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The conversation between human and AI assistant. [|Human|] Hello, I am 29yrs old female with weight 43kg & height 5.4. I developed TB Lymphadenitis over left supraclavicular region in sept 2012. Did FNAC which showed occasional AFB & kochs. Consulted the physician. he started me Rcinex EZ, Leon 500mg od & benadone. After completing 6months regime he told me that there is a residual node of 2x2 cms which is not to worry about. but there was no weight gain at that time, weight was as it is. but in again sept 2013 i had bleeding PR with severe anxiety. Showed to surgeon , he examined me & told there are 1st degree piles. I also asked him about that node, He told me to consult Physician again. The other Physician told me that u have taken inadequate treatment since the node is still there. Again done FNAC which suggested necrotising lymphadenitis favouring kochs. Again started akt with akurit 4 3tabs daily before lunch. After completing 2months. the physician said that the size of the node has not reduced then he shifted me on line 2 which included strepto 0.75mg daily IM, Ethomid 250mg BD, Rimactazid 750mg & Lcin 750mg after lunch. I developed severe gastritis,nausea, vomitting, tinnitus, metallic taste & was unable to take food or even aroma of food. Lost again 2kg weight in 15 days.It came down 41kg. My life became hell at that time. then consulted other PHYSICIAN who calmed me & told not to worry about. Only take Rimactazid for 4 months & forget that u had tb. please tell me whether i am going correct??? it is almost 10 days now i have shifted to rimactazid, feeling ok but i just developed slight tenderness over that node since 2 days.. what to do??? my parents are looking for my marriage.they are also too worried. please help me out.. i dont want to die... [|AI|] I can understand your worry. Lymph node may remain enlarged even after complete treatment, and it does not require treatment til it completely settles. A doctor needs to complete the course of TB and stop it if patient has no symptoms, no weight loss etc...FNAC of node will show necrotizing lymphadenitis for many years even after treatment. Now as you have started treatment already it's better to complete the course for now. If u want to confirm the presence of Tb disease you should go for excision biopsy of the lymph node i.e. Complete removal of the node and do TB culture of the excised node. If the culture is positive then treatment should be given as per sensitivity report and if the report is negative then you should stop worrying of persistent TB disease.

The conversation between human and AI assistant. [|Human|] My father 84 year old suddenly has very swlloen ankles. his serum bilirubin total = 1.23 mg/dl, bilirubin direct = 0.51 mg/dl, bilirubin indirect is 0.72 mg/dl & serum urea = 21.00 mg/dl. Does he have jaundice?? Why is his feet and ankles (both feet) swelling so much? the swelling is painless [|AI|] Hi, Thanks for posting your query. I am Chat Doctor. K and I am pleased to assist you. The bilirubin levels farewell within normal limits only. So your father is not having any jaundice. As far as the leg swelling is considered, there are a number of different conditions which can cause it - which include heart disease, liver disease, kidney disease, varicose veins etc. These conditions cause painless swelling. You can discuss with his doctor about these possibilities. I hope that answers your question. Regards.

The conversation between human and AI assistant. [|Human|] I need to know what my options are for pain management for severe lower back pain all my doctor has tried me on is vicoprofen i told him it wasnt working so he put me on norcos after almost 6 months on the vicoprofens. The norcos were working for the pain and helping me to sleep great at night but i was also very sleepy during the day and I cannot be like that as I have a 16 month old to take care of. I am now on a hydrocodone 5/500 and back to square one still in a lot of pain and not sleeping at all basically at night. I was born without a disc between l4 and l5 and a bulging disc above l5, I also have severe muscle spasms in my back. I would like to know what other options I have to relieve my pain and be able to chase my son all day but sleep at night as well [|AI|] You have not mentioned your age which is very important factor in case of back pain. For treatment, you can take some painkiller like attract or biozobid-plus only when your back pain is worse enough or disturbing your routine work. Apart from this you can take some calcium supplements like shall or toscal-gem once daily preferably in afternoon. You can do some physiotherapy exercises after an expert opinion of physiotherapist. I will also advise you to sleep on a plain surface as it is very helpful in case of back pain.

The conversation between human and AI assistant. [|Human|] I was hit several times on the right side of my head. I went to the dr and had x rays done and they said closed head injury. I ve been hit in the head before but never had crackling/popping in my ear. The ear doing this is on the same side as where I was hit. I told the doctor but she didn t say what is causing it [|AI|] Hello! Thank you for asking on Chat Doctor! It is common to have noise in the ears after a head concussion. But sometimes this noise, especially when mimics the heart rhythm (pulsatile tinnitus) can be caused by an intracranial arteriovenous communication also called rural fistula. I would recommend performing a brain MRI to exclude this possibility. If the brain MRI results normal, there is nothing to worry about. Hope to have been helpful! Best wishes,

The conversation between human and AI assistant. [|Human|] I m 16 years old and im a girl. I m constantly nervous for things I shouldn t be nervous about. It s really embarrassing for me so I don t wanna ask a doctor in person or tell my family about it. I hate talking in front of crowds and meeting new people and being the center of attention. When a lot of people start looking at me, my face gets red. I m just so nervous all of the time and I don t know what to do [|AI|] Hello, Thanks for putting your query on Chat Doctor. I can understand what you are going through. You seem to be having Social Anxiety Disorder. If I had similar patient visiting my clinic I would have started her on low dose anxiolytic like Escitalopram 10 mg daily and benzodiazepines like clonazepam 0.25 mg on sos' basis when she gets anxious. If anxiety came down hesitation to talk or face people would also reduce.Also, I would have done behavioral therapy for her like practice talking in front of mirror etc Hope I could solve your query. If you have further queried please feel free to ask.

The conversation between human and AI assistant. [|Human|] Hello,For the last couple months ive had some pelvic pain,lower back pain,recently abnormal vaginal bleeding and the last couple days awful heartburn and indigestion.im 27 and have seen the dr many times lately,they have done a Pap test,ultasound and pelvic exam and said everything is fine.im worrying about it as well which Im sure isnt making anything better.should I be as concerned? [|AI|] Hi and thanks for the query, I think it's important to get a proper medical examination. it's worth knowing whether this is the first time you are experiencing an abnormal menstrual cycle or not. An abnormal menstrual cycle is an issue when it becomes repetitive and the reason why you had an abnormal bleed needs to be sought after. It is routine to undertake a pregnancy test and an abdominal ultrasound to formally exclude a pregnancy or some other gynecologic cause of bleeding. The heart burn and indigestion might not really be related to the pelvic problems you have been experiencing. A past history of gastritis is worth to be known and any recent changes in your diet, taking of some Chat Doctor. Consulting your gynecologist for a proper evaluation might be important. Thanks and best regards, Luchuo, MD.

The conversation between human and AI assistant. [|Human|] My husband is 66, insulin dependent diabetic and controlled blood sugar who had a 90 minute massage this morning and following the massage, he felt dizzy, was pale, clammy and sweating and felt nauseated. His blood pressure was 148/74 and pulse was 78. [|AI|] Hello, From the description, it appears like a fairly severe hypoglycemic episode. Was the blood glucose checked following the episode? Sometimes in patients on insulin and with a very strict blood glucose control, there can be such hypoglycemic episodes. It is better to give a closer look at his diet, blood glucose levels and Insulin dosage. So, as to prevent further such episodes. Hope I have answered your query. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] Hi...My father underwent dialysis 6 yrs back due to Acute Renal Failure. After dialysis his Creatinin was fluctuating between 2.5 to 3.5. Last month his creatinin shooted upto 5.5 due to lack of diet control. After that he followed strict diet at got his creatinin down to 4.5 in 4 week. Now our regular doctor is insisting dialysis. what should w do? [|AI|] Hi and sorry to hear about your dads ill health and rising creatinine. It has never been an easy decision accepting to get on dialysis for renal failure. Your fear, hesitation and worries are genuine. The value is quite high. I believe the doctor is advising him to go in for the best treatment right now given all the information she/he has. However, she/he should also provide you with the way forward if you do not want dialysis right now. And don't forget, denying it is your right as a patient. I think you need to meet with him/her and get the exact reasons why he thinks it should be the best option now and what the consequences of not doing so would be. Ask him ask many questions as possible as, does he think this is definitive or temporal, how much time is this going to last, etc hope you both arrive at a conclusion that will provide the best outcome and satisfaction concerning your dads' health. Extend my wishes of a speedy recovery to your dad.

The conversation between human and AI assistant. [|Human|] Younger brother diagnosed with liver cancer in Sept. Lots of stress on us all. January I was given antibiotics for sore throat . This caused a whopping case of clostridium. Still on pro biotics. Now allergies have set in and have occassional achy skin and chills at night. Just can t seem to get well .Am wondering if stress has weakend my immune system. Brother passed away last month. This was so stressful I feel that I have been weakened by circumstance and illness. I am 67, basically good health, don t take pills for anything, good appetite. Take vitamins , ubkiquinol, calcium. [|AI|] Hello there, Welcome to Chat Doctor. Firstly, my heartfelt condolences. You have been suffering from vague symptoms for quite some time, from what I could gather. Some kind of GI upset, then off and on fever with general ache and malaise. So I suggest you to undergo a thorough evaluation including blood analysis, chest X-rays, abdominal ultrasounds. Nothing to panic, but it is always better to get investigated well and then treated rather than go on treating only symptoms. Pl do consult a primary care physician.

The conversation between human and AI assistant. [|Human|] my blood test are abnormal- low liver enzymes, I am having pain on my left side and abdomen at night and 4 urine infections this summer. I take lithium and epival for last 20 years, I am confident I am ready to get off both of these my psyshcriast - disagrees and my family doctor keeps dropping hints about my blood work being out of wack. I am frustrated. [|AI|] Hi and welcome to Chat Doctor. I don't think this is side effect of these medicines that you are taking, but it is possible. Urinary infections are common in people with diabetes and other immunosuppressive diseases, but also it can be found if sexually active. You should create it but before it, you need to verify the exact microbe that is causing it. Low enzymes are not problematic if there is no any other liver symptoms so just do frequent check up. Thanks for the query. Regards

The conversation between human and AI assistant. [|Human|] im a44 year old male with recently diagnosed ebv and an orthostatic intolerance. have been to urgent care centers for dehydration and have been hospitalized with renal failure. no recent hospital stays but have problems every morning with nausea,sometimes leading to a bad day and sometimes not. sweats, headaches, abdominal pain severe dehydration leads to severe cpamping of legs and torso,but have stiffness and fullness in right side of neck leading uparoundhead,and sometimes fill like my tongue is in the way when i swallow. [|AI|] Hi. Thanks for your query. This looks to be really very, very rare combination and started with ABV. Yes, ABV can cause varied problems and all your symptoms can be related to it directly or indirectly. Orthostatic intolerance, renal failure can lead to further problems of deny Chat Doctor. I would advise in such a patient to get admitted in the Specialty center to get fully investigated. Proper diagnosis is the key to the correct treatment.

The conversation between human and AI assistant. [|Human|] 40 year old female presents with loin pain, generalized oedema and night sweats of one week duration. Had been treated with IVfluids and IV antibiotics at hospital. No urine infection on specimen. Have done bloods and deranged LFT s (all of them - except bilirubin), anaemia hgb 113, urine pristine no protein. CRP 120. [|AI|] Hello, As I was reading history, I didn't understand about the generalized edema? Because generalized edema is indicative of some other pathology. Also, how is the urine output. If there is a loin pain then the patient must have pathology of the kidney and due to which the generalized edema and night sweats may occur. You need to ask the patient to try passing urine a lot but manual force if it's not happening by its own. In case if there is any trouble with kidneys then urine flow might get reduced and needs an intervention with a catheter to reduce the fluid pressure from the kidneys. Please consult a good physician and explain to him the whole medical history with the discharge summary. As for loin pain we can have a simple workout but for generalized edema we may have to be conscious. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.

The conversation between human and AI assistant. [|Human|] doc iam diagnised with breast cancer and mastectomy was performed.the ultra sound of the abdomen reavealed i have a slightly enlarged liver(hepatomegaly)is it a serious liver condition?what excercise i should do to reduce the fatty liver?any diet resrictions to follow?tnx. [|AI|] Thank you for posting query at Chat Doctor. Presentation of fatty liver.further evaluation needed and Chat Doctor. Better to also rule out viral causes and also test LIPID profile, further blood tests needed:1. Bag (if NOT vaccinated against HBV) 2. Anti HCV 3. Anti Havoc should strictly AVOID alcohol until liver enzymes return to normal and intake should be minimum thereafter. Better to avoid altogether.meanwhile:- abstinence from "Alcohol and

The conversation between human and AI assistant. [|Human|] On August 2nd, I had unprotected oral sex with a woman for about 30 secs to 1 min. Afterward I place a condom on and continued with intercourse. Two and a half weeks later I started having a burning sensation around the head of my penis and urethra. No discharge. It ll only burn after I urinate & burn afterward for some time. It s an on and off thing. On August 26, i had sex with my significant other in the morning using a vibrating rubber ring around my penile shaft, which felt alittle tight. The very next day, I woke up with a dime size looking painless bruise or rash. It has almost dissappeared by August 28th (3 days later) I m not sure what I m experiencing.. I m worried. I had ask the previous woman I ve had sexual contact with if she has anything, and she said the last partner she had sexual intercourse with was 6 months ago and she has no symptoms and have not tested for any std. So yesterday, I went to see a Doctor and he wasn t able to tell me anything. He said the bruise was probably from using the ring, and that there s no bacteria in my urine. I ve just tested for chlamydia, Gono, herpes 1 & 2, syphillis and HIV..I ve been stressing, because the burning sensation still remains, the bruise is almost gone and I ve been having slight testicle tenderness, although not too noticeable. Any help would be appreciated, thanks [|AI|] HelloThanks for query. You have burning after urination which you noticed it after having oral sex with unknown woman. This is mostly due to inflammation of Urethra acquired through oral sex. Oral cavity contains plenty of bacterial flora hence more prone to get infection after oral sex. Since most of the tests for STD are negative you need not worry tall. You need to take broad spectrum antibiotic like Lifetime along with anti-inflammatory Chat Doctor. Ensure to wash your genitals with warm water twice daily. Ensure to avoid sexual encounters till it gets cured completely.

The conversation between human and AI assistant. [|Human|] My wife is 20 weeks pregnant and has an abnormally high heart rate. She did a 24 hour test and her average heart rate is 115. Her blood pressure is normal. The echogram showed no problems. She has to do a thyroid function test next week. Is this anything to be concerned about? [|AI|] Hello, and I hope I can help you today. Many women experience a fast heartbeat while they are pregnant, and as long as the doctors' evaluation of her heart as well is for other medical problems the can cause rapid heartbeat, such as thyroid disease, are negative than the symptom is likely just due to pregnancy. A pregnant women blood volume increases to one half times greater capacity during pregnancy to provide the placenta with oxygen as well is prepare her body for childbirth, so during the adjustment period, her body may just be under some additional stress. Furthermore, if your wife has gained a lot of weight since the beginning of the pregnancy, even ordinary activities can make her heart race compared to when she is not pregnant. So in summary, as long as your wife is under proper medical care and receiving an evaluation, there really is no reason to worry. Furthermore, your wives rapid heartbeat does not have any negative effect on the fetus, so there is no need to worry about the baby in the situation. I hope that I was adequately able to answer your question today, and that my advice was helpful. Best wishes,

The conversation between human and AI assistant. [|Human|] yes I am bipolar manicdepressive ihave just started to see another doctor after a year of not seeing one ive seen one for ten years before that I told this new docter that I would not take anything that will make me gain anymore wait ive been seeing him for three weeks now and ive already put on 20 pounds. hes put me on paxel and kolonapan for my deppresson and my anxiety is there anything you could sugest I could tell him or say to him because im struggling right now to lose weaight. [|AI|] Degree understand your concerns went through your details. I suggest you not to worry much. Psychotropic medications used for depression could cause weight gain for many people. But only medicines cannot be blamed. It is their lifestyle that causes more weight gain. Lack of exercise, being lazy because of the medications as well as mood swings and the prime causes. Change your lifestyle, and that is the cure. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck.

The conversation between human and AI assistant. [|Human|] 47yr old male, 5 11 , 235lb. Controlled diabetes, multiple sclerosis, SVT, low to normal BP. Issue: momentary acute shooting pain in the three rightmost teeth, both top and bottom that happens a couple of minutes at a time, every hour or so. What should I do? [|AI|] Hello, Your symptoms are appearing to be due to nerve related problem that can be due to trigeminal neuralgia as trigeminal nerve is nerve of face and short bouts of severe pain are commonly seen due to trigeminal neuralgia only. It is less likely to be due to tooth related problem. So my suggestion is to consult an oral surgeon and get evaluated so that he can rule out the exact cause as general dentist has a bit of limitation in treating this problem. If trigeminal neuralgia is suspected then an MRI scan can be done for diagnosis. You can be advised neurotic painkillers like Carbamazepine, Gabapentin for relief after a confirmed diagnosis. Hope I have answered your query. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] I am on nexxium 40mg after being diagnosed with non erosive reflux disease. Endoscopy was done 6 months ago and was normal except for some gastritis. I have recently (last week) started to see blood in my saliva esp in morning - usually rust coloured. Sometimes after eating something i spit and see blood that is fresh. ENT specialist has done endoscopy for nose and throad which was normal. I am 39 yo male. Never smoked or drank alcohol. Worried about esophageal cancer [|AI|] Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about esophageal cancer. Since you are not smoker or not taking alcohol and having age less than 50 years, possibility of esophageal cancer is very, very less. Possibility of bleeding from stomach ulcer is more. You are having gastritis. So if this is worsened than it can cause bleeding. So better to get done repeat upper GIs copy to rule out this. Also get done chest x-ray to rule out lung related causes because this can also cause blood in saliva. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

The conversation between human and AI assistant. [|Human|] I am 35 year old female trying to conceive since past7 years without any success. Recently I and my husband had met fertility expert who has advised me to undergo ICSI since my husband has some problem with his sperm quality. What is the procedure about? [|AI|] CSI is intracytoplasmic sperm injection, the newest fertility technique. CSI method is used as in your case when infertility is mostly due to male sperm issues.CSI is a very effective method to get fertilization of eggs in the Invited fertilization lab after they have been retrieved from the female partner. CSI involves the use of specialized micromanipulation tools and equipment and inverted microscopes that enable embryologists to select and then pick up individual sperms in a tiny specially designed hollow CSI needle. Then the needle is carefully advanced through the outer shell of the egg and egg membrane and the sperm is then injected into the inner part (cytoplasm) of the egg. This will usually result in normal fertilization in approximately 70-85% of eggs injected with viable sperm. First, the woman must be stimulated with medications and have an egg retrieval procedure so that we can obtain several eggs in order to attempt in vitro fertilization and CSI.CSI differs from Invited fertilization, wherein one egg is mixed with 1 lakh sperms, with fertilization taking place on its own, CSI is a technique where each egg is held and injected with a single live sperm. This micro-fertilization is done with the help of a machine called the Micromanipulator. Pregnancy success rates for in vitro fertilization procedures with CSI have been shown in some studies to be higher than for Invited Fertilization without CSI.

The conversation between human and AI assistant. [|Human|] I was recently diagnosed with HSV-1. However, I am asymptomatic. Therefor, I am unsure of where the virus is active, genitals or orally. Is there a way to know where I am infected, seeing as no lesions have been present? Also, how would I know if I am shedding the virus without lesions? [|AI|] Hello, Thanks for posting on Chat Doctor, Most at times, Herpes Simplex Virus-1 (HSV) infection presents with no symptoms as in your case and may remain so for a very long time. It usually manifests more often in a state of immunosuppression of the host. If symptomatic, you will develop cold sores. However, it is a very contagious sexually transmitted infection, and unfortunately you might not be able to tell when you are transmitting or not. Medications can reduce the duration and frequency of herpes outbreaks. They can also help reduce the risk of HSV type 1 transmission to a susceptible partner. These medications are mostly antivirals such as acyclovir (prescription only Chat Doctor. Hope this helps

The conversation between human and AI assistant. [|Human|] A small pimple size lump has appeared under my right armpit since last 3 to 4 months. It is painless and felt only when touch by hand. Initially I mistook as growth due to cut while shaving off the unwanted hairs or pimple but unlike pimple this has not faded away with time. Also, there is minor pain in my right shoulder since last 6 months and this is felt sometimes while exercising/driving/excess useage of computer mouse. Are these two problems inter-related?? what could be the remeady?? Ashok [|AI|] Welcome to Chat Doctor. 1. The possible cause in this case could be two, first is hair follicle infection / inflammation, second lymph nodal enlargement.2. The inflammatory changes in the hair follicle with nerve ending irritation can cause pain during the movements - it can be possible due to muscle movements.3. The lymph nodal enlargement is seen in presence of any infection / inflammation / malignancy - it can be localized or systemic. So treat any illness if you are aware of.4. The remedy in this case will be - do not disturb the lump, squeeze,compress, scratching the lump will cause complications and delay in heeling.5. Apply anti-inflammatory cream, clean the area with antiseptic liquid, avoid shaving until complete healing, mean will trimmer will be better, avoid clothing which can cause rubbing in that area - use soft clothing. Will be better in a week time. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ Chat Doctor.

The conversation between human and AI assistant. [|Human|] I am feeling chest pain and was admitted to the hospital yesterday in the emergency, recently my husband got laid off work due to some problems with his boss and also my sister got divorced after 2 months of marriage I don t know whether it has anything to do with how I feel right, I thought it was a heart problem but after doing tests it was discovered that the pain is due to panic and stress . The doctor prescribed some pills but it got worst since I began taking the pills yesterday. [|AI|] Hello and welcome to Chat Doctor. Thanks for your query. You have mentioned that all relevant tests were normal, and a heart problem was ruled out. In such a case, and taking into consideration the acute stressors which you have been facing recently, it is very likely that your symptoms are due to an anxiety disorder. It is important to understand that anxiety can manifest with a variety of physical symptoms, including chest tightness / pain, palpitations, difficulty in breathing, etc. I would also like to let you know that certain antianxiety medication (like SSRIs) can case an initial and transient worsening of anxiety symptoms, before becoming fully effective in controlling the anxiety. So, I would advise you not to worry about this and continue the medication. Also, practicing relaxation techniques like deep breathing, yoga, etc. can also be of good help. Wish you all the best.

The conversation between human and AI assistant. [|Human|] I have been having to strain to urinate, also days(or a week) will go buy without me being able to have a bowel movement. I had a fissure only a few weeks ago, the difficulty urinating has lasted for over a week now, at night my anus is itcy and my penis is sensitive. Whats going on???? [|AI|] Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. This may be sign of urinary stones and if these stones are small then it should not be treated aggressively since in most cases it passes spontaneously and disappear with urination. You should just Chat Doctor. If you notice fever, blood in urine or pain, you should see urologist and then some invasive procedures may be considered. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.

The conversation between human and AI assistant. [|Human|] Okay, lately I ve been getting this rash around my neck , in my scalp and my mid back, not risen just red and blotchy and it itches, and some red, blotches on my forearms and hands, not itchy. I don t really know what it s coming from. I used to think it was from drinking, but I don t drink all that often. Sometimes I just have the rash on my neck for days on end, but the blotches on my arm only last a day. I m 21, I live overseas, I am relatively healthy eater, I exercise and take vitamins . Could it really be my alcohol consumption? Maybe something involving wheat? [|AI|] Hello, Thanks for the query, You might have developed photodermatitis. As you are developing lesions only in sun exposed areas. Your description even looks somewhat similar to DUE. Please get your blood ANA profile checked. Apply a mild steroid lotion like demonize, Also take an antihistamine tablet. This will give you some relief. Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ Chat Doctor. Thank you

The conversation between human and AI assistant. [|Human|] I was recently diagnosed with Lyme Disease. I am currently taking doxycycline to treat the disease, as well as prednisone for my joint pain. I ll only be taking prednisone for 12 days and the doxycycline for a month. I ve read that taking Prednisone, a steroid, while being treated for Lyme is not good since it weakens your immune system. Is that accurate and what should I do? [|AI|] Hello, Welcome to Chat Doctor, Lyme disease is a bacterial infection transmitted by a tick, and it is caused by a bacteria Cordelia burgdorferiLyme disease can be effectively treated with antibiotics. Antibiotics, such as doxycycline or amoxicillin should be taken orally for 14 to 21 day. Intravenous (IV) antibiotics may be used for more serious cases and for someone whose nervous system has been affected. The IV antibiotics should be taken for 2- 3 weeks. Thank you.

The conversation between human and AI assistant. [|Human|] Hi Doctor, I have been getting a pain in my right hip bone more of a soreness than a pain. My GP has done blood tests but nothing has come to light. I am in the throws of the menopause. I also think that I may have aniety issues which have come about since my partner passed away could this pain been linked to either the anxiety or the menopause [|AI|] Hello, As what I see from the history is it's a combination of menopause and anxiety issue. Several cases have been reported to my clinic in the past 12 years and most of them have recovered well with proper guidance towards the treatment. In your case, menopause can lead to hormonal changes and as you mentioned Menopause I can expect your age to be above 40. So in this age, there are changes in women's body about having weakness of muscles, osteoporosis and lower back muscles weakness. Anxiety is also one of the cause as during anxiety one doesn't feel like to do any kind of physical activity and feels more of a depression. I would request you to start with meditation, deep breathing exercises and some physical exercise like aerobics. Also, do not become too much introvert and try to be extrovert. So that you can mingle within the social life and have more things to do. In case if you have any particular habit like dancing, singing or anything. You can start taking classes for the same for the community so your anxiety levels Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In

The conversation between human and AI assistant. [|Human|] I am a 21 year old female, 5 4, 135lbs. Recently, i have been experiencing some pain in my left knee. Every time I extend it, i feel a popping sensation on the outside of my knee cap. It does not hurt to put weight on it, for i experience pain only when i am mobile. This has been going on for the past couple of days, but it seems to be getting progressively worse. Its beginning to hurt to walk up stairs. I have not been doing any strenuous work lately to cause such a painful injury, but I have hyperextended my knee before, several years ago. Please help, as this pain is beginning to become excruciating. Thank you. [|AI|] Hello, You may have a soft tissue injury to your left knee. As you have previous complaints related to the same knee, it may be a ligament or muscle strain. Apply pain relieving balm or gel locally and give hot fomentation for 2 days and see how it goes. I would recommend you to get an MRI scan done to know if there is any ligament strain. Hope I have answered your query. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] Hi Im 36 years old. I met with a traffic accident three weeks ago. I was the passenger, the vehicle stopped suddenly. I fell and sat on the floor and sustained injuries as a result. I felt persistent pain on my back and my left hip. X-ray was taken and revealed loss of normal lumbar lordosis. I would like to know whether the traffic accident will cause the loss of normal lumbar lordosis ? Many thanks for your help in this matter. [|AI|] Hello, I have studied your case with diligence. As per your symptom and history there is possibility of acute muscle spasm in back muscle due to accident. Due to compression of this nerve root there is pain associated with it. For these symptoms muscle relaxant with analgesic and neurotrophic medication can be started consulting your treating doctor. Till time take rest and continue analgesic available over the counter take rest, and hot fomentation. Physiotherapy like ultrasound and inferential therapy will give quick relief. You may need to do MRI spine if symptoms persist. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care

The conversation between human and AI assistant. [|Human|] I have COPD. I HAVE BEEN TAKING MY MEDS LIKE I SHOULD. I HAVE HAD THIS FOR 7 YEARS. I WAS IN THE HOSPITAL A MONTH AGO WITH A LESION ON MY LUNG, THAT HAD A CAVITY IN IT. THE LAST CAT SCAN SHOWED THAT THE LESION AND CAVITY WAS GONE, BUT MY LUNG IS FULL OF INFECTION. THE LAST 3 DAYS OR SO MY EQUILIBRIUM HAS BEEN VERY BAD. I CANT REMEMBER THINGS THAT JUST HAPPENED, SUCH AS HAD I TAKEN MY MEDS. MY ANKLES HAVEBEEN VERY SWOLLEN ALSO. PLEASE LET ME KNOW IF I NEED TO GO TO THE ER OR NOT. [|AI|] Hello! Your COPD seems to be progressing badly and looks like it has caused pulmonary hypertension (increase in pressure in the blood vessels related to lungs) which intern has put strain on your heart and made it weak. You need to restrict your fluid and salt intake and take medications to carefully remove the excess fluid in your body. You definitely have to consult a physician in person for a full check up and adjustments of your medications.

The conversation between human and AI assistant. [|Human|] Lymphnoma Cancer - Grandfather died from. A. In formalin labeled duodenum , second part are multiple irregular fragments of tan/pink soft tissue measuring up to 0.4 cm in greatest dimension. All blocked and labeled as A1. B. In formalin labeled stomach,body are four irregular fragments of tan/pink soft tissue measuring up to 0.1 cm in greatest dimension. All blocked and labeled as B1. Liver has tiny single hepatic hemangioma , likely congenital? Cyst in right kidney None of these should cause stomach pain, nauseau, flank pain and back pain? [|AI|] Lymphoma of the gastrointestinal tract can present with above symptoms. May also be associated with B symptoms like fever, night sweats and weight loss. The lesions are seen in different parts of the gastrointestinal tract which may be suggestive of systemic disease like lymphoma. Rarely it can involve the spine and cause back pain. So these lesions should be biopsied with histopathology and immunohistochemistry to come to a final diagnosis. Cysts in the liver and kidney may be benign!

The conversation between human and AI assistant. [|Human|] Help. I am in severe pain from behind my left shoulder blade all the way down my left arm and tingling fingers. I have previously been diagnosed with a couple discs out and arthritis. In 2007. This pain began a month ago and I have tried everything I know of. Starting to effect my breathing. Wake up in major pain. Thank you, Shannon [|AI|] Hello welcome to Ask A Doctor service. I have reviewed your query and here is my advice. You can have Compressive neuropathy and by nerve compression pain and tingling can occur. MRI scan can be done to rule out it. Pregabalin prescribed for neuropathic pain. If needed surgical management done for nerve compression. Investigate with vitamin B12 and blood sugar as well. Investigate with chest x-ray as some dyspnea also present. I suggest you to consult physician for examination. Hope I have answered your question. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] Hi. Yesterday morning I noticed a long brown rubbery thing in my stool. I have had diarrhea and stomach cramps, weird feelings around my anus like a tingley feeling, and around my stomach. I went to the hospital and they treated me like was crazy and ran NO tests. Sent me with a prescription that is 400 dollars. I m scared and don t know what to do. [|AI|] HI. This can be due to worms or a desquamated mucosal lining. You should have preserved it and shown to your Doctors and also sent for the histopathology examination. Well, if you are alright now complete the course of medicines your Doctors have given. Go for the usual tests, CT scan of the abdomen as the iodine in the contrast kills many worms and are delineated to be seen on CT. You have to get your stool checked for 3 consecutive days.

The conversation between human and AI assistant. [|Human|] One month S/P PCNL and I still have swelling from about my hip almost to my navel. I originally had numbness and pins and needle feeling in that area but that has subsided. No pain or discomfort. My docotor never felt it or looked at it however said it was fluid and it could take up to a few months to go away. Could you explain this a little further? Is it my kidney that would actually be swollen or fluid around the area? Thank you. [|AI|] Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. After a PCNL, some irritant fluid may have leaked into the surrounding area. This is best confirmed by doing an ultrasound scan of the abdomen. The fluid will get absorbed into the body systems, very gradually. Your kidney will not get affected by this fluid collection, as function is normal. No fluid collects inside your kidney. So you don't need to worry at all. If you have any other doubts, send all your reports to me, as a direct question. Chat Doctor. Manga.

The conversation between human and AI assistant. [|Human|] Hi my blood pressure reading yesterday was 139/99 is this too high? ive been having lots of headaches and feel sick when i try and read as well as lots of aches, pains, night sweats and so tired!!! Im usually fird and healthy, im 32 with no other health problems. This tiredness and night sweats has been going on for a few months and pains in my arms, legs and back getting worse, [|AI|] Hello. Greetings. I have gone through your question. 139/99 does sound pre-hypertension but a single BP recording cannot be used for establishing a diagnosis of hypertension. It involves a number of factors. Including the time of the day, any activity prior or during recording, dietary intake etc. it also depends on whether you have a family history of hypertension. So first we need three BP recordings one reading per week for three weeks. If all these readings are persistently high. Then we need to work you up for hypertension. Going by your age and symptoms, I would recommend you to get your it D, it B12 levels tested along with a complete blood count. Proper diet, balanced sleep, stress relief and exercise will also help get over these symptoms. Please revert with the above. Thank you

The conversation between human and AI assistant. [|Human|] hi,I am Santhosh from India. my father aged 65 years is diagonized with the liver cancer. MRI scan shows the size as 9cm .our docter suggests to remove the tumor. my father has no previous medical histories(Blood Pressure, sugar..etc).kindly let me know whether this treatment is correct or not [|AI|] Curative treatment for liver cancer (hepatocellular cancer) which is confined to the liver is surgical resection. Before surgery the treating doctors will confirm that the tumor is confined to the liver by staging investigations including CT scans of chest abdomen and pelvis, a bone scan and other investigations if the patient has symptoms. What is his hepatitis B and C status and serum Alpha fetoprotein levels. I am sure by now the treating doctors must have had them done. If there is underlying chronic liver disease your treating doctor will calculate what is known as Child Pugh score for the patient. Lastly before surgery Functional Liver Remnant (FLC) will be calculated that is how much liver will functionally remain after surgery. This FLC is varies from 35 to 45% depending upon child Pugh score. You can discuss this with your treating doctor. I hope it is of help.

The conversation between human and AI assistant. [|Human|] hi.. my 2 year old baby has been diagnosed typhoid 7 days ago.... doctor suggest cefexime for 10 days .....after starting cefexime fever goaway up to 6 days but now again my baby have high grade fever and a little cough ....today is the 8th day of cefexime .... what should i do now...... [|AI|] Hi, Definite has good coverage for typhoid. If his fever subsides on its own, continue same line of management. If his fever is persistent, then he might have to be given alternate Chat Doctor. Also get a Urine routine and urine culture done. Get a Hologram done to look for rising TLC. If the fever does not subside. He might have to admitted and started on intravenous antibiotics in form of ceftriaxone. Thanks and regards.

The conversation between human and AI assistant. [|Human|] Hi my question is ive been experiencing for a few years now a variety of strange symptoms and they are as follows muscles aches mostly on the left side of the body as well numbness and tingling on my left arm and muscles twitching all over my body. Also a tension that runs down my left leg as well as pain at the top of my left foot left knee and left upper shoulder. And lastly at times full body numbness and dizziness. So my question is what do all these symptoms mean? ive been to my primary care doctor and he performed blood work for fibromyalgia as well as rheumatoid arthritis but everything comes out clear. [|AI|] Hello, I passed carefully through your question and would explain that it is important performing a comprehensive differential diagnosis between different possible causes that may lead to this clinical situation: a bulging disc in the cervical column, vitamin D deficiency, fibromyalgia, etc. For this reason, I would recommend consulting with your attending physician for a physical exam and some tests: - a cervical spine X-ray study-complete blood count, PCR, ESR for inflammation- blood electrolytes for possible imbalance-vitamin D plasma levels. A cervical spine MRI study may be needed, coupled with nerve conduction studies. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] My 5 year old daughter has been running a temp on and off for the last week, but since yesterday it has reached as high as 102 to 103.6. She complains of headaches and chills. Over the counter medication does bring down the fever a bit but not completely. She also still has her appetite...now vomiting or diahrea. She received her booster vaccinations almost 2 weeks ago and only recently been getting ate up by mosquitoes. [|AI|] Thanks for asking gone through your question, your 5-year daughter having fever with chills since last week. I was your treating pediatrician, then I would examine and investigate her for cause of fever. Common cause of high grade fever with chills is malaria, urinary tract infection(UTI), So I order Blood test for malaria, and urine test for detect infection, I also order for blood culture to detect bacteria in blood that may because of fever. So you should consult doctor for proper investigation hope I answer your query

The conversation between human and AI assistant. [|Human|] I have a pain that comes and goes from the middle of my chest just below my breast bone and radiates around to the middle of my back. At some points it feels like something flipped in there and the pain is really bad for about 3 seconds then its gone. [|AI|] Thanks for asking your question completely understand your problem in my opinion at that young age peptic ulcer/gastritis is a possibility. Cardiac diseases are less likely at that age. You need to take a proton pump inhibitor like pantoprazole once daily after consulting a general physician. Actually physician can do an ECG and rule out any other cause thanks /regards feel free to ask more questions may god bless you with good health

The conversation between human and AI assistant. [|Human|] Just had a very pussy gallbladder and 4 cm stone removed last Monday after 4 days trying to get infection down but as this would not happen they had to do a very complicated op. feeling very weak sore and tired. I am a type 2 Diabetic on top of this. now home and experiencimg doahorrea sometimes when I eat even though small amounts. is thos normal and what should I mainly eat to start. Done through key hole but had to cut one hole larger to get the stone through. [|AI|] His your gall bladder got infected and removed under General anesthesia, it is natural to have weakness and tiredness post operative. Please take good antibiotic like Cefuroxime and anti-inflammatory Chat Doctor. Take protein diet, green leafy vegetables. Eat frequent small feeds. Diarrhoea can be due to infection of bowels caused by contaminated food or water. Please take Pre and probiotic if it continues. Please keep your blood sugar levels under control. Wish you good healthRegards

The conversation between human and AI assistant. [|Human|] hi am 30 years old my brother, whom i live with, discovered incidently that he is chronic carrier of hepatitis B, i didn;t get the vaccine, what is the percentage that im infected too?? and if i get the vaccine soon, will this protect me 100%?? what should i do ?? and what precautions should i take ?? help me please.. thank tou [|AI|] Hi welcome to Chat Doctor .... Your brother having hepatitis b carrier... So yes certain precautions has to be taken to prevent you from infection. The best way is vaccination if you are not immunized. It is taken at 0, 1 and 6 month three dose schedule... If after vaccination title is above 10 then nearly 100% effective....Meanwhile, as this virus spread through secretions try to avoid contact with secretions of your brother. Avoid object sharing to your brother esp. Like razor and tooth brush... The utensil of him should clean by bleach solution.... Also educate your brother about it... Take care. Hope your concern solved... Chat Doctor.

The conversation between human and AI assistant. [|Human|] My son is ten years old, very healthy and of average weight and height for his age. He had a stomache and diarrhea yesterday and today has had just occasional stomach cramps along with a fever of 102.4, and body aches especially in his shoulders, wrists and spine. Is this serious? [|AI|] Hi.... by what you quote I feel that your son is going through a viral illness. Diarrhea and cramps and body aches are also suggestive of the same. To reassure you I will tell you the danger signs or Red flag signs when you need to worry - 1. Blood in motion2. Low urine output3. Extreme tiredness4. Chat Doctor. Sunken eyeball6. Green or bilious or continuous vomiting these are not there you need not worry about the diarrhea. But if he does not get better in another 24 hours I suggest you get him examined by a physician. Regards -

The conversation between human and AI assistant. [|Human|] Hi.. I woke up with an extreme shortness of breath and a very high fever. My eyes feel hot when I close them and I am constantly getting chills. I am always cold even when in multiple blankets. I have asthma and I think it made it worse. My throat I very swollen and its hard to swallow . In having chest pains as well.. What could be wrong? [|AI|] Hello, Welcome and thank you for posting in Chat Doctor Per your description you are suffering from a respiratory tract infection and an associated pharyngitis (inflammation of the pharynx). These affections are typically caused by viruses (but with very moderate fever 37.5-38.5 degree Celsius) but when fever is very high with swollen throat (tonsils, uvula and pharynx) it is generally bacterial infection (strep). Having respiratory signs like shortness of breath, chest pains etc. typically indicate a respiratory affection which could be an extension of the germs in the pharynx. For diagnosis, a rapid streptococcal test or a throat swap + culture have to be done to rule out possible bacterial infection. Chest x-ray is also important to rule out pneumonia. Your asthma symptoms are present as a result of the affection which has provoked the crisis since you are a known asthmatic and microbes affecting your respiratory tract might induce asthma symptoms and even exacerbate them. You will need to see your doctor soonest for prompt management before it gets any worst. Steroidal/non-steroidal anti-inflammatory, antipyretic and antibiotics would have to be administered either orally or intravenously depending on the severity of your condition. Bronchodilators would also need to be administered. I believe you will require emergency medical attention. Hope this helps

The conversation between human and AI assistant. [|Human|] What causes hyper aggregation, Doc? Is that hereditary factor? I am a male, 46 yeras old, office worker, so far having normal blood pressure, as well as all healthy tcholesterol functions. But my latest laboratory check showed that my ADP and Colagen are hyper aggregattion, while the Ephinephrine is normal. Any suggested diet other than medication can be suggested. Does sport exercise help to improve my blood condition from that hyper aggregation? I was advised by a friend to take thromboaspilet 100mg a day for life. I am worried with the side effect of that long term medication. Look forward to receiving your advice. Thanks, Minarto [|AI|] Hi You do not mentioned any clinical condition, are you a normal person ? Do you have some hereditary related disability ? Look, ADP & collagen, are molecules in side the living being has got their complex role right from metabolism to body building work, now aggregation or hyper aggregation is consequences of certain kind of collagen disease or endocrine disorders, or hematological entity, it is not single area of concern, so the way you have asked is not valid at this stage this could be an academic question & need very lengthy discussion which may be beyond your understanding, have nice day

The conversation between human and AI assistant. [|Human|] Help. Perfectly normal healthy 50 year old male. 175 pounds. 6 foot tall. No history of high blood pressure. Now for 10 days my blood pressure is in the 150/92 range and i have a low fever. Light headed. I had a root canal 11 days ago. Had it looked at by a 2nd dentist and it looks good. I went to my dr and he ran blood tests. all normal. I cant believe this is just a coincidence. I believe either the tooth infection has gotten into my blood stream or my bodys immune system just cannot deal with the tooth. No blame. I just want my healthy life back. [|AI|] Hi. Thank you for your question. I understand your concerns. If it was an infection to your blood stream, it would be shown on your blood tests. My opinion is that you have nothing to worry about, as this problem is concerned. I spotted the high level of blood pressure. Adding your age, this may be the beginning phase of hypertension. I would recommend a 24-hour blood pressure monitor to diagnose or rule it out, and starting treatment, eventually. I hope I was helpful. Feel free to ask again. Good day

The conversation between human and AI assistant. [|Human|] Hello. Last summer I went to a dentist for what I thought was an abcessed tooth. They took x-rays and said it wasn t an abcess but that instead I have cysts in my gums. They then told me that in order to stop the pain I had to have a tooth removed that was above the cysts. I did this. At no point in time were these cysts ever removed. At no point in time were these cysts ever biopsied. The tooth was pulled....Im still in pain almost a year later. and now the tooth behind it is broken. My wisdom tooth is impacted and pushing on the now broken one. I have been in severe pain for the past 2 days. Tried everything I could possibly think of and could find online to kill my pain or even help a little bit. Today, I was sucking on my tounge (my salt water was a little too salty) and in the process was sucking on the broken tooth as well. I had the most horrible pain of my life and then blood pouring out of my mouth. Toothache was gone after that for about 5 1/2 hours. Now pain comes back and is worse. My jaw feels like it is going to explode and again more blood. This lasted for about 5 min (although it felt like years) and now pain is gone. What could be causing all this pain? Is it the cysts? [|AI|] Thank u for your query. Well if a cyst is diagnosed, it must have been removed, probably when u have undergone the procedure. U should meet your dentist regarding the same and confirm it. Pain is one of the signs of infection thus do not neglect it and get it checked at the earliest. U need to maintain a good oral hygiene, and please do not disturb or fight with the problematic area and aggravate your pain and bleeding. U need to get it checked at the earliest and also need to get your latest X-rays done. Regards,

The conversation between human and AI assistant. [|Human|] I went to the doctor today for a routine check up. He always goes over the blood tests with me but this time what I saw was that the bilirubin was slightly elevated but consistently increasing for over, more than five years but still is in the normal range. I am seventy years of age, excellent health, except for gout, I take allopurinol 300 mg/day for the last 10 years and aspirin. [|AI|] Hello and welcome to Chat Doctor. Thank you for your query. I am very proud of your lifestyle and dedication to maintain good health. Gout is a common condition that takes place due to high serum uric acid levels. I would first like to inform you that serum uric acid levels can be controlled to quite an extent through diet. Why don't you consult a nutritionist for the same. If you succeed, then we can wean you off the medication. Allopurinol has shown to cause a rise in bilirubin levels, which is why you notice only the rise of bilirubin levels. As long as other parameters to measure your liver function are within normal limits, there should be absolutely no reason to be worried. Try controlling your gout through your diet, which will help your doctor in reducing the dose and gradually weaning you off the allopurinol. Wishing you loads of luck. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://doctor.ChatDoctor .com/doctors/ Chat Doctor. I would gladly help you. Best wishes.

The conversation between human and AI assistant. [|Human|] how do i get rid of pimples on my face [|AI|] Hello, 1st modify your lifestyle like good balanced diet,a lot of water and fruits, good sleep and regular exercise or yoga. Use mild cleansing soaps which will keep the skin clean and minimize sensitivity. Avoid oil based cosmetics. Use an exfoliant agents like salicylate, glycolic or alpha HY Chat Doctor. Use antibacterial cleansers like benzoyl peroxide. Cleanse twice daily with a 5% benzoyl peroxide wash. An alternative for those who are allergic to benzoyl peroxide is 2% salicylic acid. If still not controlled then consult your dermatologist. You may need topical antibiotics like clindamycin or oral ones like doxycycline. If severe one then isotretinoin is needed. Consult a dermatologist and get evaluated take care

The conversation between human and AI assistant. [|Human|] Hello, I been having this problem for the last two months. No one can tell me what the problen is. I have been burping, pain on right side under rib going around to the back. No problem with gallbladder been test.(no h ployid). white blood count is high. now getting unbearable to sleep at night. Gasterolgist whats me to see a infectious disease doctor what does this mean? [|AI|] Hi, I am sorry for the situation you are in. 1. Burping problems you are having might be related to possible acid reflux or dyspeptic syn Chat Doctor. Changes in your diet and lifestyle regimen are highly recommended together with starting PPI's in the morning and antacids after each meal. 2. Pain on right side under rib cage going around to the back while gallbladder is clear but with high blood count, then, it might be due to:- colitis - pancreas problems (pancreatic function test advised together with abdominal ultrasound and ct-scan)- urinary tract infection (kidney function test, urinalysis advised)If nothing will be detected, then, spine issues to rule out by MRI. All the best!

The conversation between human and AI assistant. [|Human|] I have had a toothache for a few days, Ive rinsed with peroxide and water mixture and brushed with baking soda and applied lots of toothache medicine. I just touched where it hurts and rubbed a piece of my gum off which left a hole. Im super worried. What could it be? [|AI|] Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have toothache, and you have pain in gums also, don't worry it can be due to Carious tooth or due to Periodontal problem For this you should consult dentist and get investigations IOWA X-ray done if you have carious tooth its treatment plan can be Root canal treatment, if periodontal problem then go for Scaling and root planning Take one tablet Diploma SP twice daily for 3 days Do warm saline gargle two - three times a day Consult dentist as early as possible Hope this will help you. Wish you good health Regards

The conversation between human and AI assistant. [|Human|] I have recently purchased aciloc 300 because i m suffering from upper chest and upper back pain due to some gastric problem i m dealing with from past few days is it right decision or wrong. My belly feel like a small stone in which i m feeling soft pain when i m trying for a walk its also approaching me not to walk in a straight body ...... [|AI|] Thanks for your question on Chat Doctor. In my opinion you should get done ECG first to rule out cardiac cause first. If it is normal than you may have HERD (Gastroesophageal Reflux Disease), as you are having stomach related problems. It is due to laxity of the gastroesophageal sphincter. Due to this acid of the stomach tends to come up and cause the symptoms. So better to follow these.1. Avoid hot and spicy food.2. Avoid stress and anxiety.3. Avoid large meals, instead take frequent small meals.4. Take proton pump inhibitors instead acidic for better control.5. Quit habits if you have. Lose weight if you are obese.6. Go for walk after meals.7. Keep 2-3 pillows under head in bed.

The conversation between human and AI assistant. [|Human|] I am sufferring from External & Internal Piles with Anal Stenosis . Also, Frequent Sores in Upper Part of Mouth, Lips , Toungue, Throat and Esophegus with Fever and Stomach Fullness for 7-8 days each month. That disappear automatically and reccurs after 15-20 days. Please advice what to do. Presently i am taking Liquid Parafin (Agarold) as Laxative for Piles from Last 2 months and Stelbid Tablet. Please advice. I am in deep stress. Whether this will develope Cancer in me? [|AI|] Hello! Thank you for the query. First you need to calm down as this does not sound like a cancer. However, you need to look closer to your symptoms and have some diagnostics. If you do suffer from constipation for years, have had blood or mucus in stool and lost some weight recently, you should have colonoscopy performed. Your hemorrhoids might need some surgery which can also set you free from stenosis. Your throat and tongue pains connected with abdominal pain can be due to acid reflux disease and throat inflammation due to acid irritation. If you do have chest burning, upper middle pain after a meal, nausea, you should have upper GI endoscopy. Moreover, you should have abdominal ultrasound, full blood work and urine analysis performed. Hope this will help. Regards.

The conversation between human and AI assistant. [|Human|] I noticed numerous welts on the legs of my 12 month son. It appears as though he got pinched by toys. They are slightly raised appearing to be white/ skin color. They will appear then quickly disappear. I thought maybe he was having an allergic reaction to something he had eaten, but these episodes are happening at anytime in the day. Any ideas on what it could be? [|AI|] HI...this doesn't look like food allergy. This looks like urticaria. By what you quote it should be an urticaria or a simple skin allergy. You can use HY Chat Doctor. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Regards -

The conversation between human and AI assistant. [|Human|] I was at the gym today doing legs; weighted squats, calf raises, lungee s leg press etc and then tonight after work went and done some back like dead-lifts which involve some leg. However when I ve came home I ve discovered a bruise like image on my thigh, however it isn t sore and the dots are scattered in a small area. What is this? [|AI|] Hihope this msg finds u in good health. I have gone through your complaints and understand your concern. U seem to have strained some sort of soft tissues in that region causing bruising. If it isn't warm and painful. .apply ice packs. Take rest anti-inflammatory tablets nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime.thanks Take care god bless

The conversation between human and AI assistant. [|Human|] Respected Dr., i have completed 24yr. of age. but , I was habitat the masturbation since 15 yr of age.... Now, i feel loosening of my penis , and it downword direction. i have also problem of premature ejaculation as well as loosening or weak penile muscle. please help me..... [|AI|] Hi, I have gone through your query and I understand your concern.first I would like to share with you that masturbation in not an illness. It is concerned an alternative way to relieve sexual stress, which is quite normal and widely prevalent. No matter what people around you say about this, masturbation does not cause any illness or deformity for your second concern, penis is made up of kind of hollow muscles. When you are sexually excited, blood starts to fill in the hollow of muscles, and it gets erected due to accumulated blood. When the excitement is over, blood is with Chat Doctor. . It happens with every male now for your third concern i.e. premature ejaculation, there are some medicines available in market which helps in this.also there are some practices known as masters and Johnson techniques, when practiced, benefits in premature ejaculation* sensitize yourself of sexual excitement by initially having foreplay with clothes on, do it without clothes after one week of first step but no sexing third step start having sex, and while having sex when you feel you are about to ejaculate, with

The conversation between human and AI assistant. [|Human|] I got my 2 lower wisdom teeth pulled 9 days ago from today. I am currently taking antibiotics because the left duct after extraction got infected. The infection seems to be gone but I now have locked jaw, pain in my neck, ears, and it hurts to swallow. [|AI|] Hello, Thanks for the query, The symptoms you mention are typical symptoms of Chat Doctor. Loss of blood clot occur due to any forceful movement of mouth like rinsing, swishing and sucking. I would suggest you to :-1 Do not rinse your mouth vigorously2 Do not smoke(if you have the habit)3 Do not touch that area with tongue or finger.4 Stick on to cold and soft diet, avoid spicy and hard foodstuff.5 Do warm saline rinses gently several times a day .6 Take ibuprofen (if not allergic) or acetaminophen for pain and swelling. Visit dentist for proper examination. Dentist will clean the socket with Betadine regularly for 3-4 days. Wishing you a good health. Thank you

The conversation between human and AI assistant. [|Human|] I have been having accute lower abdominal pain on and off for about 4 months, usually hits me hard in the afternoon and will continue through the night, if I dont take strong pain medication. Pain begins on the left lower quadrant and them moves to the right lower quadrant and radiates to both frontal area of my thighs.... so strong that i end up in the fetal position until meds kick in... nothing else helps .... Tramadol MG every day for the last two weeks... What could this be? [|AI|] Hello, thank you for your query. You have not mentioned whether you have undergone any kind of investigation for your pain or not. If not then Ill recommend you certain tests that you need to get done to rule out chances of ureteric colic, cystitis colic/cystitis PID (pelvic Inflammatory disease)and even ectopic pregnancy. Get an ultrasound & CT scan of your abdomen. Also get a pregnancy test (you can also check for ectopic pregnancy in ultrasound). Do u have burning urine, and also bleeding PV? If you do have during micturition then also get a urine culture sensitivity done. Since your pain comes in the second half of the day, it majorly indicates towards problems in the colon. If that's the case, till come in the investigation reports. Still we need to rule out all possibilities. You can get back to us as soon as possible with these reports. Take tramadol 35 mg with paracetamol or plain tramadol 50 mg (Whichever better suits you)on SOS basis. Please treat this as urgent and get the investigation started soon. All the best!

The conversation between human and AI assistant. [|Human|] My 7 year old daughter had some dental work done on Tuesday and last night she started complaining that her throat hurts and is running a low grade fever since last night off and on today. Now I just seen red splotches on the roof of her mouth what is going on? [|AI|] With your query, it would have been better if you had mentioned what dental treatment she got it done. I think what you see on her roof of the mouth are might be ulcers or inflammation due to the materials that have used for the treatment please don't be afraid if this wait 3-4 days if still symptoms persists consult your dentist once again till then for symptomatic relief you can use colonel or McCoppin. Hope thus helps you avoid hot foods for some time

The conversation between human and AI assistant. [|Human|] I fell from the step in the bedroom while getting into bed. Theres a knot on the right side of my lower right leg, but the worst is whenever I put weight on my foot or try to bed my foot upward. Theres also a terrible bruise on the ball and surrounding area of my foot. [|AI|] Hello and welcome to Chat Doctor, Knot on right side of leg along with bruising on ball of foot can be seen after trauma to the foot and leg. Bruising can resolve after few days and the lump can also resolve after few days. Most of the lumps after trauma are due to collection of blood in the subcutaneous tissue. In case there is associated pain, you can take painkillers and hot fomentation. Consult your healthcare provider if lump and bruising do not resolve within few days. Thanks and take care Chat Doctor.

The conversation between human and AI assistant. [|Human|] I for some reason feel pain in the center of my right side. I just used the bathroom, and now it is in pain when I twist a certain way but not in others. Also my doctor said I bruised or damaged my intercostal muscles and I believe I hurt it on that side but the pain is slightly under my ribs. It is a dullish pain that has now seemed to go away but I can t help but wonder if it is serious. I m an 18 year old female, who is 5 4 and about 160 pounds if that helps a suggestion of a diagnosis. Don t know if related but I also have felt a pinched nerve feeling on my hip, that was yesterday. I also have anxiety. [|AI|] Hello, I have studied your case. There is nothing to be worried about as this pain seems to be due to muscle pull. And I do not think that it is related to hip joint problem. So I would recommend you following.1. Hot water fomentation2. Volitran ointment local application.3. Tablet broken is pain increases. I hope these steps will be helpful for you. Let me know if there is any other followup questions. Thanks

The conversation between human and AI assistant. [|Human|] Im 27 and a smoker. About twice a year a wake up from chest pain and excess saliva, to the point where I need a trash can to spit in every minute or so. The chest pain feels like someone is squeezing my heart. Sometimes I throw up, like today I did. It usually last for about 2 hours. I cant do anything but lay down and wait for it to pass. [|AI|] Hi, I understand your concern and would explain that your symptoms could be related to bronchitis or gastroesophageal reflux. For this reason, I would recommend consulting with your attending physician for a physical exam and some tests: - a chest X-ray study and respiratory function tests - a resting ECG-some blood lab tests (complete blood count, PCR, ESR)I would also recommend trying an antacid. If this helps, a fibrogastroscopy would be needed to exclude esophageal spasms or gastroesophageal reflux. Meanwhile, I would strongly encourage you to quit smoking. It would definitely help improve this situation and prevent possible further episodes. Hope you will find this answer helpful. Let me know if I can assist you further. Wishing all the best!

The conversation between human and AI assistant. [|Human|] hi, I had lap band surgery over a year ago. periodically I get very bad gas pains in my lower abdomen. I take gas-x but it doesnt help and the pain lasts for hours. My band hasnt slipped and my gall blader is fine. what can i do to relieve the pain? I have a work function tonite that I need to attend and the pain is here today [|AI|] Hi. The obvious cause of gases and pain in the lower abdomen with normal gall bladder and gastric band in place is due to the following reasons:-Aerophobia due to stress or anxiety is the commonest cause. -Intolerance to specific foods and / or beverages like nuts and so- this you will have to find which does increase your gases.-Aerated Chat Doctor. -Sub-acute intestinal infection, can be diagnosed on stool examination.-Irritable Bowel Syn

The conversation between human and AI assistant. [|Human|] hi i had an ectopic pregnancy 19mths ago it burst and i had my right fallopian tube removed.im trying to get pregnant and doc said i got hydrosalpinx in my right tube which cause infertility and i wont conceive.i get pain in my groin after sex and some sharp stabbing pain in vagina and anus which last only for coup[le of sec but for several days.doc want to do a laporoscopy but im not sure i want to do it in case i lose my tube as i cant afford ivf. [|AI|] Hi ZareenWelcome to Chat Doctor You have not mentioned anything about status of left tube. If left tube is patent n normal still u can conceive by natural try/GUI. Ultrasound monitoring for growth of egg will be required because if only left tube is patent then ovulation from left ovary only(not right ovary) will be fruitful, and you can try for pregnancy. HY Chat Doctor. So ideally it has to be treated before you attempt for pregnancy (naturally/GUI/IVF). If both the tubes affected by HY

The conversation between human and AI assistant. [|Human|] my son is an active football playing 9yr old he recently complains of headaches at practices and his body becomes very hot he also has night sweats he does have asthma but is controlled and he has played three years with asthma just the last two weeks has he ever complained or had these issues [|AI|] Hello, Welcome to Chat Doctor, Main predisposing factor for bronchial asthma is exposure to dust. As your son is having asthma he should be very careful. The symptoms will aggravate on exposure to irritant like dust. As he is having fever, headache and night sweat it might be due to invective agents in the body. Playing football requires a lot of energy and a lot of fluid will be lost during playing, loss of fluids and electrolytes in sweating may also lead to your sons symptoms. He needs to HY Chat Doctor. Thank you.

The conversation between human and AI assistant. [|Human|] Hi. I am 33 weeks and 4 days pregnant. for 4 days I have had a headache and have felt a little short of breath and nauseous. I worried I may have high blood pressure but had my father check with his blood pressure thingy and it was very low...78 over 49. The thing is he is a large man and the cuff is large, not sure if this would be a problem with the results. I see my OB on Thursday, should I make a sooner appt. or are headaches like this common in later pregnancy. Is low blood pressure a serious concern? [|AI|] Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely make sooner appointment with your gynecologist. Hypotension in pregnancy is very serious if not treated. And your symptoms like headache, breathing difficulty, nausea are also symptoms of hypotension. So consult your gynecologist as soon as possible. You will need blood reports and Intravenous fluid for hypotension. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

The conversation between human and AI assistant. [|Human|] my sister gave birth to a premature baby with1.6kg weight .the baby was healthy,earlier,but faced afits probem on her fifth day,later she was suffering from jerks continously,the EEG REPORT was normal,THE MRI SCAN report stated that her brain size is small,and needs to develop,.....she is now in 10th month,taking gordinal of 15mg daily and she doesnot seem to respond great deal for sounds,doesnot crawl,and just stays calm and we consulted a homeopathy doctor,who is well known for curing seizures....he gives his dosage now and also alopathy too.....he says it may take 2-5 years.....?can this be really curable .......?plz reply me ? [|AI|] Dear Parthia, Brain damage due to prematurity along with the defective development of her brain may have jointly produced fits in your niece. In the given circumstances, I would strongly advise you to see a pediatric neurologist instead of going to homeopaths. She needs expert clinical assessment before a plan is tailor-made to fit her problems. I am sorry to say this, but I am not so confident that she will be cured after 2-5 years, since she also seems to have other neurological problems and developmental delay. -

The conversation between human and AI assistant. [|Human|] Hi,I am 31 year old and have 2 year old son. I was expecting my second baby in this june. Pregnancy went well till 38.4 weeks with all reports being normal. I do not have blood pressure or diabetes or any other health problems. Pregnancy went normal without any events. On 5th I did scan and babies weight was 3.0. Doctor asked us to take c-section date and we choose 14th june. Tuesday on 8th, I was feeling extremely tired and had cramps in my legs. I also was feeling less baby movements. I went to doctor and they checked heartbeats. It was 148. So, they told us baby is fine and come for final checkup on 11th. I went on 11th and doctor couldnt find babies heartbeats. What could be the reason for this? I had to take out still born child immediately with second c-section. Is it okay to try conceiving for second baby now? I had one cycle of my menstrual period in August. What kind of care should I take and what are the chances of getting similar even repeated? Doctor told me that there was blood clot in umbilical cord and so babies heartbeat stopped suddenly.Cheers,Shweta [|AI|] Hello, I am very sorry for what you had to go through. Since you had a cesarean section just a couple of months ago, I would ask you to wait for a year before planning another pregnancy. This helps you to recoup, and the wound also heals in the meantime. The cause of the fetal demise is not a recurrent one. It calls for extra care during your next pregnancy in fetal monitoring. Please have a healthy diet and adequate rest. Hope I have answered your query. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] My grandmother is suffering from typhoid and its been a month or more(40 days). She has still suffering from fever 98-101 and it inceases in the evening. What can be the reason...her condition is better than before but how can she recover completely.?Thank for the suggestion in advance. [|AI|] Thanks for posting you query to Chat Doctor. Typhoid is a bacterial illness, we acquire it by contaminated food or water. These bacteria spread through blood to bone marrow, liver, gallbladder, lymph node and other organ.Hence, complete cure require a course of antibiotic with other supportive measures. First you should undergo 1. Widal test for blood. 2. Blood culture and sensitivity testing .3. STOL culture for salmonella. After these report you can take antibiotics as per sensitivity. Review me with these report so that I will suggest you complete treatment .hope you are satisfied with my answer. Feel free to communicate if any query.regards, Chat Doctor.

The conversation between human and AI assistant. [|Human|] my 16 yr old son has had add since he was very young , I had been also told he may have ODD but I just put it down to being a strong willed person. Over the past year he has refused to take medication which he said didnt help him .At around the same time he started to develop what I now see as CD Combat Disorder . I find that I cant get him to co operate but he says he will promise to do things that he is supposed to like go to school co-op or homework. then he refuses constantly much to his detriment . is there any medicatin for this that can help . he will not go to therapy. He knows how to play people getting what he wants [|AI|] Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. He seems to be having oppositional defiant disorder and not the CD (conduct disorder) yet. Therapies are the best option but if he cannot go for the therapies then the other option is taking low dose risperidone. This will reduce the irritability and aggression. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor.

The conversation between human and AI assistant. [|Human|] I have a red slightly raised area on my left arm in the creased area oposite the elbow non itchy and a small red area on my bicept of the other arm that is not itchy, had the same on the other bicept last year that was itchy and larger that lasted 7 months [|AI|] Hi! Good evening. I am Chat Doctor answering your query. Although it requires a clinical assessment to arrive at a conclusion, I feel that it could be an infective process (possibly fungal) which remains for some time, and then gets off of its own. I would suggest you to go for an antifungal cream for the time being on consultation with a dermatologist in your area. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.

The conversation between human and AI assistant. [|Human|] My right shoulder has been making a regular crunching noise for quite a few months and I have also has associated sharp intermittent pain ( sometimes pulsatile) firstly from the elbow to wrist and then in the elbow, hand, fingers and shoulder. It has been very gradually getting worse over a few months but has increased significantly over the past 2 weeks. My left shoulder has now started making a crunching sound and I have had some pain in the elbow and hand on that side too. I am 42 year old female.Do you have any suggestions on what this could be? Many thanks. [|AI|] Hi. The pain what you experience is due to some neural irritation that could have caused due to disc... facet joints.reduced space between vertebrate. Initial noise out of shoulder is due to imbalance in the shoulder joint .not to worry as this will settle down with stability exercises... I suggest you to kindly get an MRI done for your neck to rule out the cause and get it treated. Till then... I recommend you to-Do icing frequently in the neck to keep spasm and pain under check keep your neck supported with a soft collar if possible. Keep your neck supported while sleeping...once neural irritation cone down then start working on neck and shoulder strengthening.... Hope this is helpful for you.Revert in case if you need any further clarification. .

The conversation between human and AI assistant. [|Human|] yes i am a smoker of tobacco products and now all of a sudden the bottom back of my gums are swollen and also changeing colors....but its right on the place my wisdom tooth suppose to come in at....i never had my wisdom tootChatDoctore in yet....is it swollen because of the smoking?????????????? [|AI|] Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have habit of smoking and tobacco chewing yes this color change can be due to you smoking habit due to Meiosis of Mucosa and gingival. Swollen gums can be due to both eruption of wisdom tooth and due to smoking inflammation of gums die to Gingivitis also. Firstly you should quit this habit and go for Oral prophylaxis and consult dentist for oral examination and evaluation. Do warm saline gargle two - three times a day Hope this will help you.

The conversation between human and AI assistant. [|Human|] My 8 year old grandson has excema and allergies to milk and eggs . He scratches all the time and especially if he gets upset about somthing. He scratches sometimes until he bleeds . He had anafalaxic shock when he was almost 3. We thought maybe he would grow out of it, but not true yet. ABout a month ago he had a virus and was throwing up. Now he thinks that if he eats he will get sick again, so he is eating very little and the things he does eat, he questions his mom or me how we fixed it and are we sure no eggs or milk is in it. He is so worried about what he eats that I am afraid he is going to develop an ulcer or make himself sick. Any suggestions on how to get him over this. [|AI|] Dear Coates, You have to make sure your son stops the cycle of itch, scratch and bleeds. Eczema is still probably not under control and will not be helped if he has allergies to (say) house dust mite, cockroaches etc. Food allergies worsening eczema is sometimes the case and the evidence is more for eggs and milk apparently making eczema worse. I hope he had a skin test to prove the food allergies in the past. If yes, he needs to be retested for aero-allergens such as dust mite, pollen etc. that may be worsening control of eczema. Egg allergy rarely persists into adulthood and if you ensure his eczema is controlled and tested for other allergies, he may eventually outgrow his egg allergy. He needs extensive counseling regarding the eczema, how and what he can do to control it (such as avoiding soaps for washing which Chat Doctor. Once the eczema is under very good control, skin tests will help determine what is going on. I hope that was useful.

The conversation between human and AI assistant. [|Human|] Im twenty years old and my boyfriend and I have used condoms since we started having sex over 3 years ago, but the last week in July i was supposed to have my period and and it hasnt came yet. So i took a pregnancy test last Sunday and it came back negative but when i took one today it told me i was postitve. I dont have any pregnancy symptoms but im getting really scared. Can you help me? [|AI|] HELLO, i can understand your concern. Every mode of contraception has a certain failure rate(which means you can still get pregnant which has happened in your case)since your urine pregnancy test is positive, the chances of pregnancy are very high(almost 100%)initially it takes a few days for the urine pregnancy test to be positive. Hence the first test on Sunday was negative. As the Chat Doctor levels increase as the pregnancy progresses the tests gets positive.I would advise you to get an ultrasound pelvis done to confirm the pregnancy. If you donor wish to continue the pregnancy, kindly consult a gynecologist and medical termination of pregnancy with Chat Doctor. Hope I have answered your concerns. Feel free to ask further queries. Thanks for choosing Chat Doctor

The conversation between human and AI assistant. [|Human|] hello, i have had lower back pain the last two days and now have slight red marks on the skin. i have not injured myself and is mostly in the morning and night time that is most painful. to roll over to my side to get up out of bed this morning was very painful, to bend forward i feel a stiffness pain in my back, i cannot pick something off the floor without it being sore and also to even tie my shoes, in the past i have pinched my sacrel nerve so i was wondering if it was in relation to that again or just strain. I am more concerned about the marking on my back. i am 26 and of slim build. [|AI|] HiT hank you for asking Chat Doctor. I have gone through your query. Your problem can be due to problems with spine like osteocyte Chat Doctor. A physical examination with orthopedic will give clue for that and an X-ray followed by MRI of lumbosacral spine might be required to confirm it. For such conditions in my patients I advise NSAIDs like diclofenac muscle relaxants like cyclobenzaprine and neurotrophic

The conversation between human and AI assistant. [|Human|] hello doc, i m 41yr old and i ve be having stamina issues and getting hard for my girlfriend its happing. she s very pretty and really turns me on, i ve none her for a year and my heart rate incresses whenever we start intercorse. what can i do to keep my erection [|AI|] Hello misunderstand your concerns think you have fatigue and anxiety that cause erectile dysfunction. Following are the other cause of your problem: obesity, smoking, alcohol, psycho social stress, hypertension, diabetes, prostate pathology. You have to consult the urologist for exact diagnosis after following investigation: blood sugar, health check up, He, CBC, PSA color Doppler USG.Meanwhile, take following advice: start exercise that increase your stamina, take healthy diet and fruits, anti oxidant like vitamin A, C, E and co Q, talk about your problem to your partner and get relax, engage more in foreplay before intercourse, keels exercise, hold urine for sometime before urination, try comfortable position for sex like partner on top, you can also take sildenafil plus paroxetine 30 minute before sex after evaluation, use double condom. Hope this may help you Best regards

The conversation between human and AI assistant. [|Human|] Hi, I am a 45 y.o male in good physical shape. 4 weeks ago, I started having a feeling of where I could not catch a deep breath. I went to my PCP who ran all kinds of blood work but found nothing wrong. Was referred to cardio where my stress test and echo were non- eventful. I exercise regularly and have a good diet with no remarkable health issues. Non-smoker, non-drinker, no meds. I started taking Benadryl and Claritin and had some good results for a week and a half. Besides the obvious of going to a pulmonary specialist, any thoughts or suggestions. Does this sound like asthma or possibly Valley Fever? What else should be R/O? [|AI|] It does sound like an obstructive lung disease like asthma. But Asthma is mostly associated with cough, breathlessness, wheezing sound while breathing in, mucus production, chest tightness.Sometimes Anxiety can result in inability to take deep breaths but as you are not having other symptoms like sweating, fast heart rate and the fact that your symptoms are since 4 weeks, we can safely rule out anxiety as a probable causePneumonia can be another differential diagnosis, but we can safely rule that out as there is no fever or chest pain. Other causes like obesity, heart attack are also ruled out from your history. But to make a definite diagnosis I would still suggest a visit to a Pulmonary specialist. Hope you are satisfied with the answer. Thank you.

The conversation between human and AI assistant. [|Human|] hello sir i am swami , i am getting a bad smell from my mouth , i will brush my teeth daily 5-10 mins.and i dont have habbit like smokking , drinking and eating pans & soamps. so, how to avoid getting bad smell from mouth and what are the precautions . [|AI|] Thanks for your query, I have gone through your query. The bad breath could be because of the deposits over the teeth causing gum infection. Or it can be because of the pus discharge secondary to gum or tooth infection or any respiratory tract infection like sinusitis or gastrointestinal disorders. Consult an oral physician and get yourself examined to rule out these conditions. If it is gum infection get the teeth cleaned once and maintain oral hygiene after that. You can use mouth wash. If it is tooth infection get the tooth restored. If it is respiratory tract infection consult a pulmonologist and gastroenterologist if it is a gastrointestinal disorder. I hope my answer will help you, take care.

The conversation between human and AI assistant. [|Human|] Hi My boyfriend s left shoulder blade ( just below it actually) is in a lot of pain, I tried massaging it thinking it was just a knot but when I do it only seems to aggravate it, it feels like a hard swollen muscle string if that makes any sense. today he says the pain feels like needles in that area (teres minor area if that helps) and that the pain is shooting up to his neck. What could this be ? also he is an electrician so he has his arms above his head most of the day which im sure does not help. is there any massages I could do that would help? or is this something only a chiro could take care of??? thank you in advance for your help. Elle [|AI|] Hi, This pain is due to inflammation of the trapezius muscle and spasm of the inter scapular muscle. Which has become weak over a period of continuous usage in an abnormal position. Use the hot water fermentation and do some gentle massage over the trapezius muscle and inter scapular region. This should help reduce pain. After 24-48 hours when pain starts getting subsided start exercising along with hot water fermentation and massage. These exercises should be continued for longer number of days as the job profile is demanding it such. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.

The conversation between human and AI assistant. [|Human|] Hi, may I answer your health queries right now ? Please type your query here... Hello, My question is, how long do people normally live with adenocarcinoma cancer? My good friend was just diagnost with this cancer. His tumar was the size of his fist, he said. Hes only 45 years old. Thanks, Jeff [|AI|] Hi, Thanks for writing in. Adenocarcinoma occurs in many places of the body. If it is the size of a fist then likely to be at stage 3 or 4. In advanced cancer there is a need for aggressive treatment with chemotherapy and radiation. It is not clear if surgery is possible at this stage. However, more accurate treatment details are possible only after reviewing complete reports. Most people with a no other spread of adenocarcinoma might survive for more than 3 to 5 years. Let us hope that his cancer responds to treatment and that will regularly follow up his disease might be under controlled and cured completely. He should be provided healthy nutrition and adequate pain relief should he be experiencing pain. Please do not worry.

The conversation between human and AI assistant. [|Human|] I was running on my street, and I went over from the street up to the curb/grass and my left ankle bent in. I finished my run because it wasn t hurting so much. But later it started hurting again when I put pressure on it and it hurt when I tried to twist it. It hurts on the left side of my foot more than my right side. Do you have an idea of what I could ve done to it and how to heal it? [|AI|] Ankle sprain is partial injury to ligaments around ankle joint. It takes 2-3 weeks to heal. Rest, icing, limb elevation over pillow for one week and local application of non-irritant analgesic gel and anti-inflammatory analgesics such as ibuprofen for another 2-3 weeks, will be helpful to decrease pain and swelling. If its absolute necessity to move or walk then application of ankle binder or ankle grip will restrict movement at ankle joint and will help in healing of ligament injury. Hope this helps. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.

The conversation between human and AI assistant. [|Human|] About a year ago I found out I had 2 herniated disc s and a bulging disc. I had a baby 3.5 months ago. Now my back is hurting so bad. I can t sleep at night, I cry because it hurts so bad and I have called into my job twice in the last week because I couldn t walk or move because I would cry it hurt so bad. What do I do? [|AI|] So you to have to repeat the MRI to know the recent changes and to know if you have to proceed to surgery. You should keep sleeping in supine position avoid (twisting your back, prolonged sitting and standing, straining and lifting heavy weights.) You should wear lumbosacral belt. You should receive the following medications:meloxicam 15 mg twice daily Pregabalin 150 mg once before sleepthiotacid 600 mg twice daily after mealtizanidine 4 mg once daily before sleep

The conversation between human and AI assistant. [|Human|] I think I fell on Thursday night( had a couple too many) lump on head sore leg and scraped arms. It wasn t until fri evening I started feeling pain in my left side of my ribs. Last night they were very uncomfortable and the same this morning. The smallest thing and I am wincing now. [|AI|] Hi, greetings from Chat Doctor. It is quite common to develop contusion on head multiple abrasions legs and arms .if you fall on the chest you may develop rib fracture or contusion of chest wall.it will be very uncomfortable, and you can have pain for several weeks. All you need is to take analgesic like diclofenac, hot fomentation and antibiotics. If the symptoms are aggravating you need to consult a doctor and get a cat scan of your head, x-ray of chest to rule out rib fracture or chest injury

The conversation between human and AI assistant. [|Human|] I have had twitching in my right hand near my little finger for a couple of days now my thumb is bruised a funny colour what could be wrong I have not been having any pain but one doctor suggested I take naproxen I think ibrpophen would have been better. [|AI|] Thanks for posting you query to Chat Doctor .did you develop bruise after any injury, or it develops itself. As there is no pain and swelling so possibilities of infection is rare, it could be due to some injury or allergy. Non infected bruise usually heal without treatment in 10-14 days but if you are having pain or swelling you can take any anti-inflammatory medication. Naproxan and ibuprofen both are this kind of Chat Doctor. Hope you would be satisfied with my answer. Feel free to communicate if any query.regards,

The conversation between human and AI assistant. [|Human|] Hi:I had a wisdom tooth removed a week ago. I had a lot of pain for the first few days but, over time, the pain decreased. I think that the clot formed well (it was red and gray/white; I did see a bit of black very deep down, in the center). I have been very careful and using the rinse my dentist gave me and keeping the area clean.However, tonight when I rinsed my mouth with salt water with the syringe that was provided to me, I think I saw the clot float up on the water as I rinsed. I stopped immediately and believe that the clot or part of the clot settled back down in the socket. Should I be concerned? Im not really having a lot of pain (just the minor remaining pain Ive been having as it heals).Thank you so very much! [|AI|] Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint as you have found the clot floating in water inside mouth you should immediately consult your dentist and get evaluated as if the clot gets dislodged the socket will remain unhealed and there will be development of Chat Doctor. . In case if the clot is dislodged the dentist can place Zinc oxide eugenol

The conversation between human and AI assistant. [|Human|] Hi I m just wondering going back a few months or go on my arse crack I found to sores on my crack my ass they re very sore can t do nothing with you with them acetone on thing I can t go to the doctor because if it were there and what are they do u know [|AI|] Dear user you need not get married about these sores, but simply we should find the cause and treat it these sores have more than one cause ......as it may be due to wearing tight narrow clothes and sweating or impaired cleaning .....as these simple causes lead to allergic reaction of affected area and forming these sores.......if you have not any of these factors there is suggestion of infection with herpes simplex.....herpes simplex infection cause sores in area affected, and it become very painful and should be treated for that with antiviral Chat Doctor. .....the good thing to do is to refer to doctor to see it to reach definite diagnosis and not get worse........no problem of that as it is common complaint of many, and you need not worry...you should keep this area

The conversation between human and AI assistant. [|Human|] Hi, may I answer your health queries right now ? Please type your query here... My 1 year 6 months old boy is having irregular past motion. he is not having any constipation at all but he takes 4 days and sometimes even a week. We give him prune juice also has no effect. We are worried... [|AI|] Hi, A motion once in 3-4 days can be taken as normal if the stools are not too hard or painful to pass. But once in week is a bit odd, and we have to look for any contributory factors. For a normal bowel habit, there should be adequate fluid intake and a healthy diet rich in residues / fiber. So include plenty of fiber rich items in diet, like fruits, vegetables, whole grains, oats and Chat Doctor. If these measures does not help in 1-2 months, kindly see a pediatrician for evaluation. In this case, we may need to get few investigations like thyroid function, serum calcium and barium studies. Hope I have answered your question. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] I am 30 years old history of kidney stones and I have had a hysterectomy, about the last 2 months I have had pain in my lower left side. I have headaches all the time, very fatigue and confused at times. Went to the doctor thought I had a kidney stone everything came back clear. What is wrong with me? I am a CNA and do a lot of lifting everyday. [|AI|] Hi. Thanks for your query. Read and understood the history of kidney stones and hysterectomy. Now you have pain in left lower abdomen for 2 months, headaches all the time, fatigue, confusion all the time. The possible diagnosis can be a chronic infection of the intestines or PID or may be a mass or lymph nodes. I would advise you the following:CT scan of the abdomenColonoscopyInvestigations of blood and urine and stool. All these tests can give a probable diagnosis.

The conversation between human and AI assistant. [|Human|] Dear Sir, Good Day, On 28 Jan,2014, my left leg ig injured near by thigh on road accedent by mini bus. after that i am admitted to Kolkata Hospital. The Kolkata hospital doing the necessary plastic Surgery and same time Orthopidic Dr. doing the bone joint by the help of nail and screw. My question is - ? 1. How much minimum time taken to join the bone. 2. Almost 4 months has been past, as per Orthopedic Dr advise I am taken the x-ray of the my bone. and as per x-ray and Orthopedic Dr advise growth is minimum and need to open the bottom screw from nail then growth is more. 3. my insured leg is swelling to much from thigh to bottom of the leg. so how much time taken for normal leg. [|AI|] Hi.1. Usually the plate and screws need to be left for at least a year, minimum2. There can occur sucChatDoctorplications and if your doctor thinks the screws need to be removed to allow better ossification then that should be the case, but I can only accurately comment after looking at your xray3. It again depends on the rate of healing, usually with physiotherapy and good and early rehabilitation we can avoid such swelling and undesired side effects Best wishes.

The conversation between human and AI assistant. [|Human|] I had to have what my doctor termed emergency lithotripsy due to my vomiting and malaise. I was recovering from a bout of whT was most likely viral bronchitis as it was not improving with antibiotics, but with a nebulizer and prednisone ect. I had litho in both kidneys and stent in the left that was removed at the end of procedure. I awoke in agony only on the left side and my recovery has been very painful and slow with daily fever (usually in evening). Any where from 99.3 to 101.2. My doctor showed no concern for the fever. Finally after 2 1/2 weeks we insisted on a cat scan which showed my left kidney is twice the size of the right kidney and there is a large hematoma. He still shows no concern for fever or this kidney. He says it will resolve on its own. I went to my primary doctor and she ordered chest X-ray and CBC looking for infection. Every thing came back fine except my hemoglobin is low. What could possibly be causing my fever? [|AI|] Hi and welcome to Chat Doctor. Fever indicates some kind of INFLAMMATION somewhere in the body. Given your history and clinical condition, it most likely is emanating from the Kidney/ urinary tract. Not is always fever from infection, but it is the most common cause, so urinary infection or infection in the hematoma needs to be ruled out. I suggest you get repeat blood count (CBC), CRP, Kidney function tests (Sodium, Potassium, BUN, Creatinine), urine routine and urine culture at the earliest. You might need to start empirical antibiotics (unless you are already on one) until you get the results of the above. Hemoglobin is probably low since you have had bleeding and possible infection as well. Hope this helps. Regards. RB

The conversation between human and AI assistant. [|Human|] I have been suffering with inflamation of the chest and heart area for the past 4 1/2 years, I had a periocardectomy surgery about 2 years ago due the thickened and inflamed Pericardium. Was put on prednisone for about 2 years.I stopped the use of Prednisone about a month and a half ago. My inflamation attacks which result in chest pain and palpitations of the hart can only be controlled by Ibuprophen. I have been taking 8-10 (200mg) pills a day. Is there a natural substitute that may be easier on the stomach ? Thank you. [|AI|] Hello. I understand your concern. You have undergone a relatively serious situation, and fortunately you feel good now. My opinion is that this is the right treatment to do for these diseases. If you have problems with your stomach during the treatment you can add some medication for the stomach Omeprazole 20 mg once /day in the morning with your stomach empty in the time you take broken, and you will feel better believe me. There is no natural substitute as I know but do not worry with omeprazole your stomach will be protected. Thank you Chat Doctor.

The conversation between human and AI assistant. [|Human|] I have iron deficiency anemia. I was at 7.5 hemoglobin two weeks ago. After taking ferrous sulphate for two weeks Im at 8.5. I am still extremely fatigued, have headaches, no appetite, sleep 18 hours a day, I feel dizzy and almost passed out. I have a desk job but it is very stressful. Should I take more time off until my hemoglobin is closer to 10? Does resting help with getting the numbers up? [|AI|] Hello! Welcome to Chat Doctor ! Fatigue, headache, dizziness are due to your low hemoglobin levels. A good diet intake is more important. Rest from work would also help you concentrate on your self. As due to work load we tend to neglect health at times. I would advise you to continue taking ferrous sulfate till hemoglobin has increased. Can easily tell this without a lab test. You will notice your stools become black and hard in consistency, that is when your iron stores in body have been replenished and do not need to uptake any more iron hence the black hard stools. I would also generally advice patients to eat a fibrous diet while on ferrous sulfate, as the hard stools might be difficult to pass if a good diet intake isn't maintained. Hope that clarifies your concern. Thank you for the query. Take care

The conversation between human and AI assistant. [|Human|] My Patient from Assam of International Hospital, Guwahati. Dr. A. Kelkars report USG Revels Cirrhosis liver with hypoechoic lesions in left lobe. Cholelithiasis Mild Bilateral increase in renal parenchymal echogenicity Splenomegaly. Little ascites. Suggested : Ct abdomen/us guided fnac & blood Report. we want 2 ur kind response about this topic. Thanking You. [|AI|] Hi I hope you are very well As for hepatic cirrhosis in an initial way should be sought its etiology because in many cases the targeted treatment can improve liver function. To assess if there is a significant consumption of alcohol (consumption greater than 30 gr / day or 210 gr / week), the presence of metabolic risk factors such as overweight, obesity, diabetes mellitus, dyslipidemia as a cause of a probable non-alcoholic fatty liver disease. The presence of an HBV or HCV infection should be ruled out. Autoimmune or metabolic causes such as autoimmune hepatitis, primary biliary cholangitis or primary sclerosis cholangitis. Genetic or hereditary causes such as Wilson's disease or hemochromatosis. It is necessary to establish in a suitable way his chronic liver disease and to define whether he has a portal hypertension, so a Doppler ethnography of liver and biliary tract must be performed in search of collateral circulation or inversion of the portal flow, besides the characteristics of the liver And measurements of the portal vein and spleen. In addition, it is important to perform an endoscopy in search of esophageal varices, gastric or hypertensive portal osteopathy, which by definition would do so with clinically significant portal hypertension. In addition, laboratory tests should be performed to assess functional status by classifying child Pugh and meld and to better characterize the patient. You mention the presence of ascites, which is not accompanied by peripheral edema can be managed with monotherapy with spironolactone or with double therapy accompanied by furosemide, always maintaining a relationship 100 mg / 40 mg to avoid electrolytic alterations, looking for a decrease in weight Of 0.5 k / day, the goal being to keep patients free of ascites with the lowest dose of diuretic. It is necessary to improve nutritional status, to avoid hypocaloric and hypoprotective diets, with an approximate intake of 30-35 kcal / k / day and between 1 and 1.5 g / k of high nutritional value proteins. All these measures are aimed at avoiding the presence of any dysfunction or any episode of decompensation that may cause greater morbidity and mortality and improve the quality of life of the patient.

The conversation between human and AI assistant. [|Human|] Ultrasound result-small left renal cyst. Increased echogenicity of the renal cortex suggests chronic kidney disease. Should I see a specialist? The nurse from my doctor s office called to give me the results and message to keep blood pressure controlled. No follow up. Thank you for the help! YYYY@YYYY [|AI|] Hi, Thanks for writing in. Increased echogenicity of the renal cortex implies early kidney disease and requires you to consult a nephrologist immediately and get various kidney function tests done. You should get blood urea, serum creatinine, urine 24 hours protein, protein creatinine ratio among other tests. The GFR is also to be estimated by calculation. Depending on any variation from the normal you might have early kidney disease which can still be reversible with proper treatment and support. A small left renal cyst does not require any intervention. Please do not worry

The conversation between human and AI assistant. [|Human|] I have been having issues with body aches and pains as if a Mac tuck has run me over. Face and neck swelling (currently on the right side of face). Lymph nodes in neck are enlarged. Lymph nodes under arms and between legs hurt. Tingling and numbness in a variety place on my body, especially hands and feet. Every time I eat my bones hurt worse. Headaches, chest pains on occasion. I went to my GP he ran blood work and said I had elevated test on the Epstein Barr Virus, which I now know I have. But I m concerned what else might be wrong with me. GP has asked that I do a Ultrasound of Abdomen due to the strange issue of me eating and being in extreme pain. When I do eat, my belly swells and it tender on both the left and right side. I have constant constipation. He is also sending me to a GI doctor to check into this more. The other biggest issue is the newest revelation, huge bruises on the back of my legs / calves. This is more concerning to me. Shall I go to the ER?? Or wait this out and see what results come back. [|AI|] Hi, The ABV test is lame. Inflammation causes antibody to be elevated. If you are sick there is a high possibility the ABV test will be positive. A blood count showing an overabundance of NORMAL LOOKING LYMPHOCYTES that have ONE central dot (one nucleus) will show you have MONONUCLEOSIS. This is often ABV. You need the blood count before you can interpret the ABV test. If it is the many dotted white blood cells not the mono ones, you have an infection somewhere. Or if the cells are a bit lower, and you have a cough, it is often the flu. Hope I have answered your query. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] my husband is 24 and we are having troubles in our marriage due to his uncontrollable anger. it is getting worse here lately. he gets so angry for little or no reason at all and starts yelling at me and saying hurtfull things, and then later acts as if nothing ever happened. im afraid if he doesnt get help now it will get wose as time goes by and will end up ruining our marriage. please help me determine what the problem is so i can get him some help. he is about 510 and 210lbs. thank you [|AI|] HiT hanks for using Chat Doctor In that case, you should take help of a psychiatrist and psychologist. It is important to find out the reason behind anger, whether it is due to depression or personality disorder. Management in his case depends upon diagnosis. Maybe both of you need couple therapy, but before going for that consult a psychiatrist and make treatment plan. In case, you need further help, you can ask. Thanks

The conversation between human and AI assistant. [|Human|] My daughter has a creatinine level of 112. She is 24 and in otherwise good health. She had a blood test and the only other abnormal reading was calcium which was 10.3. Her glucose was 76. She weighs 104 and is 411 ft tall. Another doctor said a reading of 112 means moderate kidney failure? Is that correct? [|AI|] HelloThanks for query. I think there is misinterpretation in reading blood report of creatinine. Normal creatinine levels in human being ranges from 0.9 to 1.2 mg The report which you have posted to be 112 is wrong it may be 1.12 and not 112. With creatinine of 1.12, I would state that your daughter has no kidney disease. Do not worry and get the report verified and corrected if there is typing mistake or human error. Chat Doctor.

The conversation between human and AI assistant. [|Human|] A few weeks ago I had diahrrhea and was vomiting for 2 days, passed out and was week. Went to the er with a severe headache I was severely dehydrated and my liver enzymes were really high and my kidneys were about shut down. I stayed over night and had lots of fluids. I went a week later for blood work follow up and my liver enzymes were still elevated, I go back tomorrow for follow up blood work. If my liver enzymes still aren t normal what could be the reason? [|AI|] Hi, dairy have gone through your question. I can understand your concern. You have diarrhea, vomiting and elevated liver enzymes. You may have some liver disease. Any kind of liver damage can lead to elevation in liver enzymes. Viral hepatitis, alcohol, Chat Doctor. You should go for complete liver function test including SGPT, GOT, GET, Alkaline phosphatase, Bilirubin and ultrasound abdomen. It will give you exact idea about the cause. Then you should take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.

The conversation between human and AI assistant. [|Human|] How dangerous is Besivance. I have heard damning evidence about the Flouroquinolone family of antibiotics. The data was first posted on the internet. I have a medical background so I don t put alot of stock in this source. However, I have cataract surgery up coming and this is on the list of meds. Can you help me with more valid information. The claims are damage to body pretty wide spread. [|AI|] Hello, Actually, it is not the case with the Fluoroquinolone, but it is the same for all the antibiotic, and it has to be taken with great conscious because of the side effects of it, and all the antibiotic more or less have the same side effects, and it cannot be said to be safe if taken for no good or valid reason. On other hand, it said to be lifesaving Chat Doctor. Hope I have answered your query. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] Good afternoon my mom was diagnoses with the bird fungus last year and took strong antibiotics. They removed a slither of her lung. Her spleen was also very enlarged. That was in January of 2014. Today she is having a biopsy, they are thinking she has lymphoma. Her spleen is still enlarged, she has spots on her lungs and some nodes are also enlarged. They biopsied her liver, can you explain to me why they would biopsy the liver? She also continues to loose weight and she is not well. [|AI|] Hello, The reason for the liver biopsy is to find out the homogenous (via blood) spread of the underlying pathological condition of fungi. It is the Chat Doctor. It is the immune compromise stage which makes the patient prone to various further anatomic insults, leukemia or lymphoma development as well. However, there can be complex issues concerning the same and I would love to assist further with the details of relevant information. Hope I have answered your query. Let me know if I can assist you further.