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

Hi, I had symptoms of a brain stroke in June and one of the symptoms was numbness which started in my left leg at the back of the knee. I take 300mg aspirin on a daily basis now. Today i woke up and my left knee feels stiiff and I have surface bruises along my shin and at the back of my calf . I have not been doing any major exercise this week or last week and had no stiffness yesterday. Should I be worried about this?

Hi, Thank you for posting your query. Aspirin is an antiplatelet agent, and may cause bruising related to trivial trauma. Sometimes, spontaneous bruising may also occur. As of now, there is no need to worry. However, if it increases, then, you should get it examined by your doctor. Also, mild numbness can be due to mechanical pressure on the nerves in the skin. But if the area of involvement increases, then, you should consult your doctor. I hope it helps. 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: Hi, I had symptoms of a brain stroke in June and one of the symptoms was numbness which started in my left leg at the back of the knee. I take 300mg aspirin on a daily basis now. Today i woke up and my left knee feels stiiff and I have surface bruises along my shin and at the back of my calf . I have not been doing any major exercise this week or last week and had no stiffness yesterday. Should I be worried about this?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thank you for posting your query. Aspirin is an antiplatelet agent, and may cause bruising related to trivial trauma. Sometimes, spontaneous bruising may also occur. As of now, there is no need to worry. However, if it increases, then, you should get it examined by your doctor. Also, mild numbness can be due to mechanical pressure on the nerves in the skin. But if the area of involvement increases, then, you should consult your doctor. I hope it helps. 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.

Hi there. I have a history of mycobacterium marinum in the soft tissue of my right hip. I had to have 3 surgeries to remove the infection and IV abx therapy. Three days ago I noticed a rep spot on my hip above my scar from the surgeries. The spot has gotten bigger and a darker red. I had a temp of 99.9 last night, and today I am getting sharp pains in the area of the red spot. Aslo the spot is hot and tender to touch.

Hello, I read your message and understood your problem. I think that the infection with Mycobacterium maximum has re-occurred. If you are exposed to the bacteria you tend to get re-infected time after time especially now after 3 surgeries and antibiotic therapy that have weakened your immune system. You must stay way from nonchlorinated water, from pools and swimming. If you have an aquarium at home get rid of it. Exposure to seafood markets or aqueous environments predisposes for the infection. It is very important to eliminate the chances of reinfection because a long-lasting infection may damage the soft tissues and cause complications. My advice is to see an infectious disease specialist and do some tests. We need to be sure if it is a reinfection with Mycobacterium maximum or a coinfection with some other organism. The antibiotic therapy is a little long-lasting. Usually, patients need to take antibiotics for 4-6 weeks, but sometimes they need a very long treatment 25 months or more. See your doctor again for a proper physical examination and test. If you are still on antibiotics continue them as long as the infection will vanish. Hope this will be helpful for 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: Hi there. I have a history of mycobacterium marinum in the soft tissue of my right hip. I had to have 3 surgeries to remove the infection and IV abx therapy. Three days ago I noticed a rep spot on my hip above my scar from the surgeries. The spot has gotten bigger and a darker red. I had a temp of 99.9 last night, and today I am getting sharp pains in the area of the red spot. Aslo the spot is hot and tender to touch.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, I read your message and understood your problem. I think that the infection with Mycobacterium maximum has re-occurred. If you are exposed to the bacteria you tend to get re-infected time after time especially now after 3 surgeries and antibiotic therapy that have weakened your immune system. You must stay way from nonchlorinated water, from pools and swimming. If you have an aquarium at home get rid of it. Exposure to seafood markets or aqueous environments predisposes for the infection. It is very important to eliminate the chances of reinfection because a long-lasting infection may damage the soft tissues and cause complications. My advice is to see an infectious disease specialist and do some tests. We need to be sure if it is a reinfection with Mycobacterium maximum or a coinfection with some other organism. The antibiotic therapy is a little long-lasting. Usually, patients need to take antibiotics for 4-6 weeks, but sometimes they need a very long treatment 25 months or more. See your doctor again for a proper physical examination and test. If you are still on antibiotics continue them as long as the infection will vanish. Hope this will be helpful for you. Chat Doctor.<|eot_id|>

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

My girlfriend is having really bad back pain, like an 11 on a scale of 1 - 10, its now shooting down into her legs and hurting when she walks. Her mother was punched in the stomach while she was in the womb, and we know this to be the cause of her occasional back pain, but is there anything we can do currently to lessen the pain?

Hello, Thanks for your query. After going through your query I came to know that your girlfriend is probably suffering from lumbar disc prolapse. Her mother was punched in the stomach while she was in the womb, has no relation with this pain. It is confirmed by MRI scan and also exclude other causes of backache. There are two treatment options. First option is rest in position of relief(generally lateral position with both knee bend), neurotopics such as mecobalamin and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as tramadol three times a day after meals) is required. Omeprazole before meals prevent acidity caused by analgesics. This method needs patience as it take longer treatment times sometimes up to 6 months. Second option is go for surgical operation(Discectomy). You can discuss with your treating Doctor about it. 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: My girlfriend is having really bad back pain, like an 11 on a scale of 1 - 10, its now shooting down into her legs and hurting when she walks. Her mother was punched in the stomach while she was in the womb, and we know this to be the cause of her occasional back pain, but is there anything we can do currently to lessen the pain?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thanks for your query. After going through your query I came to know that your girlfriend is probably suffering from lumbar disc prolapse. Her mother was punched in the stomach while she was in the womb, has no relation with this pain. It is confirmed by MRI scan and also exclude other causes of backache. There are two treatment options. First option is rest in position of relief(generally lateral position with both knee bend), neurotopics such as mecobalamin and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as tramadol three times a day after meals) is required. Omeprazole before meals prevent acidity caused by analgesics. This method needs patience as it take longer treatment times sometimes up to 6 months. Second option is go for surgical operation(Discectomy). You can discuss with your treating Doctor about it. 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.

18 year old college daughter with allergies and asthma, but otherwise no major health problems experience rash and bumps on wrist, ankle and arm, suddenly experiences tingling in arms and feet , with occasional pain in feet while standing from sitting or lieing position. student health clinic found unknown cause of skin irritation

Hello, Welcome to Chat Doctor, The symptoms are highly non-specific, rashes and bumps may due to some allergen causing these symptoms.it may be a generalized eczema. If it is an allergen causing these symptoms you need to test for the allergen and found out the allergen causing these symptoms. At first, you need to test for absolute eosinophil count (AEC) to know whether you are having any allergic reaction. Then you can test for skin prick test to identify the allergen causing these symptoms. After identifying the allergen we can decide the type of immunotherapy suitable and useful to your daughter. 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: 18 year old college daughter with allergies and asthma, but otherwise no major health problems experience rash and bumps on wrist, ankle and arm, suddenly experiences tingling in arms and feet , with occasional pain in feet while standing from sitting or lieing position. student health clinic found unknown cause of skin irritation<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Welcome to Chat Doctor, The symptoms are highly non-specific, rashes and bumps may due to some allergen causing these symptoms.it may be a generalized eczema. If it is an allergen causing these symptoms you need to test for the allergen and found out the allergen causing these symptoms. At first, you need to test for absolute eosinophil count (AEC) to know whether you are having any allergic reaction. Then you can test for skin prick test to identify the allergen causing these symptoms. After identifying the allergen we can decide the type of immunotherapy suitable and useful to your daughter. Thank you.<|eot_id|>

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

I just got my daily labs back. I had a kidney transplant back in June 2010. My labs are all normal except for an elevated RDW at 15.5. Should I be concerned? We want to try and have kids very soon. I have a call into the doctors office but no call back yet.

Hello, RDW means red cell distribution width. It is normally done in patients with anemia to find out the cause of anemia as there are few causes for it. If your only RDW is slightly raised and other parameters are in normal range there is nothing to be worried about. Still if you want to be sure about it, you can start some multivitamin capsule containing it b12 and folic acid once a day. Still I would suggest you to show your total report to your doctors you have not mentioned other values of the blood report. Till then I can suggest that it's not something to be much worried about. 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 just got my daily labs back. I had a kidney transplant back in June 2010. My labs are all normal except for an elevated RDW at 15.5. Should I be concerned? We want to try and have kids very soon. I have a call into the doctors office but no call back yet.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, RDW means red cell distribution width. It is normally done in patients with anemia to find out the cause of anemia as there are few causes for it. If your only RDW is slightly raised and other parameters are in normal range there is nothing to be worried about. Still if you want to be sure about it, you can start some multivitamin capsule containing it b12 and folic acid once a day. Still I would suggest you to show your total report to your doctors you have not mentioned other values of the blood report. Till then I can suggest that it's not something to be much worried about. Thank you<|eot_id|>

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

Hi ThereI have slight cramping and bloating in my stomach and I have reflux I burp a lot and can feel it pushing up to my throat and every time I yaw it feels like my vagus nerve is stimulated in my neck and make me nauseous in my throat or is this sensation due to my reflux pushing up when I yawn? I dont yawn often and I am not throwing up at all just get this sensation when I yawn sometimes worse and sometimes not bad at allI have been under a lot of pressure lately could this be the case why my stomach produce reflux?Kind Regards

Hello, Welcome to Chat Doctor. Thanks for your query. I have gone through your query and understand your concern. I suspect you may have gastroesophageal reflex disease(HERD). It can be well treated with proton pump inhibitors like pantoprazole and lifestyle and dietary changes. My advice is.1. Avoid coffee, peppermint and chocolate 2. Quit smoking and alcohol.3. Eat healthy and non-spicy food4. DO not eat junk and too much of fried foods.5. Exercise regularly6. Consider doing yoga and meditation. If the problem persists. Please do investigations for H. Pylori infection. Then consider endoscopy. Hope this helps. Please reply for further queries. Wishing you good health.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi ThereI have slight cramping and bloating in my stomach and I have reflux I burp a lot and can feel it pushing up to my throat and every time I yaw it feels like my vagus nerve is stimulated in my neck and make me nauseous in my throat or is this sensation due to my reflux pushing up when I yawn? I dont yawn often and I am not throwing up at all just get this sensation when I yawn sometimes worse and sometimes not bad at allI have been under a lot of pressure lately could this be the case why my stomach produce reflux?Kind Regards<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Welcome to Chat Doctor. Thanks for your query. I have gone through your query and understand your concern. I suspect you may have gastroesophageal reflex disease(HERD). It can be well treated with proton pump inhibitors like pantoprazole and lifestyle and dietary changes. My advice is.1. Avoid coffee, peppermint and chocolate 2. Quit smoking and alcohol.3. Eat healthy and non-spicy food4. DO not eat junk and too much of fried foods.5. Exercise regularly6. Consider doing yoga and meditation. If the problem persists. Please do investigations for H. Pylori infection. Then consider endoscopy. Hope this helps. Please reply for further queries. Wishing you good health.<|eot_id|>

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

My relative is suffering from Liver cancer and is undergoing Chemo for about 3 months. He has lost about 18 lbs in 3 months and a constant challenge is to provide him foods that are high in calories to give him energy and low in sugar (for cancer) that is vegetarian as well. Also as the problematic area is liver, it has been very difficult due to gas. We have been many small meals, but not making much dent in weight management . Please help suggest high calorie vegetarian foods that would be easy on liver and not harmful for cancer. Thanks.

Understand that no diet is harmful for cancer. I don't understand why low sugar diet is being given when he is not diabetic. Sugar has nothing to do with cancer, it is restricted only in diabetics. If he not a diabetic best think would be to give plenty of homemade fruit juices with milk and glucose added to it. Glucose is very good for liver and helps in rejuvenate. Avoid fatty foods and oil as they are difficult to digest. Oatmeal with Jagger and milk shakes help him a lot

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 relative is suffering from Liver cancer and is undergoing Chemo for about 3 months. He has lost about 18 lbs in 3 months and a constant challenge is to provide him foods that are high in calories to give him energy and low in sugar (for cancer) that is vegetarian as well. Also as the problematic area is liver, it has been very difficult due to gas. We have been many small meals, but not making much dent in weight management . Please help suggest high calorie vegetarian foods that would be easy on liver and not harmful for cancer. Thanks.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Understand that no diet is harmful for cancer. I don't understand why low sugar diet is being given when he is not diabetic. Sugar has nothing to do with cancer, it is restricted only in diabetics. If he not a diabetic best think would be to give plenty of homemade fruit juices with milk and glucose added to it. Glucose is very good for liver and helps in rejuvenate. Avoid fatty foods and oil as they are difficult to digest. Oatmeal with Jagger and milk shakes help him a lot<|eot_id|>

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

2nd time to have very heavy chest pain after climbing stairs to 3rd floor. I am 40yrs old,over weight but have never had this problem before. I take blood pressure meds but it is under control. This pain is like a ball blowing up in my chest. Should I try to get in to see my cardiologist or go to the er if it gets worse?

Chest pain may occur due to a lot of disorder but as mentioned in your case chest pain is associated with exertion which usually occurs due to a condition termed as stable angina. The factors which might lead to stable angina are following .high LDL level(try to maintain it below 110)hypertension(please take your antihypertensive Chat Doctor. Please follow some lifestyle changes-do exercise daily for 30 minute stake fiber rich diets avoid junk and oily foods. You should consult your cardiologist definetelythankyou 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: 2nd time to have very heavy chest pain after climbing stairs to 3rd floor. I am 40yrs old,over weight but have never had this problem before. I take blood pressure meds but it is under control. This pain is like a ball blowing up in my chest. Should I try to get in to see my cardiologist or go to the er if it gets worse?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Chest pain may occur due to a lot of disorder but as mentioned in your case chest pain is associated with exertion which usually occurs due to a condition termed as stable angina. The factors which might lead to stable angina are following .high LDL level(try to maintain it below 110)hypertension(please take your antihypertensive Chat Doctor. Please follow some lifestyle changes-do exercise daily for 30 minute stake fiber rich diets avoid junk and oily foods. You should consult your cardiologist definetelythankyou and take care<|eot_id|>

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

i was just diagnosed with folliculitis on my genital area. But i also noticed 2 small red bumps near the glans where there is no hair follicle, and now i have a slight discomfort when urinating. I am in a monogamous relationship and do not suspect an STD. Can this be something else?

HelloThanks for query. Lumps around the glans penis a coronal Julius are due to infection of glans (Atlantis) and are usually due to allergic reaction to vaginal secretion of a female partner which is acidic in nature. You need to take broad spectrum antibiotic like \u010ceferin along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily. Ask your female partner to take same antibiotics for a week.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i was just diagnosed with folliculitis on my genital area. But i also noticed 2 small red bumps near the glans where there is no hair follicle, and now i have a slight discomfort when urinating. I am in a monogamous relationship and do not suspect an STD. Can this be something else?<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloThanks for query. Lumps around the glans penis a coronal Julius are due to infection of glans (Atlantis) and are usually due to allergic reaction to vaginal secretion of a female partner which is acidic in nature. You need to take broad spectrum antibiotic like \u010ceferin along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily. Ask your female partner to take same antibiotics for a week.<|eot_id|>

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

Sir,I have a Cervical Lymph Node on the left side. Montoux test showed 28mm and ESR was 27 per hour. Physician has started my TB Medicines and I gained 3kgs in last 15 days (earlier I had lost 12 kgs in around a year). Now for last 4 days this swelling sometimes pain and gives shrinking feeling. Is everything alright ?Thanks for your kind reply

Thanks for your question on Chat Doctor. I can understand your concern. No need to worry much for these symptoms. You are improving with gaining weight, absence of fever and shrinking in size of lymph nodes. So all these are favorable and suggest that treatment is working. Pain is mostly due to healing and fibrosis in the lymph node. Anti tb Chat Doctor. Healing takes place in the form of fibrosis. So this process is painful to some patients. Shrinking in size is suggestive of healing also. So no need to worry at present, continue anti tb

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Sir,I have a Cervical Lymph Node on the left side. Montoux test showed 28mm and ESR was 27 per hour. Physician has started my TB Medicines and I gained 3kgs in last 15 days (earlier I had lost 12 kgs in around a year). Now for last 4 days this swelling sometimes pain and gives shrinking feeling. Is everything alright ?Thanks for your kind reply<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. No need to worry much for these symptoms. You are improving with gaining weight, absence of fever and shrinking in size of lymph nodes. So all these are favorable and suggest that treatment is working. Pain is mostly due to healing and fibrosis in the lymph node. Anti tb Chat Doctor. Healing takes place in the form of fibrosis. So this process is painful to some patients. Shrinking in size is suggestive of healing also. So no need to worry at present, continue anti tb<|eot_id|>

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

Hi, my husband has severe graves disease and has had his thyroid taken out because of cancer. He took a radiation pill which made his graves disease much worse. He took about 15 weeks of 500 mg. intervaneous I.V. for his graves too. Now he is like a wet noodle. No energy, no stamina, no strength, etc. They have him on 150 mg. of meds for his now gone thyroid. What can we do?

HI, thanks for using Chat Doctor The decreased energy and strength may be related to the hypothyroidism that can occur after radioactive treatment for hyperthyroidism. Hypothyroidism is associated with fatigue and weakness. It is possible that his thyroid hormone levels have not been optimized as yet. His doctors will likely recheck the thyroid function and increase his medication dose if it is found to be still low. I hope this helps

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, my husband has severe graves disease and has had his thyroid taken out because of cancer. He took a radiation pill which made his graves disease much worse. He took about 15 weeks of 500 mg. intervaneous I.V. for his graves too. Now he is like a wet noodle. No energy, no stamina, no strength, etc. They have him on 150 mg. of meds for his now gone thyroid. What can we do?<|eot_id|><|start_header_id|>assistant<|end_header_id|>HI, thanks for using Chat Doctor The decreased energy and strength may be related to the hypothyroidism that can occur after radioactive treatment for hyperthyroidism. Hypothyroidism is associated with fatigue and weakness. It is possible that his thyroid hormone levels have not been optimized as yet. His doctors will likely recheck the thyroid function and increase his medication dose if it is found to be still low. I hope this helps<|eot_id|>

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

My wisdom teeth are coming in. One of them has pericoronitis, noticed five days ago. Wisdom teeth eruption noticed especially about 6-8 weeks ago. About the same time, I ve been more dizzy than normal, it takes more focus to keep from getting dizzy. Are these linked?

HiT hank for your query with Chat Doctor, there is no relation between the dizziness and the erupting wisdom tooth I think you have been so much conscious with the both, so you feel like that. You have not mentioned your age to know the status of the eruption. Any ways do warm saline water gargling and maintain good oral health otherwise peritonitis will cause incontinence with pain. If they are already inflamed once consult your dentist to know the status

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 wisdom teeth are coming in. One of them has pericoronitis, noticed five days ago. Wisdom teeth eruption noticed especially about 6-8 weeks ago. About the same time, I ve been more dizzy than normal, it takes more focus to keep from getting dizzy. Are these linked?<|eot_id|><|start_header_id|>assistant<|end_header_id|>HiT hank for your query with Chat Doctor, there is no relation between the dizziness and the erupting wisdom tooth I think you have been so much conscious with the both, so you feel like that. You have not mentioned your age to know the status of the eruption. Any ways do warm saline water gargling and maintain good oral health otherwise peritonitis will cause incontinence with pain. If they are already inflamed once consult your dentist to know the status<|eot_id|>

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

About 5 days ago I was hit hard in the leg by a baseball. It swelled but was not all that painful so I continued to pitch. I did not ice properly the first night and now the swelling is still there (though not as serious) but there is a sharp pain in the lower part of the leg. Will this heal on its own or could it be broken? I am away from home and don t have a doctor nearby to see.

Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As the mechanism of injury was the direct of the baseball on the leg, and now the area is painful and sharp pain in the lower part of the leg, I will advise to undergo an x-ray if there is any bony injury. Usually, depending on the location the symptoms can be predicted, but as you mentioned that the ball hit the leg, it is tough to judge if the ball has hit the nerve and leading to sharp pain. Getting an x-ray and a clinical assessment will be good. If damage to any bone, muscle, tendon, nerve, artery is there, one needs a hands-on examination. As you did icing and the pain is not coming down, you need to visit the doctor to get it check. Never ignore sports injuries, as one can never suspect the impact it does, Usually, if no major signs are present, then with simple sport physical therapy training, the candidate can go back to sport soon. RegardsJay 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: About 5 days ago I was hit hard in the leg by a baseball. It swelled but was not all that painful so I continued to pitch. I did not ice properly the first night and now the swelling is still there (though not as serious) but there is a sharp pain in the lower part of the leg. Will this heal on its own or could it be broken? I am away from home and don t have a doctor nearby to see.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As the mechanism of injury was the direct of the baseball on the leg, and now the area is painful and sharp pain in the lower part of the leg, I will advise to undergo an x-ray if there is any bony injury. Usually, depending on the location the symptoms can be predicted, but as you mentioned that the ball hit the leg, it is tough to judge if the ball has hit the nerve and leading to sharp pain. Getting an x-ray and a clinical assessment will be good. If damage to any bone, muscle, tendon, nerve, artery is there, one needs a hands-on examination. As you did icing and the pain is not coming down, you need to visit the doctor to get it check. Never ignore sports injuries, as one can never suspect the impact it does, Usually, if no major signs are present, then with simple sport physical therapy training, the candidate can go back to sport soon. RegardsJay In Chat Doctor.<|eot_id|>

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

hi a friend of mine is in hosp with pneumonia in both lungs, he is also presenting with gall stones after an ultrasound . tonight the consultant has rung and told his wife that he has high levels of gamma in his bloodstream. anything to worry about?? last yr he also was told that his kidneys arent working to there full capacity after taking painkillers over along period of time. he works with photocopiers on a daily basis many thanks for any help

Hi, GGT is sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common cause is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additionally done. Then appropriate treatment can be started. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly 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 a friend of mine is in hosp with pneumonia in both lungs, he is also presenting with gall stones after an ultrasound . tonight the consultant has rung and told his wife that he has high levels of gamma in his bloodstream. anything to worry about?? last yr he also was told that his kidneys arent working to there full capacity after taking painkillers over along period of time. he works with photocopiers on a daily basis many thanks for any help<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, GGT is sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common cause is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additionally done. Then appropriate treatment can be started. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards,<|eot_id|>

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

I have a history of kidney stones. I went to a clinic last Thursday with flank pain like it was a stone moving, A car scan was done and a urine specimen taken. Tests show no stone in unrinary tract and 2 stones in right kidney. I am still having severe pain in right side and in my groin. My flow of urine is not being restricted. The pain is rather intense and pain meds are not helping. Why so much pain and in different areas? And should I seek another specialist?

HelloThanks for query. Based on the facts that o have severe pain i loin on Right side due to stone in kidney and ureter. The pain in abdomen due to stone is never due to stone itself, but it is due to obstruction to the flow of urine caused by the impaction of the stone resulting into accumulation of urine causing dilatation of ureter and kidney proximal to site of impaction (HY Chat Doctor. The primary aim in treatment in such situation is to destruct the kidney to preserve its function and to help the stone to pass down without pain. The standard modality is 1) Give I. V fluids (If the patient is hospitalized)or

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 history of kidney stones. I went to a clinic last Thursday with flank pain like it was a stone moving, A car scan was done and a urine specimen taken. Tests show no stone in unrinary tract and 2 stones in right kidney. I am still having severe pain in right side and in my groin. My flow of urine is not being restricted. The pain is rather intense and pain meds are not helping. Why so much pain and in different areas? And should I seek another specialist?<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloThanks for query. Based on the facts that o have severe pain i loin on Right side due to stone in kidney and ureter. The pain in abdomen due to stone is never due to stone itself, but it is due to obstruction to the flow of urine caused by the impaction of the stone resulting into accumulation of urine causing dilatation of ureter and kidney proximal to site of impaction (HY Chat Doctor. The primary aim in treatment in such situation is to destruct the kidney to preserve its function and to help the stone to pass down without pain. The standard modality is 1) Give I. V fluids (If the patient is hospitalized)or<|eot_id|>

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

I have a lump behind my ear its red and has been there for about 12 days. Went to GP he told me to take antibotics. I have 3 days left - the lump has gone down but not disappeared. lump is not painful. the lump is behind ear to the hairline and under the skin

Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Mastoid Abscess / or Boil behind Ear. Treatment-Mastoid abscess possibility seems to be more in your case. Antibiotic +NSAIDs with under cove surgical Mastoid Chat Doctor. X-ray skull with mastoid / CT Skull and brain, would confirm diagnosis, prior to treatment evaluation. Second opinion from ENT Surgeon would rule out other causes of red lump behind ear. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!!

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 behind my ear its red and has been there for about 12 days. Went to GP he told me to take antibotics. I have 3 days left - the lump has gone down but not disappeared. lump is not painful. the lump is behind ear to the hairline and under the skin<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Mastoid Abscess / or Boil behind Ear. Treatment-Mastoid abscess possibility seems to be more in your case. Antibiotic +NSAIDs with under cove surgical Mastoid Chat Doctor. X-ray skull with mastoid / CT Skull and brain, would confirm diagnosis, prior to treatment evaluation. Second opinion from ENT Surgeon would rule out other causes of red lump behind ear. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!!<|eot_id|>

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

Good evening, my son is 4 yrs and 4 months and has a high fever with sever headache, he crys out and says his head is very sore inside....I have given him a Voltaren Suppositorie 12,5 mg twice in the last 6 hours and he is still sick, should I go to the local Hospital?

Hello dear. I would like to have a detailed history regarding your children symptoms. Is there also history of vomiting?? If yes please urgently go to the hospital and get him examined in detail by an expert pediatrician.IN the absence of vomiting, one can think of sinusitis or simple viral flu. Give him Paracetamol 250 mg/5ml (3 ml 4-6 hourly for fever and a good anti histamine like levocetrizine 5 ml at night along with steam inhalation preferably at night before bedtime. Get him examined by a pediatrician if it didn't settle with these medications. Hope it will help. Wishing your child 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: Good evening, my son is 4 yrs and 4 months and has a high fever with sever headache, he crys out and says his head is very sore inside....I have given him a Voltaren Suppositorie 12,5 mg twice in the last 6 hours and he is still sick, should I go to the local Hospital?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello dear. I would like to have a detailed history regarding your children symptoms. Is there also history of vomiting?? If yes please urgently go to the hospital and get him examined in detail by an expert pediatrician.IN the absence of vomiting, one can think of sinusitis or simple viral flu. Give him Paracetamol 250 mg/5ml (3 ml 4-6 hourly for fever and a good anti histamine like levocetrizine 5 ml at night along with steam inhalation preferably at night before bedtime. Get him examined by a pediatrician if it didn't settle with these medications. Hope it will help. Wishing your child good health<|eot_id|>

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

Hello,2 years back in new year party i stomped my right foot very hard on floor 8-9 times, when i woke up in the morning i felt pain in my ankle, i thought it will go away in few days, later when i used to jog it slowly increased, i consulted almost 5 doctors they said i have heel spur. So i am doing some calf exercises they told me. I still used to run/jog for about a year, now after 2 years the pain has shifted to left side of the heel, and i cant even stand for 2 mins, cause all my sole is hurting allot. Please help me i cant even walk. Now a days from 4 days i am having pain in my foot ball bone, which is the second bone in right fool PS. I use silicon insoles still the pain is there.

I wish you contact me personally and give me the proper history of illness. As when you have mentioned do shifting the pain it is pure speculation that you applied a more pressure on the unaffected side when the other was injured. Only stretching is not the solution. You may need to go undergo a specialized training for the same as it is chronic issue now. Contact me directly if you feel so, where I can help you better.

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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,2 years back in new year party i stomped my right foot very hard on floor 8-9 times, when i woke up in the morning i felt pain in my ankle, i thought it will go away in few days, later when i used to jog it slowly increased, i consulted almost 5 doctors they said i have heel spur. So i am doing some calf exercises they told me. I still used to run/jog for about a year, now after 2 years the pain has shifted to left side of the heel, and i cant even stand for 2 mins, cause all my sole is hurting allot. Please help me i cant even walk. Now a days from 4 days i am having pain in my foot ball bone, which is the second bone in right fool PS. I use silicon insoles still the pain is there.<|eot_id|><|start_header_id|>assistant<|end_header_id|>I wish you contact me personally and give me the proper history of illness. As when you have mentioned do shifting the pain it is pure speculation that you applied a more pressure on the unaffected side when the other was injured. Only stretching is not the solution. You may need to go undergo a specialized training for the same as it is chronic issue now. Contact me directly if you feel so, where I can help you better.<|eot_id|>

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

my wife is in her third trimester and has been having severe UPPER abdominal pain for the last couple weeks. it just recently got worse the last couple of days. doc says its heartburn but i have never seen heartburn like this in my life. any suggestions?

HI, I understand your concern. Heart is not normal in pregnancy. it's because of over stretching of cardiac sphincter of stomach, allowing acid gastric juice to regurgitate in esophagus It can be managed well by few lifestyle change - - raise your head end while sleeping, dont sleep immediately after food. Do not take water or liquid before going to sleep. -Avoid forward bending. -Instead of eating two meals. Have small multiple servings of food. Avoid spicy food, - Avoid sour Chat Doctor. * Antacids / proton pump inhibitors will help in controlling severe symptoms. Thanks. -excessive burning can be relieved with freeze cold milk.

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 in her third trimester and has been having severe UPPER abdominal pain for the last couple weeks. it just recently got worse the last couple of days. doc says its heartburn but i have never seen heartburn like this in my life. any suggestions?<|eot_id|><|start_header_id|>assistant<|end_header_id|>HI, I understand your concern. Heart is not normal in pregnancy. it's because of over stretching of cardiac sphincter of stomach, allowing acid gastric juice to regurgitate in esophagus It can be managed well by few lifestyle change - - raise your head end while sleeping, dont sleep immediately after food. Do not take water or liquid before going to sleep. -Avoid forward bending. -Instead of eating two meals. Have small multiple servings of food. Avoid spicy food, - Avoid sour Chat Doctor. * Antacids / proton pump inhibitors will help in controlling severe symptoms. Thanks. -excessive burning can be relieved with freeze cold milk.<|eot_id|>

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

pls any one of u can reply - Hello, My son is 2years 4 months old and from last one year he is gets dry cough and then cough which leads to wheezing and we need to get him nebulised twice or thrice and he is relaxed and then put on oral medicines . It usually starts in between 8 to 10 days. So we have advised to give him 3 doses of Asthalin inhaler and budecort everydayonce with the zerostat V (spacer) and baby mask regularly for an yr. So kindly suggest whether usage of Asthalin and the other inhaler is safe to be used for my son regulary and whether it has any side effects.... Thanks, waiting for your answer.

It could be a case of childhood asthma or respiratory tract infection. It is hard to comment without examining or investigating. Nebulization is good, and you can get a nebulizer at home if recurrent usage is required. Stalin is very frequently used and widely tolerated. The only side effect could be increased heart rate, but usually it is not a cause of concern. I do not expect any long term side effects.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: pls any one of u can reply - Hello, My son is 2years 4 months old and from last one year he is gets dry cough and then cough which leads to wheezing and we need to get him nebulised twice or thrice and he is relaxed and then put on oral medicines . It usually starts in between 8 to 10 days. So we have advised to give him 3 doses of Asthalin inhaler and budecort everydayonce with the zerostat V (spacer) and baby mask regularly for an yr. So kindly suggest whether usage of Asthalin and the other inhaler is safe to be used for my son regulary and whether it has any side effects.... Thanks, waiting for your answer.<|eot_id|><|start_header_id|>assistant<|end_header_id|>It could be a case of childhood asthma or respiratory tract infection. It is hard to comment without examining or investigating. Nebulization is good, and you can get a nebulizer at home if recurrent usage is required. Stalin is very frequently used and widely tolerated. The only side effect could be increased heart rate, but usually it is not a cause of concern. I do not expect any long term side effects.<|eot_id|>

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

My father is a mental patient since last 40 years. He had got doubt to my mother. Without geniuness he is telling and imaging the matters. He connected 3 to 4 of our relatives and telling bad relation with my mother. Sometime he is very violent. Nearly 2o years back we approached a Psycologist and he suggested a medicine DEplat 75mg, E. When some problems showing give this medicine. Last few years when this tablet given some face reactions appearing i.e. lips are going to one side and all.... so we are afraid and not given that tab. One year back he had a Heart attack - Silent. As per Cardiologist 3 blocks are there. Bye-pass surgery need. But the health condition is not good - Diabetic and Blood pressure - not yet surgery done and continuing Medicine (No circulation problem is shown in the Anchiogram). Medicine given for heart disease is Deplatt 75mg, Ecospring AV 150, Mono Isordil SR 30, Semi Daonil for Diabletic and Betacard AM for BP. Now few days he is very violent and creating problem/quarrel with others. We have not approached a doctor because if he know he will agains create problem. If we give the earlier medicine (mental) any problem will occure? He is 73 year old, Height

Hi dear, there are many medical illnesses your father have, so treatment of psychiatric illness must not affect medical part. As you described your father suspicious over your mother and frequent violent episode suggest that he has psychotic disorder and need treatment.is there any other features associated with it?any sleep disturbance, hearing of voice, abnormality of speech and behavior etc...for proper diagnosis detail history is must. So consult psychiatrist for detail history and treatment. 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 is a mental patient since last 40 years. He had got doubt to my mother. Without geniuness he is telling and imaging the matters. He connected 3 to 4 of our relatives and telling bad relation with my mother. Sometime he is very violent. Nearly 2o years back we approached a Psycologist and he suggested a medicine DEplat 75mg, E. When some problems showing give this medicine. Last few years when this tablet given some face reactions appearing i.e. lips are going to one side and all.... so we are afraid and not given that tab. One year back he had a Heart attack - Silent. As per Cardiologist 3 blocks are there. Bye-pass surgery need. But the health condition is not good - Diabetic and Blood pressure - not yet surgery done and continuing Medicine (No circulation problem is shown in the Anchiogram). Medicine given for heart disease is Deplatt 75mg, Ecospring AV 150, Mono Isordil SR 30, Semi Daonil for Diabletic and Betacard AM for BP. Now few days he is very violent and creating problem/quarrel with others. We have not approached a doctor because if he know he will agains create problem. If we give the earlier medicine (mental) any problem will occure? He is 73 year old, Height<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi dear, there are many medical illnesses your father have, so treatment of psychiatric illness must not affect medical part. As you described your father suspicious over your mother and frequent violent episode suggest that he has psychotic disorder and need treatment.is there any other features associated with it?any sleep disturbance, hearing of voice, abnormality of speech and behavior etc...for proper diagnosis detail history is must. So consult psychiatrist for detail history and treatment. Thank you<|eot_id|>

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

My son suffered from Epilepsy symptoms 2 months ago. All his reports as per dr. show normal condition however Dr. has prescribed tab Valparin Chrono 500mg daily one for 3 yrs. continuously. I want to know that should I continue with this medicine for my son & if yes are thier any side effects of this med. Please advice.

Hi, If your son had a seizure, then it is imperative that you continue the medicines without fail as the consequence of not taking the medication could be a relapse of the seizure. While this is one part of the treatment, the other part is to find out why he had the seizure in the first place, and if there is any correctable cause. This will require further tests which would be done by a specialist in this field. 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: My son suffered from Epilepsy symptoms 2 months ago. All his reports as per dr. show normal condition however Dr. has prescribed tab Valparin Chrono 500mg daily one for 3 yrs. continuously. I want to know that should I continue with this medicine for my son & if yes are thier any side effects of this med. Please advice.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, If your son had a seizure, then it is imperative that you continue the medicines without fail as the consequence of not taking the medication could be a relapse of the seizure. While this is one part of the treatment, the other part is to find out why he had the seizure in the first place, and if there is any correctable cause. This will require further tests which would be done by a specialist in this field. Hope this helps.<|eot_id|>

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

Hello. I am currently being tested for adult ADD. I am suspicious I have had it my entire life. I am working with psychologist to test and diagnose it (or not). His tests are broad. He has me on a schedule of 3, 45 minute appointments where he is testing with vocabulary tests, drawing test, routine math tests, and assembling shapes with puzzle pieces, memory tests to repeat back things he says to me. I do not have problems with the tests. I can focus for short periods of time. It s longer periods of focus on routine tasks that give me difficulty. My is does this sound like a industry standard way to diagnose ADD in an adult? I would like a second opinion as I have a small suspicion I may be just going through tests he can bill my insurance. Thank you!

DearWelome to ChatDoctorWe understand your concerns went through your details. I suggest you not to worry much. Every therapist know how to diagnose you. The diagnosis is basically based on your first-hand description. You have not mentioned your age here. But I see that you can speaking about attention span here. An adults' attention span is always less the minutes maximum at a stretch. While watching a movie that could go up to hours, if the movie is interesting. For ADD patients, they even show low attention span even when they watch an interesting move. If you fall in this category, you need those tests to confirm the depth of the problem. Otherwise, you do not have Added. If you want more of my help in this aspect, please post a direct question to me with as many details as possible. I shall provide some psychotherapy tips to overcome your current problem. Hope this answers your query. Available for further clarifications. Good luck.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hello. I am currently being tested for adult ADD. I am suspicious I have had it my entire life. I am working with psychologist to test and diagnose it (or not). His tests are broad. He has me on a schedule of 3, 45 minute appointments where he is testing with vocabulary tests, drawing test, routine math tests, and assembling shapes with puzzle pieces, memory tests to repeat back things he says to me. I do not have problems with the tests. I can focus for short periods of time. It s longer periods of focus on routine tasks that give me difficulty. My is does this sound like a industry standard way to diagnose ADD in an adult? I would like a second opinion as I have a small suspicion I may be just going through tests he can bill my insurance. Thank you!<|eot_id|><|start_header_id|>assistant<|end_header_id|>DearWelome to ChatDoctorWe understand your concerns went through your details. I suggest you not to worry much. Every therapist know how to diagnose you. The diagnosis is basically based on your first-hand description. You have not mentioned your age here. But I see that you can speaking about attention span here. An adults' attention span is always less the minutes maximum at a stretch. While watching a movie that could go up to hours, if the movie is interesting. For ADD patients, they even show low attention span even when they watch an interesting move. If you fall in this category, you need those tests to confirm the depth of the problem. Otherwise, you do not have Added. If you want more of my help in this aspect, please post a direct question to me with as many details as possible. I shall provide some psychotherapy tips to overcome your current problem. Hope this answers your query. Available for further clarifications. Good luck.<|eot_id|>

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

Hello doctor. I had an episode of back pain radiating to right limb 3 months back .no trauma history .my mri shows diffuse annular disc bulge of 2 mm at l4 l5 disc with mild thecal indentation. Please help ..can the disc bulge be put back Into position??

Hi, thank you providing the brief history of you. As you mentioned that you have a disc bulge confirmed on MRI I will recommend you to undergo physical therapy and make the core and spine muscle stronger. As to avoid any future recurrences. Also the disc shrinks in its size over a period of time. But it all depends upon the physiology of each individual. Also, it depends on how mush strength is there in the spinal muscles to relieve pressure from the disc. Usually 99% patients recover with physical therapy. RegardsJay 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 doctor. I had an episode of back pain radiating to right limb 3 months back .no trauma history .my mri shows diffuse annular disc bulge of 2 mm at l4 l5 disc with mild thecal indentation. Please help ..can the disc bulge be put back Into position??<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, thank you providing the brief history of you. As you mentioned that you have a disc bulge confirmed on MRI I will recommend you to undergo physical therapy and make the core and spine muscle stronger. As to avoid any future recurrences. Also the disc shrinks in its size over a period of time. But it all depends upon the physiology of each individual. Also, it depends on how mush strength is there in the spinal muscles to relieve pressure from the disc. Usually 99% patients recover with physical therapy. RegardsJay In Chat Doctor.<|eot_id|>

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

yes I had surgery on my right side of the spine to remove a piece of the disc to remove the pressure put it is 11 days already and I am having sever pain on my right led doctor told me to take gabapentin and still hurting what can I do for the pain to go away

Hi, welcome to our site. I am Chat Doctor. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query think you should be more patient. There will be some pain as the post op surgical wound heals. It is obvious to have some pain during the phase after some painAlternatively you can have some exercises to strengthen the muscles. However since you have had surgery, I would suggest you talk to the surgeon first. Try the conventional painkillers, temporarily. A repeat MRI may be done hope this helps you. Inform the reports mentioned above so I can be of help further. Best of luck. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Looking forward to your return query with the details asked so that I can help you further.(If the answer has helped you, please indicate this)

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 I had surgery on my right side of the spine to remove a piece of the disc to remove the pressure put it is 11 days already and I am having sever pain on my right led doctor told me to take gabapentin and still hurting what can I do for the pain to go away<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, welcome to our site. I am Chat Doctor. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query think you should be more patient. There will be some pain as the post op surgical wound heals. It is obvious to have some pain during the phase after some painAlternatively you can have some exercises to strengthen the muscles. However since you have had surgery, I would suggest you talk to the surgeon first. Try the conventional painkillers, temporarily. A repeat MRI may be done hope this helps you. Inform the reports mentioned above so I can be of help further. Best of luck. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Looking forward to your return query with the details asked so that I can help you further.(If the answer has helped you, please indicate this)<|eot_id|>

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

My papillae are extremely swollen right now. I ve also got a sore throat and congestion (when I woke up this morning, my lymph nodes were horribly swollen). I had a fever for part of the night, I believe, but seem to be normal temperature now. I ve got a headache and nausea that goes on and off (it was really bad while I was trying to get to sleep last night, but hasn t really bothered me sitting up so I think it s just related to congestion). Should I get checked for strep?

HI, thanks for using Chat Doctor Sore throats are more commonly viral. They are due to viral infection in 80 to 90 % of cases and most therefore do not require antibiotics. IF the sore throat persists beyond 3 to 4 days, is extremely severe or is associated with a fever lasting a few days, then bacterial infection can be considered. The use of oral painkillers as well as throat sprays or gargles may be helpful to you. Examples of gargles or sprays are chlorogenic, colonia, Islam 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: My papillae are extremely swollen right now. I ve also got a sore throat and congestion (when I woke up this morning, my lymph nodes were horribly swollen). I had a fever for part of the night, I believe, but seem to be normal temperature now. I ve got a headache and nausea that goes on and off (it was really bad while I was trying to get to sleep last night, but hasn t really bothered me sitting up so I think it s just related to congestion). Should I get checked for strep?<|eot_id|><|start_header_id|>assistant<|end_header_id|>HI, thanks for using Chat Doctor Sore throats are more commonly viral. They are due to viral infection in 80 to 90 % of cases and most therefore do not require antibiotics. IF the sore throat persists beyond 3 to 4 days, is extremely severe or is associated with a fever lasting a few days, then bacterial infection can be considered. The use of oral painkillers as well as throat sprays or gargles may be helpful to you. Examples of gargles or sprays are chlorogenic, colonia, Islam hope this helps<|eot_id|>

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

It has been requested that I go in for a vision field test after my eye exam this morning. Several things were listed for diagnosis. One of them being the optic neuritis. Im really scared at the moment and dont know how to react or what to do. I have that test in 3 days. However, I was wondering, if a brain tumor, how fast do tumors typically grow? If malignant, is it months, years, weeks or what that is considered rapid growing? What time frame is considered slow-growing?

Hi, Thanks for writing in to us. Optic neuritis is an inflammation of the optic nerve which carries impulses from the eye to the brain through the optic tract. This is usually a limited condition and is treated with steroids. Brain tumors are of many types and categories. Most benign tumors grow very slowly and stay stable for years before they cause symptoms. In contrast, malignant or cancerous tumors grow violently, and it might take 3 to 6 months for them to grow into a mass of cancer cells. In conclusion, a tumor is slow growing if it takes more than a year or two to double its size and is a fast-growing it there is double in tumor volume over 3 to 6 months. You likely do not have a brain tumor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: It has been requested that I go in for a vision field test after my eye exam this morning. Several things were listed for diagnosis. One of them being the optic neuritis. Im really scared at the moment and dont know how to react or what to do. I have that test in 3 days. However, I was wondering, if a brain tumor, how fast do tumors typically grow? If malignant, is it months, years, weeks or what that is considered rapid growing? What time frame is considered slow-growing?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for writing in to us. Optic neuritis is an inflammation of the optic nerve which carries impulses from the eye to the brain through the optic tract. This is usually a limited condition and is treated with steroids. Brain tumors are of many types and categories. Most benign tumors grow very slowly and stay stable for years before they cause symptoms. In contrast, malignant or cancerous tumors grow violently, and it might take 3 to 6 months for them to grow into a mass of cancer cells. In conclusion, a tumor is slow growing if it takes more than a year or two to double its size and is a fast-growing it there is double in tumor volume over 3 to 6 months. You likely do not have a brain tumor.<|eot_id|>

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

about kidney

Hi, Welcome to Chat Doctor Forum. Your father is suffering from either Acute or Chronic Kidney disease. If it is chronic he definitely needs immediate dialysis and subsequent kidney transplantation. If it is acute, treating the cause will reduce the Creatinine level. Diet does not improve its level. Medication has to be taken, if you leave it is will do a lot of harm ////// Speak to your Doctor. 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: about kidney<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Welcome to Chat Doctor Forum. Your father is suffering from either Acute or Chronic Kidney disease. If it is chronic he definitely needs immediate dialysis and subsequent kidney transplantation. If it is acute, treating the cause will reduce the Creatinine level. Diet does not improve its level. Medication has to be taken, if you leave it is will do a lot of harm ////// Speak to your Doctor. Good Luck.<|eot_id|>

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

Yes, I have a lump below the skin on my right forearm. It is painful, swells up and not hard moveable. I had it checked by two different Doctors. I had surgery on it to get it removed, but the Doctor did a biopsy whicChatDoctore back negative. He said it was fat and if I lose weight it would go down. The second Doctor said it was fat also. I am still concerned that it is a cyst causing me pain. I want it removed, it is 1 inch in diameter, approximately 1/4 inch deep, guessing. Help don t know what to do. Don t have any images.

Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma or some benign cyst like sebaceous cyst. No need to worry. If it is painful then you should go for excision biopsy. It will cure your lump and give definite diagnosis. Consult your doctor and go for excision. 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: Yes, I have a lump below the skin on my right forearm. It is painful, swells up and not hard moveable. I had it checked by two different Doctors. I had surgery on it to get it removed, but the Doctor did a biopsy whicChatDoctore back negative. He said it was fat and if I lose weight it would go down. The second Doctor said it was fat also. I am still concerned that it is a cyst causing me pain. I want it removed, it is 1 inch in diameter, approximately 1/4 inch deep, guessing. Help don t know what to do. Don t have any images.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma or some benign cyst like sebaceous cyst. No need to worry. If it is painful then you should go for excision biopsy. It will cure your lump and give definite diagnosis. Consult your doctor and go for excision. 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.

HiI am about to have a kidney removed due to a birth defect that has caused back pressure to damage the kidney. I am 42 years old, I weigh 6 and half stone at the moment due to weight loss, Im usually around a stone heavier. Will I be classed as disabled?

HelloThanks for query. You are detected to have non-functioning kidney due to mostly congenital PUB obstruction and headed for removal of kidney (Neurectomy). There are 1.8 % of general population having only one kidney from birth. The donor who donates his kidney or recipient who receives kidney during kidney transplant are both living normal life with only one kidney. In both the situations they are not declared to be disabled Do not worry having only one kidney does not make person disabled. 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: HiI am about to have a kidney removed due to a birth defect that has caused back pressure to damage the kidney. I am 42 years old, I weigh 6 and half stone at the moment due to weight loss, Im usually around a stone heavier. Will I be classed as disabled?<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloThanks for query. You are detected to have non-functioning kidney due to mostly congenital PUB obstruction and headed for removal of kidney (Neurectomy). There are 1.8 % of general population having only one kidney from birth. The donor who donates his kidney or recipient who receives kidney during kidney transplant are both living normal life with only one kidney. In both the situations they are not declared to be disabled Do not worry having only one kidney does not make person disabled. Chat Doctor.<|eot_id|>

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

Hello doctor my ten months old baby has some infection and admitted to the hospital .but last Wednesday she was discharged the doctor was gave some antibiotics to have but now she is watery loose motion nine to ten times I am not feed her any solid I am only feed her lots of water and milk but she feel very weak and not stop the motion what can I do please help me doctor

Hello, Some antibiotics like Amoxicillin can cause diarrhea. Give ORS solution to your baby. If she is not vomiting, then probably she would not need intravenous fluids. Limit milk and feed more semisolid cereals. Milk can aggravate diarrhea. Add probiotic sachets like Reformer. Make sure baby is not having a fever, abdominal pain, bloody stools, or baby is becoming lethargic. Under such circumstances, you will need to admit baby. 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: Hello doctor my ten months old baby has some infection and admitted to the hospital .but last Wednesday she was discharged the doctor was gave some antibiotics to have but now she is watery loose motion nine to ten times I am not feed her any solid I am only feed her lots of water and milk but she feel very weak and not stop the motion what can I do please help me doctor<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Some antibiotics like Amoxicillin can cause diarrhea. Give ORS solution to your baby. If she is not vomiting, then probably she would not need intravenous fluids. Limit milk and feed more semisolid cereals. Milk can aggravate diarrhea. Add probiotic sachets like Reformer. Make sure baby is not having a fever, abdominal pain, bloody stools, or baby is becoming lethargic. Under such circumstances, you will need to admit baby. 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, My mother is 65 Years old. She is very week in health. Last week she suffered unconciousness for 3 days. Now she has opened her eyes but not able to chew anything. Swallowing water is also very difficult for her. She is not recognising People with her names. Although she remebers name very well. Would you have idea what s the reason of this. One thing I want to point out is that she is taking Alprex 5mg for 4-5 year daily one tablet for sleeping. when she went in uncounciousness last week Doctor had given her some 4-5 Injections. Now my Question is what specility doctor can treat her, what s the reason for this kind of illness, would she be required to be admitted inn hopital or just giving some medicines as OPD patient can work for her.

Is your mother on treatment for high blood pressure? Going through your history I feel that your mother might have had a stroke or a bleeding inside the brain. Was a CT head taken? Did you do blood investigations like serum sodium, potassium,magnesium etc. Alprax is used for lack of sleep and also fortress. You should meet a neurologist now and later if required a euro surgeon. In this condition I feel she needs an admission in the hospital, if needed even in an ICU... So get medical help fast.

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 mother is 65 Years old. She is very week in health. Last week she suffered unconciousness for 3 days. Now she has opened her eyes but not able to chew anything. Swallowing water is also very difficult for her. She is not recognising People with her names. Although she remebers name very well. Would you have idea what s the reason of this. One thing I want to point out is that she is taking Alprex 5mg for 4-5 year daily one tablet for sleeping. when she went in uncounciousness last week Doctor had given her some 4-5 Injections. Now my Question is what specility doctor can treat her, what s the reason for this kind of illness, would she be required to be admitted inn hopital or just giving some medicines as OPD patient can work for her.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Is your mother on treatment for high blood pressure? Going through your history I feel that your mother might have had a stroke or a bleeding inside the brain. Was a CT head taken? Did you do blood investigations like serum sodium, potassium,magnesium etc. Alprax is used for lack of sleep and also fortress. You should meet a neurologist now and later if required a euro surgeon. In this condition I feel she needs an admission in the hospital, if needed even in an ICU... So get medical help fast.<|eot_id|>

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

hi there i ve just come back from mozambique, i was taking mefliam for malaria prevention ive stopped taking it because it made me feel very strange. we were in a malaria area for 12 days and in the kruger for 6 days . and we ve been back for 3 days nowIm feeling dizzy very thirsty and under my ribs it feels uncomfortable and very tired with a pulsating headache im also going to the bathroom alot to urinate could this be malaria ,only thing is i havent had any hectic fevers just very dizzy and feel weak

Hello there, I am Chat Doctor. Most probable symptoms of malaria is fever with chills. If chills is there we suspect first malaria. So it is not present here. And fever is also absent. So chances of malaria is very rare. Other symptoms of malaria are Headache, Sweats, Fatigue, Nausea and vomiting. But this also accompany fever & chills. SO you have some other kind of infection or may you have some vitamin or any elemental deficiency causing this type of symptoms. So I suggest you to visit your physician once and follow his advice. Hope I have given appropriate guidance to you. If you have any query you can consult me anytime. Give me star rating, helpful vote & thank you according to your satisfaction level. Thanking 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 there i ve just come back from mozambique, i was taking mefliam for malaria prevention ive stopped taking it because it made me feel very strange. we were in a malaria area for 12 days and in the kruger for 6 days . and we ve been back for 3 days nowIm feeling dizzy very thirsty and under my ribs it feels uncomfortable and very tired with a pulsating headache im also going to the bathroom alot to urinate could this be malaria ,only thing is i havent had any hectic fevers just very dizzy and feel weak<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello there, I am Chat Doctor. Most probable symptoms of malaria is fever with chills. If chills is there we suspect first malaria. So it is not present here. And fever is also absent. So chances of malaria is very rare. Other symptoms of malaria are Headache, Sweats, Fatigue, Nausea and vomiting. But this also accompany fever & chills. SO you have some other kind of infection or may you have some vitamin or any elemental deficiency causing this type of symptoms. So I suggest you to visit your physician once and follow his advice. Hope I have given appropriate guidance to you. If you have any query you can consult me anytime. Give me star rating, helpful vote & thank you according to your satisfaction level. Thanking you.<|eot_id|>

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

My Blood pressure is often 125/89 today its jumped to 138/100 should I tell my doctor she can finally write the rx for hypertension BTW Im 43 and female and take no medications but have just gotten over a cold but am still coughing could that raise my pressure?

Howell come to ChatDoctorI really appreciate your concern, I always advise my all the patient to go to Doctor for reading blood pressure, if you are going to read it on your own then it may show error and most of the time it comes elevated. If you do not have any clinical symptoms then it is nothing to worry, looking to blood pressure reading is given here it may not fall in hypertensive category, still you can see the physician hope this information helps.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My Blood pressure is often 125/89 today its jumped to 138/100 should I tell my doctor she can finally write the rx for hypertension BTW Im 43 and female and take no medications but have just gotten over a cold but am still coughing could that raise my pressure?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Howell come to ChatDoctorI really appreciate your concern, I always advise my all the patient to go to Doctor for reading blood pressure, if you are going to read it on your own then it may show error and most of the time it comes elevated. If you do not have any clinical symptoms then it is nothing to worry, looking to blood pressure reading is given here it may not fall in hypertensive category, still you can see the physician hope this information helps.<|eot_id|>

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

I had maxofacial surgery 24 years ago that left me with a numb chin and lower lip. the surgeon said this happens and there is nothing they can do back then. Now in the past year I am having chin twitches and it is very annoying and embarrassing. what can I do and could something else be wrong?

Hello! Welcome on Chat Doctor! Your symptoms seem to be related to a pinched nerve (nerve compression), probably from the adherence during surgery in this region. I recommend consulting with a neurologist for a careful physical exam. A nerve conduction study is necessary to confirm the diagnosis. Surgery may be needed. In the meantime, I recommend taking clonazepam for symptomatic relief. Hope you will find this answer helpful! 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: I had maxofacial surgery 24 years ago that left me with a numb chin and lower lip. the surgeon said this happens and there is nothing they can do back then. Now in the past year I am having chin twitches and it is very annoying and embarrassing. what can I do and could something else be wrong?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello! Welcome on Chat Doctor! Your symptoms seem to be related to a pinched nerve (nerve compression), probably from the adherence during surgery in this region. I recommend consulting with a neurologist for a careful physical exam. A nerve conduction study is necessary to confirm the diagnosis. Surgery may be needed. In the meantime, I recommend taking clonazepam for symptomatic relief. Hope you will find this answer helpful! Kind regards,<|eot_id|>

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

Hi, I ve have intermittent nausea since I gave birth 5 months ago (major complications and on a antibiotics 3 months following). I started birth control 2 months ago and am wondering if there may be a link to the nausea. I also seem to get an increase in nausea when I m late taking a pill. Do you think there s a link between the pills and the nausea? Thank you.

Hello dear. Understand your concern. Firstly you have intermittent nausea may be due to pregnancy but now its may be due to side effects of birth control pills(BCP).BCP has some side effects like nausea, spotting,breast tenderness, headache,weight gain, mood changes, missed period, decrease of libido(affect sex Chat Doctor. ... you can take tab.onset or tab.raglan & tab.gene for nausea. Or you can change your BCP, take another hormonal pills which suited you more. Stay calm & don't be much anxious because it aggravates the symptoms. Hope this will guide you. Best regards.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, I ve have intermittent nausea since I gave birth 5 months ago (major complications and on a antibiotics 3 months following). I started birth control 2 months ago and am wondering if there may be a link to the nausea. I also seem to get an increase in nausea when I m late taking a pill. Do you think there s a link between the pills and the nausea? Thank you.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello dear. Understand your concern. Firstly you have intermittent nausea may be due to pregnancy but now its may be due to side effects of birth control pills(BCP).BCP has some side effects like nausea, spotting,breast tenderness, headache,weight gain, mood changes, missed period, decrease of libido(affect sex Chat Doctor. ... you can take tab.onset or tab.raglan & tab.gene for nausea. Or you can change your BCP, take another hormonal pills which suited you more. Stay calm & don't be much anxious because it aggravates the symptoms. Hope this will guide you. Best regards.<|eot_id|>

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

hi.. im 25 years old male... ive been masturbating since i was 14. initailly it takes nearly an hour to cum, but now within 10 seconds of masturbation it cums. length of my penis reduces gradually, and its not as harder as ti used to be..Is this what we called as PE or ED ?? what should i do to regain my sex power. plz help me out..can i live a healthy married life ?

Degree understand your concerns went through your details. I suggest you not to worry much. Erectile dysfunction a premature ejaculation is mostly in the minds and thinking, and mostly it is due to psychological. Masturbation is not a sin, it doe snot decrease your sexual power, it doe snot make you tired, it could not reduce your health. It is natural and even animals do masturbate. But worries and anxiety about masturbation can lead to PE and ED because they are also related to anxiety. Donor approach sex as essential. It is just part of life. You are supposed to enjoy it, not to worry. Don't be apprehensive about some future happening. Today something happened never means that the same will happen again in the future. Size of penis never matters in sexual pleasure. Love, intimacy and affection matters. You might need sexological counseling. Visit www.psychocure.blogspot.com/Hope this answers your query. Available for further clarifications. Good luck.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hi.. im 25 years old male... ive been masturbating since i was 14. initailly it takes nearly an hour to cum, but now within 10 seconds of masturbation it cums. length of my penis reduces gradually, and its not as harder as ti used to be..Is this what we called as PE or ED ?? what should i do to regain my sex power. plz help me out..can i live a healthy married life ?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Degree understand your concerns went through your details. I suggest you not to worry much. Erectile dysfunction a premature ejaculation is mostly in the minds and thinking, and mostly it is due to psychological. Masturbation is not a sin, it doe snot decrease your sexual power, it doe snot make you tired, it could not reduce your health. It is natural and even animals do masturbate. But worries and anxiety about masturbation can lead to PE and ED because they are also related to anxiety. Donor approach sex as essential. It is just part of life. You are supposed to enjoy it, not to worry. Don't be apprehensive about some future happening. Today something happened never means that the same will happen again in the future. Size of penis never matters in sexual pleasure. Love, intimacy and affection matters. You might need sexological counseling. Visit www.psychocure.blogspot.com/Hope this answers your query. Available for further clarifications. Good luck.<|eot_id|>

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

am using benzoyl peroxide and doxycycline for my acne vulagris..and its workin....but i need a moisturizer for my skin since it becomes dry...after using benzoyl peroxide....and how long should i use these medication to permantaly get rid of these acne...my problem..is oily and what food should i stop eatin..becouse some times when i eat eggs,fatmeat and stork..i devlop pimple and some fats..and what cosmetics should i use to have an acne free skin

Hello there Wong... to set some myths straight at the outset, food is Not Directly linked to acne eruptions. Also, your history of acne as it stands is insufficient to arrive at a detailed plan.to begin with, how old are you? Cosmetics used should ideally be water-based & not heavily layered on the skin. Market now has newer bases for benzyl peroxide that cause less irritation ...check with your local dermatologist; alternatively use a cleansing agent that leaves behind a moisturizing film to help you better. Reads & get well soon.cheers 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: am using benzoyl peroxide and doxycycline for my acne vulagris..and its workin....but i need a moisturizer for my skin since it becomes dry...after using benzoyl peroxide....and how long should i use these medication to permantaly get rid of these acne...my problem..is oily and what food should i stop eatin..becouse some times when i eat eggs,fatmeat and stork..i devlop pimple and some fats..and what cosmetics should i use to have an acne free skin<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello there Wong... to set some myths straight at the outset, food is Not Directly linked to acne eruptions. Also, your history of acne as it stands is insufficient to arrive at a detailed plan.to begin with, how old are you? Cosmetics used should ideally be water-based & not heavily layered on the skin. Market now has newer bases for benzyl peroxide that cause less irritation ...check with your local dermatologist; alternatively use a cleansing agent that leaves behind a moisturizing film to help you better. Reads & get well soon.cheers Chat Doctor.<|eot_id|>

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

Hi My boyfriend accidentally got pricked with a diabetic blood testing needle, it had been there for a while and not used for about 3 months but should he be worried and does he need blood test? The person whos needle it was was in very poor health and was on dialysis.

Hiif you know the patient was suffering from poor health & dialysis, they are already immunocompromised patients. If you can try to find out the viral status regarding HIV, Bag, HCV of the so-called patient it would be very helpful for you. Unused for 3 months if you are sure, not to worry. But for safer side try to find it out. These patients who undergo regular dialysis have all these viral infections more in common. Please try to be careful next time. All the best take care

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi My boyfriend accidentally got pricked with a diabetic blood testing needle, it had been there for a while and not used for about 3 months but should he be worried and does he need blood test? The person whos needle it was was in very poor health and was on dialysis.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hiif you know the patient was suffering from poor health & dialysis, they are already immunocompromised patients. If you can try to find out the viral status regarding HIV, Bag, HCV of the so-called patient it would be very helpful for you. Unused for 3 months if you are sure, not to worry. But for safer side try to find it out. These patients who undergo regular dialysis have all these viral infections more in common. Please try to be careful next time. All the best take care<|eot_id|>

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

Hello doctor, Im from chennai. My son is 2.5 yrs old, height-87cm, weight-11.5kg. He is often getting cold continued by running nose, cough and also that sound from chest. This occurs aleast once in a month. Iam giving medicines prescribed by doctor like moxikind tab, ambrolin, omnacortil, chericoff, cefolac not all in a single time but in some combination prescribed by doctor. Is it ok like i can proceed with these medicine, if in future my son gets ill? What is the reason for frequent illness? and how can i avoid it? Will this create any seroius problem for my son in future? Is he healthy orelse give me a good diet chart for him.

A child 2.5 years old is susceptible to changing weather and given that his immunity is not strong, is likely to get frequent such attacks. The medicines you are giving are best for quick but temporary relief but will not boost immunity in your child, neither will cure the problem. But that's not anybody's mistake. Quick acting medicine have its own uses. Since you are in India, you may get the advantage of Ayurveda. Bachaturbha 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, Im from chennai. My son is 2.5 yrs old, height-87cm, weight-11.5kg. He is often getting cold continued by running nose, cough and also that sound from chest. This occurs aleast once in a month. Iam giving medicines prescribed by doctor like moxikind tab, ambrolin, omnacortil, chericoff, cefolac not all in a single time but in some combination prescribed by doctor. Is it ok like i can proceed with these medicine, if in future my son gets ill? What is the reason for frequent illness? and how can i avoid it? Will this create any seroius problem for my son in future? Is he healthy orelse give me a good diet chart for him.<|eot_id|><|start_header_id|>assistant<|end_header_id|>A child 2.5 years old is susceptible to changing weather and given that his immunity is not strong, is likely to get frequent such attacks. The medicines you are giving are best for quick but temporary relief but will not boost immunity in your child, neither will cure the problem. But that's not anybody's mistake. Quick acting medicine have its own uses. Since you are in India, you may get the advantage of Ayurveda. Bachaturbha Chat Doctor.<|eot_id|>

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

Hi, I have had a painless lump mo my left bottom cheek which developed whilst I was doing Zumba 3 times a week and jogging too. I have had it now for 21/2 years and it is still there. I spoke to a doctor friend about it 2 years ago and she said it was probably just a pulled muscle, but now that I have done some research myself, I wonder if it s that simple. I also suffer from piriformis syndrome which is alleviated with stretching. Should I be worried?

HI, thanks for the query on lump on cheek bottom for last 2.5 yrs after Zumba. In my opinion it appears to be post-traumatic-ur-resolved-chronic hematoma. Other possibilities related to cheek bone or tooth need to be ruled out. I would advise checking up with the doctor in ER and investigate and treat on the lines suggested. Thnks. Wellcome again. Hope you got satisfied for the lead given to resolve your query. Thnks for query to Chat Doctor services.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, I have had a painless lump mo my left bottom cheek which developed whilst I was doing Zumba 3 times a week and jogging too. I have had it now for 21/2 years and it is still there. I spoke to a doctor friend about it 2 years ago and she said it was probably just a pulled muscle, but now that I have done some research myself, I wonder if it s that simple. I also suffer from piriformis syndrome which is alleviated with stretching. Should I be worried?<|eot_id|><|start_header_id|>assistant<|end_header_id|>HI, thanks for the query on lump on cheek bottom for last 2.5 yrs after Zumba. In my opinion it appears to be post-traumatic-ur-resolved-chronic hematoma. Other possibilities related to cheek bone or tooth need to be ruled out. I would advise checking up with the doctor in ER and investigate and treat on the lines suggested. Thnks. Wellcome again. Hope you got satisfied for the lead given to resolve your query. Thnks for query to Chat Doctor services.<|eot_id|>

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

What could be causing both sides of my ribs to feel like they are sinking or caving in? Sometimes both sides feel like that sometimes it s one side or the other and it feels like it s last 2-3 and I m not sure if this is normal but I ve never noticed it until recently that right under my breasts (both sides as well) there is a deep indent in one of the ribs in the front

Hello, What I can infer from your complaints is that your rib cage may appear indebted as we age that is senile kyphosis. In simple words, this means your upper back at the mid-spine level will bend as we age and hence our rib cage appears indebted. I would recommend, you to mention it to your physician during your next visit so that he can have a look. 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: What could be causing both sides of my ribs to feel like they are sinking or caving in? Sometimes both sides feel like that sometimes it s one side or the other and it feels like it s last 2-3 and I m not sure if this is normal but I ve never noticed it until recently that right under my breasts (both sides as well) there is a deep indent in one of the ribs in the front<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, What I can infer from your complaints is that your rib cage may appear indebted as we age that is senile kyphosis. In simple words, this means your upper back at the mid-spine level will bend as we age and hence our rib cage appears indebted. I would recommend, you to mention it to your physician during your next visit so that he can have a look. 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.

im a smoker and when i breath it hurts in my back and my chest feels so heavy ofcourse i have had nasal drip and very very thinck phlem for the last yr and have been takeing mucinex for 6 months now ,and im so worried i also have been haveing trouble with food getting stuck in my throat latley and they did the test on me last week for the barrium swallow and if there was something like fluid on my lungs could they have seen it with that test ???

HelloWelcome to Chat Doctor, Your history and symptoms are suggestive of respiratory infections which should be evaluated properly to provide adequate treatment. You may require physical examination and LSB investigations like CBC, chest X-ray and urine examinations to make a proper diagnosis. For the present symptoms I would suggest you to follow1. Steam inhalation with Vocals.2. Oral antihistamines3. Oral antibiotics like Tab Autoclave, 625 mg, twice daily.4. Spy Ambrosia S. 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: im a smoker and when i breath it hurts in my back and my chest feels so heavy ofcourse i have had nasal drip and very very thinck phlem for the last yr and have been takeing mucinex for 6 months now ,and im so worried i also have been haveing trouble with food getting stuck in my throat latley and they did the test on me last week for the barrium swallow and if there was something like fluid on my lungs could they have seen it with that test ???<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloWelcome to Chat Doctor, Your history and symptoms are suggestive of respiratory infections which should be evaluated properly to provide adequate treatment. You may require physical examination and LSB investigations like CBC, chest X-ray and urine examinations to make a proper diagnosis. For the present symptoms I would suggest you to follow1. Steam inhalation with Vocals.2. Oral antihistamines3. Oral antibiotics like Tab Autoclave, 625 mg, twice daily.4. Spy Ambrosia S. Thank you.<|eot_id|>

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

Hi my names Teddy. I have anxiety and panic attacks. I went to my family doctor and was prescribed paxil. I tried it for awhile but it didn t help and I still had no help with anxiety and panic attacks. I tried buspar and also hydroxyzine also were of no help to me. Buspar actually had an awful reaction with me. I have been living with anxiety and panic attacks for so long with no help because I just got insurance. My Dr. told me he doesn t believe in treating with benzodiazepines and offered a referral to a psychiatrist whom wasn t in my network but recommended I seek out a psychiatrist. So I did but also have researched benzodiazepines. The only thing I can find about this is Doctors unwilling to prescribe those medications and how hard it is to get this treatment mixed with therapy, yet people are still on them. A lot swear by them and a lot don t. So I wanted to try this treatment, recommended by my doctor and insurance representative and clinical nurse representative. My question is how do I go about asking for this treatment, benzodiazepines and cognitive behavioral therapy? Is it possible and plausible? Thanks.

Degree understand your concerns went through your details. I suggest you not to worry much. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Depending on your present condition the treatment length may be from one year to may be life long. If the diagnosis / treatment is right, cure is fast. My advice is - Do not worry about these things. Find a right psychiatrist and work with him. You will be cured. If you require more of my help in this aspect, Please post a direct question to me in this URL. http

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi my names Teddy. I have anxiety and panic attacks. I went to my family doctor and was prescribed paxil. I tried it for awhile but it didn t help and I still had no help with anxiety and panic attacks. I tried buspar and also hydroxyzine also were of no help to me. Buspar actually had an awful reaction with me. I have been living with anxiety and panic attacks for so long with no help because I just got insurance. My Dr. told me he doesn t believe in treating with benzodiazepines and offered a referral to a psychiatrist whom wasn t in my network but recommended I seek out a psychiatrist. So I did but also have researched benzodiazepines. The only thing I can find about this is Doctors unwilling to prescribe those medications and how hard it is to get this treatment mixed with therapy, yet people are still on them. A lot swear by them and a lot don t. So I wanted to try this treatment, recommended by my doctor and insurance representative and clinical nurse representative. My question is how do I go about asking for this treatment, benzodiazepines and cognitive behavioral therapy? Is it possible and plausible? Thanks.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Degree understand your concerns went through your details. I suggest you not to worry much. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Depending on your present condition the treatment length may be from one year to may be life long. If the diagnosis / treatment is right, cure is fast. My advice is - Do not worry about these things. Find a right psychiatrist and work with him. You will be cured. If you require more of my help in this aspect, Please post a direct question to me in this URL. http<|eot_id|>

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

Hi , I am Anju aged 34 years. Height 5.2 feet , weight 55 kgs.It is the 1st time that I have been diagonised with gall bladder stones. 2 stones 0f 14 mm each.Doctor has prescribed taking Udiliv tablets. Please suggest whether these tabs will help in reducing the size of the stones.

Hi dear I can understand your concern... Let me familiar you with Ad\u00edlio tablet... See it is ursodeoxycholic acid.... It is nothing but just bile acid...... It dissolves cholesterol in bile.... It inhibits cholesterol absorption... It will also inhibit apoptosis.... So it will help in gall stone treatment as well as prevention. Take this Chat Doctor. ... It might dissolve stones.... Take low fat diet..... Fruits more..... Regular follow up needed..... Udiliv tablet as well as syrup available.... Keeping these in mind consult gastroenterologist..... 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 Anju aged 34 years. Height 5.2 feet , weight 55 kgs.It is the 1st time that I have been diagonised with gall bladder stones. 2 stones 0f 14 mm each.Doctor has prescribed taking Udiliv tablets. Please suggest whether these tabs will help in reducing the size of the stones.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi dear I can understand your concern... Let me familiar you with Ad\u00edlio tablet... See it is ursodeoxycholic acid.... It is nothing but just bile acid...... It dissolves cholesterol in bile.... It inhibits cholesterol absorption... It will also inhibit apoptosis.... So it will help in gall stone treatment as well as prevention. Take this Chat Doctor. ... It might dissolve stones.... Take low fat diet..... Fruits more..... Regular follow up needed..... Udiliv tablet as well as syrup available.... Keeping these in mind consult gastroenterologist..... Take care.....<|eot_id|>

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

I m a 28 year old male and I ve had an issue with my feet swelling up a lot, it s been happening off and on for about a year. They will particularly balloon in the afternoon and the skin is tight and it s very uncomfortable to walk around in shoes. in the mornings it s still swollen but not as much. There s no real pain, just the tightness of the skin and related pain from that when i walk in shoes. I ve tried reading up on what it could be but none of it really sounds like unless it s a heart issue or kidney or something else that could somehow have no other side effect.

Hi, welcome to Chat Doctor And Thank You for the query. I think it would not be genuine to just decide on the basis of given symptom. Firstly I would suggest you to diagnose whether its pitting or non pitting type of swelling? Is it edematous? It may be due to hypertension?go for Blood Pressure measurement. Go for Complete blood test. Tell me more about your weight? Is there any swelling under eyes? Any Injury before ? Any medication you are taking? Any joint affected? Provide us with more details for further guidance. Hoping good health for you. Many 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 m a 28 year old male and I ve had an issue with my feet swelling up a lot, it s been happening off and on for about a year. They will particularly balloon in the afternoon and the skin is tight and it s very uncomfortable to walk around in shoes. in the mornings it s still swollen but not as much. There s no real pain, just the tightness of the skin and related pain from that when i walk in shoes. I ve tried reading up on what it could be but none of it really sounds like unless it s a heart issue or kidney or something else that could somehow have no other side effect.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, welcome to Chat Doctor And Thank You for the query. I think it would not be genuine to just decide on the basis of given symptom. Firstly I would suggest you to diagnose whether its pitting or non pitting type of swelling? Is it edematous? It may be due to hypertension?go for Blood Pressure measurement. Go for Complete blood test. Tell me more about your weight? Is there any swelling under eyes? Any Injury before ? Any medication you are taking? Any joint affected? Provide us with more details for further guidance. Hoping good health for you. Many Thanks, Chat Doctor.<|eot_id|>

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

i had an infection in my navel recently and i sprayed it out with my shower head. afterwords i went to swab it out and it appeared(felt) like it had opened. I even stuck my finger in and it felt like it went very deep , much more than originaly. could my navel have opened somehow?

Hi, Thanks for posting in Chat Doctor. I understand your concern. Kindly do the following to overcome the infection in the naval area. 1. Wash the area with warm water and mild antiseptic solution like Salon twice daily. 2. Apply Aureomycin cream on the lesions after Chat Doctor. 3. Take anti-inflammatory medication like Ibuprofen after food. Keep the area under good hygiene. Hope the information provided would be helpful. 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: i had an infection in my navel recently and i sprayed it out with my shower head. afterwords i went to swab it out and it appeared(felt) like it had opened. I even stuck my finger in and it felt like it went very deep , much more than originaly. could my navel have opened somehow?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for posting in Chat Doctor. I understand your concern. Kindly do the following to overcome the infection in the naval area. 1. Wash the area with warm water and mild antiseptic solution like Salon twice daily. 2. Apply Aureomycin cream on the lesions after Chat Doctor. 3. Take anti-inflammatory medication like Ibuprofen after food. Keep the area under good hygiene. Hope the information provided would be helpful. All the best.<|eot_id|>

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

Ive been to a urologist and we covered everything. Prostate exam, xrays, and ultra sound... diagnosis unsure, so doc gave me a month of antibiotics 3 months. I finished the meds but here I am again with the same pain in testicles and abdomen. Ouch! Pain maybe 7, testicles feel heavy... please help.

Hi. Thanks for your query. Noted your history and understood the concerns. You have already seen the urologist and undergone all the necessary tests, prostate, X-rays, ultrasound yet the diagnosis was unsure. So the Urologist gave you a long courses of antibiotics, but the pain is here again 7 on a scale of 10. The pain in the testicles and abdomen with feeling of heaviness indicate that there may be either a local problem which can be diagnosed by MRI of the scrotum. If there is a doubt, there is always a chance to take a second opinion of another Urologist or a senior General Surgeon. Scrotal support to elevate off the weight is also needed.

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 been to a urologist and we covered everything. Prostate exam, xrays, and ultra sound... diagnosis unsure, so doc gave me a month of antibiotics 3 months. I finished the meds but here I am again with the same pain in testicles and abdomen. Ouch! Pain maybe 7, testicles feel heavy... please help.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. Thanks for your query. Noted your history and understood the concerns. You have already seen the urologist and undergone all the necessary tests, prostate, X-rays, ultrasound yet the diagnosis was unsure. So the Urologist gave you a long courses of antibiotics, but the pain is here again 7 on a scale of 10. The pain in the testicles and abdomen with feeling of heaviness indicate that there may be either a local problem which can be diagnosed by MRI of the scrotum. If there is a doubt, there is always a chance to take a second opinion of another Urologist or a senior General Surgeon. Scrotal support to elevate off the weight is also needed.<|eot_id|>

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

my heart beats and i am getting nervous when i scould others and i am getting pain in my left hand Age

Hello, your condition may be a neuropathy. Feeling your heart beat is called palpitation, it can be fast or slow. Fast heart beat leads to formation of blood clots which gets lodged in various organs like brain etc. causing limb weakness. If the heart beat is slow you will feel light-headed, sweating etc. Pain in the joints can be due to the inflammation of the joints called arthropathy.a definite diagnosis can be made only after clinical examination and relevant investigations.I would advise you to meet your physician regarding this. A clinical examination will help to understand the pain and weakness. A simple EKG will help to know the functioning of your heart. If all turns out negative then this might be due to anxiety alone which can be treated.I hope I have answered your 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: my heart beats and i am getting nervous when i scould others and i am getting pain in my left hand Age<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, your condition may be a neuropathy. Feeling your heart beat is called palpitation, it can be fast or slow. Fast heart beat leads to formation of blood clots which gets lodged in various organs like brain etc. causing limb weakness. If the heart beat is slow you will feel light-headed, sweating etc. Pain in the joints can be due to the inflammation of the joints called arthropathy.a definite diagnosis can be made only after clinical examination and relevant investigations.I would advise you to meet your physician regarding this. A clinical examination will help to understand the pain and weakness. A simple EKG will help to know the functioning of your heart. If all turns out negative then this might be due to anxiety alone which can be treated.I hope I have answered your query. Take care<|eot_id|>

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

hi Thankyou I am a 56 year old extremely healthy male. All of a sudden I started to develop skin discolouration on my penis shaft and also scotum sack. It is a darkish colour and looks sort oof identical to a giraffes body colouring (patchy) Gosh I would love to know what reason- it has never happened before- It developed 4 months ago - and does not seem to be fading back to normal, thanks heaps. Patrick

Hello really appreciate your concernLooking at your description this could be suggestive of STI, other infection or an allergic reaction or may be penile cancer (very rare)I would like further information to help you better relevant medical history like diabetes or history of unprotected sex? Are you having any kind of dischargeSince how long you have this problem In my opinion you should keep it clean and apply antiseptic ointment If it gets worsen or doesn't improve than you should consult your doctor for physical check up and detailed evaluationMaintain good hygiene use condoms during sex until it heals completely Hope this answers your question if you have any more doubts please feel free to write back to me, I will be happy to help you Best wishes

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hi Thankyou I am a 56 year old extremely healthy male. All of a sudden I started to develop skin discolouration on my penis shaft and also scotum sack. It is a darkish colour and looks sort oof identical to a giraffes body colouring (patchy) Gosh I would love to know what reason- it has never happened before- It developed 4 months ago - and does not seem to be fading back to normal, thanks heaps. Patrick<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello really appreciate your concernLooking at your description this could be suggestive of STI, other infection or an allergic reaction or may be penile cancer (very rare)I would like further information to help you better relevant medical history like diabetes or history of unprotected sex? Are you having any kind of dischargeSince how long you have this problem In my opinion you should keep it clean and apply antiseptic ointment If it gets worsen or doesn't improve than you should consult your doctor for physical check up and detailed evaluationMaintain good hygiene use condoms during sex until it heals completely Hope this answers your question if you have any more doubts please feel free to write back to me, I will be happy to help you Best wishes<|eot_id|>

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

5 days ago I tried to pick up something too heavy and strained by lower back. I iced a few days to reduce swelling, took ib pro for pain and lately wrapped my back a few days and began heat and Epson baths. ... last night I felt really nauseas, but thought it was a household chemical. today felt times of mild nausea. ... could I have a slipped disk pressing on a nerve?

Hi, As mentioned by you, most of the time the pain in the back is muscular, and if you have any disc injury it is tough to mention. As MRI scan can help visualize the inner soft tissues of the spine and help assess further. If the pain is not lowering down and swelling is also present I will advise to get an orthopedic assessment done, and an MRI will also help to plan the next step. Performing physical therapy along with proper rest recovers cases up to 99% success. It is even my personal experience with my patients. I wish you to have a good healthRegardsJay 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: 5 days ago I tried to pick up something too heavy and strained by lower back. I iced a few days to reduce swelling, took ib pro for pain and lately wrapped my back a few days and began heat and Epson baths. ... last night I felt really nauseas, but thought it was a household chemical. today felt times of mild nausea. ... could I have a slipped disk pressing on a nerve?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, As mentioned by you, most of the time the pain in the back is muscular, and if you have any disc injury it is tough to mention. As MRI scan can help visualize the inner soft tissues of the spine and help assess further. If the pain is not lowering down and swelling is also present I will advise to get an orthopedic assessment done, and an MRI will also help to plan the next step. Performing physical therapy along with proper rest recovers cases up to 99% success. It is even my personal experience with my patients. I wish you to have a good healthRegardsJay In Chat Doctor.<|eot_id|>

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

I have been having pain in the center of my chest that feels like someone punched than it end in a throbbing feeling under right arm pit. The pain in chest only lasts for a second, but the throbbing lasts longer. Seems to happen after eating. Blood pressure is normal.

Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. Based on the facts of your query, you seem to suffer frogger with Right diaphragmatic irritation with heavy meals with acid reflux. This causes center chest pain with throbbing pain in right armpit. Right Colonic Fleur would cause this type of right arm discomfort most probably. Center Chest pain is due to the Acid Reflux with HERD.check with Stool ova/cyst to rule out Guardians and rule out Enterocolitis in right hepatic Fleur of the colon with IBS. This is my advice in the given situation. Take care and wish you to recover fast and Live healthy. Hope this reply would help you to plan further treatment with your family and specialist doctors there. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have been having pain in the center of my chest that feels like someone punched than it end in a throbbing feeling under right arm pit. The pain in chest only lasts for a second, but the throbbing lasts longer. Seems to happen after eating. Blood pressure is normal.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. Based on the facts of your query, you seem to suffer frogger with Right diaphragmatic irritation with heavy meals with acid reflux. This causes center chest pain with throbbing pain in right armpit. Right Colonic Fleur would cause this type of right arm discomfort most probably. Center Chest pain is due to the Acid Reflux with HERD.check with Stool ova/cyst to rule out Guardians and rule out Enterocolitis in right hepatic Fleur of the colon with IBS. This is my advice in the given situation. Take care and wish you to recover fast and Live healthy. Hope this reply would help you to plan further treatment with your family and specialist doctors there. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS<|eot_id|>

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

Hello doctor how are you I have a question after coming back from a holiday I weighted myself and saw an increase in 5 kg in one week I managed to lose 1 kg using duromine I used to take duromine last year and I had one week supply left over so I used that I have also noticed my waist increase I never had an increase waist even when I was fat I had a flat stomach now it s all flabby. Also in past month my salt intake was high as well as I really like salty things is it just water retention or could there be something els I have stopped eating nearly nd still waist has not dropped do u think I would have some other sort of disease such as liver

Welcome to Chat Doctor. Hope you are doing good. We often gain weight rapidly without knowing it the cause could be eating habits, limited physical activity and much more. Bromine tablets are not effective if you don't have control over your diet and do not physically active (I mean enough exercise to burn fats). Advance re-search also shows that one of the cause of weight gain is not proper functioning of liver. But in your case I think don't blame the liver. Let Me give you simple plan

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 how are you I have a question after coming back from a holiday I weighted myself and saw an increase in 5 kg in one week I managed to lose 1 kg using duromine I used to take duromine last year and I had one week supply left over so I used that I have also noticed my waist increase I never had an increase waist even when I was fat I had a flat stomach now it s all flabby. Also in past month my salt intake was high as well as I really like salty things is it just water retention or could there be something els I have stopped eating nearly nd still waist has not dropped do u think I would have some other sort of disease such as liver<|eot_id|><|start_header_id|>assistant<|end_header_id|>Welcome to Chat Doctor. Hope you are doing good. We often gain weight rapidly without knowing it the cause could be eating habits, limited physical activity and much more. Bromine tablets are not effective if you don't have control over your diet and do not physically active (I mean enough exercise to burn fats). Advance re-search also shows that one of the cause of weight gain is not proper functioning of liver. But in your case I think don't blame the liver. Let Me give you simple plan<|eot_id|>

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

hi doctor, I am 27 a tb patient in lung.I am taking madicine during 2 weeks and my marriage was fixed after 3months(after I took medication).Is it safe to marry right now I am afraid to spread infection to my spouse or can I infectious my husband when kissing or touching tounge or breast feeding. pls. advise....thnx.

Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about all these. Tuberculosis is 100%curable with 6-8 months of treatment. TB patients are infectious only during first month of treatment. After first month, patient starts improving in terms of cough, fever, expectoration, weight gain etc. So at the time of your marriage, you will be noncontagious and will not spread infection today your future husband. So no need to worry about spread of infection while kissing or touching tongue. Better to avoid pregnancy during treatment of tuberculosis. Once your treatment is complete you can plan pregnancy. No harm today your baby in breastfeeding too. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hi doctor, I am 27 a tb patient in lung.I am taking madicine during 2 weeks and my marriage was fixed after 3months(after I took medication).Is it safe to marry right now I am afraid to spread infection to my spouse or can I infectious my husband when kissing or touching tounge or breast feeding. pls. advise....thnx.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about all these. Tuberculosis is 100%curable with 6-8 months of treatment. TB patients are infectious only during first month of treatment. After first month, patient starts improving in terms of cough, fever, expectoration, weight gain etc. So at the time of your marriage, you will be noncontagious and will not spread infection today your future husband. So no need to worry about spread of infection while kissing or touching tongue. Better to avoid pregnancy during treatment of tuberculosis. Once your treatment is complete you can plan pregnancy. No harm today your baby in breastfeeding too. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.<|eot_id|>

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

Dear Doctor, I am a 25 yrs old married woman, At this point of time I am suspecting pregnancy, i wish that i am pregnant. Is it safe for me to use nimulside tablets for head ache at this point of time or can i use some other tablet ? please help me by your suggestions

Hi, It is not safe to during pregnancy. Nimesulide is a non-steroidal anti-inflammatory Chat Doctor. It is not recommended for women who are pregnant or planning to get pregnant in near future. It can cause harmful effects on the developing fetus especially during pregnancy. I advise you to take paracetamol tablets in normal doses for the symptomatic relief of pain. Hope I have answered your question. Let me know if I can assist you further.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Dear Doctor, I am a 25 yrs old married woman, At this point of time I am suspecting pregnancy, i wish that i am pregnant. Is it safe for me to use nimulside tablets for head ache at this point of time or can i use some other tablet ? please help me by your suggestions<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, It is not safe to during pregnancy. Nimesulide is a non-steroidal anti-inflammatory Chat Doctor. It is not recommended for women who are pregnant or planning to get pregnant in near future. It can cause harmful effects on the developing fetus especially during pregnancy. I advise you to take paracetamol tablets in normal doses for the symptomatic relief of pain. Hope I have answered your question. Let me know if I can assist you further.<|eot_id|>

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

I am a 34 yr old healthy female! In November 2012 I strated feeling the sensation that my throat was closing up and had a burning sensation. I went to the doctor and was advised I had a vitamin b12 deficiency, immediately strated taking a supplement every two weeks and was put on a acid reflux medication. This did not work and the problem continued I went to see a ear, nose and throat specialist who advised me I have swollen tissue due to acid reflux and stress and it should get better...I have had a scope and it has remained the same buy now I have in addition to the above I now have a white substance on the back of my tongue which bleeds and I have very tender gums where my wisdom teeth were plus very bad breathe? I use a mouth guard but that doesnt help, I also brush my teeth two times a day and floss with no bleeding.Please help meTanya

Hi, Thanks for asking the query, Bleeding gums, bad breath occurs due to poor oral hygiene maintainenece resulting in plague and food debris accumulation, nutritional deficiencies, immunological disorders, faulty appliances, hormonal imbalance. I would suggest you to visit the Dentist and get a checkup done. Take an OPG radiograph which will give entire picture of gums, bone loss and wisdom tooth. Go for symptomatic treatment of complete mouth scaling and polishing. Take multivitamin tablets. Use chlorhexidine mouthwash regularly. Include vitamin, vitB12 containing food in your diet like lemon, oranges. As you have mentioned you have GIT problems get a checkup done by a Gastroenterologist. Also check your menstrual cycle, blood sugar level to know whether you are diabetic or not. You might be having Peritonitis around the wisdom tooth, Get checkup done and if needed to get the tooth extracted. Maintain a good oral hygiene. Hope this helps out. Regards...

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I am a 34 yr old healthy female! In November 2012 I strated feeling the sensation that my throat was closing up and had a burning sensation. I went to the doctor and was advised I had a vitamin b12 deficiency, immediately strated taking a supplement every two weeks and was put on a acid reflux medication. This did not work and the problem continued I went to see a ear, nose and throat specialist who advised me I have swollen tissue due to acid reflux and stress and it should get better...I have had a scope and it has remained the same buy now I have in addition to the above I now have a white substance on the back of my tongue which bleeds and I have very tender gums where my wisdom teeth were plus very bad breathe? I use a mouth guard but that doesnt help, I also brush my teeth two times a day and floss with no bleeding.Please help meTanya<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for asking the query, Bleeding gums, bad breath occurs due to poor oral hygiene maintainenece resulting in plague and food debris accumulation, nutritional deficiencies, immunological disorders, faulty appliances, hormonal imbalance. I would suggest you to visit the Dentist and get a checkup done. Take an OPG radiograph which will give entire picture of gums, bone loss and wisdom tooth. Go for symptomatic treatment of complete mouth scaling and polishing. Take multivitamin tablets. Use chlorhexidine mouthwash regularly. Include vitamin, vitB12 containing food in your diet like lemon, oranges. As you have mentioned you have GIT problems get a checkup done by a Gastroenterologist. Also check your menstrual cycle, blood sugar level to know whether you are diabetic or not. You might be having Peritonitis around the wisdom tooth, Get checkup done and if needed to get the tooth extracted. Maintain a good oral hygiene. Hope this helps out. Regards...<|eot_id|>

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

Hi... My baby is 6 mths old... Till 3 mths i breast fed her but as i had to join my work back i started giving her Buffaloes milk as well as other solid food like Khicdi, Ragi, Fresh fruit pulp etc... is buffaloes Milk Harmful for her. please advice whether i can switch to Nan 1

Let me emphasize on the fact that breast milk is the best feed for a baby up to 6 months of age. Beyond that, the baby needs a mashed version of adult diet low on spices, introduced step by step. Milk becomes an optional component at this age if other sources of nutrients are included in diet. Cow or buffalo milk has high protein content and hence is difficult for a baby to digest. Most formula milks are cow milk based, and although they are not directly harmful and may be given, but I would prefer homemade semi solids made from boiling rice and pulses along with vegetables and giving it after mashing it. You are doing the right thing by giving Chichi, Reign and pulp of fresh fruits. Most of these would be more nutritive than the available formula, and so I would not speak in favor of formula like NAN or buffalo milk.

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 baby is 6 mths old... Till 3 mths i breast fed her but as i had to join my work back i started giving her Buffaloes milk as well as other solid food like Khicdi, Ragi, Fresh fruit pulp etc... is buffaloes Milk Harmful for her. please advice whether i can switch to Nan 1<|eot_id|><|start_header_id|>assistant<|end_header_id|>Let me emphasize on the fact that breast milk is the best feed for a baby up to 6 months of age. Beyond that, the baby needs a mashed version of adult diet low on spices, introduced step by step. Milk becomes an optional component at this age if other sources of nutrients are included in diet. Cow or buffalo milk has high protein content and hence is difficult for a baby to digest. Most formula milks are cow milk based, and although they are not directly harmful and may be given, but I would prefer homemade semi solids made from boiling rice and pulses along with vegetables and giving it after mashing it. You are doing the right thing by giving Chichi, Reign and pulp of fresh fruits. Most of these would be more nutritive than the available formula, and so I would not speak in favor of formula like NAN or buffalo milk.<|eot_id|>

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

My first day of last periods was 30 June and I usually have 28 days cycle I ovulated possibly on 16th night but had unprotected on 17th morning Took levonelle on 19th noon and a bit worried coz I did nt had my periods which should have been due on 28th July I took two home tests which shows negative But I m feeling a bit bloated How long should I wait to take other test

Hi, I have understood your concern. I will suggest you the best possible treatment options. 1) First of all do not panic. 2) I will suggest you to wait till 15 to 20 days after your episode of unprotected sex act. If you Still happen to cross your dates, then please get mornings first sample of urine tested for pregnancy. In case of doubt blood beta Chat Doctor test and USG will be of help. 3) If you are pregnant, you can opt to continue with the pregnancy or if you want to terminate the pregnancy, then you can opt for termination of the pregnancy with medicines safely till 9 weeks of pregnancy under medical supervision. 4) If your pregnancy test is negative, then you can simply wait for the onset of periods or induce the periods with progesterone tablets. Your treating doctor can guide you further about the doses and with Chat Doctor. I hope this answer helps you. Let me know if I can assist you further. 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 first day of last periods was 30 June and I usually have 28 days cycle I ovulated possibly on 16th night but had unprotected on 17th morning Took levonelle on 19th noon and a bit worried coz I did nt had my periods which should have been due on 28th July I took two home tests which shows negative But I m feeling a bit bloated How long should I wait to take other test<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, I have understood your concern. I will suggest you the best possible treatment options. 1) First of all do not panic. 2) I will suggest you to wait till 15 to 20 days after your episode of unprotected sex act. If you Still happen to cross your dates, then please get mornings first sample of urine tested for pregnancy. In case of doubt blood beta Chat Doctor test and USG will be of help. 3) If you are pregnant, you can opt to continue with the pregnancy or if you want to terminate the pregnancy, then you can opt for termination of the pregnancy with medicines safely till 9 weeks of pregnancy under medical supervision. 4) If your pregnancy test is negative, then you can simply wait for the onset of periods or induce the periods with progesterone tablets. Your treating doctor can guide you further about the doses and with Chat Doctor. I hope this answer helps you. Let me know if I can assist you further. Thanks,<|eot_id|>

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

Mt father was diagnosed with stage 4 melanoma in Dec. We know the end is near. His lungs are filling us with the cancer and his breathing has gotten very difficult. he also is in a lot of pain. A couple weeks ago his feet and ankles started to really swell. The swelling is now in his hands and fluid is building up in his body. Any indication of how much time this means we have with him. I live 4 hours away and need to know if I should go home NOW. thank you

Hi, The symptoms are end stage. We cannot predict the time for the last breath. I think you should be with your father during his last days. Give him emotional support, recollect days you spent with him. Promise him that you lead life keep up his name and honor. If he is building fluid in all the parts of the body where soon his lungs and heart stop to function. How long will it take is very difficult.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Mt father was diagnosed with stage 4 melanoma in Dec. We know the end is near. His lungs are filling us with the cancer and his breathing has gotten very difficult. he also is in a lot of pain. A couple weeks ago his feet and ankles started to really swell. The swelling is now in his hands and fluid is building up in his body. Any indication of how much time this means we have with him. I live 4 hours away and need to know if I should go home NOW. thank you<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, The symptoms are end stage. We cannot predict the time for the last breath. I think you should be with your father during his last days. Give him emotional support, recollect days you spent with him. Promise him that you lead life keep up his name and honor. If he is building fluid in all the parts of the body where soon his lungs and heart stop to function. How long will it take is very difficult.<|eot_id|>

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

I am a 54 year old male with an enlarged heart due to genetics. Here lately it has been going a-fib a lot more often, and staying longer. I was taken to the hospital with Congestive Heart Failure last Monday. It is May, and my ablation surgery isnt until August at the earliest. I am taking amiodarone, lisinopril (zestril), metoprolol (lopressor), and am on warfarin (coumadin) bloodthinners. I have been coughing a lot with the CHF, which causes me to go into and out of A-fib. Is there anything I can do to get back into sinus rhythm?

Hello, First the reversibility depends upon on size of Atria, if they are extensively enlarged then there is less possibility that you will maintain sinus rhythm for long. If not then other Chat Doctor. You can discuss with your local doctor. Also, regarding CCF, I think you also need to be on diuretics like horsehide and spironolactone, which are important in CCF. So you can discuss both these issues. In general, you, you restrict your fluid and salt intake. 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 a 54 year old male with an enlarged heart due to genetics. Here lately it has been going a-fib a lot more often, and staying longer. I was taken to the hospital with Congestive Heart Failure last Monday. It is May, and my ablation surgery isnt until August at the earliest. I am taking amiodarone, lisinopril (zestril), metoprolol (lopressor), and am on warfarin (coumadin) bloodthinners. I have been coughing a lot with the CHF, which causes me to go into and out of A-fib. Is there anything I can do to get back into sinus rhythm?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, First the reversibility depends upon on size of Atria, if they are extensively enlarged then there is less possibility that you will maintain sinus rhythm for long. If not then other Chat Doctor. You can discuss with your local doctor. Also, regarding CCF, I think you also need to be on diuretics like horsehide and spironolactone, which are important in CCF. So you can discuss both these issues. In general, you, you restrict your fluid and salt intake. Hope I have answered your query. Let me know if I can assist you further.<|eot_id|>

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

Hi, I am Ritobroto from Kolkata. my baby is 4 years old girl. From last few weeks she started complaining about pain inside her ear. Almost everyday she complains it. But within a few hour she forgtes about it starts playing around. Initially we thought she might be fooling us but since she had serious ear-pains 2 times in last year(due to cold, as doctors said) we are a bit worried about this complain. Can you suggest advice something Thanks Ritobroto

Hello Rigoberto. I just have gone through your query. First never take your children problem for granted. By doing this you unintentionally are losing her faith in you. Always listen to your child and try to help her as much as you can. Try to believe in your child in her every single concern.Anyhow, as you said that she suffered 2 times from severe earache due to cold. I would suggest you to please get her ears checked from a good ENT specialist in your area. Only after that we would be able to judge what is wrong with her. There might be infection leading to pain, or any blockage or only earwax might be troubling her. I 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 am Ritobroto from Kolkata. my baby is 4 years old girl. From last few weeks she started complaining about pain inside her ear. Almost everyday she complains it. But within a few hour she forgtes about it starts playing around. Initially we thought she might be fooling us but since she had serious ear-pains 2 times in last year(due to cold, as doctors said) we are a bit worried about this complain. Can you suggest advice something Thanks Ritobroto<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello Rigoberto. I just have gone through your query. First never take your children problem for granted. By doing this you unintentionally are losing her faith in you. Always listen to your child and try to help her as much as you can. Try to believe in your child in her every single concern.Anyhow, as you said that she suffered 2 times from severe earache due to cold. I would suggest you to please get her ears checked from a good ENT specialist in your area. Only after that we would be able to judge what is wrong with her. There might be infection leading to pain, or any blockage or only earwax might be troubling her. I hope this helps you.<|eot_id|>

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

Ive recently had a bad sinus infection - but have been clear of most symptoms for about a 10 days. Beginning 2 days ago, Ive been experiencing airway constriction that has led to difficulty sleeping and apnea-like reactions. This came on suddenly and usually only bothers me at night. However, now on day 3 of this, Im started to get concerned.

Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of sinus infection at night which are pointing towards condition called sinusitis. I would suggest you to take steam 2-3 times a day to relieve congestion, Chat Doctor. You can also take ibuprofen (if not allergic) or acetaminophen for pain and swelling. For allergy take over the counter antihistamine

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 recently had a bad sinus infection - but have been clear of most symptoms for about a 10 days. Beginning 2 days ago, Ive been experiencing airway constriction that has led to difficulty sleeping and apnea-like reactions. This came on suddenly and usually only bothers me at night. However, now on day 3 of this, Im started to get concerned.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of sinus infection at night which are pointing towards condition called sinusitis. I would suggest you to take steam 2-3 times a day to relieve congestion, Chat Doctor. You can also take ibuprofen (if not allergic) or acetaminophen for pain and swelling. For allergy take over the counter antihistamine<|eot_id|>

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

so about a year ago i had my tongue pierced and about two to three months afterwards i took it out... now at the bottom part of my tongue where the hole was from the piercing there is now a bump there and it has been a concern to me i am just curious as to what this could be?

Hi, Welcome to Chat Doctor. This could be due to impacted food with granuloma/ or could be mucous inclusion Desmond cyst/ or could be abscessed at the pierced site. Hope this would help you to resolve your query. Else Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVTS

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: so about a year ago i had my tongue pierced and about two to three months afterwards i took it out... now at the bottom part of my tongue where the hole was from the piercing there is now a bump there and it has been a concern to me i am just curious as to what this could be?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Welcome to Chat Doctor. This could be due to impacted food with granuloma/ or could be mucous inclusion Desmond cyst/ or could be abscessed at the pierced site. Hope this would help you to resolve your query. Else Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVTS<|eot_id|>

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

I have been having stomach pains for sometime now had a CT scan and no cancer there but sometimes lately my balls hurt like being kicked in them it does go away but it lasts bout half to full hour I do smoke no drinking and am a pot smoker too I drink bout 2 cups of coffee and lots of gator aid I m 38 and wondering what s up?

Hi. Thanks for your query. Pain in abdomen with normal CT scan and occasional pain in both the testes indicate that there may be a local problem of the testes like

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 having stomach pains for sometime now had a CT scan and no cancer there but sometimes lately my balls hurt like being kicked in them it does go away but it lasts bout half to full hour I do smoke no drinking and am a pot smoker too I drink bout 2 cups of coffee and lots of gator aid I m 38 and wondering what s up?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. Thanks for your query. Pain in abdomen with normal CT scan and occasional pain in both the testes indicate that there may be a local problem of the testes like<|eot_id|>

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

I have taken all kinds of tests and it all shows in normal range. I have had peripheral neuropothy for 25 years and tests show damaged nerves. However, all they want to do is give me Neurotin or Lyrica . It seems to be causing BP spikes. I am on a 5 mg daily dose of Amlodipine Besylate that I think is controlling that. I can handle the tingling , numbness and pain but for the past year I have had such extreme fatigue all day, evey day now that makes life seem useless. I know I am old but want to lose 30 lbs that has shown up over the past 6 months, hoping losing that will give me more energy but I get such extreme weakness and fatigue it is difficult to diet. Is there any advise at all?

HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I could say that you have not given your age and gender here this was very necessary here for giving you good advise still I could say that hypertensive patient may feel fatigue some time that may be due to the uncontrolled blood pressure other cardiac elements that need to be investigated, have a nice day.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have taken all kinds of tests and it all shows in normal range. I have had peripheral neuropothy for 25 years and tests show damaged nerves. However, all they want to do is give me Neurotin or Lyrica . It seems to be causing BP spikes. I am on a 5 mg daily dose of Amlodipine Besylate that I think is controlling that. I can handle the tingling , numbness and pain but for the past year I have had such extreme fatigue all day, evey day now that makes life seem useless. I know I am old but want to lose 30 lbs that has shown up over the past 6 months, hoping losing that will give me more energy but I get such extreme weakness and fatigue it is difficult to diet. Is there any advise at all?<|eot_id|><|start_header_id|>assistant<|end_header_id|>HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I could say that you have not given your age and gender here this was very necessary here for giving you good advise still I could say that hypertensive patient may feel fatigue some time that may be due to the uncontrolled blood pressure other cardiac elements that need to be investigated, have a nice day.<|eot_id|>

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

I am 34 year old. I am suffering from weakness, letharginess and body stifness. If I stand for a while my back body start getting stiff. Even though I take good sleep, I feel sleepy entire day. Due to all this my sexual desire is also decreasing everyday which is effecting my newly married life. Kindly suggest the cure. Thanks in advance.

Hi there ~ Firstly you might need to consult a psychiatrist to find out if you have any difficulties in your libido or have other mental health concerns like depression. Otherwise, you have a very common problem of erectile dysfunction and / or premature ejaculation, and it can be easily treated with medications available during this time. The class of medication is called phosphodiesterase 5 inhibitors (PDE5Inh) selective serotonin reuptake inhibitors, and it also helps with decreased libido which is a result of depression if you are going through one. I advise you to consult with a qualified psychiatrist who might be able to help in this regard. I hope this helps. Take care and have a lovely 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: I am 34 year old. I am suffering from weakness, letharginess and body stifness. If I stand for a while my back body start getting stiff. Even though I take good sleep, I feel sleepy entire day. Due to all this my sexual desire is also decreasing everyday which is effecting my newly married life. Kindly suggest the cure. Thanks in advance.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi there ~ Firstly you might need to consult a psychiatrist to find out if you have any difficulties in your libido or have other mental health concerns like depression. Otherwise, you have a very common problem of erectile dysfunction and / or premature ejaculation, and it can be easily treated with medications available during this time. The class of medication is called phosphodiesterase 5 inhibitors (PDE5Inh) selective serotonin reuptake inhibitors, and it also helps with decreased libido which is a result of depression if you are going through one. I advise you to consult with a qualified psychiatrist who might be able to help in this regard. I hope this helps. Take care and have a lovely day!<|eot_id|>

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

Dear Doctor, I think I am suffering from a severe case of groin itch. The skin around the area has turned black. I drive my own cab the entire day & at times the itching becomes severe, especially at night while sleeping. I have applied Clotrimazole Cream IP & I do get some relief but it keeps coming back. Usually during severe itching, I feel small lumps which itch the most! It is really embarrassing especially when am with clients sitting in my cab, Please Help!

Hi. I have gone through your query. You are having a Fungal infection in the groin area. I would suggest 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: Dear Doctor, I think I am suffering from a severe case of groin itch. The skin around the area has turned black. I drive my own cab the entire day & at times the itching becomes severe, especially at night while sleeping. I have applied Clotrimazole Cream IP & I do get some relief but it keeps coming back. Usually during severe itching, I feel small lumps which itch the most! It is really embarrassing especially when am with clients sitting in my cab, Please Help!<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. I have gone through your query. You are having a Fungal infection in the groin area. I would suggest the following<|eot_id|>

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

Hello, My name is Amber, and my jaw is swollen from my abscessed tooth, and my dentist has me on Metronidazole 500 mg, for seven days to get rid of the infection before they extract the tooth, but my jaw is swollen it is going down but I just want to know what can I do to get rid of all the swollenness. would swishing with salt water help?

Thanks for your query, I have gone through your query. The swelling near the jaw is because of the tooth infection secondary to decay. Nothing to be panic, consult an oral maxillofacial surgeon and get it removed. If I am your treating doctor, I would have prescribed a combination of amoxicillin and metronidazole combination for 5\u00a0days and after that I would have extracted the tooth. The swelling will come down in 3 days. You can get the tooth removed after 5\u00a0days of antibiotics. You can do saline gargling, but that will not reduce the swelling. 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: Hello, My name is Amber, and my jaw is swollen from my abscessed tooth, and my dentist has me on Metronidazole 500 mg, for seven days to get rid of the infection before they extract the tooth, but my jaw is swollen it is going down but I just want to know what can I do to get rid of all the swollenness. would swishing with salt water help?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your query, I have gone through your query. The swelling near the jaw is because of the tooth infection secondary to decay. Nothing to be panic, consult an oral maxillofacial surgeon and get it removed. If I am your treating doctor, I would have prescribed a combination of amoxicillin and metronidazole combination for 5\u00a0days and after that I would have extracted the tooth. The swelling will come down in 3 days. You can get the tooth removed after 5\u00a0days of antibiotics. You can do saline gargling, but that will not reduce the swelling. 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 , iam 26 years old ,i work as chef and for an chef his hand work is important i dont know y my hands and fingers shevares alot at the time of work and even when carry any little objects the problem of shevaring is more ,at begining the problem was little but now problem is more ,so please any one can suggest me what i can do to stop this as it is very shameful in front of my colleges at work.

Thanks for writing to Chat Doctor ! After reading your question it is evident that you have tremors in hand, especially when you try to hold something. Had I been at your place I would go for an MRI brain, blood counts to see if there is anything else. You have not told about the duration of the problem but I don't think it is from childhood, which rules out essential tremors. Nor have you mentioned anything about any parents having these symptoms. It is something related to CNS system, but one cannot pinpoint without investigations. I would advise you to visit a neurologist without much delay to nip the problem in the bud. Hope this answer helps you in getting better Feel free to ask more.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi , iam 26 years old ,i work as chef and for an chef his hand work is important i dont know y my hands and fingers shevares alot at the time of work and even when carry any little objects the problem of shevaring is more ,at begining the problem was little but now problem is more ,so please any one can suggest me what i can do to stop this as it is very shameful in front of my colleges at work.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for writing to Chat Doctor ! After reading your question it is evident that you have tremors in hand, especially when you try to hold something. Had I been at your place I would go for an MRI brain, blood counts to see if there is anything else. You have not told about the duration of the problem but I don't think it is from childhood, which rules out essential tremors. Nor have you mentioned anything about any parents having these symptoms. It is something related to CNS system, but one cannot pinpoint without investigations. I would advise you to visit a neurologist without much delay to nip the problem in the bud. Hope this answer helps you in getting better Feel free to ask more.<|eot_id|>

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

My father passed away from liposarcoma on January 2, 2010 at the age of 62. He had liposarcoma in 1995 and had radiation to treat it and then in 2007 he got prostate cancer and felt as though he had beat it. But this time around he complained of a burning in his throat on December 14, 2009, was sent to the hospital, and stayed there for a few days and was released. On Christmas Day, he went back to the hospital and never got to come home again. While there, the doctors told us he had stage IV cancer. Does that mean he had had cancer for years without knowing it for it to be stage IV? Is there a risk that my sisters and I could get liposarcoma as well? Is there something we could do to prevent it?

Hi, Thanks for writing in. Liposarcoma is a malignant tumor of fat origin. It is a violent and quick growing cancer, and probably it was of large size when detected. Surgery might have been done in early stage but possibly the size of the liposarcoma was large and the extent and involvement did not allow surgical treatment. It is not clear where he had the liposarcoma and if the liposarcoma and prostate cancer were related in any way. Stage 4 cancer is advanced disease and shows that the condition has spread to other organs. Treating stage 4 cancer is difficult, and life expectancy is 2 years with recommended chemotherapy and supportive care. There is no significant risk of liposarcoma occurring in you and your sisters however please be alert of any swelling in your body and have it clinically evaluated immediately.

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 passed away from liposarcoma on January 2, 2010 at the age of 62. He had liposarcoma in 1995 and had radiation to treat it and then in 2007 he got prostate cancer and felt as though he had beat it. But this time around he complained of a burning in his throat on December 14, 2009, was sent to the hospital, and stayed there for a few days and was released. On Christmas Day, he went back to the hospital and never got to come home again. While there, the doctors told us he had stage IV cancer. Does that mean he had had cancer for years without knowing it for it to be stage IV? Is there a risk that my sisters and I could get liposarcoma as well? Is there something we could do to prevent it?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for writing in. Liposarcoma is a malignant tumor of fat origin. It is a violent and quick growing cancer, and probably it was of large size when detected. Surgery might have been done in early stage but possibly the size of the liposarcoma was large and the extent and involvement did not allow surgical treatment. It is not clear where he had the liposarcoma and if the liposarcoma and prostate cancer were related in any way. Stage 4 cancer is advanced disease and shows that the condition has spread to other organs. Treating stage 4 cancer is difficult, and life expectancy is 2 years with recommended chemotherapy and supportive care. There is no significant risk of liposarcoma occurring in you and your sisters however please be alert of any swelling in your body and have it clinically evaluated immediately.<|eot_id|>

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

My 19 year old daughter has a bruise on each side of her neck. They are not hickeys but that was my first thought. She did not know they were there and when she saw the first one she kind of freaked out. When she saw the second she teared up. She woke up this morning with body pains and stuffed up. She also has diarrhea. She is 5 7 and 125 pounds in good health.

HI, thanks for using Chat Doctor It is possible that the rash may be due to viral exanthem which is a rash that occurs along with a viral infection. The aches and pain, nasal congestion and diarrhea are in keeping with an infection and viral infections are more common than bacterial for these symptoms. Rest, fluids and over the counter medication should help but if the symptoms continue or worsen then she may need to see her doctor. Pain medication, oral and topical decongestants may help. I hope this helps

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My 19 year old daughter has a bruise on each side of her neck. They are not hickeys but that was my first thought. She did not know they were there and when she saw the first one she kind of freaked out. When she saw the second she teared up. She woke up this morning with body pains and stuffed up. She also has diarrhea. She is 5 7 and 125 pounds in good health.<|eot_id|><|start_header_id|>assistant<|end_header_id|>HI, thanks for using Chat Doctor It is possible that the rash may be due to viral exanthem which is a rash that occurs along with a viral infection. The aches and pain, nasal congestion and diarrhea are in keeping with an infection and viral infections are more common than bacterial for these symptoms. Rest, fluids and over the counter medication should help but if the symptoms continue or worsen then she may need to see her doctor. Pain medication, oral and topical decongestants may help. I hope this helps<|eot_id|>

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

about a month ago I had a tooth cap put in. There was excess cement around the tooth. About the same time, I got an odd metalic like taste in my mouth along with hoarseness and at times a sore throat. The dentist has looked over the cap and sees no infection. Any suggestions?

Hello! Thank you for posting here. You did not mention if you took any medication during the placement of cap and other dental treatment. Some medicines like metronidazole can cause metallic taste. This will reduce in a weeks time. Your dentist will remove any excess cement around the cap. Do not panic. Take azithromycin for 3 days. Also take cetirizine for the symptomatic relief. I suggest you to see your dentist if the tissues around the cap are red or irritated. Do warm saline gargle thrice daily. Have more water intake.

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 a month ago I had a tooth cap put in. There was excess cement around the tooth. About the same time, I got an odd metalic like taste in my mouth along with hoarseness and at times a sore throat. The dentist has looked over the cap and sees no infection. Any suggestions?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello! Thank you for posting here. You did not mention if you took any medication during the placement of cap and other dental treatment. Some medicines like metronidazole can cause metallic taste. This will reduce in a weeks time. Your dentist will remove any excess cement around the cap. Do not panic. Take azithromycin for 3 days. Also take cetirizine for the symptomatic relief. I suggest you to see your dentist if the tissues around the cap are red or irritated. Do warm saline gargle thrice daily. Have more water intake.<|eot_id|>

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

Hi doctor. My wife is a 20 weeks pregnant and our did not suggested any medicine for Calcium and iron. I want to start from side for Calcium is Shelcal And for iron Heam-up. Is it good to start or advise for the same. Thanks and Regards Mohd Kamal

Hello, Thanks for sharing your health concern with us. Firstly, I would like to know if there is any specific cause why your wives obstetrician put off prescribing nutritional supplements. If proper diet is taken along with folates, supplements can be postponed for a while. If you wish to start supplements, please inform your doctor of the same because no self-medication is advisable. Shell can be used while it is better to choose a safer preparation than Harmful. Allow plenty of fresh fruits, vegetables and rest. 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: Hi doctor. My wife is a 20 weeks pregnant and our did not suggested any medicine for Calcium and iron. I want to start from side for Calcium is Shelcal And for iron Heam-up. Is it good to start or advise for the same. Thanks and Regards Mohd Kamal<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thanks for sharing your health concern with us. Firstly, I would like to know if there is any specific cause why your wives obstetrician put off prescribing nutritional supplements. If proper diet is taken along with folates, supplements can be postponed for a while. If you wish to start supplements, please inform your doctor of the same because no self-medication is advisable. Shell can be used while it is better to choose a safer preparation than Harmful. Allow plenty of fresh fruits, vegetables and rest. Hope this helps.<|eot_id|>

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

I am taking montair lc one tab , livolin 2 puff twice, combihale ff 250 2 puff twice daily from last one year. After diagnosis of asthma. Is it safe to take that much medicine so long. Is there any alternative. What are the side effects of these medicine. Feel very tired all the time.

Hello, Welcome to Chat Doctor, Is is not safe to take this medicine for long time. In case of emergency use it is ok otherwise not. This medicine have many side effects after consuming for long time. Homeopathy has a sure solution for asthma. You can be free from this medication too without any side effect. Homeopathic treatment is based on total understanding of patient on physical and mental level. And that's why detail history of patient is needed for proper homeopathic treatment. Your problem can be cured permanently with homeopathy. So consult to good classical homeopath nearby you or contact us. Have a better health.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I am taking montair lc one tab , livolin 2 puff twice, combihale ff 250 2 puff twice daily from last one year. After diagnosis of asthma. Is it safe to take that much medicine so long. Is there any alternative. What are the side effects of these medicine. Feel very tired all the time.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Welcome to Chat Doctor, Is is not safe to take this medicine for long time. In case of emergency use it is ok otherwise not. This medicine have many side effects after consuming for long time. Homeopathy has a sure solution for asthma. You can be free from this medication too without any side effect. Homeopathic treatment is based on total understanding of patient on physical and mental level. And that's why detail history of patient is needed for proper homeopathic treatment. Your problem can be cured permanently with homeopathy. So consult to good classical homeopath nearby you or contact us. Have a better health.<|eot_id|>

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

an MRI showed I had1)-radia tear of the free edge of the body of the medial meniscus2) acute grade 1 sprain superimosed on chornic sprain in the MCL3)moderate-sized knee joint effusion4)-degenerative chondrosis/articular cartilage fraying in teh medial compartmentcan you translate into simple work what that means and i was told by the doctor i needed surgery, do you agree?

Hello, Thanks for posting your query. In simple words, your MRI shows that a fibrous band between knee joint is torn, and medial cruciate ligament (MCL) which stabilizes keen joint and holds bone is sprained. Certain amount of excessive fluid has collected around or within the joint of your knee. Cartilage under knee cap is damaged. Bones of thigh and leg are rubbing each other at knee joint. Yes you need surgical repair so that further damage can be prevented and normal function regained. Hope it 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: an MRI showed I had1)-radia tear of the free edge of the body of the medial meniscus2) acute grade 1 sprain superimosed on chornic sprain in the MCL3)moderate-sized knee joint effusion4)-degenerative chondrosis/articular cartilage fraying in teh medial compartmentcan you translate into simple work what that means and i was told by the doctor i needed surgery, do you agree?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thanks for posting your query. In simple words, your MRI shows that a fibrous band between knee joint is torn, and medial cruciate ligament (MCL) which stabilizes keen joint and holds bone is sprained. Certain amount of excessive fluid has collected around or within the joint of your knee. Cartilage under knee cap is damaged. Bones of thigh and leg are rubbing each other at knee joint. Yes you need surgical repair so that further damage can be prevented and normal function regained. Hope it helps. Take care.<|eot_id|>

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

Sir,As per my recent scan report of my father - 85 Years , Pls let me know your comments and criticality of the issue.Scan report follows,1. solid mass in right lobe of liver2. left renal calculi3. bilateral renal simple cortical cyst4. mild prostatomegaly Thanks and RegardsM SundaramoorthyBangalore - India

Hi.noted ct-scan results. First, your father has an enlarged prostate (mild prostatomegaly). This usually happens as male population age and if the patient has a history of benign prostatic hyperplasia. Second, your father has kidney stones (left renal calculi) and third, simple cortical cyst in both of his kidneys (bilateral renal simple cortical cysts). The most important thing to note about these two are the sizes and if they are causing obstructive symptoms in urination of your father. The last and probably the most concerning finding is the solid mass in the right lobe of his liver. What are the characteristics of the lesion, and how big is it? Is your father experiencing any symptoms such as weight loss, pain, jaundice, fever? It is best if you bring him to a doctor, a general surgeon and a urologist, for complete physical examination and clinical evaluation. Other diagnostics (such as liver function tests, bilirubin, tumor markers, blood exams, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ 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: Sir,As per my recent scan report of my father - 85 Years , Pls let me know your comments and criticality of the issue.Scan report follows,1. solid mass in right lobe of liver2. left renal calculi3. bilateral renal simple cortical cyst4. mild prostatomegaly Thanks and RegardsM SundaramoorthyBangalore - India<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi.noted ct-scan results. First, your father has an enlarged prostate (mild prostatomegaly). This usually happens as male population age and if the patient has a history of benign prostatic hyperplasia. Second, your father has kidney stones (left renal calculi) and third, simple cortical cyst in both of his kidneys (bilateral renal simple cortical cysts). The most important thing to note about these two are the sizes and if they are causing obstructive symptoms in urination of your father. The last and probably the most concerning finding is the solid mass in the right lobe of his liver. What are the characteristics of the lesion, and how big is it? Is your father experiencing any symptoms such as weight loss, pain, jaundice, fever? It is best if you bring him to a doctor, a general surgeon and a urologist, for complete physical examination and clinical evaluation. Other diagnostics (such as liver function tests, bilirubin, tumor markers, blood exams, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor.<|eot_id|>

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

Dear Sir/Madam, My Nephew who is 5 years old has been passing stool with drops of blood since the last 2-3 months. The Doctors here have failed to diagnose the cause and suggested for a Colonoscopy. Since he is just 5 years old,so we are worried. Under such prevailing conditions we are at a fix as to what to be done. Can you please suggest us the name of a good Pediatric Doctor/Surgeon in your Hospital who will be able to take care of the entire matter? Please respond fast. Regards, S.Chakraborty. Siliguri,West Bengal

Hello, As per your history, it may be due to hard stool or constipation. For that give him a soft diet. Keep him HY Chat Doctor. He may require stool examination and complete hologram after consultation. At present no need for active management required. Watch for symptoms like fever, abdominal pain, recurrent blood in stool then he may require detailed evaluation. 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: Dear Sir/Madam, My Nephew who is 5 years old has been passing stool with drops of blood since the last 2-3 months. The Doctors here have failed to diagnose the cause and suggested for a Colonoscopy. Since he is just 5 years old,so we are worried. Under such prevailing conditions we are at a fix as to what to be done. Can you please suggest us the name of a good Pediatric Doctor/Surgeon in your Hospital who will be able to take care of the entire matter? Please respond fast. Regards, S.Chakraborty. Siliguri,West Bengal<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, As per your history, it may be due to hard stool or constipation. For that give him a soft diet. Keep him HY Chat Doctor. He may require stool examination and complete hologram after consultation. At present no need for active management required. Watch for symptoms like fever, abdominal pain, recurrent blood in stool then he may require detailed evaluation. 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 been feeling lethargic about 3 weeks now i have tachycardia with near syncopy and these episodes have been increasing I usually become very lethargic feeling before an episode and the lethergy will go away shortly after the episode but this lethargic feel is now not going away. I was having chest pain last week also with SOA But it would ease off with rest. I was wondering what or why this is going on.

Thanks for your question on Chat Doctor. I can understand your concern. Chest pain, lethargy, shortness of breath, tachycardia etc. are characteristic symptoms of heart diseases. So better to consult doctor and get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Sometimes anemia (low hemoglobin) and hypothyroidism can also cause similar symptoms. So get done thyroid function test (TSH, Free T3 and free T4) and hemoglobin estimation.Don't worry, with appropriate treatment, you will be alright. But first diagnose your self and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I Have been feeling lethargic about 3 weeks now i have tachycardia with near syncopy and these episodes have been increasing I usually become very lethargic feeling before an episode and the lethergy will go away shortly after the episode but this lethargic feel is now not going away. I was having chest pain last week also with SOA But it would ease off with rest. I was wondering what or why this is going on.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. Chest pain, lethargy, shortness of breath, tachycardia etc. are characteristic symptoms of heart diseases. So better to consult doctor and get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Sometimes anemia (low hemoglobin) and hypothyroidism can also cause similar symptoms. So get done thyroid function test (TSH, Free T3 and free T4) and hemoglobin estimation.Don't worry, with appropriate treatment, you will be alright. But first diagnose your self and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.<|eot_id|>

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

Hello ! I am 23 years old and have 80 KG weight with 5 foot and 3 inches height. I have a strange problem. My heart misses a beat sometimes without any reason and it now happens very frequently. It beats fast, I can feel it and then move back to normal heart rate. Is there anything serious.

Hi, From your description it seems you have some type of arrhythmia, which called extrasystole (premature heart contraction). They are benign in your age. But I would advise you to regulate your regimen, to eat healthy food, not to use computer much and not to watch TV much, exercise regularly, be in the fresh air and lose some weight to avoid problems in the future. Hope I could help nourishing you good health In case of further questions don't hesitate to ask

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 23 years old and have 80 KG weight with 5 foot and 3 inches height. I have a strange problem. My heart misses a beat sometimes without any reason and it now happens very frequently. It beats fast, I can feel it and then move back to normal heart rate. Is there anything serious.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, From your description it seems you have some type of arrhythmia, which called extrasystole (premature heart contraction). They are benign in your age. But I would advise you to regulate your regimen, to eat healthy food, not to use computer much and not to watch TV much, exercise regularly, be in the fresh air and lose some weight to avoid problems in the future. Hope I could help nourishing you good health In case of further questions don't hesitate to ask<|eot_id|>

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

found i lump under my left armpit in November had a mammogram down since i was due. Everything looked good, they asked for a ultrasound and still found nothing. Went back in December for another mammogram still ok but they wanted a MRI just had it down last friday and it shows a lump and its tracing down my armpit. Now they want another ultrasound. Radioligist says it could be just infection but breast surgeon says no. Not having the Utrasound for another week and worried .my sister died at 42 from breast cancer was diagnosed at 37 .

Hi, If I were your treating Doctor for this case of an axillary lump, I would come up with only few possibilities as listed below. Nothing to worry about this and try not to get infected there!1. Fibrocystic changes in axillary tail of breast tissue or fibroadenoma2. Sebaceous cyst or lymph node3. Malignant tumor! In this case the lump is not mobile, generally fixed, irregular, painless but hard to feel! I suggest you to go for an FNAC test of the lump for confirmation and to relieve your concerns! 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: found i lump under my left armpit in November had a mammogram down since i was due. Everything looked good, they asked for a ultrasound and still found nothing. Went back in December for another mammogram still ok but they wanted a MRI just had it down last friday and it shows a lump and its tracing down my armpit. Now they want another ultrasound. Radioligist says it could be just infection but breast surgeon says no. Not having the Utrasound for another week and worried .my sister died at 42 from breast cancer was diagnosed at 37 .<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, If I were your treating Doctor for this case of an axillary lump, I would come up with only few possibilities as listed below. Nothing to worry about this and try not to get infected there!1. Fibrocystic changes in axillary tail of breast tissue or fibroadenoma2. Sebaceous cyst or lymph node3. Malignant tumor! In this case the lump is not mobile, generally fixed, irregular, painless but hard to feel! I suggest you to go for an FNAC test of the lump for confirmation and to relieve your concerns! 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 Dr.I have been feeling very tired for the last 3 weeks and diagnosed with a viral infection that is taking a long time to go away. Although I haven t eaten anything containing a lot of iron,my stool was flaky and dark. This morning it looked very healthy and I have Crohn s Disease. I take Imuran.

Hello there, I am Chat Doctor. Viral infection is most time self limiting. Our body develop immunity against that viral infection in 4 days to 1-2 week duration. Till that time you need to take symptomatic treatment like analgesic for fever, painkiller for body ache and other as you have various symptoms take symptomatic medicine. You have Crohn's disease so any medicine you take please consult your treating physician after that only take any medicine. Viral fever must go in very few days. Iron is the substance which is responsible for dark stool. It is like an apple, apple when remain open became dark, it contains iron so, same substance is present in your stool so. DNT worry about that, just take symptomatic treatment. Hope I have given appropriate guidance to you. If you have any query you can consult me anytime. Give me star rating and thank you according to your satisfactory level. Thanking 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 have been feeling very tired for the last 3 weeks and diagnosed with a viral infection that is taking a long time to go away. Although I haven t eaten anything containing a lot of iron,my stool was flaky and dark. This morning it looked very healthy and I have Crohn s Disease. I take Imuran.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello there, I am Chat Doctor. Viral infection is most time self limiting. Our body develop immunity against that viral infection in 4 days to 1-2 week duration. Till that time you need to take symptomatic treatment like analgesic for fever, painkiller for body ache and other as you have various symptoms take symptomatic medicine. You have Crohn's disease so any medicine you take please consult your treating physician after that only take any medicine. Viral fever must go in very few days. Iron is the substance which is responsible for dark stool. It is like an apple, apple when remain open became dark, it contains iron so, same substance is present in your stool so. DNT worry about that, just take symptomatic treatment. Hope I have given appropriate guidance to you. If you have any query you can consult me anytime. Give me star rating and thank you according to your satisfactory level. Thanking you.<|eot_id|>

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

hello sir i am 32 year old lady who was using diprovate-rd for 5years but recently i stopped using it as i was getting lot of pimples so my skin doctor suggested to stop using it as my skin has become very sensitive. he told me that i need around 3 months to come out of its effect. but i am very sad as i have lost the glow on my face at the same time i have got many rashes on my face. i do not want to use diprovate any more.tell me will my face will become normal.

Hello, Thanks for the query to Chat Doctor. Forum. Private rd is dexamethasone lotion and continuous use causes many effect as skin become very sensitive as in your case. It also lowers the immunity and many systemic side effects. But don't be desperate as take vitamin C tablet twice in day for at least 6 months without any side effect. This will not only increase immunity but skin will glow and normal flora will restore. For local application use broad spectrum sunscreen lotion. Hope I have answered your question. If further any question I will help. 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: hello sir i am 32 year old lady who was using diprovate-rd for 5years but recently i stopped using it as i was getting lot of pimples so my skin doctor suggested to stop using it as my skin has become very sensitive. he told me that i need around 3 months to come out of its effect. but i am very sad as i have lost the glow on my face at the same time i have got many rashes on my face. i do not want to use diprovate any more.tell me will my face will become normal.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thanks for the query to Chat Doctor. Forum. Private rd is dexamethasone lotion and continuous use causes many effect as skin become very sensitive as in your case. It also lowers the immunity and many systemic side effects. But don't be desperate as take vitamin C tablet twice in day for at least 6 months without any side effect. This will not only increase immunity but skin will glow and normal flora will restore. For local application use broad spectrum sunscreen lotion. Hope I have answered your question. If further any question I will help. Good luck.<|eot_id|>

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

I have been dealing with very puffy eyes lids in the morning for about a month now. My eye lids are extremelly puffy and I cannot get this to go away. I have tried benedryl, clariton and allegra. I have also tried icing my eyes, using eye drops and was even prescribed steroids to apply to my eye lids as well as steroid eye drops. I am now on prednisone for three days. I went out and bought a allergy pillow...re-washed everything in my house but nothing is helping. I will go to bed with my eyes looking a lot better but then when I wake up, they are worse again. Could this be a food allergy? Its a never ending cycle. Any advice would be amazing.(I am going to see an allergist in a month)

Hello. Thank you for asking at Chat Doctor. I went through your history. What is something unusual is you don't have significant itching and also puffiness of eyes do not improve with antihistamines. At this point, I would suggest you to get urine examination (routine & microscopy) done & also get blood tests (serum creatinine & blood urea) done. This will help to know whether the symptoms are due to any kidney related illness. Personally I believe that consultation of a physician will be more helpful to you. Regarding your question about food allergy, it is possible, but unusual as you don't have any other symptoms of food allergy like itching, hives, abdominal pain, gastric upset, flatulence, etc. Hope this will be helpful to you. Wish you the best of the 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: I have been dealing with very puffy eyes lids in the morning for about a month now. My eye lids are extremelly puffy and I cannot get this to go away. I have tried benedryl, clariton and allegra. I have also tried icing my eyes, using eye drops and was even prescribed steroids to apply to my eye lids as well as steroid eye drops. I am now on prednisone for three days. I went out and bought a allergy pillow...re-washed everything in my house but nothing is helping. I will go to bed with my eyes looking a lot better but then when I wake up, they are worse again. Could this be a food allergy? Its a never ending cycle. Any advice would be amazing.(I am going to see an allergist in a month)<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello. Thank you for asking at Chat Doctor. I went through your history. What is something unusual is you don't have significant itching and also puffiness of eyes do not improve with antihistamines. At this point, I would suggest you to get urine examination (routine & microscopy) done & also get blood tests (serum creatinine & blood urea) done. This will help to know whether the symptoms are due to any kidney related illness. Personally I believe that consultation of a physician will be more helpful to you. Regarding your question about food allergy, it is possible, but unusual as you don't have any other symptoms of food allergy like itching, hives, abdominal pain, gastric upset, flatulence, etc. Hope this will be helpful to you. Wish you the best of the health. Regards.<|eot_id|>

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

My mother is having cough for the last 3 months.She constantly coughs all day.Its hardly when I find her not coughing.ANd every afternoon she has fever.Can you kindly suggest the probable causes? Just now in her blood report I saw that her ALT level in blood is also very high than the normal range.Hers is 127.So is it anyhow linked with her cough and fever? please reply soon..

Hi, dairy have gone through your question. I can understand your concern. Constant coughing and fever are the symptoms of tuberculosis. ALT level is high, so it suggests some liver disease also. You should go for complete liver function test, ultrasound abdomen and x-ray chest. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My mother is having cough for the last 3 months.She constantly coughs all day.Its hardly when I find her not coughing.ANd every afternoon she has fever.Can you kindly suggest the probable causes? Just now in her blood report I saw that her ALT level in blood is also very high than the normal range.Hers is 127.So is it anyhow linked with her cough and fever? please reply soon..<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, dairy have gone through your question. I can understand your concern. Constant coughing and fever are the symptoms of tuberculosis. ALT level is high, so it suggests some liver disease also. You should go for complete liver function test, ultrasound abdomen and x-ray chest. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.<|eot_id|>

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

My son went to the dentist yesterday to get a cavity filled. They gave a local Anesthesia in his mouth. when he got out the dentist , his started swelling up . I want to know how can we cure this or is it normal for his lip to swell up after anesthesia

Thanks for your query, I have gone through your query. The swelling is not common after local anesthesia. It can be a muscle secondary to biting over the lips when the lips were numb and causing trauma to the minor salivary glands in the lips. It can also occur secondary to inflammation following lip biting, or it can be secondary to residual infection. Consult the oral physician and get it ruled out. 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: My son went to the dentist yesterday to get a cavity filled. They gave a local Anesthesia in his mouth. when he got out the dentist , his started swelling up . I want to know how can we cure this or is it normal for his lip to swell up after anesthesia<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your query, I have gone through your query. The swelling is not common after local anesthesia. It can be a muscle secondary to biting over the lips when the lips were numb and causing trauma to the minor salivary glands in the lips. It can also occur secondary to inflammation following lip biting, or it can be secondary to residual infection. Consult the oral physician and get it ruled out. I hope my answer will help you, take care.<|eot_id|>

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

I was diagnosed with diabetes 3 years ago. Since getting my meds right (Metformin 450 mg x 2 day) my levels have been fine. This past weekend it jumped to 259 Sat and 265 Sun. This morning it was 277 and this afternoon when I got home from work it was 297. I have an apt with my Dr on the 29th, is it safe to wait that long? and what could be causing this sudden spike?

Hello, You have uncontrolled Diabetes. In addition to Metformin, you may need another anti-diabetic Chat Doctor. Go for HbA1c Test to know past three-month average blood sugar control. Have a good diet control and exercise (aerobic 150 minutes in a week). If you do not have Etruria (urine ketosis test positive), you can wait for the appointment. 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: I was diagnosed with diabetes 3 years ago. Since getting my meds right (Metformin 450 mg x 2 day) my levels have been fine. This past weekend it jumped to 259 Sat and 265 Sun. This morning it was 277 and this afternoon when I got home from work it was 297. I have an apt with my Dr on the 29th, is it safe to wait that long? and what could be causing this sudden spike?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, You have uncontrolled Diabetes. In addition to Metformin, you may need another anti-diabetic Chat Doctor. Go for HbA1c Test to know past three-month average blood sugar control. Have a good diet control and exercise (aerobic 150 minutes in a week). If you do not have Etruria (urine ketosis test positive), you can wait for the appointment. 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.

I am 70 years old. On MRI, I was found to have lumbar disk herniation. I am having bilateral leg numbness and weakness and unable to walk even short distances. I have been prescribed Renerve Plus injection and complete bedrest for a month. Will this be helpful? I am not interested in surgical correction

Hello MRI findings indicate lumbar disc herniation. Level of herniation is not mentioned in the report. It is important to know other findings like nerve root compression, spinal canal stenosis etc. Inter vertebral disc herniation may be the reason for your symptoms. Renerve plus is a multi vitamin and anti oxidant combination. It is generally prescribed in peripheral neuropathy. It is not expected to give much relief. Many patient get relief by conservative treatment in the form of physiotherapy, muscle relaxants, analgesics.Nowadays, many surgeries are done by minimum invasion like endoscopic method. Steroid shots are also helpful. Findings need clinical assessment by a neurologist/neurosurgeon. 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: I am 70 years old. On MRI, I was found to have lumbar disk herniation. I am having bilateral leg numbness and weakness and unable to walk even short distances. I have been prescribed Renerve Plus injection and complete bedrest for a month. Will this be helpful? I am not interested in surgical correction<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello MRI findings indicate lumbar disc herniation. Level of herniation is not mentioned in the report. It is important to know other findings like nerve root compression, spinal canal stenosis etc. Inter vertebral disc herniation may be the reason for your symptoms. Renerve plus is a multi vitamin and anti oxidant combination. It is generally prescribed in peripheral neuropathy. It is not expected to give much relief. Many patient get relief by conservative treatment in the form of physiotherapy, muscle relaxants, analgesics.Nowadays, many surgeries are done by minimum invasion like endoscopic method. Steroid shots are also helpful. Findings need clinical assessment by a neurologist/neurosurgeon. 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 brother has sore type under his tongue after preliminary investigation doctors conclusion was that is due to bacterial infection and he started antibiotics for weeks it totally disappeared .After fortnight it again appeared what might be the reason and what is the treatment to be taken .

Hello and Welcome to Ask A Doctor service. I have reviewed your query and here is my advice. A sore under tongue can be a canker sore or yes, it can be bacterial infection as it went away completely after treatment with antibiotics. There is a possibility that the infection was not completely resolved, and it is the cause of the recurrence. So it is better to take another course of antibiotics. Along with it do warm saline gargles, antiseptic mouthwash gargles and take vitamin B complex for a week. Hope I have answered your query. Let me know if I can assist you further.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: recently my brother has sore type under his tongue after preliminary investigation doctors conclusion was that is due to bacterial infection and he started antibiotics for weeks it totally disappeared .After fortnight it again appeared what might be the reason and what is the treatment to be taken .<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello and Welcome to Ask A Doctor service. I have reviewed your query and here is my advice. A sore under tongue can be a canker sore or yes, it can be bacterial infection as it went away completely after treatment with antibiotics. There is a possibility that the infection was not completely resolved, and it is the cause of the recurrence. So it is better to take another course of antibiotics. Along with it do warm saline gargles, antiseptic mouthwash gargles and take vitamin B complex for a week. Hope I have answered your query. Let me know if I can assist you further.<|eot_id|>

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

Cut my knuckle on the edge of the saran wrap razor on my ring finger knuckle. Clean cut, treated with polysporin right away and bandaged with a splint. It swelled up almost right away and has not gone down. My finger is stiff, but not red or warm and the cut has closed and looks ok. Help!

This is the initial Inflammatory Reaction of the body. The swelling will gradually reduce. Please do keep Practicing Small Movements of the fingers.do not let it stiffen Further due to non usage of it.keep Using the Medicines which you have been prescribed. Hope the blade of razor was not Rusted n that you have Taken tetanus Toxic injection if it was. Look for any Color Change of fingertips. If further Problems Pertain, consult the Nearest Physician.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Cut my knuckle on the edge of the saran wrap razor on my ring finger knuckle. Clean cut, treated with polysporin right away and bandaged with a splint. It swelled up almost right away and has not gone down. My finger is stiff, but not red or warm and the cut has closed and looks ok. Help!<|eot_id|><|start_header_id|>assistant<|end_header_id|>This is the initial Inflammatory Reaction of the body. The swelling will gradually reduce. Please do keep Practicing Small Movements of the fingers.do not let it stiffen Further due to non usage of it.keep Using the Medicines which you have been prescribed. Hope the blade of razor was not Rusted n that you have Taken tetanus Toxic injection if it was. Look for any Color Change of fingertips. If further Problems Pertain, consult the Nearest Physician.<|eot_id|>

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

hai iam 37 yrs male with weight 105kg 6 yrs back iwas found positive for hebitities-b i took medication but since 3 years i am suffering from itching patches on my forehead eyelid my neck a lot of scaling if i steriods it cures persists again when i feel stressed i want to know what are these patches and why are coming is it related to any liver problem suggest me some drugs for complete cure

Thank you for posting query at Chat Doctor.I have gone thorough your present symptoms and history. For pruritic (itching) antihistamine medication maybe used. Itching maybe due to hyperbilirubinemia.I assume you are over weight too and maybe suffering from Fatty liver disease besides Herb.kindly recheck Herb status (Head. PCR and Bag) Andover enzymes, CBC and ESR.discuss with your treating hepatologist if you need to check autoantibodies esp for Primary Biliary Cirrhosis or PSC.visit a hepatologist with the lab results. After obtaining results of aforementioned tests, post here or visit treating physician.meanwhile

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hai iam 37 yrs male with weight 105kg 6 yrs back iwas found positive for hebitities-b i took medication but since 3 years i am suffering from itching patches on my forehead eyelid my neck a lot of scaling if i steriods it cures persists again when i feel stressed i want to know what are these patches and why are coming is it related to any liver problem suggest me some drugs for complete cure<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thank you for posting query at Chat Doctor.I have gone thorough your present symptoms and history. For pruritic (itching) antihistamine medication maybe used. Itching maybe due to hyperbilirubinemia.I assume you are over weight too and maybe suffering from Fatty liver disease besides Herb.kindly recheck Herb status (Head. PCR and Bag) Andover enzymes, CBC and ESR.discuss with your treating hepatologist if you need to check autoantibodies esp for Primary Biliary Cirrhosis or PSC.visit a hepatologist with the lab results. After obtaining results of aforementioned tests, post here or visit treating physician.meanwhile<|eot_id|>

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

Hi I have had my wisdom teeth removed over a year ago now. But my bottom right side has always played up since but today I have woken with sever swelling and pain down to side face and my jaw and a bad headache. Could this be a infection as Iv been using warm salt water

Hello, thank you for consulting with Chat Doctor. It can be possible that now the tooth which is at the back side in mouth might have been infected and creating problem, or a root of the wisdom tooth might have left after extraction, and now it is creating problem. But these both can only be confirmed by an x-ray, so better that you visit your dentist and get and the x-ray done which will clear the condition. 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: Hi I have had my wisdom teeth removed over a year ago now. But my bottom right side has always played up since but today I have woken with sever swelling and pain down to side face and my jaw and a bad headache. Could this be a infection as Iv been using warm salt water<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, thank you for consulting with Chat Doctor. It can be possible that now the tooth which is at the back side in mouth might have been infected and creating problem, or a root of the wisdom tooth might have left after extraction, and now it is creating problem. But these both can only be confirmed by an x-ray, so better that you visit your dentist and get and the x-ray done which will clear the condition. Hope it will help you.<|eot_id|>

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

hi my age is 31 and same is of my wife we got married in the month of Feb 2010 it is almost a six month and we are doing unprotected sex to start our parental life and for this even i am doing sex in her most fertile periods (after the 12 to 14 days) of her menstrual cycle gets over but every time she failed to get pregnant what should i doplease advice

Hi, Thanks for the query. I understand your concern. Conception needs basically - good semen quality & regular menstruation with ovulation. You need to get investigated (ovulation study semen analysis after 3 days abstinence) to confirm the basic normality... After that you should have UN protected sex (determined by LHS urge test)2 days before after ovulation day. If there is no result within 1 year of marriage... you should consult a fertility expert for detailed investigations.& cause specific treatment. 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 age is 31 and same is of my wife we got married in the month of Feb 2010 it is almost a six month and we are doing unprotected sex to start our parental life and for this even i am doing sex in her most fertile periods (after the 12 to 14 days) of her menstrual cycle gets over but every time she failed to get pregnant what should i doplease advice<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for the query. I understand your concern. Conception needs basically - good semen quality & regular menstruation with ovulation. You need to get investigated (ovulation study semen analysis after 3 days abstinence) to confirm the basic normality... After that you should have UN protected sex (determined by LHS urge test)2 days before after ovulation day. If there is no result within 1 year of marriage... you should consult a fertility expert for detailed investigations.& cause specific treatment. Thanks.<|eot_id|>

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

for a few days I ve had pain in my left eye the eyebrow and left cheek but the pain also goes up into my head and it feels like the bones in my head are pushing against each other, and the left side of my neck is sort of stiff - I m not usually ill and this bothers me a lot. Thanks.

I believe that a neurological examination by a qualified neurologist is in your best interest. Although it is a very low likely possibility something such as a meningitis process may be a consideration for the symptoms you present. On the other hand you may also have some type of obstructive process of the sinus Chat Doctor. A set of frontal facial or SINUS films (CT SCAN) should easily show any type of congestive or infectious process.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: for a few days I ve had pain in my left eye the eyebrow and left cheek but the pain also goes up into my head and it feels like the bones in my head are pushing against each other, and the left side of my neck is sort of stiff - I m not usually ill and this bothers me a lot. Thanks.<|eot_id|><|start_header_id|>assistant<|end_header_id|>I believe that a neurological examination by a qualified neurologist is in your best interest. Although it is a very low likely possibility something such as a meningitis process may be a consideration for the symptoms you present. On the other hand you may also have some type of obstructive process of the sinus Chat Doctor. A set of frontal facial or SINUS films (CT SCAN) should easily show any type of congestive or infectious process.<|eot_id|>

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

My husband has shingles on his scalp which has gotten better but still causes nerve pain. History of radiation to epiglottis and esophagus due to cancer 5 years ago. Always has had some problem after radiation with swallowing but has improved. Recently developed extreme difficulty swallowing, even soft foods. He saw his oncologist today who said he had a throat cancer. My questions are

Answer to question one

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My husband has shingles on his scalp which has gotten better but still causes nerve pain. History of radiation to epiglottis and esophagus due to cancer 5 years ago. Always has had some problem after radiation with swallowing but has improved. Recently developed extreme difficulty swallowing, even soft foods. He saw his oncologist today who said he had a throat cancer. My questions are<|eot_id|><|start_header_id|>assistant<|end_header_id|>Answer to question one<|eot_id|>

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

HiI recently had root canal treatment for an abscessed upper front tooth. Have one more treatment to go.Since trouble with my tooth I am experiencing ear ache/pressure in both ears, facial and general discomfort in my gums. I am experiencing nausea intermittently, also an unpleasant bile type taste in my mouth. I also have a blocked left nostril which I think is sinus related Have you any idea what may be occurring.? Cheers Jennie

Thanks for your query, I have gone through your question, the discomfort in the face and gums could be because of the infection in the tooth. This will be reduced once you complete the course of antibiotics and treatment.....the nausea could be because of the antibiotics and analgesics due to gastric irritation, you can take antacid with antiemetic.....the pain in the ear could not be related to the front tooth infection...consult ENT specialist for that... 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: HiI recently had root canal treatment for an abscessed upper front tooth. Have one more treatment to go.Since trouble with my tooth I am experiencing ear ache/pressure in both ears, facial and general discomfort in my gums. I am experiencing nausea intermittently, also an unpleasant bile type taste in my mouth. I also have a blocked left nostril which I think is sinus related Have you any idea what may be occurring.? Cheers Jennie<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your query, I have gone through your question, the discomfort in the face and gums could be because of the infection in the tooth. This will be reduced once you complete the course of antibiotics and treatment.....the nausea could be because of the antibiotics and analgesics due to gastric irritation, you can take antacid with antiemetic.....the pain in the ear could not be related to the front tooth infection...consult ENT specialist for that... 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 implanon contracepion implant expired 14 days ago and only gives 3 years protection.I had very irregular periods during the past 3 years. I have had unprotected sex with my partner a few times since it has expired and I cant stop urinating, have a tightening feeling in my abdomen , am very tired , have nauscea and a little diarrhea . Do you like I could be pregnant, these symptoms have only started this past week. It is too early to take a pregnancy test and i dont know when my period is due. How likely do you think I could be pregnant?

Hi, Thank you for posting your question here, I will try to answer it to the best of my abilities. If the contraception you are using had expired there is always a chance of getting pregnant, especially if you were ovulating when you had unprotected intercourse. I recommend waiting a couple of more days and then taking a home pregnancy test, another thing you can do is to go to a doctor and ask him to test your blood to check if you are pregnant. I hope this answered your question.

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 implanon contracepion implant expired 14 days ago and only gives 3 years protection.I had very irregular periods during the past 3 years. I have had unprotected sex with my partner a few times since it has expired and I cant stop urinating, have a tightening feeling in my abdomen , am very tired , have nauscea and a little diarrhea . Do you like I could be pregnant, these symptoms have only started this past week. It is too early to take a pregnancy test and i dont know when my period is due. How likely do you think I could be pregnant?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thank you for posting your question here, I will try to answer it to the best of my abilities. If the contraception you are using had expired there is always a chance of getting pregnant, especially if you were ovulating when you had unprotected intercourse. I recommend waiting a couple of more days and then taking a home pregnancy test, another thing you can do is to go to a doctor and ask him to test your blood to check if you are pregnant. I hope this answered your question.<|eot_id|>

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

Hello Good Afternoon Doctor, I am 44years old and recently lost my GOLD chain some 3 months back , My question to you is I was not even aware that I had lost my chain, only when my monther reminded me I realised I am not able to find it. I am not able to recollect how and when I lost it...I cant even recollect where I have kept it nor...I am absolutely blank about that GOLD chain. Is there any medicine or treatment I can get to recall my memory...exactly when and where I lost my Gold chain

I appreciate your concerns and asking on Chat Doctor. Unfortunately there is no medicine to improve such recollection of memory. You do not remember because you had reduced attention when to place it and your mind actually did not register its location. Now what you can do is recall the events 3 months back and do not try to recall the gold chain itself. Rather recall the associated events, the memory will be stimulated, and it can pop up as an associated memory. I hope you find it helpful.

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 Good Afternoon Doctor, I am 44years old and recently lost my GOLD chain some 3 months back , My question to you is I was not even aware that I had lost my chain, only when my monther reminded me I realised I am not able to find it. I am not able to recollect how and when I lost it...I cant even recollect where I have kept it nor...I am absolutely blank about that GOLD chain. Is there any medicine or treatment I can get to recall my memory...exactly when and where I lost my Gold chain<|eot_id|><|start_header_id|>assistant<|end_header_id|>I appreciate your concerns and asking on Chat Doctor. Unfortunately there is no medicine to improve such recollection of memory. You do not remember because you had reduced attention when to place it and your mind actually did not register its location. Now what you can do is recall the events 3 months back and do not try to recall the gold chain itself. Rather recall the associated events, the memory will be stimulated, and it can pop up as an associated memory. I hope you find it helpful.<|eot_id|>

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

Hi my son I four years old and has spotty red bumps on his bum, along with a low grade fever. His anal hole is very red but he says it doesn t burn. When I wiped his bum earlier there was some blood on the tissue. Should I be concerned? His younger sister just had folliculitis.

Thank you for posting your question. Red spots over the buttocks and redness near the anal opening suggests that your child has a rash at the nappy area. This may be due to infrequent changing of diapers(in case not toilet trained), excessive heat/perspiration or some irritant cloth material of the undergarments. The blood that you mentioned may be due to one of the boils being broken while wiping. However, it is also important to rule out that your child does not have blood in his stools. For that I suggest you keep a watch on his stools to observe any red or black streaks. If so, get a medical consultation for the same. For the rash apply any zinc oxide containing rash cream or simple calamine lotion. Assure that the area is kept Chat Doctor. Also, if you find any new lesions on other parts of the body or an increase in the existing rash, consult a doctor immediately. If you need any more guidance, do write back.

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 I four years old and has spotty red bumps on his bum, along with a low grade fever. His anal hole is very red but he says it doesn t burn. When I wiped his bum earlier there was some blood on the tissue. Should I be concerned? His younger sister just had folliculitis.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thank you for posting your question. Red spots over the buttocks and redness near the anal opening suggests that your child has a rash at the nappy area. This may be due to infrequent changing of diapers(in case not toilet trained), excessive heat/perspiration or some irritant cloth material of the undergarments. The blood that you mentioned may be due to one of the boils being broken while wiping. However, it is also important to rule out that your child does not have blood in his stools. For that I suggest you keep a watch on his stools to observe any red or black streaks. If so, get a medical consultation for the same. For the rash apply any zinc oxide containing rash cream or simple calamine lotion. Assure that the area is kept Chat Doctor. Also, if you find any new lesions on other parts of the body or an increase in the existing rash, consult a doctor immediately. If you need any more guidance, do write back.<|eot_id|>

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

I m 37yrs old. I met with an accident 6 months before and hand 5 stitches beside my right knee The wound was deep but no bleeding was there. I still feel pain there.From last week I have pain in my thigh and feeling pain.in whole leg while turning aside during sleep. Pain.is also there while descending stairs n while sitting or standing. Can u.plz tell me the reason 4 that

Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As you had an injury which was treated with stitches there will be a load shifting leading to muscle imbalances. Performing exercises for the knee joint will be helpful. Undergoing a proper clinical physical therapy assessment will help understand the muscle weakness involved and with guided exercise the pain will be avoided. On a longer run it is advised to undergo proper physical therapy rehabilitation of the knee to avoid future early degenerative changes in the knee. RegardsJay In Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I m 37yrs old. I met with an accident 6 months before and hand 5 stitches beside my right knee The wound was deep but no bleeding was there. I still feel pain there.From last week I have pain in my thigh and feeling pain.in whole leg while turning aside during sleep. Pain.is also there while descending stairs n while sitting or standing. Can u.plz tell me the reason 4 that<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As you had an injury which was treated with stitches there will be a load shifting leading to muscle imbalances. Performing exercises for the knee joint will be helpful. Undergoing a proper clinical physical therapy assessment will help understand the muscle weakness involved and with guided exercise the pain will be avoided. On a longer run it is advised to undergo proper physical therapy rehabilitation of the knee to avoid future early degenerative changes in the knee. RegardsJay In Chat Doctor.<|eot_id|>

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

my daughter was diagnosed with glandular fever a couple of weeks ago, she seemed to be getting better during the last week , she still sufferred from tiredness and moodiness but in the last 48 hours has had diarreah 3 times and has been sick once. im going to take her to the doctor tomorrow but im just a bit worries about her. I have read the possible complications witha ruptured spleen and possible other issues please can you advise

Hi I did review your condition. Post viral self limiting diarrhea can be seen after any viral infection including ABV, CMV and so on. However, I would recommend you to consult a doctor if the loose stools are more than 3-4 times a day and causing census, blood in stools or severe fatigue. In this case the diarrhea needs to be evaluated separately hope this help swish you all the best for your health.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: my daughter was diagnosed with glandular fever a couple of weeks ago, she seemed to be getting better during the last week , she still sufferred from tiredness and moodiness but in the last 48 hours has had diarreah 3 times and has been sick once. im going to take her to the doctor tomorrow but im just a bit worries about her. I have read the possible complications witha ruptured spleen and possible other issues please can you advise<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi I did review your condition. Post viral self limiting diarrhea can be seen after any viral infection including ABV, CMV and so on. However, I would recommend you to consult a doctor if the loose stools are more than 3-4 times a day and causing census, blood in stools or severe fatigue. In this case the diarrhea needs to be evaluated separately hope this help swish you all the best for your health.<|eot_id|>