulder paralysis and diaphragm pathologies. Phoenix nerve originates from cervical vertebra in neck. And it supplies shoulder joint and diaphragm. So any pathology of a cervical vertebra which is causing Phoenix nerve damage can cause neck pain, shoulder paralysis and diaphragm pathologies. So in my opinion, you should definitely get done MRI of cervical spine to identify Phoenix nerve injury. Hope I have answered your query. Let me know if I can assist you further.<|eot_id|>

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

hi ,I have difficulty of breathing ,shortness of breathing its feels like my heart will stop working and the most worse is that I m stopping breathing wile am sleeping ,and I get anxiety panic attack and I m afraid to sleep because of my problem of my breathing ,one of the problem I have is it my nose sinus problem also I m stressed all the time . please I need your advise and the reason what s make me that happen

Hi, Welcome to Chat Doctor forum. It appears that there are 2 types of problems with you, one may be the difficulty during the daytime. The other is the stopping of breathing in the night it is a neurological problem, if there is difficulty in breathing it may be due to the infection in the trachea. If it is only in the night consult a neurologist for diagnosis and treatment. If it is breathlessness in the night a day also I advise you to consult a chest physician for diagnosis and treatment. Avoid taking fruits, juices, ice water, ice cream, and the things allergic to you. 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: hi ,I have difficulty of breathing ,shortness of breathing its feels like my heart will stop working and the most worse is that I m stopping breathing wile am sleeping ,and I get anxiety panic attack and I m afraid to sleep because of my problem of my breathing ,one of the problem I have is it my nose sinus problem also I m stressed all the time . please I need your advise and the reason what s make me that happen<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Welcome to Chat Doctor forum. It appears that there are 2 types of problems with you, one may be the difficulty during the daytime. The other is the stopping of breathing in the night it is a neurological problem, if there is difficulty in breathing it may be due to the infection in the trachea. If it is only in the night consult a neurologist for diagnosis and treatment. If it is breathlessness in the night a day also I advise you to consult a chest physician for diagnosis and treatment. Avoid taking fruits, juices, ice water, ice cream, and the things allergic to you. 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.

ATTENTION TO DR JAIN GEORGESir hope this finds you in good helth.Iam JAYADEVAN under gone operation of BRAIN TUMER during the 1st week of June-2012 performed by you While you were serving in INDO-AMERICAN hospital (brain & spain) sir, you have instructed me to meet you after one year ie june 2013. On visit I could not meet you as you left BRAIN & SPAIN hospital. Then I showed my case to Dr.Bahulayan sir. He asked me to take the advice of you as there is little growth of tumer in the scan report and started the medicine. PHENY TOIN TABLETS IP 100mg EPTOIN One each thraise in a day. So please consider my case and advice me for further medicationIam waiting for your replay. Tanking you , your faithfully JAYADEVAN

Hi, Thank you for posting your query. To answer your query better, we need to have the biopsy report from the first surgery, and also the scan reports. So, please upload them. If the growth of tumor is small, we can wait and watch, and repeat the scan after 3-6 months. Phenytoin tablets are given to prevent fits, so, you can continue to use them. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: ATTENTION TO DR JAIN GEORGESir hope this finds you in good helth.Iam JAYADEVAN under gone operation of BRAIN TUMER during the 1st week of June-2012 performed by you While you were serving in INDO-AMERICAN hospital (brain & spain) sir, you have instructed me to meet you after one year ie june 2013. On visit I could not meet you as you left BRAIN & SPAIN hospital. Then I showed my case to Dr.Bahulayan sir. He asked me to take the advice of you as there is little growth of tumer in the scan report and started the medicine. PHENY TOIN TABLETS IP 100mg EPTOIN One each thraise in a day. So please consider my case and advice me for further medicationIam waiting for your replay. Tanking you , your faithfully JAYADEVAN<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thank you for posting your query. To answer your query better, we need to have the biopsy report from the first surgery, and also the scan reports. So, please upload them. If the growth of tumor is small, we can wait and watch, and repeat the scan after 3-6 months. Phenytoin tablets are given to prevent fits, so, you can continue to use them. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/<|eot_id|>

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

About 10 days ago I had a gastro flu . Since then, I have low energy, nausea, bloating . I had my gallbladder removed 8 years ago and since then I frequently have diaheria. Should I be further investigating my symptoms? I have visited the dr in the past and I am always told to just eat healthy. I am very conscientious about what I eat. It feels like tummy troubles are an ongoing concern. Not sure what to do or ask of a dr on my next visit. Thank you.

Hi, Thanks for using Chat Doctor, You have suffered recently an episode of Gastroenteritis, your symptoms of diarrhea, low energy nausea and bloating if you do not improve with healthy eating and treatment. You should take fluid and electrolytes to avoid deny Chat Doctor. Usually gall bladder removal doesn't cause any digestive issues, but if symptoms are troubling you please visit Gastroenterologist >Kindly get tests for malabsorption absorption and Pancreas like serum amylase and serum Lipase and other tests like CT scan of abdomen, and colonoscopy with rectal biopsy to rule out various GIT causes. If everything is fine then functional disorder called irritable bowel syn

<|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: About 10 days ago I had a gastro flu . Since then, I have low energy, nausea, bloating . I had my gallbladder removed 8 years ago and since then I frequently have diaheria. Should I be further investigating my symptoms? I have visited the dr in the past and I am always told to just eat healthy. I am very conscientious about what I eat. It feels like tummy troubles are an ongoing concern. Not sure what to do or ask of a dr on my next visit. Thank you.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for using Chat Doctor, You have suffered recently an episode of Gastroenteritis, your symptoms of diarrhea, low energy nausea and bloating if you do not improve with healthy eating and treatment. You should take fluid and electrolytes to avoid deny Chat Doctor. Usually gall bladder removal doesn't cause any digestive issues, but if symptoms are troubling you please visit Gastroenterologist >Kindly get tests for malabsorption absorption and Pancreas like serum amylase and serum Lipase and other tests like CT scan of abdomen, and colonoscopy with rectal biopsy to rule out various GIT causes. If everything is fine then functional disorder called irritable bowel syn<|eot_id|>

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

Hi doctor, I am on this routine of eating food and friuts that suit my blood group - B positive. I learnt that Aloe vera is is a No No for my blood group. A friend said Aloe Vera is an adaptogen but when i take Forever living Aloe gel i feel slight ache in my stomach for 30mins - 1hr. Please does this mean Aloe does not suit my blood group? Frances

Hi, Aloe vera is a plant related to cactus. It produces two substances, Gel and Latex, which are used for medicines. Aloe gel is the clear, jelly-like substance found in the inner part of the aloe plant leaf. Aloe latex comes from just under the plants skin and is yellow. Some aloe products are made from the whole crushed leaf, so they contain both gel and latex. Aloe medications can be taken by mouth or applied to the skin. Aloe gel is taken by mouth for Often arthritis, Constipation including Stomach ulcers. It is also used as a general tonic. Because aloe gel contains, water, minerals, vitamins, amino acids and phytonutrients. Most people use aloe gel topically, as a remedy for skin conditions including burns, sunburn, psoriasis, cold sores and acne. Possible interactions, Taking aloe latex orally may cause severe intestinal cramps or diarrhea. Pregnant women and nursing mothers should not take aloe vera. Do not take aloe vera for 2 weeks period to any surgical procedure as it may cause increased bleeding during surgery. It is not possible to interact with the blood group. Aloe latex is not recommended for use internally for longer than 10 days, because it can cause laxative dependency. Aloe vera is not an Reactogenic herb.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi doctor, I am on this routine of eating food and friuts that suit my blood group - B positive. I learnt that Aloe vera is is a No No for my blood group. A friend said Aloe Vera is an adaptogen but when i take Forever living Aloe gel i feel slight ache in my stomach for 30mins - 1hr. Please does this mean Aloe does not suit my blood group? Frances<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Aloe vera is a plant related to cactus. It produces two substances, Gel and Latex, which are used for medicines. Aloe gel is the clear, jelly-like substance found in the inner part of the aloe plant leaf. Aloe latex comes from just under the plants skin and is yellow. Some aloe products are made from the whole crushed leaf, so they contain both gel and latex. Aloe medications can be taken by mouth or applied to the skin. Aloe gel is taken by mouth for Often arthritis, Constipation including Stomach ulcers. It is also used as a general tonic. Because aloe gel contains, water, minerals, vitamins, amino acids and phytonutrients. Most people use aloe gel topically, as a remedy for skin conditions including burns, sunburn, psoriasis, cold sores and acne. Possible interactions, Taking aloe latex orally may cause severe intestinal cramps or diarrhea. Pregnant women and nursing mothers should not take aloe vera. Do not take aloe vera for 2 weeks period to any surgical procedure as it may cause increased bleeding during surgery. It is not possible to interact with the blood group. Aloe latex is not recommended for use internally for longer than 10 days, because it can cause laxative dependency. Aloe vera is not an Reactogenic herb.<|eot_id|>

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

Hi doc I have been diagnosed to have lymph node tuberculosis.. I have been started on AKT since 24 days.. But I am still having fever and cough plus I feel sick and lethargic all the time... My lymph node of neck is also swollen considerably.. My concern is when the symptoms will go away?? .. So that atleast I feel Lil relaxed and can eat proper food..

HelloSign your lymph nodes are enlarged and diagnosed tuberculosis of lymph nodes (tubercular lymphadenitis) . Your treating doctor advised you AKT-4 (rifampicin, isoniazid, ethambutol and pyrazinamide) . This is the best treatment, and it takes some time to respond. When such case visit I also advise my patient to take levofloxacin 10-12 mg / kg body weight in the night with pantoprazole -d for to avoid nausea.AKT-4 must be as a regular medicine. Since few patients feels loss of appetite so advised them to take some appetizer. So need not worry, wait for another 10 days, and you will respond to this anti-tubercular treatment. Before starting any medicine (levofloxacin) , consult your treating physician and get his opinion. Good luck

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi doc I have been diagnosed to have lymph node tuberculosis.. I have been started on AKT since 24 days.. But I am still having fever and cough plus I feel sick and lethargic all the time... My lymph node of neck is also swollen considerably.. My concern is when the symptoms will go away?? .. So that atleast I feel Lil relaxed and can eat proper food..<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloSign your lymph nodes are enlarged and diagnosed tuberculosis of lymph nodes (tubercular lymphadenitis) . Your treating doctor advised you AKT-4 (rifampicin, isoniazid, ethambutol and pyrazinamide) . This is the best treatment, and it takes some time to respond. When such case visit I also advise my patient to take levofloxacin 10-12 mg / kg body weight in the night with pantoprazole -d for to avoid nausea.AKT-4 must be as a regular medicine. Since few patients feels loss of appetite so advised them to take some appetizer. So need not worry, wait for another 10 days, and you will respond to this anti-tubercular treatment. Before starting any medicine (levofloxacin) , consult your treating physician and get his opinion. Good luck<|eot_id|>

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

Lump in jawline. And swollen lymph nodes in neck. Sore when swallowing. Swelling in chest are. Chest sore to the touch. Fatigue. Sleep apnea. Poor vision. Blood in stool. Large lump inside anus, left side... Internal. Poor circulation and numbness and toes. Coughing mucas and blood. Showing signs of narcalypsy. Almost felt if I died in my sleep. Hands felt like they were balloons. Irregular heartbeat.

Hello, Welcome to Chat Doctor. I understand you concern. You have not mentioned your age and sex. The symptoms you have mentioned are also too many and without any chronology. Still I will try to help you in the best possible way. Your most important problem seems to be lymph nodes in jaw line which are painful while swallowing. You have also mentioned soreness in chest, coughing of blood and mucus and blood in stools. These symptoms are suggestive of some serious illness like cancer of throat, chest or elsewhere in body, Tuberculosis or other infection in chest. Some disorder of immunity can also be there. I advise you to immediately contact ER. They may subject you to investigations like blood count, urine and stool test, CT of head, neck and chest, USG of abdomen to arrive at the diagnoses. I hope this will be helpful. Take care.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Lump in jawline. And swollen lymph nodes in neck. Sore when swallowing. Swelling in chest are. Chest sore to the touch. Fatigue. Sleep apnea. Poor vision. Blood in stool. Large lump inside anus, left side... Internal. Poor circulation and numbness and toes. Coughing mucas and blood. Showing signs of narcalypsy. Almost felt if I died in my sleep. Hands felt like they were balloons. Irregular heartbeat.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Welcome to Chat Doctor. I understand you concern. You have not mentioned your age and sex. The symptoms you have mentioned are also too many and without any chronology. Still I will try to help you in the best possible way. Your most important problem seems to be lymph nodes in jaw line which are painful while swallowing. You have also mentioned soreness in chest, coughing of blood and mucus and blood in stools. These symptoms are suggestive of some serious illness like cancer of throat, chest or elsewhere in body, Tuberculosis or other infection in chest. Some disorder of immunity can also be there. I advise you to immediately contact ER. They may subject you to investigations like blood count, urine and stool test, CT of head, neck and chest, USG of abdomen to arrive at the diagnoses. I hope this will be helpful. Take care.<|eot_id|>

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

Hello, I am a male 29 years old. Almost every morning I wake up and take my first breath I get pain internally. After, I take that initial breath the pain stops. One other thing that I have been noticing is when I brush my tongue sometimes I gag and I spit out blood. First it started with just a small amount of blood but as the days go by I notice more. And it is only in the mornings. During the day I am perfectly fine. Any thoughts? I will be doing a doctors visit soon.

Thanks for your question on Chat Doctor. Coughing out blood during brushing teeth can be seen in1. Dental problems. 2. Pulmonary Disease. So first consult dental surgeon to rule out dental causes like caries or decaying tooth. If this is normal than get done chest x-ray to rule out pulmonary cause. Since you are having chest pain on breathing with blood in cough, you may have pneumonia. So chest x-ray is must. If this is also normal then no need to worry much. You may have muscular cause for your chest pain. So take good painkiller and muscle relaxant.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hello, I am a male 29 years old. Almost every morning I wake up and take my first breath I get pain internally. After, I take that initial breath the pain stops. One other thing that I have been noticing is when I brush my tongue sometimes I gag and I spit out blood. First it started with just a small amount of blood but as the days go by I notice more. And it is only in the mornings. During the day I am perfectly fine. Any thoughts? I will be doing a doctors visit soon.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. Coughing out blood during brushing teeth can be seen in1. Dental problems. 2. Pulmonary Disease. So first consult dental surgeon to rule out dental causes like caries or decaying tooth. If this is normal than get done chest x-ray to rule out pulmonary cause. Since you are having chest pain on breathing with blood in cough, you may have pneumonia. So chest x-ray is must. If this is also normal then no need to worry much. You may have muscular cause for your chest pain. So take good painkiller and muscle relaxant.<|eot_id|>

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

I have recently been given a mouthguard by my dentist as I grind my teeth at night and when I put it on my top set of teeth it instantly makes part of my gums white like it s putting pressure on the gums, and the longer I have it on the more discomfort I get from it a it starts hurting my teeth. It s bearable but i find myself wanting to take it out in the middle of the night, I was concerned, is this normal?- will my gums get use to it, is it affecting my gums? Thankyou.

Hello, As you are mentioning that this mouth guard is putting pressure on your gums, which is uncomfortable for you this means that there is some problem in the fitting of this mouth guard, as there is some discomfort in the starting, but it is not so severe. You should visit your dentist again for the fitting as he will make some modifications and the problem will be solved. Hope it will help 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 have recently been given a mouthguard by my dentist as I grind my teeth at night and when I put it on my top set of teeth it instantly makes part of my gums white like it s putting pressure on the gums, and the longer I have it on the more discomfort I get from it a it starts hurting my teeth. It s bearable but i find myself wanting to take it out in the middle of the night, I was concerned, is this normal?- will my gums get use to it, is it affecting my gums? Thankyou.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, As you are mentioning that this mouth guard is putting pressure on your gums, which is uncomfortable for you this means that there is some problem in the fitting of this mouth guard, as there is some discomfort in the starting, but it is not so severe. You should visit your dentist again for the fitting as he will make some modifications and the problem will be solved. Hope it will help you.<|eot_id|>

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

I have been experiencing sharp pain under my right shoulder blade, for the last 5 days, I went to the ER on Friday they took blood, EKG and an XRay.. prescribed Naprosyn and Robaxin , I am still experiencing pain. They diagnosed me with muscle spasms. I did not do anything to pull a muscle.

Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have sharp pain below the shoulder blade. Well there can be many reasons for symptoms you mention in query like trapezius muscle trigger points, muscle spasm, angina, kidney stone or gallstone. I would suggest you to take anti-inflammatory and muscle relaxant as per prescribed by the doctor along with that also apply warm compresses at pain site and do stretching exercises. If condition doesn't get better then consult gastroenterologist for proper examination. Doctor may order ultrasound to confirm the diagnosis. Doctor may also refer you to nephrologist for kidney. Hope your concern has been resolved. Get Well Soon. 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 been experiencing sharp pain under my right shoulder blade, for the last 5 days, I went to the ER on Friday they took blood, EKG and an XRay.. prescribed Naprosyn and Robaxin , I am still experiencing pain. They diagnosed me with muscle spasms. I did not do anything to pull a muscle.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have sharp pain below the shoulder blade. Well there can be many reasons for symptoms you mention in query like trapezius muscle trigger points, muscle spasm, angina, kidney stone or gallstone. I would suggest you to take anti-inflammatory and muscle relaxant as per prescribed by the doctor along with that also apply warm compresses at pain site and do stretching exercises. If condition doesn't get better then consult gastroenterologist for proper examination. Doctor may order ultrasound to confirm the diagnosis. Doctor may also refer you to nephrologist for kidney. Hope your concern has been resolved. Get Well Soon. Best Wishes,<|eot_id|>

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

Hi I am on cerazette and realised I had forgotten to take one pill and had intercourse the same night.didnt realise I had forgotten to take it until the following day.so I took the missed one and the pill from the day before together.would this protect me

Hello there, I can understand your concern. Yes what you did is the right thing to do. It is normal sometimes to miss an occasional dose and the right thing to do is to take the dose immediately when you remember. You can take 2 doses on the next day. This will protect you and not lose effectiveness. However, do not miss more than 2 doses in a month. Then the effectiveness goes down considerably, and you should use a condom while having intercourse to avoid unwanted pregnancy. Try and be careful next time and use the ones with days of the week marked so that you can be sure about when you missed if at all. Hope this helps. Take care.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi I am on cerazette and realised I had forgotten to take one pill and had intercourse the same night.didnt realise I had forgotten to take it until the following day.so I took the missed one and the pill from the day before together.would this protect me<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello there, I can understand your concern. Yes what you did is the right thing to do. It is normal sometimes to miss an occasional dose and the right thing to do is to take the dose immediately when you remember. You can take 2 doses on the next day. This will protect you and not lose effectiveness. However, do not miss more than 2 doses in a month. Then the effectiveness goes down considerably, and you should use a condom while having intercourse to avoid unwanted pregnancy. Try and be careful next time and use the ones with days of the week marked so that you can be sure about when you missed if at all. Hope this helps. Take care.<|eot_id|>

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

im scared i have herpes. I havnt had sex in 6 months nearly seven but the past 3and a half weeks i have noticed 2 red itchy spots on my scrotum which are a short distance apart and 2 red spots on the head of my penis which again are seperated. for the past year and half i have had an itchy pimply heat rash like spread across my buttocks and thighs which has been on and off every 2 days or so. I have had tar based creams which help but never cure it. Could the 4 spots in my genital region be herpes. Or could it be a reaction from something. Once again i havnt had sex in 6 months and i did use protection the last time i did. i dont know anyone with herpes and i wash everyday. What could it be and when will it go away?

Hello, It is unlikely be a herpes. Can you attach a photo in the followup query to make a clinical diagnosis? Fungal infection will be a possible cause, and you can try over the counter available antifungal-steroid combination like clotrimazole-betamethasone for symptomatic relief. If symptoms persists better to consult a dermatologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: im scared i have herpes. I havnt had sex in 6 months nearly seven but the past 3and a half weeks i have noticed 2 red itchy spots on my scrotum which are a short distance apart and 2 red spots on the head of my penis which again are seperated. for the past year and half i have had an itchy pimply heat rash like spread across my buttocks and thighs which has been on and off every 2 days or so. I have had tar based creams which help but never cure it. Could the 4 spots in my genital region be herpes. Or could it be a reaction from something. Once again i havnt had sex in 6 months and i did use protection the last time i did. i dont know anyone with herpes and i wash everyday. What could it be and when will it go away?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, It is unlikely be a herpes. Can you attach a photo in the followup query to make a clinical diagnosis? Fungal infection will be a possible cause, and you can try over the counter available antifungal-steroid combination like clotrimazole-betamethasone for symptomatic relief. If symptoms persists better to consult a dermatologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care<|eot_id|>

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

My friend has bone cancer and only just finished the chemo tabs,the one that makes your hair fall out but its no better and now she just been put on a driver at home because she is in so much pain,she cant understand why she has so much pain after the chemo,as that dont seem to have worked,is this the end do you think?they brought a hospital bed in for her as well.

Hi, Bone tumors may be of many types. As per your information she seems to be suffering from malignant bone tumors. Without proper diagnosis and staging it is difficult to comment on prognosis. Malignant bone tumors may be osteosarcoma, wings sarcoma, Chen Chat Doctor. Prognosis and treatment is different in each case. Anyway, bone tumors can itself cause severe pain due to nearby nerve involvement and bone destruction. There are high chance of response after treatment. At present proper diagnosis of pain to be made. Titration of analgesic medications to be done and if needed local radiation therapy may be considered. Please consult your oncologist. Take care of your friend.

<|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 bone cancer and only just finished the chemo tabs,the one that makes your hair fall out but its no better and now she just been put on a driver at home because she is in so much pain,she cant understand why she has so much pain after the chemo,as that dont seem to have worked,is this the end do you think?they brought a hospital bed in for her as well.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Bone tumors may be of many types. As per your information she seems to be suffering from malignant bone tumors. Without proper diagnosis and staging it is difficult to comment on prognosis. Malignant bone tumors may be osteosarcoma, wings sarcoma, Chen Chat Doctor. Prognosis and treatment is different in each case. Anyway, bone tumors can itself cause severe pain due to nearby nerve involvement and bone destruction. There are high chance of response after treatment. At present proper diagnosis of pain to be made. Titration of analgesic medications to be done and if needed local radiation therapy may be considered. Please consult your oncologist. Take care of your friend.<|eot_id|>

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

My father is 85 June 1st and has had some extreme pain in the calf muscles off and on since dec. 2013. He has had some relief thru chiropractic treatment but it continues. he told me today he had some blood tests done?? he has always been very active and worked close to 40 hrs. a week until he was 81. any clues on the cause of his pain?

Since you haven't mentioned the blood test reports or any other medical reports especially concerning his heart, so,he MIGHT be having restless leg syn Chat Doctor. Putting legs in Luke warm water bath with Epsom salt in it and wearing compression bandage will provide some relief. Doing ankle toe movement as much as possible especially when resting, toe raises with hand support will also help to ease pain

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My father is 85 June 1st and has had some extreme pain in the calf muscles off and on since dec. 2013. He has had some relief thru chiropractic treatment but it continues. he told me today he had some blood tests done?? he has always been very active and worked close to 40 hrs. a week until he was 81. any clues on the cause of his pain?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Since you haven't mentioned the blood test reports or any other medical reports especially concerning his heart, so,he MIGHT be having restless leg syn Chat Doctor. Putting legs in Luke warm water bath with Epsom salt in it and wearing compression bandage will provide some relief. Doing ankle toe movement as much as possible especially when resting, toe raises with hand support will also help to ease pain<|eot_id|>

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

Hello Doctor. I am 30 yrs old. Ultrasound shows 15.5mm cystic septate in left overy. My doctor suggested for CA125 test and after that Laproscopy. I have very sharp stabbing pain in the left side of lower abdomen. Is this sign of overian cancer? how much i should worry for this? Pls suggest. Thanks.

Hello It is too early to comment about ovarian cancer. Most likely you are suffering from complex ovarian cyst and in the majority of the cases, it resolves spontaneously with time. But it is important to do work-up for ovarian cancer, so you are advised for tumor markers(CA 125). Only pain is not indicative of ovarian cancer. You should go for investigations and treatment depend upon findings. 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 Doctor. I am 30 yrs old. Ultrasound shows 15.5mm cystic septate in left overy. My doctor suggested for CA125 test and after that Laproscopy. I have very sharp stabbing pain in the left side of lower abdomen. Is this sign of overian cancer? how much i should worry for this? Pls suggest. Thanks.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello It is too early to comment about ovarian cancer. Most likely you are suffering from complex ovarian cyst and in the majority of the cases, it resolves spontaneously with time. But it is important to do work-up for ovarian cancer, so you are advised for tumor markers(CA 125). Only pain is not indicative of ovarian cancer. You should go for investigations and treatment depend upon findings. 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.

Recently my mouth starting hurting. I brush my teeth normally and floss also. But today when I was looking at my teeth I noticed a grayish white hole. I put pressure on it and such and there is no puss, but I can pull my guns away from my last back tooth before my molars. It could possible be a cavity, or my molars coming I. And displacing my tooth I am not sure

Hi, Welcome to Chat Doctor forum. If there is a brown spot on the tooth, it could be the carries tooth. If the grayish white hole is in the gums, may be the erecting wisdom tooth, with the cut gums. I advise you to consult a dentist for diagnosis and treatment. If the condition subside it is O.K. otherwise the wisdom tooth should be removed by surgery. I usually prescribe to my patient with such symptoms' vancomycin injection, ofloxacin, ornidazole, diclofenac sodium, and paracetamol. Wishing for a quick and complete recovery. Thank you. 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: Recently my mouth starting hurting. I brush my teeth normally and floss also. But today when I was looking at my teeth I noticed a grayish white hole. I put pressure on it and such and there is no puss, but I can pull my guns away from my last back tooth before my molars. It could possible be a cavity, or my molars coming I. And displacing my tooth I am not sure<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Welcome to Chat Doctor forum. If there is a brown spot on the tooth, it could be the carries tooth. If the grayish white hole is in the gums, may be the erecting wisdom tooth, with the cut gums. I advise you to consult a dentist for diagnosis and treatment. If the condition subside it is O.K. otherwise the wisdom tooth should be removed by surgery. I usually prescribe to my patient with such symptoms' vancomycin injection, ofloxacin, ornidazole, diclofenac sodium, and paracetamol. Wishing for a quick and complete recovery. Thank you. 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 mom is 85, had Lap cholecystectomy done Monday the15th, and was admitted to ICU from Post OP due to Tachy, Hypertensive, then became hypotensive and is now presenting slurred speech, hallucinations, and very confused. She is in a rural hospital I would like her transferred to a bigger facility where there are specialist to evaluate her current status. What do you thing is happening.

HelloThanks for writing to ChatDoctorYour mother is probably suffering from postoperative delirium which is very common among old age patients. She needs psychiatric consultation. Anti psychotics like haloperidol and chlorpromazine as well as the second-generation antipsychotics olanzapine and risperidone are equally effective.However, other causes like hypoxia should also be evaluated. CT Scan of brain should also be done to confirm other possibilities. Hope I have answered your query. 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: My mom is 85, had Lap cholecystectomy done Monday the15th, and was admitted to ICU from Post OP due to Tachy, Hypertensive, then became hypotensive and is now presenting slurred speech, hallucinations, and very confused. She is in a rural hospital I would like her transferred to a bigger facility where there are specialist to evaluate her current status. What do you thing is happening.<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloThanks for writing to ChatDoctorYour mother is probably suffering from postoperative delirium which is very common among old age patients. She needs psychiatric consultation. Anti psychotics like haloperidol and chlorpromazine as well as the second-generation antipsychotics olanzapine and risperidone are equally effective.However, other causes like hypoxia should also be evaluated. CT Scan of brain should also be done to confirm other possibilities. Hope I have answered your query. Take Care Chat Doctor.<|eot_id|>

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

Hello doctor,My mother is suffering from chikungunya from 2 months.now she is ok with the tempareture.but, suddenly she is suffering from joint pains.we enquired all the docters for that one. but no use.dolo650 is ok for that one. can you please suggest any medicine for that pains.and tell me how many months that chickengunya will be...please kindly reply my query ........Thankyou,

Hi, Due to chikungunia your mothers having joint pain It will take some time for the joint pain to subside If she is not having fever, general weakness then she can start with yoga and walking. Physiotherapy treatment will help her to maintain joint ranges and reduce pain. If she would have been my patient I would have prescribed Tylenol for pain relief once a day for not more than week. Taking hot packs will also help in pain relief. Hoping for her speedy recovery. Hope I have answered your query. Let me know if I can assist you further. Denis Bhagavan

<|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 mother is suffering from chikungunya from 2 months.now she is ok with the tempareture.but, suddenly she is suffering from joint pains.we enquired all the docters for that one. but no use.dolo650 is ok for that one. can you please suggest any medicine for that pains.and tell me how many months that chickengunya will be...please kindly reply my query ........Thankyou,<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Due to chikungunia your mothers having joint pain It will take some time for the joint pain to subside If she is not having fever, general weakness then she can start with yoga and walking. Physiotherapy treatment will help her to maintain joint ranges and reduce pain. If she would have been my patient I would have prescribed Tylenol for pain relief once a day for not more than week. Taking hot packs will also help in pain relief. Hoping for her speedy recovery. Hope I have answered your query. Let me know if I can assist you further. Denis Bhagavan<|eot_id|>

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

A month ago I was diagnosed with a small aneurysm which was all I was told. My family dr prescribed me a beta blocker and ativan. I took the ativan for 14 days then stopped. It s been 10 days. I feel shaky and have pain at the top of myhead but not sure if it is still from stopping the ativan or the beta blocker or the aneurysm. Though the specialist won t see me for 8 to 10 months. I m at a lost and tired of feeling this way I can barely walk across a parking lot without feeling lightheaded. Before taking any pills I was feeling fine now I can barely leave the house. Thanks for your advice.

Hi, I had gone through your question and understand your concerns. As I can tell from your history I suppose the aneurysm was an incidental finding, which is not very uncommon, with several reports reporting a 1% incidence. The strategy management of small aneurysms (less than 7 mm) consist on an Anglo CT per year to see the dimensions of the aneurysm, which in case they stay identical no treatment is recommended. Regarding the therapy I suppose the doctor saw that you are quite anxious, thus he prescribed the above-mentioned ones, which in fact can cause the giftedness as adverse effect, but the aneurysm is not associated to this, nor to the headache, unless it is a hyperintense hyperacute kind of headache. In that case you should take emergent medical consult. Basically, I would recommend changing your medication for your anxiety and assure you the aneurysm you have is not responsible for none of these symptoms. 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: A month ago I was diagnosed with a small aneurysm which was all I was told. My family dr prescribed me a beta blocker and ativan. I took the ativan for 14 days then stopped. It s been 10 days. I feel shaky and have pain at the top of myhead but not sure if it is still from stopping the ativan or the beta blocker or the aneurysm. Though the specialist won t see me for 8 to 10 months. I m at a lost and tired of feeling this way I can barely walk across a parking lot without feeling lightheaded. Before taking any pills I was feeling fine now I can barely leave the house. Thanks for your advice.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, I had gone through your question and understand your concerns. As I can tell from your history I suppose the aneurysm was an incidental finding, which is not very uncommon, with several reports reporting a 1% incidence. The strategy management of small aneurysms (less than 7 mm) consist on an Anglo CT per year to see the dimensions of the aneurysm, which in case they stay identical no treatment is recommended. Regarding the therapy I suppose the doctor saw that you are quite anxious, thus he prescribed the above-mentioned ones, which in fact can cause the giftedness as adverse effect, but the aneurysm is not associated to this, nor to the headache, unless it is a hyperintense hyperacute kind of headache. In that case you should take emergent medical consult. Basically, I would recommend changing your medication for your anxiety and assure you the aneurysm you have is not responsible for none of these symptoms. 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.

Hi,My father is 66 years old with two stents placement an year ago. He had his regular quarterly checkup done fortnight ago where cardiologist said he s fine and his BP usually stays below 140/85 for the last couple of months which was not the case earlier. He experienced slight pain in the chest for the past few months (probably due to gastric problems as the cardiologist said its not related to heart and more of muscular pain). Couple of days he experienced similar pain along with a BP of 150/90. He got the chest x ray and EKH done with x-ray perfect normal with normal cardiac size and contour. The doctor said the eck was also normal. He had a heart rate of 64/pm but the report said presence of no p-wave and left axis deviation (qrs axis of -30 degree). Do we need to be worried with these results?

Hello welcome to Chat Doctor. I have gone through your description. To summarize your father is a hypertensive and a heart patient with two stents implanted and getting intermittent chest pain. Since the ECG and chest x-ray are normal as per your cardiologist there is nothing much to worry about. A BP of 150/90 is high but is acceptable given his history of heart disease. He must continue on the blood pressure medications which over time will achieve good control over his BP. only matter that requires attention here is presence of no P waves. No P wave means the heart impulses are not coming from where they should actually arise. But since this is a machine interpretation it can be ignored, taking into consideration that your cardiologist has cleared the ECG as normal. Heart rate of 64/min is optimal. Left axis deviation may be due to long-standing hypertension and does not require any attention at this point. Please continue on his regular medications. Wishing you good health. 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,My father is 66 years old with two stents placement an year ago. He had his regular quarterly checkup done fortnight ago where cardiologist said he s fine and his BP usually stays below 140/85 for the last couple of months which was not the case earlier. He experienced slight pain in the chest for the past few months (probably due to gastric problems as the cardiologist said its not related to heart and more of muscular pain). Couple of days he experienced similar pain along with a BP of 150/90. He got the chest x ray and EKH done with x-ray perfect normal with normal cardiac size and contour. The doctor said the eck was also normal. He had a heart rate of 64/pm but the report said presence of no p-wave and left axis deviation (qrs axis of -30 degree). Do we need to be worried with these results?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello welcome to Chat Doctor. I have gone through your description. To summarize your father is a hypertensive and a heart patient with two stents implanted and getting intermittent chest pain. Since the ECG and chest x-ray are normal as per your cardiologist there is nothing much to worry about. A BP of 150/90 is high but is acceptable given his history of heart disease. He must continue on the blood pressure medications which over time will achieve good control over his BP. only matter that requires attention here is presence of no P waves. No P wave means the heart impulses are not coming from where they should actually arise. But since this is a machine interpretation it can be ignored, taking into consideration that your cardiologist has cleared the ECG as normal. Heart rate of 64/min is optimal. Left axis deviation may be due to long-standing hypertension and does not require any attention at this point. Please continue on his regular medications. Wishing you good health. Regards<|eot_id|>

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

I have tingling feeling on the lower left side, dentist took xray he said it looks fine, but he could do either a root canal or crown said a filling would not be good cause its such a big filling and its a molar. I dont want a root canal or crown, I just had two teeth pulled two weeks ago, help!

Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query tingling sensation in mouth tooth removal is because of nerve damage which occurs after heavy force used while extracting teeth, or it could be because of wrong choice of instruments. If lip tingling also occurs along with this it is because of damage to inferior alveolar nerve. Need not worry, this happens many a time. I would suggest you to wait for around 4-5 weeks your condition of paresthesia will resolve its own. If this does not happen other treatment method is nerve regeneration. You should visit oral surgeon and try to know the exact level of nerve injury. If it can heal its own then you should wait otherwise go for nerve regeneration after proper examination. Hope your concern has been resolved. Get Well Soon. 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 tingling feeling on the lower left side, dentist took xray he said it looks fine, but he could do either a root canal or crown said a filling would not be good cause its such a big filling and its a molar. I dont want a root canal or crown, I just had two teeth pulled two weeks ago, help!<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query tingling sensation in mouth tooth removal is because of nerve damage which occurs after heavy force used while extracting teeth, or it could be because of wrong choice of instruments. If lip tingling also occurs along with this it is because of damage to inferior alveolar nerve. Need not worry, this happens many a time. I would suggest you to wait for around 4-5 weeks your condition of paresthesia will resolve its own. If this does not happen other treatment method is nerve regeneration. You should visit oral surgeon and try to know the exact level of nerve injury. If it can heal its own then you should wait otherwise go for nerve regeneration after proper examination. Hope your concern has been resolved. Get Well Soon. Best Wishes,<|eot_id|>

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

please mine wife got pregnant in 3 month.But now a days she has pus cell ( Numerous) in urine and aslo sometime come blood in urine and kidneyy pain So please suggest me this dangerous situiation and can transfer pus cell in me during the intercourse.

Hello, and I hope I help you today. Sir, the white blood cells (called pus) and blood in your wives urine are an indication that she has a kidney infection. It is important that she takes all medicine prescribed by her doctor as a kidney infection sometimes needs to be treated in the hospital to prevent complications with her and the babies health. An infection of the urinary tract is not sexually transmitted and is not contagious to you or any household contacts. Again though I want to emphasize that it is important for your wife to take antibiotics prescribed by her doctor as directed, and please bring her to the hospital if she develops a fever or feels weak or short of breath. I hope that I was adequately answer your question today and that your wife gets the medical care she needs. 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: please mine wife got pregnant in 3 month.But now a days she has pus cell ( Numerous) in urine and aslo sometime come blood in urine and kidneyy pain So please suggest me this dangerous situiation and can transfer pus cell in me during the intercourse.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, and I hope I help you today. Sir, the white blood cells (called pus) and blood in your wives urine are an indication that she has a kidney infection. It is important that she takes all medicine prescribed by her doctor as a kidney infection sometimes needs to be treated in the hospital to prevent complications with her and the babies health. An infection of the urinary tract is not sexually transmitted and is not contagious to you or any household contacts. Again though I want to emphasize that it is important for your wife to take antibiotics prescribed by her doctor as directed, and please bring her to the hospital if she develops a fever or feels weak or short of breath. I hope that I was adequately answer your question today and that your wife gets the medical care she needs. Best wishes,<|eot_id|>

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

Hi Im 24 and I have back pain all day near everyday. Ive just started football training and this brings on more pain to the point I can hardly walk. Running seems to bring on the pain straight away then my legs get really stiff to the point I have to lay down

HiT hank you for asking ChatDoctorI have gone through your query. As you are having a back pain, stiffness and pain to legs I suspect a lumbosacral spine injury. The neurological deficits or signs suspecting that can be obtained from physical examination. After that an X-ray lumbosacral spine and MRI if needed can rule out the condition. Muscle relaxants analgesics and physiotherapy might help you to relieve the condition. It is better to have a consultation with orthopedic. Hope this may help you. Let me know if you have any further query.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi Im 24 and I have back pain all day near everyday. Ive just started football training and this brings on more pain to the point I can hardly walk. Running seems to bring on the pain straight away then my legs get really stiff to the point I have to lay down<|eot_id|><|start_header_id|>assistant<|end_header_id|>HiT hank you for asking ChatDoctorI have gone through your query. As you are having a back pain, stiffness and pain to legs I suspect a lumbosacral spine injury. The neurological deficits or signs suspecting that can be obtained from physical examination. After that an X-ray lumbosacral spine and MRI if needed can rule out the condition. Muscle relaxants analgesics and physiotherapy might help you to relieve the condition. It is better to have a consultation with orthopedic. Hope this may help you. Let me know if you have any further query.<|eot_id|>

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

My wife is bedridden, on 3 liters oxygen full time, has controlled diabeties (metformin), history of crohns and COPD, hypertension. She has become very confused, has nightmares, and sees people and things not there. also can not stay awake. she is 62 years old, and grossly obeese

Areas you are suffering from multiple medical conditions, Some medications disturb REM pattern of sleep, which CN cause nightmares. Even underlying depression or anxiety can cause nightmares. Being bedridden your sleep wake rhythm may most probably be disturbed. it's my advice to he proper sleep wake schedule with relaxation exercises like meditation, which can be practiced despite being bedridden. But if still nightmares are distressing for u, u CN be put on some medications to regularize your sleep wake rhythm after proper assessmentRegards

<|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 wife is bedridden, on 3 liters oxygen full time, has controlled diabeties (metformin), history of crohns and COPD, hypertension. She has become very confused, has nightmares, and sees people and things not there. also can not stay awake. she is 62 years old, and grossly obeese<|eot_id|><|start_header_id|>assistant<|end_header_id|>Areas you are suffering from multiple medical conditions, Some medications disturb REM pattern of sleep, which CN cause nightmares. Even underlying depression or anxiety can cause nightmares. Being bedridden your sleep wake rhythm may most probably be disturbed. it's my advice to he proper sleep wake schedule with relaxation exercises like meditation, which can be practiced despite being bedridden. But if still nightmares are distressing for u, u CN be put on some medications to regularize your sleep wake rhythm after proper assessmentRegards<|eot_id|>

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

I am being treated for a jaw infection w amoxicillin and peridex. there was an abcess and cellulitis where a tooth had been extracted and later bone graft spheres placed. there has been considerable improvement after I&D and curettement, bot some mandibular bone is exposed. Will Peridex .12% interfere w healing? PWS MD.

Hello, I have gone through your query. As per you said that there is improvement in lesion after incision and Chat Doctor. The use of Pride helps in Keeping your mouth clean by rinsing mouth 3-4 times a day for 30 seconds. So it don't interfere with wound healing instead it would keep your mouth clean, as its antibacterial properties kills many pathologic bacteria in oral cavity. Hope you are satisfied with the explanation, kindly give your review. Take Care. Regards.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I am being treated for a jaw infection w amoxicillin and peridex. there was an abcess and cellulitis where a tooth had been extracted and later bone graft spheres placed. there has been considerable improvement after I&D and curettement, bot some mandibular bone is exposed. Will Peridex .12% interfere w healing? PWS MD.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, I have gone through your query. As per you said that there is improvement in lesion after incision and Chat Doctor. The use of Pride helps in Keeping your mouth clean by rinsing mouth 3-4 times a day for 30 seconds. So it don't interfere with wound healing instead it would keep your mouth clean, as its antibacterial properties kills many pathologic bacteria in oral cavity. Hope you are satisfied with the explanation, kindly give your review. Take Care. Regards.<|eot_id|>

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

what would be the other option to do after taking clomephene citrate and was not able conceived..My Ob prescribe me clomephene citrate and duphaston but was not able to take duphaston...as per my medical history, i was bleeeding for 3 months before giving these meds and was diagnosed for hormonal imbalance.to correct this, my OB gave me contrceptive pills in which it corrected in the same way.

Hello, I will be able to comment further if you can give me the reason why you could not take Phaeton. There are no known allergies to this as it is considered the best form to be prescribed to minimize the side effects. The other available alternative is to use vaginal suppositories. If there are other hormonal deficiencies, they also need to be corrected. When induction of ovulation is tried, it is also essential to simultaneously manage other deficiencies in order to ensure proper ovulation for good result. 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: what would be the other option to do after taking clomephene citrate and was not able conceived..My Ob prescribe me clomephene citrate and duphaston but was not able to take duphaston...as per my medical history, i was bleeeding for 3 months before giving these meds and was diagnosed for hormonal imbalance.to correct this, my OB gave me contrceptive pills in which it corrected in the same way.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, I will be able to comment further if you can give me the reason why you could not take Phaeton. There are no known allergies to this as it is considered the best form to be prescribed to minimize the side effects. The other available alternative is to use vaginal suppositories. If there are other hormonal deficiencies, they also need to be corrected. When induction of ovulation is tried, it is also essential to simultaneously manage other deficiencies in order to ensure proper ovulation for good result. Hope this helps.<|eot_id|>

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

Hi, I had a red lump on the side of my breast, it was quite painfull when I pressed it. So I squeezed it and it turned to a purple colour, a bit of what I thought was pus came out and a lot of blood afterwards, everytime I squeezed it more blood came out. I have no idea what it is , but its still there.

Hi! don't worry this is related to skin only and the breast tissue proper is not affected at all! This is very common and people get very concerned about such bloody nodules; I consider some possibilities in such cases as I have seen so many biopsies of such pathology; possibilities are

<|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 had a red lump on the side of my breast, it was quite painfull when I pressed it. So I squeezed it and it turned to a purple colour, a bit of what I thought was pus came out and a lot of blood afterwards, everytime I squeezed it more blood came out. I have no idea what it is , but its still there.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi! don't worry this is related to skin only and the breast tissue proper is not affected at all! This is very common and people get very concerned about such bloody nodules; I consider some possibilities in such cases as I have seen so many biopsies of such pathology; possibilities are<|eot_id|>

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

3year old recently potty trained. Holding his bowel movements. Doctor put him on a polyethylene glycol 3350. His been on this for 3-4 weeks. Complains of his stomach hurting and you can tell he just don t feel good. He also doesn t want to go pee now. After he does pee, he seems to feel a little better.

Hi... I think your kid is going into habitual constipation. I have certain questions and suggestions for you. 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: 3year old recently potty trained. Holding his bowel movements. Doctor put him on a polyethylene glycol 3350. His been on this for 3-4 weeks. Complains of his stomach hurting and you can tell he just don t feel good. He also doesn t want to go pee now. After he does pee, he seems to feel a little better.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi... I think your kid is going into habitual constipation. I have certain questions and suggestions for you. Questions<|eot_id|>