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### Instruction: Answer this question truthfully ###Input: Hello doctor,My mother is not able to walk properly and she cannot move properly. She met with ischemic stroke eight years back and she is diabetic and has BP, and seizures (epilepsy) treated with Insulin, and BP suppressants, Atorvastatin, Levetiracetam, Phenytoin (Eptoin) since seven years, but she is not able to walk properly and she is not able to move her hands and legs properly. Her thinking and behavior have also become very mild. Please suggest me the correct medication for her. ### Response: Hi, Welcome to Chat Doctor forum. Ischemic stroke is a condition where there is incomplete blood supply to a certain part of the brain leading to permanent damage to that part of the brain. Consequently, the function carried out by the affected part of the brain is lost. The only way to recover function following permanent damage is physiotherapy which enables the existing normal part of the brain tore-learn the function that was earlier carried out by the now non-functional brain. In the case of your mother, physiotherapy is the only way to improve the lost function. In addition, we can make things in the house and around in a way that is easy for your mother to navigate such as having a motorized wheelchair, etc.

Hello doctor,My mother is not able to walk properly and she cannot move properly. She met with ischemic stroke eight years back and she is diabetic and has BP, and seizures (epilepsy) treated with Insulin, and BP suppressants, Atorvastatin, Levetiracetam, Phenytoin (Eptoin) since seven years, but she is not able to walk properly and she is not able to move her hands and legs properly. Her thinking and behavior have also become very mild. Please suggest me the correct medication for her.

Hi, Welcome to Chat Doctor forum. Ischemic stroke is a condition where there is incomplete blood supply to a certain part of the brain leading to permanent damage to that part of the brain. Consequently, the function carried out by the affected part of the brain is lost. The only way to recover function following permanent damage is physiotherapy which enables the existing normal part of the brain tore-learn the function that was earlier carried out by the now non-functional brain. In the case of your mother, physiotherapy is the only way to improve the lost function. In addition, we can make things in the house and around in a way that is easy for your mother to navigate such as having a motorized wheelchair, etc.

### Instruction: Answer this question truthfully ###Input: Hi doctor,My mother is 78 years old now. Before 12 days back, she had a cough and high fever. She had a wheezing problem along with a cough. She was given Azithromycin and Cratex expectorant. Her temperature got subsided after five days. But the coughing problem has not stopped. Her X-Ray finding suggested COPD. Her hemoglobin level is 9.2 ng/dL. She has WBC of 1980 WBC per microliter of blood. She has neutrophils of 28 % and lymphocytes of 69 %. She has ESR of 60 mm/hr. Currently, she is taking Domperidone, Etizolam, and Olmesartan. ### Response: Hi. She has a chronic obstructive pulmonary disease. Her lymphocytes are elevated. She seems to have viral bronchitis. Her total WBC count is decreased. It can occur due to bone marrow suppression by a viral infection. For wheezing, she can take Ipratropium bromide inhalation through a nebulizer for three to five days. Please mention whether it is a ChatDoctor. According to the characteristics of a cough, further treatment can be guided. She needs to consult a pulmonologist for chest examination.

Hi doctor,My mother is 78 years old now. Before 12 days back, she had a cough and high fever. She had a wheezing problem along with a cough. She was given Azithromycin and Cratex expectorant. Her temperature got subsided after five days. But the coughing problem has not stopped. Her X-Ray finding suggested COPD. Her hemoglobin level is 9.2 ng/dL. She has WBC of 1980 WBC per microliter of blood. She has neutrophils of 28 % and lymphocytes of 69 %. She has ESR of 60 mm/hr. Currently, she is taking Domperidone, Etizolam, and Olmesartan.

Hi. She has a chronic obstructive pulmonary disease. Her lymphocytes are elevated. She seems to have viral bronchitis. Her total WBC count is decreased. It can occur due to bone marrow suppression by a viral infection. For wheezing, she can take Ipratropium bromide inhalation through a nebulizer for three to five days. Please mention whether it is a ChatDoctor. According to the characteristics of a cough, further treatment can be guided. She needs to consult a pulmonologist for chest examination.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have semen in urine sometimes. While sitting or lying if I concentrate on my penis, I start having strokes. I cannot control in the flaccid position. While I do sit-ups there is a movement in the penis. It started from nightfall and my urge of not to masturbate. It is because of depression only and when I concentrate on something else it stops. If I have a good sleep, it stops. So is psychological problem frank? I am not sure if thinking is much of an issue. I had such erections problems earlier and it was only because of depression but I am not understanding other things. Do I need a doctor? I had a renal transplant nine months back and I was preventing masturbating from happening though I was getting excited many times. ### Response: Hello. I can understand your concern. Lack of masturbation and lack of sex results in a spontaneous flow of semen via urine. This occurs in order to allow new sperm to form. This is a normal phenomenon and this does not cause any effects on health. This will not result in weakness of any kind. The secretion which you have during talking or excitation is nothing but precum. This is a lubricating fluid and this too is a normal thing. Take care.

Hello doctor,I have semen in urine sometimes. While sitting or lying if I concentrate on my penis, I start having strokes. I cannot control in the flaccid position. While I do sit-ups there is a movement in the penis. It started from nightfall and my urge of not to masturbate. It is because of depression only and when I concentrate on something else it stops. If I have a good sleep, it stops. So is psychological problem frank? I am not sure if thinking is much of an issue. I had such erections problems earlier and it was only because of depression but I am not understanding other things. Do I need a doctor? I had a renal transplant nine months back and I was preventing masturbating from happening though I was getting excited many times.

Hello. I can understand your concern. Lack of masturbation and lack of sex results in a spontaneous flow of semen via urine. This occurs in order to allow new sperm to form. This is a normal phenomenon and this does not cause any effects on health. This will not result in weakness of any kind. The secretion which you have during talking or excitation is nothing but precum. This is a lubricating fluid and this too is a normal thing. Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I had what I believe was the flu. It started end of last month. I got mostly better, still had post nasal drip and persistent weakness. Got a worsened sore throat this week. I went to urgent care (as I am traveling) and was given Amoxi 875 for 10 days. Strep was negative. Lungs were clear. Throat clearing with the antibiotic but I am still weak. Is this normal or should I be concerned? By weak I mean, I do not really feel well after doing things like shower, grocery store for supplies, etc. I am not short of breath, just a little weak and shaky. How long after the flu am I safe from deadly pneumonia? ### Response: Hello, Welcome to Chat Doctor forum. From what you mentioned, you have experienced upper respiratory infection and you received appropriate therapy of antibiotics. Post-nasal ChatDoctor. Regarding pneumonia, you should not worry about it as you have no symptoms like high fever, rapid breathing or wet cough with dark phlegm, also your chest X-ray is free as you mentioned. Your weakness is most likely myalgia which accompanies the infection. It will improve within days. Have you performed CBC blood tests? I suggest

Hello doctor,I had what I believe was the flu. It started end of last month. I got mostly better, still had post nasal drip and persistent weakness. Got a worsened sore throat this week. I went to urgent care (as I am traveling) and was given Amoxi 875 for 10 days. Strep was negative. Lungs were clear. Throat clearing with the antibiotic but I am still weak. Is this normal or should I be concerned? By weak I mean, I do not really feel well after doing things like shower, grocery store for supplies, etc. I am not short of breath, just a little weak and shaky. How long after the flu am I safe from deadly pneumonia?

Hello, Welcome to Chat Doctor forum. From what you mentioned, you have experienced upper respiratory infection and you received appropriate therapy of antibiotics. Post-nasal ChatDoctor. Regarding pneumonia, you should not worry about it as you have no symptoms like high fever, rapid breathing or wet cough with dark phlegm, also your chest X-ray is free as you mentioned. Your weakness is most likely myalgia which accompanies the infection. It will improve within days. Have you performed CBC blood tests? I suggest

### Instruction: Answer this question truthfully ###Input: Hello doctor,I think my Flonase (Fluticasone) nasal spray bottle was empty which is actually was and I have no idea what suddenly changed. I started pumping it which I usually have to do when it is empty before I reached my nostril, and a puff sprayed into my left eye. As I heard the sound, I immediately closed my eye, and then rushed to the sink and rinsed it. I continued to rinse it and even made an \"eye bath\" out of a shot glass. Though the capillaries in the outer corner of my eye are slightly inflamed, it is not burning though, just a little blurry. That could also be because I was shining my phone flashlight into my eyes to see if both pupils were reacting normally, which they are. Is this emergency and should I be more concerned? Or should I be doing something more? ### Response: Hello, Welcome to Chat Doctor forum. For how long it is blurry? Did it improve at all or not? Give a thorough wash for at least half an hour with clean water. If the vision improved after washing, then there is no need to be the worry, but if it is still blurry, then you must consult for any corneal lesion. For more information consult an ophthalmologist online

Hello doctor,I think my Flonase (Fluticasone) nasal spray bottle was empty which is actually was and I have no idea what suddenly changed. I started pumping it which I usually have to do when it is empty before I reached my nostril, and a puff sprayed into my left eye. As I heard the sound, I immediately closed my eye, and then rushed to the sink and rinsed it. I continued to rinse it and even made an \"eye bath\" out of a shot glass. Though the capillaries in the outer corner of my eye are slightly inflamed, it is not burning though, just a little blurry. That could also be because I was shining my phone flashlight into my eyes to see if both pupils were reacting normally, which they are. Is this emergency and should I be more concerned? Or should I be doing something more?

Hello, Welcome to Chat Doctor forum. For how long it is blurry? Did it improve at all or not? Give a thorough wash for at least half an hour with clean water. If the vision improved after washing, then there is no need to be the worry, but if it is still blurry, then you must consult for any corneal lesion. For more information consult an ophthalmologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,My family doctor referred me to an ENT to investigate a persistent sinus discharge problem that seemed to be causing voice hoarseness, likely from mucus building up in my throat. I thought the hoarseness might be a side effect of the Tamsulosin I take each day for BPH, but he did not think so. During the exam by the ENT, he found that my nostrils were almost completely blocked. Although I had not complained of problems breathing through my nose, so air could get through, his scope with the light and camera on the end could only be inserted part way through either nostril.As a result, I am being scheduled for (endoscopic?) surgery to reconstruct the separation between my nostrils and clear the airways through my nose. Apparently, it will take about 30 minutes and will not leave scars or require any packing or lengthy recovery time (just a few days). The ENT thinks that will clear up the nasal discharge and ultimately solve the hoarseness. Does this sound reasonable? ### Response: Hi. Have you had any complaints with nose before? Has a CT scan been done to check for sinus inflammation or pathology? How much is the nasal airway compromise? Has he given you any sprays? Has he ruled out allergy?

Hello doctor,My family doctor referred me to an ENT to investigate a persistent sinus discharge problem that seemed to be causing voice hoarseness, likely from mucus building up in my throat. I thought the hoarseness might be a side effect of the Tamsulosin I take each day for BPH, but he did not think so. During the exam by the ENT, he found that my nostrils were almost completely blocked. Although I had not complained of problems breathing through my nose, so air could get through, his scope with the light and camera on the end could only be inserted part way through either nostril.As a result, I am being scheduled for (endoscopic?) surgery to reconstruct the separation between my nostrils and clear the airways through my nose. Apparently, it will take about 30 minutes and will not leave scars or require any packing or lengthy recovery time (just a few days). The ENT thinks that will clear up the nasal discharge and ultimately solve the hoarseness. Does this sound reasonable?

Hi. Have you had any complaints with nose before? Has a CT scan been done to check for sinus inflammation or pathology? How much is the nasal airway compromise? Has he given you any sprays? Has he ruled out allergy?

### Instruction: Answer this question truthfully ###Input: Hi doctor,I have had a sore throat for eight days. I have tried over the counter throat drops, throat sprays but nothing has worked. Is there anything else I can do and is it just a sore throat? ### Response: Hi. Most of the times, a sore throat is due to a viral infection. This occurs with or without some amount of acid reflux into the throat from within the food pipe. This condition is called Laryngopharyngeal Reflux Disease (LPRD) and this may present simply with a sore throat and without any other symptoms of gastritis. I would, therefore, recommend antiseptic mouth gargles with Chlorhexidine or dilute Betadine, three times a day before and after meals along with a good proton pump inhibitor such as tablet Esomeprazole 40 mg once in the morning 15 minutes before meals for one week. I would also advise taking an anti-inflammatory medication such as Ibuprofen or Paracetamol once daily for three days after breakfast, to reduce the throat pain. In my opinion, your sore throat should subside in three to five days. If it worsens or you develop fever, then an antibiotic may be necessary for which you can consult an ENT otolaryngologist online Take care.

Hi doctor,I have had a sore throat for eight days. I have tried over the counter throat drops, throat sprays but nothing has worked. Is there anything else I can do and is it just a sore throat?

Hi. Most of the times, a sore throat is due to a viral infection. This occurs with or without some amount of acid reflux into the throat from within the food pipe. This condition is called Laryngopharyngeal Reflux Disease (LPRD) and this may present simply with a sore throat and without any other symptoms of gastritis. I would, therefore, recommend antiseptic mouth gargles with Chlorhexidine or dilute Betadine, three times a day before and after meals along with a good proton pump inhibitor such as tablet Esomeprazole 40 mg once in the morning 15 minutes before meals for one week. I would also advise taking an anti-inflammatory medication such as Ibuprofen or Paracetamol once daily for three days after breakfast, to reduce the throat pain. In my opinion, your sore throat should subside in three to five days. If it worsens or you develop fever, then an antibiotic may be necessary for which you can consult an ENT otolaryngologist online Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 25 years old. I have been diagnosed with essential thrombocythemia. The reasons are elevated platelet count (about 700,000 to 900,000 platelets per microliter of blood), positive JAK2 V617F mutation analysis, etc. There are different opinions coming from doctors in my country. Avoiding details, some advice me to take Hydroxyurea, some say that Hydroxyurea is unacceptable for guys of my age because of hard side effects and advise me to take Interferon alpha. Some say that I should not take any medicines and exclude disaggregates and I should just monitor platelets count to be lower than 1,000,000 and some other indicators. Kindly advise. ### Response: Hello, Welcome to Chat Doctor forum. I can understand your situation through which you are going. I have reviewed your query and below is my advice for your case. Usually, in case of essential thrombocythemia, there is no need to undergo treatment with Hy ChatDoctor. It is myeloproliferative neoplasm and the chance of acute myeloid leukemia is less in such case. In young age group people usually there is no need for starting Hy

Hello doctor,I am 25 years old. I have been diagnosed with essential thrombocythemia. The reasons are elevated platelet count (about 700,000 to 900,000 platelets per microliter of blood), positive JAK2 V617F mutation analysis, etc. There are different opinions coming from doctors in my country. Avoiding details, some advice me to take Hydroxyurea, some say that Hydroxyurea is unacceptable for guys of my age because of hard side effects and advise me to take Interferon alpha. Some say that I should not take any medicines and exclude disaggregates and I should just monitor platelets count to be lower than 1,000,000 and some other indicators. Kindly advise.

Hello, Welcome to Chat Doctor forum. I can understand your situation through which you are going. I have reviewed your query and below is my advice for your case. Usually, in case of essential thrombocythemia, there is no need to undergo treatment with Hy ChatDoctor. It is myeloproliferative neoplasm and the chance of acute myeloid leukemia is less in such case. In young age group people usually there is no need for starting Hy

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have severe anxiety problems which cripple me. I feel trouble in concentrating on my studies and other daily activities. I have PCOS and suffering from depression. I am an introvert, and my body is swaying all the time. A feeling of constant motion present like a boat ride. What can I do to live a better and happy life? How do I get rid of the anxiety?Last time when I had anxiety and depression, I lost 15 kg weight. Also, my hemoglobin and other vitamins levels were reduced. I am currently under Shelcal 20 and Autrin. In the past, I was on Venla 25 g. ### Response: Hello, Welcome to Chat Doctor forum. You should work on your weight loss. It will help you with both your PCOS and depression. Do the daily exercise for 30 to 45 minutes. Do meditation for 20 minutes daily. Avoid junk foods, eat healthy joint cooked foods. Take enough 6 to 7 hours of sleep. Spend quality time with family and friends. Spend time for creative hobbies like read good books, write journals, do paintings, etc. Live your life, do not just spend. Take a cold shower in the morning and ChatDoctor.

Hello doctor,I have severe anxiety problems which cripple me. I feel trouble in concentrating on my studies and other daily activities. I have PCOS and suffering from depression. I am an introvert, and my body is swaying all the time. A feeling of constant motion present like a boat ride. What can I do to live a better and happy life? How do I get rid of the anxiety?Last time when I had anxiety and depression, I lost 15 kg weight. Also, my hemoglobin and other vitamins levels were reduced. I am currently under Shelcal 20 and Autrin. In the past, I was on Venla 25 g.

Hello, Welcome to Chat Doctor forum. You should work on your weight loss. It will help you with both your PCOS and depression. Do the daily exercise for 30 to 45 minutes. Do meditation for 20 minutes daily. Avoid junk foods, eat healthy joint cooked foods. Take enough 6 to 7 hours of sleep. Spend quality time with family and friends. Spend time for creative hobbies like read good books, write journals, do paintings, etc. Live your life, do not just spend. Take a cold shower in the morning and ChatDoctor.

### Instruction: Answer this question truthfully ###Input: Hi,I am a 65-year-old female. My sugar level before three months was fasting 180 mg/dl, postprandial 253 mg/dl and HbA1C 8 %. After having medication, the test done a few days back showed fasting 93 mg/dl, postprandial 80 mg/dl, HbA1C 7 %, triglycerides 259 and VLDL cholesterol 51.80. Also, the blood pressure is 200/100 mmHg.I am taking the following medications ### Response: Hi, Welcome to Chat Doctor forum. Your sugar is well controlled. In fact, you need to decrease the dose of Glycomet GP 2 (Glimipiride and Metformin) to Glycomet GP 1. Major problem is that you have accelerated bloodstream pressure. Instead of Tricinod (Telmisartan, Clinidipine, Chlorthalidone), better would be taking tablet Telvas 3D (Telmisartan and Hy ChatDoctor. You have mildly increased triglycerides. For this, you can increase exercise daily or you may add tablet Fenofibrate. For more information consult an internal medicine physician online

Hi,I am a 65-year-old female. My sugar level before three months was fasting 180 mg/dl, postprandial 253 mg/dl and HbA1C 8 %. After having medication, the test done a few days back showed fasting 93 mg/dl, postprandial 80 mg/dl, HbA1C 7 %, triglycerides 259 and VLDL cholesterol 51.80. Also, the blood pressure is 200/100 mmHg.I am taking the following medications

Hi, Welcome to Chat Doctor forum. Your sugar is well controlled. In fact, you need to decrease the dose of Glycomet GP 2 (Glimipiride and Metformin) to Glycomet GP 1. Major problem is that you have accelerated bloodstream pressure. Instead of Tricinod (Telmisartan, Clinidipine, Chlorthalidone), better would be taking tablet Telvas 3D (Telmisartan and Hy ChatDoctor. You have mildly increased triglycerides. For this, you can increase exercise daily or you may add tablet Fenofibrate. For more information consult an internal medicine physician online

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am a 23 year old male, a third-year medical student. For the past seven days, I have had an increased urgency and frequency to urinate. I can go even more than 30 times a day - majority of these times, I feel an increased urgency. However, when I go, only a small amount or drops come out. For the past two to three days, the urgency kind of feels to be getting worse, I feel as if I will not be able to hold it. However, I am still able to as there is no leaking. There is no burning or irritation or any discharge. No recent sexual encounters and no other associated symptoms. I take Coveram 10/10 for essential hypertension and Valdoxan 25 because I also do suffer from anxiety. I have been under stress lately as I was doing my exams this past week and finished today. I have done a few tests at my family doctor ### Response: Hello. Relax and do not worry. As per your symptoms, it looks like overactive bladder only. Do you have any problem with the flow of urine? Or hesitation? Anyhow, as you are taking antibiotics better finish the course. I would like you to

Hi doctor,I am a 23 year old male, a third-year medical student. For the past seven days, I have had an increased urgency and frequency to urinate. I can go even more than 30 times a day - majority of these times, I feel an increased urgency. However, when I go, only a small amount or drops come out. For the past two to three days, the urgency kind of feels to be getting worse, I feel as if I will not be able to hold it. However, I am still able to as there is no leaking. There is no burning or irritation or any discharge. No recent sexual encounters and no other associated symptoms. I take Coveram 10/10 for essential hypertension and Valdoxan 25 because I also do suffer from anxiety. I have been under stress lately as I was doing my exams this past week and finished today. I have done a few tests at my family doctor

Hello. Relax and do not worry. As per your symptoms, it looks like overactive bladder only. Do you have any problem with the flow of urine? Or hesitation? Anyhow, as you are taking antibiotics better finish the course. I would like you to

### Instruction: Answer this question truthfully ###Input: Hi doctor,I had a c-section with my first pregnancy 19 years ago. I have fallen in love with a wonderful man who does not have kids. I and my fiance have been discussing and are planning to have a baby. I am concerned if I am able to have a VBAC delivery with my second pregnancy since my first pregnancy resulted in an emergency C-section. Also, I am 48. What are the risks of pregnancy in women over 40? ### Response: Hello, Welcome to Chat Doctor forum. Pregnancy at the age of 48 years definitely come with certain risks like an increased risk of chromosomal abnormalities due to the defective ovum being released. Also there may be a difficulty in the conception itself. VBAC (vaginal birth after cesarean) delivery has to take into a lot of factors into consideration like the cause for previous LSCS (lower segment cesarean section), the gestational age at which you had cesarean, the present baby weight, and if there is a spontaneous onset of labor or not and many other factors. I would suggest you go for an opinion from your gynaecologist before planning for a conception and take a pre-conceptional counselling so as to avoid any complications possible during pregnancy.

Hi doctor,I had a c-section with my first pregnancy 19 years ago. I have fallen in love with a wonderful man who does not have kids. I and my fiance have been discussing and are planning to have a baby. I am concerned if I am able to have a VBAC delivery with my second pregnancy since my first pregnancy resulted in an emergency C-section. Also, I am 48. What are the risks of pregnancy in women over 40?

Hello, Welcome to Chat Doctor forum. Pregnancy at the age of 48 years definitely come with certain risks like an increased risk of chromosomal abnormalities due to the defective ovum being released. Also there may be a difficulty in the conception itself. VBAC (vaginal birth after cesarean) delivery has to take into a lot of factors into consideration like the cause for previous LSCS (lower segment cesarean section), the gestational age at which you had cesarean, the present baby weight, and if there is a spontaneous onset of labor or not and many other factors. I would suggest you go for an opinion from your gynaecologist before planning for a conception and take a pre-conceptional counselling so as to avoid any complications possible during pregnancy.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I had my last periods two months back. Last month, I and my fiance got intimate, though we did not have intercourse, he fingered me after touching himself, so to be safe I took I-pill next day. A week later, I had bleeding for three days. Since then I did not have my periods till date. I have taken six home pregnancy tests which were all negative. What can be the cause of delayed periods, can I still be pregnant? If not can I take Meprate tablets to start my periods? ### Response: Hello, Welcome to ChatDoctor. I have read your message. If it was just fingering then no chance of pregnancy at all. As you said that you had bleeding, the next period is expected to be around the same date of next month. Actually, with I-pill, periods get disturbed for 1 to 2 cycles. I would suggest you wait for 4 to 5 days, your periods will come. If you are still worried then do blood test serum BhCG. If its value is less than 5 then definitely you are not pregnant and you can simply wait for menses. You can take Meprate as well for periods to come if BhCG comes out negative.

Hello doctor,I had my last periods two months back. Last month, I and my fiance got intimate, though we did not have intercourse, he fingered me after touching himself, so to be safe I took I-pill next day. A week later, I had bleeding for three days. Since then I did not have my periods till date. I have taken six home pregnancy tests which were all negative. What can be the cause of delayed periods, can I still be pregnant? If not can I take Meprate tablets to start my periods?

Hello, Welcome to ChatDoctor. I have read your message. If it was just fingering then no chance of pregnancy at all. As you said that you had bleeding, the next period is expected to be around the same date of next month. Actually, with I-pill, periods get disturbed for 1 to 2 cycles. I would suggest you wait for 4 to 5 days, your periods will come. If you are still worried then do blood test serum BhCG. If its value is less than 5 then definitely you are not pregnant and you can simply wait for menses. You can take Meprate as well for periods to come if BhCG comes out negative.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am a 27-year-old female, and I have mild, cystic acne for the past five years. Yesterday, I got prescribed with Accutane 20 mg per day, and my weight is 50 kilograms. If everything is fine, I will be taking it for the next ten months. I know that taking Isotretinoin can cause idiopathic intracranial hypertension and I also take Tetracycline. I have heard that both should not be taken at the same time.I have been taking 100 mg Tetracycline for the past one week (seven days). I took my last pill yesterday evening. How long is the wash-out period of Tetracycline is? If I take 100 mg Tetracycline per day for seven days, when can I start taking Isotretinoin? Taking after 24-hour is enough? ### Response: Hi, Welcome to Chat Doctor forum. There should be a time gap of seven days between stopping tetracycline and starting Isotretinoin. Monitor your fasting lipid profile and liver function test. While on Isotretinoin, you should not conceive. There should be a gap of six months after stopping Isotretinoin.

Hi doctor,I am a 27-year-old female, and I have mild, cystic acne for the past five years. Yesterday, I got prescribed with Accutane 20 mg per day, and my weight is 50 kilograms. If everything is fine, I will be taking it for the next ten months. I know that taking Isotretinoin can cause idiopathic intracranial hypertension and I also take Tetracycline. I have heard that both should not be taken at the same time.I have been taking 100 mg Tetracycline for the past one week (seven days). I took my last pill yesterday evening. How long is the wash-out period of Tetracycline is? If I take 100 mg Tetracycline per day for seven days, when can I start taking Isotretinoin? Taking after 24-hour is enough?

Hi, Welcome to Chat Doctor forum. There should be a time gap of seven days between stopping tetracycline and starting Isotretinoin. Monitor your fasting lipid profile and liver function test. While on Isotretinoin, you should not conceive. There should be a gap of six months after stopping Isotretinoin.

### Instruction: Answer this question truthfully ###Input: Hello doctor,My daughter is four months old now. She breastfeeds only. She used to defecate once or twice daily. Sometimes she defecated once in two to three days. Recently she has started defecating four to eight times a day (generally very small amount though) and her feces have become more liquidy. We went to a doctor who suggested some probiotics and told not to worry. She is otherwise healthy and shows no symptoms of any illness. However, we thought to have a second opinion. We did a stool test and I am attaching the recent one. Please suggest if there is anything to be worried about? She is on usual vitamin and Iron supplements. ### Response: Hi. It is normal for babies to have variable stool frequency. Sometimes they pass once or two times in a day, sometimes more. Some babies have exaggerated gastrocolic reflex, it means they pass stool after almost every feed. No need to worry if the stool is not watery and small amount, baby is passing urine, activities are normal, no fever, and gaining weight. No need to give probiotics or other medication. Continue breastfeeding. Maintain hygiene. ? gastrocolic reflex, ? normal variations of stool frequency. none Continue breastfeeding. Maintain hygiene. As per your requirement.

Hello doctor,My daughter is four months old now. She breastfeeds only. She used to defecate once or twice daily. Sometimes she defecated once in two to three days. Recently she has started defecating four to eight times a day (generally very small amount though) and her feces have become more liquidy. We went to a doctor who suggested some probiotics and told not to worry. She is otherwise healthy and shows no symptoms of any illness. However, we thought to have a second opinion. We did a stool test and I am attaching the recent one. Please suggest if there is anything to be worried about? She is on usual vitamin and Iron supplements.

Hi. It is normal for babies to have variable stool frequency. Sometimes they pass once or two times in a day, sometimes more. Some babies have exaggerated gastrocolic reflex, it means they pass stool after almost every feed. No need to worry if the stool is not watery and small amount, baby is passing urine, activities are normal, no fever, and gaining weight. No need to give probiotics or other medication. Continue breastfeeding. Maintain hygiene. ? gastrocolic reflex, ? normal variations of stool frequency. none Continue breastfeeding. Maintain hygiene. As per your requirement.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 21 years old. About a month ago, I realized I had tiny smooth painless bumps on the inside of my butt cheek. They do not have pus, itch, or hurt. I have had unprotected sex, so I went to a clinic. That doctor said it was not herpes and she did not think it was warts because there were too many of them and they were too smooth. She recommended I see a dermatologist. I do not shave my bottom so I knows it is not razor bumps. I do not remember ever seeing them before and they do seem to be spreading although some have disappeared. Any ideas what it could be? ### Response: Hi, Welcome to Chat Doctor forum. I saw your clinical pictures (attachment removed to protect patient identity). I am very sorry the pictures are bit blurry, but it looks like molluscum. You will have to meet dermatologist because you are saying that they are spreading. Molluscum is also sexually transmitted viral infection. Molluscum is a highly contagious viral infection, presents with pearly white papules (bumps) with a central pit. It can be confirmed by dermoscopic examination. Another possibility is folliculitis in that area, they are usually painful pustules. For more information consult a dermatologist online

Hello doctor,I am 21 years old. About a month ago, I realized I had tiny smooth painless bumps on the inside of my butt cheek. They do not have pus, itch, or hurt. I have had unprotected sex, so I went to a clinic. That doctor said it was not herpes and she did not think it was warts because there were too many of them and they were too smooth. She recommended I see a dermatologist. I do not shave my bottom so I knows it is not razor bumps. I do not remember ever seeing them before and they do seem to be spreading although some have disappeared. Any ideas what it could be?

Hi, Welcome to Chat Doctor forum. I saw your clinical pictures (attachment removed to protect patient identity). I am very sorry the pictures are bit blurry, but it looks like molluscum. You will have to meet dermatologist because you are saying that they are spreading. Molluscum is also sexually transmitted viral infection. Molluscum is a highly contagious viral infection, presents with pearly white papules (bumps) with a central pit. It can be confirmed by dermoscopic examination. Another possibility is folliculitis in that area, they are usually painful pustules. For more information consult a dermatologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I would like to know about small freckles on the cheeks and forehead of 1-month-old male child. Also, the left eye is watery and collection of yellowish mass after few hours near the inner end of the left eye. Please suggest. ### Response: Hi. It is very normal for a newborn baby up to 6 months of age to develop such minor skin problems. It is called milia. There is no need to worry about it. It is due to insignificant obstruction in sweat glands. I will prescribe a lotion. Please apply the lotion three to four times a day for the next two weeks. Please stop using talcum powder if you are already using it. And regarding this watery discharge in the eyes, if the discharge is very mild, no need to give any medications for the same. If the discharge is significantly high, I will prescribe an eye ChatDoctor. Please give a gentle massage on the inner side of the eye (nasal side) for four to five times a day. In some babies, such insignificant discharge can persist up to three to four months. It will settle with regular massaging daily for the next 12 months. Milia. Conjunctivitis. Dacryocystitis.

Hello doctor,I would like to know about small freckles on the cheeks and forehead of 1-month-old male child. Also, the left eye is watery and collection of yellowish mass after few hours near the inner end of the left eye. Please suggest.

Hi. It is very normal for a newborn baby up to 6 months of age to develop such minor skin problems. It is called milia. There is no need to worry about it. It is due to insignificant obstruction in sweat glands. I will prescribe a lotion. Please apply the lotion three to four times a day for the next two weeks. Please stop using talcum powder if you are already using it. And regarding this watery discharge in the eyes, if the discharge is very mild, no need to give any medications for the same. If the discharge is significantly high, I will prescribe an eye ChatDoctor. Please give a gentle massage on the inner side of the eye (nasal side) for four to five times a day. In some babies, such insignificant discharge can persist up to three to four months. It will settle with regular massaging daily for the next 12 months. Milia. Conjunctivitis. Dacryocystitis.

### Instruction: Answer this question truthfully ###Input: Hello doctor,My age is 36 and I had tubectomy done 18 years back after second delivery cesarean like my first delivery. I do not know whether the fallopian tubes were tied, cut, clamped burnt, or banded.1. Is there any scanning or some other method to identify the process of tubectomy done to me? 2. Is there any chance of getting pregnant naturally after tubectomy done by whichever method mentioned above? 3. To have a child now can we go for IVF, if so at the time of delivery will gynecologist come to know that I underwent IVF process for pregnancy? Because she has to do tubectomy again, she will go through with these tubes at delivery time. ### Response: Hi. The method of tubectecomy can be identified only after opening during caeserian section or through laparocsopy. If tubal ligation is done you cannot conceive naturally, if you try there are chances of ectopic pregnancy. You can go for IVF for another baby. Course of the pregnancy through IVF and natural pregnancy will be same. In case of delivery if normal delivery, you do not have to go through tubes. If going for caesaerean section you can identify it was previous surgery.

Hello doctor,My age is 36 and I had tubectomy done 18 years back after second delivery cesarean like my first delivery. I do not know whether the fallopian tubes were tied, cut, clamped burnt, or banded.1. Is there any scanning or some other method to identify the process of tubectomy done to me? 2. Is there any chance of getting pregnant naturally after tubectomy done by whichever method mentioned above? 3. To have a child now can we go for IVF, if so at the time of delivery will gynecologist come to know that I underwent IVF process for pregnancy? Because she has to do tubectomy again, she will go through with these tubes at delivery time.

Hi. The method of tubectecomy can be identified only after opening during caeserian section or through laparocsopy. If tubal ligation is done you cannot conceive naturally, if you try there are chances of ectopic pregnancy. You can go for IVF for another baby. Course of the pregnancy through IVF and natural pregnancy will be same. In case of delivery if normal delivery, you do not have to go through tubes. If going for caesaerean section you can identify it was previous surgery.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 33 years old. My testicles are the size of a grape and I experience low sex drive, and less sperm count. I have used some testosterone when I was about 16 years, the testes have never recovered since. I have been reading a lot and bought some HCG 5000 but I do not know how to use it, and I do not want to make things worse. ### Response: Hello. Basically, because of exogenous testosterone, your body has stopped production of testosterone from testis resulting in testicular atrophy and hypogonadism. Do you have chil ChatDoctor. I will not prefer hCG (human chorionic gonadotropin) and I would like to start you on Clomiphene citrate 25 mg every alternate day. Clomiphene is better than HCG. HCG can be given if there is no improvement with Clomiphene citrate. Exogenous steroids must be totally stopped. It will take time to recover and I will not give you 100 percent guarantee that your testis function will recover as there is severe atrophy. Recovery depends on the amount of testicular tissue left. But we will try our best. For more information consult a urologist online Take care.

Hello doctor,I am 33 years old. My testicles are the size of a grape and I experience low sex drive, and less sperm count. I have used some testosterone when I was about 16 years, the testes have never recovered since. I have been reading a lot and bought some HCG 5000 but I do not know how to use it, and I do not want to make things worse.

Hello. Basically, because of exogenous testosterone, your body has stopped production of testosterone from testis resulting in testicular atrophy and hypogonadism. Do you have chil ChatDoctor. I will not prefer hCG (human chorionic gonadotropin) and I would like to start you on Clomiphene citrate 25 mg every alternate day. Clomiphene is better than HCG. HCG can be given if there is no improvement with Clomiphene citrate. Exogenous steroids must be totally stopped. It will take time to recover and I will not give you 100 percent guarantee that your testis function will recover as there is severe atrophy. Recovery depends on the amount of testicular tissue left. But we will try our best. For more information consult a urologist online Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have a history of low platelet count for the last 15 years. My latest count was 4000 cells per microliter. I have not undergone any treatment for this problem. My B12 level is 26.2 pg/ml, biological reference interval is 25.1 - 165, serum ferritin is 12.0 and hemoglobin is 11.0. I recently read that there is a relation between Vitamin B12 and platelet count.Should I start Vitamin B12 therapy to check whether it improves my platelet count? ### Response: Hello. Vitamin B12 deficiency is a very rare cause of thrombocytopenia (low platelet count) and usually, the counts are not very low as in your case. Since your vitamin B12 levels are towards the lower range of normal and bordering on deficiency, you can take vitamin B12 supplements. If your platelet count does not improve, you need to get a proper hematologic assessment done to determine the cause. Your serum ferritin levels are very low and your hemoglobin is also low. You can take iron and folic acid tablets as well to help with your anemia. For more information consult a hematologist online

Hello doctor,I have a history of low platelet count for the last 15 years. My latest count was 4000 cells per microliter. I have not undergone any treatment for this problem. My B12 level is 26.2 pg/ml, biological reference interval is 25.1 - 165, serum ferritin is 12.0 and hemoglobin is 11.0. I recently read that there is a relation between Vitamin B12 and platelet count.Should I start Vitamin B12 therapy to check whether it improves my platelet count?

Hello. Vitamin B12 deficiency is a very rare cause of thrombocytopenia (low platelet count) and usually, the counts are not very low as in your case. Since your vitamin B12 levels are towards the lower range of normal and bordering on deficiency, you can take vitamin B12 supplements. If your platelet count does not improve, you need to get a proper hematologic assessment done to determine the cause. Your serum ferritin levels are very low and your hemoglobin is also low. You can take iron and folic acid tablets as well to help with your anemia. For more information consult a hematologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am having some queries on HIV. I had protected sex with a call girl four weeks back and do not know about her HIV status. I heard from her, she lost weight in recent months and also has cough. After two weeks, I got diarrhea, itching and feverish feeling. I then consulted a doctor and he said it is food poisoning. I checked HIV through P24 combo test and the result was negative. Again, on the 23rd day, I checked through Rapid test and result is negative. From the last four days, I am having itching, twice bowel movement, and headache from yesterday. Again, the doctor told it is food poisoning. I am worrying, is this sign of HIV? When do I need to be tested again? What are the symptoms? ### Response: Hi. Call girls are high-risk group for HIV infection. Your complaint of diarrhea and fever may be due to anxiety causing increased bowel movements and increased core temperature causing fever. Rapid tests will be negative for 45 to 90 days. It is too early to have diarrhea and fever from HIV infection. Get tested for fourth generation HIV tests after 45 days. For more information consult an HIV AIDS specialist online Take care.

Hello doctor,I am having some queries on HIV. I had protected sex with a call girl four weeks back and do not know about her HIV status. I heard from her, she lost weight in recent months and also has cough. After two weeks, I got diarrhea, itching and feverish feeling. I then consulted a doctor and he said it is food poisoning. I checked HIV through P24 combo test and the result was negative. Again, on the 23rd day, I checked through Rapid test and result is negative. From the last four days, I am having itching, twice bowel movement, and headache from yesterday. Again, the doctor told it is food poisoning. I am worrying, is this sign of HIV? When do I need to be tested again? What are the symptoms?

Hi. Call girls are high-risk group for HIV infection. Your complaint of diarrhea and fever may be due to anxiety causing increased bowel movements and increased core temperature causing fever. Rapid tests will be negative for 45 to 90 days. It is too early to have diarrhea and fever from HIV infection. Get tested for fourth generation HIV tests after 45 days. For more information consult an HIV AIDS specialist online Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I woke up a few days ago with a large bruise on the back of my left thigh. Unsure of how this happened, as I do not remember or have knowledge of hitting this area. I was drinking heavily the night before but do not believe this is a reason for the bruise. I have been working out a lot last week and possibly thought it could be a muscle bruise. I am more concerned with the shape and placement of the bruise and effective area of smaller bruises around the larger one. I have never got random bruises. I do suffer from anxiety and this is making it factor right about now. I am currently on Prozac. ### Response: Hello, Welcome to ChatDoctor. I have seen the attachment. (attachment removed to protect patient identity). Your bruise is clearly due to hematoma. You should get a USG (ultrasound) of your thigh. Take some rest and bruise will disappear gradually. Also, if there is severe pain at that location, then x-ray should also be done to rule out any fracture. Muscle tear. USG of left thigh. X-ray of left femur AP (anteroposterior) and lateral. Muscle tear. Femur fracture. Take rest. Review after the USG report.

Hello doctor,I woke up a few days ago with a large bruise on the back of my left thigh. Unsure of how this happened, as I do not remember or have knowledge of hitting this area. I was drinking heavily the night before but do not believe this is a reason for the bruise. I have been working out a lot last week and possibly thought it could be a muscle bruise. I am more concerned with the shape and placement of the bruise and effective area of smaller bruises around the larger one. I have never got random bruises. I do suffer from anxiety and this is making it factor right about now. I am currently on Prozac.

Hello, Welcome to ChatDoctor. I have seen the attachment. (attachment removed to protect patient identity). Your bruise is clearly due to hematoma. You should get a USG (ultrasound) of your thigh. Take some rest and bruise will disappear gradually. Also, if there is severe pain at that location, then x-ray should also be done to rule out any fracture. Muscle tear. USG of left thigh. X-ray of left femur AP (anteroposterior) and lateral. Muscle tear. Femur fracture. Take rest. Review after the USG report.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I took an i-pill eight days before my menstrual period was due and after five days of taking it, I started bleeding. The bleeding lasted for three to four days with light spotting towards the end. But, now I have again started to bleed much ahead of my menstrual period. This does not happen usually. It is slightly accompanied with pain in the stomach and back. What could be the reason? Is there anything wrong? I am a type 1 diabetic for the past 14 years and I am insulin dependent, but my blood glucose level remains in control. Please advise. ### Response: Hello. Get one gynecologic ultrasound and a routine urine exam done to rule out the cause. Most likely, the symptoms are because of hormonal imbalance because of the i-pill. I suggest you start a combination of the Tranexamic acid with Mefenamic acid 500 mg two to three times a day. I suggest you be on regular oral contraceptive pills rather than being on an emergency pill. Consult your specialist doctor, discuss with him or her and take the above medicines with their consent. Follow up with the ultrasound report. For more information consult an obstetrician and gynaecologist online Take care.

Hello doctor,I took an i-pill eight days before my menstrual period was due and after five days of taking it, I started bleeding. The bleeding lasted for three to four days with light spotting towards the end. But, now I have again started to bleed much ahead of my menstrual period. This does not happen usually. It is slightly accompanied with pain in the stomach and back. What could be the reason? Is there anything wrong? I am a type 1 diabetic for the past 14 years and I am insulin dependent, but my blood glucose level remains in control. Please advise.

Hello. Get one gynecologic ultrasound and a routine urine exam done to rule out the cause. Most likely, the symptoms are because of hormonal imbalance because of the i-pill. I suggest you start a combination of the Tranexamic acid with Mefenamic acid 500 mg two to three times a day. I suggest you be on regular oral contraceptive pills rather than being on an emergency pill. Consult your specialist doctor, discuss with him or her and take the above medicines with their consent. Follow up with the ultrasound report. For more information consult an obstetrician and gynaecologist online Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 27 year old male. I have been masturbating while watching porn for a year now. Now I am experiencing erectile dysfunction. Also, the stiffness of the penis is not the same as before (maybe because I am not getting aroused as easily as before) but after stroking, I feel the stiffness is fine. I have decided to quit porn and masturbation since yesterday. But still, I feel the same. I even tried to observe if the \\morning erection\\ is fine because of which I could not sleep properly. I was checking whenever I woke up in the middle of the night and I found that I was having no erection. I did have one while getting up and it was not the same as before (not as stiff as before). I am now scared. Do I have any disease? Will this thing get cured on its own? If yes, how long is it going to take? Please help.Edit ### Response: Hello, Welcome to Chat Doctor forum. I understand your concern and the confusion in your mind. In the edit, you have mentioned that your erection is back and that is good to know and the current concern as you have mentioned is sex ChatDoctor. My explanation to you is as follows

Hello doctor,I am a 27 year old male. I have been masturbating while watching porn for a year now. Now I am experiencing erectile dysfunction. Also, the stiffness of the penis is not the same as before (maybe because I am not getting aroused as easily as before) but after stroking, I feel the stiffness is fine. I have decided to quit porn and masturbation since yesterday. But still, I feel the same. I even tried to observe if the \\morning erection\\ is fine because of which I could not sleep properly. I was checking whenever I woke up in the middle of the night and I found that I was having no erection. I did have one while getting up and it was not the same as before (not as stiff as before). I am now scared. Do I have any disease? Will this thing get cured on its own? If yes, how long is it going to take? Please help.Edit

Hello, Welcome to Chat Doctor forum. I understand your concern and the confusion in your mind. In the edit, you have mentioned that your erection is back and that is good to know and the current concern as you have mentioned is sex ChatDoctor. My explanation to you is as follows

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am an 18 year old girl, I am having left abdominal pain and burning sensation on urinating. I did an ultrasound, but it was normal, and no renal stones were found. After few days, I started having pain from the back till the bladder, vomiting, and weakness. So, I got admitted, and they gave me painkiller injections, IV fluids, tablet Levofloxacin 500, tablet Flavoxate, tablet Pantop, and tablet Voveran. I am not discharged still, and I have pain. The doctor diagnosed it as urinary tract infection. Is it really UTI? ### Response: Hi, Welcome to Chat Doctor forum. I saw your reports (attachment removed to protect patient identity), and from what you say, it may be a urinary tract infection. To rule out urinary tract infection, I would suggest urine culture. Left sided pain can occur if the left kidney and ureter is infected, with obstruction. From your ultrasound report, there seems to be no obstruction to urine flow from left kidney. But, ultrasonogram is prone to errors. I would suggest CT KUB (computed tomography of kidneys, ureter, and bladder) for better decision making. For more information consult a urologist online

Hello doctor,I am an 18 year old girl, I am having left abdominal pain and burning sensation on urinating. I did an ultrasound, but it was normal, and no renal stones were found. After few days, I started having pain from the back till the bladder, vomiting, and weakness. So, I got admitted, and they gave me painkiller injections, IV fluids, tablet Levofloxacin 500, tablet Flavoxate, tablet Pantop, and tablet Voveran. I am not discharged still, and I have pain. The doctor diagnosed it as urinary tract infection. Is it really UTI?

Hi, Welcome to Chat Doctor forum. I saw your reports (attachment removed to protect patient identity), and from what you say, it may be a urinary tract infection. To rule out urinary tract infection, I would suggest urine culture. Left sided pain can occur if the left kidney and ureter is infected, with obstruction. From your ultrasound report, there seems to be no obstruction to urine flow from left kidney. But, ultrasonogram is prone to errors. I would suggest CT KUB (computed tomography of kidneys, ureter, and bladder) for better decision making. For more information consult a urologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,My relative aged 82 years is suffering from prostate cancer. It was discovered one year ago. Surgery was done eight months ago, and it is still spreading. He is not diabetic. Will chemo might be fatal? ### Response: Hi. I have read through your query in detail. Please find my observations below. It is important to know when the cancer spread was first detected. If it has spread to involve other areas then it is likely to be stage 4 cancer. I have served in a cancer institute for years and have seen many patients like him getting chemotherapy to prolong life. Liver and kidney functions and general condition should be maintained during treatment. Radiation also helps many patients. Usually, the survival of a patient with advanced stage cancer is not more than two years with good care and treatment. This is an average and rarely patients might survive to three to five years. Chemotherapy and radiation therapy might help to extend the life of the patient and slow the disease progression but cannot cure cancer. At the age of 82 years, it is important to give him good nutrition and diet with proteins and vitamins. Pain relief is important for him and this is to be discussed with his doctor. Please see that he is comfortable. Hope this answers your question.

Hello doctor,My relative aged 82 years is suffering from prostate cancer. It was discovered one year ago. Surgery was done eight months ago, and it is still spreading. He is not diabetic. Will chemo might be fatal?

Hi. I have read through your query in detail. Please find my observations below. It is important to know when the cancer spread was first detected. If it has spread to involve other areas then it is likely to be stage 4 cancer. I have served in a cancer institute for years and have seen many patients like him getting chemotherapy to prolong life. Liver and kidney functions and general condition should be maintained during treatment. Radiation also helps many patients. Usually, the survival of a patient with advanced stage cancer is not more than two years with good care and treatment. This is an average and rarely patients might survive to three to five years. Chemotherapy and radiation therapy might help to extend the life of the patient and slow the disease progression but cannot cure cancer. At the age of 82 years, it is important to give him good nutrition and diet with proteins and vitamins. Pain relief is important for him and this is to be discussed with his doctor. Please see that he is comfortable. Hope this answers your question.

### Instruction: Answer this question truthfully ###Input: Hello doctor,Please find attached the blood test report. Highlighted in bold are the tests which are out of range. Can you please advice on the reasons and corrective measures to get the exceeded test values in control? Do I need to perform any follow-up tests? I have got the blood test profile checked just as a general checkup and not specific to any illness (I get it checked once every two years). ### Response: Hello. I have gone through all your reports (attachment removed to protect patient identity) and I am impressed with your overall health. However, there are a few things that need to be sorted out. Your total red blood cells and hemoglobin levels are slightly increased than normal but not significant in the absence of symptoms like headache, hypertension, itching in the body after a warm bath, etc. If you are a long-term smoker, this could be a cause of the slight increase. Do you have any chronic lung disease or kidney disease that is known to you? Also, I see that your serum lipase is a little off, it usually indicates pancreatitis. Are your suffering from any symptoms like abdominal pain, fever, nausea, or vomiting? I suggest you repeat serum lipase. For more information consult a family physician online Take care.

Hello doctor,Please find attached the blood test report. Highlighted in bold are the tests which are out of range. Can you please advice on the reasons and corrective measures to get the exceeded test values in control? Do I need to perform any follow-up tests? I have got the blood test profile checked just as a general checkup and not specific to any illness (I get it checked once every two years).

Hello. I have gone through all your reports (attachment removed to protect patient identity) and I am impressed with your overall health. However, there are a few things that need to be sorted out. Your total red blood cells and hemoglobin levels are slightly increased than normal but not significant in the absence of symptoms like headache, hypertension, itching in the body after a warm bath, etc. If you are a long-term smoker, this could be a cause of the slight increase. Do you have any chronic lung disease or kidney disease that is known to you? Also, I see that your serum lipase is a little off, it usually indicates pancreatitis. Are your suffering from any symptoms like abdominal pain, fever, nausea, or vomiting? I suggest you repeat serum lipase. For more information consult a family physician online Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have redness in the foreskin and glans which becomes bright red when subjected to friction and becomes normal or very light red. This redness comes and goes often. It has been there for a year and above. I took all viral tests and it is negative for all. I used Candid B ointment with no results. It is still the same light red in glans as seen in the picture. Sometimes, foreskin becomes red then and there and disappears without any clue. 1.5 years before I had oral sex and got sharp teeth scratch in glans for which I doubted and took tests but it is negative for all the parameters and sugar is also normal. Kindly advise in this regard and what should be done for the redness to disappear. ### Response: Hi, Welcome to Chat Doctor forum. There are no active lesions in the photos. There will be some amount of redness with friction. Do not worry about it much. It appears there are no symptoms like itching. Avoid friction or irritation. Do not do forceful masturbation. Avoid using harsh soap or cleanser. Do not wash too frequently. Wash the area twice daily with warm water. You can apply the Candid (Clotrimazole) cream twice daily if too itchy or redness.

Hello doctor,I have redness in the foreskin and glans which becomes bright red when subjected to friction and becomes normal or very light red. This redness comes and goes often. It has been there for a year and above. I took all viral tests and it is negative for all. I used Candid B ointment with no results. It is still the same light red in glans as seen in the picture. Sometimes, foreskin becomes red then and there and disappears without any clue. 1.5 years before I had oral sex and got sharp teeth scratch in glans for which I doubted and took tests but it is negative for all the parameters and sugar is also normal. Kindly advise in this regard and what should be done for the redness to disappear.

Hi, Welcome to Chat Doctor forum. There are no active lesions in the photos. There will be some amount of redness with friction. Do not worry about it much. It appears there are no symptoms like itching. Avoid friction or irritation. Do not do forceful masturbation. Avoid using harsh soap or cleanser. Do not wash too frequently. Wash the area twice daily with warm water. You can apply the Candid (Clotrimazole) cream twice daily if too itchy or redness.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 20-year-old female. About a week ago, I noticed an ingrown hair in my pubic area. I left it for a couple of days and then put a hot compression on the area, exfoliated, and tried to free the hair. I used a pin to pull the end out of the skin so I could tweeze the hair out, but I ended up popping the pump and pus just started oozing out. It was sore the next morning and I let it go until tonight, I tried to free the hair again and just ended up squeezing the lump, this time it was a bit larger, again blood and pus came out, but I pulled a hair out with the tweezers and I believe that it was the ingrown hair. I just noticed that my right lymph node in my neck and my groin area are swollen. I would rather not go to see my doctor. Any advice? And the tweezers and pin were both sterilized both times. ### Response: Hi. After going through your history, I suppose you are having folliculitis. The lesion is filled with pus, then the best way to get rid of it completely is to incise and ChatDoctor. After Take care.

Hello doctor,I am a 20-year-old female. About a week ago, I noticed an ingrown hair in my pubic area. I left it for a couple of days and then put a hot compression on the area, exfoliated, and tried to free the hair. I used a pin to pull the end out of the skin so I could tweeze the hair out, but I ended up popping the pump and pus just started oozing out. It was sore the next morning and I let it go until tonight, I tried to free the hair again and just ended up squeezing the lump, this time it was a bit larger, again blood and pus came out, but I pulled a hair out with the tweezers and I believe that it was the ingrown hair. I just noticed that my right lymph node in my neck and my groin area are swollen. I would rather not go to see my doctor. Any advice? And the tweezers and pin were both sterilized both times.

Hi. After going through your history, I suppose you are having folliculitis. The lesion is filled with pus, then the best way to get rid of it completely is to incise and ChatDoctor. After Take care.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I have a problem with a frequent cough, cold, fatigue, etc. I started taking Chyawanprash and Maha Sudarshana churna in the morning and Chyawanprash and Triphala powder at night. After 1 month of usage, I feel quite better. Further, I also have fatigue, insomnia, and stress. So, I am planning to include Ashwagandha and Brahmi also in my daily intake. Can you please suggest if I can take Chyawanprash, Maha Sudarshana churna, Triphala, Ashwagandha and Brahmi every day? ### Response: Hello, Welcome to Chat Doctor forum. I just read your query. Chawyanprash and Maha Sudarshan churan are very good for your problems like cough and cold. You can take Chawyanprash regularly for three to four months. As it is good for increasing immunity, you can continue it. You have already taken Sudarshan churan for one month. Try not to take it for too long, because you cannot depend on medication completely. As you have other problems like insomnia, stress, fatigue, low stamina, etc. you can take Ashwagandha and Brahmi daily. Take the medicines as follows

Hi doctor,I have a problem with a frequent cough, cold, fatigue, etc. I started taking Chyawanprash and Maha Sudarshana churna in the morning and Chyawanprash and Triphala powder at night. After 1 month of usage, I feel quite better. Further, I also have fatigue, insomnia, and stress. So, I am planning to include Ashwagandha and Brahmi also in my daily intake. Can you please suggest if I can take Chyawanprash, Maha Sudarshana churna, Triphala, Ashwagandha and Brahmi every day?

Hello, Welcome to Chat Doctor forum. I just read your query. Chawyanprash and Maha Sudarshan churan are very good for your problems like cough and cold. You can take Chawyanprash regularly for three to four months. As it is good for increasing immunity, you can continue it. You have already taken Sudarshan churan for one month. Try not to take it for too long, because you cannot depend on medication completely. As you have other problems like insomnia, stress, fatigue, low stamina, etc. you can take Ashwagandha and Brahmi daily. Take the medicines as follows

### Instruction: Answer this question truthfully ###Input: Hi doctor,My age is 23 years and on the seventh day of my period. I had intercourse for the first time at 11 AM. Then, I had a sudden bleeding spot starting and I took I-pill at 6 PM. I have started nausea, feeling like vomiting, and next morning chills with fever, and weakness. So., I am worried about pregnancy. Any chance there is pregnancy? ### Response: Hello. As you said it is your first time having intercourse, you observed bleeding and then after an emergency pill, you had vomiting and then fever and chill. After the first time of penetrative vaginal sex, there Is hymen rupture that causes bleeding after sex. That could be a bit different in amount from person to person. After first sex, you may have some symptoms. Those can be exaggerated by hormonal emergency pills and differ from person to person. As you have taken I-pill already if it is taken in the right dosage, then least chances of pregnancy actually. Pregnancy is expected more likely in the fertileperiod with unprotected sex than in the rest of the cycle. And after I-pill, it is least likely. For more information consult an obstetrician and gynaecologist online Take care.

Hi doctor,My age is 23 years and on the seventh day of my period. I had intercourse for the first time at 11 AM. Then, I had a sudden bleeding spot starting and I took I-pill at 6 PM. I have started nausea, feeling like vomiting, and next morning chills with fever, and weakness. So., I am worried about pregnancy. Any chance there is pregnancy?

Hello. As you said it is your first time having intercourse, you observed bleeding and then after an emergency pill, you had vomiting and then fever and chill. After the first time of penetrative vaginal sex, there Is hymen rupture that causes bleeding after sex. That could be a bit different in amount from person to person. After first sex, you may have some symptoms. Those can be exaggerated by hormonal emergency pills and differ from person to person. As you have taken I-pill already if it is taken in the right dosage, then least chances of pregnancy actually. Pregnancy is expected more likely in the fertileperiod with unprotected sex than in the rest of the cycle. And after I-pill, it is least likely. For more information consult an obstetrician and gynaecologist online Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am an 18-year-old female. I have a cold with chest pain, fatigue and difficulty breathing for three days up till now, without physically consulting a doctor. I have had pneumonia last year and I am afraid that I might get again as I am starting to show some symptoms of pneumonia. Should I be concerned? ### Response: Hi, Welcome to Chat Doctor forum. Just saw your letter that you been having a difficulty breathing and you are concerned about pneumonia. I would like to get some more information in terms of fever, difficulty breathing, bringing up sputum. Is it yellow color or white color. If you are having all the symptoms you have to get chest X-ray and medications. We will have to take Paracetamol 650 mg three times a day, antibiotics Amoxicillin-Clavulanic acid 625 milligrams twice daily for five days and take a tablet Fexofenadine 120 milligram at night for five days. In addition, you can take tablet Pantocid 40 mg 30 minutes before food for five days. Despite all this medication, if you continue to have a fever and the symptoms are not better, seek medical attention from a nearby doctor.

Hello doctor,I am an 18-year-old female. I have a cold with chest pain, fatigue and difficulty breathing for three days up till now, without physically consulting a doctor. I have had pneumonia last year and I am afraid that I might get again as I am starting to show some symptoms of pneumonia. Should I be concerned?

Hi, Welcome to Chat Doctor forum. Just saw your letter that you been having a difficulty breathing and you are concerned about pneumonia. I would like to get some more information in terms of fever, difficulty breathing, bringing up sputum. Is it yellow color or white color. If you are having all the symptoms you have to get chest X-ray and medications. We will have to take Paracetamol 650 mg three times a day, antibiotics Amoxicillin-Clavulanic acid 625 milligrams twice daily for five days and take a tablet Fexofenadine 120 milligram at night for five days. In addition, you can take tablet Pantocid 40 mg 30 minutes before food for five days. Despite all this medication, if you continue to have a fever and the symptoms are not better, seek medical attention from a nearby doctor.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 28 years old. I got pregnant three months back. At 1.5 months, I went for a regular check-up. Everything came normal except for my TSH level, which came out to be 5.57. I have not gone for thyroid test before. Doctor gave me 50 mg Thyronorm to be taken daily as she termed it hypothyroidism. After one month when tests are done again, TSH came out to be 1.67, but anti-TPO antibodies are present and 278. Please explain what does this mean? Do I have to take medication life long? Does it have any harmful effects on my kids, I am expecting twins. Doctor asked me to continue medication even after delivery. What does it mean? ### Response: Hello. Elevated levels of anti-TPO antibodies indicate you have autoimmune thyroiditis. Do not worry about these terminologies, what it shows is you may have the disease even after the delivery. But that does not mean that you need to take medications life long. It can become normal by itself also. Since your TSH level is controlled now with medication, there are no harmful effects on your kids but keep taking ChatDoctor.

Hello doctor,I am 28 years old. I got pregnant three months back. At 1.5 months, I went for a regular check-up. Everything came normal except for my TSH level, which came out to be 5.57. I have not gone for thyroid test before. Doctor gave me 50 mg Thyronorm to be taken daily as she termed it hypothyroidism. After one month when tests are done again, TSH came out to be 1.67, but anti-TPO antibodies are present and 278. Please explain what does this mean? Do I have to take medication life long? Does it have any harmful effects on my kids, I am expecting twins. Doctor asked me to continue medication even after delivery. What does it mean?

Hello. Elevated levels of anti-TPO antibodies indicate you have autoimmune thyroiditis. Do not worry about these terminologies, what it shows is you may have the disease even after the delivery. But that does not mean that you need to take medications life long. It can become normal by itself also. Since your TSH level is controlled now with medication, there are no harmful effects on your kids but keep taking ChatDoctor.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have gallbladder mass and jaundice. Please help. ### Response: Hello, Welcome to Chat Doctor forum. I have gone through the above reports (attachment removed to protect patient identity). Before going further, I would like to know a few details, 1. What is the general condition of the patient? 2. Any other illness like diabetes, hypertension, and, kidney problems? As per reports, it looks like gall bladder cancer. It is locally advanced probably unresectable because of jaundice. I would like to see films and patient myself though. The first step, in this case, to bring down bilirubin by putting PTBD (percutaneous transhepatic biliary ChatDoctor. If the general condition is good and bilirubin comes down to normal, we can start chemotherapy and also look for the possibility of surgery after four cycles of chemotherapy. Both surgeon and medical oncologist should see a patient decide a proper line of treatment. If the disease is metastatic, then there are no roles of surgery and only chemotherapy is advised. It helps in controlling the disease for the time being. If the condition of the patient is not good, then only palliative care is advised. If you have any further questions, I would be happy to help.

Hello doctor,I have gallbladder mass and jaundice. Please help.

Hello, Welcome to Chat Doctor forum. I have gone through the above reports (attachment removed to protect patient identity). Before going further, I would like to know a few details, 1. What is the general condition of the patient? 2. Any other illness like diabetes, hypertension, and, kidney problems? As per reports, it looks like gall bladder cancer. It is locally advanced probably unresectable because of jaundice. I would like to see films and patient myself though. The first step, in this case, to bring down bilirubin by putting PTBD (percutaneous transhepatic biliary ChatDoctor. If the general condition is good and bilirubin comes down to normal, we can start chemotherapy and also look for the possibility of surgery after four cycles of chemotherapy. Both surgeon and medical oncologist should see a patient decide a proper line of treatment. If the disease is metastatic, then there are no roles of surgery and only chemotherapy is advised. It helps in controlling the disease for the time being. If the condition of the patient is not good, then only palliative care is advised. If you have any further questions, I would be happy to help.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I had unprotected sex 90 days back and my symptoms now are penis pain. The body pains, muscles pain, and my upper lips have white spots. Two months ago, I got a sinus surgery. I am afraid of HIV. After 65 days of the exposure, I had an RNA-PCR test done, p24 and a duo combo test. In 90 days, I had a Western Blot and ELISA test and everything came negative. I have a tonsils problem too. ### Response: Hello, Welcome to Chat Doctor forum. I have gone through your problem and understand your concern. As all the test for HIV (human immunodeficiency virus) are negative at the initial level and after 90 days, it means you are not infected with this virus. So do not panic. Pain at multiple sites can be due to other medical conditions that are psychological in origin because of excessive worry and anxiety. For white spots on the upper lips, get a consultation with a dermatologist to find the cause of it. Probably you are having too much anxiety as to suffering from a serious infection. In such situations, SSRI (selective serotonin reuptake inhibitors) and psychotherapy are helpful. For more information consult a sexologist online

Hello doctor,I had unprotected sex 90 days back and my symptoms now are penis pain. The body pains, muscles pain, and my upper lips have white spots. Two months ago, I got a sinus surgery. I am afraid of HIV. After 65 days of the exposure, I had an RNA-PCR test done, p24 and a duo combo test. In 90 days, I had a Western Blot and ELISA test and everything came negative. I have a tonsils problem too.

Hello, Welcome to Chat Doctor forum. I have gone through your problem and understand your concern. As all the test for HIV (human immunodeficiency virus) are negative at the initial level and after 90 days, it means you are not infected with this virus. So do not panic. Pain at multiple sites can be due to other medical conditions that are psychological in origin because of excessive worry and anxiety. For white spots on the upper lips, get a consultation with a dermatologist to find the cause of it. Probably you are having too much anxiety as to suffering from a serious infection. In such situations, SSRI (selective serotonin reuptake inhibitors) and psychotherapy are helpful. For more information consult a sexologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,Today I checked my liver function test. My SGOT is 40 (5 to 35), SGPT 55 (5 to 40), but when I searched online, the normal range is SGOT (5 to 40), SGPT (7 to 56). What to do? And the doctor asked me to take fibroscan. Actually fibroscan is three stage in fatty liver. Should I take fibroscan? ### Response: Hi, Welcome to Chat Doctor forum. I just went through your symptoms and I also saw your laboratory investigation reports (attachment removed to protect patient identity). Your liver function test enzymes are very normal and you do not have to worry about it. The second thing is your hepatitis B surface antigen is reactive which means you are hepatitis B positive. At this point in time, what you have to do is go for a further evaluation with viral load and you will have to take care of hepatitis B treatment. You do not need to get fibroscan. You do not have to get it done at present. Instead, if you have an ultrasonogram or CT scan of the whole abdomen that might be able to tell you if you have any underlying lesions in the liver.

Hello doctor,Today I checked my liver function test. My SGOT is 40 (5 to 35), SGPT 55 (5 to 40), but when I searched online, the normal range is SGOT (5 to 40), SGPT (7 to 56). What to do? And the doctor asked me to take fibroscan. Actually fibroscan is three stage in fatty liver. Should I take fibroscan?

Hi, Welcome to Chat Doctor forum. I just went through your symptoms and I also saw your laboratory investigation reports (attachment removed to protect patient identity). Your liver function test enzymes are very normal and you do not have to worry about it. The second thing is your hepatitis B surface antigen is reactive which means you are hepatitis B positive. At this point in time, what you have to do is go for a further evaluation with viral load and you will have to take care of hepatitis B treatment. You do not need to get fibroscan. You do not have to get it done at present. Instead, if you have an ultrasonogram or CT scan of the whole abdomen that might be able to tell you if you have any underlying lesions in the liver.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I went to the dentist because I am having bad breath problem whole day from last eight years. This bad breath is also there after brushing. The doctor did scaling and polishing and gave me a mouthwash (Chlorhexidine gluconate solution) but it did not work. I am still having bad breath. One of the dentist suggested me to go for ENT. When I wake up in the morning my mouth smells very very bad, then after brushing also my mouth start smelling after few minutes, brushing two times a day did not make any effect on my bad breath. My friends say you have unusual smell in your mouth because of which I am not able to talk with anyone. This unpleasant smell is not for some time, it is the whole day. Do not know why. Please help me. X-ray paranasal sinuses were done and ENT specialist said everything is fine. ### Response: Hello. The patient is suffering from halitosis or GERD (gastro-esophageal reflux disease). Practice good oral hygiene. Brush twice a day with fluoride toothpaste to remove food debris and plaque. See your dentist regularly, at least twice a year. Stop smoking and chewing tobacco-based products. Cut down on coffee, ChatDoctor.

Hello doctor,I went to the dentist because I am having bad breath problem whole day from last eight years. This bad breath is also there after brushing. The doctor did scaling and polishing and gave me a mouthwash (Chlorhexidine gluconate solution) but it did not work. I am still having bad breath. One of the dentist suggested me to go for ENT. When I wake up in the morning my mouth smells very very bad, then after brushing also my mouth start smelling after few minutes, brushing two times a day did not make any effect on my bad breath. My friends say you have unusual smell in your mouth because of which I am not able to talk with anyone. This unpleasant smell is not for some time, it is the whole day. Do not know why. Please help me. X-ray paranasal sinuses were done and ENT specialist said everything is fine.

Hello. The patient is suffering from halitosis or GERD (gastro-esophageal reflux disease). Practice good oral hygiene. Brush twice a day with fluoride toothpaste to remove food debris and plaque. See your dentist regularly, at least twice a year. Stop smoking and chewing tobacco-based products. Cut down on coffee, ChatDoctor.

### Instruction: Answer this question truthfully ###Input: Hello doctor,Almost two years back, I was diagnosed with psychosis. I improved in two months after taking treatment. I took medicine (Olanzapine) for nearly 9 to 10 months then I stopped taking the medication as I recovered from it completely. I did not consult doctors. Still, my condition is good, and I face no such psychological problems. But I had a blackout episode lately when I was heavily drunk. Should I start taking the same medicine Olanzapine? As I do not want to go to for check-up any more. ### Response: Hello. Psychosis should not be taken lightly because psychosis is a term that reflects a variety of explanation like it may be schizophrenia, it may be due to depression, may be secondary to alcohol or any other condition, so diagnosis is very important, that your primary doctor knows better. And every diagnosis has a different course of treatment, as for as you alcohol is a concern that blackout means you should be more concern and should be adequately treated. Do not stop it suddenly, and try not to ChatDoctor. Go to your doctor and tell your history he would help you to deal with the problem and you need to have health check-up and lab investigation for sure.

Hello doctor,Almost two years back, I was diagnosed with psychosis. I improved in two months after taking treatment. I took medicine (Olanzapine) for nearly 9 to 10 months then I stopped taking the medication as I recovered from it completely. I did not consult doctors. Still, my condition is good, and I face no such psychological problems. But I had a blackout episode lately when I was heavily drunk. Should I start taking the same medicine Olanzapine? As I do not want to go to for check-up any more.

Hello. Psychosis should not be taken lightly because psychosis is a term that reflects a variety of explanation like it may be schizophrenia, it may be due to depression, may be secondary to alcohol or any other condition, so diagnosis is very important, that your primary doctor knows better. And every diagnosis has a different course of treatment, as for as you alcohol is a concern that blackout means you should be more concern and should be adequately treated. Do not stop it suddenly, and try not to ChatDoctor. Go to your doctor and tell your history he would help you to deal with the problem and you need to have health check-up and lab investigation for sure.

### Instruction: Answer this question truthfully ###Input: Hello doctor,Six months back I was diagnosed by two doctors and tests with carpal tunnel syndrome. The suggestion was to go for an operation which regretfully I delayed until recently. The symptoms got worse. Now I have an appointment next month with a specialist. Meanwhile, I have pins and needles in the most upper part of my arm, basically in the shoulder for 15 to 20 minutes. They come totally unexpected, whether I move or not. They appear up to 15 times, typically in the morning when getting up. There is no pain, it is just very unpleasant and frightening since I cannot control it. Secondly, during the night when in bed my neck becomes very stiff, causing pain to wake me. A new medical cushion has not helped. My question is that are both symptoms related to CTS since I always thought this is located to the hand only. Can I expect relief after the operation or could this be something different? Currently, I am taking Atorvastatin, Atenolol, Exforge, Tamsulosin, Allopurinol. ### Response: Hi. Carpel tunnel syn ChatDoctor. However, it could be due to cervical nerve compression. This could be associated with or without the carpel tunnel syn

Hello doctor,Six months back I was diagnosed by two doctors and tests with carpal tunnel syndrome. The suggestion was to go for an operation which regretfully I delayed until recently. The symptoms got worse. Now I have an appointment next month with a specialist. Meanwhile, I have pins and needles in the most upper part of my arm, basically in the shoulder for 15 to 20 minutes. They come totally unexpected, whether I move or not. They appear up to 15 times, typically in the morning when getting up. There is no pain, it is just very unpleasant and frightening since I cannot control it. Secondly, during the night when in bed my neck becomes very stiff, causing pain to wake me. A new medical cushion has not helped. My question is that are both symptoms related to CTS since I always thought this is located to the hand only. Can I expect relief after the operation or could this be something different? Currently, I am taking Atorvastatin, Atenolol, Exforge, Tamsulosin, Allopurinol.

Hi. Carpel tunnel syn ChatDoctor. However, it could be due to cervical nerve compression. This could be associated with or without the carpel tunnel syn

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am an 18-year-old medical student and I enjoy playing rugby at a high level. I have already ruptured my ACL twice on my left leg (twice reconstruction surgery) and I am now very sure I have ruptured my right ACL as well. Would it be possible for me to carry on playing rugby in the near future when I regain strength in my right leg and the swelling subsides, if I use a brace or strap it up when I train and play? ### Response: Hello, Welcome to Chat Doctor forum. I have read your concern. It will not be comfortable for you to play with an ACL brace if you have grade 3 ACL tear as twisting and turning will not be quick and comfortable to the level game demands. If you have kind of grade 2 then you can strengthen and then have a support and play (again depends on the level of involvement of the fibers, more than 50 % then you should consider surgical reconstruction option as you will always be at risk of progressing it to complete tear. In either case, start your rehabilitation exercises. Can use brace while training. There is a risk of loading certain areas of the joint leading to early bony erosion. It may not be a very good idea.

Hi doctor,I am an 18-year-old medical student and I enjoy playing rugby at a high level. I have already ruptured my ACL twice on my left leg (twice reconstruction surgery) and I am now very sure I have ruptured my right ACL as well. Would it be possible for me to carry on playing rugby in the near future when I regain strength in my right leg and the swelling subsides, if I use a brace or strap it up when I train and play?

Hello, Welcome to Chat Doctor forum. I have read your concern. It will not be comfortable for you to play with an ACL brace if you have grade 3 ACL tear as twisting and turning will not be quick and comfortable to the level game demands. If you have kind of grade 2 then you can strengthen and then have a support and play (again depends on the level of involvement of the fibers, more than 50 % then you should consider surgical reconstruction option as you will always be at risk of progressing it to complete tear. In either case, start your rehabilitation exercises. Can use brace while training. There is a risk of loading certain areas of the joint leading to early bony erosion. It may not be a very good idea.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I had my tooth removed and a dental implant done five months ago. About three months ago it got infected. I went to my dentist, who cleaned out the infection and prescribed antibiotics. The infection did not go away, so I was prescribed antibiotics two more times. Once again, the infection is back. So over the past two months, I have gotten an infection four times and each time had been prescribed antibiotics, which seem to only temporarily fix the situation. I am at a bit of a loss for what to do because my dentist cannot seem to get rid of this infection. ### Response: Hi, Welcome to Chat Doctor forum. That is hard that you got infected several times. If still infection persists, now your dentist must remove the implant and let the area heal. Maybe this foreign body is not accepted well by the immunity of your body so infection had occurred. Antibiotic coverage is enough once in a month, you are already given multiple times this means ultimately we have to remove the cause to get it right. Ask your dentist to do this removal work without much cost because five months is less period and comes under warranty period of time for an implant. Give me followup of your case in a week. Stay happy and blessed. Take care.

Hello doctor,I had my tooth removed and a dental implant done five months ago. About three months ago it got infected. I went to my dentist, who cleaned out the infection and prescribed antibiotics. The infection did not go away, so I was prescribed antibiotics two more times. Once again, the infection is back. So over the past two months, I have gotten an infection four times and each time had been prescribed antibiotics, which seem to only temporarily fix the situation. I am at a bit of a loss for what to do because my dentist cannot seem to get rid of this infection.

Hi, Welcome to Chat Doctor forum. That is hard that you got infected several times. If still infection persists, now your dentist must remove the implant and let the area heal. Maybe this foreign body is not accepted well by the immunity of your body so infection had occurred. Antibiotic coverage is enough once in a month, you are already given multiple times this means ultimately we have to remove the cause to get it right. Ask your dentist to do this removal work without much cost because five months is less period and comes under warranty period of time for an implant. Give me followup of your case in a week. Stay happy and blessed. Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have had POTS syndrome for 5 years and recently had loop recorder implanted. I have been told that I have atrial tachycardia and need ablation. Will ablation make POTS worse? ### Response: Hi, Welcome to Chat Doctor forum. I assure you not to worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns. No, cardiac ablation will not cause any derangements in your progressing disease of Postural Orthostatic Tachycardia Syn ChatDoctor. It will rather help improve the symptoms of the disease and will lower the racing heart (tachycardia) feelings. I advise you to do aerobic exercise on a regular basis so that venous return from the lower extremities can be increased. If you experience feelings of dizziness to the extent of syncope (fainting), I advise you to wear graded compression hosiery extending up to the waist, thus helping to increase static pressure in the legs and decrease venous pooling in the lower extremities. Autonomic nervous system problems, conduction defect in heart. Take plenty of fluids with at least 3\\x80\\x935\\x80\\x85g of common salt daily. Avoid standing for long hours.

Hello doctor,I have had POTS syndrome for 5 years and recently had loop recorder implanted. I have been told that I have atrial tachycardia and need ablation. Will ablation make POTS worse?

Hi, Welcome to Chat Doctor forum. I assure you not to worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns. No, cardiac ablation will not cause any derangements in your progressing disease of Postural Orthostatic Tachycardia Syn ChatDoctor. It will rather help improve the symptoms of the disease and will lower the racing heart (tachycardia) feelings. I advise you to do aerobic exercise on a regular basis so that venous return from the lower extremities can be increased. If you experience feelings of dizziness to the extent of syncope (fainting), I advise you to wear graded compression hosiery extending up to the waist, thus helping to increase static pressure in the legs and decrease venous pooling in the lower extremities. Autonomic nervous system problems, conduction defect in heart. Take plenty of fluids with at least 3\\x80\\x935\\x80\\x85g of common salt daily. Avoid standing for long hours.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am 38 years old. Two days back, I was playing with my neighbor\\s dog (small one), my middle finger got scratch or bitten. I am not sure, but there were very few drops of blood. So, should I take the anti-rabies vaccine? Is it completely safe to take it even without a dog bite? Any side effect in future if you take it without dog bite? ### Response: Hello, Welcome to Chat Doctor forum. The anti-rabies vaccine should be taken if there is a dog bite or dog licks the mucous membrane like nose, eyes or mouth or wounded skin or a dog scratch. Wash the wound completely under running tap water with soap for 15 minutes. Watch and observe the dog for a period of 10 days for any unnatural behavior, activities or death. There are no dietary restrictions before or after a rabies vaccine. Vegetarian, as well as non-vegetarian food, is allowed, but do not consume alcohol while under treatment. Do not take any other vaccine other than tetanus (if required) during the treatment protocol. So, in your case, you do require the vaccine cover as a scratch requires the vaccine. So, do not worry about side-effects.

Hello doctor,I am 38 years old. Two days back, I was playing with my neighbor\\s dog (small one), my middle finger got scratch or bitten. I am not sure, but there were very few drops of blood. So, should I take the anti-rabies vaccine? Is it completely safe to take it even without a dog bite? Any side effect in future if you take it without dog bite?

Hello, Welcome to Chat Doctor forum. The anti-rabies vaccine should be taken if there is a dog bite or dog licks the mucous membrane like nose, eyes or mouth or wounded skin or a dog scratch. Wash the wound completely under running tap water with soap for 15 minutes. Watch and observe the dog for a period of 10 days for any unnatural behavior, activities or death. There are no dietary restrictions before or after a rabies vaccine. Vegetarian, as well as non-vegetarian food, is allowed, but do not consume alcohol while under treatment. Do not take any other vaccine other than tetanus (if required) during the treatment protocol. So, in your case, you do require the vaccine cover as a scratch requires the vaccine. So, do not worry about side-effects.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have had numbness in my toes for approximately three months. Sometimes there is a little bit of tingling along with it. It has not affected the activity or my way of life. I also have backache and a lot of degeneration in the back. I am on Levothyroxine, Rouvostatin, and Aspirin. Occasionally I take Xanax for anxiety.Also, I had ankle surgery before four months on my right ankle, and this is the second surgery on that ankle. The numbness and tingling started just around that time. I also drank wine. I can drink anywhere from two to four glasses a day, but there have been many times when I go without alcohol for months at a time. I am getting very anxious about this, and I understand there are many many causes for numbness and tingling and that it can be very progressive. I would like to know if my liver enzymes are normal, is it possible to have alcohol neuropathy? ### Response: Hello. I would ask you whether your problem of numbness on feet is only restricted to the operated ankle or it is on both feet? Moreover, you seem to be ChatDoctor. Alcoholic neuropathy is bilateral, and if you have on both legs, you need to stop

Hello doctor,I have had numbness in my toes for approximately three months. Sometimes there is a little bit of tingling along with it. It has not affected the activity or my way of life. I also have backache and a lot of degeneration in the back. I am on Levothyroxine, Rouvostatin, and Aspirin. Occasionally I take Xanax for anxiety.Also, I had ankle surgery before four months on my right ankle, and this is the second surgery on that ankle. The numbness and tingling started just around that time. I also drank wine. I can drink anywhere from two to four glasses a day, but there have been many times when I go without alcohol for months at a time. I am getting very anxious about this, and I understand there are many many causes for numbness and tingling and that it can be very progressive. I would like to know if my liver enzymes are normal, is it possible to have alcohol neuropathy?

Hello. I would ask you whether your problem of numbness on feet is only restricted to the operated ankle or it is on both feet? Moreover, you seem to be ChatDoctor. Alcoholic neuropathy is bilateral, and if you have on both legs, you need to stop

### Instruction: Answer this question truthfully ###Input: Hello doctor,I and my fiancee had sex. I did not have a condom. I penetrated her and we had sex for a good five minutes. I pulled out way before I ejaculation. The day before she said that she was in her period. She also said that she does take the pill but it is only for her breakouts on her face. And I do not know if this matters but I do masturbate a lot like at least every day. So what is the likelyhood that she is pregnant? ### Response: Hello. The fact that she had her menses the day before the episode, so the chances of pregnancy are minimal. However, unprotected intercourse can often allow even the precum to cause pregnancy in spite of having ejaculated outside as it is known to contain live active sperms. So the chances of her being pregnant would have been good if she would not have menstruated or if she would have just spotted. The earliest and the best way to rule out pregnancy would be to get a serum beta hCG test done after eight days post intercourse. If the hCG levels are less than 3 mIU then she is surely not pregnant and her bleed is definitely that of her menses. I hope I have answered your query.

Hello doctor,I and my fiancee had sex. I did not have a condom. I penetrated her and we had sex for a good five minutes. I pulled out way before I ejaculation. The day before she said that she was in her period. She also said that she does take the pill but it is only for her breakouts on her face. And I do not know if this matters but I do masturbate a lot like at least every day. So what is the likelyhood that she is pregnant?

Hello. The fact that she had her menses the day before the episode, so the chances of pregnancy are minimal. However, unprotected intercourse can often allow even the precum to cause pregnancy in spite of having ejaculated outside as it is known to contain live active sperms. So the chances of her being pregnant would have been good if she would not have menstruated or if she would have just spotted. The earliest and the best way to rule out pregnancy would be to get a serum beta hCG test done after eight days post intercourse. If the hCG levels are less than 3 mIU then she is surely not pregnant and her bleed is definitely that of her menses. I hope I have answered your query.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have been experiencing headaches for the last three days. It is more of a burning or tingling feeling at the back of the head that seems to travel to the front sometimes. It is not a severe headache it is more of a dull ache and also my scalp feels sensitive when I scratch or touch in those areas. I have no eyesight problems besides blepharitis and no unsteadiness or vomiting.I have done an MRI of head and neck six months back and it was clear, and I was diagnosed with fibromyalgia four months back. ### Response: Hello, Welcome to Chat Doctor forum. Regarding your concern, I would explain that your symptoms are suggestive of tension type headache, which is a benign type of headache related to psychological stress. A wrong posture can also cause such type of headache. So, in my opinion, there is no reason to panic. I would just recommend taking painkillers (Acetaminophen or Ibuprofen) and try to relax. A warm bath can help too. If the headaches persist, I would recommend taking Duloxetine (considering also the diagnosis of fibromyalgia) or Amitriptyline. There is no need for brain MRI, as I am sure that it will result in normal. I hope this helps.

Hello doctor,I have been experiencing headaches for the last three days. It is more of a burning or tingling feeling at the back of the head that seems to travel to the front sometimes. It is not a severe headache it is more of a dull ache and also my scalp feels sensitive when I scratch or touch in those areas. I have no eyesight problems besides blepharitis and no unsteadiness or vomiting.I have done an MRI of head and neck six months back and it was clear, and I was diagnosed with fibromyalgia four months back.

Hello, Welcome to Chat Doctor forum. Regarding your concern, I would explain that your symptoms are suggestive of tension type headache, which is a benign type of headache related to psychological stress. A wrong posture can also cause such type of headache. So, in my opinion, there is no reason to panic. I would just recommend taking painkillers (Acetaminophen or Ibuprofen) and try to relax. A warm bath can help too. If the headaches persist, I would recommend taking Duloxetine (considering also the diagnosis of fibromyalgia) or Amitriptyline. There is no need for brain MRI, as I am sure that it will result in normal. I hope this helps.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have toothache. I have an unfinished root canal for about eight months, temporary filling has also fallen out. Now I am with severe pain. Unable to drink, eat, etc. What should I do to relieve the pain? OTC is not working. ### Response: Hi. I have read through your complaint and the relevant details. You said it is an eight months old treated tooth and also with incomplete root canal treatment. With this, I suspect that the tooth is severely infected and you might need to take a course of antibiotics along with pain killers as an emergency till you seek a dentist as soon as possible. Also do not worry that the temporary filling has fallen out. That is okay because if it was there, you would have got a swelling due to the severe infection pressurized within the boundaries of the tooth. Re-root canal treatment is highly questionable at this stage. Meanwhile, take the tablets as per the prescription. Capsule Amoxycillin 500 mg orally eight hourly for five days, tablet Metronidazole 400 mg orally 12 hourly for five days, tablet Ibuprofena and Paracetomol (200 mg and 500 mg) combination ChatDoctor. Note

Hello doctor,I have toothache. I have an unfinished root canal for about eight months, temporary filling has also fallen out. Now I am with severe pain. Unable to drink, eat, etc. What should I do to relieve the pain? OTC is not working.

Hi. I have read through your complaint and the relevant details. You said it is an eight months old treated tooth and also with incomplete root canal treatment. With this, I suspect that the tooth is severely infected and you might need to take a course of antibiotics along with pain killers as an emergency till you seek a dentist as soon as possible. Also do not worry that the temporary filling has fallen out. That is okay because if it was there, you would have got a swelling due to the severe infection pressurized within the boundaries of the tooth. Re-root canal treatment is highly questionable at this stage. Meanwhile, take the tablets as per the prescription. Capsule Amoxycillin 500 mg orally eight hourly for five days, tablet Metronidazole 400 mg orally 12 hourly for five days, tablet Ibuprofena and Paracetomol (200 mg and 500 mg) combination ChatDoctor. Note

### Instruction: Answer this question truthfully ###Input: Hi doctor,My baby is now 1 year old. I got copper T inserted after 3 months of my delivery. I still have prolonged and heavy periods followed by spotting lasting for up to 10-15 days. There is no other issue that I face. Is it because of copper T insertion or can there be some other reason too?Will the copper T removal solve the problem? How will the removal regularize my periods? What are the other birth control methods which are safe (I am not much inclined towards hormonal methods since they lead to weight gain etc)? ### Response: Hi, Welcome to Chat Doctor forum. I have read and understood your problem. How was the bleeding before pregnancy and for 3 months after delivery? Was your delivery a normal or C-section? Whether the copper-T is properly placed or not or to see some other cause for heavy bleeding you need to take a transvaginal ultrasound -TVS. Sometimes if the bleeding continues then removal is the treatment, the period will regularize if it is due to copper T. If the cause is something else and the spotting continues, you will have to get treatment. There are medicines which can reduce the amount of bleeding. You need a clinical check-up.

Hi doctor,My baby is now 1 year old. I got copper T inserted after 3 months of my delivery. I still have prolonged and heavy periods followed by spotting lasting for up to 10-15 days. There is no other issue that I face. Is it because of copper T insertion or can there be some other reason too?Will the copper T removal solve the problem? How will the removal regularize my periods? What are the other birth control methods which are safe (I am not much inclined towards hormonal methods since they lead to weight gain etc)?

Hi, Welcome to Chat Doctor forum. I have read and understood your problem. How was the bleeding before pregnancy and for 3 months after delivery? Was your delivery a normal or C-section? Whether the copper-T is properly placed or not or to see some other cause for heavy bleeding you need to take a transvaginal ultrasound -TVS. Sometimes if the bleeding continues then removal is the treatment, the period will regularize if it is due to copper T. If the cause is something else and the spotting continues, you will have to get treatment. There are medicines which can reduce the amount of bleeding. You need a clinical check-up.

### Instruction: Answer this question truthfully ###Input: Hello doctor,My 15 month old baby is having spots with pus. It is itchy and scaly. The spots have increased in a week. It seems to heal, but then they appear in other region. I have attached the photos. Kindly check them. Thank you. ### Response: Hello. I have gone through the photos (attachment removed to protect patient identity). You child has atopic eczema (atopic dermatitis). He scratched it a lot and so the lesion got infected. Basically, two things have to be in mind. Atopic eczema is very common problem, as age increases it goes of itself. Keep the skin moisturized. Use some good moisturizer and apply it four to five times in a day. More the skin is hy ChatDoctor. Avoid exposure to dust, chemical, powder, irritant clothes, spicy food and sea food. Cut the nails and keep body clean. Avoid over use of soap and shampoo as these are too chemical only. Use steroid cream like Diprovate (Betamethasone dipropionate), Clonate (Clobetasol propionate) over itchy eczema. It should not be applied on infected, crusted and bled part. Antihistamines are a must. Give syrup Atarax (Hy

Hello doctor,My 15 month old baby is having spots with pus. It is itchy and scaly. The spots have increased in a week. It seems to heal, but then they appear in other region. I have attached the photos. Kindly check them. Thank you.

Hello. I have gone through the photos (attachment removed to protect patient identity). You child has atopic eczema (atopic dermatitis). He scratched it a lot and so the lesion got infected. Basically, two things have to be in mind. Atopic eczema is very common problem, as age increases it goes of itself. Keep the skin moisturized. Use some good moisturizer and apply it four to five times in a day. More the skin is hy ChatDoctor. Avoid exposure to dust, chemical, powder, irritant clothes, spicy food and sea food. Cut the nails and keep body clean. Avoid over use of soap and shampoo as these are too chemical only. Use steroid cream like Diprovate (Betamethasone dipropionate), Clonate (Clobetasol propionate) over itchy eczema. It should not be applied on infected, crusted and bled part. Antihistamines are a must. Give syrup Atarax (Hy

### Instruction: Answer this question truthfully ###Input: Hello doctor,I usually get a popping and locking sensation in my left jaw which happens while eating and getting up in the morning. I also have a partially erupted wisdom tooth in that part. I read about TMJ on the internet and I am getting anxiety because of it. I am very afraid. Recently, the jaw got torn I think and I could not put my teeth together on the left side. It healed after five days of taking Zerodol-MR. I do not know what to do. Please advise as I am constantly thinking about it. ### Response: Hi, Welcome to Chat Doctor forum. There is nothing to be afraid of. You seem to have recurrent disc displacement. The main cause can be the one you mentioned, your half-erupted tooth. I suggest you get it removed and make sure you eat from both the sides. The joint gets stressed if you eat from only one side and that causes lockjaw.If you have any cavity get it filled as soon as possible. Make sure during wide mouth opening to hold your jaw with your hand in front of the eye. Check TMJ exercises on the internet and do it in front of the mirror daily. You will get healed within months. For more information consult a dentist online

Hello doctor,I usually get a popping and locking sensation in my left jaw which happens while eating and getting up in the morning. I also have a partially erupted wisdom tooth in that part. I read about TMJ on the internet and I am getting anxiety because of it. I am very afraid. Recently, the jaw got torn I think and I could not put my teeth together on the left side. It healed after five days of taking Zerodol-MR. I do not know what to do. Please advise as I am constantly thinking about it.

Hi, Welcome to Chat Doctor forum. There is nothing to be afraid of. You seem to have recurrent disc displacement. The main cause can be the one you mentioned, your half-erupted tooth. I suggest you get it removed and make sure you eat from both the sides. The joint gets stressed if you eat from only one side and that causes lockjaw.If you have any cavity get it filled as soon as possible. Make sure during wide mouth opening to hold your jaw with your hand in front of the eye. Check TMJ exercises on the internet and do it in front of the mirror daily. You will get healed within months. For more information consult a dentist online

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am 25 years old. What can be causing me to get widespread muscle twitching (twitches last about five seconds and go away and reoccur in a different muscle minutes or hours after)? Legs and hands get shaky, hands get sweaty, at night I feel like my legs are vibrating and my heart is pounding for no reason. I just noticed my hair is falling out too. I am also getting lots of anxiety, especially at night. I am in good health, I am a little overweight, not too much though. Should I get a blood test? ### Response: Hello. I have read through your question and would like to suggest that you should get a number of blood tests done. The following are the tests that I would suggest. All these tests are just to reach a proper diagnosis. It is necessary to know whether all these symptoms you are having are due to a pathological cause or physiological. You said that you have anxiety. Even anxiety alone can be a reason for your symptom complex. If all these tests come clear we may have to investigate the reason for your muscle twitchings. I hope I was able to help. If you have any further questions please feel free to contact. For more information consult a family physician online

Hi doctor,I am 25 years old. What can be causing me to get widespread muscle twitching (twitches last about five seconds and go away and reoccur in a different muscle minutes or hours after)? Legs and hands get shaky, hands get sweaty, at night I feel like my legs are vibrating and my heart is pounding for no reason. I just noticed my hair is falling out too. I am also getting lots of anxiety, especially at night. I am in good health, I am a little overweight, not too much though. Should I get a blood test?

Hello. I have read through your question and would like to suggest that you should get a number of blood tests done. The following are the tests that I would suggest. All these tests are just to reach a proper diagnosis. It is necessary to know whether all these symptoms you are having are due to a pathological cause or physiological. You said that you have anxiety. Even anxiety alone can be a reason for your symptom complex. If all these tests come clear we may have to investigate the reason for your muscle twitchings. I hope I was able to help. If you have any further questions please feel free to contact. For more information consult a family physician online

### Instruction: Answer this question truthfully ###Input: Hi doctor, I have gouty arthritis and currently, I am drinking Urinorm to lower my uric acid. I am not eating anything that may increase uric acid but I do eat fish and pork. Right now, I am experiencing a pain in my right foot and I was wondering if I can drink Colchicine. I bought it when I had my gout attack and I do not want to experience the pain again. I already had three attacks this year. Please suggest. ### Response: Hi, Welcome to ChatDoctor. First of all, you need to be sure that you are having pain due to an acute attack of gout or something else. Since you are already taking Urinorm, and if you have been regular in taking it, you should not have got the attack. In case you have been irregular in taking Urinorm or you have started it recently, it can be an acute attack. An acute attack is best treated by NSAIDs like Diclofenac along with Serratiopeptidase. Colchicine you can take but is not going to help you just in case you have been taking Urinorm regularly. So taking Diclofenac is the right choice at this point of time, with or without Colchicine. I hope this helps.

Hi doctor, I have gouty arthritis and currently, I am drinking Urinorm to lower my uric acid. I am not eating anything that may increase uric acid but I do eat fish and pork. Right now, I am experiencing a pain in my right foot and I was wondering if I can drink Colchicine. I bought it when I had my gout attack and I do not want to experience the pain again. I already had three attacks this year. Please suggest.

Hi, Welcome to ChatDoctor. First of all, you need to be sure that you are having pain due to an acute attack of gout or something else. Since you are already taking Urinorm, and if you have been regular in taking it, you should not have got the attack. In case you have been irregular in taking Urinorm or you have started it recently, it can be an acute attack. An acute attack is best treated by NSAIDs like Diclofenac along with Serratiopeptidase. Colchicine you can take but is not going to help you just in case you have been taking Urinorm regularly. So taking Diclofenac is the right choice at this point of time, with or without Colchicine. I hope this helps.

### Instruction: Answer this question truthfully ###Input: Hello doctor,Since last 7 to 8 months I am having an eye infection, like a stye. It is getting frequent almost after every 3 to 4 weeks. I recollect having collided with somebody about one and half years back, hurt on my right eye with somebody\\s elbow and had a swollen eye, very painful and under the eye, it is red and swollen. After about 4 to 5 days, it started healing, and gradually I forgot about it. Now with this frequent infection in the same eye after every 3 to 4 weeks which lasts 3 to 5 days, sometimes pus and little blood come out and sometimes it heals without any pus coming out. This time it started with an itch and has gradually swollen and is very itchy and painful and red and swollen inside and outside the eye. ### Response: Hello, Welcome to Chat Doctor forum. This is unrelated to that trauma with the elbow. This is suggestive of lid infection. Try warm compresses, apply an antibiotic ointment like Neosporin H (Bacitracin Zinc and Hy ChatDoctor. Once this episode is over then we need to evaluate your lids and lashes carefully as sometimes meibomitis or blepharitis cause recurrent lid infection.

Hello doctor,Since last 7 to 8 months I am having an eye infection, like a stye. It is getting frequent almost after every 3 to 4 weeks. I recollect having collided with somebody about one and half years back, hurt on my right eye with somebody\\s elbow and had a swollen eye, very painful and under the eye, it is red and swollen. After about 4 to 5 days, it started healing, and gradually I forgot about it. Now with this frequent infection in the same eye after every 3 to 4 weeks which lasts 3 to 5 days, sometimes pus and little blood come out and sometimes it heals without any pus coming out. This time it started with an itch and has gradually swollen and is very itchy and painful and red and swollen inside and outside the eye.

Hello, Welcome to Chat Doctor forum. This is unrelated to that trauma with the elbow. This is suggestive of lid infection. Try warm compresses, apply an antibiotic ointment like Neosporin H (Bacitracin Zinc and Hy ChatDoctor. Once this episode is over then we need to evaluate your lids and lashes carefully as sometimes meibomitis or blepharitis cause recurrent lid infection.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I just had an EGD with biopsy, polypectomy. It showed a hianal hernia 2 cm. I am attaching photos. The doctor took biopsies, said no cancer. I have had breast cancer in the past. I am having pain in the chest when I swallow, and sternum today. Will that subside? Is it from the bleeding? And, can you recommend the best pill to take for this pain, taking Pantoprazole now? And what should I take for this problem, what should I eat? (Can you assure there is no cancer)? ### Response: Hi. I have gone through the reports of your endoscopy (attachment removed to protect patient identity), as per the endoscopy you do not have any evidence of cancer. Have you received the reports of biopsy? If so, please forward it. The medications you have taken are appropriate. If symptoms persist, may consider doing a high-resolution manometry. Continue the same medications. May add Gaviscon tablet after major meals for one week. Refrain from lying down for at least for two hours after food. Elevate head end of the cot by six inches. Restrict citrus fruits. Restrict tea and coffee to two cups per day.

Hi doctor,I just had an EGD with biopsy, polypectomy. It showed a hianal hernia 2 cm. I am attaching photos. The doctor took biopsies, said no cancer. I have had breast cancer in the past. I am having pain in the chest when I swallow, and sternum today. Will that subside? Is it from the bleeding? And, can you recommend the best pill to take for this pain, taking Pantoprazole now? And what should I take for this problem, what should I eat? (Can you assure there is no cancer)?

Hi. I have gone through the reports of your endoscopy (attachment removed to protect patient identity), as per the endoscopy you do not have any evidence of cancer. Have you received the reports of biopsy? If so, please forward it. The medications you have taken are appropriate. If symptoms persist, may consider doing a high-resolution manometry. Continue the same medications. May add Gaviscon tablet after major meals for one week. Refrain from lying down for at least for two hours after food. Elevate head end of the cot by six inches. Restrict citrus fruits. Restrict tea and coffee to two cups per day.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have personal dermatitis. I was prescribed 12 weeks of 100 mg Doxycycline. However, I am skeptical about taking antibiotics as I have read that with a lot of people the rash returns upon finishing treatment. Also, it can mess up your gut which is apparently linked to perioral dermatitis. I have gone gluten, dairy and sugar free, started Probiotics, Zinc and Omega 3 supplements and the rash still persists. I also use Metro gel and also it helps my rash is still there. It is mild but is very annoying and sore. If I take antibiotics will it make things worse? Or should I go get allergy testing? I have also cut out flouride toothpaste and eliminated SLS. ### Response: Hi, Welcome to Chat Doctor forum. You can skip Doxycycline, if you have gut problems and you cannot tolerate it. If you are suspecting that your perioral dermatitis is due to contact of any allergic material, then go for allergy testing. Otherwise it will not benefit you. I would like to know your work. Any allergy to known material and picture of your leison? You can use mild steroid preparation over it for relief. Perioral dermatitis Apply hy ChatDoctor.

Hello doctor,I have personal dermatitis. I was prescribed 12 weeks of 100 mg Doxycycline. However, I am skeptical about taking antibiotics as I have read that with a lot of people the rash returns upon finishing treatment. Also, it can mess up your gut which is apparently linked to perioral dermatitis. I have gone gluten, dairy and sugar free, started Probiotics, Zinc and Omega 3 supplements and the rash still persists. I also use Metro gel and also it helps my rash is still there. It is mild but is very annoying and sore. If I take antibiotics will it make things worse? Or should I go get allergy testing? I have also cut out flouride toothpaste and eliminated SLS.

Hi, Welcome to Chat Doctor forum. You can skip Doxycycline, if you have gut problems and you cannot tolerate it. If you are suspecting that your perioral dermatitis is due to contact of any allergic material, then go for allergy testing. Otherwise it will not benefit you. I would like to know your work. Any allergy to known material and picture of your leison? You can use mild steroid preparation over it for relief. Perioral dermatitis Apply hy ChatDoctor.

### Instruction: Answer this question truthfully ###Input: Dear doctor,Recently, I was diagnosed with diabetes and my blood sugar fasting was 231 and random was 271 mg/dL. I consulted a doctor and he prescribed me Qosmet 500 mg/ 50mg twice a day and Amaryl 1 mg once in the morning. After a week, my sugar was under control and blood sugar fasting was 93 mg/dL and random was 111 mg/dL and 139 mg/dL. Three days I was fine but after that, I am feeling vertigo (dizziness). Kindly tell me why this is happening to me. Is it any side effect of the tablet I am taking or any other issue? ### Response: Hello. You should monitor your blood sugar twice a week and especially at those times when you are feeling dizzy. Initially, with the start of medication, you may have some low blood sugar symptoms due to the first effect of medications for treatment of diabetes. I suggest you buy a glucometer and keep a check of your blood glucose twice a week and also check your blood sugar whenever you have such kind of symptoms like dizziness, sweating, and irritability. For more information consult a diabetologist online

Dear doctor,Recently, I was diagnosed with diabetes and my blood sugar fasting was 231 and random was 271 mg/dL. I consulted a doctor and he prescribed me Qosmet 500 mg/ 50mg twice a day and Amaryl 1 mg once in the morning. After a week, my sugar was under control and blood sugar fasting was 93 mg/dL and random was 111 mg/dL and 139 mg/dL. Three days I was fine but after that, I am feeling vertigo (dizziness). Kindly tell me why this is happening to me. Is it any side effect of the tablet I am taking or any other issue?

Hello. You should monitor your blood sugar twice a week and especially at those times when you are feeling dizzy. Initially, with the start of medication, you may have some low blood sugar symptoms due to the first effect of medications for treatment of diabetes. I suggest you buy a glucometer and keep a check of your blood glucose twice a week and also check your blood sugar whenever you have such kind of symptoms like dizziness, sweating, and irritability. For more information consult a diabetologist online

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am having stomach pain for the last two days with loose motions. I took medicine to control loose motions. But, I am using bathroom for every four to five hours.I feel some heavy pain in stomach and feels like going bathroom. The motion is not loose and not regular too. It is dark and greasy. When I press the stomach I feel the pain. Please advice some medicine. I am fasting all day due to the festive season and having heavy food late night. I had a heavy diet with chicken before two days and since then it has started. I can feel the pain over the stomach and sometimes in the back too. Please help. ### Response: Hi, Welcome to Chat Doctor forum. It is really a troublesome situation you are facing nowadays. I feel sorry for this health issue. But do not worry. With care and lifestyle changes you will get better soon. Ask your local physician for a prescription of Metronidazole (or) Rifaximin to be taken orally and Imodium (Loperamide) for the loose motion. Mainstay of management is taking a lot of fluids, including Pedialyte to replenish fluid loss. Avoid fried and fast foods, spices and stuffy meals. Remain as light as you can.

Hi doctor,I am having stomach pain for the last two days with loose motions. I took medicine to control loose motions. But, I am using bathroom for every four to five hours.I feel some heavy pain in stomach and feels like going bathroom. The motion is not loose and not regular too. It is dark and greasy. When I press the stomach I feel the pain. Please advice some medicine. I am fasting all day due to the festive season and having heavy food late night. I had a heavy diet with chicken before two days and since then it has started. I can feel the pain over the stomach and sometimes in the back too. Please help.

Hi, Welcome to Chat Doctor forum. It is really a troublesome situation you are facing nowadays. I feel sorry for this health issue. But do not worry. With care and lifestyle changes you will get better soon. Ask your local physician for a prescription of Metronidazole (or) Rifaximin to be taken orally and Imodium (Loperamide) for the loose motion. Mainstay of management is taking a lot of fluids, including Pedialyte to replenish fluid loss. Avoid fried and fast foods, spices and stuffy meals. Remain as light as you can.

### Instruction: Answer this question truthfully ###Input: Hello doctor,What is raw water and how is it different from the tap, spring, and other types of water? What are the perceived benefits and dangers of drinking raw water? When did this fad start? Have you ever seen a patient getting sick by drinking raw water? ### Response: Hi. Raw water consumption has become quite a thing recently, particularly in certain parts of the united states and among people depending on or advocating alternative or herbal medicine. It is unprocessed and totally natural water so it is high in salt contents and other constituents that prevent or slow down cellular aging, however this is just theoretical with no published results. It differs from filtered water and spring water in its high salt contents and silica and lacking chlorine and fluoride which are usually found in processed water. Also, the main difference is that it contains many pathogenic organisms ranging from bacteria to parasites causing various diseases and serious infections some of which are life-threatening. Namely, typhoid and paratyphoid fever, leptospirosis, shigellosis, schistosomiasis, cholera, amoebiasis, etc. I have heard of many cases of raw water making people sick. Cases of typhoid, amoebiasis, and cholera which are water borne diseases are quite prevalent in some areas.

Hello doctor,What is raw water and how is it different from the tap, spring, and other types of water? What are the perceived benefits and dangers of drinking raw water? When did this fad start? Have you ever seen a patient getting sick by drinking raw water?

Hi. Raw water consumption has become quite a thing recently, particularly in certain parts of the united states and among people depending on or advocating alternative or herbal medicine. It is unprocessed and totally natural water so it is high in salt contents and other constituents that prevent or slow down cellular aging, however this is just theoretical with no published results. It differs from filtered water and spring water in its high salt contents and silica and lacking chlorine and fluoride which are usually found in processed water. Also, the main difference is that it contains many pathogenic organisms ranging from bacteria to parasites causing various diseases and serious infections some of which are life-threatening. Namely, typhoid and paratyphoid fever, leptospirosis, shigellosis, schistosomiasis, cholera, amoebiasis, etc. I have heard of many cases of raw water making people sick. Cases of typhoid, amoebiasis, and cholera which are water borne diseases are quite prevalent in some areas.

### Instruction: Answer this question truthfully ###Input: Hi doctor,My fiance and I were fooling around yesterday and I had semen smeared all over my vagina. He was not wearing a condom. We did not have penetrative sex. However, after the encounter, I got nervous and got emergency pills. All this happened about 14 days after my last period. I assumed I was highly fertile and was at risk for pregnancy. P2, I took one about three hours after my vagina was smeared with semen. I took the next pill 12 hours after the first. Here are my questions ### Response: Hi, Welcome to Chat Doctor forum. How are you doing? That is a lot of questions, but all leading to the same answer. An emergency pill is high dose Progesterone, best taken within three days of sex. Best results if taken within 24 hours of sex. Being a high dose Progesterone, the uterine lining becomes very unfavorable for a possible embryo implantation. The lining suddenly becomes very thick. As it is a single dose, the lining cannot stand on its own and it falls off. But you rightly said success depends on which phase of the cycle you took it. If ovulation had just occurred that day, still there are equal chances of pregnancy and miscarriage. About the questions

Hi doctor,My fiance and I were fooling around yesterday and I had semen smeared all over my vagina. He was not wearing a condom. We did not have penetrative sex. However, after the encounter, I got nervous and got emergency pills. All this happened about 14 days after my last period. I assumed I was highly fertile and was at risk for pregnancy. P2, I took one about three hours after my vagina was smeared with semen. I took the next pill 12 hours after the first. Here are my questions

Hi, Welcome to Chat Doctor forum. How are you doing? That is a lot of questions, but all leading to the same answer. An emergency pill is high dose Progesterone, best taken within three days of sex. Best results if taken within 24 hours of sex. Being a high dose Progesterone, the uterine lining becomes very unfavorable for a possible embryo implantation. The lining suddenly becomes very thick. As it is a single dose, the lining cannot stand on its own and it falls off. But you rightly said success depends on which phase of the cycle you took it. If ovulation had just occurred that day, still there are equal chances of pregnancy and miscarriage. About the questions

### Instruction: Answer this question truthfully ###Input: Hello doctor,My mom recently died due to heart attack. She was an asthma patient and also had depression. She was having medicines for all these. One morning, I saw her biting her tongue and was unconscious. I rubbed her chest slowly that she breathed. When I stopped rubbing, she stopped breathing after some time. After sometime I again rubbed and she breathed and stopped breathing after I stopped rubbing. A doctor came home and confirmed her death and all that he asked was whether she had any heart disease. I guess it was a silent heart attack. Please let me know how could have I saved her life or the procedure of rubbing the chest was right or wrong? Also, if I had rubbed the chest continuously whether it could have helped? (or only CPR will help in this case). Just asking this question to help someone else in future. ### Response: Hi. First of all, I appreciate your interest to know the emergency life-saving procedure. Tongue bite usually occurs in seizures and not in heart attacks. There is a possibility of a seizure in her case. Many reasons can be there for such an incident. It can be due to fall in sugar levels, due to side effect of asthalin in medicines, due to missed ChatDoctor.

Hello doctor,My mom recently died due to heart attack. She was an asthma patient and also had depression. She was having medicines for all these. One morning, I saw her biting her tongue and was unconscious. I rubbed her chest slowly that she breathed. When I stopped rubbing, she stopped breathing after some time. After sometime I again rubbed and she breathed and stopped breathing after I stopped rubbing. A doctor came home and confirmed her death and all that he asked was whether she had any heart disease. I guess it was a silent heart attack. Please let me know how could have I saved her life or the procedure of rubbing the chest was right or wrong? Also, if I had rubbed the chest continuously whether it could have helped? (or only CPR will help in this case). Just asking this question to help someone else in future.

Hi. First of all, I appreciate your interest to know the emergency life-saving procedure. Tongue bite usually occurs in seizures and not in heart attacks. There is a possibility of a seizure in her case. Many reasons can be there for such an incident. It can be due to fall in sugar levels, due to side effect of asthalin in medicines, due to missed ChatDoctor.

### Instruction: Answer this question truthfully ###Input: Hello doctor,Last night I ate a cheese pizza and a chocolate bar. Eight hours later (after fasting) I tested my blood sugar and it came out at 128, and 30 minutes later it dropped to 106, and 15 minutes later it raised to 109 (without eating and drinking anything). My question is, do I have diabetes or did I initially have high sugar because I ate pizza very late at night? ### Response: Hello. Usually fasting blood glucose is 126 mg and above is considered as diagnostic for diabetes. However, it is also possible that because of the dinner, fasting glucose might have shown a higher level. So to confirm whether there is diabetes or not, you may have to get a PP (postprandial) glucose level and HbA1c %. If PP is 200 mg and above and HbA1c % 6.5 % and above, then diabetes is considered to confirm. Looking at your weight and height, another important fact is with a BMI of 42.92 kgs/Sq meter you are already in grade 3 obesity. With a significant amount of excess weight. This itself is an invitation for getting diabetes.

Hello doctor,Last night I ate a cheese pizza and a chocolate bar. Eight hours later (after fasting) I tested my blood sugar and it came out at 128, and 30 minutes later it dropped to 106, and 15 minutes later it raised to 109 (without eating and drinking anything). My question is, do I have diabetes or did I initially have high sugar because I ate pizza very late at night?

Hello. Usually fasting blood glucose is 126 mg and above is considered as diagnostic for diabetes. However, it is also possible that because of the dinner, fasting glucose might have shown a higher level. So to confirm whether there is diabetes or not, you may have to get a PP (postprandial) glucose level and HbA1c %. If PP is 200 mg and above and HbA1c % 6.5 % and above, then diabetes is considered to confirm. Looking at your weight and height, another important fact is with a BMI of 42.92 kgs/Sq meter you are already in grade 3 obesity. With a significant amount of excess weight. This itself is an invitation for getting diabetes.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a female, and I am primigravida (17 weeks and 6 days). According to my LMP, I am 17 weeks and 6 day pregnant but according to my NT scan (done in 12-13 week )-gestation period showing pregnancy of 18 weeks and 3 days till date. Now I have to go for level two ultrasound, and my doctor gave me the date of next month. Will it be fine by this time to go for an ultrasound or late according to my gestation period? As I heard that it should be done between 18 to 20 weeks. ### Response: Hello, Welcome to Chat Doctor forum. The number of weeks will be counted according to your scan date. So according to which your TIFFA (targeted imaging for fetal anomalies) scan will be dated. The TIFFA or anomaly scan, which you have mentioned can be done from 18-24 weeks and will give clear results. So relax and do not worry. You can go for the scan as per your gynecologist. However, if you have a doubt then get back to me. Take care. For more information consult a fetal medicine specialist online

Hello doctor,I am a female, and I am primigravida (17 weeks and 6 days). According to my LMP, I am 17 weeks and 6 day pregnant but according to my NT scan (done in 12-13 week )-gestation period showing pregnancy of 18 weeks and 3 days till date. Now I have to go for level two ultrasound, and my doctor gave me the date of next month. Will it be fine by this time to go for an ultrasound or late according to my gestation period? As I heard that it should be done between 18 to 20 weeks.

Hello, Welcome to Chat Doctor forum. The number of weeks will be counted according to your scan date. So according to which your TIFFA (targeted imaging for fetal anomalies) scan will be dated. The TIFFA or anomaly scan, which you have mentioned can be done from 18-24 weeks and will give clear results. So relax and do not worry. You can go for the scan as per your gynecologist. However, if you have a doubt then get back to me. Take care. For more information consult a fetal medicine specialist online

### Instruction: Answer this question truthfully ###Input: Hi doctor,My mother observed a lump in her right breast before two months ago. The doctor advised for full abdomen USG, mammography, and FNAC. The results showed duct cell carcinoma (NST) with a lesion measuring 12 x 15 mm. Surgical Oncologist has advised for surgical removal of a tumor (BCS surgery) followed by radiation and chemotherapy. He suggested, my mother, to undergo four to eight sessions of chemotherapy, depending upon the biopsy report of the tumor. I wish to seek a second opinion depending upon the requirement of chemotherapy and radiation therapies and also want to know the possible side effects. ### Response: Hi. The current treatment for the early breast cancer is breast conservation surgery and sentinel lymph node (axillary node) sampling. There are oncotype testing to personalize the treatment which gives the magnitude of benefit for a particular individual. Radiotherapy is mainly given to reduce the risk of local recurrence. Side effects of radiation are skin reactions in the short term and hardening of the breast in the long term. Chemotherapy, not sure whether your mother needs chemotherapy. If the nodes are negative with strong ER (estrogen receptors) in positive status, we could avoid chemotherapy altogether. For more information consult a radiation oncologist online Take care.

Hi doctor,My mother observed a lump in her right breast before two months ago. The doctor advised for full abdomen USG, mammography, and FNAC. The results showed duct cell carcinoma (NST) with a lesion measuring 12 x 15 mm. Surgical Oncologist has advised for surgical removal of a tumor (BCS surgery) followed by radiation and chemotherapy. He suggested, my mother, to undergo four to eight sessions of chemotherapy, depending upon the biopsy report of the tumor. I wish to seek a second opinion depending upon the requirement of chemotherapy and radiation therapies and also want to know the possible side effects.

Hi. The current treatment for the early breast cancer is breast conservation surgery and sentinel lymph node (axillary node) sampling. There are oncotype testing to personalize the treatment which gives the magnitude of benefit for a particular individual. Radiotherapy is mainly given to reduce the risk of local recurrence. Side effects of radiation are skin reactions in the short term and hardening of the breast in the long term. Chemotherapy, not sure whether your mother needs chemotherapy. If the nodes are negative with strong ER (estrogen receptors) in positive status, we could avoid chemotherapy altogether. For more information consult a radiation oncologist online Take care.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am a 20 years old female, who weighs 224 lbs, and I am 5.4 feet tall. I have what looks like a pimple on my crotch. It keeps coming back in the same spot and produces white pus and a lot of blood. Is there a chance I have an STI? I have had it since before I became sexually active. I always use a condom. I have attached a photo of the pimple. ### Response: Hi, Welcome to Chat Doctor forum. I have seen the photo (attachment removed to protect patient identity). It looks like superficial folliculitis, which might be caused by bacteria or fungus. Shaving or wearing tight clothes that rub the skin can irritate the follicles leading to folliculitis. Most likely, this occurs when the improperly cleaned hot tub or swimming pool is used, wearing tight clothes, and using an infected shaving blade. You need to see a gynecologist. I also suggest you get your fasting blood sugar checked and get yourself tested for HIV (human immunodeficiency virus) and other tests for STIs (sexually transmitted infections) if not tested before. Hope your query is answered, but if you still have any other question, please revert. Best wishes.

Hi doctor,I am a 20 years old female, who weighs 224 lbs, and I am 5.4 feet tall. I have what looks like a pimple on my crotch. It keeps coming back in the same spot and produces white pus and a lot of blood. Is there a chance I have an STI? I have had it since before I became sexually active. I always use a condom. I have attached a photo of the pimple.

Hi, Welcome to Chat Doctor forum. I have seen the photo (attachment removed to protect patient identity). It looks like superficial folliculitis, which might be caused by bacteria or fungus. Shaving or wearing tight clothes that rub the skin can irritate the follicles leading to folliculitis. Most likely, this occurs when the improperly cleaned hot tub or swimming pool is used, wearing tight clothes, and using an infected shaving blade. You need to see a gynecologist. I also suggest you get your fasting blood sugar checked and get yourself tested for HIV (human immunodeficiency virus) and other tests for STIs (sexually transmitted infections) if not tested before. Hope your query is answered, but if you still have any other question, please revert. Best wishes.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am on my second week of birth control pill in my pack and I have not missed any pill since starting but last night I vomited 5 to 5 and a half hours after taking my pill. It was my 11th pill in the pack. Should I treat it as a missed pill and take another? I also had sex without a condom after the incident and I wanted to know if I am still protected and will I continue to be protected? ### Response: Hello, Welcome to Chat Doctor forum. I have read your concern. If you have been on a pill for more than a month and this is your second pack, you have nothing to worry if you just missed out one pill. Since most probably you have vomited out the pill, you can take another pill for today and then continue as once a day every day. You do not have to take a double pill. You will continue to be protected and just continue with the pack. The problem will only arise if you have not been consistently taking it, if you just missed it today because of the vomiting, it will not be too significant. For the vomiting, hy ChatDoctor. Hangover. Gastroenteritis. Gastroenteritis secondary to alcohol intake. Hy

Hello doctor,I am on my second week of birth control pill in my pack and I have not missed any pill since starting but last night I vomited 5 to 5 and a half hours after taking my pill. It was my 11th pill in the pack. Should I treat it as a missed pill and take another? I also had sex without a condom after the incident and I wanted to know if I am still protected and will I continue to be protected?

Hello, Welcome to Chat Doctor forum. I have read your concern. If you have been on a pill for more than a month and this is your second pack, you have nothing to worry if you just missed out one pill. Since most probably you have vomited out the pill, you can take another pill for today and then continue as once a day every day. You do not have to take a double pill. You will continue to be protected and just continue with the pack. The problem will only arise if you have not been consistently taking it, if you just missed it today because of the vomiting, it will not be too significant. For the vomiting, hy ChatDoctor. Hangover. Gastroenteritis. Gastroenteritis secondary to alcohol intake. Hy

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have a doubt regarding the HIV rapid tests. I want to know whether the tests cover the O type and another rare type of antigen or they only cover M type. I underwent a RNA PCR, two Duo combo and two antibody tests after a risky exposure. All were non-reactive. What is haunting me is are the tests missing out any rare type? Do they even check for O type? Secondly, most testing kits as I saw on the net are using gp41and gp120 for the antigen. Is gp41 also common for O type or is it for M type only? How to rule out O type infection? Please help. ### Response: Hello. I have reviewed your query and here is my advise. As far as HIV infection is concerned, M strain variant of HIV1 is a common type. O subtype is very rare. However, let us move onto your question. Rapid diagnostic test and CMIA usually detect M strain of HIV effectively. However, depending on manufacture, a final comment can be given. But RT PCR usually detects all strain for HIV. Kindly mention after how much time of exposure you have investigated with RT PCR? I am asking this question to rule out window period for HIV.

Hello doctor,I have a doubt regarding the HIV rapid tests. I want to know whether the tests cover the O type and another rare type of antigen or they only cover M type. I underwent a RNA PCR, two Duo combo and two antibody tests after a risky exposure. All were non-reactive. What is haunting me is are the tests missing out any rare type? Do they even check for O type? Secondly, most testing kits as I saw on the net are using gp41and gp120 for the antigen. Is gp41 also common for O type or is it for M type only? How to rule out O type infection? Please help.

Hello. I have reviewed your query and here is my advise. As far as HIV infection is concerned, M strain variant of HIV1 is a common type. O subtype is very rare. However, let us move onto your question. Rapid diagnostic test and CMIA usually detect M strain of HIV effectively. However, depending on manufacture, a final comment can be given. But RT PCR usually detects all strain for HIV. Kindly mention after how much time of exposure you have investigated with RT PCR? I am asking this question to rule out window period for HIV.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 25 year old male, who weighs 240 lbs, and I am 5.10 feet tall. Tonight I had what I think was acid reflux or heartburn. I was not sure about it, as I have never had it. I felt like something is stuck in my throat, and also I felt a chest congestion when I tried to cough. I was reading online about the symptoms of GERD but also started reading about heart attack symptoms. I did not have any noticeable chest pains, but after reading about how people have a feeling of uneasiness, I had a weird feeling rush over my body for a brief second or two that felt like pins and needles and numbness, then I came back to normal. Is this a sign of anxiety, hypochondriasis, or a heart attack? ### Response: Hi, Welcome to Chat Doctor forum. Thanks for your query. Let go of your anxiety. Gastroesophageal reflux disease is 80 % corrected by simple diet and lifestyle modifications. So, I would suggest you try the following. Your symptoms could also be due to multivitamin deficiency, especially, vitamin B12 deficiency. Hope this helps. For more information consult a general medicine physician online

Hello doctor,I am a 25 year old male, who weighs 240 lbs, and I am 5.10 feet tall. Tonight I had what I think was acid reflux or heartburn. I was not sure about it, as I have never had it. I felt like something is stuck in my throat, and also I felt a chest congestion when I tried to cough. I was reading online about the symptoms of GERD but also started reading about heart attack symptoms. I did not have any noticeable chest pains, but after reading about how people have a feeling of uneasiness, I had a weird feeling rush over my body for a brief second or two that felt like pins and needles and numbness, then I came back to normal. Is this a sign of anxiety, hypochondriasis, or a heart attack?

Hi, Welcome to Chat Doctor forum. Thanks for your query. Let go of your anxiety. Gastroesophageal reflux disease is 80 % corrected by simple diet and lifestyle modifications. So, I would suggest you try the following. Your symptoms could also be due to multivitamin deficiency, especially, vitamin B12 deficiency. Hope this helps. For more information consult a general medicine physician online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 25-year-old male and I have never been able to fully retract my penis. I have severe phimosis. I know phimosis can be treated, but my biggest concern is that I now have blue-looking veins from the shaft of my penis to the actual penis head that is supposed to be exposed. Is it serious? I have an appointment with a urologist in two weeks but the suspense is really killing me. Is it common? or can it be treated? Will I be able to successfully retract the penis head? I also feel pain sensation when I touch the hole at the tip of the penis. Please help. Of note, I smoke marijuana. I have attached photos for your reference. ### Response: Hello, Welcome to Chat Doctor forum. I have gone through the photograph (attachment removed to protect patient identity). It looks like a case of phimosis. It can be treated by a simple circumcision. Those veins seen are normally present. Do not worry about surgery. It will not affect the blood supply to your penis. Phimosis is a pretty common issue and as I said it just takes a minor surgery and a couple of weeks for recovery. For more information consult a urologist online

Hello doctor,I am a 25-year-old male and I have never been able to fully retract my penis. I have severe phimosis. I know phimosis can be treated, but my biggest concern is that I now have blue-looking veins from the shaft of my penis to the actual penis head that is supposed to be exposed. Is it serious? I have an appointment with a urologist in two weeks but the suspense is really killing me. Is it common? or can it be treated? Will I be able to successfully retract the penis head? I also feel pain sensation when I touch the hole at the tip of the penis. Please help. Of note, I smoke marijuana. I have attached photos for your reference.

Hello, Welcome to Chat Doctor forum. I have gone through the photograph (attachment removed to protect patient identity). It looks like a case of phimosis. It can be treated by a simple circumcision. Those veins seen are normally present. Do not worry about surgery. It will not affect the blood supply to your penis. Phimosis is a pretty common issue and as I said it just takes a minor surgery and a couple of weeks for recovery. For more information consult a urologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,Something broke off from one of my teeth, and I would like to know what was it that broke and what I should do about it (if anything). I think it might have been tartar or cementum, but I do not know. They are hard and off whitish (a little yellowing). They are the same as that material that appears roughly along the bottom edges of my lower incisors. I think they are either tartar or cementum, but I do not know. Please let me know what you think they are and what my options are. ### Response: Hello. I have been through your query and I can understand your concern. It seems the broken part is tartar (calculus) which gets accumulated over teeth mainly lower inner side of the front teeth. From the images, (attachment removed to protect patient identity) it seems you are undergoing orthodontic treatment. During orthodontic treatment, the accumulation of tartar is common. You need to take extra care while brushing and cleaning the teeth. I would advise you to have a visit to the dental clinic and get an oral prophylaxis and cleaning done. Moreover, I would like to advise you to maintain good oral hygiene and use mouthwashes. For more information consult a dentist online Take care.

Hello doctor,Something broke off from one of my teeth, and I would like to know what was it that broke and what I should do about it (if anything). I think it might have been tartar or cementum, but I do not know. They are hard and off whitish (a little yellowing). They are the same as that material that appears roughly along the bottom edges of my lower incisors. I think they are either tartar or cementum, but I do not know. Please let me know what you think they are and what my options are.

Hello. I have been through your query and I can understand your concern. It seems the broken part is tartar (calculus) which gets accumulated over teeth mainly lower inner side of the front teeth. From the images, (attachment removed to protect patient identity) it seems you are undergoing orthodontic treatment. During orthodontic treatment, the accumulation of tartar is common. You need to take extra care while brushing and cleaning the teeth. I would advise you to have a visit to the dental clinic and get an oral prophylaxis and cleaning done. Moreover, I would like to advise you to maintain good oral hygiene and use mouthwashes. For more information consult a dentist online Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I had periods on 30th of last month. I do not really know when my ovulation is because I have irregular menses and I am trying to conceive. ### Response: Hi, Welcome to Chat Doctor forum. It is a really short description of your query. In an irregular cycle, it seems around 30 to 35 days better to have sex on alternate days on expected days of ovulation. It is better to have combined oral contraceptive pills for three months to regulate your cycle and then try. Have a balanced diet and BMI with exercise daily. Lots of fruits and vegetables and try to have complete check and treatment of any health issue you and husband have. Have recreational activities and avoid recreational ChatDoctor. If the cycle is of regular 28 days, then the fertile period is from day 9 to day 13 to have a continuous sex but in an irregular prolonged cycle, have sex on alternate days on suspected ovulatory days like from day 9 to day 20 of your cycle roughly on alternate nights. Have Folic acid. Cocp for three months if can wait otherwise have sex on alternate nights as advised. Normal weight and BMI, Folic acid, exercise daily, diet.

Hello doctor,I had periods on 30th of last month. I do not really know when my ovulation is because I have irregular menses and I am trying to conceive.

Hi, Welcome to Chat Doctor forum. It is a really short description of your query. In an irregular cycle, it seems around 30 to 35 days better to have sex on alternate days on expected days of ovulation. It is better to have combined oral contraceptive pills for three months to regulate your cycle and then try. Have a balanced diet and BMI with exercise daily. Lots of fruits and vegetables and try to have complete check and treatment of any health issue you and husband have. Have recreational activities and avoid recreational ChatDoctor. If the cycle is of regular 28 days, then the fertile period is from day 9 to day 13 to have a continuous sex but in an irregular prolonged cycle, have sex on alternate days on suspected ovulatory days like from day 9 to day 20 of your cycle roughly on alternate nights. Have Folic acid. Cocp for three months if can wait otherwise have sex on alternate nights as advised. Normal weight and BMI, Folic acid, exercise daily, diet.

### Instruction: Answer this question truthfully ###Input: Hello doctor,My father is 72 years old and he is suffering from jaundice. Initially, he was admitted to hospital five months back due to dengue and his platelet count had dropped down to 15,000. Now, he has recovered from dengue but his bilirubin is not decreasing. While getting discharged from the hospital, the bilirubin count was 17.64 mg/dl. It had dropped down to 8.33 but later, it got increased to 10.33 and the current count is 9.74.The doctor has prescribed him Silymarin 140 mg, Ursocol 300 mg, Pantocid 40 mg, A-Z vitamin and Duphalac. How can I help my father to recover quickly from jaundice? ### Response: Hello. I saw the report (attachment removed to protect patient identity), and in your history, you did not mention about alcoholic history of your father. Is he hypertensive? Is he on any ChatDoctor. It may decrease immunity status and thus, will take more time to recover. Continue the above medications and get ultrasound abdomen, serum LDH (lactate dehy Take care.

Hello doctor,My father is 72 years old and he is suffering from jaundice. Initially, he was admitted to hospital five months back due to dengue and his platelet count had dropped down to 15,000. Now, he has recovered from dengue but his bilirubin is not decreasing. While getting discharged from the hospital, the bilirubin count was 17.64 mg/dl. It had dropped down to 8.33 but later, it got increased to 10.33 and the current count is 9.74.The doctor has prescribed him Silymarin 140 mg, Ursocol 300 mg, Pantocid 40 mg, A-Z vitamin and Duphalac. How can I help my father to recover quickly from jaundice?

Hello. I saw the report (attachment removed to protect patient identity), and in your history, you did not mention about alcoholic history of your father. Is he hypertensive? Is he on any ChatDoctor. It may decrease immunity status and thus, will take more time to recover. Continue the above medications and get ultrasound abdomen, serum LDH (lactate dehy Take care.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I fell on a wooden set of stairs last night and landed mostly on my right lower back. From the morning, I feel like someone is squeezing my kidney every time I move. The pain is even more severe when I move my right leg. I do not see any blood in my urine and I do not want to go all the way to the ER for them to tell me nothing is wrong. What shall I do? My leg does not hurt, but I can still feel the pain when I am not moving my leg. But, it increases dramatically when I do. My pain is only on my lower right back. Please help. ### Response: Hi, Welcome to Chat Doctor forum. I feel sorry to hear this. 1. Muscle injury.2. Bone injury - ileal tuberosity or coccyx injury. X-ray pelvis anteroposterior view. Take painkillers and muscle relaxants like a combination of Diclofenac, Paracetamol and Chlorzoxazone along with Pantoprazole. Do not take these medications if you are in early pregnancy. Consult your doctor, discuss with him/her and take the medicine with consent. Revert back after three days to an internal medicine physician online.-

Hi doctor,I fell on a wooden set of stairs last night and landed mostly on my right lower back. From the morning, I feel like someone is squeezing my kidney every time I move. The pain is even more severe when I move my right leg. I do not see any blood in my urine and I do not want to go all the way to the ER for them to tell me nothing is wrong. What shall I do? My leg does not hurt, but I can still feel the pain when I am not moving my leg. But, it increases dramatically when I do. My pain is only on my lower right back. Please help.

Hi, Welcome to Chat Doctor forum. I feel sorry to hear this. 1. Muscle injury.2. Bone injury - ileal tuberosity or coccyx injury. X-ray pelvis anteroposterior view. Take painkillers and muscle relaxants like a combination of Diclofenac, Paracetamol and Chlorzoxazone along with Pantoprazole. Do not take these medications if you are in early pregnancy. Consult your doctor, discuss with him/her and take the medicine with consent. Revert back after three days to an internal medicine physician online.-

### Instruction: Answer this question truthfully ###Input: Hello doctor,It has been around four years that I am always scared to sleep. It usually happens if there is an accident I am scared that it will happen to me too, and I would not sleep for about a week. I am so scared of earthquakes, and many nights, I will not sleep thinking that our building will fall. If there is any news like killing people, I will lock all the doors and windows thinking that I will be killed too. And another thing is supposed I eat at 1 pm for the next two hours I will be full and suddenly I feel so hungry, and in a minute I started feeling so weak and start to shiver. This happens whenever I am feeling hungry. ### Response: Hello. Your symptoms are suggestive of an anxiety disorder, which is making you excessively worried about things happening around you. It can be tiring and emotionally exhausting to experience high levels of anxiety all the time. Try relaxation exercises to help manage stress and related anxiety levels. Deep breathing techniques and progressive muscle relaxation exercises will be beneficial. If possible, try yoga as well, and counseling or talking therapy will be helpful. If symptoms are severe and persistent, you will benefit by consulting a psychiatrist for a full assessment and consider medication options as well.

Hello doctor,It has been around four years that I am always scared to sleep. It usually happens if there is an accident I am scared that it will happen to me too, and I would not sleep for about a week. I am so scared of earthquakes, and many nights, I will not sleep thinking that our building will fall. If there is any news like killing people, I will lock all the doors and windows thinking that I will be killed too. And another thing is supposed I eat at 1 pm for the next two hours I will be full and suddenly I feel so hungry, and in a minute I started feeling so weak and start to shiver. This happens whenever I am feeling hungry.

Hello. Your symptoms are suggestive of an anxiety disorder, which is making you excessively worried about things happening around you. It can be tiring and emotionally exhausting to experience high levels of anxiety all the time. Try relaxation exercises to help manage stress and related anxiety levels. Deep breathing techniques and progressive muscle relaxation exercises will be beneficial. If possible, try yoga as well, and counseling or talking therapy will be helpful. If symptoms are severe and persistent, you will benefit by consulting a psychiatrist for a full assessment and consider medication options as well.

### Instruction: Answer this question truthfully ###Input: Hello doctor,Recent health check (which I do it by myself routinely and I do not have any diabetes, BP or any other disorder), I found abnormal values of the following hematological parameters, Hb- just normal, RBC- low, MCHC- low, MCV- high (lab has marked all the last three items under bold). Liver , kidney and other blood parameters are normal. Cholesterol- normal, except TGL, which has slightly gone up. My age is 53, BMI- 23, active and fit. Kindly advice whether I need to worry. Even two years back also the parameters RBC/MCV/MCHC were marked as abnormal which now I have noticed. ### Response: Hello. I have checked your attached reports (attachment removed to protect patient identity). Your hemoglobin level is within normal range. So you may need not to worry about that. You need not worry regarding slight low red blood cell count. For slight high MCV, you can investigate further with serum B12 estimation. Your triglyceride level is slight high. For that you can continue with prescribed medication that is Atorvastatin. So finally you need not worry regarding your all attached reports as per my opinion. Take care.

Hello doctor,Recent health check (which I do it by myself routinely and I do not have any diabetes, BP or any other disorder), I found abnormal values of the following hematological parameters, Hb- just normal, RBC- low, MCHC- low, MCV- high (lab has marked all the last three items under bold). Liver , kidney and other blood parameters are normal. Cholesterol- normal, except TGL, which has slightly gone up. My age is 53, BMI- 23, active and fit. Kindly advice whether I need to worry. Even two years back also the parameters RBC/MCV/MCHC were marked as abnormal which now I have noticed.

Hello. I have checked your attached reports (attachment removed to protect patient identity). Your hemoglobin level is within normal range. So you may need not to worry about that. You need not worry regarding slight low red blood cell count. For slight high MCV, you can investigate further with serum B12 estimation. Your triglyceride level is slight high. For that you can continue with prescribed medication that is Atorvastatin. So finally you need not worry regarding your all attached reports as per my opinion. Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I had chickenpox one month back and my SGOT is 178 and SGPT is 251 now. Elastography is 5.3 kPa, ANA is 13.74, IgG is 2145, serum ceruloplasmin is 24.90, hepatitis E antibody IgM is 0.09, bilirubin total is 0.40, bilirubin direct is 0.10 and no fever, urine white, no weakness, and the doctor could not conclude. ### Response: Hello. Persistent elevation of liver enzymes can be due to many different causes. ChatDoctor. I would like to see the reports if possible. Also, I would like to know if you had done hepatitis B and hepatitis C testing. Also, what is the trend of SGOT/SGPT, is it downward or stable? What about alcohol intake? Are you currently on any medication? Varicella (chickenpox) can in some cases cause hepatitis. Though it should have been recovered by now. If the trend is downward, I will not worry. If still persistent, then you will need further investigation. For more information consult an internal medicine physician online

Hello doctor,I had chickenpox one month back and my SGOT is 178 and SGPT is 251 now. Elastography is 5.3 kPa, ANA is 13.74, IgG is 2145, serum ceruloplasmin is 24.90, hepatitis E antibody IgM is 0.09, bilirubin total is 0.40, bilirubin direct is 0.10 and no fever, urine white, no weakness, and the doctor could not conclude.

Hello. Persistent elevation of liver enzymes can be due to many different causes. ChatDoctor. I would like to see the reports if possible. Also, I would like to know if you had done hepatitis B and hepatitis C testing. Also, what is the trend of SGOT/SGPT, is it downward or stable? What about alcohol intake? Are you currently on any medication? Varicella (chickenpox) can in some cases cause hepatitis. Though it should have been recovered by now. If the trend is downward, I will not worry. If still persistent, then you will need further investigation. For more information consult an internal medicine physician online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I spoke to a dermatologist on here. I had two small bumps about 2 to 3 mm in size ever since I was younger and I am confident it is not a sexually transmitted disease. They were on the tip of the foreskin of the penis. Just two days ago, they started getting big. It never bothered me before up until now. The dermatologist said it appears to be \\deep seated nodular swellings with redness and inflammation\\. He said they might have been two small sebaceous cysts which have now gotten infected. He recommended I take an oral antibiotic Amoxicillin for a week and Ibuprofen. I just wanted a second opinion from someone who is more knowledgeable in this area. ### Response: Hello, Welcome to Chat Doctor forum. I have seen the images sent by you (attachment removed to protect patient identity). Do you have pain or fever? Yes, it definitely looks like a sebaceous cyst. You should take antibiotics as prescribed. When infection and inflammation subsides you will require getting it removed surgically. If swelling and inflammation do not reduce in five days than contact a urologist or general surgeon. You may require clinical examination and they will suggest getting it removed. For more information consult a urologist online

Hello doctor,I spoke to a dermatologist on here. I had two small bumps about 2 to 3 mm in size ever since I was younger and I am confident it is not a sexually transmitted disease. They were on the tip of the foreskin of the penis. Just two days ago, they started getting big. It never bothered me before up until now. The dermatologist said it appears to be \\deep seated nodular swellings with redness and inflammation\\. He said they might have been two small sebaceous cysts which have now gotten infected. He recommended I take an oral antibiotic Amoxicillin for a week and Ibuprofen. I just wanted a second opinion from someone who is more knowledgeable in this area.

Hello, Welcome to Chat Doctor forum. I have seen the images sent by you (attachment removed to protect patient identity). Do you have pain or fever? Yes, it definitely looks like a sebaceous cyst. You should take antibiotics as prescribed. When infection and inflammation subsides you will require getting it removed surgically. If swelling and inflammation do not reduce in five days than contact a urologist or general surgeon. You may require clinical examination and they will suggest getting it removed. For more information consult a urologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 25 year old female. I have been suffering from repeated episodes of a sore throat that includes nasal obstruction and pain in the throat. I was diagnosed by the treating doctor to have a DNS for left (on the basis of a CT scan) and now granular pharyngitis has been added. The frequency of these issues ranges between two to four months. I have been visiting specialists, but getting only temporary relief. The last treatment was taken six months ago and included M-cin 400 OD for five days, Dolonex DT OD for five days, Xyzal M for two weeks, Montek 10 mg for three weeks, and capsule Rabonik DSR OD for four weeks. Now again, the episode has recurred. My chest X-ray, PFT etc. are all normal. Is there any permanent solution to the problem? The problem is more than seven to eight years old. What are the reasons for the frequent episodes? ### Response: Hello, Welcome to Chat Doctor forum. Can you please share your CT scan reports here? If you have sinusitis, you will have a recurrent throat infection. Do revert back. For more information consult an ENT otolaryngologist online

Hello doctor,I am a 25 year old female. I have been suffering from repeated episodes of a sore throat that includes nasal obstruction and pain in the throat. I was diagnosed by the treating doctor to have a DNS for left (on the basis of a CT scan) and now granular pharyngitis has been added. The frequency of these issues ranges between two to four months. I have been visiting specialists, but getting only temporary relief. The last treatment was taken six months ago and included M-cin 400 OD for five days, Dolonex DT OD for five days, Xyzal M for two weeks, Montek 10 mg for three weeks, and capsule Rabonik DSR OD for four weeks. Now again, the episode has recurred. My chest X-ray, PFT etc. are all normal. Is there any permanent solution to the problem? The problem is more than seven to eight years old. What are the reasons for the frequent episodes?

Hello, Welcome to Chat Doctor forum. Can you please share your CT scan reports here? If you have sinusitis, you will have a recurrent throat infection. Do revert back. For more information consult an ENT otolaryngologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am currently taking Tadalafil as we are trying to conceive a child. I used to take Sildenafil Citrate but switched to Tadalafil a few months back. There are certain days when besides taking Tadalafil or Sildenafil I am unable to maintain an erection. This could be either due to low sex drive as this has become a routine chore or anxiety to conceive during ovulation so as to not miss the cycle.Under such circumstances is it recommended to take Tadalafil and Bupropion together? If Bupropion is advisable then how many hours before sex should I take it? Can I just take this tablet on days of conceiving? Do you suggest any other alternative besides Bupropion? Taking Tadalafil is giving me side effects like dry mouth and dry eyes, especially while sleeping. The side effects reduce a bit after a few days but continue up to the next cycle. Is there anything I can do to reduce the side effects? ### Response: Hi, Welcome to Chat Doctor forum. First, I would like to know the frequency of intercourse and the days on which you are trying for pregnancy. I mean, do you have sex every day during those days? Once every other day?

Hello doctor,I am currently taking Tadalafil as we are trying to conceive a child. I used to take Sildenafil Citrate but switched to Tadalafil a few months back. There are certain days when besides taking Tadalafil or Sildenafil I am unable to maintain an erection. This could be either due to low sex drive as this has become a routine chore or anxiety to conceive during ovulation so as to not miss the cycle.Under such circumstances is it recommended to take Tadalafil and Bupropion together? If Bupropion is advisable then how many hours before sex should I take it? Can I just take this tablet on days of conceiving? Do you suggest any other alternative besides Bupropion? Taking Tadalafil is giving me side effects like dry mouth and dry eyes, especially while sleeping. The side effects reduce a bit after a few days but continue up to the next cycle. Is there anything I can do to reduce the side effects?

Hi, Welcome to Chat Doctor forum. First, I would like to know the frequency of intercourse and the days on which you are trying for pregnancy. I mean, do you have sex every day during those days? Once every other day?

### Instruction: Answer this question truthfully ###Input: Hi doctor,I used cocaine for six months but for four months, I have coughs and phlegm especially in the morning. I never had throat pain. It just feels itchy. I saw a doctor who gave me allergy spray with Cortizon but I took it for just one month. I keep drinking alcohol and cold drinks which makes me feel irritated in my throat again. Only used cocaine twice in last two months 1 g each. I will stop completely as am almost there on my withdrawal. I saw another doctor, she did all TSD tests and it was all clean. I got a bacterial infection in the throat so, I do salt and hot water gargling. The symptoms are less than before but I am still worried about my coughing. I am afraid of cancer as I had taken chemotherapy two years ago for histiocytosis X. Any suggestions, please. ### Response: Hello. The picture (attachment removed to protect patient identity) that you have attached shows slightly enlarged tonsils with granular pharyngitis. There is nothing to worry. Your symptoms are due to chronic irritation of your throat which could be due to rhinosinusitis or reflux or recurrent tonsillar infection. Chronic throat irritation is a cause of a chronic cough.

Hi doctor,I used cocaine for six months but for four months, I have coughs and phlegm especially in the morning. I never had throat pain. It just feels itchy. I saw a doctor who gave me allergy spray with Cortizon but I took it for just one month. I keep drinking alcohol and cold drinks which makes me feel irritated in my throat again. Only used cocaine twice in last two months 1 g each. I will stop completely as am almost there on my withdrawal. I saw another doctor, she did all TSD tests and it was all clean. I got a bacterial infection in the throat so, I do salt and hot water gargling. The symptoms are less than before but I am still worried about my coughing. I am afraid of cancer as I had taken chemotherapy two years ago for histiocytosis X. Any suggestions, please.

Hello. The picture (attachment removed to protect patient identity) that you have attached shows slightly enlarged tonsils with granular pharyngitis. There is nothing to worry. Your symptoms are due to chronic irritation of your throat which could be due to rhinosinusitis or reflux or recurrent tonsillar infection. Chronic throat irritation is a cause of a chronic cough.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I was diagnosed with severe LVH due to anabolic steroid abuse the past two and a half years and training for more than three hours a day. I have made lifestyle changes and lost weight but my anxiety now gets the better of me. I have a family history of bradycardia my RHR is 40s and high 30s when I sleep or first wake up, it does not cause any symptoms other than freaking me out. My diastolic will dip into the 50s due to the Lisinopril, and that stresses me too. I live in constant fear of dying early, very early. Are my issues something you can come back from or even reverse? Would I have to stop exercising completely to make my heart shrink? ### Response: Hello. I passed carefully through your history and would like to reassure you that there is no reason to panic, as long as you have stopped physical training and anabolic steroids intake. You should know that LVH (left ventricular hypertrophy) is quite reversible in such a case after some months from stopping straining physical activity and anabolic steroids. So, there is no reason to worry about dying early. I would just recommend continuing light physical activity. I hope this helps.

Hello doctor,I was diagnosed with severe LVH due to anabolic steroid abuse the past two and a half years and training for more than three hours a day. I have made lifestyle changes and lost weight but my anxiety now gets the better of me. I have a family history of bradycardia my RHR is 40s and high 30s when I sleep or first wake up, it does not cause any symptoms other than freaking me out. My diastolic will dip into the 50s due to the Lisinopril, and that stresses me too. I live in constant fear of dying early, very early. Are my issues something you can come back from or even reverse? Would I have to stop exercising completely to make my heart shrink?

Hello. I passed carefully through your history and would like to reassure you that there is no reason to panic, as long as you have stopped physical training and anabolic steroids intake. You should know that LVH (left ventricular hypertrophy) is quite reversible in such a case after some months from stopping straining physical activity and anabolic steroids. So, there is no reason to worry about dying early. I would just recommend continuing light physical activity. I hope this helps.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I had my two back molars on the top left side of my mouth filled about three weeks ago and after a few days, everything was fine. No pain, nothing. But a few days ago, I realized that every time I drink hot, cold, and sometimes even room temperature liquids there is a sharp almost piercing pain that lasts for a few seconds. (More so with the cold drink than hot or room temperature drink). It does not hurt to bite down but it does hurt to actually chew something on that side. Even when I take a deep breath through my mouth, the cold air hurts the tooth. The pain feels like the liquid or the air is literally going inside my tooth and releasing that sharp pain. I made an appointment to see my dentist and he said the nerve might be exposed. What does that mean? What kind of procedure needs to be done? Or what do you think is wrong? ### Response: Hello, Welcome to Chat Doctor forum. First, get a radiograph done for those two teeth, it will tell the status of your teeth. Sometimes, if the filling is high, you experience pain. The filling might be fractured. The nerve exposure means caries has reached till the pulpal horn. Parts of teeth

Hello doctor,I had my two back molars on the top left side of my mouth filled about three weeks ago and after a few days, everything was fine. No pain, nothing. But a few days ago, I realized that every time I drink hot, cold, and sometimes even room temperature liquids there is a sharp almost piercing pain that lasts for a few seconds. (More so with the cold drink than hot or room temperature drink). It does not hurt to bite down but it does hurt to actually chew something on that side. Even when I take a deep breath through my mouth, the cold air hurts the tooth. The pain feels like the liquid or the air is literally going inside my tooth and releasing that sharp pain. I made an appointment to see my dentist and he said the nerve might be exposed. What does that mean? What kind of procedure needs to be done? Or what do you think is wrong?

Hello, Welcome to Chat Doctor forum. First, get a radiograph done for those two teeth, it will tell the status of your teeth. Sometimes, if the filling is high, you experience pain. The filling might be fractured. The nerve exposure means caries has reached till the pulpal horn. Parts of teeth

### Instruction: Answer this question truthfully ###Input: Hi doctor, I need some advice. I had a baby eight and a half months ago. One week after she was born I went and got the depo injection. I did not get a period at all until 17 days ago and still has not stopped. It is very heavy in the morning but light throughout the day. Please suggest. ### Response: Hi Do you mean you had only one shot of Depot, eight and a half months ago? In that case, its effect is gone. It lasts only for three to four months only. I hope you are breastfeeding. Now usually in the postnatal period, there is a long phase of no periods. Then gradually as you reduce breast milk and gradually increase the top feeds, the hormones gradually come back to normal. So you get periods. But still, it will not be fully balanced. So do not worry about the initial few periods after this long phase of no periods. You do not need any medication, it will get regularized. Your next period will be normal. If you want to reduce bleeding, have tablet Tranostat 500 mg three to four times a day depending on the severity of bleeding. It is not a hormone and has no side effects. I hope this helps.

Hi doctor, I need some advice. I had a baby eight and a half months ago. One week after she was born I went and got the depo injection. I did not get a period at all until 17 days ago and still has not stopped. It is very heavy in the morning but light throughout the day. Please suggest.

Hi Do you mean you had only one shot of Depot, eight and a half months ago? In that case, its effect is gone. It lasts only for three to four months only. I hope you are breastfeeding. Now usually in the postnatal period, there is a long phase of no periods. Then gradually as you reduce breast milk and gradually increase the top feeds, the hormones gradually come back to normal. So you get periods. But still, it will not be fully balanced. So do not worry about the initial few periods after this long phase of no periods. You do not need any medication, it will get regularized. Your next period will be normal. If you want to reduce bleeding, have tablet Tranostat 500 mg three to four times a day depending on the severity of bleeding. It is not a hormone and has no side effects. I hope this helps.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am 36 years old. I have an extra foreskin in my penis. It is never retracted from my birth. I usually use a lubricant oil while doing intercourse with my partner. I do not have any discomfort due to the nonretractable foreskin. I never had any pain or discomfort during sex. But I am unable to clean below my foreskin. I want to know whether there is any non-surgical method available to retract my foreskin. ### Response: Hi. I have gone through your query and pictures (attachment removed to protect patient identity). You have a condition called as phimosis. It is a condition where you cannot retract the foreskin because the opening will be too narrow. There is no medical treatment available for this condition in adults. Non-surgical dilatation of the opening can be practiced. But it is only for very mild cases. Your treating urologist will determine it after a thorough clinical examination. It should not be tried by yourself, as the foreskin can become stuck behind the head of the penis. It is a hazardous situation. The safest and the most straightforward approach is to get a circumcision done, which is only minor surgery, and it will solve your problem permanently. Take care.

Hi doctor,I am 36 years old. I have an extra foreskin in my penis. It is never retracted from my birth. I usually use a lubricant oil while doing intercourse with my partner. I do not have any discomfort due to the nonretractable foreskin. I never had any pain or discomfort during sex. But I am unable to clean below my foreskin. I want to know whether there is any non-surgical method available to retract my foreskin.

Hi. I have gone through your query and pictures (attachment removed to protect patient identity). You have a condition called as phimosis. It is a condition where you cannot retract the foreskin because the opening will be too narrow. There is no medical treatment available for this condition in adults. Non-surgical dilatation of the opening can be practiced. But it is only for very mild cases. Your treating urologist will determine it after a thorough clinical examination. It should not be tried by yourself, as the foreskin can become stuck behind the head of the penis. It is a hazardous situation. The safest and the most straightforward approach is to get a circumcision done, which is only minor surgery, and it will solve your problem permanently. Take care.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am not getting good sleep. I have stress, mental pain, irritation, agony, and bullshit thinking. I am diabetic, and I need a rest for a few days. I am taking Amixide, Mirtaz 30 mg, Lonazep MD 0.25 mg, Teneligliptin 1000, Zoryl MV 2, Rejuveron active, and Sunvit gold. After taking these tablets also, I am not getting strength and sleep. Please prescribe me some medicine and help me. ### Response: Hi. Along with medicines, you need to maintain sleep hygiene. Sleep hygiene includes fixing a time for going to bed and getting out of the bed at a set time after sleeping. Go for a regular morning walk for 35 minutes and follow it five times a week. Do some deep breathing exercise or Jacobson progressive muscle relaxation exercise. You can practice it, and if you feel some difficulty even after following these steps, then you can consult a doctor nearby. Also, you can ask your psychiatrist for changing the medicine or add Quetiapine 50 mg which can help you to get good sleep as well as for anxiety too. Take care.

Hi doctor,I am not getting good sleep. I have stress, mental pain, irritation, agony, and bullshit thinking. I am diabetic, and I need a rest for a few days. I am taking Amixide, Mirtaz 30 mg, Lonazep MD 0.25 mg, Teneligliptin 1000, Zoryl MV 2, Rejuveron active, and Sunvit gold. After taking these tablets also, I am not getting strength and sleep. Please prescribe me some medicine and help me.

Hi. Along with medicines, you need to maintain sleep hygiene. Sleep hygiene includes fixing a time for going to bed and getting out of the bed at a set time after sleeping. Go for a regular morning walk for 35 minutes and follow it five times a week. Do some deep breathing exercise or Jacobson progressive muscle relaxation exercise. You can practice it, and if you feel some difficulty even after following these steps, then you can consult a doctor nearby. Also, you can ask your psychiatrist for changing the medicine or add Quetiapine 50 mg which can help you to get good sleep as well as for anxiety too. Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,My height is 5\\7\" and I weigh about 159 pounds. I am a male with anemia. I got a colonoscopy but they could not stop the bleeding, so I got a transfusion, and I also got another colonoscopy to make sure that the bleeding stopped. I have to get another colonoscopy between 3-6 months from the first colonoscopy. I went to see my primary care doctor and they gave me some iron pills to be taken for three months which are over the counter called Ferrous Sulfate. I went to see the gastroenterologist last month, and they told me to come back this month to make an appointment to get another colonoscopy. I cannot get in touch with my doctor right now because of the COVID 19. I wanted to know that if I still have symptoms of anemia, could I take some more iron pills or three months is enough? ### Response: Hi. You have mentioned that you had bleeding per rectum and you had gone for the colonoscopy. Can you share the report of colonoscopy so that I can know what was the cause of bleeding? It is perfectly safe for you to continue the iron medicines until the time you get an appointment with your regular doctor.

Hello doctor,My height is 5\\7\" and I weigh about 159 pounds. I am a male with anemia. I got a colonoscopy but they could not stop the bleeding, so I got a transfusion, and I also got another colonoscopy to make sure that the bleeding stopped. I have to get another colonoscopy between 3-6 months from the first colonoscopy. I went to see my primary care doctor and they gave me some iron pills to be taken for three months which are over the counter called Ferrous Sulfate. I went to see the gastroenterologist last month, and they told me to come back this month to make an appointment to get another colonoscopy. I cannot get in touch with my doctor right now because of the COVID 19. I wanted to know that if I still have symptoms of anemia, could I take some more iron pills or three months is enough?

Hi. You have mentioned that you had bleeding per rectum and you had gone for the colonoscopy. Can you share the report of colonoscopy so that I can know what was the cause of bleeding? It is perfectly safe for you to continue the iron medicines until the time you get an appointment with your regular doctor.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I had my last period 1.5 months back which lasted for three days. I had unprotected sex two days after that. I took an I-pill on that day itself and started having bleeding in five days which again lasted for three days. It was more like a period only. I took a pregnancy test four days back and it came out negative but still, I have not got my periods. Please help. ### Response: Hi. You have already described that after unprotected sex you took a hormonal emergency contraceptive. Emergency contraceptive pills are hormones that interfere with regular cycles and act to prevent conception by interference in ovulation, fertilization or implantation and then causes with ChatDoctor. After the I-pill, the menstrual cycle gets disturbed and can show some irregular cycles. For your satisfaction, you did a pregnancy test that was negative. If this test is done with urine, then it is better to have serum beta hCG (blood pregnancy test) that will clearly state your pregnancy status. Beta hCG can be positive after a miscarriage but it will show gradual reduction that can be checked by another beta hCG after 48 hours of the previous test. In case of bleeding, pain, dizziness, report to a tertiary care emergency department.

Hello doctor,I had my last period 1.5 months back which lasted for three days. I had unprotected sex two days after that. I took an I-pill on that day itself and started having bleeding in five days which again lasted for three days. It was more like a period only. I took a pregnancy test four days back and it came out negative but still, I have not got my periods. Please help.

Hi. You have already described that after unprotected sex you took a hormonal emergency contraceptive. Emergency contraceptive pills are hormones that interfere with regular cycles and act to prevent conception by interference in ovulation, fertilization or implantation and then causes with ChatDoctor. After the I-pill, the menstrual cycle gets disturbed and can show some irregular cycles. For your satisfaction, you did a pregnancy test that was negative. If this test is done with urine, then it is better to have serum beta hCG (blood pregnancy test) that will clearly state your pregnancy status. Beta hCG can be positive after a miscarriage but it will show gradual reduction that can be checked by another beta hCG after 48 hours of the previous test. In case of bleeding, pain, dizziness, report to a tertiary care emergency department.

### Instruction: Answer this question truthfully ###Input: Hi doctor,My daughter is nine years old. She had body odor in the armpit. I was alarmed because it smelled like an adult body odor. She had sweating. A few days ago, she told about her nipple that one nipple looks normal and the other one looks hard. I want to know whether she has reached the puberty stage. I have another daughter. She is 13 years old. She does not have these problems when compared to my younger one. Please help. ### Response: Hi, Welcome to Chat Doctor forum. It is normal to have these findings now because a few kids have it. Normal growth cycle follows these ways. The first one is thelarche. In this, there is a development of the breast. The second one is pubarche. In this, there is a development of pubic hair. Then the next one is menarche. In this one, there is an onset of menses. In between thelarche and pubarche, there is a growth spurt. So all these occur gradually. It is normal for your child to have this development. You can consult a doctor when there are secondary sexual characters like breast development and growth of pubic hair before eight years of age in a female child.

Hi doctor,My daughter is nine years old. She had body odor in the armpit. I was alarmed because it smelled like an adult body odor. She had sweating. A few days ago, she told about her nipple that one nipple looks normal and the other one looks hard. I want to know whether she has reached the puberty stage. I have another daughter. She is 13 years old. She does not have these problems when compared to my younger one. Please help.

Hi, Welcome to Chat Doctor forum. It is normal to have these findings now because a few kids have it. Normal growth cycle follows these ways. The first one is thelarche. In this, there is a development of the breast. The second one is pubarche. In this, there is a development of pubic hair. Then the next one is menarche. In this one, there is an onset of menses. In between thelarche and pubarche, there is a growth spurt. So all these occur gradually. It is normal for your child to have this development. You can consult a doctor when there are secondary sexual characters like breast development and growth of pubic hair before eight years of age in a female child.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am 18 and struggling with anger issues and impulsive behavior which I am unable to stop. I seriously think that I am quickly getting depressed and developing anxiety and repulsive behavior. I have had many past incidents which might have reflected upon my change in attitude change, and so I want to get rid of this. Please help me. ### Response: Hi. I can understand the difficulties faced by you because of the impulsivity. Since you are only 18 years old, I would not consider any medications right now. However, I would advise you first to appreciate the bodily changes that come when you become angry like clenching of teeth, feeling body muscles contracting and increased respiration. Secondly, I would advise you to leave the situation or place which makes you angry. Thirdly splash your face with cold water or take a bath and ChatDoctor. Then you can close your eyes and take deep slow breaths through your nose. While doing so kindly focus on your body muscles individually in a series like the first face then neck then trunk and so on. And also while taking deep breaths, you can count from 1 to 100. By doing so, you can manage your anger and thus your offensive behavior. Thank you.

Hi doctor,I am 18 and struggling with anger issues and impulsive behavior which I am unable to stop. I seriously think that I am quickly getting depressed and developing anxiety and repulsive behavior. I have had many past incidents which might have reflected upon my change in attitude change, and so I want to get rid of this. Please help me.

Hi. I can understand the difficulties faced by you because of the impulsivity. Since you are only 18 years old, I would not consider any medications right now. However, I would advise you first to appreciate the bodily changes that come when you become angry like clenching of teeth, feeling body muscles contracting and increased respiration. Secondly, I would advise you to leave the situation or place which makes you angry. Thirdly splash your face with cold water or take a bath and ChatDoctor. Then you can close your eyes and take deep slow breaths through your nose. While doing so kindly focus on your body muscles individually in a series like the first face then neck then trunk and so on. And also while taking deep breaths, you can count from 1 to 100. By doing so, you can manage your anger and thus your offensive behavior. Thank you.

### Instruction: Answer this question truthfully ###Input: Hello doctor,Today, I plucked a nose hair. I work in a hospital setting, so I guess; I am around with a lot of germs. I read that plucking a nose hair can lead to a cut and some infection inside the nose. Then, this infection can reach the brain and cause loss of vision, headaches and fevers. Is this true? If so, how easy would it be to get this infection from a plucked nose hair? ### Response: Hello. Your concern is correct. Plucking nasal hair can injure or break the skin or nasal mucosa leading to the root infection that may spread to the brain. The triangular area in and around the nose forms the dangerous triangle or dangerous area of the face. Due to special blood supply, it may lead to the intracranial spread of infection retrogradely through valveless veins that may result in meningitis or brain abscess or cavernous sinus thrombosis. It is not absolutely dangerous, but yes, if you are unlucky it may lead to folliculitis or nasal or facial infection and may spread to brain though rarely. Hence, do not repeat that. Use a clipper or scissors for that purpose. For now, you need not worry if you do not acquire folliculitis or nasal infection. Take care.

Hello doctor,Today, I plucked a nose hair. I work in a hospital setting, so I guess; I am around with a lot of germs. I read that plucking a nose hair can lead to a cut and some infection inside the nose. Then, this infection can reach the brain and cause loss of vision, headaches and fevers. Is this true? If so, how easy would it be to get this infection from a plucked nose hair?

Hello. Your concern is correct. Plucking nasal hair can injure or break the skin or nasal mucosa leading to the root infection that may spread to the brain. The triangular area in and around the nose forms the dangerous triangle or dangerous area of the face. Due to special blood supply, it may lead to the intracranial spread of infection retrogradely through valveless veins that may result in meningitis or brain abscess or cavernous sinus thrombosis. It is not absolutely dangerous, but yes, if you are unlucky it may lead to folliculitis or nasal or facial infection and may spread to brain though rarely. Hence, do not repeat that. Use a clipper or scissors for that purpose. For now, you need not worry if you do not acquire folliculitis or nasal infection. Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,About six weeks ago, I had protected sex with a male. About two weeks later, I developed a cold, which got better. Now, I have been feeling random zings (not really painful) in my armpit. I have also got five \\x80\\x9cpimples\\x80\\x9d in a cluster on my back. Do I need to be worried about HIV? ### Response: Hello. Protected sex is safe and there is no risk of HIV (human immunodeficiency virus). Having cold or flu is not a specific symptom or sign of HIV. Cold is otherwise very common in the general population and is not a reason to suspect HIV. For pimples, I would suggest you use a triple antibiotic like Neosporin ointment (Bacitracin Topical, Neomycin, and Polymyxin) twice daily. I do not think you even need to worry about HIV. Moreover, since it has already been six weeks from your sexual encounter, you may take a fourth generation HIV screening test for your own satisfaction that is HIV combo test (p24 antigen and anti-HIV antibody). The results would be conclusive. Regards. For more information consult an HIV AIDS specialist online Take care.

Hello doctor,About six weeks ago, I had protected sex with a male. About two weeks later, I developed a cold, which got better. Now, I have been feeling random zings (not really painful) in my armpit. I have also got five \\x80\\x9cpimples\\x80\\x9d in a cluster on my back. Do I need to be worried about HIV?

Hello. Protected sex is safe and there is no risk of HIV (human immunodeficiency virus). Having cold or flu is not a specific symptom or sign of HIV. Cold is otherwise very common in the general population and is not a reason to suspect HIV. For pimples, I would suggest you use a triple antibiotic like Neosporin ointment (Bacitracin Topical, Neomycin, and Polymyxin) twice daily. I do not think you even need to worry about HIV. Moreover, since it has already been six weeks from your sexual encounter, you may take a fourth generation HIV screening test for your own satisfaction that is HIV combo test (p24 antigen and anti-HIV antibody). The results would be conclusive. Regards. For more information consult an HIV AIDS specialist online Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am suffering from hip pain in the lower back region. It is behind the buttock bone on the left side. As I twist my upper body towards the right side or just bend down front and move little to the right side there is pain. I am suffering from it for almost five months and still, the pain is there. I have been placing ice packs and was doing lower back exercises regularly three times a day and I still have no effect. I have not met with any kind of accident or lift any heavyweights. ### Response: Hello. I can understand your concern. In my opinion, your SI (sacroiliac joint) joint would have got into a bit of dysfunction as it normally happens from faulty posture. In addition to the ice packs, I want you to do cobra raise exercise with left leg bent at the knee and foot kept under opposite thigh like a figure of four position at least 20 times once in two hours if possible. Do lots of stretching for your piriformis and gluteus muscles. Gently massage the butt muscles. It will give you relief. Avoid any faulty posture especially sitting in a slouched position for a long time. Hope this is helpful for you. Take care.

Hello doctor,I am suffering from hip pain in the lower back region. It is behind the buttock bone on the left side. As I twist my upper body towards the right side or just bend down front and move little to the right side there is pain. I am suffering from it for almost five months and still, the pain is there. I have been placing ice packs and was doing lower back exercises regularly three times a day and I still have no effect. I have not met with any kind of accident or lift any heavyweights.

Hello. I can understand your concern. In my opinion, your SI (sacroiliac joint) joint would have got into a bit of dysfunction as it normally happens from faulty posture. In addition to the ice packs, I want you to do cobra raise exercise with left leg bent at the knee and foot kept under opposite thigh like a figure of four position at least 20 times once in two hours if possible. Do lots of stretching for your piriformis and gluteus muscles. Gently massage the butt muscles. It will give you relief. Avoid any faulty posture especially sitting in a slouched position for a long time. Hope this is helpful for you. Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,Can you examine the reports attached below? I had a high fever for two days in the last week. Then it again came back a day before yesterday. It was a high fever. ### Response: Hello. I have gone through your reports (attachment removed to protect patient identity). In the first one, malaria is negative. And the second one shows low WBC (white blood cells) and borderline hemoglobin, and platelets. This is suggestive of viral infection and another possibility is of typhoid infection. Since your cells are low, it is very important that you get yourself examined by a local doctor in person for any other abnormalities. In my opinion, you will also need some more tests, like dengue NS1Ag (antigen) and dengue IgM, typhi dot IgM, to find the cause for it. Get liver and renal function test done as well. Also, repeat complete hemogram day after tomorrow. You should only have tablet Paracetamol 500 mg up to three to four times a day for fever, avoid other painkillers, have rest and avoid the possibility of injury, avoid outside, unhygienic or even raw foods till your count recovers. And you should visit a nearby doctor once. Take care.

Hello doctor,Can you examine the reports attached below? I had a high fever for two days in the last week. Then it again came back a day before yesterday. It was a high fever.

Hello. I have gone through your reports (attachment removed to protect patient identity). In the first one, malaria is negative. And the second one shows low WBC (white blood cells) and borderline hemoglobin, and platelets. This is suggestive of viral infection and another possibility is of typhoid infection. Since your cells are low, it is very important that you get yourself examined by a local doctor in person for any other abnormalities. In my opinion, you will also need some more tests, like dengue NS1Ag (antigen) and dengue IgM, typhi dot IgM, to find the cause for it. Get liver and renal function test done as well. Also, repeat complete hemogram day after tomorrow. You should only have tablet Paracetamol 500 mg up to three to four times a day for fever, avoid other painkillers, have rest and avoid the possibility of injury, avoid outside, unhygienic or even raw foods till your count recovers. And you should visit a nearby doctor once. Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I had sex with condom. Is there any chance to get affected with HIV? Until now, there are no symptoms. Generally, how many days will it take to identify HIV after sex? Please suggest, and I am a bit worried. Generally, in my company, they conduct medical tests yearly and in that it shows negative. ### Response: Hello, Welcome to ChatDoctor. Doing sex with condom is safe unless it has torn or leaked. Was your partner a known case or later diagnosed to be HIV positive? Company tests that you have done, if it was for HIV and if it is negative, then you need not worry about it as test results will be positive in four to eight weeks after exposure. And the symptoms and presentation may be late and vary depending on the patient\\s immunity and other things. It is present with some symptoms be delayed even up to a decade or more. If you are already tested for HIV, and it is negative, then I do not think there is any reason to worry about your incident. If not yet tested and you want to clear your doubt, get it checked after this Covid period. It is not an emergency. Be careful and take safety measures. Take care.

Hello doctor,I had sex with condom. Is there any chance to get affected with HIV? Until now, there are no symptoms. Generally, how many days will it take to identify HIV after sex? Please suggest, and I am a bit worried. Generally, in my company, they conduct medical tests yearly and in that it shows negative.

Hello, Welcome to ChatDoctor. Doing sex with condom is safe unless it has torn or leaked. Was your partner a known case or later diagnosed to be HIV positive? Company tests that you have done, if it was for HIV and if it is negative, then you need not worry about it as test results will be positive in four to eight weeks after exposure. And the symptoms and presentation may be late and vary depending on the patient\\s immunity and other things. It is present with some symptoms be delayed even up to a decade or more. If you are already tested for HIV, and it is negative, then I do not think there is any reason to worry about your incident. If not yet tested and you want to clear your doubt, get it checked after this Covid period. It is not an emergency. Be careful and take safety measures. Take care.

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have sputum always in my throat. I have this problem for the past six months. For the first two months, the sputum was in the larynx, and it was very less, but later on, the sputum began to go back to the throat. I recently consulted an ENT doctor and underwent a CT scan and a chest X-ray. I was diagnosed with small nasal polyps in the right maxillary sinus. The doctor prescribed me Floresp Nasal Spray. I used it for one month, and this resolved nearly 80 % of the symptoms, but I feel there is still thin mucus in the throat like a thick, sticky saliva. I used Largy M too for a short course of 10 days. Recently, I developed an urge to cough to clear the sputum in the throat. Should I still continue with the spray? Can I continue for longer periods? How long will it take for a complete recovery? What foods should I avoid? Should the urge to cough, which I get, be ignored since it is just to clear the throat? ### Response: Hello. Do revert back for any support which you deem is necessary. I will be happy to help you. For more information consult an ENT Otolaryngologist online

Hello doctor,I have sputum always in my throat. I have this problem for the past six months. For the first two months, the sputum was in the larynx, and it was very less, but later on, the sputum began to go back to the throat. I recently consulted an ENT doctor and underwent a CT scan and a chest X-ray. I was diagnosed with small nasal polyps in the right maxillary sinus. The doctor prescribed me Floresp Nasal Spray. I used it for one month, and this resolved nearly 80 % of the symptoms, but I feel there is still thin mucus in the throat like a thick, sticky saliva. I used Largy M too for a short course of 10 days. Recently, I developed an urge to cough to clear the sputum in the throat. Should I still continue with the spray? Can I continue for longer periods? How long will it take for a complete recovery? What foods should I avoid? Should the urge to cough, which I get, be ignored since it is just to clear the throat?

Hello. Do revert back for any support which you deem is necessary. I will be happy to help you. For more information consult an ENT Otolaryngologist online

### Instruction: Answer this question truthfully ###Input: Hey doctor how do you do? To be honest am not fine !! When we come to ma point i have a symptoms like going to toilet many times in a day and also farting much times in a day(over 100 times ). Am from poor family Once I tried in hospital but because of money I Can\\t continued .It tooks many years and influenced me for isolation of social lifes even if from school.now i am a 2nd year university student and i have many ideas what i want to do but I can\\t please help me !! ### Response: Hello, Welcome to Chat Doctor forum. I welcome you to ChatDoctor. I am sorry to hear that you have been such distressful times. I really hope with the following advise your problem solve for rest of your life. Well you it is not uncommon to have fart and burping. Since these are the normal.process of body of emitting gases which are produced in the small bowel. However, excessive gases are produced in someone who have problem with two things. 1. carbohy ChatDoctor. The corbohydtates are the major compotent of our diet approx. 70% of diet we take it is corbohy

Hey doctor how do you do? To be honest am not fine !! When we come to ma point i have a symptoms like going to toilet many times in a day and also farting much times in a day(over 100 times ). Am from poor family Once I tried in hospital but because of money I Can\\t continued .It tooks many years and influenced me for isolation of social lifes even if from school.now i am a 2nd year university student and i have many ideas what i want to do but I can\\t please help me !!

Hello, Welcome to Chat Doctor forum. I welcome you to ChatDoctor. I am sorry to hear that you have been such distressful times. I really hope with the following advise your problem solve for rest of your life. Well you it is not uncommon to have fart and burping. Since these are the normal.process of body of emitting gases which are produced in the small bowel. However, excessive gases are produced in someone who have problem with two things. 1. carbohy ChatDoctor. The corbohydtates are the major compotent of our diet approx. 70% of diet we take it is corbohy

### Instruction: Answer this question truthfully ###Input: Hi doctor,I had unprotected sex five month back and took I-pill within 12 to 14 hours. I have done home tests on the sixth and ninth day which were negative. I had brown spotting on the 13th day and some spotting today as well. My last period was ten days before having sex. Is the spotting due to the I-pill or it could be early pregnancy symptoms? Also, how late can someone get spotting due to the I-pill as in my case it is over ten days? ### Response: Hi, Welcome to Chat Doctor forum. Well, the best way to find out whether this is spotting due to pregnancy or I-pill is by doing a simple blood test namely the serum beta hCG (human chorionic gonadotropin) to rule out pregnancy. Please share the report when ready. Home pregnancy tests are not very accurate. With regards to the duration till when one can get I-pill related. Spotting or bleeding following I-pill intake is highly unpredictable. If the blood test is negative for pregnancy, I suggest you not to worry and also avoid using I-pill as a regular contraceptive. For more information consult an obstetrician and gynaecologist online

Hi doctor,I had unprotected sex five month back and took I-pill within 12 to 14 hours. I have done home tests on the sixth and ninth day which were negative. I had brown spotting on the 13th day and some spotting today as well. My last period was ten days before having sex. Is the spotting due to the I-pill or it could be early pregnancy symptoms? Also, how late can someone get spotting due to the I-pill as in my case it is over ten days?

Hi, Welcome to Chat Doctor forum. Well, the best way to find out whether this is spotting due to pregnancy or I-pill is by doing a simple blood test namely the serum beta hCG (human chorionic gonadotropin) to rule out pregnancy. Please share the report when ready. Home pregnancy tests are not very accurate. With regards to the duration till when one can get I-pill related. Spotting or bleeding following I-pill intake is highly unpredictable. If the blood test is negative for pregnancy, I suggest you not to worry and also avoid using I-pill as a regular contraceptive. For more information consult an obstetrician and gynaecologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I have been diagnosed with a 13 cm complex cyst in left ovary and have a laparotomy (small 3 to 4 inches vertical incision under my belly button to get rid of ovarian cyst) coming up and I would feel so much better if I could just get a spinal block instead of general anesthesia. I have heard of multiple women getting these with similar surgeries and I want to know why my surgeon is telling me that spinal block is not possible. I have a major anxiety of general anesthesia and I know my recovery would be better with a spinal. The tests performed are an ultrasound and CT scan. ### Response: Hi, Welcome to Chat Doctor forum. Spinal anesthesia is good for surgeries below umbilicus eg., pelvic surgeries, and ovarian cyst as in your case. But the size of your cyst is large, more than 10 cm and it is a complex cyst (not simple) which would mean surgeon may have to see other intrabdominal structures also and may take more time to complete surgery, also you may feel uncomfortable if he has to extend incision above the umbilicus. So he has advised you for general anesthesia which is the most reliable option in your case. For more information consult an anesthesiologist online

Hello doctor,I have been diagnosed with a 13 cm complex cyst in left ovary and have a laparotomy (small 3 to 4 inches vertical incision under my belly button to get rid of ovarian cyst) coming up and I would feel so much better if I could just get a spinal block instead of general anesthesia. I have heard of multiple women getting these with similar surgeries and I want to know why my surgeon is telling me that spinal block is not possible. I have a major anxiety of general anesthesia and I know my recovery would be better with a spinal. The tests performed are an ultrasound and CT scan.

Hi, Welcome to Chat Doctor forum. Spinal anesthesia is good for surgeries below umbilicus eg., pelvic surgeries, and ovarian cyst as in your case. But the size of your cyst is large, more than 10 cm and it is a complex cyst (not simple) which would mean surgeon may have to see other intrabdominal structures also and may take more time to complete surgery, also you may feel uncomfortable if he has to extend incision above the umbilicus. So he has advised you for general anesthesia which is the most reliable option in your case. For more information consult an anesthesiologist online

### Instruction: Answer this question truthfully ###Input: Hi doctor,My father had a heart attack three weeks ago. Now, he is under medication and in complete rest at home. But echocardiogram report says his LVEF rate is 29 %. Some cardiac enzymes are high. How can we improve the rate of LVEF? Can this percentage get improved by rest or diet or something? His blood pressure, cholesterol, and sugar levels are normal. There are no blood clots present. He feels tired if he walks at home even more than 15 minutes. ### Response: Hi, Welcome to Chat Doctor forum. Your father had a heart attack and from his echocardiography report, (attachment removed to protect patient identity) the affected areas are thinned out and akinetic. It means that the heart muscles have lost their function in these areas. He can take ChatDoctor. What are the medicines given? The other method is to assess if there are any other blocks present in the coronary arteries and get removed either by CABG (coronary artery bypass graft surgery) or angioplasty. But I would suggest first do a myocardial viability study to see if the thinned out akinetic areas have any living muscle present to improve his cardiac function. For more information consult a cardiologist online

Hi doctor,My father had a heart attack three weeks ago. Now, he is under medication and in complete rest at home. But echocardiogram report says his LVEF rate is 29 %. Some cardiac enzymes are high. How can we improve the rate of LVEF? Can this percentage get improved by rest or diet or something? His blood pressure, cholesterol, and sugar levels are normal. There are no blood clots present. He feels tired if he walks at home even more than 15 minutes.

Hi, Welcome to Chat Doctor forum. Your father had a heart attack and from his echocardiography report, (attachment removed to protect patient identity) the affected areas are thinned out and akinetic. It means that the heart muscles have lost their function in these areas. He can take ChatDoctor. What are the medicines given? The other method is to assess if there are any other blocks present in the coronary arteries and get removed either by CABG (coronary artery bypass graft surgery) or angioplasty. But I would suggest first do a myocardial viability study to see if the thinned out akinetic areas have any living muscle present to improve his cardiac function. For more information consult a cardiologist online

### Instruction: Answer this question truthfully ###Input: Hello doctor,I am a 32 year old male married for five years. My wife and I are trying for a baby for the last two and a half years with no luck. My wife had gone for an HSG and other tests and her reports are all good. My semen analysis was fine too. We had gone for IUI thrice with no luck. Now, four days back, I had gone for a computer-assisted semen analysis (DFI) and the results were shocking. I was diagnosed with asthenoteratozoospermia. Please find attached my detailed report. Please let me know if there is any chance of me becoming a dad. I am heartbroken. I did doppler scrotal, anti-sperm antibody, testosterone two years back and the reports were alright then. Should I take Zinc or Vitamin supplements? How is my chance with ICSI (IVF)? Should I do any chromosome related screening test? Please advise. ### Response: Hello. I have seen your reports (attachment removed to protect patient identity). As per your report, you have asthenoteratozoospermia. For more information consult an an ChatDoctor. /ask-a-doctor-online/an Take care.

Hello doctor,I am a 32 year old male married for five years. My wife and I are trying for a baby for the last two and a half years with no luck. My wife had gone for an HSG and other tests and her reports are all good. My semen analysis was fine too. We had gone for IUI thrice with no luck. Now, four days back, I had gone for a computer-assisted semen analysis (DFI) and the results were shocking. I was diagnosed with asthenoteratozoospermia. Please find attached my detailed report. Please let me know if there is any chance of me becoming a dad. I am heartbroken. I did doppler scrotal, anti-sperm antibody, testosterone two years back and the reports were alright then. Should I take Zinc or Vitamin supplements? How is my chance with ICSI (IVF)? Should I do any chromosome related screening test? Please advise.

Hello. I have seen your reports (attachment removed to protect patient identity). As per your report, you have asthenoteratozoospermia. For more information consult an an ChatDoctor. /ask-a-doctor-online/an Take care.

### Instruction: Answer this question truthfully ###Input: Hi doctor,I am a 20 year old male. My weight is 114 kg and I am 5 feet 11 inches tall. I want to reduce my acne as soon as possible. I have a few hard bumps along with normal pimples. Mostly they are painless. I need an effective cure. I have attached a relevant picture. I have been using aloe vera gel now. ### Response: Hi, Welcome to Chat Doctor forum. I have gone through your history and attached photograph (attachment removed to protect patient identity). You should continue with Dermadew acne soap but stop using aloe vera gel. Besides this, you need oral as well as topical medications for your acne. Start with tablet Azithromycin 500 mg once daily for three consecutive days in a week for 4-6 weeks along with Nadifloxacin gel in the morning and Benzoyl peroxide 2.5 percent gel at night on the pimples. I hope it will help you. If a satisfactory response is not seen in six weeks we might need to add another capsule. You can revert back to me after six weeks for follow up. Also, keep your face ChatDoctor. Seborrhea and hormonal imbalance. Acne vulgaris.

Hi doctor,I am a 20 year old male. My weight is 114 kg and I am 5 feet 11 inches tall. I want to reduce my acne as soon as possible. I have a few hard bumps along with normal pimples. Mostly they are painless. I need an effective cure. I have attached a relevant picture. I have been using aloe vera gel now.

Hi, Welcome to Chat Doctor forum. I have gone through your history and attached photograph (attachment removed to protect patient identity). You should continue with Dermadew acne soap but stop using aloe vera gel. Besides this, you need oral as well as topical medications for your acne. Start with tablet Azithromycin 500 mg once daily for three consecutive days in a week for 4-6 weeks along with Nadifloxacin gel in the morning and Benzoyl peroxide 2.5 percent gel at night on the pimples. I hope it will help you. If a satisfactory response is not seen in six weeks we might need to add another capsule. You can revert back to me after six weeks for follow up. Also, keep your face ChatDoctor. Seborrhea and hormonal imbalance. Acne vulgaris.