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

Im 18 years old and I have a numerous amount of odd things going on with my body for example my back constantly aches along with sudden pains in my ankles side of foot knees and arms. I have to pee a lot more often and sometimes its uncontrollable which is causing serios dehidration. To add on to that...sometime without meaning to When I talk sometimes..it comes out sounding like I have a swollen t tongue. Also I have an abnormally fast heart rate and difficulty breathing

Hi I am Chat Doctor. . In my opinion you just need some B12 multivitamins and some blood tests to check for anemia or any kind of deficiency. I think you are young to have any cardiac problem and if so it is not related to your joint pains. For now I recommend avoiding smoking, heavy weight, healthy food and lifestyle with some daily morning physical exercises will be fine. Please click and consider a 5 stars rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free 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: Im 18 years old and I have a numerous amount of odd things going on with my body for example my back constantly aches along with sudden pains in my ankles side of foot knees and arms. I have to pee a lot more often and sometimes its uncontrollable which is causing serios dehidration. To add on to that...sometime without meaning to When I talk sometimes..it comes out sounding like I have a swollen t tongue. Also I have an abnormally fast heart rate and difficulty breathing<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi I am Chat Doctor. . In my opinion you just need some B12 multivitamins and some blood tests to check for anemia or any kind of deficiency. I think you are young to have any cardiac problem and if so it is not related to your joint pains. For now I recommend avoiding smoking, heavy weight, healthy food and lifestyle with some daily morning physical exercises will be fine. Please click and consider a 5 stars rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask.<|eot_id|>

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

Hi. Im not sure if you can assist me but Ive been searching for a solution online for hours and haven t found an exact answer. I live in Pa and our sister is abusing and/or selling prescription meds. She obtains the same script from a pain management center and also from her primary doctor (they obviously do not know about one another). She also is utilizing two separate ins companies in order to do this. I need to know who to contact to report her. We don t want to call police or agencies unless this is how the process works. Please help. We are desperate to have her forced into a rehab situation for the sake of her babies

Hello, Thanks for using Chat Doctor.Oh, that's a really strange situation. You can consult some psychiatrist, tell doctor all detail about her. And then if she is ready, take her also to psychiatrist for dead diction. If she is not at all ready you can ask for police help(if you are in India, police can take her to psychiatrist) according to law prevalent there. And some psychiatrist can guide you best if you narrate whole detail about her to doctor. Hope I have answered your query,

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi. Im not sure if you can assist me but Ive been searching for a solution online for hours and haven t found an exact answer. I live in Pa and our sister is abusing and/or selling prescription meds. She obtains the same script from a pain management center and also from her primary doctor (they obviously do not know about one another). She also is utilizing two separate ins companies in order to do this. I need to know who to contact to report her. We don t want to call police or agencies unless this is how the process works. Please help. We are desperate to have her forced into a rehab situation for the sake of her babies<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thanks for using Chat Doctor.Oh, that's a really strange situation. You can consult some psychiatrist, tell doctor all detail about her. And then if she is ready, take her also to psychiatrist for dead diction. If she is not at all ready you can ask for police help(if you are in India, police can take her to psychiatrist) according to law prevalent there. And some psychiatrist can guide you best if you narrate whole detail about her to doctor. Hope I have answered your query,<|eot_id|>

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

Sir , my brother had a very law sperm count from past 2 yeras (8 millon/3ml).I am an ayurvedic doctor and now I am giving him some medicines to increase his sperm count .last week he has done his semen analysis and the report is volume 2ml, reaction alkaline, viscocity moderate , motility 4-6/hpf, active 1-2/hpf, sluggish 2-3/hpf, dead 6-8/hpf , pus 2-3/hpf count 2 million/ml.what will be the normal values for him to become fertile

Hello Your brothers semen analysis findings may indicate semen infection with decreased sperm motility and low sperm count. Infection is indicated due to presence of few pus cells in semen. Normally semen shouldn't contain any pus cells. Besides clinical correlation, he may need investigations like routine hologram, random blood sugar, semen culture and sensitivity, ultrasound of scrotum. Hormone assay can also be done after evaluation. Motility is also low. Normally it should be at least 55 %. Sperm count is low. Normally it should be at least 20 millions/ml. He may need to take antibiotics based on culture and sensitivity report. Clinical examination and ultrasound of scrotum can detect any surgical reason for his problem. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Sir , my brother had a very law sperm count from past 2 yeras (8 millon/3ml).I am an ayurvedic doctor and now I am giving him some medicines to increase his sperm count .last week he has done his semen analysis and the report is volume 2ml, reaction alkaline, viscocity moderate , motility 4-6/hpf, active 1-2/hpf, sluggish 2-3/hpf, dead 6-8/hpf , pus 2-3/hpf count 2 million/ml.what will be the normal values for him to become fertile<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello Your brothers semen analysis findings may indicate semen infection with decreased sperm motility and low sperm count. Infection is indicated due to presence of few pus cells in semen. Normally semen shouldn't contain any pus cells. Besides clinical correlation, he may need investigations like routine hologram, random blood sugar, semen culture and sensitivity, ultrasound of scrotum. Hormone assay can also be done after evaluation. Motility is also low. Normally it should be at least 55 %. Sperm count is low. Normally it should be at least 20 millions/ml. He may need to take antibiotics based on culture and sensitivity report. Clinical examination and ultrasound of scrotum can detect any surgical reason for his problem. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor.<|eot_id|>

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

Evey morning we usualy walking 40 munit month ago my wife started breatheless after on th way we walk back to home , then last week our Dr send my wife to Hospital for Lung CT scan after resulted in Lung blood clot Dr in Hospital treatment my wife the medication is XARELTO We very worry ,please Dr tell us can my wife recovery and how long she will treatment with medication Thankyou very much

Thanks for your question on Chat Doctor. I can understand your situation and problem. Your wife is having pulmonary embolism (clots in pulmonary vessels). In this disease at least 6-8 months of blood thinner (anti coagulant) treatment is needed. After this repeat CT PULMONARY ANGIOGRAPHY should be done. And need for further anti coagulant treatment is based on follow-up CT report. If embolism is still present then another 6-8 months treatment is required.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Evey morning we usualy walking 40 munit month ago my wife started breatheless after on th way we walk back to home , then last week our Dr send my wife to Hospital for Lung CT scan after resulted in Lung blood clot Dr in Hospital treatment my wife the medication is XARELTO We very worry ,please Dr tell us can my wife recovery and how long she will treatment with medication Thankyou very much<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your situation and problem. Your wife is having pulmonary embolism (clots in pulmonary vessels). In this disease at least 6-8 months of blood thinner (anti coagulant) treatment is needed. After this repeat CT PULMONARY ANGIOGRAPHY should be done. And need for further anti coagulant treatment is based on follow-up CT report. If embolism is still present then another 6-8 months treatment is required.<|eot_id|>

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

yes i am 33 years old and just a week ago i started having this feeling in the upper part of my stomach just under my breasts it feels like something moving inside of me it doesnt have any pain just the feeing of a bubble or something. I had my period which was a little late this month but it was normal from the first day the last. I just want to know if you could help me and tell what this could be

Hi ! Good evening. I am Chat Doctor answering your query. This could be just a gaseous distension which is causing this sensation in your abdomen. If I were your doctor, I would advise you to avoid any kind of food from outside to prevent any kind of intestinal infection/infestation which could give rise to such sensation. In addition, I would advise you for a stool test for ova and cyst and treat it if positive. An ultrasound of the abdomen would rule out any kind of intra-abdominal pathology. Till then, I would advise you for a probiotic and a proton pump inhibitor for a possible symptomatic relief. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 am 33 years old and just a week ago i started having this feeling in the upper part of my stomach just under my breasts it feels like something moving inside of me it doesnt have any pain just the feeing of a bubble or something. I had my period which was a little late this month but it was normal from the first day the last. I just want to know if you could help me and tell what this could be<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi ! Good evening. I am Chat Doctor answering your query. This could be just a gaseous distension which is causing this sensation in your abdomen. If I were your doctor, I would advise you to avoid any kind of food from outside to prevent any kind of intestinal infection/infestation which could give rise to such sensation. In addition, I would advise you for a stool test for ova and cyst and treat it if positive. An ultrasound of the abdomen would rule out any kind of intra-abdominal pathology. Till then, I would advise you for a probiotic and a proton pump inhibitor for a possible symptomatic relief. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.<|eot_id|>

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

My 7 year old daughter is complaining that her stomach hurts right around the belly button and she is not hungry. This has been going on for 2-3 days, she also states that depending on how she extends her leg, it hurts even more. Could this be her apendix?

Abdominal pains are common in childhood. Most of them are not serious.However, it is not appendicitis as pain is not continuous nor with fever and vomiting. You should look for any constipation and also deform her once. Add some fibers in diet like salads etc. Again get a routine urine test done as urine infection is also a cause of pain in child Chat Doctor. Further if the pain is not disturbing sleep, not associated with vomiting and the weight gain is ok then you may not need to worry.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My 7 year old daughter is complaining that her stomach hurts right around the belly button and she is not hungry. This has been going on for 2-3 days, she also states that depending on how she extends her leg, it hurts even more. Could this be her apendix?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Abdominal pains are common in childhood. Most of them are not serious.However, it is not appendicitis as pain is not continuous nor with fever and vomiting. You should look for any constipation and also deform her once. Add some fibers in diet like salads etc. Again get a routine urine test done as urine infection is also a cause of pain in child Chat Doctor. Further if the pain is not disturbing sleep, not associated with vomiting and the weight gain is ok then you may not need to worry.<|eot_id|>

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

Hello, I am Ganesh from Hyderabad, India. My son-4Yrs old, has been suffering from cold & continuous cough. We consulted pediatrician and he prescribed Moxikind CV Kid and Brodil Syrup. I had tough time in giving him both the medicines separately and so decided to mix it up together and gave him twice(Yesterday Morning & before bed). But this morning I could see, he has developed some rashes in his legs, thighs and a small patch in his chest too. Is it sort of allergic due to the tablets? I didn t give him any dosage thats due now. I will have to wait till evening to consult the pead again.

Dear Ganesh, The rash is most likely due to the antibiotic and points to the entire illness being due to a virus that is called as \"infectious mononucleosis\" virus or the ABV. Please ask your pediatrician about this when you are with him. Avoid the antibiotic and ask them to replace it with something other than a penicillin or a cephalosporin. You can show him this answer instead of trying to remember these difficult words. ;-)

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 Ganesh from Hyderabad, India. My son-4Yrs old, has been suffering from cold & continuous cough. We consulted pediatrician and he prescribed Moxikind CV Kid and Brodil Syrup. I had tough time in giving him both the medicines separately and so decided to mix it up together and gave him twice(Yesterday Morning & before bed). But this morning I could see, he has developed some rashes in his legs, thighs and a small patch in his chest too. Is it sort of allergic due to the tablets? I didn t give him any dosage thats due now. I will have to wait till evening to consult the pead again.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Dear Ganesh, The rash is most likely due to the antibiotic and points to the entire illness being due to a virus that is called as \"infectious mononucleosis\" virus or the ABV. Please ask your pediatrician about this when you are with him. Avoid the antibiotic and ask them to replace it with something other than a penicillin or a cephalosporin. You can show him this answer instead of trying to remember these difficult words. ;-)<|eot_id|>

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

I HAVE JUST STARTED GETTING REDISHWHITE SORES IN MY MOUTH AND MY REAR BOTTOM RIGHT TOOTH IS HURTING AND I CANT HARDLY SWALLOW SOMETIMES MY GUMS AROUND THE TOOTH IS SWOLLEN AND I OPEN MY MOUTH WIDE SOMETIMES TO EAT SOMETHING . SOME ONE SAID I MIGHT HAVE (thrush) I DONT KNOW WHAT THAT IS.

Good evening sir I fairly understand your concern, but, you have to be more precise as to where exactly you are experiencing red and white spot. Nevertheless, considering your problem regarding you rear, right bottom tooth, it seems to be partially erupted and the tooth just above it may be causing recurrent friction in your gums, which may be one of the reasons of that red and white spot you are experiencing. If that is what the case is, then you must get rid of your last tooth and the tooth just above it, and you will be free of the pain and red and white spot, if that is not the case then in my opinion you must consult a dentist nearby you, and I am sure he will help you

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I HAVE JUST STARTED GETTING REDISHWHITE SORES IN MY MOUTH AND MY REAR BOTTOM RIGHT TOOTH IS HURTING AND I CANT HARDLY SWALLOW SOMETIMES MY GUMS AROUND THE TOOTH IS SWOLLEN AND I OPEN MY MOUTH WIDE SOMETIMES TO EAT SOMETHING . SOME ONE SAID I MIGHT HAVE (thrush) I DONT KNOW WHAT THAT IS.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Good evening sir I fairly understand your concern, but, you have to be more precise as to where exactly you are experiencing red and white spot. Nevertheless, considering your problem regarding you rear, right bottom tooth, it seems to be partially erupted and the tooth just above it may be causing recurrent friction in your gums, which may be one of the reasons of that red and white spot you are experiencing. If that is what the case is, then you must get rid of your last tooth and the tooth just above it, and you will be free of the pain and red and white spot, if that is not the case then in my opinion you must consult a dentist nearby you, and I am sure he will help you<|eot_id|>

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

I am having pulsating pain every 30 seconds under my ear lobe on my face. I had the same type of pain on my head behind my ear about one and one half inches away. The pain lasted for about a month before. Here I go again! Feels like nerve pain. WHY?

Here you have told there is pulsating pain under your ear to your face. This could be related to facial nerve pain if there is no other symptoms. You need to be careful. Don't sleep under the fan. And keep ear buds in your ear so that cold air does not go in ear and disturb the facial nerve. Also do not use cold Chat Doctor. You can also visit an ENT doctor if there is an ear pain because there could be ear infection, and you need an ear

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I am having pulsating pain every 30 seconds under my ear lobe on my face. I had the same type of pain on my head behind my ear about one and one half inches away. The pain lasted for about a month before. Here I go again! Feels like nerve pain. WHY?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Here you have told there is pulsating pain under your ear to your face. This could be related to facial nerve pain if there is no other symptoms. You need to be careful. Don't sleep under the fan. And keep ear buds in your ear so that cold air does not go in ear and disturb the facial nerve. Also do not use cold Chat Doctor. You can also visit an ENT doctor if there is an ear pain because there could be ear infection, and you need an ear<|eot_id|>

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

SIR, THIS IS TO INTIMATE THAT I HAVE SEVERE ITCHING PROBLEMS ON MY HIPS,TESTICLES, PENIS AND ON UPPER THIGH, ITS ALWAYS THERE ONCE OR TWICE A YEAR, THE COLOR OF MY ABOVE MENTIONED AREA HAS TURNED VERY VERY BLACK DUE TO CONTINUOUS ITCHING, CURRENTLY I AM USING FLUCORT SKIN CREAM, IS THIS SKIN CREAM GET ME BACK THE ORIGINAL COLOR OF THE SKIN OF ABOVE MENTIONED AREA AND GET ME RID OF ITCHING PROBLEMS BECAUSE I AM GETTING MARRIED SOON AND I FEEL VERY EMBARASSED .

Thanks for asking in Chat Doctor forum Fungal infection is very common in that area you have mentioned already. Please give details regarding lesion whether it is round with central clearing or not. In case if it is fungal infection your cream does not help in fact can increase it. So, a pic of your lesion is highly appreciated and antifungal cream can help you a lot for the clearance of lesion. All the best. Waiting for your details.

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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, THIS IS TO INTIMATE THAT I HAVE SEVERE ITCHING PROBLEMS ON MY HIPS,TESTICLES, PENIS AND ON UPPER THIGH, ITS ALWAYS THERE ONCE OR TWICE A YEAR, THE COLOR OF MY ABOVE MENTIONED AREA HAS TURNED VERY VERY BLACK DUE TO CONTINUOUS ITCHING, CURRENTLY I AM USING FLUCORT SKIN CREAM, IS THIS SKIN CREAM GET ME BACK THE ORIGINAL COLOR OF THE SKIN OF ABOVE MENTIONED AREA AND GET ME RID OF ITCHING PROBLEMS BECAUSE I AM GETTING MARRIED SOON AND I FEEL VERY EMBARASSED .<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for asking in Chat Doctor forum Fungal infection is very common in that area you have mentioned already. Please give details regarding lesion whether it is round with central clearing or not. In case if it is fungal infection your cream does not help in fact can increase it. So, a pic of your lesion is highly appreciated and antifungal cream can help you a lot for the clearance of lesion. All the best. Waiting for your details.<|eot_id|>

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

Since I was about four every time I get stressed out I get horrible ulcers in my mouth, from 20-30 at a time. I am now 22. The past year the have begun to even come out onto my lips . I have been to umpteen doctors/specialists but I have gotten a different answer if no answer at all every time. I have been tested every time for herpes simplex and every other STD and it always came up negative. My latest doctor thinks it s a condition called behcets but it s vary rare in the US. But he still hasn t diagnosed me! Does anyone have any other explanation? Its starting to affect my work (I m am in the skin care field and my boss wants proof on not contagious but no one knows what it is. Help?!!

Even if it is behests you are not contagious.behests is a clinical diagnosis. Oral ulceration, the hallmark of this disease, is usually the initial clinical symptom and can precede other manifestations by years. Ulcers are typically painful, appear in crops, and are nonscarring. For diagnostic purposes, at least 3 episodes in a 12-month period are required. Do you have ulcers elsewhere stands the 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: Since I was about four every time I get stressed out I get horrible ulcers in my mouth, from 20-30 at a time. I am now 22. The past year the have begun to even come out onto my lips . I have been to umpteen doctors/specialists but I have gotten a different answer if no answer at all every time. I have been tested every time for herpes simplex and every other STD and it always came up negative. My latest doctor thinks it s a condition called behcets but it s vary rare in the US. But he still hasn t diagnosed me! Does anyone have any other explanation? Its starting to affect my work (I m am in the skin care field and my boss wants proof on not contagious but no one knows what it is. Help?!!<|eot_id|><|start_header_id|>assistant<|end_header_id|>Even if it is behests you are not contagious.behests is a clinical diagnosis. Oral ulceration, the hallmark of this disease, is usually the initial clinical symptom and can precede other manifestations by years. Ulcers are typically painful, appear in crops, and are nonscarring. For diagnostic purposes, at least 3 episodes in a 12-month period are required. Do you have ulcers elsewhere stands the question.<|eot_id|>

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

hi my son is 11 months old. Last December he had got cold, that time doctors has recommended Sinarest syrup (2.5 ml - thrice a day for three days) and Azee 100(15ml). Now He has cold and I have given only Sinarest syrup for 3 days. But still his nose is running and he is coughing. shall i continue with Sinarest and start with Azee now?RegardsVaishali

Hello Vishal, Thank you for asking at Chat Doctor. I went through your sons history and would like to make suggestions as follows

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hi my son is 11 months old. Last December he had got cold, that time doctors has recommended Sinarest syrup (2.5 ml - thrice a day for three days) and Azee 100(15ml). Now He has cold and I have given only Sinarest syrup for 3 days. But still his nose is running and he is coughing. shall i continue with Sinarest and start with Azee now?RegardsVaishali<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello Vishal, Thank you for asking at Chat Doctor. I went through your sons history and would like to make suggestions as follows<|eot_id|>

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

I am currently 36 weeks 0 days pregnant. My baby isn t growing properly. She weighs 3 lbs 9 oz. In the last 4 weeks she has gained 6 oz. She s measuring around 31 weeks right now. In the NST she s been great, very active, heart rate raises and drops correctly. In ultrasounds, the blood flow to her brain and from the umbilical cord is border line. The doctors are debating on taking her early. Now they are consulting another doctor in Milwaukee, WI that specializes in prenatal nutrition. They told me to have my bags packed for when I come back on Thursday. For the past 2 weeks I ve been seeing the doctors twice a week. What are the risks of taking her early? Do you think it will be a wise choice to leave her in the womb, or take her? What are the specifications for bringing a preemie home? Is a weight requirement, or is it based on the individual?

Hello, Yes,you are carrying a small for date fetus with a growth lag of 5 weeks. All parameters mentioned by you are within normal limits, except Doppler flow, which shows a reduced blood flow. At present, this is a confusing status for your OBI also. In one hand, there is a risk of prematurity if they consider for an early delivery;on the other hand, yes, there is risk of inter death as he/she is not gaining weight anymore. You need to stick to your doctors group. That is the right and only choice. They will determine the delivery time by doing a regular CTG and biweekly Doppler to look at the fetal blood flow. Meanwhile, keep a record of fetal kick count which should be a minimum of 10-12 per day. If there is any less movement, urgently contact your OBI consultant. Sincerely

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 currently 36 weeks 0 days pregnant. My baby isn t growing properly. She weighs 3 lbs 9 oz. In the last 4 weeks she has gained 6 oz. She s measuring around 31 weeks right now. In the NST she s been great, very active, heart rate raises and drops correctly. In ultrasounds, the blood flow to her brain and from the umbilical cord is border line. The doctors are debating on taking her early. Now they are consulting another doctor in Milwaukee, WI that specializes in prenatal nutrition. They told me to have my bags packed for when I come back on Thursday. For the past 2 weeks I ve been seeing the doctors twice a week. What are the risks of taking her early? Do you think it will be a wise choice to leave her in the womb, or take her? What are the specifications for bringing a preemie home? Is a weight requirement, or is it based on the individual?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Yes,you are carrying a small for date fetus with a growth lag of 5 weeks. All parameters mentioned by you are within normal limits, except Doppler flow, which shows a reduced blood flow. At present, this is a confusing status for your OBI also. In one hand, there is a risk of prematurity if they consider for an early delivery;on the other hand, yes, there is risk of inter death as he/she is not gaining weight anymore. You need to stick to your doctors group. That is the right and only choice. They will determine the delivery time by doing a regular CTG and biweekly Doppler to look at the fetal blood flow. Meanwhile, keep a record of fetal kick count which should be a minimum of 10-12 per day. If there is any less movement, urgently contact your OBI consultant. Sincerely<|eot_id|>

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

My mom had knee surgery a few months ago and she has recently had these bruises that will itch and then flare up with red lumps like an allergic reaction they last a couple of days and when they disappear her skin stays a darker shade of her normal skin tone. Her surgeon said it might be a reaction to the pain meds and to just apply hydrocortisone cream. It doesn t seem to be helping any suggestions??

Hello, Thank you for asking at Chat Doctor. I went through your mothers history and would like to make suggestions for her as follows

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My mom had knee surgery a few months ago and she has recently had these bruises that will itch and then flare up with red lumps like an allergic reaction they last a couple of days and when they disappear her skin stays a darker shade of her normal skin tone. Her surgeon said it might be a reaction to the pain meds and to just apply hydrocortisone cream. It doesn t seem to be helping any suggestions??<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thank you for asking at Chat Doctor. I went through your mothers history and would like to make suggestions for her as follows<|eot_id|>

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

From the upper hard palate , along the gumline between the teeth and hard palate, there is a continuous discharge of saliva which is sour and bitter. With the tip of my tougue, I could feel the sponge texture along the gumline between the teeth and hard palate. On the worse day, I can physically feel the discharge dripping from a tube/duct or spiral discharge to the hard palate. I feel like I have two sets of nose. I have seek helps from ENT, dentist , and oral surgeon, but no one can diagnose what is causing it for the past two to three years.

Maxillary sinus may be accidentally opened during tooth extraction/dental work and can lead to bitter taste in mouth and leakage in mouth. Roots of upper teeth are close to the sinus and mouth sinus communication could have occurred during tooth extraction. This complication is more common when teeth project into sinus when there is considerable bone present between floor of sinus and root spices. In most cases, opening which occurs is small and blood clot filling the extraction socket will close the openings unless the sinus is infected. If opening is of considerable size, then sutures are placed across the socket to approximate gingival tissues. Some absorbable material may also be used. Large openings can be closed with buccal flap. You can visit an oral surgeon for evaluation and treatment.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: From the upper hard palate , along the gumline between the teeth and hard palate, there is a continuous discharge of saliva which is sour and bitter. With the tip of my tougue, I could feel the sponge texture along the gumline between the teeth and hard palate. On the worse day, I can physically feel the discharge dripping from a tube/duct or spiral discharge to the hard palate. I feel like I have two sets of nose. I have seek helps from ENT, dentist , and oral surgeon, but no one can diagnose what is causing it for the past two to three years.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Maxillary sinus may be accidentally opened during tooth extraction/dental work and can lead to bitter taste in mouth and leakage in mouth. Roots of upper teeth are close to the sinus and mouth sinus communication could have occurred during tooth extraction. This complication is more common when teeth project into sinus when there is considerable bone present between floor of sinus and root spices. In most cases, opening which occurs is small and blood clot filling the extraction socket will close the openings unless the sinus is infected. If opening is of considerable size, then sutures are placed across the socket to approximate gingival tissues. Some absorbable material may also be used. Large openings can be closed with buccal flap. You can visit an oral surgeon for evaluation and treatment.<|eot_id|>

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

Hi I have a dime sized bump in my lower left back. Its painless and makes the area around it feel raised. Its not hard but not soft either, if I push hard enough it might squish away. I did recently hit my back on something and bruise it a few maybe 4 inches above it the day prior to finding it.

Hi. Thanks for your query. Noted the history and understood your concerns. Since there is a history of an injury a day prior to finding the lump the most probably reason is obviously a formation of a hematoma. I would advise you the following in such a situation

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi I have a dime sized bump in my lower left back. Its painless and makes the area around it feel raised. Its not hard but not soft either, if I push hard enough it might squish away. I did recently hit my back on something and bruise it a few maybe 4 inches above it the day prior to finding it.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. Thanks for your query. Noted the history and understood your concerns. Since there is a history of an injury a day prior to finding the lump the most probably reason is obviously a formation of a hematoma. I would advise you the following in such a situation<|eot_id|>

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

A couple of weeks ago I developed a sharp pain in my upper back just between my spine and left shoulder blade after an intense work out. It has seemed to get better over time but I find it to get easily irritated again when I m doing alot of physical activity. Sometimes the pain will even radiate down my left arm and cause my hand to tingle. From what little research I ve done I wonder if I may have spinal facet lock...does this sound right? And if so, will it eventually go away or do I need to be seen by a physician?

Dear user, Thank you for contacting us a Chat Doctor for more info on your symptoms. First It's good to search through the net for diagnosis, but sometimes this will cause anxiety because of many syn Chat Doctor. Nevertheless to diagnose spinal facet what you need to do is during the acute attack to visit your doctor and ask for plain anterior-posterior (front-back), lateral (side view), and oblique (off angle) X-ray a CT is even better, and he will tell you if he notices changes, another thing is to inject the facets with a cortisol and check if that reliefs the pain if it does then it is facet. Treatment can be surgical or non-surgical, non-surgical such as posture control, NSAIDs intake, etc...hope that helped. 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: A couple of weeks ago I developed a sharp pain in my upper back just between my spine and left shoulder blade after an intense work out. It has seemed to get better over time but I find it to get easily irritated again when I m doing alot of physical activity. Sometimes the pain will even radiate down my left arm and cause my hand to tingle. From what little research I ve done I wonder if I may have spinal facet lock...does this sound right? And if so, will it eventually go away or do I need to be seen by a physician?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Dear user, Thank you for contacting us a Chat Doctor for more info on your symptoms. First It's good to search through the net for diagnosis, but sometimes this will cause anxiety because of many syn Chat Doctor. Nevertheless to diagnose spinal facet what you need to do is during the acute attack to visit your doctor and ask for plain anterior-posterior (front-back), lateral (side view), and oblique (off angle) X-ray a CT is even better, and he will tell you if he notices changes, another thing is to inject the facets with a cortisol and check if that reliefs the pain if it does then it is facet. Treatment can be surgical or non-surgical, non-surgical such as posture control, NSAIDs intake, etc...hope that helped. Best regards,<|eot_id|>

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

I often have pain which can all at one time or having a starting point gradually spreading. The pain feel like a muscle pain of spasm. It occurs mid back between shoulder blades, under armpits acoss top part of chest(top of breast and sternum). It will last couple of weeks and go away until next time. One dr. thought it to be originating in neck, chiropractor said top rib pinching nerve. Chest pain is not heart related, same deeply bruised feeling as when I either cracked of damaged sternum. First occurrence was about 4-4 1/2 yrs ago. I ve had neck x-rays, not the problem and nothing else. Just take Naproxin. What might actually be causing and what test will identify cause for certain?

Welcome to Chat Doctor I have gone through your query and understand your concern. There are many causes of such pains. One of important cause of such pain in vitamin D Deficiency. If found low you can take supplements of vitamin D3. You should get your thyroid function test to rule out thyroid disease. Your blood sugar fasting and PP should be done to rule out diabetes. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I often have pain which can all at one time or having a starting point gradually spreading. The pain feel like a muscle pain of spasm. It occurs mid back between shoulder blades, under armpits acoss top part of chest(top of breast and sternum). It will last couple of weeks and go away until next time. One dr. thought it to be originating in neck, chiropractor said top rib pinching nerve. Chest pain is not heart related, same deeply bruised feeling as when I either cracked of damaged sternum. First occurrence was about 4-4 1/2 yrs ago. I ve had neck x-rays, not the problem and nothing else. Just take Naproxin. What might actually be causing and what test will identify cause for certain?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Welcome to Chat Doctor I have gone through your query and understand your concern. There are many causes of such pains. One of important cause of such pain in vitamin D Deficiency. If found low you can take supplements of vitamin D3. You should get your thyroid function test to rule out thyroid disease. Your blood sugar fasting and PP should be done to rule out diabetes. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care.<|eot_id|>

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

I have uncontrolled hypertension, decreased urination and left sided low back pain low sodium level in recent blood work I am on a diuretic and recently was off of it for 10 days and gained 10 lbs of fluid I just had an ultrasound of my kidneys and bladder any thoughts ? kidney failure ?

Hi, Symptoms of kidney failure are-Loss of apatite, nausea, vomiting, generalized weakness, altered sensorial.- Symptoms due to water retention like swelling over face, legs, weight gain, breathing difficulty.- Decreased urine production. In your case there is possibility of decreased kidney function (kidney failure) as there is presence of risk factors like uncontrolled hypertension. I want to know your ultrasound report. You need to consult your doctor there is a need for clinical examination depending on it further evaluation can be done. Blood test for kidney function is necessary in your case. Other tests like complete blood count, urine examination for proteins, serum electrolytes, calcium, phosphorus, arterial blood gas analysis, ECG, 2DEcho of heart may be necessary. Hope this may be helpful to you, if so do vote.

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 uncontrolled hypertension, decreased urination and left sided low back pain low sodium level in recent blood work I am on a diuretic and recently was off of it for 10 days and gained 10 lbs of fluid I just had an ultrasound of my kidneys and bladder any thoughts ? kidney failure ?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Symptoms of kidney failure are-Loss of apatite, nausea, vomiting, generalized weakness, altered sensorial.- Symptoms due to water retention like swelling over face, legs, weight gain, breathing difficulty.- Decreased urine production. In your case there is possibility of decreased kidney function (kidney failure) as there is presence of risk factors like uncontrolled hypertension. I want to know your ultrasound report. You need to consult your doctor there is a need for clinical examination depending on it further evaluation can be done. Blood test for kidney function is necessary in your case. Other tests like complete blood count, urine examination for proteins, serum electrolytes, calcium, phosphorus, arterial blood gas analysis, ECG, 2DEcho of heart may be necessary. Hope this may be helpful to you, if so do vote.<|eot_id|>

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

I have had a hard lump on the left side of my groin for 2 years. When I first got it, I squeezed it, and it popped so hard, and all kinds of puss came out of it with blood. The doctor then told me it was an infected hair. It is purple in that area, and never really healed. Every once in a while it gets more swollen than usual, and when I squeeze it, it squirts blood out, but from a different opening that is further left than the purple knot. What is it?

Hi! Good morning. I am Chat Doctor answering your query. Even though it requires a physical examination of the groin area and the patient as a whole, from your history, it seems to be persistence of some kind of chronic infection in the area. If I were your doctor, after a physical examination, I would advise you for a complete blood count, ESR, V Chat Doctor. If the reports of these investigations come out to be inconclusive, I would consider a biopsy of the tissue for a histopathology and the final line of management would depend on the reports. Till then, I would advise you not to fiddle with the lesion, and take proper care of it with regular

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have had a hard lump on the left side of my groin for 2 years. When I first got it, I squeezed it, and it popped so hard, and all kinds of puss came out of it with blood. The doctor then told me it was an infected hair. It is purple in that area, and never really healed. Every once in a while it gets more swollen than usual, and when I squeeze it, it squirts blood out, but from a different opening that is further left than the purple knot. What is it?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi! Good morning. I am Chat Doctor answering your query. Even though it requires a physical examination of the groin area and the patient as a whole, from your history, it seems to be persistence of some kind of chronic infection in the area. If I were your doctor, after a physical examination, I would advise you for a complete blood count, ESR, V Chat Doctor. If the reports of these investigations come out to be inconclusive, I would consider a biopsy of the tissue for a histopathology and the final line of management would depend on the reports. Till then, I would advise you not to fiddle with the lesion, and take proper care of it with regular<|eot_id|>

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

Hi Dr Siegel I have been for a MRI lower lumbar scan2 years ago and have only recently discovered the diagnosis, this has come to light as my lower back grinds and pops with hip movement, this problem prompted my doctor telling me that the disc has dehydrated, I have since that consultation asked for a medical diagnosis which is disc degradation of the lower lumber with paravertable spasm, I have also had many problems with my bowls. I am due for another MRI to see what has changed but I need advice as to how I can live and work and have pain relief which will improve the quality of life

Hello, Thank you for using Chat Doctor. I read your question and understood your concern. I think you should do physiotherapy and exercises to strengthen your back muscles and abdominal muscle. Swimming is very good for you and cycling also. Walking and jogging is OK but not running. Also, Chat Doctor. Stretching exercises and posture modification is helpful also. I think if you make such a regime you will see improvement in 3 months at least. I wish you quick recovery.

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 Siegel I have been for a MRI lower lumbar scan2 years ago and have only recently discovered the diagnosis, this has come to light as my lower back grinds and pops with hip movement, this problem prompted my doctor telling me that the disc has dehydrated, I have since that consultation asked for a medical diagnosis which is disc degradation of the lower lumber with paravertable spasm, I have also had many problems with my bowls. I am due for another MRI to see what has changed but I need advice as to how I can live and work and have pain relief which will improve the quality of life<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thank you for using Chat Doctor. I read your question and understood your concern. I think you should do physiotherapy and exercises to strengthen your back muscles and abdominal muscle. Swimming is very good for you and cycling also. Walking and jogging is OK but not running. Also, Chat Doctor. Stretching exercises and posture modification is helpful also. I think if you make such a regime you will see improvement in 3 months at least. I wish you quick recovery.<|eot_id|>

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

My father is having diabetes for last 12 years, now aged 56. His FBS

Hello, Fruits should be taken in minimal quantity per day, whole fruit is to be taken instead of fruit juice. He must go for a morning walk at a moderate pace for at least 30 minutes per day. Avoid smoking and alcohol. With these blood sugar levels must come down within one month. Otherwise, medication has to be increased. If still no effect, he should switch to insulin. Raised sugar impairs kidney function, fatty liver and fat deposits in arteries. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My father is having diabetes for last 12 years, now aged 56. His FBS<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Fruits should be taken in minimal quantity per day, whole fruit is to be taken instead of fruit juice. He must go for a morning walk at a moderate pace for at least 30 minutes per day. Avoid smoking and alcohol. With these blood sugar levels must come down within one month. Otherwise, medication has to be increased. If still no effect, he should switch to insulin. Raised sugar impairs kidney function, fatty liver and fat deposits in arteries. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.<|eot_id|>

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

I have been diagnosed with bacterial infections for over 10 years and am wondering if dr. maybe need to look for something else that could be wrong. I was diagnosed with IBS 2 years ago after having colonoscopy and removal of unremarkable polyps and then diagnosed with cervical cancer this March and also have found cysts on my liver (still waiting for consult regarding liver).

First, I would like to know which part of the body are you having bacterial infections in. If it is not a particular site, and you have been having infections all over, then you need to rule out two things--Diabetes and HIV infection (both can be ruled out by simple blood tests, blood sugar fasting and postprandial + serum ELISA for HIV). IBS itself can lead to repeated gastrointestinal infections in which case you might need to be started on medications for IBS in consult with a Gastroenterologist. You have not mentioned the treatment you have taken for cervical cancer. If you have taken radiotherapy then that can cause repeated urinary tract infections and rectal infections. Cysts in the liver should not concern you at all as they are benign lesions which don't produce any problems and don't require treatment

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have been diagnosed with bacterial infections for over 10 years and am wondering if dr. maybe need to look for something else that could be wrong. I was diagnosed with IBS 2 years ago after having colonoscopy and removal of unremarkable polyps and then diagnosed with cervical cancer this March and also have found cysts on my liver (still waiting for consult regarding liver).<|eot_id|><|start_header_id|>assistant<|end_header_id|>First, I would like to know which part of the body are you having bacterial infections in. If it is not a particular site, and you have been having infections all over, then you need to rule out two things--Diabetes and HIV infection (both can be ruled out by simple blood tests, blood sugar fasting and postprandial + serum ELISA for HIV). IBS itself can lead to repeated gastrointestinal infections in which case you might need to be started on medications for IBS in consult with a Gastroenterologist. You have not mentioned the treatment you have taken for cervical cancer. If you have taken radiotherapy then that can cause repeated urinary tract infections and rectal infections. Cysts in the liver should not concern you at all as they are benign lesions which don't produce any problems and don't require treatment<|eot_id|>

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

Hi, I have a masturbation technique where I lay down on the bed with my stomach and then place my penis into sheets with my hands and start rubbing my full body up and down. Shortly, I rub my penis into bed sheets. I can t masturbate with my hand because my hand is too rough and i get no effect, just my penis gets real hot and there is no pleasure. Now, I have 2 questions. First one the most important

Degree understand your concerns went through your details. You don't have to worry. Masturbation techniques as you described here is used by almost every young man and those techniques cannot harm your sexual life. If your hands are rough, you can use some sort of lubricants to masturbate. Don't worry. If you require more of my help in this aspect, please use this URL. http

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, I have a masturbation technique where I lay down on the bed with my stomach and then place my penis into sheets with my hands and start rubbing my full body up and down. Shortly, I rub my penis into bed sheets. I can t masturbate with my hand because my hand is too rough and i get no effect, just my penis gets real hot and there is no pleasure. Now, I have 2 questions. First one the most important<|eot_id|><|start_header_id|>assistant<|end_header_id|>Degree understand your concerns went through your details. You don't have to worry. Masturbation techniques as you described here is used by almost every young man and those techniques cannot harm your sexual life. If your hands are rough, you can use some sort of lubricants to masturbate. Don't worry. If you require more of my help in this aspect, please use this URL. http<|eot_id|>

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

Hi my son had a fever lasting roughly 5 days followed by a rash lasting another 4-5 days the drs were concerned he had measles and took routine blood work this was the first time he had a cbc. His palette levels were moderately low (131) after his measles test came back negativeI was asked to bring him back a week from orioriginal date for another cbc this time his levels were quite elevated (644) is there a concern I should have to these results? Is it normal to fluctuate that high out of normal range in a matter of weeks or is this something I should bring to a blood specialists? There is a strong family history of leukemia should I be concerned about that as well ?

Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Increased platelets level is good and goes against the diagnosis of leukemia.2. So much variation is not possible. Get a second test at other lab or get a platelet count on peripheral smear.3. Along with it, also get a differential leukocyte count to look for immature cells. I would not expect to find anything with normal platelet levels. Hope it helps. Any further queries, happy to help again.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi my son had a fever lasting roughly 5 days followed by a rash lasting another 4-5 days the drs were concerned he had measles and took routine blood work this was the first time he had a cbc. His palette levels were moderately low (131) after his measles test came back negativeI was asked to bring him back a week from orioriginal date for another cbc this time his levels were quite elevated (644) is there a concern I should have to these results? Is it normal to fluctuate that high out of normal range in a matter of weeks or is this something I should bring to a blood specialists? There is a strong family history of leukemia should I be concerned about that as well ?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Increased platelets level is good and goes against the diagnosis of leukemia.2. So much variation is not possible. Get a second test at other lab or get a platelet count on peripheral smear.3. Along with it, also get a differential leukocyte count to look for immature cells. I would not expect to find anything with normal platelet levels. Hope it helps. Any further queries, happy to help again.<|eot_id|>

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

I had a lap cholesystectomy on Friday, home on saturday, Early hours of Monday morning I went in to AF for 12 hours and ended up in Coronary Care until yesterday. No-one can find a reason for it but are putting it down to Surgery and anaesthetic trauma. Does this happen???? I also developed some fluid on lungs.

Greetings. Thank you for your question and welcome to Chat Doctor. I understand your concern. Well, depending on the kind of operation, there are differences in atrial fibrillation percentages accompanying the perioperative period. One thing is for sure, atrial fibrillation or flutter is the most common arrhythmia found in perioperative stage, and always expected to happen. It usually self-converts to normal sinus rhythm, by controlling the heart rate with digoxin, beta blockers or calcium channel blockers, and by eliminating the electrolyte disturbances, especially potassium disturbances. If the situation persists more than 24 hours, then medical, pharmacological or electric shock measures should be undertaken to restore the normal sinus rhythm. Fluid in lungs is also a known complication of perioperative period and is dedicated to anesthesia. I hope I was helpful with my answer. Take care and I wish you a good health.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I had a lap cholesystectomy on Friday, home on saturday, Early hours of Monday morning I went in to AF for 12 hours and ended up in Coronary Care until yesterday. No-one can find a reason for it but are putting it down to Surgery and anaesthetic trauma. Does this happen???? I also developed some fluid on lungs.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Greetings. Thank you for your question and welcome to Chat Doctor. I understand your concern. Well, depending on the kind of operation, there are differences in atrial fibrillation percentages accompanying the perioperative period. One thing is for sure, atrial fibrillation or flutter is the most common arrhythmia found in perioperative stage, and always expected to happen. It usually self-converts to normal sinus rhythm, by controlling the heart rate with digoxin, beta blockers or calcium channel blockers, and by eliminating the electrolyte disturbances, especially potassium disturbances. If the situation persists more than 24 hours, then medical, pharmacological or electric shock measures should be undertaken to restore the normal sinus rhythm. Fluid in lungs is also a known complication of perioperative period and is dedicated to anesthesia. I hope I was helpful with my answer. Take care and I wish you a good health.<|eot_id|>

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

My boyfriend is 63 and had a colposcopy last Tues. with removal on one polyp. Since surgery, he has been having lower flank pain on right and left sides, with a deep breathe and sometimes when he coughs. It has gotten a little less painful since the surgery but is persisting. He has never had this lower back pain except since this surgery. He urinates without pain or discomfort, has had two bowel movements since the surgery, no blood, etc. Is this kidney related? Can you tell me what this may be related to? He has a dr apt on this Tues. Thank you

Hello and welcome to Chat Doctor. As a Urologist, I can advise your boyfriend to get an ultrasound scan of abdomen done. According to the report, further treatment can be advised. For the time being, let him take an analgesic, when the pain is severe. Wishing him a speedy recovery.You're welcome to send the scan report to me, as a direct question, for an expert opinion. Enclose a copy of the endoscopic treatment done. Chat Doctor. Manga.

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 boyfriend is 63 and had a colposcopy last Tues. with removal on one polyp. Since surgery, he has been having lower flank pain on right and left sides, with a deep breathe and sometimes when he coughs. It has gotten a little less painful since the surgery but is persisting. He has never had this lower back pain except since this surgery. He urinates without pain or discomfort, has had two bowel movements since the surgery, no blood, etc. Is this kidney related? Can you tell me what this may be related to? He has a dr apt on this Tues. Thank you<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello and welcome to Chat Doctor. As a Urologist, I can advise your boyfriend to get an ultrasound scan of abdomen done. According to the report, further treatment can be advised. For the time being, let him take an analgesic, when the pain is severe. Wishing him a speedy recovery.You're welcome to send the scan report to me, as a direct question, for an expert opinion. Enclose a copy of the endoscopic treatment done. Chat Doctor. Manga.<|eot_id|>

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

I had protected sex several months ago in November. I got my Depo shot in December and had a pregnancy test done at that time. Recently I have been having weird symptoms( sore breast , pressure at the of my stomach, real sore around my waist and sometime it feel like something moving around in my stomach). But, I m due for my Depo shot. Also had a urine quality pregnancy test done at a hospital. I do have a history of gallbladder problems too. I don t know what causing these symptoms!

Hello ma'am. Based on the symptoms and history the two most likely causes for your presentation are either

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 protected sex several months ago in November. I got my Depo shot in December and had a pregnancy test done at that time. Recently I have been having weird symptoms( sore breast , pressure at the of my stomach, real sore around my waist and sometime it feel like something moving around in my stomach). But, I m due for my Depo shot. Also had a urine quality pregnancy test done at a hospital. I do have a history of gallbladder problems too. I don t know what causing these symptoms!<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello ma'am. Based on the symptoms and history the two most likely causes for your presentation are either<|eot_id|>

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

On one of my montgomery glands it has a pea sized white lump inside, it doesnt hurt but is very visable. I had a baby 3 months ago but I noticed that that particular area was always a darker colour than the rest of my areola, Im very worried it could be something serious but keep putting off visiting my doctor as I am very busy with 3 young child....help

Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion, you are mostly having infection of Montgomery glands. It is quite common in young females of child bearing age. Breastfeeding can cause further enlargement. So better to consult gynecologist and get done clinical examination of swelling. You may need antibiotics and anti-inflammatory Chat Doctor. Application of warm water pad on areola can reduce the swelling. So consult your doctor and discuss all these.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: On one of my montgomery glands it has a pea sized white lump inside, it doesnt hurt but is very visable. I had a baby 3 months ago but I noticed that that particular area was always a darker colour than the rest of my areola, Im very worried it could be something serious but keep putting off visiting my doctor as I am very busy with 3 young child....help<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion, you are mostly having infection of Montgomery glands. It is quite common in young females of child bearing age. Breastfeeding can cause further enlargement. So better to consult gynecologist and get done clinical examination of swelling. You may need antibiotics and anti-inflammatory Chat Doctor. Application of warm water pad on areola can reduce the swelling. So consult your doctor and discuss all these.<|eot_id|>

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

hi,i wanted some help..my sgpt level is slightly high 48.6..im 23 and have hypertension due to being obese(92kg @ 5ft7).im taking prlomet xl 50 and olmark h for hypertension and novastat 5 mg..how do i reduce the sgpt level and what do i do to reduce my blood pressure?

Hi thanks for contacting Chat Doctor. Noted you have hypertension plus obesity. Because of obesity you might have fatty liver and lead to elevated liver enzymes. You have not mentioned your blood pressure. If it is moderately high then Chat Doctor. Take low salt diet. Avoid junk foods. Reduce your weight. For that regularly do 1 hour exercise like running, cycling etc... Cutt of oil in diet. If using oil use only good oil for cooking like sunflower oil or peanut oil. Fruits taken more. In your lunch include green leafy salad more. Trans fat taken less like cheese, butter, meat , pastry, chips etc... Avoid alcohol and smoking... If

<|start_header_id|>system<|end_header_id|>If you are a doctor, 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 wanted some help..my sgpt level is slightly high 48.6..im 23 and have hypertension due to being obese(92kg @ 5ft7).im taking prlomet xl 50 and olmark h for hypertension and novastat 5 mg..how do i reduce the sgpt level and what do i do to reduce my blood pressure?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi thanks for contacting Chat Doctor. Noted you have hypertension plus obesity. Because of obesity you might have fatty liver and lead to elevated liver enzymes. You have not mentioned your blood pressure. If it is moderately high then Chat Doctor. Take low salt diet. Avoid junk foods. Reduce your weight. For that regularly do 1 hour exercise like running, cycling etc... Cutt of oil in diet. If using oil use only good oil for cooking like sunflower oil or peanut oil. Fruits taken more. In your lunch include green leafy salad more. Trans fat taken less like cheese, butter, meat , pastry, chips etc... Avoid alcohol and smoking... If<|eot_id|>

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

hi ive had a cold for over two weeks now, the mucous is not discolored just clear, i feel good, i feel clear and within a matter of minutes my head feels full, I blow my nose and its just clear. I also cannot get rid of my cough, sounds loose. and on and off my chest just feels heavy. Could this be allergies

Hello. Thank you for asking at Chat Doctor. I went through your history and your query. If you are not having repeated similar complaints, I would not think of allergy at first. If you are having these symptoms for last 2 weeks only, I would think of viral rhinosinusitis. I would like to make following suggestions for 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 ive had a cold for over two weeks now, the mucous is not discolored just clear, i feel good, i feel clear and within a matter of minutes my head feels full, I blow my nose and its just clear. I also cannot get rid of my cough, sounds loose. and on and off my chest just feels heavy. Could this be allergies<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello. Thank you for asking at Chat Doctor. I went through your history and your query. If you are not having repeated similar complaints, I would not think of allergy at first. If you are having these symptoms for last 2 weeks only, I would think of viral rhinosinusitis. I would like to make following suggestions for you<|eot_id|>

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

I was in california for about 5 days and one day gotten like 20+ bug bites (not sure if spider or mosquito) on my left arm and it is mainly on the backside of my hand. some of them gotten big and popped on their own and started to ooze yellow like liquid for 2 days straight now and they itch and burn everynow and then... What could I do to get rid of it?

Hi, Thanks for the query. I understand your concern. Mostly its spider bite/crush on your skin... For mosquito bite does not cause discharge . As you are having. This mostly heals with symptomatic treatment. Only.if you scratch it to expose raw area underneath .it gets. Exposed to bacterial infection. For you. To relieve pain & itching(due to allergy to saliva of spider) ice pack, pain killers anti-allergic pills over the counter should suffice. . So if you find it taking long time to heal with pus discharge... suspect bacterial infection. You need to add antibiotic to other pills you are already taking . In such case It's advisable to consult your family physician & get the most suitable & effective antibiotic for you (depending on your health & severity of infection. Along with cleaning & Chat Doctor. 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 was in california for about 5 days and one day gotten like 20+ bug bites (not sure if spider or mosquito) on my left arm and it is mainly on the backside of my hand. some of them gotten big and popped on their own and started to ooze yellow like liquid for 2 days straight now and they itch and burn everynow and then... What could I do to get rid of it?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for the query. I understand your concern. Mostly its spider bite/crush on your skin... For mosquito bite does not cause discharge . As you are having. This mostly heals with symptomatic treatment. Only.if you scratch it to expose raw area underneath .it gets. Exposed to bacterial infection. For you. To relieve pain & itching(due to allergy to saliva of spider) ice pack, pain killers anti-allergic pills over the counter should suffice. . So if you find it taking long time to heal with pus discharge... suspect bacterial infection. You need to add antibiotic to other pills you are already taking . In such case It's advisable to consult your family physician & get the most suitable & effective antibiotic for you (depending on your health & severity of infection. Along with cleaning & Chat Doctor. Thanks.<|eot_id|>