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### Instruction: Answer this question truthfully ###Input: Hi doctor,I took Letroz 2.5 mg for 10 days. From day-2, I had two follicles of 2\\xc3\\x972.3 and 1.7\\xc3\\x971.8, at 13th day injected with Fertigen 5000. After 33 hours, I had IUI where my husband\\s sperm after washed 21 million, 33 % motility. I am taking Progesterone 200 for 14 days. Now my period is late by three days. I did a home pregnancy test, it was negative. I have pain in one side (pelvic pain). Is there any chance for pregnancy? ### Response: Hello, Welcome to Chat Doctor forum. Your period is delayed by three days. The urine hCG card test gives a conclusive result only after one week of delayed periods. So, if your period is delayed for one week, then a urine hCG card test is advisable to rule out pregnancy. If you want to rule out early, then a blood hCG estimation can be done. If pregnancy is negative, then for pelvic pain, per speculum examination and USG scan are advisable for further work up. For more information consult a family physician online

Hi doctor,I took Letroz 2.5 mg for 10 days. From day-2, I had two follicles of 2\\xc3\\x972.3 and 1.7\\xc3\\x971.8, at 13th day injected with Fertigen 5000. After 33 hours, I had IUI where my husband\\s sperm after washed 21 million, 33 % motility. I am taking Progesterone 200 for 14 days. Now my period is late by three days. I did a home pregnancy test, it was negative. I have pain in one side (pelvic pain). Is there any chance for pregnancy?

Hello, Welcome to Chat Doctor forum. Your period is delayed by three days. The urine hCG card test gives a conclusive result only after one week of delayed periods. So, if your period is delayed for one week, then a urine hCG card test is advisable to rule out pregnancy. If you want to rule out early, then a blood hCG estimation can be done. If pregnancy is negative, then for pelvic pain, per speculum examination and USG scan are advisable for further work up. For more information consult a family physician online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 58 year old female. I was seen at the weekend by the emergency doctor and was diagnosed with a bowel infection. I was rehydrated and given IV Paracetamol and sent home with oral antibiotics - Flagyl 400 mg thrice daily and Tavanic 500 mg twice daily. I followed a diet of fluids-only for the past three days. I am worried as I really do not feel that much better and the foul loose stools came back today. I think fever still comes and goes (do not have a thermometer, so not 100 % sure). I am on the last day of the Tavanic 500 mg today. Do you have any suggestions please? I take BP meds.- Metropolol 50 mg morning 50 mg evening, Telmisartan 80/25 one tablet in the morning, Nexium 20 to 40 mg daily (depending on how sliding hiatus hernia is playing up) and Allegron 30 to 45 mg evening (depending on how fibromyalgia is). ### Response: Hello. I hope I was able to help you. If you have any further questions please feel free to message. For more information consult a family physician online Take care.

Hello doctor,I am a 58 year old female. I was seen at the weekend by the emergency doctor and was diagnosed with a bowel infection. I was rehydrated and given IV Paracetamol and sent home with oral antibiotics - Flagyl 400 mg thrice daily and Tavanic 500 mg twice daily. I followed a diet of fluids-only for the past three days. I am worried as I really do not feel that much better and the foul loose stools came back today. I think fever still comes and goes (do not have a thermometer, so not 100 % sure). I am on the last day of the Tavanic 500 mg today. Do you have any suggestions please? I take BP meds.- Metropolol 50 mg morning 50 mg evening, Telmisartan 80/25 one tablet in the morning, Nexium 20 to 40 mg daily (depending on how sliding hiatus hernia is playing up) and Allegron 30 to 45 mg evening (depending on how fibromyalgia is).

Hello. I hope I was able to help you. If you have any further questions please feel free to message. For more information consult a family physician online Take care.

### Instruction: Answer this question truthfully ###Input: Hi doctor,My 12 year old girl has been on Celexa from the age of seven years for GAD. She has been on 20 mg for the past three years. It has worked well for the anxiety and mood regulation. She has been irritable and angry with some depression for the past six months. Would you think we should look at changing the medications? Should we go for an add-on medication or increase the dosage of the current one? She is also taking Synthroid, Singulair, and Benadryl. Thanks. ### Response: Hi. Thanks for the question. Generalized anxiety disorder is a simple anxiety disorder which is very easy to treat with medicines if it is combined with psychotherapy and progressive counseling. Medicines alone cannot cure it. Celexa (Citalopram) used to help her in anxiety and mood swings is not working because she is 12 years now. There are many aspects to be looked into including the puberty onset and psychological changes that take place during the onset of adolescence. Attention deficit hyperactivity disorder , ADHD also should be suspected. I suggest not to worry much and consult your psychiatrist. The change of medicine is not needed for GAD but, should be assessed for ADHD or stress disorder. I also suggest regular cognitive behavior therapy and progressive counseling through online medium. Take care.

Hi doctor,My 12 year old girl has been on Celexa from the age of seven years for GAD. She has been on 20 mg for the past three years. It has worked well for the anxiety and mood regulation. She has been irritable and angry with some depression for the past six months. Would you think we should look at changing the medications? Should we go for an add-on medication or increase the dosage of the current one? She is also taking Synthroid, Singulair, and Benadryl. Thanks.

Hi. Thanks for the question. Generalized anxiety disorder is a simple anxiety disorder which is very easy to treat with medicines if it is combined with psychotherapy and progressive counseling. Medicines alone cannot cure it. Celexa (Citalopram) used to help her in anxiety and mood swings is not working because she is 12 years now. There are many aspects to be looked into including the puberty onset and psychological changes that take place during the onset of adolescence. Attention deficit hyperactivity disorder , ADHD also should be suspected. I suggest not to worry much and consult your psychiatrist. The change of medicine is not needed for GAD but, should be assessed for ADHD or stress disorder. I also suggest regular cognitive behavior therapy and progressive counseling through online medium. Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,My 13 year old said this tooth was hurting him when he bit down in class. So, he just painfully pulled it out. He is really concerned because the tooth has a root on it. It is the second one from the back on the top right side. ### Response: Hi, Welcome to Chat Doctor forum. I have read through the complaint and the relevant details. Considering the age of your son, I am pretty sure it is the milk tooth that he has forcefully pulled out. Ask him if the tooth was loose and that he was not able to chew food properly on that side. Do not worry because it is a milk tooth which will otherwise shed on its own around this age if he had not pulled out himself. That empty space will be occupied by a permanent molar tooth eventually. You must have noticed that the pulled out tooth has uneven roots. It is a normal thing to be. Now my advice is that, please visit a nearby dentist to ensure there are no tooth remnants left behind in the socket which if present might hinder the eruption of the subsequent permanent tooth. Also, make sure there is no bleeding in that region and ask your son not to play and touch that region with his tongue. These are the ways one could help the socket heal properly. For more information consult a dentist online

Hello doctor,My 13 year old said this tooth was hurting him when he bit down in class. So, he just painfully pulled it out. He is really concerned because the tooth has a root on it. It is the second one from the back on the top right side.

Hi, Welcome to Chat Doctor forum. I have read through the complaint and the relevant details. Considering the age of your son, I am pretty sure it is the milk tooth that he has forcefully pulled out. Ask him if the tooth was loose and that he was not able to chew food properly on that side. Do not worry because it is a milk tooth which will otherwise shed on its own around this age if he had not pulled out himself. That empty space will be occupied by a permanent molar tooth eventually. You must have noticed that the pulled out tooth has uneven roots. It is a normal thing to be. Now my advice is that, please visit a nearby dentist to ensure there are no tooth remnants left behind in the socket which if present might hinder the eruption of the subsequent permanent tooth. Also, make sure there is no bleeding in that region and ask your son not to play and touch that region with his tongue. These are the ways one could help the socket heal properly. For more information consult a dentist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have an issue regarding my gums. For the past few days, I have been feeling that my gums are becoming weak and thin as they are leaving my teeth and going down from my teeth. I want to say that a part of the teeth which is hidden under gum is showing. I am a smoker and I am already trying to leave it. Please suggest me some treatment. I usually brush once daily. ### Response: Hello. I have been through your query and I can understand your concern. Receding gums can be a problem associated with many factors. It is known as the recession of gums. I would like to know if you have a habit of brushing your teeth hard. Smoking causes stains on teeth and there could be the urge to remove these stains by brushing hard on the tooth surface leading to the recession of gums. I would like you to have an appointment with your nearest dentist in order to get the teeth cleaned (scaling) properly and also to assess the severity of the recession so that the treatment can be done accordingly. Meanwhile, I would also advise you to brush with a soft or ultra soft-bristled toothbrush twice daily and also floss daily. Also do not scrub the brush onto the teeth hard, be gentle while brushing. I would love to hear from you regarding the follow-ups.

Hello doctor,I have an issue regarding my gums. For the past few days, I have been feeling that my gums are becoming weak and thin as they are leaving my teeth and going down from my teeth. I want to say that a part of the teeth which is hidden under gum is showing. I am a smoker and I am already trying to leave it. Please suggest me some treatment. I usually brush once daily.

Hello. I have been through your query and I can understand your concern. Receding gums can be a problem associated with many factors. It is known as the recession of gums. I would like to know if you have a habit of brushing your teeth hard. Smoking causes stains on teeth and there could be the urge to remove these stains by brushing hard on the tooth surface leading to the recession of gums. I would like you to have an appointment with your nearest dentist in order to get the teeth cleaned (scaling) properly and also to assess the severity of the recession so that the treatment can be done accordingly. Meanwhile, I would also advise you to brush with a soft or ultra soft-bristled toothbrush twice daily and also floss daily. Also do not scrub the brush onto the teeth hard, be gentle while brushing. I would love to hear from you regarding the follow-ups.

### Instruction: Answer this question truthfully ###Input: Hi doctor,This mole has been there forever and my dermatologist noted as one to watch along with a few others. She said it was raised on one side and that luckily most melanomas are flat. Now I stare at this mole constantly wondering if it is growing. I have been reading about nodular melanoma, as it is slightly raised. It is brown, symmetrical and 2 to 2.5 mm maximum. I have such health anxiety. Could you please help? I have had two wide excisions of dysplastic moles, which has led to my worry over melanoma. Currently, I am taking Sertraline 50 mg. ### Response: Hi, Welcome to Chat Doctor forum. I have gone through your case in detail. Well basically it is not the matter whether the mole is raised or flat. Basically, it is the change noticed by the doctor or the patient himself. By change, I mean change in size, shape, symmetry, color, and other symptoms such as itching and bleeding. All these symptoms raise the suspicion of developing melanoma. Your lesion has been static then you need not worry. Moreover, it does not look malignant to me as well. Just relax about your present condition. But however, keep on reviewing your lesion after every three months. Just relax. For more information consult a dermatologist online

Hi doctor,This mole has been there forever and my dermatologist noted as one to watch along with a few others. She said it was raised on one side and that luckily most melanomas are flat. Now I stare at this mole constantly wondering if it is growing. I have been reading about nodular melanoma, as it is slightly raised. It is brown, symmetrical and 2 to 2.5 mm maximum. I have such health anxiety. Could you please help? I have had two wide excisions of dysplastic moles, which has led to my worry over melanoma. Currently, I am taking Sertraline 50 mg.

Hi, Welcome to Chat Doctor forum. I have gone through your case in detail. Well basically it is not the matter whether the mole is raised or flat. Basically, it is the change noticed by the doctor or the patient himself. By change, I mean change in size, shape, symmetry, color, and other symptoms such as itching and bleeding. All these symptoms raise the suspicion of developing melanoma. Your lesion has been static then you need not worry. Moreover, it does not look malignant to me as well. Just relax about your present condition. But however, keep on reviewing your lesion after every three months. Just relax. For more information consult a dermatologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I started taking Flonase at night for hay fever and when I wake up in the morning I am having wheezing and my chest is tight. I do not want to stop taking it because it is so helpful for my allergy symptoms but I am really worried about this side-effect. Current medications are Cymbalta 120 mg/day and Suboxone 5 mg/day and Sprintec. I am a 29-year-old female with height 5'1\" and weight 108 lbs. ### Response: Hello, Welcome to Chat Doctor forum. Flonase (Fluticasone) is an intranasal steroid spray that has very less systemic absorption. It will help relieve allergy symptoms and will not cause wheezing. In fact, for wheezing, you may need another steroid, like an inhalant steroid using inhaler or Rotavap (rotary evaporator). Budesonide or Seroflo and Salbutamol are such inhalers. The other medicines you are taking, namely Cymbalta (Duloxetine) and Suboxone (Buprenorphine), are they prescribed by the same doctor? Usually antidepressants are not combined with the deaddiction ChatDoctor. Do you experience any other symptom? Since when are you taking the two

Hello doctor,I started taking Flonase at night for hay fever and when I wake up in the morning I am having wheezing and my chest is tight. I do not want to stop taking it because it is so helpful for my allergy symptoms but I am really worried about this side-effect. Current medications are Cymbalta 120 mg/day and Suboxone 5 mg/day and Sprintec. I am a 29-year-old female with height 5'1\" and weight 108 lbs.

Hello, Welcome to Chat Doctor forum. Flonase (Fluticasone) is an intranasal steroid spray that has very less systemic absorption. It will help relieve allergy symptoms and will not cause wheezing. In fact, for wheezing, you may need another steroid, like an inhalant steroid using inhaler or Rotavap (rotary evaporator). Budesonide or Seroflo and Salbutamol are such inhalers. The other medicines you are taking, namely Cymbalta (Duloxetine) and Suboxone (Buprenorphine), are they prescribed by the same doctor? Usually antidepressants are not combined with the deaddiction ChatDoctor. Do you experience any other symptom? Since when are you taking the two

### Instruction: Answer this question truthfully ###Input: Hello doctor,A few weeks ago I noticed that my bottom front teeth felt slightly loose. I looked up my symptoms and suspected it might be gum disease because I have always had poor dental hygiene and never flossed. Since then I started brushing, flossing, and using a natural mouthwash three times a day, then I went to the dentist and asked about my concerns.The dentist told me that I did not have gum disease and had nothing to be concerned about and the loose bottom teeth were most likely from grinding. I want to believe him but I also want to be sure he is correct. My gums are mostly pink close to the teeth but farther down they are very red and seem decayed. ### Response: Hi. Let me tell you something. Even I have undergone this situation (personally). There are several types of periodontal conditions, out of which, this is called trauma from occlusion due to bruxism, clenching. Your teeth may loose its normal curves or contour and may even get loose. Primary line of treatment involves splint or night guard, along with minor procedures. You can share a picture by following up and attaching a file. I would be glad to assist you. Many a times, such mobility turns out to be more physiological than pathological (as it turned out for me). Take care.

Hello doctor,A few weeks ago I noticed that my bottom front teeth felt slightly loose. I looked up my symptoms and suspected it might be gum disease because I have always had poor dental hygiene and never flossed. Since then I started brushing, flossing, and using a natural mouthwash three times a day, then I went to the dentist and asked about my concerns.The dentist told me that I did not have gum disease and had nothing to be concerned about and the loose bottom teeth were most likely from grinding. I want to believe him but I also want to be sure he is correct. My gums are mostly pink close to the teeth but farther down they are very red and seem decayed.

Hi. Let me tell you something. Even I have undergone this situation (personally). There are several types of periodontal conditions, out of which, this is called trauma from occlusion due to bruxism, clenching. Your teeth may loose its normal curves or contour and may even get loose. Primary line of treatment involves splint or night guard, along with minor procedures. You can share a picture by following up and attaching a file. I would be glad to assist you. Many a times, such mobility turns out to be more physiological than pathological (as it turned out for me). Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 21-year-old female, non-smoker. I noticed a bump at the back of my throat the other day, but I am not sure how long it has been there as it does not cause me any pain. I had my last dental visit before two months, so it must have developed sometime since then. I got the three-stage Gardasil vaccine when I was younger so I am not sure if that helps rule out HPV or not. I am out of the country until four months, so I am wondering if this is something that needs immediate attention or can wait until my next dental appointments. What is this red bump at the back of my throat? I am currently taking Ortho tri-cyclen. ### Response: Hi. I have seen the picture you have attached along with the complaint. (attachment removed to protect patient identity). It looks like a pharyngeal ulcer because of the patchy and reddish appearance. Chances of infection of the tonsils are also greater. But you have mentioned that it is totally painless and has been there for a while. So I reckon you visit an ENT specialist not a dentist for this issue. If this is painful while swallowing or ChatDoctor. It can be treated with simple antibiotics then. If not this has to be ad

Hello doctor,I am a 21-year-old female, non-smoker. I noticed a bump at the back of my throat the other day, but I am not sure how long it has been there as it does not cause me any pain. I had my last dental visit before two months, so it must have developed sometime since then. I got the three-stage Gardasil vaccine when I was younger so I am not sure if that helps rule out HPV or not. I am out of the country until four months, so I am wondering if this is something that needs immediate attention or can wait until my next dental appointments. What is this red bump at the back of my throat? I am currently taking Ortho tri-cyclen.

Hi. I have seen the picture you have attached along with the complaint. (attachment removed to protect patient identity). It looks like a pharyngeal ulcer because of the patchy and reddish appearance. Chances of infection of the tonsils are also greater. But you have mentioned that it is totally painless and has been there for a while. So I reckon you visit an ENT specialist not a dentist for this issue. If this is painful while swallowing or ChatDoctor. It can be treated with simple antibiotics then. If not this has to be ad

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 25 year old male, my height is 5\\10\" and I weigh 73 kg. For the last two days, I have been feeling pain in my chest (left side). Since then, I have been feeling tired and sleepy all day and unable to concentrate on my work. Pain is not so frequent, but when I take a deep breath, I feel pain. Also, I have the problem of morning cough. I have a history of regular constipation. I also have a history of increased cholesterol level in my body, which is fine now. I am a regular smoker (6 to 7 cigarettes a day) and a social drinker. Please advice. ### Response: Hello. It looks like you have pleuritic pain. This refers to pain due to inflammation of the covering of your lungs. You will need a course of antibiotics. The reason why you are getting such chest infections is your smoking. So, I actively encourage you to quit smoking. There are courses of medications available to assist you to quit smoking. Take lots of fiber-rich food to get rid of constipation. You can buy an over the counter laxative to overcome constipation if required. If the chest pain persists after the course of antibiotics, you would need an ECG and chest x-ray.

Hello doctor,I am 25 year old male, my height is 5\\10\" and I weigh 73 kg. For the last two days, I have been feeling pain in my chest (left side). Since then, I have been feeling tired and sleepy all day and unable to concentrate on my work. Pain is not so frequent, but when I take a deep breath, I feel pain. Also, I have the problem of morning cough. I have a history of regular constipation. I also have a history of increased cholesterol level in my body, which is fine now. I am a regular smoker (6 to 7 cigarettes a day) and a social drinker. Please advice.

Hello. It looks like you have pleuritic pain. This refers to pain due to inflammation of the covering of your lungs. You will need a course of antibiotics. The reason why you are getting such chest infections is your smoking. So, I actively encourage you to quit smoking. There are courses of medications available to assist you to quit smoking. Take lots of fiber-rich food to get rid of constipation. You can buy an over the counter laxative to overcome constipation if required. If the chest pain persists after the course of antibiotics, you would need an ECG and chest x-ray.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I had a sexual exposure, oral unprotected and vaginal sex. I took the fourth generation test on the 16th day, 23rd day and 53rd day. All came back negative. At my 53rd day, my wife developed very swollen tender lymph nodes and I am worried the test were false negatives. Also, I read that Biotin can affect the testing. I was taking 300 mcg in a multivitamin. I also read it takes 5000 mcg or more to affect test results but I am still worried. I have read that 28 days and six weeks are considered conclusive for this test. Is that true? I have had extreme anxiety and could not live with myself if I infected my wife. Thank you very much for your help. ### Response: Hello. Your 53rd day negative test can be taken as conclusive, as six weeks is a good period for the fourth generation ELISA. Biotin does not affect test results. But, anxiety and HIV phobia after exposure are very common. Try not to research online much, as you will mentally disturb yourself with false information. Swollen lymph nodes in your wife could be due to some other reason or infection. For more information consult an HIV AIDS specialist online Take care.

Hello doctor,I had a sexual exposure, oral unprotected and vaginal sex. I took the fourth generation test on the 16th day, 23rd day and 53rd day. All came back negative. At my 53rd day, my wife developed very swollen tender lymph nodes and I am worried the test were false negatives. Also, I read that Biotin can affect the testing. I was taking 300 mcg in a multivitamin. I also read it takes 5000 mcg or more to affect test results but I am still worried. I have read that 28 days and six weeks are considered conclusive for this test. Is that true? I have had extreme anxiety and could not live with myself if I infected my wife. Thank you very much for your help.

Hello. Your 53rd day negative test can be taken as conclusive, as six weeks is a good period for the fourth generation ELISA. Biotin does not affect test results. But, anxiety and HIV phobia after exposure are very common. Try not to research online much, as you will mentally disturb yourself with false information. Swollen lymph nodes in your wife could be due to some other reason or infection. For more information consult an HIV AIDS specialist online Take care.

### Instruction: Answer this question truthfully ###Input: Hi doctor,Last month, a doctor with HIV gave an injection in my vein without using gloves. She did not use any cotton, she just put her finger to stop the bleeding. She also rubbed my vein with her hands when it was still bleeding. Am I at risk?I did HIV DNA PCR after 9 days, and after one month fourth generation ELISA test. One of the doctor told me that the window period is 90-180 days. What test should be done after six months? ### Response: Hi, Welcome to Chat Doctor forum. Let me answer your query step by step. There was no risk of HIV involved by the injection given by HIV infected doctor surgeon. Even if she touched with her finger at the bleeding site with the naked hand, you were not at risk. HIV cannot be transmitted by touching HIV infected person. Your risk was unwarranted in the scenario you mentioned. The test which you took, was highly sensitive and specific and gives accurate results. Window period is the time taken for antibodies to develop after infection and then to be detected by a particular test. 99.9% of the people who are infected with HIV develop HIV antibodies by three months. It is good that you know your HIV status now, you do not require any further test. I hope this helps.

Hi doctor,Last month, a doctor with HIV gave an injection in my vein without using gloves. She did not use any cotton, she just put her finger to stop the bleeding. She also rubbed my vein with her hands when it was still bleeding. Am I at risk?I did HIV DNA PCR after 9 days, and after one month fourth generation ELISA test. One of the doctor told me that the window period is 90-180 days. What test should be done after six months?

Hi, Welcome to Chat Doctor forum. Let me answer your query step by step. There was no risk of HIV involved by the injection given by HIV infected doctor surgeon. Even if she touched with her finger at the bleeding site with the naked hand, you were not at risk. HIV cannot be transmitted by touching HIV infected person. Your risk was unwarranted in the scenario you mentioned. The test which you took, was highly sensitive and specific and gives accurate results. Window period is the time taken for antibodies to develop after infection and then to be detected by a particular test. 99.9% of the people who are infected with HIV develop HIV antibodies by three months. It is good that you know your HIV status now, you do not require any further test. I hope this helps.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am a 26 year old female, and I developed foot drop five weeks ago, the foot was numb, and I could not dorsiflex it. But, now I can dorsiflex, and the steppage gait has disappeared unless I walk long distances. I have more power in the foot now, but it is still a lot weaker than the other one, I cannot walk on my heels yet. However, I have been extremely anxious about this foot drop, and a couple of weeks ago I started to twitch, first in the legs and then all over my body, I can see the twitches. When I am talking with someone and thinking about something else, the twitches go away and come back when I think about it. I do feel weak in my body, especially in the legs. Can it be due to the anxiety? I am going to a neurologist, but there is a three months waiting period, and I am scared. I do not think we have had any ALS in my family. Please help me ease my mind. ### Response: Hello, Welcome to Chat Doctor forum. It is good that your foot ChatDoctor. The twitches that you are feeling may be due to anxiety also. If it was ALS (amyotrophic lateral sclerosis), the foot

Hi doctor,I am a 26 year old female, and I developed foot drop five weeks ago, the foot was numb, and I could not dorsiflex it. But, now I can dorsiflex, and the steppage gait has disappeared unless I walk long distances. I have more power in the foot now, but it is still a lot weaker than the other one, I cannot walk on my heels yet. However, I have been extremely anxious about this foot drop, and a couple of weeks ago I started to twitch, first in the legs and then all over my body, I can see the twitches. When I am talking with someone and thinking about something else, the twitches go away and come back when I think about it. I do feel weak in my body, especially in the legs. Can it be due to the anxiety? I am going to a neurologist, but there is a three months waiting period, and I am scared. I do not think we have had any ALS in my family. Please help me ease my mind.

Hello, Welcome to Chat Doctor forum. It is good that your foot ChatDoctor. The twitches that you are feeling may be due to anxiety also. If it was ALS (amyotrophic lateral sclerosis), the foot

### Instruction: Answer this question truthfully ###Input: Hello Doctor,I developed pancreatic disease.I have been worsening the condition by taking the triggers (heavy food and alcohol).Last April and July I could manage with a strict diet to bring the inflammation and enzyme levels down.I am maintaining a low fat diet and I have reduced the amount of alcohol I consume. Then I was doing fine.Two weeks ago, I had a heavy meal and too much alcohol and got an acute attack.I was hospitalized and now I feel better as I strictly follow the diet. The MRI scan which I took last week (1st August) shows an improvement than the CT scan taken in the month of July.I am taking the following as maintenance medications ### Response: Hi. I have gone through your history and investigations.You are hypertensive, under medication for the same. You are also under medication for anxiety, gastritis and reflux.You are having acute attacks of pancreatitis (inflammation of the pancreas). If you continue taking heavy meals and alcohol, it might result in chronic pancreatitis, which in turn will cause irreversible changes in the pancreas.There is no medicine which can prevent pancreatitis if you continue taking alcohol and fatty fried meals. I would suggest you to continue the medicines that you are taking and follow these instructions very strictly. Consult a general medicine physician online for further help Take care.

Hello Doctor,I developed pancreatic disease.I have been worsening the condition by taking the triggers (heavy food and alcohol).Last April and July I could manage with a strict diet to bring the inflammation and enzyme levels down.I am maintaining a low fat diet and I have reduced the amount of alcohol I consume. Then I was doing fine.Two weeks ago, I had a heavy meal and too much alcohol and got an acute attack.I was hospitalized and now I feel better as I strictly follow the diet. The MRI scan which I took last week (1st August) shows an improvement than the CT scan taken in the month of July.I am taking the following as maintenance medications

Hi. I have gone through your history and investigations.You are hypertensive, under medication for the same. You are also under medication for anxiety, gastritis and reflux.You are having acute attacks of pancreatitis (inflammation of the pancreas). If you continue taking heavy meals and alcohol, it might result in chronic pancreatitis, which in turn will cause irreversible changes in the pancreas.There is no medicine which can prevent pancreatitis if you continue taking alcohol and fatty fried meals. I would suggest you to continue the medicines that you are taking and follow these instructions very strictly. Consult a general medicine physician online for further help Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,My 4-year-old child has caries on teeth. Since one year we observed pus in the gums above the front tooth. This pus frequently appears with mild pain and disappears within no time. We consulted a doctor who prescribed antibiotic Mox Kid for a week. After using this, again pus was found in the next 10 days.It is in the same place frequently observed. Please advise. ### Response: Hello, Welcome to Chat Doctor forum. I can see in attached pictures (attachment removed to protect patient identity), actually, there are multiple apical infections. I suggest you please ask your dentist for dental X-ray, to find out the number of injected teeth and I think you need root canal treatment followed by gum treatment. Please do not worry it is common in early childhood and known as rampant caries. Generally occurs due to bottle feeding, more sugar-containing food, poor oral hygiene. Root canal (pulpectomy in child patient) is an effective way of ChatDoctor. Prolonged use of antibiotic is not good for child health, a dental procedure done in dental office and medication is the best way to treat this type of problem. Pedodontist is a specialist for child dental problem so I suggest you please see an experienced pedodontist for your baby. Get well soon.

Hello doctor,My 4-year-old child has caries on teeth. Since one year we observed pus in the gums above the front tooth. This pus frequently appears with mild pain and disappears within no time. We consulted a doctor who prescribed antibiotic Mox Kid for a week. After using this, again pus was found in the next 10 days.It is in the same place frequently observed. Please advise.

Hello, Welcome to Chat Doctor forum. I can see in attached pictures (attachment removed to protect patient identity), actually, there are multiple apical infections. I suggest you please ask your dentist for dental X-ray, to find out the number of injected teeth and I think you need root canal treatment followed by gum treatment. Please do not worry it is common in early childhood and known as rampant caries. Generally occurs due to bottle feeding, more sugar-containing food, poor oral hygiene. Root canal (pulpectomy in child patient) is an effective way of ChatDoctor. Prolonged use of antibiotic is not good for child health, a dental procedure done in dental office and medication is the best way to treat this type of problem. Pedodontist is a specialist for child dental problem so I suggest you please see an experienced pedodontist for your baby. Get well soon.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 21-year-old female and 160 pounds and at a height of 5'6\". I have been having a problem with my left ear. I woke up one morning and felt that it was clogged and made the mistake of using a Q-tip which resulted in my being unable to pop my ear. That was over a week ago. I have tried wax softener drops and a saline spray to try and clean my ears out but it has not worked. Now there is a pressure inside my ear. I am not sure what to do. Is there anything I can do to fix this? ### Response: Hi, Welcome to Chat Doctor forum. Possibilities are impacted wax, ear canal infection, middle ear infection, eustachian tube catarrh. Unless one sees inside the ear using an otoscope or endoscope it is difficult to diagnose. However, a course of antibiotic with decongestant and keeping ears ChatDoctor. If you need more information on that revert back to me. One can buy ear cameras and they do help in cases like yours where you are not able to go to an ENT. You can take pictures of the inside of the ear and share with us online and we can guide you on what is to be done.

Hello doctor,I am a 21-year-old female and 160 pounds and at a height of 5'6\". I have been having a problem with my left ear. I woke up one morning and felt that it was clogged and made the mistake of using a Q-tip which resulted in my being unable to pop my ear. That was over a week ago. I have tried wax softener drops and a saline spray to try and clean my ears out but it has not worked. Now there is a pressure inside my ear. I am not sure what to do. Is there anything I can do to fix this?

Hi, Welcome to Chat Doctor forum. Possibilities are impacted wax, ear canal infection, middle ear infection, eustachian tube catarrh. Unless one sees inside the ear using an otoscope or endoscope it is difficult to diagnose. However, a course of antibiotic with decongestant and keeping ears ChatDoctor. If you need more information on that revert back to me. One can buy ear cameras and they do help in cases like yours where you are not able to go to an ENT. You can take pictures of the inside of the ear and share with us online and we can guide you on what is to be done.

### Instruction: Answer this question truthfully ###Input: Hello Doctor,Before five years I consulted an ayurvedic doctor. I was suffering from hyperthyroid back pain. Then had a concentration problem in all the aspects of life. So I asked the doctor to suggest me some ayurvedic medicine for that. The doctor asked me to take manasmitra vatakam from kotakkal arya vaidyasala, the dosage of one tablet twice a day.Till date, I am taking it. The doctor told me that it does not have any side effects. Till now, I have had no side effect because of this. I feel focused and less anxious. Just wanted to ask will it be done or I have to continue with these two tablets? Will it have any side effect on the long run? I am still taking the medicines from the same brand. ### Response: Hello. Manasmitra vatkam is a good product and has no side effects in general. But it is always advised to take it under supervision only, so if tapering off the medication is required or dose adjustment is required only your physician can do that. Also only for anxiety bouts, it is not advisable for long periods. I advise you to visit your ayurvedic physician who prescribed you to take it and ask for the complete clinical psychological examination and then take it accordingly. I hope you understand my point.

Hello Doctor,Before five years I consulted an ayurvedic doctor. I was suffering from hyperthyroid back pain. Then had a concentration problem in all the aspects of life. So I asked the doctor to suggest me some ayurvedic medicine for that. The doctor asked me to take manasmitra vatakam from kotakkal arya vaidyasala, the dosage of one tablet twice a day.Till date, I am taking it. The doctor told me that it does not have any side effects. Till now, I have had no side effect because of this. I feel focused and less anxious. Just wanted to ask will it be done or I have to continue with these two tablets? Will it have any side effect on the long run? I am still taking the medicines from the same brand.

Hello. Manasmitra vatkam is a good product and has no side effects in general. But it is always advised to take it under supervision only, so if tapering off the medication is required or dose adjustment is required only your physician can do that. Also only for anxiety bouts, it is not advisable for long periods. I advise you to visit your ayurvedic physician who prescribed you to take it and ask for the complete clinical psychological examination and then take it accordingly. I hope you understand my point.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 20-years-old with 5'2 height and 65 kgs weight. I had sexual intercourse with my fiance a few days back, and I was active even before that. I did not have my periods last month, and this is going to be the second month if periods do not come. I have tested lots of times, and the result was negative. I do not want to go to any doctor please advice what should I take which can help me with my periods and even if in any case, I am pregnant how can I resolve it with quick medicine without going to any doctor. Please help. ### Response: Hello, Welcome to Chat Doctor forum. I have read your message. If the pregnancy test is negative, then it is unlikely that you are pregnant. But to be double sure kindly do blood test beta hCG. It will give you confirm to report about pregnancy. Next thing if it comes out to be negative, then you can take medicine as I have prescribed to get menses. Take it twice daily for five days. You will get menses in 3-4 days after the last dose. If the blood test is positive, then you need to visit Gynecologist directly as a treatment for abortion is not allowed to be given on the phone.

Hello doctor,I am 20-years-old with 5'2 height and 65 kgs weight. I had sexual intercourse with my fiance a few days back, and I was active even before that. I did not have my periods last month, and this is going to be the second month if periods do not come. I have tested lots of times, and the result was negative. I do not want to go to any doctor please advice what should I take which can help me with my periods and even if in any case, I am pregnant how can I resolve it with quick medicine without going to any doctor. Please help.

Hello, Welcome to Chat Doctor forum. I have read your message. If the pregnancy test is negative, then it is unlikely that you are pregnant. But to be double sure kindly do blood test beta hCG. It will give you confirm to report about pregnancy. Next thing if it comes out to be negative, then you can take medicine as I have prescribed to get menses. Take it twice daily for five days. You will get menses in 3-4 days after the last dose. If the blood test is positive, then you need to visit Gynecologist directly as a treatment for abortion is not allowed to be given on the phone.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am looking forward to have advice about the outcome or prognosis of nerve regeneration and repair for my son. Before 13 days, my 10 years old son fell with a bottle in his right-hand palm and had his palm triangle open. As we were in another place, the local surgeon cleaned the injury, and I took him to another place where he undertook a surgery before 10 days of nerve repair of the proper ulnar digital nerve of the median nerve. I do not know if it is the exact term, but the nerve cut was the one at the root of the index, and that goes on the inner side (facing the 3rd).Would you please advice me about the outcome of this surgery? Is this nerve responsible for some functional disabilities of the Index? Is it only sensitive? Can he flex his index and use it usually afterward? No other tissues were cut, like tendon. ### Response: Hello, Welcome to Chat Doctor forum. I have read your concern. Can you give me more of the details of the surgery if you can still remember? How was it repaired as what you have told by your doctor? How is the finger at this moment (can he flex? can he feel anything at the tip of the finger?) I am hoping for your reply.

Hello doctor,I am looking forward to have advice about the outcome or prognosis of nerve regeneration and repair for my son. Before 13 days, my 10 years old son fell with a bottle in his right-hand palm and had his palm triangle open. As we were in another place, the local surgeon cleaned the injury, and I took him to another place where he undertook a surgery before 10 days of nerve repair of the proper ulnar digital nerve of the median nerve. I do not know if it is the exact term, but the nerve cut was the one at the root of the index, and that goes on the inner side (facing the 3rd).Would you please advice me about the outcome of this surgery? Is this nerve responsible for some functional disabilities of the Index? Is it only sensitive? Can he flex his index and use it usually afterward? No other tissues were cut, like tendon.

Hello, Welcome to Chat Doctor forum. I have read your concern. Can you give me more of the details of the surgery if you can still remember? How was it repaired as what you have told by your doctor? How is the finger at this moment (can he flex? can he feel anything at the tip of the finger?) I am hoping for your reply.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am schizophrenic but recovered. I would like to know what next after recovering symptomatically, functionally and cognitively over 2 years now. Do I get to gradually taper off my medications? Do I get back the level of energy I had during my pre-psychotic period before my first relapse? ### Response: Hello. Good to know that you have recovered from Schizophrenic episode. You can gradually improve your functioning by following a bio-psycho-social rehabilitation model. If this is first episode psychosis, many guidelines suggest continuing antipsychotics for 1-2 years after remission of symptoms. Discuss with your doctor about gradually reducing Olanzapine. It needs to be done very cautiously under supervision and monitoring to prevent any relapse of psychotic symptoms. If you had already had a relapse, it is advisable to continue on antipsychotic medication for a longer period at the lowest possible effective dose. So there is no straight answer to your question about tapering medication. Apart from medication, try to get some therapy/counselling to help you manage with sustained recovery. Also try to gradually get back into education /training or some job to improve your functioning. Take it easy during the remission period. Also ensure that you follow a healthy diet, sleep adequately and exercise regularly. Hope this helps. Take care.

Hi doctor,I am schizophrenic but recovered. I would like to know what next after recovering symptomatically, functionally and cognitively over 2 years now. Do I get to gradually taper off my medications? Do I get back the level of energy I had during my pre-psychotic period before my first relapse?

Hello. Good to know that you have recovered from Schizophrenic episode. You can gradually improve your functioning by following a bio-psycho-social rehabilitation model. If this is first episode psychosis, many guidelines suggest continuing antipsychotics for 1-2 years after remission of symptoms. Discuss with your doctor about gradually reducing Olanzapine. It needs to be done very cautiously under supervision and monitoring to prevent any relapse of psychotic symptoms. If you had already had a relapse, it is advisable to continue on antipsychotic medication for a longer period at the lowest possible effective dose. So there is no straight answer to your question about tapering medication. Apart from medication, try to get some therapy/counselling to help you manage with sustained recovery. Also try to gradually get back into education /training or some job to improve your functioning. Take it easy during the remission period. Also ensure that you follow a healthy diet, sleep adequately and exercise regularly. Hope this helps. Take care.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am a 58-year-old male. I am healthy, and I do not have erection issues. My partner is 55 years old, and she is healthy. She visited an obstetrician and gynecologist last month. She is celibate for about six years. But now, we are living together for seven months, and we are trying to have a more physical relationship. On my first attempt, she had pain during initial penetration. During my second attempt, she allowed for penetration up to four inches, and she was very comfortable to have further penetration. During the next attempt, she started to have pain even beyond one inch of penetration. Can I know whether inserting finger during lubrication make intercourse uncomfortable during initial penetration? ### Response: Hi. At 55 years of age, it is vital to know whether she has reached menopause or still she gets her menses. Even perimenopausal status itself can cause atrophic vaginitis. It results in vaginal ChatDoctor. The second reason can be PID (pelvic inflammatory disease). It can also initiate a deep pain during penetration. Due to prolonged abstinence, the vagina muscles can be tight, and it can also cause vaginismus. All these features are needed to be evaluated and ruled out before proceeding further.

Hi doctor,I am a 58-year-old male. I am healthy, and I do not have erection issues. My partner is 55 years old, and she is healthy. She visited an obstetrician and gynecologist last month. She is celibate for about six years. But now, we are living together for seven months, and we are trying to have a more physical relationship. On my first attempt, she had pain during initial penetration. During my second attempt, she allowed for penetration up to four inches, and she was very comfortable to have further penetration. During the next attempt, she started to have pain even beyond one inch of penetration. Can I know whether inserting finger during lubrication make intercourse uncomfortable during initial penetration?

Hi. At 55 years of age, it is vital to know whether she has reached menopause or still she gets her menses. Even perimenopausal status itself can cause atrophic vaginitis. It results in vaginal ChatDoctor. The second reason can be PID (pelvic inflammatory disease). It can also initiate a deep pain during penetration. Due to prolonged abstinence, the vagina muscles can be tight, and it can also cause vaginismus. All these features are needed to be evaluated and ruled out before proceeding further.

### Instruction: Answer this question truthfully ###Input: Hello doctor,My partner and I had unprotected sex four days from her period and she had taken the Unwanted 72 two days later. Her periods started four days before the due date and also stopped the same day. The flow was not normal and she was also having severe pain in the stomach. Kindly let me know if she is pregnant and the precautions need to be taken. Also, suggest the reason for stopping the bleeding on the same day. ### Response: Hello. Few basic facts about fertility. The ovulation occurs around the 12th to 16th day of periods. Life of the egg is 24 hours and that of the sperm is 72 hours. So I do not see any reason for you to worry as there is no chance of egg meeting sperms. But as she had an emergency pill, the hormone progesterone pill, the balance would have got disturbed. Usually, she will have the bleeding with thick dark blood seven to 10 days of the pill. Having a bleed after the pill means the inner lining of the uterus has gone. So, there is no chance of pregnancy. Maybe some more bleeding is expected. So, there is a pain in the lower abdominal area. Next period will be one month after this bleeding. For more information consult an infertility specialist online

Hello doctor,My partner and I had unprotected sex four days from her period and she had taken the Unwanted 72 two days later. Her periods started four days before the due date and also stopped the same day. The flow was not normal and she was also having severe pain in the stomach. Kindly let me know if she is pregnant and the precautions need to be taken. Also, suggest the reason for stopping the bleeding on the same day.

Hello. Few basic facts about fertility. The ovulation occurs around the 12th to 16th day of periods. Life of the egg is 24 hours and that of the sperm is 72 hours. So I do not see any reason for you to worry as there is no chance of egg meeting sperms. But as she had an emergency pill, the hormone progesterone pill, the balance would have got disturbed. Usually, she will have the bleeding with thick dark blood seven to 10 days of the pill. Having a bleed after the pill means the inner lining of the uterus has gone. So, there is no chance of pregnancy. Maybe some more bleeding is expected. So, there is a pain in the lower abdominal area. Next period will be one month after this bleeding. For more information consult an infertility specialist online

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am a mother of two children. My daughter at the age of 21 started showing signs of depression. She had to drop from university. After six years of struggle and treatment, she is on her way to recovery. But even now she gets panic attacks and feels depressed and is unable to handle stress.My son at exactly the same age (21 years) started showing signs of depression. My kids had a very normal childhood without any issues. We are a normal healthy family.My husband\\s family has a history of mental health issues. I have heard that at least one member from all our extended family branches had mental health problems. My father-in-law was a patient of chronic depression all his life. Please let me know if depression is genetic and is it possible that my children\\s problem is because of the genetic predisposition. ### Response: Hello. You have asked a very pertinent question. As a parent, I can understand your quest for answers for your chil ChatDoctor. Depression is usually caused by a combination of genetic and environmental factors. If there is a positive family history, a person is more vulnerable to develop depression, especially when faced with environmental stressors (epigenetics). So to answer your question, yes, genetic predisposition could have played a part in your chil

Hi doctor,I am a mother of two children. My daughter at the age of 21 started showing signs of depression. She had to drop from university. After six years of struggle and treatment, she is on her way to recovery. But even now she gets panic attacks and feels depressed and is unable to handle stress.My son at exactly the same age (21 years) started showing signs of depression. My kids had a very normal childhood without any issues. We are a normal healthy family.My husband\\s family has a history of mental health issues. I have heard that at least one member from all our extended family branches had mental health problems. My father-in-law was a patient of chronic depression all his life. Please let me know if depression is genetic and is it possible that my children\\s problem is because of the genetic predisposition.

Hello. You have asked a very pertinent question. As a parent, I can understand your quest for answers for your chil ChatDoctor. Depression is usually caused by a combination of genetic and environmental factors. If there is a positive family history, a person is more vulnerable to develop depression, especially when faced with environmental stressors (epigenetics). So to answer your question, yes, genetic predisposition could have played a part in your chil

### Instruction: Answer this question truthfully ###Input: Hello doctor,I swallowed a square magnet. Will it harm me? ### Response: Hello. You should get an upper GI endoscopy done, if the magnet is in the reach of the endoscope, it should be removed on an urgent basis. According to you, it is a single magnet. A single magnet will rarely cause symptoms, but if you have ingested multiple magnets or magnet along with a metal object, you need to get them removed as soon as possible. For the single magnet, the size of the magnet will decide the course if it has reached into the stomach or small intestine, if it is less than 2.5 cm in all dimension, it should pass down in stools (there are 85 percent chance that it will pass down). Just check your stools for the next 24 to 72 hours. If it does not pass for more than 72 hours or size is larger than 2.5 cm, or the longest dimension is more than 5 cm, you should reach out an endoscopist to get it removed with a grasping forceps. 1. X-ray abdomen erect to look for the location of the magnet.2. Upper GI endoscopy, if it is in reach of the endoscope (that is till first or second part of duodenum).

Hello doctor,I swallowed a square magnet. Will it harm me?

Hello. You should get an upper GI endoscopy done, if the magnet is in the reach of the endoscope, it should be removed on an urgent basis. According to you, it is a single magnet. A single magnet will rarely cause symptoms, but if you have ingested multiple magnets or magnet along with a metal object, you need to get them removed as soon as possible. For the single magnet, the size of the magnet will decide the course if it has reached into the stomach or small intestine, if it is less than 2.5 cm in all dimension, it should pass down in stools (there are 85 percent chance that it will pass down). Just check your stools for the next 24 to 72 hours. If it does not pass for more than 72 hours or size is larger than 2.5 cm, or the longest dimension is more than 5 cm, you should reach out an endoscopist to get it removed with a grasping forceps. 1. X-ray abdomen erect to look for the location of the magnet.2. Upper GI endoscopy, if it is in reach of the endoscope (that is till first or second part of duodenum).

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 27 years old, female. 130 lbs. Have a history of smoking slightly less than one pack a day for 10 years. Quit a month ago. I am concerned about finger clubbing. I have noticed a new curvature in my nail over the last few months that was not present before. It is mostly in my index fingers and slightly in middle fingers. According to the Schamroth\\s test, I have a very small window. I am really concerned. Could this be early signs? ### Response: Hi, Welcome to Chat Doctor forum. This is mild clubbing and it is normal in young females. It is due to estrogen hormone in females. Please keep yourself miles apart from tobacco and alcohol. To be on the safe side, have a chest X-ray done and send me here to look for any pulmonary cause, as you have 10 years of smoking history. Usually, smokers develop clubbing when they have cyanosis, that is more concentration of deoxygenated blood in vessels but your fingers do not seem to be cyanosed. Cyanosis means the bluish appearance of nails, tongue and lips, etc. Your fingers and nails appear pink means no cyanosis. Again I emphasize to avoid smoking. Chest X-ray.

Hello doctor,I am 27 years old, female. 130 lbs. Have a history of smoking slightly less than one pack a day for 10 years. Quit a month ago. I am concerned about finger clubbing. I have noticed a new curvature in my nail over the last few months that was not present before. It is mostly in my index fingers and slightly in middle fingers. According to the Schamroth\\s test, I have a very small window. I am really concerned. Could this be early signs?

Hi, Welcome to Chat Doctor forum. This is mild clubbing and it is normal in young females. It is due to estrogen hormone in females. Please keep yourself miles apart from tobacco and alcohol. To be on the safe side, have a chest X-ray done and send me here to look for any pulmonary cause, as you have 10 years of smoking history. Usually, smokers develop clubbing when they have cyanosis, that is more concentration of deoxygenated blood in vessels but your fingers do not seem to be cyanosed. Cyanosis means the bluish appearance of nails, tongue and lips, etc. Your fingers and nails appear pink means no cyanosis. Again I emphasize to avoid smoking. Chest X-ray.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I have health anxiety and have recently become quite obsessive over my moles. A week or so ago, I became focused on a 2 mm mole on my knee. I have always had it as far as I am aware. I noticed a slightly raised bump towards the top with some small hairs coming out of it and was unsure if it had always been that way. I panicked and squeezed it and clear fluid came out. Since then, the mole has scabbed and is now just slightly raised pink skin. I am worried that when it heals, it will disappear completely and I will have hidden a melanoma. I have attached photos of it now but unfortunately, I have not got any of what it looked like before. ### Response: Hi, Welcome to Chat Doctor forum. I have gone through the images (attachment removed to protect patient identity). First, you need to understand that for any mole which turns into melanoma require spontaneous changes. It means that any change in color, size, shape, or symmetry of lesions should be spontaneous without any provocation. But in your case you yourself have squeezed the mole. Moreover, in most cases developing into melanoma, the size should be more than 5 mm. So just relax. In my opinion, your lesions does not clinically look malignant. For more information consult a dermatologist online

Hi doctor,I have health anxiety and have recently become quite obsessive over my moles. A week or so ago, I became focused on a 2 mm mole on my knee. I have always had it as far as I am aware. I noticed a slightly raised bump towards the top with some small hairs coming out of it and was unsure if it had always been that way. I panicked and squeezed it and clear fluid came out. Since then, the mole has scabbed and is now just slightly raised pink skin. I am worried that when it heals, it will disappear completely and I will have hidden a melanoma. I have attached photos of it now but unfortunately, I have not got any of what it looked like before.

Hi, Welcome to Chat Doctor forum. I have gone through the images (attachment removed to protect patient identity). First, you need to understand that for any mole which turns into melanoma require spontaneous changes. It means that any change in color, size, shape, or symmetry of lesions should be spontaneous without any provocation. But in your case you yourself have squeezed the mole. Moreover, in most cases developing into melanoma, the size should be more than 5 mm. So just relax. In my opinion, your lesions does not clinically look malignant. For more information consult a dermatologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 32 years old. My sickness started with a slight fever Tuesday night, then Wednesday I got a higher temperature of 38.1. Then Thursday night rashes appeared. I went to a local doctor Friday morning as my fever reach 39 degrees C. They gave me a fast drip to lower my temperature. Then Saturday morning my temperature went down to 37 but I still have few rashes. Then I started feeling my swollen joint, hands, and feet pain. Now I already took a bath as my temperature is 36.3 C. I am just worried about my swollen feet and hands and the pain is troubling.I am currently takin Biogesic Paracetamol. ### Response: Hi, Welcome to Chat Doctor forum. Has this happened before or is it the first time? Can you describe the rashes or better a photo of it? Is it itchy, is it generalized or located in specific areas, blanching, flat or elevated? Regarding the swelling of the hands and feet, Is it the first time? Does taking Paracetamol help with the pain? Is it swollen or just painful? And which joints are specifically affected? The wrist or joints along with the fingers? What about feet and ankle? What did the CBC (complete blood test) reveal?

Hello doctor,I am 32 years old. My sickness started with a slight fever Tuesday night, then Wednesday I got a higher temperature of 38.1. Then Thursday night rashes appeared. I went to a local doctor Friday morning as my fever reach 39 degrees C. They gave me a fast drip to lower my temperature. Then Saturday morning my temperature went down to 37 but I still have few rashes. Then I started feeling my swollen joint, hands, and feet pain. Now I already took a bath as my temperature is 36.3 C. I am just worried about my swollen feet and hands and the pain is troubling.I am currently takin Biogesic Paracetamol.

Hi, Welcome to Chat Doctor forum. Has this happened before or is it the first time? Can you describe the rashes or better a photo of it? Is it itchy, is it generalized or located in specific areas, blanching, flat or elevated? Regarding the swelling of the hands and feet, Is it the first time? Does taking Paracetamol help with the pain? Is it swollen or just painful? And which joints are specifically affected? The wrist or joints along with the fingers? What about feet and ankle? What did the CBC (complete blood test) reveal?

### Instruction: Answer this question truthfully ###Input: Hello doctor,I had previously been on syphilis treatment and it healed but yet I had unprotected sex with a lady and she has a vaginal yeast infection and I am starting to see a straight like a bump on the tip of my penis and am also having difficulty swallowing. Then I found white thick stuff at the back of my tongue. Is it candida? ### Response: Hi, Welcome to Chat Doctor forum. I read your complaints. It looks like you been having some fungal infection in the tongue which comes only when your immune system is a bit compromised. It also seems that you had been on treatment for syphilis. I want you to know that in syphilis the treatment depends on what stage you have at present. I saw that picture that the lesion on your penis looks like it is asymptomatic so you could be in primary syphilis (attachment removed to protect patient identity). I need to see your complete blood count analysis, your basic blood test analysis so with that I will be able to answer your question better in regards to the treatment of your tongue related lesion. I want you to take Fluconazole 200 milligrams one tablet followed by 150 milligrams once a day for 10 days. I want you to get me the latest blood test reports and any other blood test reports in regards to your health conditions.

Hello doctor,I had previously been on syphilis treatment and it healed but yet I had unprotected sex with a lady and she has a vaginal yeast infection and I am starting to see a straight like a bump on the tip of my penis and am also having difficulty swallowing. Then I found white thick stuff at the back of my tongue. Is it candida?

Hi, Welcome to Chat Doctor forum. I read your complaints. It looks like you been having some fungal infection in the tongue which comes only when your immune system is a bit compromised. It also seems that you had been on treatment for syphilis. I want you to know that in syphilis the treatment depends on what stage you have at present. I saw that picture that the lesion on your penis looks like it is asymptomatic so you could be in primary syphilis (attachment removed to protect patient identity). I need to see your complete blood count analysis, your basic blood test analysis so with that I will be able to answer your question better in regards to the treatment of your tongue related lesion. I want you to take Fluconazole 200 milligrams one tablet followed by 150 milligrams once a day for 10 days. I want you to get me the latest blood test reports and any other blood test reports in regards to your health conditions.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am a college teacher. I feel fatigue and dizzy for past one year. I slept very late one night and the next day while taking class had a dizzy feeling for a second. I felt that my head was reeling and on that afternoon I took off. It did not happen again but I felt myself weak with less energy, as if I am about to fall if I do not sit somewhere. I was unable to stand or walk for a longtime because of fatigue and lack of energy. Nerves were twitching sometimes.I saw several doctors but I was unable to convey my symptoms properly. Sometimes, I get a sudden panic too, with increased heartbeat, dizziness, etc., with a frightful feeling that something is going to happen. An MRI scan was done which is alright. Hypertension, thyroid, and sugar tests were done and that too fine. The doctor said it may be a stress reaction and he gave a tablet for fatigue. After having that tablet for a while, fatigue was gone, but other symptoms of panic attack, occasional tiredness still continues. Please help. ### Response: Hi, Welcome to Chat Doctor forum. I have read your complaints very carefully. But what are the causes for other symptoms? Well. There is an explanation. Revert back after a month to an internal medicine physician online

Hi doctor,I am a college teacher. I feel fatigue and dizzy for past one year. I slept very late one night and the next day while taking class had a dizzy feeling for a second. I felt that my head was reeling and on that afternoon I took off. It did not happen again but I felt myself weak with less energy, as if I am about to fall if I do not sit somewhere. I was unable to stand or walk for a longtime because of fatigue and lack of energy. Nerves were twitching sometimes.I saw several doctors but I was unable to convey my symptoms properly. Sometimes, I get a sudden panic too, with increased heartbeat, dizziness, etc., with a frightful feeling that something is going to happen. An MRI scan was done which is alright. Hypertension, thyroid, and sugar tests were done and that too fine. The doctor said it may be a stress reaction and he gave a tablet for fatigue. After having that tablet for a while, fatigue was gone, but other symptoms of panic attack, occasional tiredness still continues. Please help.

Hi, Welcome to Chat Doctor forum. I have read your complaints very carefully. But what are the causes for other symptoms? Well. There is an explanation. Revert back after a month to an internal medicine physician online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am suspicious of lymphoma. In the summer, I had an itchy rash on my neck, it went away, came back, and now went again. I have bilateral hip and bone pain. I have night sweats two to three times weekly. I had a low-grade fever right before my period and will go away. No palpable or noticeable lymph nodes except in thigh about an inch away from the groin. I have had CBC's and sed rates completed at least five times in two months. I took a chest x-ray, head and abdomen CT scan, and pelvic ultrasound. I consulted an ENT who looked down the throat with a scope, and everything is negative, so doctors will not pursue lymphoma any further. Do you think with everything so far, should I still be investigating lymphoma?I am currently on Lisinopril 20 mg. ### Response: Hello, Welcome to the ChatDoctor. In lymphoma, there is a presence of multiple enlarged lymph nodes. If you have lymphoma, then enlarged node could have been detected in CT (computed tomography) scan. If you do not have multiple enlarged nodes then lymphoma is less likely. The fever and itchy rash are not classical signs of lymphoma. For itchy rash, Levocetirizine can be prescribed. I hope this helps.

Hello doctor,I am suspicious of lymphoma. In the summer, I had an itchy rash on my neck, it went away, came back, and now went again. I have bilateral hip and bone pain. I have night sweats two to three times weekly. I had a low-grade fever right before my period and will go away. No palpable or noticeable lymph nodes except in thigh about an inch away from the groin. I have had CBC's and sed rates completed at least five times in two months. I took a chest x-ray, head and abdomen CT scan, and pelvic ultrasound. I consulted an ENT who looked down the throat with a scope, and everything is negative, so doctors will not pursue lymphoma any further. Do you think with everything so far, should I still be investigating lymphoma?I am currently on Lisinopril 20 mg.

Hello, Welcome to the ChatDoctor. In lymphoma, there is a presence of multiple enlarged lymph nodes. If you have lymphoma, then enlarged node could have been detected in CT (computed tomography) scan. If you do not have multiple enlarged nodes then lymphoma is less likely. The fever and itchy rash are not classical signs of lymphoma. For itchy rash, Levocetirizine can be prescribed. I hope this helps.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 31-year-old female. My right eye is red and very sensitive to light. It is painful while I move the eyeballs. Center of the eye is paining with irritation. ### Response: Hello, Welcome to Chat Doctor forum. A couple of things come to mind when an eye presents like you described red, painful, photophobic. The first one is an eye inflammation, officially called an anterior uveitis. This is usually an isolated incident. It is considered idiopathic, which is just a fancy way of saying we do not know what causes it. If there is a history of this happening before sometimes lab work is ordered to rule out various diseases. Those might include things like Crohn\\s disease or Sarcoidosis or Spondyloarthritis. For an anterior uveitis there is nothing over the counter (OTC) to treat it. A visit to an eye doctor to confirm this tentative diagnosis is in order. If you are a contact lens wearer this could be a corneal ulcer, those present the same way as an anterior uveitis. Anterior uveitis. Again, there is nothing over the counter for this. If you indeed have an anterior uveitis it would need to be treated with prescription steroid ChatDoctor. And we need to be careful with steroid

Hello doctor,I am a 31-year-old female. My right eye is red and very sensitive to light. It is painful while I move the eyeballs. Center of the eye is paining with irritation.

Hello, Welcome to Chat Doctor forum. A couple of things come to mind when an eye presents like you described red, painful, photophobic. The first one is an eye inflammation, officially called an anterior uveitis. This is usually an isolated incident. It is considered idiopathic, which is just a fancy way of saying we do not know what causes it. If there is a history of this happening before sometimes lab work is ordered to rule out various diseases. Those might include things like Crohn\\s disease or Sarcoidosis or Spondyloarthritis. For an anterior uveitis there is nothing over the counter (OTC) to treat it. A visit to an eye doctor to confirm this tentative diagnosis is in order. If you are a contact lens wearer this could be a corneal ulcer, those present the same way as an anterior uveitis. Anterior uveitis. Again, there is nothing over the counter for this. If you indeed have an anterior uveitis it would need to be treated with prescription steroid ChatDoctor. And we need to be careful with steroid

### Instruction: Answer this question truthfully ###Input: Hi doctor,I have had a terrible cough for weeks due to the flu. I decided to try Delsym 12 hour cough. It helped immensely, but the second day when I had it, I noticed a bit of restlessness and light sensitivity. I waited to take another dose and when I did take another dose, I took half of the recommended dose for adults. That was at 10 pm last night. Now, at almost 2 pm the next day and I am experiencing odd side effects. Sweaty palms, a bit of confusion, loss of attention, and light sensitivity. It feels like my eyes are dilated, but does not appear they are. Every day I take 20 mg of Vyvanse and 300 mg of Wellbutrin. ### Response: Hi, Welcome to Chat Doctor forum. Sorry to hear about what you are going through. Basically from your history, you might be suffering from what is known as serotonin syn ChatDoctor. It is a rare but possible condition that can occur when Lisdexamfetamine (Vyvanse) is taken together with Dextromethorphan (Delsym). It can also occur with Lisdexamfetamine (Vyvanse) and Bupropion (Wellbutrin) are taken together due to

Hi doctor,I have had a terrible cough for weeks due to the flu. I decided to try Delsym 12 hour cough. It helped immensely, but the second day when I had it, I noticed a bit of restlessness and light sensitivity. I waited to take another dose and when I did take another dose, I took half of the recommended dose for adults. That was at 10 pm last night. Now, at almost 2 pm the next day and I am experiencing odd side effects. Sweaty palms, a bit of confusion, loss of attention, and light sensitivity. It feels like my eyes are dilated, but does not appear they are. Every day I take 20 mg of Vyvanse and 300 mg of Wellbutrin.

Hi, Welcome to Chat Doctor forum. Sorry to hear about what you are going through. Basically from your history, you might be suffering from what is known as serotonin syn ChatDoctor. It is a rare but possible condition that can occur when Lisdexamfetamine (Vyvanse) is taken together with Dextromethorphan (Delsym). It can also occur with Lisdexamfetamine (Vyvanse) and Bupropion (Wellbutrin) are taken together due to

### Instruction: Answer this question truthfully ###Input: Hello doctor,I went to the dentist four days ago and now I am noticing a sore bump behind my last molar on the right side of my mouth. ### Response: Hello, Welcome to Chat Doctor forum. The probable diagnosis is pericoronitis. As per your symptoms, the sore bump behind the last molar tooth can be either due to an abscess formation that can be due to an injury or it can be due to an erupting wisdom tooth that might be putting pressure over the gums. Another cause can be inflammation of the gum flap in that area caused due to food accumulation between the gum flap and the wisdom tooth. For confirmation, a clinical examination and an X-ray is needed. I suggest antibiotics like Augmentin (Amoxicillin and Potassium Clavulanate) and anti-inflammatory painkillers like Ibuprofen can help. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Application of numbing gel containing Lignocaine (Lidocaine Topical) over the bump will also help. Warm saline gargle and an antiseptic mouthwash gargle can also be used. You need to avoid hard foods to prevent irritation of the area, keep the area clean, and maintain meticulous oral hygiene. Follow up with the X-ray. For more information consult a dentist online

Hello doctor,I went to the dentist four days ago and now I am noticing a sore bump behind my last molar on the right side of my mouth.

Hello, Welcome to Chat Doctor forum. The probable diagnosis is pericoronitis. As per your symptoms, the sore bump behind the last molar tooth can be either due to an abscess formation that can be due to an injury or it can be due to an erupting wisdom tooth that might be putting pressure over the gums. Another cause can be inflammation of the gum flap in that area caused due to food accumulation between the gum flap and the wisdom tooth. For confirmation, a clinical examination and an X-ray is needed. I suggest antibiotics like Augmentin (Amoxicillin and Potassium Clavulanate) and anti-inflammatory painkillers like Ibuprofen can help. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Application of numbing gel containing Lignocaine (Lidocaine Topical) over the bump will also help. Warm saline gargle and an antiseptic mouthwash gargle can also be used. You need to avoid hard foods to prevent irritation of the area, keep the area clean, and maintain meticulous oral hygiene. Follow up with the X-ray. For more information consult a dentist online

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am having very severe cystic acne mixed with white heads on my shoulders, chest, and back. I have been prescribed Doxycycline, 100 mg twice daily, this is my third week on. My acne got worse for the first week and then better. Much less swollen. But it is still very painful, bleeding and oozing through all my clothes. My doctor advised against non-comedogenic lotion, but I find it is making my skin dry, and that is making the acne split open as well as the scabs. Does it take very long to heal? I believe the acne started because I have been using anabolic steroids, but I believe it got infected (as does my doctor) and that is why she prescribed Doxycycline. My question is, what would you do for someone who developed severe cystic acne due to anabolic steroid use? Stopping steroid usage also is not an option at this point as body and hormones could not recover on their own. Please tell me how this would affect your treatment and how health insurance would be affected? ### Response: Hi. I have gone through your case. If your anabolic steroid is the causative agent then you should really stop it in order to keep it in control. Please remember all acne treatment makes skin ChatDoctor.

Hi doctor,I am having very severe cystic acne mixed with white heads on my shoulders, chest, and back. I have been prescribed Doxycycline, 100 mg twice daily, this is my third week on. My acne got worse for the first week and then better. Much less swollen. But it is still very painful, bleeding and oozing through all my clothes. My doctor advised against non-comedogenic lotion, but I find it is making my skin dry, and that is making the acne split open as well as the scabs. Does it take very long to heal? I believe the acne started because I have been using anabolic steroids, but I believe it got infected (as does my doctor) and that is why she prescribed Doxycycline. My question is, what would you do for someone who developed severe cystic acne due to anabolic steroid use? Stopping steroid usage also is not an option at this point as body and hormones could not recover on their own. Please tell me how this would affect your treatment and how health insurance would be affected?

Hi. I have gone through your case. If your anabolic steroid is the causative agent then you should really stop it in order to keep it in control. Please remember all acne treatment makes skin ChatDoctor.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have tingling in my hands for a few years, and now I am feeling tingling off and on in my feet and legs with occasional inner tremors. I had all my blood work done to test for diabetes, thyroid, vitamin deficiency, CMP and CBC all came back normal. I had an MRI of the brain that came back normal and an EMG/NCV that showed severe carpal tunnel in both hands. I am currently on Metoprolol and Metformin. I also suffer from anxiety. My question is could these be a sign of ALS? I am terrified of that. Could this EMG report show carpal tunnel to be mistaken for ALS? Would ALS show on this test? I also have my report to include the EMG test. ### Response: Hi. These symptoms do not look like ALS (amyotrophic lateral sclerosis). Moreover, carpal tunnel syn ChatDoctor. Anxiety and CTS are more than enough to cause these symptoms. So, my recommendation is that you should start on Pregabalin 75 mg along with Nortriptyline 10 mg once at night time for two weeks.The response to medicine would confirm the diagnosis. I hope it helps you. If you have any further query, please ask me. For more queries consult a neurologist online Take care.

Hello doctor,I have tingling in my hands for a few years, and now I am feeling tingling off and on in my feet and legs with occasional inner tremors. I had all my blood work done to test for diabetes, thyroid, vitamin deficiency, CMP and CBC all came back normal. I had an MRI of the brain that came back normal and an EMG/NCV that showed severe carpal tunnel in both hands. I am currently on Metoprolol and Metformin. I also suffer from anxiety. My question is could these be a sign of ALS? I am terrified of that. Could this EMG report show carpal tunnel to be mistaken for ALS? Would ALS show on this test? I also have my report to include the EMG test.

Hi. These symptoms do not look like ALS (amyotrophic lateral sclerosis). Moreover, carpal tunnel syn ChatDoctor. Anxiety and CTS are more than enough to cause these symptoms. So, my recommendation is that you should start on Pregabalin 75 mg along with Nortriptyline 10 mg once at night time for two weeks.The response to medicine would confirm the diagnosis. I hope it helps you. If you have any further query, please ask me. For more queries consult a neurologist online Take care.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am planning to go for liposuction to lose weight. My weight is 78 kg and height is 5\\3\". Kindly suggest. ### Response: Hi. Your calculated body mass index (BMI) is 30.4 kg/m2. Generally we perform bariatric surgery to achieve permanent weight loss for any patient whose BMI is 30 kg/m2 or above. Liposuction is not a treatment option for weight loss. It is a cosmetic procedure for body shaping. There is a set point for fat storage for everyone. This is not altered by liposuction. Weight loss by liposuction, diet control, exercise, naturopathy, amway, herbalife, etc., is temporary, as all these methods do not have any effect on set point for fat storage. So, any fat that is removed in liposuction will reaccumulate over a period of 6 months to two years. Those who can reduce weight by diet control and exercise does not need liposuction and those who cannot reduce weight by above methods will not reduce even after liposuction. Bariatric surgery provides permanent weight loss as it lowers set point for fat storage. If you are looking for permanent weight loss then bariatric surgery is the only scientifically proven method for that. Take care.

Hi doctor,I am planning to go for liposuction to lose weight. My weight is 78 kg and height is 5\\3\". Kindly suggest.

Hi. Your calculated body mass index (BMI) is 30.4 kg/m2. Generally we perform bariatric surgery to achieve permanent weight loss for any patient whose BMI is 30 kg/m2 or above. Liposuction is not a treatment option for weight loss. It is a cosmetic procedure for body shaping. There is a set point for fat storage for everyone. This is not altered by liposuction. Weight loss by liposuction, diet control, exercise, naturopathy, amway, herbalife, etc., is temporary, as all these methods do not have any effect on set point for fat storage. So, any fat that is removed in liposuction will reaccumulate over a period of 6 months to two years. Those who can reduce weight by diet control and exercise does not need liposuction and those who cannot reduce weight by above methods will not reduce even after liposuction. Bariatric surgery provides permanent weight loss as it lowers set point for fat storage. If you are looking for permanent weight loss then bariatric surgery is the only scientifically proven method for that. Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 26 years old, and I have never used any product for my hair or skin. I am working in IT night shift, and I have dark circles. I came across a video from a bright side that Aloe vera can reduce dark circles. So I wanted your suggestions on this. Can I start using Aloe vera gel for my skin and hair? And for hair can I use it as a styling gel which means can I leave it after applying on my hair or I will have to wash it after a few minutes or hours? Please advise. ### Response: Hello, Welcome to Chat Doctor forum. See the dark circles you are having are due to awakening at night. So during the night shift, try to relax your eyes in between. You can use ice packs to soothe your eyes once or twice. Take fresh fruits and vegetables, also for dark circles and do not let them increase because they are hard to cure at later stages. As far as Aloe vera gel is concerned, you can use it on your hairs and skin. But make sure that it is 100 % natural. If you are using it as a styling gel, then you can wash it after a few hours. I will not recommend you to leave it on your hairs. I hope you understand my point.

Hello doctor,I am 26 years old, and I have never used any product for my hair or skin. I am working in IT night shift, and I have dark circles. I came across a video from a bright side that Aloe vera can reduce dark circles. So I wanted your suggestions on this. Can I start using Aloe vera gel for my skin and hair? And for hair can I use it as a styling gel which means can I leave it after applying on my hair or I will have to wash it after a few minutes or hours? Please advise.

Hello, Welcome to Chat Doctor forum. See the dark circles you are having are due to awakening at night. So during the night shift, try to relax your eyes in between. You can use ice packs to soothe your eyes once or twice. Take fresh fruits and vegetables, also for dark circles and do not let them increase because they are hard to cure at later stages. As far as Aloe vera gel is concerned, you can use it on your hairs and skin. But make sure that it is 100 % natural. If you are using it as a styling gel, then you can wash it after a few hours. I will not recommend you to leave it on your hairs. I hope you understand my point.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am a 19-year-old female. Whenever I breathe, I have pain in my upper back. I have pain in the upper back of the left side region. It even hurts when I am not breathing. I do not have the pain when I cough or sneeze. ### Response: Hi, Welcome to Chat Doctor forum. You are suffering from back pain when you breathe. You do not have the pain when you cough or sneeze. The pain appears to be localized to the upper back region towards one side. According to the age and symptoms, it can be myalgia (muscle pain). I would suggest you take a muscle relaxant like Thiocolchicoside for a couple of days twice daily. If the pain is severe, take Paracetamol or Aceclofenac tablet along with the muscle relaxant. Take Aceclofenac after having food and take the antacid tablet (Ranitidine or Pantoprazole) before taking food. Take good rest. Avoid doing any strenuous activities. It is good to avoid ChatDoctor. Do a hot fomentation, and a pain relief balm or gel (Diclofenac ointment) can be applied. Take a bath in hot water, especially pour hot water over the area that has pain. Avoid taking cold foods and

Hi doctor,I am a 19-year-old female. Whenever I breathe, I have pain in my upper back. I have pain in the upper back of the left side region. It even hurts when I am not breathing. I do not have the pain when I cough or sneeze.

Hi, Welcome to Chat Doctor forum. You are suffering from back pain when you breathe. You do not have the pain when you cough or sneeze. The pain appears to be localized to the upper back region towards one side. According to the age and symptoms, it can be myalgia (muscle pain). I would suggest you take a muscle relaxant like Thiocolchicoside for a couple of days twice daily. If the pain is severe, take Paracetamol or Aceclofenac tablet along with the muscle relaxant. Take Aceclofenac after having food and take the antacid tablet (Ranitidine or Pantoprazole) before taking food. Take good rest. Avoid doing any strenuous activities. It is good to avoid ChatDoctor. Do a hot fomentation, and a pain relief balm or gel (Diclofenac ointment) can be applied. Take a bath in hot water, especially pour hot water over the area that has pain. Avoid taking cold foods and

### Instruction: Answer this question truthfully ###Input: Hello mam,I am 22 years old and I am experiencing hair loss for more than eight years. Every time, I shampoo my hair, I would lose 50 to 100 strands of hair. I have an oily, itchy scalp and to some point, my scalp is visible (not completely bald) and my hair density has also reduced. I wash my hair with warm to hot water.I have researched a lot about this on the internet and found that stress and poor diet can cause hair loss. I consulted a doctor and she prescribed Anaphase shampoo and some vitamin pills and Minoxidil which I did not use after studying about it. My hair fall has reduced to some point after those medications, but my question is can I regrow my hair back and if so, how much time it will take if I follow a healthy diet. ### Response: Hello. You should take Minoxidil at least for six months. If there is dan ChatDoctor. The normal shedding per day is 35 to 45 hairs. Of course, hair can grow again but healthy diet alone will not be enough. Send me a photo or visit a dermatologist in order to classify the stage and followup as well as to determine the appropriate therapy. For more information consult an internal medicine physician online

Hello mam,I am 22 years old and I am experiencing hair loss for more than eight years. Every time, I shampoo my hair, I would lose 50 to 100 strands of hair. I have an oily, itchy scalp and to some point, my scalp is visible (not completely bald) and my hair density has also reduced. I wash my hair with warm to hot water.I have researched a lot about this on the internet and found that stress and poor diet can cause hair loss. I consulted a doctor and she prescribed Anaphase shampoo and some vitamin pills and Minoxidil which I did not use after studying about it. My hair fall has reduced to some point after those medications, but my question is can I regrow my hair back and if so, how much time it will take if I follow a healthy diet.

Hello. You should take Minoxidil at least for six months. If there is dan ChatDoctor. The normal shedding per day is 35 to 45 hairs. Of course, hair can grow again but healthy diet alone will not be enough. Send me a photo or visit a dermatologist in order to classify the stage and followup as well as to determine the appropriate therapy. For more information consult an internal medicine physician online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have a question. Well, I had an STD. It was chlamydia, but it was cured. It was months ago. I recently had sexual relationships like two months ago, after that, I started getting a yellow discharge and I went to the doctor. They told me I had UTI. They gave me pills that I am taking and my period did not come for like one month and my period usually is not regular. And now that I am taking the pills, my period has not stopped bleeding for 13 days now, and usually, it lasts a week. But, I am worried because I do not know if it is the pills or not because it does not stop coming. ### Response: Hello, Welcome to Chat Doctor forum. The pill is not the cause of bleeding. You said your cycles are not regular. So, what happens is because the cycle duration is long, there are chances of heavy bleeding. Unless you have confirmed that pregnancy was not there (abortion can cause too much bleeding), do a urine pregnancy test just to rule out it is not an abortion. If it is just heavy bleeding due to hormonal imbalance then take tablet Pause 500 mg three times a day for five days. For more information consult an obstetrician and gynaecologist online

Hello doctor,I have a question. Well, I had an STD. It was chlamydia, but it was cured. It was months ago. I recently had sexual relationships like two months ago, after that, I started getting a yellow discharge and I went to the doctor. They told me I had UTI. They gave me pills that I am taking and my period did not come for like one month and my period usually is not regular. And now that I am taking the pills, my period has not stopped bleeding for 13 days now, and usually, it lasts a week. But, I am worried because I do not know if it is the pills or not because it does not stop coming.

Hello, Welcome to Chat Doctor forum. The pill is not the cause of bleeding. You said your cycles are not regular. So, what happens is because the cycle duration is long, there are chances of heavy bleeding. Unless you have confirmed that pregnancy was not there (abortion can cause too much bleeding), do a urine pregnancy test just to rule out it is not an abortion. If it is just heavy bleeding due to hormonal imbalance then take tablet Pause 500 mg three times a day for five days. For more information consult an obstetrician and gynaecologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 24-year-old female. I was engaged in some foreplay with someone last weekend. And they fingered me hard. Last night, I noticed a tiny bump on the inside of my vagina. It is a pea-sized right against the wall. It is completely painless, and I would not have even noticed it was there had I not put one of my fingers inside myself.Is it possible that this is just a cyst from the rough foreplay? It feels a bit smaller than it did last night, but I cannot tell. It almost feels like a pimple, But it is on the inside of my vagina, and I can only feel it by pressing my finger against it. What could this be? ### Response: Hello, Welcome to Chat Doctor forum. Yes, probably it is due to injury caused by fingering. And if it is not painful and not causing any discomfort, then you only have to wait until it resolves spontaneously. And the other option is that after a few days say three to four days you can get yourself examined by your local doctor to make sure that there is nothing more than that and this swelling has been resolved entirely. I hope it has helped you should you require any further queries. Please do not hesitate to contact me.

Hello doctor,I am a 24-year-old female. I was engaged in some foreplay with someone last weekend. And they fingered me hard. Last night, I noticed a tiny bump on the inside of my vagina. It is a pea-sized right against the wall. It is completely painless, and I would not have even noticed it was there had I not put one of my fingers inside myself.Is it possible that this is just a cyst from the rough foreplay? It feels a bit smaller than it did last night, but I cannot tell. It almost feels like a pimple, But it is on the inside of my vagina, and I can only feel it by pressing my finger against it. What could this be?

Hello, Welcome to Chat Doctor forum. Yes, probably it is due to injury caused by fingering. And if it is not painful and not causing any discomfort, then you only have to wait until it resolves spontaneously. And the other option is that after a few days say three to four days you can get yourself examined by your local doctor to make sure that there is nothing more than that and this swelling has been resolved entirely. I hope it has helped you should you require any further queries. Please do not hesitate to contact me.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 29 year old male unmarried. For more than one year, I feel pain in the anus like throbbing (pain like beating in the anus) and feeling huge pain four hours after masturbation. The pain continues for five minutes or 10 minutes and gradually reduce and stops. Pain rarely comes. Sometimes, without masturbation also but if I masturbate pain definitely comes. It starts at midnight or sometimes in the day. I always drink plenty of water. I never feel any pain or any problem in passing stools. I am having type-1 diabetic and taking insulin injection for the last 13 years. I am taking insulin three times and I have my diabetics in good control. I do not know what type of problem I have. Which type of treatment is required? I am afraid of what might happen if I enter into a marriage with this problem. Please help me. ### Response: Hello. Your symptoms could be related to a local infection or coccydynia. Coming to this point, I would recommend consulting with a surgeon for a physical exam and an ultrasound of the soft tissues in this region. A dynamic radiography is necessary to investigate for coccydynia, which can be treated by surgery. For more information consult a neurologist online Take care.

Hello doctor,I am a 29 year old male unmarried. For more than one year, I feel pain in the anus like throbbing (pain like beating in the anus) and feeling huge pain four hours after masturbation. The pain continues for five minutes or 10 minutes and gradually reduce and stops. Pain rarely comes. Sometimes, without masturbation also but if I masturbate pain definitely comes. It starts at midnight or sometimes in the day. I always drink plenty of water. I never feel any pain or any problem in passing stools. I am having type-1 diabetic and taking insulin injection for the last 13 years. I am taking insulin three times and I have my diabetics in good control. I do not know what type of problem I have. Which type of treatment is required? I am afraid of what might happen if I enter into a marriage with this problem. Please help me.

Hello. Your symptoms could be related to a local infection or coccydynia. Coming to this point, I would recommend consulting with a surgeon for a physical exam and an ultrasound of the soft tissues in this region. A dynamic radiography is necessary to investigate for coccydynia, which can be treated by surgery. For more information consult a neurologist online Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have been experiencing bleeding, pain, and discomfort during sex. It started about three weeks ago when my fiance and I had multiple sexes in a day for almost a week. At first, the bleeding was very little, only during intercourse, and stopped immediately after the intercourse. We had sex before three days, and the bleeding was minimal. But now the bleeding continues. I can tell that it is coming from my vagina wall (near the entrance) instead of the uterus.Neither of us has STI or STD. I am on combination pill Rigevidon for almost a year. The pain goes away immediately after intercourse, and it is not that intense. What could be the problem? I also do not have a yeast infection. ### Response: Hello. The most common cause of post-coital bleeding is either vaginal mucous frictional lesions, and the other is cervical erosions or cervicitis (lesions over the cervix which bleed due to frictional injury during intercourse). It is essential that you should get speculum examination, and pap smear done to check for cervicitis, and any vaginal mucous lesions if any. Please avoid intercourse. If diagnosed then this may require a course of antibiotics for the next 10 days as would be advised by a gynecologist after evaluation. Please consult your gynecologist.

Hello doctor,I have been experiencing bleeding, pain, and discomfort during sex. It started about three weeks ago when my fiance and I had multiple sexes in a day for almost a week. At first, the bleeding was very little, only during intercourse, and stopped immediately after the intercourse. We had sex before three days, and the bleeding was minimal. But now the bleeding continues. I can tell that it is coming from my vagina wall (near the entrance) instead of the uterus.Neither of us has STI or STD. I am on combination pill Rigevidon for almost a year. The pain goes away immediately after intercourse, and it is not that intense. What could be the problem? I also do not have a yeast infection.

Hello. The most common cause of post-coital bleeding is either vaginal mucous frictional lesions, and the other is cervical erosions or cervicitis (lesions over the cervix which bleed due to frictional injury during intercourse). It is essential that you should get speculum examination, and pap smear done to check for cervicitis, and any vaginal mucous lesions if any. Please avoid intercourse. If diagnosed then this may require a course of antibiotics for the next 10 days as would be advised by a gynecologist after evaluation. Please consult your gynecologist.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am an angry and a miserable person to live with. My poor fiance is constantly getting sucked into my expert level fight tornadoes. I am a master at it. It is like I am enjoying every bit of it. I truly do not want to. I wish I could change. I know it is a problem but it is always after the fight. I never seem to intercept my behavior and change it before it occurs.I also know there is likely no black and white answer to my question. I am on a waitlist to see a psychiatrist but it is likely going to be a while. Can you maybe help me find a temporary fix? I do not want to be this way. ### Response: Hello, Welcome to Chat Doctor forum. Following tips can help you tame your anger. We are basically trying to prevent you from acting out. Practice relaxation techniques like breath relaxation exercise daily. Whenever you feel like getting angry, breathe slowly and deeply from your diaphragm. You can either do reverse counting from 20 to zero or imagine a relaxing imagery while deep breathing. Many times logic defies anger. Try to tell yourself that anger is not going to solve the problem. Retrospectively think of an alternative behavior in that situation and try to change it. Regards. For more information consult a psychiatrist online

Hello doctor,I am an angry and a miserable person to live with. My poor fiance is constantly getting sucked into my expert level fight tornadoes. I am a master at it. It is like I am enjoying every bit of it. I truly do not want to. I wish I could change. I know it is a problem but it is always after the fight. I never seem to intercept my behavior and change it before it occurs.I also know there is likely no black and white answer to my question. I am on a waitlist to see a psychiatrist but it is likely going to be a while. Can you maybe help me find a temporary fix? I do not want to be this way.

Hello, Welcome to Chat Doctor forum. Following tips can help you tame your anger. We are basically trying to prevent you from acting out. Practice relaxation techniques like breath relaxation exercise daily. Whenever you feel like getting angry, breathe slowly and deeply from your diaphragm. You can either do reverse counting from 20 to zero or imagine a relaxing imagery while deep breathing. Many times logic defies anger. Try to tell yourself that anger is not going to solve the problem. Retrospectively think of an alternative behavior in that situation and try to change it. Regards. For more information consult a psychiatrist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am four months pregnant. My hand and leg palms feel like burning and become very hot, and I have the same feeling in my vagina too. I also get an occasional sharp pain in my lower abdomen for a few seconds. Is this normal in pregnancy? Kindly suggest.I have attached my reports and I am currently taking Fol 123, Duvadilan, Duphaston 10 mg, Udiliv 300 mg, Pan-D, Thyroxine 12.5, and Eltroxin 75. ### Response: Hello. I read your examination. (attachment removed to protect patient identity). They are all normal. The symptoms that you prescribe above are common during pregnancy. Burning sensation in palms and hand is called Carpal Syn ChatDoctor. The burning sensation in the vagina is because your sexual organs are more vasculated (more blood comes to them) during pregnancy. To exclude vaginal infection you can perform a vaginal swab and urinary analysis. Your cervical length is 31 mm, so you do not have to worry about abdominal pain, that does not seem to be a uterine contraction. Countinue your medication and especially you have to consult with an endocrinologist to secure that the thyroid hormone levels are normal. Take care.

Hello doctor,I am four months pregnant. My hand and leg palms feel like burning and become very hot, and I have the same feeling in my vagina too. I also get an occasional sharp pain in my lower abdomen for a few seconds. Is this normal in pregnancy? Kindly suggest.I have attached my reports and I am currently taking Fol 123, Duvadilan, Duphaston 10 mg, Udiliv 300 mg, Pan-D, Thyroxine 12.5, and Eltroxin 75.

Hello. I read your examination. (attachment removed to protect patient identity). They are all normal. The symptoms that you prescribe above are common during pregnancy. Burning sensation in palms and hand is called Carpal Syn ChatDoctor. The burning sensation in the vagina is because your sexual organs are more vasculated (more blood comes to them) during pregnancy. To exclude vaginal infection you can perform a vaginal swab and urinary analysis. Your cervical length is 31 mm, so you do not have to worry about abdominal pain, that does not seem to be a uterine contraction. Countinue your medication and especially you have to consult with an endocrinologist to secure that the thyroid hormone levels are normal. Take care.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am 35 years old male having weight around 82 kg. Last year I was diagnosed with hypertension as my reading in the clinic was 170/120 and when the doctor asked me to monitor my BP and wrote some blood test. I monitored at home for 15 days then it was around 145/100 and report for all the blood test was normal but the doctor prescribed me Met XL 25 so I am taking it at night. I have started the exercise in the morning like jumping rope, spiking and yoga as well. I play TT for one hour in the noon around 4 PM to 5 PM. Now in the morning after exercise, my BP is around 130/85 but in the evening when I measure while sitting, it is around 150/110 and when lying it is around 138/93. Is this a cause of concern having high BP in the evening or it is normal? ### Response: Hello. The medication you are taking is right, but I would like to know that whether you are skipping your medicine in between? And along with medication, stop over the counter salt. For more information consult a family physician online Take care.

Hi doctor,I am 35 years old male having weight around 82 kg. Last year I was diagnosed with hypertension as my reading in the clinic was 170/120 and when the doctor asked me to monitor my BP and wrote some blood test. I monitored at home for 15 days then it was around 145/100 and report for all the blood test was normal but the doctor prescribed me Met XL 25 so I am taking it at night. I have started the exercise in the morning like jumping rope, spiking and yoga as well. I play TT for one hour in the noon around 4 PM to 5 PM. Now in the morning after exercise, my BP is around 130/85 but in the evening when I measure while sitting, it is around 150/110 and when lying it is around 138/93. Is this a cause of concern having high BP in the evening or it is normal?

Hello. The medication you are taking is right, but I would like to know that whether you are skipping your medicine in between? And along with medication, stop over the counter salt. For more information consult a family physician online Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I was recently diagnosed by my cardiologist with nonsustained ventricular tachycardia, unspecified syncope type, and orthostatic hypotension. Also, during an echocardiogram, it was reported. I was recently diagnosed by my cardiologist with nonsustained ventricular tachycardia, unspecified syncope type and orthostatic hypotension.Also, during an echocardiogram, it was reported they saw trace mitral regurgitation and trace tricuspid regurgitation. I was not given much information with these scary-sounding diagnoses. I was just looking for some explanation of them and also if it means something with them all together. Is there something I need to do to make these things better? ### Response: Hello. When was it diagnosed? Yes, during the episode of ventricular tachycardia you may feel syncope and palpitations due to reduced stroke volume. You may get it done tilt table test, 24-hour ambulatory blood pressure, ECG monitoring is useful. Do not worry, mild MR, TR may not cause much problem. In severe cases, a few people may need ICD insertion. Anti-arrhythmia ChatDoctor. Please check it out for hypo or hyperthyroidism, electrolyte imbalance or hypocalcemia or magnesemia, etc. Please consult your cardiologist. He will examine and treat you accordingly. Take care.

Hello doctor,I was recently diagnosed by my cardiologist with nonsustained ventricular tachycardia, unspecified syncope type, and orthostatic hypotension. Also, during an echocardiogram, it was reported. I was recently diagnosed by my cardiologist with nonsustained ventricular tachycardia, unspecified syncope type and orthostatic hypotension.Also, during an echocardiogram, it was reported they saw trace mitral regurgitation and trace tricuspid regurgitation. I was not given much information with these scary-sounding diagnoses. I was just looking for some explanation of them and also if it means something with them all together. Is there something I need to do to make these things better?

Hello. When was it diagnosed? Yes, during the episode of ventricular tachycardia you may feel syncope and palpitations due to reduced stroke volume. You may get it done tilt table test, 24-hour ambulatory blood pressure, ECG monitoring is useful. Do not worry, mild MR, TR may not cause much problem. In severe cases, a few people may need ICD insertion. Anti-arrhythmia ChatDoctor. Please check it out for hypo or hyperthyroidism, electrolyte imbalance or hypocalcemia or magnesemia, etc. Please consult your cardiologist. He will examine and treat you accordingly. Take care.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am a 20 year old male suffering from long term constipation and gas problem for around 1.5 years. I have consulted many doctors and they usually suggest digestion tonics and tablets. One of them suggested me to do regular exercise and morning walk but that also did not help much. I have strictly banned myself from eating junk or street food over 6-7 months. My weight has not much increased in this period instead I have gained fat in my belly part. Main problem which I face in day to day life is constipation which includes less regular motion and sometimes no motion for two to three days. I always feel stomach bloating. Other problems are acidity or acid reflux, feeling of tiredness, less motivation to work, dry skin, dandruff in hair and hair fall. Occasionally I feel sleepy and there is some joint and muscular pain. Seven months ago, I had stone in my kidney. It was removed by surgery using PCNL technique. Also four years back, I had appendicectomy. ### Response: Hi, Welcome to Chat Doctor forum. You seem to be suffering from irritable bowel syn ChatDoctor. Functional. Thyroid and blood sugar. Acid peptic disease. IBS. Revert back after 10 days of starting the medicines to a medical gastroenterologist online.-

Hi doctor,I am a 20 year old male suffering from long term constipation and gas problem for around 1.5 years. I have consulted many doctors and they usually suggest digestion tonics and tablets. One of them suggested me to do regular exercise and morning walk but that also did not help much. I have strictly banned myself from eating junk or street food over 6-7 months. My weight has not much increased in this period instead I have gained fat in my belly part. Main problem which I face in day to day life is constipation which includes less regular motion and sometimes no motion for two to three days. I always feel stomach bloating. Other problems are acidity or acid reflux, feeling of tiredness, less motivation to work, dry skin, dandruff in hair and hair fall. Occasionally I feel sleepy and there is some joint and muscular pain. Seven months ago, I had stone in my kidney. It was removed by surgery using PCNL technique. Also four years back, I had appendicectomy.

Hi, Welcome to Chat Doctor forum. You seem to be suffering from irritable bowel syn ChatDoctor. Functional. Thyroid and blood sugar. Acid peptic disease. IBS. Revert back after 10 days of starting the medicines to a medical gastroenterologist online.-

### Instruction: Answer this question truthfully ###Input: Hello doctor,Under the influence of alcohol, I committed a blunder by making intimacy with my own pet dog last year. From that day onwards, I started to develop health problems such as weakness, mild fever, headache, tingling, unexplainable inflammation and burning sensation of the genitals area. I also sense something crawling within my testicle area. I remain depressed, anxious and tense. I have sleep problems too. I have done numerous tests, but urine culture detects only an e.coli infection. I took Ciprofloxacin for ten days. After one month, twice culture was done but it was found normal. The fear of rabies has gripped me under its fist. Are the above symptoms because of rabies? Please suggest a suitable treatment. ### Response: Hello. You underwent many tests and all of them were normal except for some infection and for that, you are having ant-biotic. You can talk to your nearby doctor regarding rabies and can take antirabies course of injections to prevent rabies. Otherwise, you are doing fine. Regarding the anxiety, restlessness, etc., they are due to your health concerns. Your doctors must have told you that there is nothing to worry. Accept it and you will be peaceful. I suggest telephone or video counseling to you. Take care. For more information consult a psychiatrist online

Hello doctor,Under the influence of alcohol, I committed a blunder by making intimacy with my own pet dog last year. From that day onwards, I started to develop health problems such as weakness, mild fever, headache, tingling, unexplainable inflammation and burning sensation of the genitals area. I also sense something crawling within my testicle area. I remain depressed, anxious and tense. I have sleep problems too. I have done numerous tests, but urine culture detects only an e.coli infection. I took Ciprofloxacin for ten days. After one month, twice culture was done but it was found normal. The fear of rabies has gripped me under its fist. Are the above symptoms because of rabies? Please suggest a suitable treatment.

Hello. You underwent many tests and all of them were normal except for some infection and for that, you are having ant-biotic. You can talk to your nearby doctor regarding rabies and can take antirabies course of injections to prevent rabies. Otherwise, you are doing fine. Regarding the anxiety, restlessness, etc., they are due to your health concerns. Your doctors must have told you that there is nothing to worry. Accept it and you will be peaceful. I suggest telephone or video counseling to you. Take care. For more information consult a psychiatrist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 24 years old, student. Recently, during a sexual intercourse I felt an acute pain after which I suddenly stopped. The next day I had swelling all around my penis. It seems like the foreskin has swollen. I was a bit worried so I visited the GP here who advised me to take anti-bacterial, anti-fungal and anti-inflammatory medicines. The dosage is over but the swelling still persists. The penis and genital area feels itchy at times and sometimes has a foul smell too. The medications recommened by the GP were as follows ### Response: Hello, Welcome to Chat Doctor forum. The foreskin of your glans is edematous and little inflammatory (attachment removed to protect patient identity). This condition may be due to vigorous sexual activity against the ChatDoctor. Possibility of balanoposthitis. So you may check blood sugar levels, complete blood picture. Wear soft cotton related innerwear. Apply Clotrimazole plus Betamethazone gel locally twice a day for five days. Use tablet Fluconazole 150 mg once a week for five weeks. If no improvement get it done local swab culture and microscopy. But do not worry, it is a simple condition, it may subside within one to two weeks. Take care.

Hello doctor,I am 24 years old, student. Recently, during a sexual intercourse I felt an acute pain after which I suddenly stopped. The next day I had swelling all around my penis. It seems like the foreskin has swollen. I was a bit worried so I visited the GP here who advised me to take anti-bacterial, anti-fungal and anti-inflammatory medicines. The dosage is over but the swelling still persists. The penis and genital area feels itchy at times and sometimes has a foul smell too. The medications recommened by the GP were as follows

Hello, Welcome to Chat Doctor forum. The foreskin of your glans is edematous and little inflammatory (attachment removed to protect patient identity). This condition may be due to vigorous sexual activity against the ChatDoctor. Possibility of balanoposthitis. So you may check blood sugar levels, complete blood picture. Wear soft cotton related innerwear. Apply Clotrimazole plus Betamethazone gel locally twice a day for five days. Use tablet Fluconazole 150 mg once a week for five weeks. If no improvement get it done local swab culture and microscopy. But do not worry, it is a simple condition, it may subside within one to two weeks. Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 25 years old. I had unprotected sex with my fiance two months back. I took an I-pill because those were unsafe days. I got my periods but with very light bleeding. Again we had unprotected sex a month later thinking those are safe days. But to my horror I missed my dates. I took home pregnancy test which showed negative. Still my periods are due even after one month. I am suffering with severe headache, backache, and mood swings because of this. Am I pregnant? Should I consult a doctor or my period is irregularized because of the I-pill I took? Help me out please. ### Response: Hello. I-pill may give rise to irregular cycle at times. Specially if it does not bring about with ChatDoctor. Regarding you not getting your period till date I am a little concerned here. As you have mentioned you had little bleeding during the last cycle, then your ovulation might have been delayed as well leading to mess up of your safe and unsafe days. My advise is to wait for one week more and wait for your period to come. If not, then go for a urine pregnancy test again after one week. The symptoms you are having could be due to PMS. So wait for one more week and do as advised.

Hello doctor,I am 25 years old. I had unprotected sex with my fiance two months back. I took an I-pill because those were unsafe days. I got my periods but with very light bleeding. Again we had unprotected sex a month later thinking those are safe days. But to my horror I missed my dates. I took home pregnancy test which showed negative. Still my periods are due even after one month. I am suffering with severe headache, backache, and mood swings because of this. Am I pregnant? Should I consult a doctor or my period is irregularized because of the I-pill I took? Help me out please.

Hello. I-pill may give rise to irregular cycle at times. Specially if it does not bring about with ChatDoctor. Regarding you not getting your period till date I am a little concerned here. As you have mentioned you had little bleeding during the last cycle, then your ovulation might have been delayed as well leading to mess up of your safe and unsafe days. My advise is to wait for one week more and wait for your period to come. If not, then go for a urine pregnancy test again after one week. The symptoms you are having could be due to PMS. So wait for one more week and do as advised.

### Instruction: Answer this question truthfully ###Input: Hi doctor,1. I recently had full body health checkup. I am uploading the reports. Can you please review and suggest me required medical care or treatment? It seems lipid profile and ultrasound reports are not satisfactory. Please review and advice.2. And one more thing is I am suffering from urticaria (Getting red rashes on skin which scratch or apply pressure on skin. These rashes disappear in few minutes) from last 1.5 years. I am taking Desolor 5 mg tablets thrice a week. Can you advice me if any advanced and permanent treatment to this problem instead of prolonged usage of tablets? I do not have any smoking or drinking habit. ### Response: Hi, Welcome to Chat Doctor forum. I can understand your concern. I have gone through the reports you have attached (attachment removed to protect patient identity). You are having grade 1 fatty liver. You are also having elevated cholesterol which justifies fatty liver. So you need start lipid lowering ChatDoctor. Get done repeat Lipid profile after 30 days. Avoid oily and spicy food. Avoid junk food. Avoid cheese, butter, etc. Do regular exercise like walking, running, cycling and swimming, etc. For urticaria, take Montelukast and Levocetirizine combination (Montek LC).

Hi doctor,1. I recently had full body health checkup. I am uploading the reports. Can you please review and suggest me required medical care or treatment? It seems lipid profile and ultrasound reports are not satisfactory. Please review and advice.2. And one more thing is I am suffering from urticaria (Getting red rashes on skin which scratch or apply pressure on skin. These rashes disappear in few minutes) from last 1.5 years. I am taking Desolor 5 mg tablets thrice a week. Can you advice me if any advanced and permanent treatment to this problem instead of prolonged usage of tablets? I do not have any smoking or drinking habit.

Hi, Welcome to Chat Doctor forum. I can understand your concern. I have gone through the reports you have attached (attachment removed to protect patient identity). You are having grade 1 fatty liver. You are also having elevated cholesterol which justifies fatty liver. So you need start lipid lowering ChatDoctor. Get done repeat Lipid profile after 30 days. Avoid oily and spicy food. Avoid junk food. Avoid cheese, butter, etc. Do regular exercise like walking, running, cycling and swimming, etc. For urticaria, take Montelukast and Levocetirizine combination (Montek LC).

### Instruction: Answer this question truthfully ###Input: Hello doctor,I do not know why but I make a virtual world for myself. I always fake things about myself, tell untrue stories. When I remember people, like my ex-boyfriend, I imagine a conversation between me and him that had never happened and I feel happy. I keep imagining all that I wanted to do but have never done. I talk to people in my mind. I meet them, I see them, I laugh and cry in my mind. I am tired of imagining and failing in everything in real life. I even sometimes imagine the conversations with dead people. ### Response: Hi. People use imagination as a defense or escape from reality. Some degree of imagination is alright because it makes us imagine a goal, feeling of happiness, if achieved, hence motivate a person for a target or goal but the use of excessive imagination can lead to wastage of time and serve as a distraction from your real life goals. You can reduce this by giving some aversive stimulation to yourself like a tyre rubber band in the hand bullet as much as possible so that you feel pain when you will stop doing this. Set a goal in real life and be passionate about it. Try to achieve it at any cost. If you still find it hard to overcome, then I would advise you to consult a local psychiatrist.

Hello doctor,I do not know why but I make a virtual world for myself. I always fake things about myself, tell untrue stories. When I remember people, like my ex-boyfriend, I imagine a conversation between me and him that had never happened and I feel happy. I keep imagining all that I wanted to do but have never done. I talk to people in my mind. I meet them, I see them, I laugh and cry in my mind. I am tired of imagining and failing in everything in real life. I even sometimes imagine the conversations with dead people.

Hi. People use imagination as a defense or escape from reality. Some degree of imagination is alright because it makes us imagine a goal, feeling of happiness, if achieved, hence motivate a person for a target or goal but the use of excessive imagination can lead to wastage of time and serve as a distraction from your real life goals. You can reduce this by giving some aversive stimulation to yourself like a tyre rubber band in the hand bullet as much as possible so that you feel pain when you will stop doing this. Set a goal in real life and be passionate about it. Try to achieve it at any cost. If you still find it hard to overcome, then I would advise you to consult a local psychiatrist.

### Instruction: Answer this question truthfully ###Input: Hello,I am 30 years old male. For the last 1 week, I am having severe itching inside my penis head and bottom side. And while urinating it becomes very severe. When I wash it with hot water and soap, I could not take my hand out of my penis as the itching is heavy, so I had to massage my penis head a lot to control that. After using fourderm ointment outside the itching area, it is little bit in control. But the itching everytime starts again after I urinate. I do not see any visible difference outside the penis that is causing this itching and I do not see any discharge also. I had sex with a friend 2 weeks ago and used condoms. After 2 years I used condoms this time. I am not sure whether this is caused by any infection due to the condom or any other infections such as STD from my partner. I do not know whom should I consult for this issue, an Urologist or a Sexologist? Kindly help me get rid of this itching. ### Response: Hi, Welcome to Chat Doctor forum. First of all get one urine routine test and Fasting Blood Sugar test done. Your problem could be either a fungal infection or a reaction to the condom. I advise you to take consultation with a urologist online

Hello,I am 30 years old male. For the last 1 week, I am having severe itching inside my penis head and bottom side. And while urinating it becomes very severe. When I wash it with hot water and soap, I could not take my hand out of my penis as the itching is heavy, so I had to massage my penis head a lot to control that. After using fourderm ointment outside the itching area, it is little bit in control. But the itching everytime starts again after I urinate. I do not see any visible difference outside the penis that is causing this itching and I do not see any discharge also. I had sex with a friend 2 weeks ago and used condoms. After 2 years I used condoms this time. I am not sure whether this is caused by any infection due to the condom or any other infections such as STD from my partner. I do not know whom should I consult for this issue, an Urologist or a Sexologist? Kindly help me get rid of this itching.

Hi, Welcome to Chat Doctor forum. First of all get one urine routine test and Fasting Blood Sugar test done. Your problem could be either a fungal infection or a reaction to the condom. I advise you to take consultation with a urologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have a hard swelling measuring 3/4th finger size from anus on the right side. It hurts while sitting. It started developing five days back and was worst since yesterday. The entire nearby area is sensitive and slightly painful. For your information, I underwent surgery for anal fistula on the left side 52 years back.I have type II diabetes for past five years and BP for past 12 years. I am 82 years old. Kindly suggest medicine, ointment or injection for instant relief from pain. ### Response: Hi, Welcome to Chat Doctor forum. It looks like you have a right perianal abscess. It needs to be clinically examined by a surgeon and if required, ChatDoctor. You need to start antibiotics too as you are diabetic which increases the chance of the infection. My antibiotic preference would be Augmentin duo (Amoxicillin and Clavulanic acid) 1 gm twice daily for five days or Ciplox-TZ (Ciprofloxacin and Tinidazole) twice daily for five days. For pain, you can have tablet Ultracet (Acetaminophen) 1 three times a day or as needed. Consult your specialist doctor, discuss with him or her and take medications with their consent. For more information consult a general surgeon online

Hello doctor,I have a hard swelling measuring 3/4th finger size from anus on the right side. It hurts while sitting. It started developing five days back and was worst since yesterday. The entire nearby area is sensitive and slightly painful. For your information, I underwent surgery for anal fistula on the left side 52 years back.I have type II diabetes for past five years and BP for past 12 years. I am 82 years old. Kindly suggest medicine, ointment or injection for instant relief from pain.

Hi, Welcome to Chat Doctor forum. It looks like you have a right perianal abscess. It needs to be clinically examined by a surgeon and if required, ChatDoctor. You need to start antibiotics too as you are diabetic which increases the chance of the infection. My antibiotic preference would be Augmentin duo (Amoxicillin and Clavulanic acid) 1 gm twice daily for five days or Ciplox-TZ (Ciprofloxacin and Tinidazole) twice daily for five days. For pain, you can have tablet Ultracet (Acetaminophen) 1 three times a day or as needed. Consult your specialist doctor, discuss with him or her and take medications with their consent. For more information consult a general surgeon online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I recently broke my ankle playing soccer. I went to the hospital right away and the doctors set me up and place me in a cast and told me I will have to do surgery. Six days later they told me that the next available surgery date is in the next three weeks. Is it fine to wait that long to do the surgery? Also, when I am lying down I am not in any pain, only numbness in a big toe but as soon as I stand up I start feeling an intense burning pain even though there is no weight on the feet. ### Response: Hello. I am thinking that the ankle may have been too swollen to operate and that is why they delayed the surgery to allow the swelling to go down which can take a week to 10 days. Did they not clearly say so? Three weeks itself is a long time I think. It may be a systematic issue rather than the swelling. Yes it is still safe to be operated at three weeks post-injury. The pain that you experience when the leg is down but not weight-bearing is from the blood rushing into the leg and the resultant swelling makes the tissues tense and painful. Again, this should settle with time or may persist till even after the leg comes out of the cast for sometime. Take care.

Hello doctor,I recently broke my ankle playing soccer. I went to the hospital right away and the doctors set me up and place me in a cast and told me I will have to do surgery. Six days later they told me that the next available surgery date is in the next three weeks. Is it fine to wait that long to do the surgery? Also, when I am lying down I am not in any pain, only numbness in a big toe but as soon as I stand up I start feeling an intense burning pain even though there is no weight on the feet.

Hello. I am thinking that the ankle may have been too swollen to operate and that is why they delayed the surgery to allow the swelling to go down which can take a week to 10 days. Did they not clearly say so? Three weeks itself is a long time I think. It may be a systematic issue rather than the swelling. Yes it is still safe to be operated at three weeks post-injury. The pain that you experience when the leg is down but not weight-bearing is from the blood rushing into the leg and the resultant swelling makes the tissues tense and painful. Again, this should settle with time or may persist till even after the leg comes out of the cast for sometime. Take care.

### Instruction: Answer this question truthfully ###Input: Hi doctor,While masturbating in the shower with soap, I had a slight itch at the bottom left side of the penile meatus. I continued to masturbate in the next two days, and the tip became very irritated. I have been treating an irritated penile gland (feels like sandpaper at the tip when rubbing against clothes) with an antifungal cream for about 14 days. It is 98 % gone. There is no discharge or pain or itching when urinating or ejaculation. I live in a place with high heat and humidity. I also have a lot of sweating during sports-related activity. Is this a fungal infection or could it be something else? ### Response: Hi. The changes are due to irritation with soap as well as due to frequent rubbing. Any soothing and moisturizing cream or lotion would help to resolve. Were there any white patches to suggest fungal infection? Did you have any sexual contact recently to suspect any infections? We cannot rule out the possibility of superimposed fungal infection as the fungus is usually present in that area. Trauma to the mucous membranes helps their proliferation leading to worsening of the symptoms. The possibility of any other STD (sexually transmitted diseases) appears to be less if you did not have any recent sexual encounters. For more information consult an internal medicine physician online

Hi doctor,While masturbating in the shower with soap, I had a slight itch at the bottom left side of the penile meatus. I continued to masturbate in the next two days, and the tip became very irritated. I have been treating an irritated penile gland (feels like sandpaper at the tip when rubbing against clothes) with an antifungal cream for about 14 days. It is 98 % gone. There is no discharge or pain or itching when urinating or ejaculation. I live in a place with high heat and humidity. I also have a lot of sweating during sports-related activity. Is this a fungal infection or could it be something else?

Hi. The changes are due to irritation with soap as well as due to frequent rubbing. Any soothing and moisturizing cream or lotion would help to resolve. Were there any white patches to suggest fungal infection? Did you have any sexual contact recently to suspect any infections? We cannot rule out the possibility of superimposed fungal infection as the fungus is usually present in that area. Trauma to the mucous membranes helps their proliferation leading to worsening of the symptoms. The possibility of any other STD (sexually transmitted diseases) appears to be less if you did not have any recent sexual encounters. For more information consult an internal medicine physician online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 20-year-old healthy young man. I do not drink or smoke but I do work a lot. I work for 60 hours actually and just moved out of my house with my family. I got my own new place as well as trying to maintain a relationship with my current girlfriend. I do not really have any health issues besides occasional high blood pressure. I have been having palpitations for the last month. I get a few palpitations every single day and some are scary and uncomfortable while others really do not bother me. I have had an EKG in the past. I have attached the reports of the same. I saw a cardiologist and they did a few different tests and said my heart looks normal but I am still getting the palpitations even though my doctor put me on Metoprolol which is a beta blocker. What do you suggest? ### Response: Hello. I have gone through your reports (attachment removed to protect patient identity). All the tests are fine. The cardiologist said your heart is normal. So, you do not have to worry. Tablet Metoprolol has been given for symptomatic relief for your palpitation. Probably, you are having stress. Manage your stress and you will be fine. For more information consult a cardiologist online

Hello doctor,I am a 20-year-old healthy young man. I do not drink or smoke but I do work a lot. I work for 60 hours actually and just moved out of my house with my family. I got my own new place as well as trying to maintain a relationship with my current girlfriend. I do not really have any health issues besides occasional high blood pressure. I have been having palpitations for the last month. I get a few palpitations every single day and some are scary and uncomfortable while others really do not bother me. I have had an EKG in the past. I have attached the reports of the same. I saw a cardiologist and they did a few different tests and said my heart looks normal but I am still getting the palpitations even though my doctor put me on Metoprolol which is a beta blocker. What do you suggest?

Hello. I have gone through your reports (attachment removed to protect patient identity). All the tests are fine. The cardiologist said your heart is normal. So, you do not have to worry. Tablet Metoprolol has been given for symptomatic relief for your palpitation. Probably, you are having stress. Manage your stress and you will be fine. For more information consult a cardiologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I had an STD test done five or six days after unprotected sex with a new partner. The tests came back negative, but I have learned that you should wait for different windows of time before getting tested for certain STDs. This was about seven months ago. Today, I went to my gynecologist to get tested again (for chlamydia and gonorrhea) to ease my mind. She said that the original tests were likely accurate given that just barely enough time had passed to be tested, but suggested to get another test for peace of mind. I did not think, until after my appointment, to ask if the Doxycycline I am currently taking for my acne (100 mg, twice daily) would alter the results? I am wondering if the results I get in a week\\s time will be accurate? And if you think the original test was likely accurate in the first place? ### Response: Hello. I have gone through your history and understood your concern. As the incubation period of organism are different in every infection usually first test should be done after 10-15 days of exposure as your is done little early. But as you are not having any other symptoms along with this we can rely on your test results. But Doxycycline may affect the test results.

Hello doctor,I had an STD test done five or six days after unprotected sex with a new partner. The tests came back negative, but I have learned that you should wait for different windows of time before getting tested for certain STDs. This was about seven months ago. Today, I went to my gynecologist to get tested again (for chlamydia and gonorrhea) to ease my mind. She said that the original tests were likely accurate given that just barely enough time had passed to be tested, but suggested to get another test for peace of mind. I did not think, until after my appointment, to ask if the Doxycycline I am currently taking for my acne (100 mg, twice daily) would alter the results? I am wondering if the results I get in a week\\s time will be accurate? And if you think the original test was likely accurate in the first place?

Hello. I have gone through your history and understood your concern. As the incubation period of organism are different in every infection usually first test should be done after 10-15 days of exposure as your is done little early. But as you are not having any other symptoms along with this we can rely on your test results. But Doxycycline may affect the test results.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 30 years old. My height is 166 cm and weight is 56 kg. Can you please suggest some medicines (Vitamins, minerals or something) to increase my height by few cm? Can I take some anabolic steroids (for short duration) to increase my muscle mass?At this point I just like to mention that I am diagonosed with Crohn\\s disease and taking Azoran 100 mg, Folvite and Razo daily. In my breakfast and afternoon snacks I take eight slices of bread, two boiled eggs, two bananas, one spoon of AlbumenCare (protien supplement). In lunch and dinner I eat rice and dal and boiled vegies. I do not take fish or meat. ### Response: Hello. Unfortunately, after the age of 30, it is a little less likely to increase the height further, however doing stretching exercises, using Vitamin D 50,000 IU once a week and B12 1000 mcg daily may help to improve the posture and give you an extra cm or so. Also, remember if you ended up using steroids of any sort then please do get a bone scan to look for osteoporosis (weak bones) which can result in loss of height.

Hello doctor,I am 30 years old. My height is 166 cm and weight is 56 kg. Can you please suggest some medicines (Vitamins, minerals or something) to increase my height by few cm? Can I take some anabolic steroids (for short duration) to increase my muscle mass?At this point I just like to mention that I am diagonosed with Crohn\\s disease and taking Azoran 100 mg, Folvite and Razo daily. In my breakfast and afternoon snacks I take eight slices of bread, two boiled eggs, two bananas, one spoon of AlbumenCare (protien supplement). In lunch and dinner I eat rice and dal and boiled vegies. I do not take fish or meat.

Hello. Unfortunately, after the age of 30, it is a little less likely to increase the height further, however doing stretching exercises, using Vitamin D 50,000 IU once a week and B12 1000 mcg daily may help to improve the posture and give you an extra cm or so. Also, remember if you ended up using steroids of any sort then please do get a bone scan to look for osteoporosis (weak bones) which can result in loss of height.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I want to perform PC muscle exercises. Will you guide me on how to locate it? ### Response: Hello, Welcome to Chat Doctor forum. PC exercises (pubococcygeus muscle) are performed basically to improve the sexual performance in men, to delay the ejaculation. To locate PC muscle, it is located in the perineum area behind the scrotum and in front of the anus. It is deep to skin and soft tissue, and urethra passes through this muscle. Hence contraction of this muscle helps to delay ejaculation by compressing urethra. The exercises for the PC muscles includes sitting with a straight back, both hands on lap. Squeeze in the anus as if trying to hold bowel while defecating. Hold and count to 10 and then slowly release the muscle. Do this for 6 to 10 times per sitting. Every day you can have 4 to 5 such sittings. While passing urine, what you can do is hold urine for 1 to 2 seconds, then, pass it, then again hold. This hold-pass can be done 3 to 4 times every time you go for a pee. Both these measures help in strengthening the PC muscle. All you need is to have patience. It will need time to show results.

Hello doctor,I want to perform PC muscle exercises. Will you guide me on how to locate it?

Hello, Welcome to Chat Doctor forum. PC exercises (pubococcygeus muscle) are performed basically to improve the sexual performance in men, to delay the ejaculation. To locate PC muscle, it is located in the perineum area behind the scrotum and in front of the anus. It is deep to skin and soft tissue, and urethra passes through this muscle. Hence contraction of this muscle helps to delay ejaculation by compressing urethra. The exercises for the PC muscles includes sitting with a straight back, both hands on lap. Squeeze in the anus as if trying to hold bowel while defecating. Hold and count to 10 and then slowly release the muscle. Do this for 6 to 10 times per sitting. Every day you can have 4 to 5 such sittings. While passing urine, what you can do is hold urine for 1 to 2 seconds, then, pass it, then again hold. This hold-pass can be done 3 to 4 times every time you go for a pee. Both these measures help in strengthening the PC muscle. All you need is to have patience. It will need time to show results.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I was going through follicle stimulation. My doctor started with Siphene 100 mg for five days, moved to FSH injections 75 for five days and when there was not enough growth in follicles she asked me to inject Humog 75 for two days. However, I got my periods the day I took the first Humog injection. Is it normal to get the period mid follicle stimulation cycle? ### Response: Hi. Getting periods in between only means that the follicles were not healthy enough. This is usually triggered by poor ovulation induction. Endometrial growth depends on the estradiol release from the follicles. So if follicles are not good, estrogen levels are not correct, so, the endometrial lining will not be healthy enough. In short, I would suggest, if I may, just forget this cycle. During the next cycle, it is better not to have injections as the ovarian response will be poor if stimulation is given every month. Month next to that, have CCQ (Clomiphene citrate) 100 mg from the third day of periods and at the same time start on HMG (Menotropin) or Humog (human menopausal gonadotropin) 75 or 112.5 IU. Further dose depending on follicles response.

Hi doctor,I was going through follicle stimulation. My doctor started with Siphene 100 mg for five days, moved to FSH injections 75 for five days and when there was not enough growth in follicles she asked me to inject Humog 75 for two days. However, I got my periods the day I took the first Humog injection. Is it normal to get the period mid follicle stimulation cycle?

Hi. Getting periods in between only means that the follicles were not healthy enough. This is usually triggered by poor ovulation induction. Endometrial growth depends on the estradiol release from the follicles. So if follicles are not good, estrogen levels are not correct, so, the endometrial lining will not be healthy enough. In short, I would suggest, if I may, just forget this cycle. During the next cycle, it is better not to have injections as the ovarian response will be poor if stimulation is given every month. Month next to that, have CCQ (Clomiphene citrate) 100 mg from the third day of periods and at the same time start on HMG (Menotropin) or Humog (human menopausal gonadotropin) 75 or 112.5 IU. Further dose depending on follicles response.

### Instruction: Answer this question truthfully ###Input: Hello doctor,Could you please check my blood test result? Does it confirm that I am pregnant? Could I know how many weeks? Do all the results look normal? Is there anything should I pay attention to? Do I need to do any additional blood tests or checks, such as for human chorionic gonadotropin and progesterone? ### Response: Hello. 1) From your reports, all blood reports are found to be healthy (but for platelet they have not mentioned the value due to clumped sample, but blood smear looks normal platelet, so that is taken as usual, for the value you can repeat it later). 2) Since your last period date was before five weeks, if you got urine pregnancy test positive, that means you are pregnant for five weeks five days now. 3) None of these tests are confirmative for pregnancy. Usually, pregnancy is confirmed by a urine pregnancy test, or blood test as you told (serum beta hCG), or by scan around six weeks. 4) So at present if you got urine pregnancy test positive means you are pregnant, no need to go for beta hCG now, do a transvaginal scan for viability by six weeks (means three days later from today), otherwise, the scan will be too early to see the pregnancy sac.

Hello doctor,Could you please check my blood test result? Does it confirm that I am pregnant? Could I know how many weeks? Do all the results look normal? Is there anything should I pay attention to? Do I need to do any additional blood tests or checks, such as for human chorionic gonadotropin and progesterone?

Hello. 1) From your reports, all blood reports are found to be healthy (but for platelet they have not mentioned the value due to clumped sample, but blood smear looks normal platelet, so that is taken as usual, for the value you can repeat it later). 2) Since your last period date was before five weeks, if you got urine pregnancy test positive, that means you are pregnant for five weeks five days now. 3) None of these tests are confirmative for pregnancy. Usually, pregnancy is confirmed by a urine pregnancy test, or blood test as you told (serum beta hCG), or by scan around six weeks. 4) So at present if you got urine pregnancy test positive means you are pregnant, no need to go for beta hCG now, do a transvaginal scan for viability by six weeks (means three days later from today), otherwise, the scan will be too early to see the pregnancy sac.

### Instruction: Answer this question truthfully ###Input: Hello doctor, I have been going to a dentist about a tooth that is sore. They started a root canal but then did not finish. I have gone back several times and every time they open up the tooth and insert medicine. My tooth is in agony right now. I am just wondering if this is a standard procedure during a root canal? Should not the dentist remove the nerves so I am not in so much pain? Or is it the standard procedure to fight the infection first and then remove the nerves? ### Response: Hello. I understand your concern. The number of sittings in the root canal procedure depends on the amount and extent of infection. If the infection is more, the tooth is opened up and medicated ChatDoctor. Antibiotics and painkillers will be prescribed for the next three days to control the pain and infection. After three days, the root canal treatment can be done painlessly, once the nerve had died. From your query and the details provided, it seems like you are having a challenging tooth (quite a lot of infection, curved roots, pulp stones, etc.). A clear picture of your tooth x-ray will help to identify the problem. Talk to your dentist and get to know, what is causing this pain and delay in treatment. I hope this helps.

Hello doctor, I have been going to a dentist about a tooth that is sore. They started a root canal but then did not finish. I have gone back several times and every time they open up the tooth and insert medicine. My tooth is in agony right now. I am just wondering if this is a standard procedure during a root canal? Should not the dentist remove the nerves so I am not in so much pain? Or is it the standard procedure to fight the infection first and then remove the nerves?

Hello. I understand your concern. The number of sittings in the root canal procedure depends on the amount and extent of infection. If the infection is more, the tooth is opened up and medicated ChatDoctor. Antibiotics and painkillers will be prescribed for the next three days to control the pain and infection. After three days, the root canal treatment can be done painlessly, once the nerve had died. From your query and the details provided, it seems like you are having a challenging tooth (quite a lot of infection, curved roots, pulp stones, etc.). A clear picture of your tooth x-ray will help to identify the problem. Talk to your dentist and get to know, what is causing this pain and delay in treatment. I hope this helps.

### Instruction: Answer this question truthfully ###Input: Hello doctor,How to use a product called Contractubex? I bought it but for some reason, it does not come with usage instructions. How do I use this product but combining it with SPF 30? I would like to know how to use it for a fresh surgical scar. Can someone please tell me how to use it with SPF 30, that is how to combine SPF 30 for a surgical scar because Contractubex does not come with instructions on how to use it mixing it with SPF 30. I had surgery on right cheek to remove the black birthmark. ### Response: Hi, Welcome to Chat Doctor forum. Contractubex (Extractum cepae, Heparin, Allantoin) is a topical medication of scars. Apply this gel to the scar in the morning and night after washing your face and you have to massage the gel over scar with clockwise and anticlockwise wise rotatory movements for 4 to 5 minutes. Once all the gel is absorbed, then you can apply sunscreen SPF 30 on top of it for the full face. Use the sunscreen every four hours, because sunscreen protects skin from UV rays for four hours once applied, you need to apply repeatedly every four hours for maximum benefit. For more information consult a dermatologist online

Hello doctor,How to use a product called Contractubex? I bought it but for some reason, it does not come with usage instructions. How do I use this product but combining it with SPF 30? I would like to know how to use it for a fresh surgical scar. Can someone please tell me how to use it with SPF 30, that is how to combine SPF 30 for a surgical scar because Contractubex does not come with instructions on how to use it mixing it with SPF 30. I had surgery on right cheek to remove the black birthmark.

Hi, Welcome to Chat Doctor forum. Contractubex (Extractum cepae, Heparin, Allantoin) is a topical medication of scars. Apply this gel to the scar in the morning and night after washing your face and you have to massage the gel over scar with clockwise and anticlockwise wise rotatory movements for 4 to 5 minutes. Once all the gel is absorbed, then you can apply sunscreen SPF 30 on top of it for the full face. Use the sunscreen every four hours, because sunscreen protects skin from UV rays for four hours once applied, you need to apply repeatedly every four hours for maximum benefit. For more information consult a dermatologist online

### Instruction: Answer this question truthfully ###Input: Hi doctor,My mother is 65 years old. All her general physical parameters are normal and she is leading a normal healthy life. But, she suffers from migraine. So whenever she has migraine headache, she takes Analgin (Novalgin) medicine.Few days back, she took the Analgin and noticed swelling in her left forearm (photo attached). This swelling has occurred in past too, but this time it persists for a week along with general body pain, fatigue and mild sweating at times. BP and temperature are normal. Family doctor suggested full body check up, chest x-ray, few blood tests and thyroid test specifically. All came normal except thyroid (report attached).She did not take any medicine for the swelling yet. Please suggest what could be the cause? How can we prevent it? ### Response: Hi, Welcome to Chat Doctor forum. From the reports (attachment removed to protect patient identity) her TSH levels are high with normal T3 and T4 which suggests hypothyroidism. Most of the times hypothyroidism has normal T3 and T4. So hypothyroidism cannot be ruled in that case. Her complaints like sweating and everything fits under hypothyroidism. I would like to know whether she had any recent injury (including minor trauma)? Revert back to a general medicine physician online

Hi doctor,My mother is 65 years old. All her general physical parameters are normal and she is leading a normal healthy life. But, she suffers from migraine. So whenever she has migraine headache, she takes Analgin (Novalgin) medicine.Few days back, she took the Analgin and noticed swelling in her left forearm (photo attached). This swelling has occurred in past too, but this time it persists for a week along with general body pain, fatigue and mild sweating at times. BP and temperature are normal. Family doctor suggested full body check up, chest x-ray, few blood tests and thyroid test specifically. All came normal except thyroid (report attached).She did not take any medicine for the swelling yet. Please suggest what could be the cause? How can we prevent it?

Hi, Welcome to Chat Doctor forum. From the reports (attachment removed to protect patient identity) her TSH levels are high with normal T3 and T4 which suggests hypothyroidism. Most of the times hypothyroidism has normal T3 and T4. So hypothyroidism cannot be ruled in that case. Her complaints like sweating and everything fits under hypothyroidism. I would like to know whether she had any recent injury (including minor trauma)? Revert back to a general medicine physician online

### Instruction: Answer this question truthfully ###Input: Dear doctor,I have recently had a baby. I experience sore, stiff hands in the morning, swelling, hard bumps on the elbow. There is a history of rheumatoid arthritis in my family. Blood work is negative. Should I go to a rheumatologist? ### Response: Hi, Welcome to Chat Doctor forum. From your history, it seems that you are suffering fromrheumatoid arthritis. This is more in females, having morning stiffness of the joint and improve during the day and presence of nodules over bony prominences. Yes, you need to go to a rheumatologist for proper evaluation and regular follow up. It is an autoimmune disorder which will affect various organs of the body at various stages. If there is a delay in starting with the treatment, it can cause a restriction of movements of the joints, and involvement of other organs also. Investigations to be done are CBC (complete blood count), LFT (liver function test), RFT (renal function test), X-ray, RF (rheumatoid factor), ANA (antinuclear antibody), HIV (human immunodeficiency virus), HBsAg (hepatitis B surface antigen), Anti HCV (anti-hepatitis C virus), TFT (thyroid function test). Management is with NSAID (nonsteroidal anti-inflammatory ChatDoctor.

Dear doctor,I have recently had a baby. I experience sore, stiff hands in the morning, swelling, hard bumps on the elbow. There is a history of rheumatoid arthritis in my family. Blood work is negative. Should I go to a rheumatologist?

Hi, Welcome to Chat Doctor forum. From your history, it seems that you are suffering fromrheumatoid arthritis. This is more in females, having morning stiffness of the joint and improve during the day and presence of nodules over bony prominences. Yes, you need to go to a rheumatologist for proper evaluation and regular follow up. It is an autoimmune disorder which will affect various organs of the body at various stages. If there is a delay in starting with the treatment, it can cause a restriction of movements of the joints, and involvement of other organs also. Investigations to be done are CBC (complete blood count), LFT (liver function test), RFT (renal function test), X-ray, RF (rheumatoid factor), ANA (antinuclear antibody), HIV (human immunodeficiency virus), HBsAg (hepatitis B surface antigen), Anti HCV (anti-hepatitis C virus), TFT (thyroid function test). Management is with NSAID (nonsteroidal anti-inflammatory ChatDoctor.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I and my fiance had unprotected sex a month back but he did not ejaculate inside me. Due to confusion, I had an Ipill after two hours of intercourse. On the eighth day after taking the pill, I got a light bleeding (enough to use a pad) which lasted for three days. My last period started 40 days back and lasted for five days. I missed my next period which was supposed to be a month later. Now after that I did the urine pregnancy test in the afternoon which came negative. I just want to know is there a chance of me getting pregnant. Am I safe now? Please answer it ### Response: Hi. Yes, if now it turns out to be negative urine pregnancy test after 20 days of intercourse than definitely, you are not pregnant. It is almost a month after intercourse and test are negative. So, you are not pregnant for sure. And yes, periods can be delayed and/or disturbed even after Ipill which is in your case. Do ChatDoctor. Mostly, it will come. If delayed more than 10 days than do consult nearby gynecologist. You may require hormonal medicines to induce the period. For more information consult an obstetrician and gynaecologist online Take care.

Hi doctor,I and my fiance had unprotected sex a month back but he did not ejaculate inside me. Due to confusion, I had an Ipill after two hours of intercourse. On the eighth day after taking the pill, I got a light bleeding (enough to use a pad) which lasted for three days. My last period started 40 days back and lasted for five days. I missed my next period which was supposed to be a month later. Now after that I did the urine pregnancy test in the afternoon which came negative. I just want to know is there a chance of me getting pregnant. Am I safe now? Please answer it

Hi. Yes, if now it turns out to be negative urine pregnancy test after 20 days of intercourse than definitely, you are not pregnant. It is almost a month after intercourse and test are negative. So, you are not pregnant for sure. And yes, periods can be delayed and/or disturbed even after Ipill which is in your case. Do ChatDoctor. Mostly, it will come. If delayed more than 10 days than do consult nearby gynecologist. You may require hormonal medicines to induce the period. For more information consult an obstetrician and gynaecologist online Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I had both my thyroid glands removed eight years ago, and a small amount was left (in the size of half of my small nail). Since then, I am getting my blood test done every year, which comes back normal. I do not understand this as everybody needs two thyroid glands to work properly, and a small amount of the gland is not enough to do the job. I suffer from tiredness, weight gain, and insomnia over these years. ### Response: Hello. It is not the size of the thyroid gland, but it is the function that matters. In most of the thyroid gland removal, the left over gland will start hyper functioning and hence will take over the body function. So, if your blood work is normal means that a small part of the thyroid is working well. Now coming to your problem, it might be due to either calcium or vitamin D deficiency which can happen because of your thyroid removal. I advise you to get serum D3 and calcium levels tested. Revert back with reports. Weight gain could be due to physical inactivity, excess of cholesterol or even diabetes or a ChatDoctor. I advise you to get serum lipid profile. Serum Cortisol. FBS (fasting blood sugar), and PPBS (postprandial blood sugar). Take care.

Hello doctor,I had both my thyroid glands removed eight years ago, and a small amount was left (in the size of half of my small nail). Since then, I am getting my blood test done every year, which comes back normal. I do not understand this as everybody needs two thyroid glands to work properly, and a small amount of the gland is not enough to do the job. I suffer from tiredness, weight gain, and insomnia over these years.

Hello. It is not the size of the thyroid gland, but it is the function that matters. In most of the thyroid gland removal, the left over gland will start hyper functioning and hence will take over the body function. So, if your blood work is normal means that a small part of the thyroid is working well. Now coming to your problem, it might be due to either calcium or vitamin D deficiency which can happen because of your thyroid removal. I advise you to get serum D3 and calcium levels tested. Revert back with reports. Weight gain could be due to physical inactivity, excess of cholesterol or even diabetes or a ChatDoctor. I advise you to get serum lipid profile. Serum Cortisol. FBS (fasting blood sugar), and PPBS (postprandial blood sugar). Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have depression, anxiety, fast heartbeat, excess sweating, low energy, IBS with diarrhea from the last 15 years. I have taken so many allopathic medicine and showed to so many psychiatrist but no real effect. Now I am really confused that which treatment should I follow for long term.1. Treatment 1- Tablet Nexito forte + Toficalm 100 in morning and evening and Libotryp in night. Taken in two months duration.2. Treatment 2 - Tablet Nexito + Clonazepam 0.5 in morning and evening and Mirtazapine 15 mg in night- three months duration.3. Tablet Nexito forte + Pronol 10 mg in morning and evening and Prestiq 50 mg in night for 2.5 years.Please suggest which treatment should I take for my present condition as every treatment creates some problem. Which treatment has lower side effect? Please suggest as I want to get rid of my depression and anxiety completely and am unable to focus on my work. Please help. ### Response: Hi, Welcome to Chat Doctor forum. As you have mentioned three different prescription in which Escitalopram and Clonazepam is common to all and rest are different ChatDoctor. Each

Hello doctor,I have depression, anxiety, fast heartbeat, excess sweating, low energy, IBS with diarrhea from the last 15 years. I have taken so many allopathic medicine and showed to so many psychiatrist but no real effect. Now I am really confused that which treatment should I follow for long term.1. Treatment 1- Tablet Nexito forte + Toficalm 100 in morning and evening and Libotryp in night. Taken in two months duration.2. Treatment 2 - Tablet Nexito + Clonazepam 0.5 in morning and evening and Mirtazapine 15 mg in night- three months duration.3. Tablet Nexito forte + Pronol 10 mg in morning and evening and Prestiq 50 mg in night for 2.5 years.Please suggest which treatment should I take for my present condition as every treatment creates some problem. Which treatment has lower side effect? Please suggest as I want to get rid of my depression and anxiety completely and am unable to focus on my work. Please help.

Hi, Welcome to Chat Doctor forum. As you have mentioned three different prescription in which Escitalopram and Clonazepam is common to all and rest are different ChatDoctor. Each

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have a health and exercise question. I am 24 years old and I weigh 293 lbs, 5\\9\". I have polymyositis. I started a new workout today. I did five pushups, five reps, five squats, eight reps, 20 standing stiff leg ups, seven reps, five flys, eight rep, 10 curls, 10 reps using two eight lbs gallons of water. Not all at once, alternating between arms and legs. I wanted to know if it was fine for a starting workout. I also had 151 grams of protein so far today and one gallon of water to drink. Is this fine for a starting plan? ### Response: Hi. Having polymyositis, you should start with a fewer resistance exercise and more of stretching exercises to improve flexibility. Yes, the exercise plan you made is fine for a good start. But maintain the muscle length through stretching exercises before initiation of the workout. Protein content increased by 250 gms per day and one gallon of water. ChatDoctor. Take equal amount of rest in between the sessions. It helps the recovery of muscle soreness. It can include aerobic exercises. Count your heart beats to increase the time period.

Hello doctor,I have a health and exercise question. I am 24 years old and I weigh 293 lbs, 5\\9\". I have polymyositis. I started a new workout today. I did five pushups, five reps, five squats, eight reps, 20 standing stiff leg ups, seven reps, five flys, eight rep, 10 curls, 10 reps using two eight lbs gallons of water. Not all at once, alternating between arms and legs. I wanted to know if it was fine for a starting workout. I also had 151 grams of protein so far today and one gallon of water to drink. Is this fine for a starting plan?

Hi. Having polymyositis, you should start with a fewer resistance exercise and more of stretching exercises to improve flexibility. Yes, the exercise plan you made is fine for a good start. But maintain the muscle length through stretching exercises before initiation of the workout. Protein content increased by 250 gms per day and one gallon of water. ChatDoctor. Take equal amount of rest in between the sessions. It helps the recovery of muscle soreness. It can include aerobic exercises. Count your heart beats to increase the time period.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 40 year old female. I have a BMI of 17. I am a recovering eating disorder patient and also suffer from GERD, GAD, and low BP (105/60). I saw a cardio two years ago and cleared. I developed a burning, sharp chest pain (more intense than normal GERD pain), in the upper-left sternum just below the manubrium which sent me to the ER. X-ray, bloods, and ECG are normal. I was given an Omeprazole and an antiinflamatory. But, I am still having constant pain, which varies in intensity and improves when I stand. I did lift a heavy rock a few days prior and can feel a slight crunching when I move, but I am really anxious about ischemic heart disease or something more dubious, even though I have no accompanying symptoms besides this pain. Does this sound like costochondritis, or should I be more concerned? ### Response: Hello. I passed carefully through your question and would explain that your symptoms are not typical of any cardiac disorders. They could be suggestive of costochon ChatDoctor. Is the pain triggered by deep breathing or pressure in this chest area? This would be another argument in favor of costochon

Hello doctor,I am a 40 year old female. I have a BMI of 17. I am a recovering eating disorder patient and also suffer from GERD, GAD, and low BP (105/60). I saw a cardio two years ago and cleared. I developed a burning, sharp chest pain (more intense than normal GERD pain), in the upper-left sternum just below the manubrium which sent me to the ER. X-ray, bloods, and ECG are normal. I was given an Omeprazole and an antiinflamatory. But, I am still having constant pain, which varies in intensity and improves when I stand. I did lift a heavy rock a few days prior and can feel a slight crunching when I move, but I am really anxious about ischemic heart disease or something more dubious, even though I have no accompanying symptoms besides this pain. Does this sound like costochondritis, or should I be more concerned?

Hello. I passed carefully through your question and would explain that your symptoms are not typical of any cardiac disorders. They could be suggestive of costochon ChatDoctor. Is the pain triggered by deep breathing or pressure in this chest area? This would be another argument in favor of costochon

### Instruction: Answer this question truthfully ###Input: Hi doctor,My age is 26. My teeth seem to be yellow in color from the past few years. I do not have any other dental issues. So, I want an advice from the doctor that can I go for teeth whitening? Is it safe? Will it create any teeth problems in future? Or it may affect my health in any way? How long will the teeth remain white after treatment? How much does it cost? Any experienced dentist please advice me on this. ### Response: Hello. Tooth discoloration can be caused either due to internal stains or external stains. If the discoloration in your case is due to external factors, then you can simply go for scaling or cleaning of the teeth which is very safe for everyone. Teeth whitening or bleaching can be done in cases of internal staining. It is done using certain chemicals, results are good, but you need to be little cautious while having colored food like tea, coffee, etc. But if you have teeth sensitivity, then bleaching would not be a good idea as it can lead to more sensitivity. Your teeth will remain white as long as you can maintain it with proper oral hygiene. Cost can vary according to the clinic. Otherwise, it will not affect your health in any other way. For more information consult a dentist online Take care.

Hi doctor,My age is 26. My teeth seem to be yellow in color from the past few years. I do not have any other dental issues. So, I want an advice from the doctor that can I go for teeth whitening? Is it safe? Will it create any teeth problems in future? Or it may affect my health in any way? How long will the teeth remain white after treatment? How much does it cost? Any experienced dentist please advice me on this.

Hello. Tooth discoloration can be caused either due to internal stains or external stains. If the discoloration in your case is due to external factors, then you can simply go for scaling or cleaning of the teeth which is very safe for everyone. Teeth whitening or bleaching can be done in cases of internal staining. It is done using certain chemicals, results are good, but you need to be little cautious while having colored food like tea, coffee, etc. But if you have teeth sensitivity, then bleaching would not be a good idea as it can lead to more sensitivity. Your teeth will remain white as long as you can maintain it with proper oral hygiene. Cost can vary according to the clinic. Otherwise, it will not affect your health in any other way. For more information consult a dentist online Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have a hardened cord on the top of my penis that runs centrally from the base, it has been there for three days. It is slightly to the right of the vein. The skin is slightly pink and it runs a couple of inches and is completely solid. I fear a blocked artery. What is this likely to be as I am unable to see my GP for a couple of weeks. I am 30 years old. ### Response: Hi. From your symptoms, it could be a hardened lymph vessel or an inflamed vein. Not a blocked artery as that would cause a lot of severe symptoms. A few details would help to identify the cause like, does it become prominent after vigorous sexual activity, or does it remain prominent throughout the day. Are there other symptoms of erectile dysfunction or discomfort during sexual activities? Also is the area hot and tender to the touch? I am looking at thrombophlebitis or lymphangiosclerosis but I need some more details to be close to the diagnosis. Also, I might be able to suggest an investigation depending on your symptoms if need be. Do let me know so that we can get to the bottom of this. Aspirin or Ibuprofen might be required after confirming the diagnosis. For more information consult a general practitioner online Take care.

Hello doctor,I have a hardened cord on the top of my penis that runs centrally from the base, it has been there for three days. It is slightly to the right of the vein. The skin is slightly pink and it runs a couple of inches and is completely solid. I fear a blocked artery. What is this likely to be as I am unable to see my GP for a couple of weeks. I am 30 years old.

Hi. From your symptoms, it could be a hardened lymph vessel or an inflamed vein. Not a blocked artery as that would cause a lot of severe symptoms. A few details would help to identify the cause like, does it become prominent after vigorous sexual activity, or does it remain prominent throughout the day. Are there other symptoms of erectile dysfunction or discomfort during sexual activities? Also is the area hot and tender to the touch? I am looking at thrombophlebitis or lymphangiosclerosis but I need some more details to be close to the diagnosis. Also, I might be able to suggest an investigation depending on your symptoms if need be. Do let me know so that we can get to the bottom of this. Aspirin or Ibuprofen might be required after confirming the diagnosis. For more information consult a general practitioner online Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a female of 62 years age. I was operated for cataract five months back for both the eyes. As my cataract was only 20 %, but eye pressure was 22. My OCT was done, which showed no damage to nerves. My perimeter too is clear. No family history of glaucoma. I was put on various drops which could not bring eye pressure in the expected range for the doctor (fluctuation between 22 to 28). She suggested implant surgery to make eye pressure normal. Another doctor stopped eye drops saying I do not have glaucoma. And, do not need eye drops too. I am confused. ### Response: Hi. It is a practice that if perimetry is normal, one waits to start any antiglaucoma medication. The protocol is to graph your IOP (intraocular pressure) for 24 hours or IOP at different times of day repeatedly for a week, then one can decide if you have glaucoma or if you are just a case of ocular hypertension. Let me tell you there is no need of any implant and these many medications should not be started now. Chart your IOP, also a gonioscopy. Then, one can decide if one has to start medication. For more information consult an eye care ophthalmologist online

Hello doctor,I am a female of 62 years age. I was operated for cataract five months back for both the eyes. As my cataract was only 20 %, but eye pressure was 22. My OCT was done, which showed no damage to nerves. My perimeter too is clear. No family history of glaucoma. I was put on various drops which could not bring eye pressure in the expected range for the doctor (fluctuation between 22 to 28). She suggested implant surgery to make eye pressure normal. Another doctor stopped eye drops saying I do not have glaucoma. And, do not need eye drops too. I am confused.

Hi. It is a practice that if perimetry is normal, one waits to start any antiglaucoma medication. The protocol is to graph your IOP (intraocular pressure) for 24 hours or IOP at different times of day repeatedly for a week, then one can decide if you have glaucoma or if you are just a case of ocular hypertension. Let me tell you there is no need of any implant and these many medications should not be started now. Chart your IOP, also a gonioscopy. Then, one can decide if one has to start medication. For more information consult an eye care ophthalmologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,My husband was given Zuclopenthixol injections during his stay at a psychiatric hospital and now he feels he has been done lobotomy and a part of his brain is missing. Like his intelligence, sharpness, cleverness, energy levels, etc. he feels the doctor should have diagnosed his mental state before concluding that he needs such level of treatment.His problems were stress-related. And now he feels he cannot get his brain back like before and feels like there is no point living. Kindly suggest what measures can be taken to help him? ### Response: Hello. Zuclopenthixol is an antipsychotic medication prescribed to a psychotic patient or patient of severe depression with psychotic features. It is commonly used to control aggressive behavior of the patient. A decline in cognitive features, slowly are possible with Zuclopenthixol. One thing I want to clarify whether he is sure that lobotomy was done on him or not? You have also mentioned that previously he was prescribed Risperidone. So I think he might have psychosis. A patient of psychosis can have a depressive episode. If currently, he can tolerate Zuclopenthixol depot you can ask about Olanzapine depot which is second-generation antipsychotics and has a less side effect.

Hello doctor,My husband was given Zuclopenthixol injections during his stay at a psychiatric hospital and now he feels he has been done lobotomy and a part of his brain is missing. Like his intelligence, sharpness, cleverness, energy levels, etc. he feels the doctor should have diagnosed his mental state before concluding that he needs such level of treatment.His problems were stress-related. And now he feels he cannot get his brain back like before and feels like there is no point living. Kindly suggest what measures can be taken to help him?

Hello. Zuclopenthixol is an antipsychotic medication prescribed to a psychotic patient or patient of severe depression with psychotic features. It is commonly used to control aggressive behavior of the patient. A decline in cognitive features, slowly are possible with Zuclopenthixol. One thing I want to clarify whether he is sure that lobotomy was done on him or not? You have also mentioned that previously he was prescribed Risperidone. So I think he might have psychosis. A patient of psychosis can have a depressive episode. If currently, he can tolerate Zuclopenthixol depot you can ask about Olanzapine depot which is second-generation antipsychotics and has a less side effect.

### Instruction: Answer this question truthfully ###Input: Hi doctor,My daughter is 16 years old. She has bumps on her forehead. They are flesh toned (flat top). They do not hurt or itch. They have been there about 2 years now (sometimes it seems they are more prominent than other times). She is at an age where they are starting to upset her from an appearance perspective. Two of the formations are actually linear. They almost appear to be a scar until you get close and realize it is a series of bumps in a line. She has never been on medication for them. She uses Proactiv for face washing purposes. Extensive research seems to indicate flat warts. Just trying to get any additional insight prior to our appointment. ### Response: Hi, Welcome to Chat Doctor forum. They are flat warts, warts are an infection caused by human papillomavirus, it is contagious, better to get it treated soon. Linear pattern is called Koebners phenomenon, it is the formation of warts along the line of trauma or scratch. There is a major role of immunity in the resolution of warts, good sleep, eating nutritious food, vitamin supplements are helpful. Treatment options for warts are topical application of Retinoids that helps to exfoliate the skin, cryotherapy, topical application of Trichloroacetic acid, and radiofrequency.

Hi doctor,My daughter is 16 years old. She has bumps on her forehead. They are flesh toned (flat top). They do not hurt or itch. They have been there about 2 years now (sometimes it seems they are more prominent than other times). She is at an age where they are starting to upset her from an appearance perspective. Two of the formations are actually linear. They almost appear to be a scar until you get close and realize it is a series of bumps in a line. She has never been on medication for them. She uses Proactiv for face washing purposes. Extensive research seems to indicate flat warts. Just trying to get any additional insight prior to our appointment.

Hi, Welcome to Chat Doctor forum. They are flat warts, warts are an infection caused by human papillomavirus, it is contagious, better to get it treated soon. Linear pattern is called Koebners phenomenon, it is the formation of warts along the line of trauma or scratch. There is a major role of immunity in the resolution of warts, good sleep, eating nutritious food, vitamin supplements are helpful. Treatment options for warts are topical application of Retinoids that helps to exfoliate the skin, cryotherapy, topical application of Trichloroacetic acid, and radiofrequency.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I commenced taking Femosten last month because I was not getting a period for the last six months. Prior to this, I got them intermittently for 12 to 18 months. For several months, I would just get my period for several consecutive months. My cycle has always been 28 days. My periods never differed, perhaps a little heavier than usual. I suffered constant hot flushing for six months. So the doctor prescribed Femoston which dealt with that issue. She did advise perhaps I would still have some bleeding. I have never had any breakthrough bleeding but last month I got a period, lasting for usual five days and yesterday, I have had another period. Just wondering about this. I am due to see my GP soon for a pap smear and review the Femosten. Should I make an earlier booking? ### Response: Hi. I can understand your concern. What about hot flushes? Do you have them? And when is your scheduled appointment with GP? Do you have foul smelling discharge? Do you have weight loss or low-grade fever? Do you have a family history of cervical cancer? Please reply to my answers of the above-asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health.

Hello doctor,I commenced taking Femosten last month because I was not getting a period for the last six months. Prior to this, I got them intermittently for 12 to 18 months. For several months, I would just get my period for several consecutive months. My cycle has always been 28 days. My periods never differed, perhaps a little heavier than usual. I suffered constant hot flushing for six months. So the doctor prescribed Femoston which dealt with that issue. She did advise perhaps I would still have some bleeding. I have never had any breakthrough bleeding but last month I got a period, lasting for usual five days and yesterday, I have had another period. Just wondering about this. I am due to see my GP soon for a pap smear and review the Femosten. Should I make an earlier booking?

Hi. I can understand your concern. What about hot flushes? Do you have them? And when is your scheduled appointment with GP? Do you have foul smelling discharge? Do you have weight loss or low-grade fever? Do you have a family history of cervical cancer? Please reply to my answers of the above-asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health.

### Instruction: Answer this question truthfully ###Input: Hello doctor,My husband is 36 years old. He is fit and healthy, rarely gets sick. But he is a Meth addict. He missed the vein when injecting in top part of his wrist. The injection site looks like a small ant bite. It formed a water blister that he popped and put Neosporin on. But his hand is red, swollen, throbbing and warm. He is in agony. He refuses to go to the ER. Is he in danger of dying? What should I do? How can I treat this? ### Response: Hello, Welcome to Chat Doctor forum. This looks like a cellulitis (attachment removed to protect patient identity), it is an infection of subcutaneous tissue. He needs antibiotics and blood test. Convince him for visit. He will need a hemogram test, and blood culture to look for the extent of infection. In treatment, he will need antibiotics like Amoxicillin Clavulanate combination 625 mg three times a day along with some antacid like Pantoprazole 40 mg once a day. For pain and swelling, you can continue Ibuprofen, you can use Magsulf ointment for local application for swelling. He will need higher antibiotics as it appears severe cellulitis. So my advice is to visit ER soon.

Hello doctor,My husband is 36 years old. He is fit and healthy, rarely gets sick. But he is a Meth addict. He missed the vein when injecting in top part of his wrist. The injection site looks like a small ant bite. It formed a water blister that he popped and put Neosporin on. But his hand is red, swollen, throbbing and warm. He is in agony. He refuses to go to the ER. Is he in danger of dying? What should I do? How can I treat this?

Hello, Welcome to Chat Doctor forum. This looks like a cellulitis (attachment removed to protect patient identity), it is an infection of subcutaneous tissue. He needs antibiotics and blood test. Convince him for visit. He will need a hemogram test, and blood culture to look for the extent of infection. In treatment, he will need antibiotics like Amoxicillin Clavulanate combination 625 mg three times a day along with some antacid like Pantoprazole 40 mg once a day. For pain and swelling, you can continue Ibuprofen, you can use Magsulf ointment for local application for swelling. He will need higher antibiotics as it appears severe cellulitis. So my advice is to visit ER soon.

### Instruction: Answer this question truthfully ###Input: Hello doctor,Due to an accident, I had unsafe sex. I went to the pharmacy to get a EPC or morning-after pill. However they said they were not being sold. They prescribed Althea cypriterone acetate ethinyl estradiol (2 mg / 35mcg tablet) from Trust and said to take 1 per day for the next 21 days. However if I understand correctly ### Response: Hi, Welcome to Chat Doctor forum. You should get emergency pills if they are selling normal contraceptive pills. Anyway in emergency pills the dose of hormones are more. So you can take 4 tablets two times a day for 2 dose. Can also works same as emergency pills. But at the same time you should understand that emergency pills are not 100 % safe and there is up to 30% chance of failure. But have only option after unprotected sex. When you stop taking tablets than there can be with ChatDoctor. And your cycle can be irregular for 1 or 2 periods if you are not pregnant. Best way to confirm whether pills worked or not is to wait for 15 days atleast and do urine pregnancy test on kit and see. If turns to be positive than you are pregnant and if negative than pills worked well. Do

Hello doctor,Due to an accident, I had unsafe sex. I went to the pharmacy to get a EPC or morning-after pill. However they said they were not being sold. They prescribed Althea cypriterone acetate ethinyl estradiol (2 mg / 35mcg tablet) from Trust and said to take 1 per day for the next 21 days. However if I understand correctly

Hi, Welcome to Chat Doctor forum. You should get emergency pills if they are selling normal contraceptive pills. Anyway in emergency pills the dose of hormones are more. So you can take 4 tablets two times a day for 2 dose. Can also works same as emergency pills. But at the same time you should understand that emergency pills are not 100 % safe and there is up to 30% chance of failure. But have only option after unprotected sex. When you stop taking tablets than there can be with ChatDoctor. And your cycle can be irregular for 1 or 2 periods if you are not pregnant. Best way to confirm whether pills worked or not is to wait for 15 days atleast and do urine pregnancy test on kit and see. If turns to be positive than you are pregnant and if negative than pills worked well. Do

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am trying to have a baby but nothing is working out. When is the right time to conceive, either during fertile days or ovulation? I tried during fertile days, but nothing happened. Please explain. My cycle is 31 to 34 days. ### Response: Hi, Welcome to Chat Doctor forum. If your cycle is 31 to 34 days long, then 13th to 24th day of your cycle is fertile period. You should have sex in the above period for at least on alternate days and this will increase the chance of having a pregnancy. Even if everything is normal then also, you do not need treatment for at least a year. There is naturally a minimum of one chance in 12 cycles in a year of having a pregnancy. You have only one chance of pregnancy if ovulation is normal in one cycle. So, there is one chance in 30 days and 12 chances in one year and this is when you have a normal cycle and ovulation. So it is a time-consuming process. Do not get frustrated. Just say that in one cycle, if you did not ovulate at all, then that chance is gone and you have to wait for the next. This is what you should first understand.

Hello doctor,I am trying to have a baby but nothing is working out. When is the right time to conceive, either during fertile days or ovulation? I tried during fertile days, but nothing happened. Please explain. My cycle is 31 to 34 days.

Hi, Welcome to Chat Doctor forum. If your cycle is 31 to 34 days long, then 13th to 24th day of your cycle is fertile period. You should have sex in the above period for at least on alternate days and this will increase the chance of having a pregnancy. Even if everything is normal then also, you do not need treatment for at least a year. There is naturally a minimum of one chance in 12 cycles in a year of having a pregnancy. You have only one chance of pregnancy if ovulation is normal in one cycle. So, there is one chance in 30 days and 12 chances in one year and this is when you have a normal cycle and ovulation. So it is a time-consuming process. Do not get frustrated. Just say that in one cycle, if you did not ovulate at all, then that chance is gone and you have to wait for the next. This is what you should first understand.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I was recently diagnosed with an anxiety disorder and have not consulted an ADHD specialist. My doctor prescribed 37.5 mg of Venlafaxine for my anxiety and possible ADHD, but it made me feel extremely moody, sad, and sluggish. I have consumed one tablet for two days alone. I am afraid of taking Venlafaxine due to potential withdrawal symptoms. Is it recommended to stop immediately or continue until the side effects subside? ### Response: Hello. You are on a low dose of Venlafaxine (37.5 mg once daily) to manage your anxiety. Usually, the dose will be increased to 75 mg once daily after a week or so. In your case, consult with your doctor about any increase in dosage. It will take one to two weeks for you to get used to the medication, and then you will have the therapeutic benefits gradually. In most people, side effects will wear off when the medication is continued for one to two weeks. If it is difficult for you to manage the side effects or if it does not wear off, consult with your doctor so that he can monitor you and switch to another medication if needed. Follow relaxation techniques like breathing exercise and progressive muscle relaxation. It will help to manage anxiety. I hope this helps.

Hello doctor,I was recently diagnosed with an anxiety disorder and have not consulted an ADHD specialist. My doctor prescribed 37.5 mg of Venlafaxine for my anxiety and possible ADHD, but it made me feel extremely moody, sad, and sluggish. I have consumed one tablet for two days alone. I am afraid of taking Venlafaxine due to potential withdrawal symptoms. Is it recommended to stop immediately or continue until the side effects subside?

Hello. You are on a low dose of Venlafaxine (37.5 mg once daily) to manage your anxiety. Usually, the dose will be increased to 75 mg once daily after a week or so. In your case, consult with your doctor about any increase in dosage. It will take one to two weeks for you to get used to the medication, and then you will have the therapeutic benefits gradually. In most people, side effects will wear off when the medication is continued for one to two weeks. If it is difficult for you to manage the side effects or if it does not wear off, consult with your doctor so that he can monitor you and switch to another medication if needed. Follow relaxation techniques like breathing exercise and progressive muscle relaxation. It will help to manage anxiety. I hope this helps.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I missed the period last month. My LMP was two months before on the ninth day of the cycle I had protected sex after 10 days of the missed period I had UPT all negative. Yesterday (17 days after a missed period) I had a beta hCG test level is 2.6 also yesterday I got my period (47th day of cycle), but the flow is quite different. Yesterday I got dark brown bleeding, but today I am getting light red colored pinkish bleeding, but clots ate there, and bleeding has a high quantity of mucus. Is it normal? Is beta hCG 2.6 non-pregnant? Please help. ### Response: Hello. Your beta hCG values are of nonpregnant level, and you have also got periods, so be rest assured that you are not pregnant. Your period was quite delayed, and there are many reasons for irregular or delayed periods like stress, anxiety, thyroid dysfunction, obesity, certain medications, and most crucial PCOS (polycystic ovarian syn ChatDoctor. Need to undergo specific investigations like USG lower abdomen, blood for CBC (complete blood count), sugar, TSH (thyroid-stimulating hormone) and prolactin. Based on the reports, proper treatment will help you to get regular periods.

Hello doctor,I missed the period last month. My LMP was two months before on the ninth day of the cycle I had protected sex after 10 days of the missed period I had UPT all negative. Yesterday (17 days after a missed period) I had a beta hCG test level is 2.6 also yesterday I got my period (47th day of cycle), but the flow is quite different. Yesterday I got dark brown bleeding, but today I am getting light red colored pinkish bleeding, but clots ate there, and bleeding has a high quantity of mucus. Is it normal? Is beta hCG 2.6 non-pregnant? Please help.

Hello. Your beta hCG values are of nonpregnant level, and you have also got periods, so be rest assured that you are not pregnant. Your period was quite delayed, and there are many reasons for irregular or delayed periods like stress, anxiety, thyroid dysfunction, obesity, certain medications, and most crucial PCOS (polycystic ovarian syn ChatDoctor. Need to undergo specific investigations like USG lower abdomen, blood for CBC (complete blood count), sugar, TSH (thyroid-stimulating hormone) and prolactin. Based on the reports, proper treatment will help you to get regular periods.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. ### Response: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online

Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore.

Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online

### Instruction: Answer this question truthfully ###Input: Hello doctor, I think I am bipolar. Just a couple of weeks ago, I felt and was told by my friends that I was more energetic and crazy than usual. Now, I feel like there is no hope, and nobody really cares. But there is also that little bit of me that is telling me that I am faking this and that all I want is attention. I just want to know what the heck is up with my head. ### Response: Hello. It is a little early at your age to be diagnosed with bipolar illness. Sometimes that part of normal teenage hormones and puberty, when it is mixed with some depressive symptoms. Basically, if you are depressed, you will feel irritable, low, feel like crying, sad, do not wish to eat, have difficulty sleep, there can be anxiety, tiredness, headaches, etc. In bipolar illness, there will be a period of these depressive symptoms and then after a period of normalcy, the reverse happens. That is, you feel unusually happy for no reason, there are episodes of spending money excessively on things which you do not need, or maybe excessive use of alcohol, other illicit ChatDoctor. So if you have not had the manic or hypomanic phase, then you probably suffered from major depressive disorder or generalized anxiety disorder.

Hello doctor, I think I am bipolar. Just a couple of weeks ago, I felt and was told by my friends that I was more energetic and crazy than usual. Now, I feel like there is no hope, and nobody really cares. But there is also that little bit of me that is telling me that I am faking this and that all I want is attention. I just want to know what the heck is up with my head.

Hello. It is a little early at your age to be diagnosed with bipolar illness. Sometimes that part of normal teenage hormones and puberty, when it is mixed with some depressive symptoms. Basically, if you are depressed, you will feel irritable, low, feel like crying, sad, do not wish to eat, have difficulty sleep, there can be anxiety, tiredness, headaches, etc. In bipolar illness, there will be a period of these depressive symptoms and then after a period of normalcy, the reverse happens. That is, you feel unusually happy for no reason, there are episodes of spending money excessively on things which you do not need, or maybe excessive use of alcohol, other illicit ChatDoctor. So if you have not had the manic or hypomanic phase, then you probably suffered from major depressive disorder or generalized anxiety disorder.

### Instruction: Answer this question truthfully ###Input: Hello doctor,My right side jaw is paining while having food. On consultation, I was advised for physiotherapy. What could be the reason for it? ### Response: Hello. There might be several issues expected, 1. As you mentioned if there is only jawline problem, then you should have physiotherapy and warm massage at TM joints (tempero mandibular) at the junction of the ear when you open your mouth, it can be felt quickly. Do warm massage for 10 days, twice a day this will relieve symptoms definitely if it is because of the joint. Try not to yawn or open your mouth big, do eat with a spoon, do not have rice with hand. These will relieve jaw pain. 2. If the symptoms do not get better with massage and exercise, and you are having pain in some tooth, then you might be having some infection in the tooth that needs root canal treatment or extraction. If you can provide me with OPG X-ray of your jaw, I can tell you the exact diagnosis and the treatment plan. Tell me about symptoms as well, do you feel more pain at night as compared to day time? Are you feeling hot and cold sensations? Tell me details so I could figure out the root cause of your pain. Take care.

Hello doctor,My right side jaw is paining while having food. On consultation, I was advised for physiotherapy. What could be the reason for it?

Hello. There might be several issues expected, 1. As you mentioned if there is only jawline problem, then you should have physiotherapy and warm massage at TM joints (tempero mandibular) at the junction of the ear when you open your mouth, it can be felt quickly. Do warm massage for 10 days, twice a day this will relieve symptoms definitely if it is because of the joint. Try not to yawn or open your mouth big, do eat with a spoon, do not have rice with hand. These will relieve jaw pain. 2. If the symptoms do not get better with massage and exercise, and you are having pain in some tooth, then you might be having some infection in the tooth that needs root canal treatment or extraction. If you can provide me with OPG X-ray of your jaw, I can tell you the exact diagnosis and the treatment plan. Tell me about symptoms as well, do you feel more pain at night as compared to day time? Are you feeling hot and cold sensations? Tell me details so I could figure out the root cause of your pain. Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have a chronic right shoulder pain, especially when lifting up an arm or moving arm sideways. I have discomfort when resting on my right side in bed. Also feeling a slightly loose shoulder or detached arm when rotating the arm, and the occasional feeling of nerve pinching, although no paralyzing pain. I would appreciate if you could kindly review my right shoulder MRI images, for a second opinion. I have had this issue for many years, but it appeared when exercising or under heavy restraint. Presently, it only takes a swift or unconscious movement or light load to feel discomfort. I have started with Aceclofenac 100 mg twice a day, one week ago, as per doctor\\xb4s advice, although he mentioned that it was not standard practice for chronic cases. ### Response: Hi. Your shoulder MRI (attachment removed to protect patient identity) is not showing any serious concerns but there are some areas which might be causing mild pain and discomfort during movements. In the coronal images, there is likely early degenerative changes in the distal supraspinatus tendon which shows mild thinning of the muscle tendon. There is slightly decreased fat between the acromion and supraspinatus tendon and it can cause mild pain and discomfort with lifting the arm. For more information consult a radiologist online

Hello doctor,I have a chronic right shoulder pain, especially when lifting up an arm or moving arm sideways. I have discomfort when resting on my right side in bed. Also feeling a slightly loose shoulder or detached arm when rotating the arm, and the occasional feeling of nerve pinching, although no paralyzing pain. I would appreciate if you could kindly review my right shoulder MRI images, for a second opinion. I have had this issue for many years, but it appeared when exercising or under heavy restraint. Presently, it only takes a swift or unconscious movement or light load to feel discomfort. I have started with Aceclofenac 100 mg twice a day, one week ago, as per doctor\\xb4s advice, although he mentioned that it was not standard practice for chronic cases.

Hi. Your shoulder MRI (attachment removed to protect patient identity) is not showing any serious concerns but there are some areas which might be causing mild pain and discomfort during movements. In the coronal images, there is likely early degenerative changes in the distal supraspinatus tendon which shows mild thinning of the muscle tendon. There is slightly decreased fat between the acromion and supraspinatus tendon and it can cause mild pain and discomfort with lifting the arm. For more information consult a radiologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have seronegative inflammatory arthritis with ana positive. Joint pain especially at right knee shoulder joints MTP IP joints. Unbearable in the night for the last three months relieved with NSAID (non-steroidal anti-inflammatory drugs) patient cannot walk chairbound with in situ catheters for more than four years. I am taking Ultracet if pain unbearable, few days back I have taken Injection Kenacort 60 mg IM on the advice of rheumatologist with some relief, but again pain resurfaced. Apart from that patient is on Apixaben 2.5 daily, Mirabeg 50, Soliton 20 and Donezepil 5, Vitamin C 1 gm daily. No BP, and DM issue. I am taking inhaler Laba with corticosteroid for long. ### Response: Hello. I have gone through your reports and history (attachment removed to protect patient identity). There seems to be some inflammation going on in the blood reports and with a diagnosis of previous arthritis, it looks like it is coming back again. Does rheumatologist did not want to start on Methotrexate or any other DMARD? Are you not on any medications for the CA prostate? Any other symptoms of oral ulcers, ChatDoctor.

Hello doctor,I have seronegative inflammatory arthritis with ana positive. Joint pain especially at right knee shoulder joints MTP IP joints. Unbearable in the night for the last three months relieved with NSAID (non-steroidal anti-inflammatory drugs) patient cannot walk chairbound with in situ catheters for more than four years. I am taking Ultracet if pain unbearable, few days back I have taken Injection Kenacort 60 mg IM on the advice of rheumatologist with some relief, but again pain resurfaced. Apart from that patient is on Apixaben 2.5 daily, Mirabeg 50, Soliton 20 and Donezepil 5, Vitamin C 1 gm daily. No BP, and DM issue. I am taking inhaler Laba with corticosteroid for long.

Hello. I have gone through your reports and history (attachment removed to protect patient identity). There seems to be some inflammation going on in the blood reports and with a diagnosis of previous arthritis, it looks like it is coming back again. Does rheumatologist did not want to start on Methotrexate or any other DMARD? Are you not on any medications for the CA prostate? Any other symptoms of oral ulcers, ChatDoctor.

### Instruction: Answer this question truthfully ###Input: Hello. Does having low (and high) blood levels have anything to do with overly oily skin, burning lips, a painful throat and thrush? I\\ve been feeling these symptoms for 3 months and I can\\t take it anymore. I\\m getting a blood test done this week; which levels should I particularly make sure are tested?I\\m looking forward to your reply. Thank you very much. ### Response: Hi! There could be multiple factors involved over here as a result of which these symptoms are occurring. I would recommend you to perform the following tests mentioned below All these tests have a purpose and can detect any underlying abnormality that\\s there in the body. On the whole there few things that you can follow the symptoms you have Most of the times it\\s the faulty diet and hy ChatDoctor. In addition, please do get the above mentioned tests done so that we can treat you in a specific and precise manner. There is nothing that you need to worry as things will fall in place once we treat the etiology of the problem in concern. I hope I have answered your query in detail. If there is anything more you want to ask or enquire, please do let us know and we will get back you ASAP. Warm regards. Take care.

Hello. Does having low (and high) blood levels have anything to do with overly oily skin, burning lips, a painful throat and thrush? I\\ve been feeling these symptoms for 3 months and I can\\t take it anymore. I\\m getting a blood test done this week; which levels should I particularly make sure are tested?I\\m looking forward to your reply. Thank you very much.

Hi! There could be multiple factors involved over here as a result of which these symptoms are occurring. I would recommend you to perform the following tests mentioned below All these tests have a purpose and can detect any underlying abnormality that\\s there in the body. On the whole there few things that you can follow the symptoms you have Most of the times it\\s the faulty diet and hy ChatDoctor. In addition, please do get the above mentioned tests done so that we can treat you in a specific and precise manner. There is nothing that you need to worry as things will fall in place once we treat the etiology of the problem in concern. I hope I have answered your query in detail. If there is anything more you want to ask or enquire, please do let us know and we will get back you ASAP. Warm regards. Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have a 7 year old son who vomits or gags at the sight or thought of food that he does not like. He has been doing it for as long as I can remember. Every time I talk to his pediatrician about it, she says that it is no big deal, but I feel it is. He has to sit alone at lunch while at school. He also vomits every day at school. I need to know what is going on. Please help. ### Response: Hi. Vomiting at the sight of food is psychological, but I would like to know to which kind of foods does he do that like is it for milk products, etc.? This also means he might be allergic to some foods. Those foods can be avoided. Is his weight normal for his age? If he vomits daily, I would suggest some medications like Domperidone or Ranitidine. Sitting alone during lunch might not be good in the long run. Try to talk to him at home. The other way is to expose him to foods which he does not like in a graded manner, that is with a little amount initially and then increase the quantity gradually. Your child needs counseling for boosting confidence so that he does not face social isolation in the future. Take care.

Hello doctor,I have a 7 year old son who vomits or gags at the sight or thought of food that he does not like. He has been doing it for as long as I can remember. Every time I talk to his pediatrician about it, she says that it is no big deal, but I feel it is. He has to sit alone at lunch while at school. He also vomits every day at school. I need to know what is going on. Please help.

Hi. Vomiting at the sight of food is psychological, but I would like to know to which kind of foods does he do that like is it for milk products, etc.? This also means he might be allergic to some foods. Those foods can be avoided. Is his weight normal for his age? If he vomits daily, I would suggest some medications like Domperidone or Ranitidine. Sitting alone during lunch might not be good in the long run. Try to talk to him at home. The other way is to expose him to foods which he does not like in a graded manner, that is with a little amount initially and then increase the quantity gradually. Your child needs counseling for boosting confidence so that he does not face social isolation in the future. Take care.

### Instruction: Answer this question truthfully ###Input: Hi doctor,My daughter is 11 months old and started having her upper teeth when she was 9 months old. And I noticed she has white spots along the gumline and some on the middle. I took a photo and showed it to a dentist here and she said its hypocalcified enamel. My question is, is it reversible? What do I do to not make it worse and what causes it? I only give fruits and vegetables as food and water. And, I also breastfeed. What can I do to prevent worsening of her teeth condition? I brush her teeth two times a day with fluoride-free toothpaste. Is there anything I can do or let her take? ### Response: Hello, Welcome to Chat Doctor forum. I have seen the pictures (attachment removed to protect patient identity). The spots cannot be reversed. They form during fetal development inside the womb and first three months after birth. Any dietary deficiency for you or baby may cause or sometimes even genetic predisposition is found. There is nothing to do other than maintaining the teeth through brushing. Such hypocalcified enamel can break down fast if proper brushing is not done and the cavity may form soon. So, please be sure to brush every day till she can do so on her own. For more information consult a dentist online

Hi doctor,My daughter is 11 months old and started having her upper teeth when she was 9 months old. And I noticed she has white spots along the gumline and some on the middle. I took a photo and showed it to a dentist here and she said its hypocalcified enamel. My question is, is it reversible? What do I do to not make it worse and what causes it? I only give fruits and vegetables as food and water. And, I also breastfeed. What can I do to prevent worsening of her teeth condition? I brush her teeth two times a day with fluoride-free toothpaste. Is there anything I can do or let her take?

Hello, Welcome to Chat Doctor forum. I have seen the pictures (attachment removed to protect patient identity). The spots cannot be reversed. They form during fetal development inside the womb and first three months after birth. Any dietary deficiency for you or baby may cause or sometimes even genetic predisposition is found. There is nothing to do other than maintaining the teeth through brushing. Such hypocalcified enamel can break down fast if proper brushing is not done and the cavity may form soon. So, please be sure to brush every day till she can do so on her own. For more information consult a dentist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I would like to know the reason for pain in the stomach at the right side and blood in the stool. Once I had blood in stool previously and used homeopathy medicine to stop that, but it recurred after five days. ### Response: Hello, Welcome to Chat Doctor forum. Stomach pain on the right side can occur due to a variety of reasons like stomach infection, appendicitis, infection in your intestine, and problems in your kidneys or the ureters (a tube that connects your kidneys to your urinary bladder). Stomach pain with blood in stools is something to worry about. The cause for it can be acute infectious gastroenteritis, inflammatory bowel disease, or ulcer in your gastrointestinal tract. To diagnose all of these, I need to ask you some questions. Do you have any fever? Do you have weight loss? How is the appetite? Is the blood in stools fresh blood or is it brownish red? Do you have any history of piles? Are the stools hard? Do you have any diarrhea? Does the stomach pain has any relation to food intake i.e. does it get relieved by eating food or does it increase on eating food? Once you answer these questions, I would suggest what tests to be get done and how to treat the disease. I hope this helps.

Hello doctor,I would like to know the reason for pain in the stomach at the right side and blood in the stool. Once I had blood in stool previously and used homeopathy medicine to stop that, but it recurred after five days.

Hello, Welcome to Chat Doctor forum. Stomach pain on the right side can occur due to a variety of reasons like stomach infection, appendicitis, infection in your intestine, and problems in your kidneys or the ureters (a tube that connects your kidneys to your urinary bladder). Stomach pain with blood in stools is something to worry about. The cause for it can be acute infectious gastroenteritis, inflammatory bowel disease, or ulcer in your gastrointestinal tract. To diagnose all of these, I need to ask you some questions. Do you have any fever? Do you have weight loss? How is the appetite? Is the blood in stools fresh blood or is it brownish red? Do you have any history of piles? Are the stools hard? Do you have any diarrhea? Does the stomach pain has any relation to food intake i.e. does it get relieved by eating food or does it increase on eating food? Once you answer these questions, I would suggest what tests to be get done and how to treat the disease. I hope this helps.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 35 year old. I have diabetes. I had dengue infection few months back and since that day I have vaginal itching. It is usually mild but gets severe sometime. I am not sure whether it is because my blood sugar, which is not in control and nothing to do with dengue. I think it as yeast infection. It is itching too much around vagina including urinal area. There is a white deposit on my skin. For itching, I scratch it and it pains. Can you please help me? Thank you. ### Response: Hi, Welcome to Chat Doctor forum. It seems you do have yeast infection. It looks like your blood sugar is not under control because of which you are having this problem. Dengue is unrelated to this. Try putting Canestan (Clotrimazole) ointment on the area after properly cleaning the area, four to five times a day. Keep the area ChatDoctor. Also insert three Candid-CL tablets (combination of Clotrimazole and Clindamycin) daily at night into the vagina. This should help you out. If not, then we need to add oral antifungal medicines. Also, if this does not control the vaginal itching, take Allegra (Fexofenadine) tablets at night.

Hello doctor,I am 35 year old. I have diabetes. I had dengue infection few months back and since that day I have vaginal itching. It is usually mild but gets severe sometime. I am not sure whether it is because my blood sugar, which is not in control and nothing to do with dengue. I think it as yeast infection. It is itching too much around vagina including urinal area. There is a white deposit on my skin. For itching, I scratch it and it pains. Can you please help me? Thank you.

Hi, Welcome to Chat Doctor forum. It seems you do have yeast infection. It looks like your blood sugar is not under control because of which you are having this problem. Dengue is unrelated to this. Try putting Canestan (Clotrimazole) ointment on the area after properly cleaning the area, four to five times a day. Keep the area ChatDoctor. Also insert three Candid-CL tablets (combination of Clotrimazole and Clindamycin) daily at night into the vagina. This should help you out. If not, then we need to add oral antifungal medicines. Also, if this does not control the vaginal itching, take Allegra (Fexofenadine) tablets at night.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I got married six months back. On the 1st of last month, I had menses. This month, just before my period date, I had brown discharge and still, menses has not come. My pregnancy test showed negative, but nowadays, I feel little cramps in my stomach. Am I pregnant? ### Response: Hello. You have missed cycle, and have cramps and brownish vaginal discharge. Have you taken any hormones, medications, recent illness, crash diet, strenuous exercise, had thyroid abnormalities, abnormal hair growth, sudden weight gain, etc.? These all are the causes of delayed menses. Vaginal swab also needs to be sent to a lab. My advice is to have immediate serum beta hCG twice with an interval of 48 hours. If this beta hCG of the second reading is less than first, it could be a miscarriage, if the second level of beta hCG increased only less than 60 %, it could be pregnancy outside the uterus, but if beta hCG shows increase more than 60 % in 48 hours it is a healthy pregnancy. In case of dizziness, heavy bleeding, or pain immediately report to the hospital. For more information consult an obstetrician and gynaecologist online Take care.

Hello doctor,I got married six months back. On the 1st of last month, I had menses. This month, just before my period date, I had brown discharge and still, menses has not come. My pregnancy test showed negative, but nowadays, I feel little cramps in my stomach. Am I pregnant?

Hello. You have missed cycle, and have cramps and brownish vaginal discharge. Have you taken any hormones, medications, recent illness, crash diet, strenuous exercise, had thyroid abnormalities, abnormal hair growth, sudden weight gain, etc.? These all are the causes of delayed menses. Vaginal swab also needs to be sent to a lab. My advice is to have immediate serum beta hCG twice with an interval of 48 hours. If this beta hCG of the second reading is less than first, it could be a miscarriage, if the second level of beta hCG increased only less than 60 %, it could be pregnancy outside the uterus, but if beta hCG shows increase more than 60 % in 48 hours it is a healthy pregnancy. In case of dizziness, heavy bleeding, or pain immediately report to the hospital. For more information consult an obstetrician and gynaecologist online Take care.

### Instruction: Answer this question truthfully ###Input: Hello, I am 21 years old with a prominent pulmonary stenosis. My work is staying open during the COVID-19 pandemic and are wanting to know what employees will work. I feel like if I say I don't want to work they may hold it against me in the future. It is Family Video so people are constantly coming in and out and touching things. My county just had their second confirmed case and the patient was around many people during the time before she was diagnosed, therefore going to spread quickly. Does having a pulmonary stenosis put me at a greater risk or is it safe for me to wait out the situation and work in the meantime? Thanks! ### Response: Hi, Welcome to the ChatDoctor Following is my opinion for your asked question Pulmonary stenosis puts you at higher risk for complicated Covid infection. So if you get covid infection than course might be aggressive in you. Your country as mentioned not reach at stage where complete lockdown needed. However it\\s good if you can avoid contact with other individual and if you can stay at home with your family. Surface contact, hand shaking, kissing all can also favour spread of covid. So avoid close contact and use frequent hand sanitizer. Hope I have answered your question Let me know if I can assist you further Regards Take care.

Hello, I am 21 years old with a prominent pulmonary stenosis. My work is staying open during the COVID-19 pandemic and are wanting to know what employees will work. I feel like if I say I don't want to work they may hold it against me in the future. It is Family Video so people are constantly coming in and out and touching things. My county just had their second confirmed case and the patient was around many people during the time before she was diagnosed, therefore going to spread quickly. Does having a pulmonary stenosis put me at a greater risk or is it safe for me to wait out the situation and work in the meantime? Thanks!

Hi, Welcome to the ChatDoctor Following is my opinion for your asked question Pulmonary stenosis puts you at higher risk for complicated Covid infection. So if you get covid infection than course might be aggressive in you. Your country as mentioned not reach at stage where complete lockdown needed. However it\\s good if you can avoid contact with other individual and if you can stay at home with your family. Surface contact, hand shaking, kissing all can also favour spread of covid. So avoid close contact and use frequent hand sanitizer. Hope I have answered your question Let me know if I can assist you further Regards Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,Yesterday I consulted an orthodontist, and I was told, that to keep the changes that braces will acquire, they will have to pull out four of my healthy teeth, without including the wisdom teeth. Those are going to be four premorals, two on the upper jaw, and two on the bottom jaw. I heard that it is the only way because of my severe jaw defect. I was wondering if it can be true because nobody wants to get rid of healthy teeth. ### Response: Hello. I can tell you about treatment in the broader sense. In case of the shorter lower jaw, either a surgical and orthodontic treatment is done (in case of poor esthetics, both jaws and teeth are corrected) or orthodontic correction of only teeth. Since your question is about the second treatment plan and pertains to extractions I will answer that. Extractions are relatively common in orthodontic treatment to create space. In cases with smaller lower jaws with space requirement, upper arch extractions are mandatory. Lower arch extractions are also advised if there is space requirement or extractions needed for bite improvement or maintenance of normal bite. So it is reasonable to advise the extraction of four teeth. You can send pictures of your teeth and X-rays to confirm whether this fits your case. Take care.

Hello doctor,Yesterday I consulted an orthodontist, and I was told, that to keep the changes that braces will acquire, they will have to pull out four of my healthy teeth, without including the wisdom teeth. Those are going to be four premorals, two on the upper jaw, and two on the bottom jaw. I heard that it is the only way because of my severe jaw defect. I was wondering if it can be true because nobody wants to get rid of healthy teeth.

Hello. I can tell you about treatment in the broader sense. In case of the shorter lower jaw, either a surgical and orthodontic treatment is done (in case of poor esthetics, both jaws and teeth are corrected) or orthodontic correction of only teeth. Since your question is about the second treatment plan and pertains to extractions I will answer that. Extractions are relatively common in orthodontic treatment to create space. In cases with smaller lower jaws with space requirement, upper arch extractions are mandatory. Lower arch extractions are also advised if there is space requirement or extractions needed for bite improvement or maintenance of normal bite. So it is reasonable to advise the extraction of four teeth. You can send pictures of your teeth and X-rays to confirm whether this fits your case. Take care.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am suffering from male pattern baldness along with dandruff. Because of dandruff, I keep on itching my scalp. I consulted a doctor, and she recommended me to use Betamethasone dipropionate and Zinc sulphate lotion along with Adgain capsule and a mild medicated shampoo. I used these products for a period of three months. Initially, I was very happy with its response. As my hair seemed perfect I quit the product for six months. Once I quit the product, again I had hair fall. Now, since one month I am using Minoxidil and have same feeling that once I stop this product again I will have same problem. Now, I would like to know, is it fine to use Betamethasone dipropionate and Zinc sulphate lotion for some time to regain the lost hair and then continue with Minoxidil? Can I start using Minoxidil continuously? Please suggest me, if any other alternative is present. Thank you in advance. ### Response: Hello, Welcome to Chat Doctor forum. Welcome to ChatDoctor. I have read your query in detail and understood your concern. As far as Betamethasone dipropionate and Zinc sulphate lotion is concerned, it is mainly given for dan ChatDoctor. It has no effect on an

Hi doctor,I am suffering from male pattern baldness along with dandruff. Because of dandruff, I keep on itching my scalp. I consulted a doctor, and she recommended me to use Betamethasone dipropionate and Zinc sulphate lotion along with Adgain capsule and a mild medicated shampoo. I used these products for a period of three months. Initially, I was very happy with its response. As my hair seemed perfect I quit the product for six months. Once I quit the product, again I had hair fall. Now, since one month I am using Minoxidil and have same feeling that once I stop this product again I will have same problem. Now, I would like to know, is it fine to use Betamethasone dipropionate and Zinc sulphate lotion for some time to regain the lost hair and then continue with Minoxidil? Can I start using Minoxidil continuously? Please suggest me, if any other alternative is present. Thank you in advance.

Hello, Welcome to Chat Doctor forum. Welcome to ChatDoctor. I have read your query in detail and understood your concern. As far as Betamethasone dipropionate and Zinc sulphate lotion is concerned, it is mainly given for dan ChatDoctor. It has no effect on an

### Instruction: Answer this question truthfully ###Input: Hello doctor,My mother aged 62 years actually went to a dentist because she felt that there is rubbing in between upper jaw tooth enamel and lower jaw tooth enamel and something sour in taste gets secreted out of it. The doctor told that there is decayed tooth on both sides. The doctor filled the gap between tooth, did enamel treatment, put a cap on four of her lower jaw tooth. She did not have any problems for 10 days. But now, she is having tooth sensitivity problem in the lower tooth jaw where caps were put for four teeth. Whenever she drinks anything hot or a little cold. Please advise us on the treatment. ### Response: Hi, Welcome to Chat Doctor forum. I had gone through your question. I can understand your concern about your mother. The history started after ten days that means there will be something wrong with the prosthesis (bridge). I think there must be chipping off of the sealant (the material that fixes the crown or bridge with tooth) or the gingival recession because of the altered occlusion. You need to get a desensitizing toothpaste like Sensodyne and use it for two weeks. In case you feel there is a gap between sensitive tooth and bridge you need to visit the dentist again and get it recemented. For more information consult a dentist online

Hello doctor,My mother aged 62 years actually went to a dentist because she felt that there is rubbing in between upper jaw tooth enamel and lower jaw tooth enamel and something sour in taste gets secreted out of it. The doctor told that there is decayed tooth on both sides. The doctor filled the gap between tooth, did enamel treatment, put a cap on four of her lower jaw tooth. She did not have any problems for 10 days. But now, she is having tooth sensitivity problem in the lower tooth jaw where caps were put for four teeth. Whenever she drinks anything hot or a little cold. Please advise us on the treatment.

Hi, Welcome to Chat Doctor forum. I had gone through your question. I can understand your concern about your mother. The history started after ten days that means there will be something wrong with the prosthesis (bridge). I think there must be chipping off of the sealant (the material that fixes the crown or bridge with tooth) or the gingival recession because of the altered occlusion. You need to get a desensitizing toothpaste like Sensodyne and use it for two weeks. In case you feel there is a gap between sensitive tooth and bridge you need to visit the dentist again and get it recemented. For more information consult a dentist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have repeated thoughts of past bitter situations all the day for the past six months. I get easily upset and I start crying for unnecessary reasons. This is making my life hell and I have no peace at all. I am having a very poor concentration, not able to study. These thoughts are killing me literally in all ways. Kindly help me out in this situation. ### Response: Hello. You seem to be suffering from obsessive thought disorder with depression. You may have compulsion but you have not mentioned in your symptoms so it seems to be only an obsession. For example, having an obsession with contamination and compulsion of washing unnecessarily with frequent hand washing. In obsessive thought disorder, it is difficult to control your thoughts though you know it is unnecessary. You must start taking antidepressants medication which can help you with both obsession and depression. Your obsession will increase with stressful situations. Capsule Fluoxetine 20 mg daily in morning after breakfast can be started. You need to monitor for a long time and increase medication doses to control your obsession. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. It is a very minimal dose. You may need higher doses. You can learn to do relaxation to decrease your anxiety from thoughts. For more information consult a psychiatrist online

Hello doctor,I have repeated thoughts of past bitter situations all the day for the past six months. I get easily upset and I start crying for unnecessary reasons. This is making my life hell and I have no peace at all. I am having a very poor concentration, not able to study. These thoughts are killing me literally in all ways. Kindly help me out in this situation.

Hello. You seem to be suffering from obsessive thought disorder with depression. You may have compulsion but you have not mentioned in your symptoms so it seems to be only an obsession. For example, having an obsession with contamination and compulsion of washing unnecessarily with frequent hand washing. In obsessive thought disorder, it is difficult to control your thoughts though you know it is unnecessary. You must start taking antidepressants medication which can help you with both obsession and depression. Your obsession will increase with stressful situations. Capsule Fluoxetine 20 mg daily in morning after breakfast can be started. You need to monitor for a long time and increase medication doses to control your obsession. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. It is a very minimal dose. You may need higher doses. You can learn to do relaxation to decrease your anxiety from thoughts. For more information consult a psychiatrist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,My daughter just had a tooth surgery and bleeding is not stopping. Is it normal? Three hours before only she had it. ### Response: Hi. I had gone through your question and I can understand your concern about your daughter. No, the bleeding should have been stopped with a half hour or two, but maybe the clot has been dislodged from its position and it has bled now again. You need to role cotton, sterilized or a new one purchased from market three to four times equal to the socket, not too big or small, put it on the socket and close the mouth tight. Keep the teeth closed for half an hour, do not talk for this half an hour, even do not spit the blood out too. Make sure that mouth must not open for this half an hour. In case there is saliva in the mouth, she can swallow it but mouth must be closed at the time of swallow. You can also visit the dentist in case the blood does not stop in the next half an hour after the above procedure is done. Post-operative bleeding. If the bleeding does not stop, get an injection of tranexamic acid, keep the cotton on the wound and do as said above. Do not spit or talk for the time the cotton is in the mouth.

Hello doctor,My daughter just had a tooth surgery and bleeding is not stopping. Is it normal? Three hours before only she had it.

Hi. I had gone through your question and I can understand your concern about your daughter. No, the bleeding should have been stopped with a half hour or two, but maybe the clot has been dislodged from its position and it has bled now again. You need to role cotton, sterilized or a new one purchased from market three to four times equal to the socket, not too big or small, put it on the socket and close the mouth tight. Keep the teeth closed for half an hour, do not talk for this half an hour, even do not spit the blood out too. Make sure that mouth must not open for this half an hour. In case there is saliva in the mouth, she can swallow it but mouth must be closed at the time of swallow. You can also visit the dentist in case the blood does not stop in the next half an hour after the above procedure is done. Post-operative bleeding. If the bleeding does not stop, get an injection of tranexamic acid, keep the cotton on the wound and do as said above. Do not spit or talk for the time the cotton is in the mouth.