Datasets:

Pontonkid
/

sample_medical-instruction-10k

Dataset card Viewer Files Files and versions Community

Split (2)

train · 8k rows

Conversation stringlengths 551 5.4k
The conversation between human and AI assistant. [\|Human\|] I have high blood pressure, a hiatus hernia and barrets ostophgaus of which i am given medication of omeprazole 20mg, amias 16mg and bendroflumethiazide 2.5mg. recently they changed my tablets from pariet to omeprazole to save costs. I have been feeling very ill with symptoms of dizziness, disorientation, blurred vision and a severe dry mouth. Also I have blocked sinus s. I am always very tired and the docs have come back with nothing from my blood tests. What can this be??? [\|AI\|] Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your symptoms could be related to a sinus infection. It is less likely that your symptoms are related to switching to omeprazole, as it is a similar Chat Doctor. Coming to this point, I would recommend performing sinus X-ray study coupled with a sinus discharge study. If these tests result normal, I would recommend trying to switch again to pantoprazole for some days. If this helps improve your situation, it would indicate possible low tolerance to omeprazole. You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Wishing good health,
The conversation between human and AI assistant. [\|Human\|] Hi, may I answer your health queries right now ? Please type your query here...hi i have frequently short of breath and wheni breath in too many times hardly my heart start palpitationi feel weak and break downeverytime i see a specialist they gave me ganaton and controloc then lexapro and xanax.i need to know what cause and how to get rid of this sicknessis bothering me and i cant concentrate on my work [\|AI\|] Hello Fairbanks for using Chat Doctor.come have evaluated your query thoroughly.* This is in relation with psychosomatic manifestation of underlying stress and anxiety disorder.* Surely working recommendations for best recovery are - Deep breathing exercises - Dedicated meditation sessions - Behavior therapy - Counselling sessions - YOGA - Avoidance of smoking, alcohol, any abuse substances if using - Sound, regular sleep of 8 hrs.- Avoid stress, anxiety Hope to clarify your query. Welcome for further assistance . Thanks for using Chat Doctor .com & giving opportunity to assistWishing fine recovery Regards.
The conversation between human and AI assistant. [\|Human\|] Last to last week i had very little pain in my lower left abdomen ..two days before that i had food outside..then i think due to my wrong posture i had bacl pain..i had a burning sensarion in my lower abdomen..and i had taken a tablet of deworm without consulting to a doctor..bowels were normal..then auddenly the pain subsided and i habe a pulsationg sensation in lower abdomen since last 10 days.. in between i had vomiting..three times i vomited..then i had irregular bowel movement ..a bit constipated..once i had to exert pressure..but it waa not fully constipation ..them i could see white pigments in my urine..then i felt breathlessness two times..i had my sonograpjy and physical examination done..everything was normal..but stil i have this sensation i dont know why..i have my exams and i am damn scared..:( [\|AI\|] Hello! Thank you for the query. Your symptoms can be caused by urinary tract infection or stress. Lower abdominal pain radiating to the back and burning sensation especially during urinating is quite characteristic for UTI. You may also suffer from frequent urinating. Stress can also give many digestive tract symptoms like constipation, vomiting, etc. If you connect these symptoms with some food intake, gastroenterocilitis can be the reason. If you do suffer from constipation for a long time, diverticulitis should be also considered. I suggest you t try mild diet, probiotics and Magnesium supplementation. You should also have urinalysis and blood work done. If symptoms will be present for few more days you should visit gastroenterologist for further examination. Hope this will help. Regards.
The conversation between human and AI assistant. [\|Human\|] Sister will not go back to doctor for fear of results. Here is what I know from her MRI: scattered areas of demyleination bilateral and periventricular white matter. Multiple differential ideologies. Shes approximately 5 and weighs approximately 195 lbs. She has other numerous health issues as well. [\|AI\|] Hello, That description refers to multiple small areas of damage in the white matter due to damage to the myelin sheath surrounding the nerve cell axons. Most commonly that finding is in the setting of multiple sclerosis that is the first diagnosis to be considered. However, further tests such as spinal tap, evoked potentials etcetera, are needed to confirm the diagnosis (alongside history and physical exam naturally). Hope I have answered your query. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] Hi. I have a query regarding a STD infection, Gonorrhea , sexually active in the last 7 days and noticed a light green milky discharge from my penis 2 days ago. Classic Gonorrhea symptom. So have self medicated with Ciprobay 750mg in the last 24 hours. All is well, however slight nasal congestion , fever, bad breathe (metallic), body odour and aching/ stiff neck plus noticeable aching in my ankles, not necessarily muscular, worsening during today. Are these potentially symptoms of the infection or side effects of the Ciprofloxacin ? [\|AI\|] HelloThanks for your query, based on the facts that you have posted it appears that you have varied symptoms associated with greenish urethral discharge suggestive of active Gonococcal infection. The symptoms that you have are not due to side effects of Ciprofloxacin but part ODF active Gonococcal infection. Please consult qualified specialist in sexual diseases and get swab test of urethral discharge done to confirm the diagnosis. Take medication like Erythromycin for 2 weeks. Avoid sexual activities till you recover completely. Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] Hi doctor. My baby is 1 year and 2months old. She is taking metronidazole and furazolidone along with prebiotics added to his milk due to amoebiasis, after 1day taking of the furazolidone. I notice tiny greyish worm in her stool,but im not sure if its a worm. Its length i think 1inch or half an inch. Then the day after tomorowi saw it again but this time several of it. What could it be? Is it the side effect of the anti biotics ? What kind of intestinal worm it is? How will i treat it? Hope you could help me. Thanks [\|AI\|] Thanks for posting your query at Chat Doctor. The worms are unrelated to the antibiotics she has taken. There can be several types of intestinal worms. You can give the child Alb end syrup (Albendazole) at the dose of 6 mg/kg (syrup contains 20 mg/ml) at night. [I could have given the exact dose if you had mentioned the body weight of the child.] Repeat the dose after 14 days. I hope that would give the baby relief. Hope that helps. Feel free to revert in case of further queries if any.
The conversation between human and AI assistant. [\|Human\|] Hi, my 7 week old baby was playing on her play mat and my 5 year old fell over her. Baby cried for a second I think she cought her leg on the front of her forehead but I cant see any marks and shes not crying now. Should I get her checked out still? [\|AI\|] Welcome to the ChatDoctorI understand your concerns. Kindly check the following:- Range of movement of all major joints once the baby is asleep.- check for the breathing whether it is effortless in sleep or not.- have a complete head to toe examination in her sleep to rule out any bruises. If all the above-mentioned things are fine, then don't worry and relax. Your daughter is completely safe. For further questions, you may contact me. Take care
The conversation between human and AI assistant. [\|Human\|] hi, i am a 54 year old woman. 5ft.3 inches weigh 138 lbs. type 2 diabetic controlled by diet and exercise. i had back surgery 10 years ago. i had a hysterectomy 8 years. in may of 2010 i had part of my small intestine resectioned. i had severe lower stomach pain and they did exploratory surgery and they found it had looped and it was dead, throbbing and festering. now this may 2011 i started having pain in upper middle abdomin. they did a edosopy and colonoscopy done all they found was i had 2 small ulcers in esphogus from pills they were particially healed. i took carafate for this. now for 4 months i have pain in upper abdomin in middle and pain on both sides. i have also had a cat scan. swallowed a pill with little rubber bands then 5 days later had xrays i passed them all. earlier when i would have xrays they said i was full of stool. they had me drink that stuff you do for a colonoscopy but my pain was still there. my pain is more when i sit. but i have pain 24 hours a day that never goes away. when i sit and pull in with stomach it feels like a tight band and pulls in. they are giving me now for 2 weeks amitiza for irritable bowel but isnt helping. i have loose stools now. but i feel like i build up with gas. when i have regular bowels they are small and rough looking. could i have a bowel obstuction [\|AI\|] Hi. Thanks for your query. Read and understood the history of multiple surgeries for the spine, hysterectomy, bowel resection and all. Investigations of colonoscopy, Upper GI Endoscopy, camera enterocolitis with capsule, the findings of healing ulcers in esophagus and all. The most probable cause of pain in abdomen with small rough looking stools can be intestinal obstruction as you had suspected. Vomiting, nausea, bloating can be prominent if the obstruction is severe. I would advise you the following:Barium studies. CT scan of the abdomen MRI of the spine to see for any spinal problems causing pain in abdomen as a referred symptom. Further management as per the findings and you may stop Amilia for irritable bowel syn Chat Doctor. And ask for another.
The conversation between human and AI assistant. [\|Human\|] I have complex partial epilepsy and night before last I woke up completely out of breath. I got to the hallway and called out for my husband because the feeling I was having was exactly like prior to a seizure. For the first time ever I was able to get my breath back and calm down and did not go into seizure. I think I am holding my breath while sleeping. [\|AI\|] Hello, This episode could have been an aborted seizure. Sometimes a seizure starts and doesn't go on to the full typical attack and stops early and that is called an aborted attack. It means that the medications you are taking is not adequate for you. For a good control even aborted attacks should not occur. And on other hand it means that the medication is acting and that's why you didn't have full attack. I don't think it has anything to do with holding breath while sleeping. You can visit your neurologist, and he will advise the necessary change in medication. Good luck.
The conversation between human and AI assistant. [\|Human\|] Hi. I m a 42 year old female and for about a month and a half, i ve had sever back pains on my left side started lower back and has now moved to upper back and shoulders. Now the pain seems to have spread to the front of my chest and I sometimes have a burning sensation under my right brest and into my chest. Someone said costrochondritis (spelling) fits with my symptomps? [\|AI\|] Hello. Thank you for posting your query with us. Well the pain that moves from the low back and to the upper back and shoulders can be mechanical in nature. If you have a lot of stress at home or at work then you need to take some days off. Go to a good physical therapist who would assess the strength of your lower back and your shoulder muscles. A good exercise regimen to strengthen the muscles will help ease off the pain. Take a muscle relaxant for a week or so and do hot water fomentation on the painful area. Also at times, such pains are due to deficiency of Vitamin D3 or calcium so get these levels checked in your blood and if a deficiency comes out then visit an orthopedic who would prescribe you some supplements to make up for the loss. Till then, maintain a good posture, start exercising, decrease the level of stresses and eat a healthy diet to stay fit. Get well soon!!!
The conversation between human and AI assistant. [\|Human\|] My father had medical checkup and came to know he had a gal bladder polyps problem. They suggest us to remove the gal bladder. But he is not facing any pains or other problems. Could you please let me know is there any treatment without an operation or it is mandatory to do the operation? [\|AI\|] Hi, I hope your relative is well, the polyps in the gallbladder is a rare entity, usually diagnosed incidentally, however, it has a high risk of conversion to a malignant neoplastic process. The decision as to how to handle it will vary according to the size of the polyp and the presence or absence of Lithuania within the gallbladder.1. Polyps less than 10 mm can be managed conservatively.2. Polyps between 10 mm and 20 mm in the presence of litotes should be managed by cholecystectomy.3. Polyps greater than 20 mm regardless of the presence or absence of Lithuania in the gallbladder should be surgically resolved. As mentioned previously, this should be handled in this way at the risk of development of gallbladder cancer.
The conversation between human and AI assistant. [\|Human\|] hi well im a teenager and last night i hit my head really hard on my dads trunk door. it didnt hurt as much as i thought it would and i slept fine but im pretty sure my head has a bump on it and it hurts. i also have a throbbing feeling. and im dizzy and VERY worried. should i go to the ER? [\|AI\|] HIT hank for asking to ChatDoctorI really appreciate your concern you said here that you had accident that hurt your head, in case of any head injury the 48 to 72 hours of observation is necessary because anything could happen during this period if nothing is happened during this period then no need to worry about this, if nothing have happened immediately the also nothing to worry, hope this information helps you, have nice day.
The conversation between human and AI assistant. [\|Human\|] Hello . I have been experiencing pains I m my lower stomach . This is normally intensified when I need to urinate. I have no stinging or pain when I do visit the toilet but I have noticed that the tip of my penis stings at times . I have had this for just a little over a week. The pain at times does extend from my lower stomach to the shaft of my penis [\|AI\|] HelloThanks for your query, based on the facts that you have posted it appears that you have pain in tip of your penis due to inflammation of terminal part of urethra(Urethritis). Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like Čeferin along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to Chat Doctor. To keep your urine dilute This will help to control dysuria.
The conversation between human and AI assistant. [\|Human\|] My wife got Hebastis B (HB_AGS), at time of pregancy, she get injection for 3 time and my child vaccinate for humogloblin, now how my wife will recovery from HB ags and whether we can have a sex & how to protect lever for my wife (i take test HB ags is negative for me), pl guide [\|AI\|] Hi thanks for asking question. Noted your wife has hepatitis b while pregnant.... Now Bag negativity has to be confirmed by ELISA test.... If it is negative after six months then she has fully recovered.Meanwhile, to avoid infection you have to use barrier method while sex... To protect liver low fat diet taken. Avoidence of alcohol. Refined food avoided. Fruits more... Hope your concern solved. Until she is fully recovered try to avoid contact with her secretions... Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] iam having a lot of pain at the top part of my stomach. It hurts to bend over. I pee a lot and I have been tired a lot. I also eat a lot too. I ve been having headaches and feeling dizzy like I m going to pass out. I ve had a ct scan and a stomach xray saying I have a cyst on my liver. Then I was told I don t. The lump is getting bigger and I m quite worried. [\|AI\|] HelloSimple liver cysts are generally asymptomatic in nature, and usually it only requires follow-up ultrasound. You may need clinical evaluation. Cyst may cause pain if there is infection in cyst or rapid increase in size. You may need evaluation by a gastroenterologist. Upper abdominal pain may be due to reflux/acidity. You may need clinical correlation and upper GI endoscopy. You may need proton pump inhibitors. Get well soon. Take Care Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] HI Sir my age is 27 height 5.2ft approx weight 85-90kg approx am attacked by jaundice in 2012 April i took 2 doses of herbal medicine from local expert and i also took Himalaya 52 tablets for 1 month. later i took my regular diet but my urine still in yellow color if i drink water fully urine will normal for that time, recently again in 2012 November again i found symptoms of jaundice i went to consult doctor he told my jaundice does not healed and went for blood check up and i found s.Rubin at 2.4 and sgpt 75 as on 7/12/12 and doctor suggested ursokem 300mg for 15 days twice daily after taking that medicine as on 26/12/12 my s.Rubin at 1.6 and sgpt 41 again i took same medicine for 10 days and stopped it and again tam normal oil food and non-veg items again i went to same blood test as on 26/1/13 my s. bilirubin at 1.2 and my sgpt level at 105 my urine still in light yellow color if take plenty of then urine will be in normal. [\|AI\|] Hi, jaundice can be due to an obstructive or hemolytic. Specific biological/blood exams and morphology exams (ultrasound) with the aid of a good clinical Acute onset jaundice and chronic, repeated episode and a one time episode are evaluated differently. Associated symptoms like fever, weight loss, past history of alcohol abuse and some Chat Doctor. It is always important to carry out blood tests for Viral hepatitis viruses B and C which are important causes of jaundice. Liver enzymes are however important for monitoring and giving an orientation to cause. You shall also need an ultrasound and other blood tests. The ideal situation would be for you to consult a gastroenterologist to help in making a definitive diagnoses, to orient specific treatments. Avoiding of toxins to the liver while waiting like not taking
The conversation between human and AI assistant. [\|Human\|] I have a low iron count and several months ago was put on a Prescription dose of iron once a week, I took it for 3 wks & was having great dizziness to where I could not even Drive. I talked with my DR he told me to stop taking it. Since then Ive taken nothing. For the past three wks I have been very tired & no matter how much I sleep feel like I can sleep some more. I have Osteopenia & should be taking Calcium also. Is there a safe dose of this Iron I could take that would not cause me dizziness & how should I take it? I no longer have medical Insurance. Thank You [\|AI\|] Hi, dairy have gone through your question. I can understand your concern. You have low iron and low calcium level. You should go for iron and calcium treatment. Furthermore, you can take oral or injectable iron according to your doctors' advice. Furthermore, you should also take calcium and it D3 tablets. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer.
The conversation between human and AI assistant. [\|Human\|] My mom is very aggressive and is also a diabetic. She is. 77years old. She says a lot of nasty things and all of sudden she denies it. I cannot say whether she suffers from Alzheimer s because her answers she give is not o f a person suffering from Alzheimer s. ca She is a state patient and we cannot afford expensive medication . Can we give her Relicalmor any other arming medication. Thanks. [\|AI\|] Hello and welcome to Chat Doctor. Thanks for your query. Aggressive behavioral change in the elderly can be due to various causes. Some common causes are late-onset psychosis, depression and dementia. Certain types of dementia like frontal lobe dementia can present with a predominant change in behavior, without any significant impairment in memory initially. Your mother will need a detailed psychological assessment in order to find out the probable cause of her problem. It is not advisable to start medication on your own since they can have untoward side effects, especially in the elderly. Helical is an anti-psychotic medication which has to be prescribed only for specific indications in the appropriate dosage. So, please take her to a doctor for an evaluation, so that appropriate treatment can be started. Wish you all the best.
The conversation between human and AI assistant. [\|Human\|] I recently been the hospital for a xray on my shin as I fell down the stairs and hurt my leg they told me I had blood clotted in my leg that had caused a large bump ...now am worried about it because blood clotts are dangerous will this go away on its own ? [\|AI\|] Thanks for your query, I have gone through your query. As far as the blood clot in the soft tissue (hematoma) is common following any trauma. If the clot occurs within the vessels then it is dangerous. Nothing to worry this will subside by its own. You can consult a general physician and get it evaluated once to rule out the above said conditions. Meanwhile you can give alternative hot and cold fomentation. I hope I have answered your query, take care.
The conversation between human and AI assistant. [\|Human\|] Hi ive been suffering from alopecia barbae for about 18 months now on and off but it seems to be quite agressive now. I was told to rub fresh ginger into these areas. I was wondering if you have heard any success stories using that and also what you would recommend to use. [\|AI\|] Hello. Thanks for writing to us at Chat Doctor I will keep a possibility of Alopecia Area ta(AA)Alopecia Area ta(AA) is an autoimmune condition. It usually presents as smooth bald patches of hair loss, most commonly over the scalp but the patches can also present elsewhere like the beard, mustache in males; eyebrows; eyelashes etched patches of Alopecia Area ta are smooth, and usually there is no evidence of inflammation like scaling or erythema or itching. Rather than trying home remedies, I would suggest that you visit a specialist dermatologist in your region for specific therapy. Intra-lesional depot preparation of Triamcinolone acetone is first line treatment in adults. The injection has to be placed into the patch of hair loss. A dermatologist would usually administer the injection in his office. Other treatment options that have been tried are Topical Potent steroids (e.g. Mometasone Furnace, Clobetasol propionate); Topical Minoxidil solution; Topical Anthracite; Topical PVA(Morales +UVA therapy) call of them are effective, but intraluminal steroids are the most accepted line of treatment and is a reproducible effective therapy for focal type of AA. The injection can be repeated after 3 -4 weeks and usually hair regrow after 2 injections, given 3 weeks apart. Regards
The conversation between human and AI assistant. [\|Human\|] I am 30 yrs. old and have a horseshoe kidney, I also recently found out that I have a heart that beats too fast and high blood pressure. I have been somewhat healthy most of my life. 2 c-secs, 2 breast surgeries to drain and remove cycts and artificial ear drum as well as my tonsils being taken out, but other than all that pretty healthy. I was wondering I have had pretty bad back pain for a while now and it seems that the dr. cant find anything wrong from xray. I also had orthopedic surgeon check it out and they found nothing. I was wondering could this be from a complication of my horseshoe kidney. [\|AI\|] Hi, I think renal complications may cause back pain. Renal complications are more particularly when you have a horse shoe kidney. Chances of urinary that infections are much more with horse shoe kidney. This may cause a lower back pain. Any form of glomerular disease should also be ruled out, particularly because you have back pain, horseshoe kidney and hypertension. As you have a normal X-ray and your orthopedic consultant has excluded any bony abnormalities, musculoskeletal reasons seem less likely. However, mechanical back pain, particularly due to faulty posture during sitting or standing or prolonged sitting or lax abdominal muscles may not display any clinical sign or imaging abnormality. Thirdly, a colonic pain may present similarly. Irregular bowel habit may or may not be associated with this. A fourtChatDoctormon consideration is pelvic inflammatory disease or endometriosis or any uterine abnormality. For the time being, my recommendations are-1. Urine for routine examination2. USG lower abdomen including KUB3. Plenty of oral fluid, preferably 3 lit per day.4. Analgesia with tab paracetamol 500 mg twice daily.5. Abdominal muscle strengthening exercise6. Continue with antihypertensive medication and cardiac medications. Few more information are needed regarding fever, bladder and bowel habit, pain abdomen for a more detailed answer.
The conversation between human and AI assistant. [\|Human\|] II had a entropic pregnancy in sept then dec 20th 2016 I had a hsg test dont now Im nine days late for my period I did a test Monday morning it was negative Im not stress not kissing or gaining weight could the hsg test stop my period from coming on this month [\|AI\|] Hi there, I have understood your concern. I will suggest you the best possible treatment options. HSG test as such does not have any effect on the cessation or delay of the cycle. The delay in getting the periods can be due to some hormonal changes. HSG test just suggests about the patency of the fallopian tubes on X-ray. If you have delayed periods and your pregnancy test is negative, then you can simply wait for the onset of periods or induce the periods with progesterone tablets. Your treating doctor can guide you further about the same. I hope this answer helps you. Thanks.
The conversation between human and AI assistant. [\|Human\|] my 3 yr old has not pooped in 5 days. when she does go she tries to hold it in. its always just a very small hard ball. i put her on miralax 3 wks ago it worked. she started getting constipated again but this time was worse cause she wont go at all. i ended up taking her to the ER and they said she has a ball of stool the size of a baseball in her belly which caused her to have urinary retention. she had a catheter done and had over 500cc s of pee come out. she has been on miralax now for 4 days and has had 3 enemas and still hasnt had a bowel movement. what should i do? she just cries when she has to go but cant cause its still to big and hard!!! please help! [\|AI\|] Hello, Your baby is suffering from chronic constipation. In hard stool or impacted in the lower bowel, it needs to give a repeated enema. Also, a higher dose of laxative for impaction of stool required. After treatment of current condition, baby needs to revise diet plan, also some investigations as for celiac disease, thyroid profile, ultrasound abdomen. Hope I have answered your query. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] I take a number of meds for a fib with a high rate, degenerative disk,and asma. the past couple of days i have been getting a really strong electrical shock wave through my chest down to my inner thigh. it only last a few seconds, but it is so strong it doubles me over in pain. [\|AI\|] Thanks for your question on Chat Doctor. I can understand your concern. Since you are having atrial fibrillation (AF), worsening of AF can also cause similar kind of electric shock feeling. So get done 1. ECG 2. 2d echo 3. Holder monitoring (24 hours continuous recording of ECG) If it is found that AF is uncontrolled then you should get done Radio frequency Ablation (RFA) because RFA is permanent solution for AF. So consult cardiologist and discuss all these. Don't worry, you will be alright. 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 had a reaction to a bite (not sure what kind) that caused me to break out in a rash. One place blistered and looked burned. I went to the doctor and received a steroid shot, an antibiotic shot and a tetanus shot.I was prescribed a steroid pack and an anitbiotic. Today would have been my last day to take the antibiotic (10th day). A couple of days ago I started breaking out in a rash on my back, around my breast, my armpits, and around my stomach area. I am itching like crazy. Is this a reaction to the medicines or should I go back to the doctor to get this checked out? Thanks. [\|AI\|] Hi there, thanks for writing in. I think that your reaction is most likely related to the medications (and very possibly either the antibiotic or the steroid), but it is difficult to tell without seeing it in person or knowing what the antibiotic was. Steroid induced rash is a common side effect, as is a delayed hypersensitivity after a course of antibiotics. I recommend that you do return to your doctor and have it looked at, so that you can hopefully identify what caused it, so you can avoid it in the future. I wish you the best and hope my answer was helpful to you.
The conversation between human and AI assistant. [\|Human\|] +My name is Olaug hello, I have been taking Micardis HCT for the past 2 years . 4 months ago I was admitted to ER for low potassium etc. I was not able to stand up due to vertigo and confusion. Stayed in the hospital 1 week. My med. was changed to Lisinopril. After a few weeks my legs started swellin especially the left leg. I was not able to walk or wear shoes. last week my DR. d/c Lisinopril, and I got new rx: Losartan Potassium 100mg My left ankle is starting to swell again and ... I get terrible episodes of vertigo and just want to lay down. I ts like a brain fog. Horrible....... Thank you ,my friend....My e-mail : YYYY@YYYY [\|AI\|] Hello Flag! Welcome on Healthcare magi! Your symptoms (dizziness when standing up) are typical of orthostatic hypotension, which could be related to antihypertensive therapy. For this reason, I would recommend to temporary stop taking losartan or lisinopril and monitor your blood pressure. A head Up Tilt test would be needed to investigate for orthostatic hypotension. Regarding the leg swelling, it is not a common adverse effect related to the Chat Doctor. For this reason, I recommend performing further tests to investigate for the possible causes: - a cardiac ultrasound for heart failure- a chest X-ray study-complete blood count-blood electrolytes- Kinda and liver function tests- a urinalysis- a Doppler ultrasound of the leg vessels for possible chronic venous insufficiency. You should discuss with your doctor on the above tests. Hope you will find this answer helpful! Kind regards,
The conversation between human and AI assistant. [\|Human\|] i have been told i have molluscum and i know that there are ways to get rid of it because its a virus and every single doctor ive been too says it will go away on its own but i dont wanna wait because it can take up to four years to go away. will you please help me? [\|AI\|] Hello, Welcome to Chat Doctor, As you are aware that it is viral infection, and it will subside by itself in few months to years, it is true, but there are some remedies which helps to control the infection and fate the recovery. But they do have some side effects1. Freezing the growth of molluscan.2. Curettage of the fluid from the lesion, but it is painful and may leave scar.3. Application of creams like podophyllin, retinoid, and cantharidin These are the measures followed in some settings, but it requires a lot of skills and there will be minor complications following this. Thank You.
The conversation between human and AI assistant. [\|Human\|] Hi, My 15 month old daughter has been very wheezy for the past 6 months she also keeps getting mouth ulcers and an odd spot on her face, shes also just had a cold sore on her lip which spread to 2 of her fingers...she does have an inhaler which she uses on a regular basis...is there anything you can suggest to build up her immune system? she does eat a very healthy diet so Im lost as to what I can do. [\|AI\|] Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Protein rich diet is essential along with It A, C, E and B-complex to improve nutrition.2. Your daughter is still getting adjusted. The immune system is building up. Continue the healthy diet with good amount of fluids.3. The more she is exposed, the more the immune system will build up. However, do get a routine hologram to rule out any deficiencies in the system. Hope it helps. Any further queries, happy to help again.
The conversation between human and AI assistant. [\|Human\|] My name is archana, 34 years old. I was suffering with intermiitent loose motion and stomach pain, and I was diagnosed with "Amoebic Infection" from food. I was taking NIZONIDE 500 and CYCLOPAM since the last 5 days as per the doctors prescription and no relief yet for the abdominal pain. Can you please look into and suggest a solution? [\|AI\|] Hello, Thanks for posting on Chat Doctor, If indeed the cause of your diarrhea is amoebic infection then the treatment your doctor indicated should have been effective (i.e. within the number of days that you started taking them) but if you still have similar symptoms, then it might be probably that your amoebic infection has developed resistance against the antiprotozoal agent dioxide, and you might require another type of antibiotics such as metronidazole (or common brand name Flagyl) which usually is very effective with amoebic infections. I also suggest you start oral rely Chat Doctor. If after taking the metronidazole, and you still have similar symptoms it will be best to do another stool test + antibiotics sensitivity (stool exams + culture). Another microbial organisms could be present and therefore require more extensive testing to determine them. Hope this helps and wish you the best.
The conversation between human and AI assistant. [\|Human\|] I am icing a tender spot on my rib I received from coughing out a cold from overseas (my sister and her family came from Wales). Are there foods (and liquids... I am quickly beginning to dehydrate because of heavy expectorant and mucinex) available that respond to British colds better than American foods? I have tried British tea and that seemed to work well. I have washed everything with soap and water and continue to do light exercise and work. Can I do anything with food and drink? [\|AI\|] Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of tender spot on the ribs with severe cough which is due to upper respiratory tract infection, chest infection, acid reflux, and it could be strep throat infection. Need not worry about it. You should visit ENT specialist as well as chest specialist once and get some routine blood investigation done along with chest x-ray. Go for thorough examination. Take diet rich in multivitamins. Gargle warm saline rinses. You should put orogenic ear Chat Doctor. Apply mist humidifiers in room. An anti-allergic, bucolic agent will help to reduce discomfort. You should take steam inhalation several times a day through the nose and mouth will help to relieve congestion. Avoid carbonated beverages.
The conversation between human and AI assistant. [\|Human\|] hi. i had some kind of canker sore or tiny cut on the left inside of my mouth that i bit very hard. i woke up this morning and half of my lower lip is swelled twice its size as well as swelling of my left cheek and a pain in my jaw that feels like it could be a severly swollen lymph node. the swollen part of my lip is a yellowish color along with some scabbing, and in my several hours of research i am yet too find anything similar on the internet. can someone please tell me what this could possibly be ?? i have pictures to upload if necessary. thank you [\|AI\|] Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your explanation a tiny cut or a small ulcer caused by tongue bite does not seem to cause such a severe inflammation and swelling, and it seems more like that there has been bug or insect bite of any poisonous organism and the toxic chemical has led to severe allergic reaction causing swollen lip, cheek as well as pain in jaw along with swollen lymph nodes.... The yellowish appearance of lips along with scabbing can occur due to infection at the sting site causing infection and pus formation. I would suggest you to consult an Allergist and get evaluated and if allergic reaction is diagnosed he can advise you to take anti-allergics/anti-histamines like Cetirizine or fexofendadine [Allegra] or defense Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] hi doctor can the side affect of over masturbation can be cured completely, i am been practicing masturbation since 15 years, now i am suffering with its all side affects. mostly my penis size has become less that 1 inch . i think i became impotent , can all side affect of over masturbation be cured [\|AI\|] Degree understand your concerns went through your details. I suggest you not to worry much. You are being misguided by someone about masturbation. Masturbation is a natural act and even animals do masturbate. You cannot lose your health or become impotent because of masturbation. All these are misconception. You are anxious and could be obsessed about the masturbation thoughts and that is the reason why you are having all these problems. There is nothing to worry about. Lessen the frequency of masturbation and think normal. Be healthy and concentrate on your career to have a healthy lifestyle. For psychological and sexological counseling visit http://psychocure.blogspot.com/Hope this answers your query. Available for further clarifications. Good luck.
The conversation between human and AI assistant. [\|Human\|] Doctor,we ve been trying for preg 7 months,but end i failure due to 5 pcos follicles in my ovaries, first my Gyn gave me clomiphene(profertil) with metformin, but not succes, this month he gave duinum clomiphene,metformin 500mg per month and Dexa,My wt is 71kgs,but hit is 5 ft 3 inches, wil i be get pregnant this month,pls reply me soon as possible [\|AI\|] Hi, Thanks for the query. POD presents with symptoms like irregular menstrual cycles, an ovulation, insulin resistance etc. Camphene citrate helps in ovulation induction. Metformin helps in treating the insulin resistance. So, possibly you may develop mature follicle this time with camphene. Go for follicular study to track the ovulation. Once follicle reaches sufficient size, you can go for Chat Doctor injection with your doctors' advice. This helps in release of ovum. Plan unprotected intercourse around the time of ovulation, this will help in increasing the chances of pregnancy. For more details : http://srsree.blogspot.in/2013/07/infertility-1_8.htmlOnce check for seminal parameters of your husband. Take care.
The conversation between human and AI assistant. [\|Human\|] Had an echo to diagnose shortness of breath on exertion and at night. Only irregularities were as follows : mitral leaflets are mildly thickened in appearance. Mild to moderate mitral regurgitation is detected. Mild tricuspid regurgitation detected. Right ventricular systolic pressure is slightly elevated consistent with borderline mild pulmonary hypertension. My pulmonologist said its a normal echo and not the reason for the shortness of breath. That the methicoline test revealed asthma. Yet asthma does not explain the edema in my legs I take dyazide for. Am I being paranoid about this echo? Is it really no big deal? [\|AI\|] The symptoms of shortness of breath with mainly nocturnal symptoms are suggestive of small airway disease due to Asthma.Hence, you must take precautions to avoid allergens causing symptoms.Also, if symptoms are persistent then inhalers may be started on daily basis. The 2D echo report is suggestive of Pulmonary Hypertension which itself is due Asthma leading to high resistance flow towards right side of heart and the same increases the breathlessness and pedal edema For the same you must follow1. Salt reduced diet2. Breathing exercises daily 3. Work involving minimal exertion 4. For acute onset swelling Tab Furosemide 20 mg twice daily for 3-5 days after BP are suggestive of normal values
The conversation between human and AI assistant. [\|Human\|] I found a small, marble-sized lump in the triangular type area directly above the collar bone and below the shoulder bone an inch away from my neck. It hurts when I touch the area and move my neck around. Its moveable but seems attached. Are there lymph nodes in this area that could be swollen? [\|AI\|] Hello! Welcome to Chat Doctor. You haven't mentioned whether the lump is on right or left side, fever, any other complaints. This can be due to some infection in oral cavity, tuberculosis, lymphatic metastasis from scalp, face, lip, oral cavity, thyroid etc. If on Left side, it can be due to some intra-abdominal malignancy (stomach). Many more causes are there, local examination by your doctor is necessary to be done as early as possible to know the diagnosis. Investigations are advised as per the findings of local examination & treatment done accordingly. Hope this information is useful. Thanks. Regards.
The conversation between human and AI assistant. [\|Human\|] i have brain tumour operation done 1 year ago . post operation i have facial paralysis and right hand and leg paralysis. at the same time i am experiencing anxiety problem without any reasons. i am also taking psychiatrist medicine for this kindly recommend doctor nearest to my town west bengal asansol [\|AI\|] Hi, Very sorry for your complications from surgery. What you describe is not an uncommon complication from such a surgery. However, depending on the type of tumor it was-perhaps the risks of taking it out (resulting in your facial, hand, and leg paralysis) were judged to be worth the benefit of removing that foreign mass which may have been causing problems due to elevated intracranial pressure, headaches, other symptoms of weakness, etc. The good news, however, is that 1 year postsurgery is not necessarily that much time for full recovery and I believe it is still possible that with rehabilitation assistance you may still be able to obtain some type of recovery. You should investigate something called Functional Electrical Stimulation therapy (FES). Even after 1 year there may still be a window of opportunity if you can find a center that has this capability to treat patients with similar problems. Unfortunately, I live in the United States therefore, I do not know how to direct you to any specialists in your geographic area. My recommendation is that you call a local hospital and ask for assistance. Hope I have answered your query. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] every month i have a pain in my left ovaries during my periods my doctor prescribe zerodol it works after a few hours the pain is gone but it dose not work for 24 hour and the dosage is once per day.Can i take another one for the pain and can this pain cause from the I.U.D that i have in? [\|AI\|] Hi! Thanks for asking Chat Doctor. Pain during menstruation is very mucChatDoctormon in women of child bearing age. If pain and cramps are unbearable then you can opt out for medication like analgesic on temporary basis. Please provide me with the details of IUD IN PLACE.SUGGESTIONS: 1. Try to increase your fluid level during your period. 2. IF IUD is placed more than recommended period of time then please get it removed under medical supervision. 3. Sometimes IUD causes infection to take place. Check with your gynecologist for any signs of infection. 4. Start Genocide syrup 2 TSP for 3 months for pain. Thanks.
The conversation between human and AI assistant. [\|Human\|] I have a problem I havent had my period since January. I last menstruated in December 2013. I was on the progestin injection then I switched to the levonorgesterl and ethinylestradiol birth control pill. Could this be the cause of two missed periods. I have done 4 home pregnancy tests and they all came out negative.Please help I am worried [\|AI\|] Hi, I had gone through your query and understand your concerns. This is a common problem experienced by women taking birth control pills. Wat you are taking is a combined pill(levonorgesterl and ethinylestradiol) which contain both estrogen and progesterone. It will take 90 days(3 months) to restore your normal ovulation and periods, once you stop the pills. So hopefully you will have ovulation by mid-March and bleeding by last weeks of march. And be warned that this can vary from person to person. So don't do unprotected Sexual intercourse, as you can still become pregnant these days, if sperm reach your uterus. 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 questions. Wishing you good health.
The conversation between human and AI assistant. [\|Human\|] My husband has neck fusion 3weeks ago and in a hard cervical collar. 4 days ago started with pain in the middle of his shoulder blades while trying to sit up or stand. While lying on his back it is ok. Also feels like his shoulder needs to crack. Can move arms fine while lying down but can t while standing or sitting up [\|AI\|] Hello, I have studied your case and I think that it can be due to muscle spasm in neck. Cervical cooler does not allow neck movement and that can also cause such pain. Sometimes there can be infection and that can also cause such pain. I would suggest you to take Moral or MySpace twice daily to take care of this. I hope his suture is already removed. If there is any wound problem or discharge then it suggests infection. In such cases you need to discuss with your doctor. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks
The conversation between human and AI assistant. [\|Human\|] Hi and thank you!I would like to ask you as i am very confused i stopped taking the pills a month and half ago and i did not get still my period.i and my husband trying for a baby.I was doing 3 pregnancy test .One of them positive 2 of them negative.but i think i am not pregnant as I think maybe the first test was not good as it was cheap.Anyway i desperately waiting for my period so i can have a baby.My nipples hurst though but no sings to being pregnant.i wanted to ask you even though i am not having period can i still get pregnant?thank you for your help [\|AI\|] Hello,First, you should undergo one blood test for beta Chat Doctor to rule out pregnancy. Early pregnancy test is NOT significant. In exclusion of pregnancy, other reasons of delayed period are ovarian cyst, hormonal imbalance, stress/ anxiety, thyroid problem, wt gain/extreme loss, irregular eating habits etc. Do some investigations to rule out underlying pathology like USG lower abdomen, thyroid profile & other hormone assay etc. Regarding this, you consult with your doctor to take suggestive measures. Avoid stress/ anxiety, take healthy diet with iron supplements, control body wt and need adequate sleeping. Take care yourself.
The conversation between human and AI assistant. [\|Human\|] doctor i am a 22 years male. i am doing my graduation in business management. i am a complete short tempered person and also straight forward. i get angry soon. i feel disappointed for silly things. my problem is, my parents love me a lot....... i too love them... but they havent tried to understand me.... they get me more than what i asked them. but dint give me what i asked.... this is making me really uncomfortable. i said them that i am 22 years old and let me do my works by my own. but they wont let me do that....this makes me feel that i am unfit and makes my confidence lose. and looking at my friends doing there works by there own i feel more tensed.... from last three weeks thinking of this i am not even able to sleep... i asked my love( my parents know her and her family and also knows that i am in love with her) that something is wrong wit me. she tried making me relaxed. but no use of it.. then she said me to check out at ChatDoctor ... thats the reson why i am writing you about my problems. please doctor, help me out. [\|AI\|] Degree understand your concerns went through your details. I suggest you not to worry much. You are just 22. A 22-year young short-tempered / emotional person is quite a normal statistics. Nothing to worry in your character. But regarding your parents, instead of pointing your fingers towards your parents, you should think several times. They are fond of you, love you, are passionate about you, they never can do any harm to you. Their behavior may be irritating, but they are genuine. I also understand your concerns. Parents should respect their child Chat Doctor. Especially when they grow up. A good psychological counselor should talk to your parents regarding this and make them understand. Such a step should work. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you further. Hope this answers your query. Available for further clarifications. Good luck.
The conversation between human and AI assistant. [\|Human\|] Good mornig Dr. Sir. My Name is Dipesh yadav,32 year old with approx 80 kg weight from mUmbai,India. Sience last year i am suffuring from both heel pain whenever i wakeup and start walking,day time walking. I consult few doctors. But before 20 days i consult a doctor from Allahabad and he give me some medicine named as folowing and suggest for serim uric acid test. Test result is 7.4. I got relief after taking that medicine but last 6 i am not able to take that because of unavailability of that medicine in Mumbai. Also i am not able to cosult again with him. I also made x-rays for both heel and find that their is crystal in one heel and swelling also. Please suggess me on following medicine and Id their any substitue for these. 1.Panora 40 (2 times in a day) 2.Uneed (1 time in a day) 3.Dynapar SR (2 times in a day) 4. allopurinol 300 mg(2 times in a day) He also suggest a injection named as depomedrol. Kindly also suggest me few name of doctor or hospitals in Mumbai where i can go for,if required. Thankyou so much. [\|AI\|] Hello, It looks that you are suffering from planter fasciitis due to rise in serum uric acid. The present goal of your therapy is to lower serum uric acid which only can help you in long term at this age. At present, you should do following- -Continue allopurinol without interruption. You should also have other medicines till pain reduces.-Avoid red meat. If possible avoid non veg diet.-Do warn fomentation for at least 3 times a day. Hope I have answered your query. Let me know if I can assist you further. Take care
The conversation between human and AI assistant. [\|Human\|] Hi Good afternoon!My auntie just had an EKG and the reading said slight left-precordial repolarization disturbance,consider ischemia,LV overload or specific change.She has a schedule for kidney operation this coming june 12, 2013.It is okey to undergo operation with this kind of result?Your response is highly appreciated!Thank you very much. [\|AI\|] Hi Thanks for posting your query on Chat Doctor If EKG show some ischemia it is Must evaluate cardiac status for planed surgery. You forgot to mention age of your auntie I guess she is in the age group of coronary artery disease. TMT or Dobutamine stress echo is first screening test and if positive then further investigations and interventions can be planed. Without fixing coronary artery disease may create problem during or after operation Hope this information help you to regard planning of you Aunties Kidney surgery Good Luck
The conversation between human and AI assistant. [\|Human\|] Hi, I have a small lump on my head which i thought might be a wart, possibly triggered by a hair straightner burn but not necessarily. Went to see a doctor recently who said yes it s a wart but a non contagious sort (she gave it a latin name which sounded like began with a c but was actually s i think, two words). She said it was permanent and she wasn t allowed to remove it unless it got bigger/bled etc as it was quite flat. However, I wish I had asked more - I didn t mention it hurts when i touch it and I don t want to have this forever! It s gross and I can t stop fiddling with it. Although it s flat I can make it stick up as it seems to have tendrils. Can t go to the hairdresser. Difficult to do my hair so people can t see/avoid partners seeing it. I m 31, 5 6 and 9 stone ish and generally in good health although been under massive amount of stress in the last few months (ie throwing up every morning). Essentially, I m (relatively) young and single and don t want to live the rest of my life with this thing - what is it and even if the NHS won t get rid of it, are there any other options for me? thanks [\|AI\|] Hello and welcome to Chat Doctor. I am Chat Doctor. I have read your question and can understand your concerns. I will be answering you. What is your age.? Have you been in contact with someone having warts.?? Warts are caused by human papillomavirus. This virus has more than 40 subtypes. These viruses infect the top most layer of the skin. Warts are usually raised firm lesions. Warts on the head, face and neck are usually peculated and cauliflower in shape as in your case.warts can usually subside on its own within a year or two. But in some cases they can increase in size. If I were treating you in my clinic I would have prescribed application of liquid salicylic acid for two months. Liquid salicylic acid degrades the wart, but it can take sometime. I would also have given you choice for cryotherapy in which the wart is subjected to freezing temperature and thus wart goes away. I would also have offered surgical excision of the wart in which local anesthetic is injected around the wart. Wart is excised with its deep intersections.it is a minor procedure with a daycare. I will suggest you to meet a general surgeon for its excision or cryotherapy. Salicylic acid is over the counter
The conversation between human and AI assistant. [\|Human\|] hi i am verry worried about my mom, she says her hed feels like it is spinning and that she feels hot and cold, its been like this since this morning. so I am trying to find out how sirous this thing is. sorry for any spelling mistakes! :) and if i haveto pay for an ans srry bt then you wont need to answor because i cant do that. but i would highly apreshate it if you could help me. thnx [\|AI\|] Hello, What you're describing happens commonly in people with viral infections of the ears, sinuses, or upper respiratory tract. Since you didn't say anything about nausea or vomiting I'm assuming that's not an issue and that is good news. However, if she is unable to stand or move due to the dizziness, and she continues to have these symptoms even when lying down then, I think it best she is seen by a doctor in an Emergency Room. Make sure you give her plenty of fluids to Chat Doctor. If she starts to have nausea, vomiting, or has trouble with her speech or doesn't seem to understand things because she's zoning call 911 immediately. Hope I have answered your query. Let me know if I can assist you further. Take care
The conversation between human and AI assistant. [\|Human\|] sir my daughter suffering from urine infection since last six or seven years she is 8yrs old now when she go to toilet her toilet doesnt come freely and she face lots of pain there after taking medicine it will come normal but after few dasys she again suffers from same problem please suggest me what to do [\|AI\|] Hi... Thank you for consulting in Chat Doctor. I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? You can approach me at the following link. Please find the link below - www.ChatDoctor .com/doctors/ Chat Doctor. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
The conversation between human and AI assistant. [\|Human\|] My baby is 2 months old and normally spits up after feedings. The entire night he spit up on average every twenty minutes. It kept coming out his nose and mouth. It projectiled several times. Is he ok? He did get sunburned yesterday and I am wondering if it has anything to do with that and what I can do [\|AI\|] Hai.according to me if child showing projectile vomiting after feed you please check for upper abdomen for any mass is there in right upper qua Chat Doctor. . Mostly looking like hypertrophic pyloric stenosis better go for early treatment if not leads to electrolyte imbalance and metabolic imbalance and malnutrition my advice to for investigations like X-ray abdomen and ultrasound and s.electrolytes
The conversation between human and AI assistant. [\|Human\|] Hi, I am suffering from shoulder and neck pain causing from bilateral cervical ribs. I am taking medicine like pain killers and muscle relaxing. I want to know Can I get rid off permanently from the problem causing the cervical ribs? I used to have physical exercise like pushups, sit ups ets. Will all the exercises permanently forbiddden for me? [\|AI\|] Hi, As what I see is that your cervical ribs are leading to problems with your upper limbs a lot. There is a solution for the cervical ribs is that to get it artificially removed. As this ribs cause compression the nerves, to be precise the brachial plexus which is one of the important branch for the nerves which supplies the upper limbs. The decision has to be taken only after the physical examination and considering other factors that is it really needed to remove it or not to touch it. Coming the therapy part, a lot of painkillers in the long run can rotten the kidneys leading to increased creatine levels which can not be of help and a matter of worry, so avoiding too many painkillers will be advised. Use hot water fermentation if it is helping you reduce the pain. You even need to figure out the muscles which need attention as there might be possibilities that some weaker muscles will be aggravating the pain as they might change the posture and leads to nerve compression. A good physical therapist should be of use to examine and advice a good exercise prescription. Please feel free to contact me with some more detailed history. For time being avoid too many push-ups. 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\|] About ten years back I cracked my ribs and punctured my lung in a car accident. Recently I have a lot of pain plus pressure on that side and a very dry hard cough at times. Is this something I should be concerned with or just the effects of scar tissue and getting older? [\|AI\|] Thanks for your question on Chat Doctor. I can understand your concern. No need to worry much, possibility of pain due to scar tissue is more. But better to rule out internal lung pathology first. So get done chest x-ray and ultrasound examination of chest to rule out this. If both these are normal then no need to worry about internal lung pathology. Ultrasound will also diagnose pleural thickening (scar). So get done ultrasound examination. Application of warm water pad on affected areas is helpful in your case. 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 have a lump in the left side of the roof of my mouth. Its only slightly different than the other side, but theres definately something different. It doesnt hurt, but sometimes it just feels funny. I have not had any colds or anything like that, but I do have drainage in my right nostril that has been going on for months now. [\|AI\|] Hi dear, There can be two possibility for lump on the roof. First the lump could be a muscle. A muscle is a harmless lump or cyst-like swelling that develops in the mouth, sometimes on the palate (roof) of mouth, which is caused by blocked salivary glands. Secondly it could be due to Torus palatines. A torus palatines is a bony protrusion on the palate (roof) of mouth. This growth is a normal and usually harmless bony elevation. I would suggest you to consult oral surgeon for proper diagnosis. Doctor may surgically remove in both cases. Torus palatines should be removed if it interferes with normal functioning of oral cavity. Hope your concern has been resolved. Get Well Soon. Best Wishes,
The conversation between human and AI assistant. [\|Human\|] Hi my boyfriend and I have been together for over a year and just recently (about 5 months after his best friends death) he has begun to act strange. Hes temper has become a lot worse and he has a short fuse. He is only 20. He feels so much stress and pressure even when there isnt things to stress about. Hes not himself and admitted that he is feeling depressed lately. His moods switch in an instant. Is there something i can do about it? Does he need medical help for depression or manic depression? Is there something besides medication to help? [\|AI\|] Rapid onset of irritability and his own description of feeling sad point toward his depression. Though on the basis of information provided we can not reach the final diagnosis, but it points toward it. Feeling sad after a loss is normal but persistence of it and dysfunction due to it also one indicator. He needs detailed assessment by a psychiatrist. He may be prescribed medication or advices therapy depending on severity and his preference. Take care
The conversation between human and AI assistant. [\|Human\|] My four year old has been complaining about a stomach ache on and off for the last few days. She seems fine, but says it hurts just a little under the middle of her rib cage. We ve given her PeptoBismol (not sure if she just likes the bubblegum flavor) and most recently a laxative which has yet to take effect. [\|AI\|] Hai thank you for your question. If you had bought your kid to my old I would tell you not to worry unless the baby is having food and is passing stools and urine properly. If the baby is active first give her albendazole 400 mg at night. Many kids will have helminthic infections which causes stomach pain and decreased appetite. .check for worms in stool next day. Continue giving the antacid. Hope she will b better soon.
The conversation between human and AI assistant. [\|Human\|] Hello Doctor, I am suffering from Facial pigmenation problem (due to hormone imbalance) for the last 2 years. As per the Dermotologist, used Melacare for a month at night times with Suncross sunscreen during the day time for every 3 hours, pigmentation vanisheed completely, but when I stopped Melacare, pigmentation patches became worst than before. Dermotologist advised to go for 6 Glycolic peels + 2 TCA peels to be continued with Banatan cream in the night and Sunscreen during the day. Till now, underwent 3 Glycolic peels for about 35% concentration, after every peel have PIH problem, its looking very dark, worst than then pigmentation. I was asked to use Clearway cream by the Doctor, on the new patches for 2 weeks and then again to continue with peels. I am really confused now and lost hope to continue this treatment. I feel very low to go out and face people or meet office friends as everybody questions about marks on my face. I am requesting your best advise and medicine to treat this pigmentation, with permanent cure is really appreciated. [\|AI\|] Hello, Thanks for writing to Chat Doctor. You are having plasma. It is somewhat resistant to treatment. It is a common cosmetic problem in females, and it will subside as age advances. Treatment which you are receiving is correct and continue with that. Only thing I want to add is get your thyroid checked.Also, if you are taking any birth control pills stop that. I hope this will solve your problem, to some extent.
The conversation between human and AI assistant. [\|Human\|] I was told I had a benign tumor on my shin after an X-ray on my knee. It got hit during a basketball game and had a bruise for a long time, the bruise has since subsided but the lump seems to have got bigger and hurts a lot after standing at work for long periods of time. [\|AI\|] Answer: Hello, I have studied your case. I will advise computerized tomography of local tumor site to see local soft tissue involvement get a tumor removal done with bone grafting at local site if it affects your daily activities sports have to be avoided for some premedication analgesic will reduce pain; 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. Take care.
The conversation between human and AI assistant. [\|Human\|] hi i have a yeast infection and was wondering the best way to get rid of it at home. i had it a few months ago and got rid of it with a 7-day medicine from the store. but i dont have any money now and i read putting garlic in the vagina will cure it quickly, i put a clove in tied with floss last night and it s not irritating or anything. so would it be okay to do it again? what should i do? [\|AI\|] Hello, THX to contact us. If I am your treating doctor I would like to advice you that they do not go with the home remedy you have suggested these things is not accepted in allopatChatDoctoredicine. If you have consulted some Ayurveda doctor than you will go with it. But I suggested you to take antifungal agent. You can think for clotrimazole vaginal pessary. If you have anything else to ask please contact me. Than. Chat Doctor
The conversation between human and AI assistant. [\|Human\|] Hi, I have had a lump in my groin area for quite a while now. It has never grown, you can move it around like a marble, it s quite soft but it can start to ache if I move it a lot. It also tends to disappear more when I sit or lie down than when I am standing up. I am starting to get worried about it and should probably go to the doctors but if you could give me any advice that would be great. Ami [\|AI\|] Hi, Looking to the history as lump disappears while lying down position and appears while standing indicates that you might be having developing direct inguinal hernia called Bubonocele. Consult surgeon and get examined. Avoid constipation and cough reflex. Go for abdominal recto muscle and pelvic floor exercises daily. This exercises might cause complete disappearance of bubonocele. Ok and take care.
The conversation between human and AI assistant. [\|Human\|] Ummm. Im 14 and as of 2 days ago, I just stopped getting erections unless im constantly arousing myself. Ive tried everything, at a 14 year olds disposal anyways. Ive tried mental, physical, and even tried visiting my favorite website but unless im constantly masturbating, I get nothing. Please tell me what I can try that doesnt look suspicious to my parents. [\|AI\|] HelloThanks for query. Based on the facts that you have posted it appears that you are unable to achieve hard erection even after shaking your penis vigorously during masturbation. This does happen in early age of puberty when all sexual organs are not fully developed and partly due to anxiety. Following measure will help you to boost up your confidence and getting good erection 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc 3)Take anti oxidants like Almonds 5-6 every day. Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] Pain in my right knee came on suddenly. Behind the knee, the muscle on top of the knee, the inside of the knee. I do have osteoarthritis, have had two arthroscopies. Has been pain free for the last 4 years. I did nothing that would have brought on such sudden pain. Can a cold or infection settle in my knee? I have had a very bad sore throat the past 3 days. [\|AI\|] Hello, It looks that you are afraid of arthritis pain. As recently you are having sore throat, in that case it can be associated arthralgia with sore throat. In good percentage of cases there is associated joint pain in sore throat. You need not worry about that this will go away in next 3-5 days. Meanwhile, you may have a good analgesic like ibuprofen for that. Hope I have answered your question. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] I wake up after a dream every night and I cannot breathe and ask myself if I m alive. My heart beats hard, I get the light on and then realize I m ok, but I get up and check the doors and windows and don t sleep anymore. Will this go away? I don t drink or use any drugs - I m too fearful it could get worse. [\|AI\|] Dear serve understand your concerns went through your details. Many psychological disorders like Anxiety, stress, depression, post-traumatic stress disorder etc. could cause nightmares in adults. Nightmares in adults can be caused by certain sleep disorders. I suggest detailed psychological as well as physiological assessment for a diagnosis. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck.
The conversation between human and AI assistant. [\|Human\|] hi..my grandma( age 79, residing at chennai ) is suffering from serious pancreatic infection...she was hospitalized fr 10 days in icu n now being rested ..but she is suffering from illness n pain...can u give some control measures to prevent it..it would so much helpful if any any information is provided..thanks [\|AI\|] Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. As the infection is severe it is likely that the infection is spread in the blood circulation. I advise you should do blood culture and sensitivity. Once the report received taking the Chat Doctor. If you have placed the line in the pancreas fluid from the line can be cultured and
The conversation between human and AI assistant. [\|Human\|] My husband has suffering intermittently with extreme abdominal pain since February 2017 when he was taken to the emergency room while on vacation in another country, at which time they thought they saw something on the CT scan in the small intestine, did surgery but found that everything started to flow when wiggling the intestine. So, they closed him up, stated he may have Chrones disease and suggested he see his regular doctor or an internist upon returning home. He did so, had another CT scan and a colonoscopy, but nothing was found. He has dropped from 165 pounds to 138 pounds since. The pain is very severe and seems rather unpredictable, but it does seem to be triggered by either over-eating or anxiety. We really need advise please. Thank you! [\|AI\|] Hello, * There must be substantial amount of reason for this agonizing pain and the precise diagnosis is pivotal part of the case.* Either inflammatory bowel disease, intestine ischemia syn Chat Doctor. * If the conventional molecules as morphine or Tramadol are not able to handle the pain, epidural analgesia is a very good promising act of pain control till one reaches at the root cause. Hope I have answered your query. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] I get canker sores a lot and Ive been trying to figure out why. I love Pistachios and noticed that the last couple of times Ive eaten them, I end up with severe canker sores. I eat other nuts and have never had a reaction. Could I be allergic to pistachios and not to other nuts, or could it just be a coincidence that I broke out after eating pistachios? [\|AI\|] Hi, it shows that you are allergic to pistachios, but are you sure that you are not allergic to other tree nuts like almond or cashew, peanut and ground nut are not tree nuts. Even this is possible as some people are allergic to some specific nuts protein and least to others. But it can be diagnosed by patch test, and it can confirm where you are allergic to other or not also, so go for this and till then completely avoid its consumption. For the treatment of your canker you can take local glycerine borax, B complex forte tab, maintain good oral hygiene by aqueous chlorhexidine 0.2% mouthwash, can use triamcinolone local paste, for pain you can take lidocaine mouth gel or paracetamol tab 6 hourly. If your patch test comes negative for pistachios then you should meet an ENT specialist to rule out other causes and treat them accordingly. Thanks and take care.
The conversation between human and AI assistant. [\|Human\|] Hello, I am 53 years old, non smoker. always been fit, however, after returning from a holiday in Majorca 5 years ago i got a chest infection with a cough, Since then I have had regular chest infections and received antibiotics from my doctor, on ocassions i have had to take a second lot of a different type as it does not clear. Sometimes it could be a couple of weeks later and it all starts again. I have cough on a daily basis. The doctor said I have Asthma, however, i continue to bark like a seal and cough up phlem which is yellow/green, when this clears it is clear but continual. I take singular every night, seratide inhayler 250 - 2 puffs twice a day and a nasal spary twice a day. My doctorgave me a course of tablets for reflux in case this was the cause. I have just had a 3 week course of antibiotice to get me over Xmas, however, since they stopped i have been coughing very badly and bringing up phlem again, this has caused me to be off work. Doctor has given me a oxygen level test and that was normal. My peak flow is normally 450. This has been ongoing and is now affecting my quality of life and work. I would appreciate some advise please. Thankyou Karen. [\|AI\|] Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of post infectious bronchitis is more. Bronchitis is inflammation of airways. It is common after lung infection. It can cause persistent cough, phlegm etc. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. Also take adult pulmonary vaccines like pneumococcal and influenza to prevent recurrent lung infection. Don't worry, you will be alright with all these. 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 have been in A fib for many years and this is successfully controlled with Warfarin. I am also on other drugs for this - ramipril and bisoprolol. We are planning several trips which will take us to a higher altitude, between 3000 and 3500m. This will not necessarily involve great exercise other than sightseeing. However we are concerned whether there will be significant risks, for example increased clotting. [\|AI\|] DEAR OVERTHINKS FOR CONSULTING AT ChatDoctorI UNDERSTAND YOUR CONCERN.BUT YOUR SUFFERING FROM AF WHICH IS A SUPRAVENTRICULAR ARRHYTHMIA AND I SUGGEST YOU TO AVOID HIGH ALTITUDE TRAVELLING AS FAR AS POSSIBLE EVEN IF YOUR AF IS UNDER CONTROLS OBSERVATION HAVE SHOWN SUDDEN DEATH IN PATIENTS OF ARRHYTHMIA AT HIGH ALTITUDECLOT FORMATION CAN ALSO OCCUR AT HIGH ALTITUDE. SO AVOID IT AS FAR AS POSSIBLEHOPE I HAVE ANSWERED YOUR QUESTION. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS
The conversation between human and AI assistant. [\|Human\|] good morning sir, sir my father was suffering for kidney parenchymal disease so he was problem with pains of both legs,chest pain ,blood test result are urea-69 mg%,creatinine-2.8mg%,uric acid-8.4& rbs-78mg%,Hb%-9.4 urine routine test is normal o he was suffers big problem he was medcines taken ultracet,folic acid tab,nodon tab,etc.... sir but he was taken medcine but not cure what is problem plz details me sir, [\|AI\|] Hi, Your serum urea, creatinine is at higher side. So it is suggestive of deterioration of kidney function. Underlying because specific treatment should be priority. Diabetes and hypertension are common cause for that. Your physician should check your blood pressure and medication given for that if needed. I suggest you consult Urologist for examination. Hope I have answered your query. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] I suffer erectile dysfunction. Occasionally I awake with an erection and feel pain at the base of my penis. It goes away. When I lose my erection. I use testosterone gel on my shoulders and use cialis 1-2 times a week .what specialty Doctor should see. BK [\|AI\|] Hello, You can consult with a sex expert for erectile dysfunction. As common causes of erectile dysfunction are:-1) Psychological2) Stress3) Fatigue4) Diabetes5) Other chronic illness.6) Spinal cord injury. You can table sildenafil, one hour before intercourse after consultation. Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with sex expert. Hope I have answered your query. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] I ve been experiencing back and abdominal pain, nausea and vomiting and a slight fever. I have a history of kidney stones so I thought maybe one was stuck, but I went to my urologist today and he couldn t see anything on an xray. He told me to have a CT scan and come back in 2 weeks. Meanwhile, I m still in pain,, still vomiting and still nauseous. Any ideas would be appreciated. [\|AI\|] Hi, Thanks for writing in. Stones are deposition of calcium and other minerals in the kidneys and urinary tract. A stone might cause obstruction to the passage of urine and lead to obstruction. This obstruction of urine might lead to sedimentation and stagnation of urine in the system. When there is pooling of urine and obstruction then there is bacterial proliferation in the urine generated. This might be due to bacteria ascending the urinary tract through the urinary bladder and then involve the ureter and kidneys. Once it reaches the kidneys then it causes infection and bacterial growth. This leads to release of toxins and symptoms of pyelonephritis including nausea, fever and pain abdomen. In severe cases there is gas formation by the bacteria leading to a serious infection called emohysematous pyelonephritis in kidneys. Please do not worry.
The conversation between human and AI assistant. [\|Human\|] I have been diagnosed with an inguinal hernia and I am a 45 year old woman in fairly good health, 5ft 2 inches tall and around nine and a half stones in weight. I am awaiting appointment to see surgeon. It is not large but I have swelling in groin area - not lymph nodes. When I went to toilet this morning I noticed what I took to be a very small amount of fecal matter on the toilet paper, (two small pieces) This appeared to be in clear mucus. This came through the vaginal opening. This happened also when I next went to the toilet. It is definately not blood. [\|AI\|] Hi, Thanks for posting your query. I am Chat Doctor. K and I am pleased to assist you. The only definitive treatment for hernia is surgery which can be done laparoscopically. You need to avoid straining. Chronic cough and constipation if your have should be treated. You should not lift heavy weights as it will worsen hernia. If in the second part of your post you meant feces was coming through vagina, then there is a possibility that there is an abnormal communication between the rectum and the vagina (called a fistula). You can discuss with your surgeon about this. Regards.
The conversation between human and AI assistant. [\|Human\|] Respected Doctor , I have a skin problem in edge my penis. Watching this like a mangy type but i dont have any itching and any disturbance and also it spreading now. Second one is My sperm is not fast coming, its coming slowly and not splashing.Thanks in advance. [\|AI\|] Howell come to ChatDoctorLittle extra skin of prepuce sometimes given such appearance and this is noting to worry if this is annoying to you then you can go for circumcision, there is no specific measured speed unite of force in case of ejaculation no matter whether this is ejaculated in what speed there must not be any pain or retrograde ejaculation and this need to be rule out, hope this information helps, take care.
The conversation between human and AI assistant. [\|Human\|] I am from bangladesh ctg. My son has asthma when his age 6 month know he is 3 years 6 month. Every 1/2 month he admitted in hospital for his asthma he has some blood infection also. one kind of black rash seen his skin. he take daily TELUKAST 5,SYMBION 4.5/160 INHALER ,ARTICA SYRUP,when he admitted in hospital HIS NEBULISER MEDICINE IS WINDEL PLUS 2.5ML, trixon 1gm, dexo 5mg three time in a day. when doctor test his blood test sometime report was good and sometime report was bad example his WBC was high, his IGE was 120,and his ESR is always 20. he has some blood infection but our doctor don;t find what type of infection it is. I want test his allergy test and blood test also. . . pls suggest me which doctor will better for my child. i can;t see his suffering [\|AI\|] Hi and thanks for the query, Your child has a predisposition to develop allergies. The results of the IGE levels extremely high and association of asthma and rashes are very characteristic. The raised WBC sometime simply means then there was an inflammatory process that was going on. On ESR of 20 is really no worry. Management of the child shall require a reevaluation of the pulmonary and allergic aspects of his health condition. I suggest you an allergologist/allergist and also probably a pulmonologist later for the management and control of the asthma. Thanks and best regards, Luchuo, MD.
The conversation between human and AI assistant. [\|Human\|] Hi. I quite often get pain in my upper abdomen area, between my breast . It can last for days. And it is usually accompanied by a headache , feeling of fullnes, like i am not hungry. It feels like something is sitting on my upper abdomen area. This happens every couple of weekes and lasts few days. I am also quite tired all the time. What do you think it is [\|AI\|] Hi. You didn't mention your age. If you are young, most probable cause would be Castro esophageal reflux disease/Stomach ulcer. It more or less simulates Heart attack. If you are elderly man, you should exclude Heart attack(Myocardial infarction/Angina). Consult your local doctor and get Upper GI endoscopy, Ultrasound abdomen and ECG done. Take complete course of treatment. Hope every thing will be cleared. Regards
The conversation between human and AI assistant. [\|Human\|] my husband has a hernia that has now dropped all the way down into his scrotum . It is a little bigger than a ten.ball, the left one being about the size of a grape. it is quite sore and is really hard inside. Is he in any more danger now that it has dropped down there. If I recall, it seems like one of the Drs. said something to him about this being more dangerous. [\|AI\|] Hi thanks for your query As per discussion your husband had inguinal hernia descend to scrotum also known as scrotal hernia It comprises a protrusion of abdominal contents through the fascia of the abdominal wall If your husband have a hernia, it will not heal on its own. Surgery is the only way to treat a hernia. Hernia itself does not bother you, you most likely can wait to have surgery. Your hernia may get worse, but it may not. In some cases, hernias that are small and painless may never need to be repaired. Strangulation, a serious problem that occurs when part of your intestine gets trapped inside the hernia. Surgery is advisable to avoid this life-threatening complications you may not need surgery right away. If the hernia is small and painless, and you can push it back into your belly, you may be able to wait. Take care
The conversation between human and AI assistant. [\|Human\|] hi am 45, female, 54, 220 lbs, i have had lower back pain for a wjhile now along with a fluttering sensation on my right side lower back, numbness in lower digits both hands arm pain around elbows, i have had blood tests, xrays, ultra sound, and everything comes back normal, the pain is affecting my perfromance at work, any advice [\|AI\|] Hello, Thanks for your query. Cause of numbness could be due to nerve compression or deficiency of it b12. Through clinical evaluation is required to reach the diagnosis. Taking methylcobalamin supplements will be helpful. To exactly diagnose this problem, you need an MRI scan. Momentarily, take daily supplementation of It B2,B6 & B12 to suppress the symptoms of numbness in hands. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care
The conversation between human and AI assistant. [\|Human\|] i am TTC for the past one year and i was adviced follicular study this month (i was using siphene 100) and my follicles (2) ruptured around 14th/ 15th day of my cycle after taking HUCOG 5000 (13th day); I am taking Gestofit 400 SR from 13th day. today is 21st day of my cycle and I feel I have vaginal swelling; yesterday i threw up when i was having lunch; is there anything i need to be concerned abt.? [\|AI\|] Hi, Thanks for your query. I read your query and I understand your concerns. Following is my reply:1) It is not possible to have vaginal swelling with the treatment you mentioned. If swelling persists please examine by your gynecologist.2) Don't worry about vomiting. It has nothing to do with medicines or pregnancy so soon. I hope I answered your query. I will be available for any follow-up query you have.
The conversation between human and AI assistant. [\|Human\|] I am married and 28 yrs old.. suffering from hydradentis supprativa.. was taking azithromycin when trying to conceive and got an allergic reaction but my dematologist said its safe.. i had my last period on 24/9/13 and then had unprotected sex during my unsafe and fertile period.. i missed my period 2 weeks but unfortunately got my periods yestarday ie on 7/11/13.. please help me as to how can i conceive a baby as soon as possible.. [\|AI\|] Hi, thanks for using Chat Doctor Though a woman is more likely to conceive during a specific point of her menstrual cycle, pregnancy is possible at any part of the menstrual cycle. This means that it would be important to be intimate with your husband as often as possible. A healthy lifestyle for both of you would also be important. This means exercise and healthy eating habits. If, after a year, there is still a problem with conceiving then you can seek the assistance of a fertility doctor. I hope this helps
The conversation between human and AI assistant. [\|Human\|] Two days ago I awoke to my heart racing. I checked and it was 137. I had a headache, but I got up and felt dizzy. I measured my heart rate after 15 minutes and it was up to 207. I then took my GTN spray and after about 10 - 15 minutes, it went down to 76. Should I see my doctor? [\|AI\|] HelloThanks for posting here. You have definitely got a high heart rate which requires evaluation. Since you said you took GTN SPRAY I suppose you are suffering from heart disease. First it is necessary to determine what type of fast heart rate you have regular or irregular. Irregular fast heart rate is called AF or atrial fibrillation. Regular fast heart rate can be sinus tachycardia or supraventricular tachycardia. All the three entities require medical management. The decrease in heart rate with GTN spray is unusual, and it may be just an incidental finding. GTN tends to increase the heart rate, so next time refrain from taking GTN spray if you feel your heart rate is very fast. You must visit your doctor and get an ECG done. If the ECG does not detect any arrhythmia of fast heart rate, then a 24 hour holder monitoring should BR done which records the ECG for 24 hrs when the patient is doing his normal day-to-day activities. This will help detect the rhythm disturbances and treatment can be started accordingly. Since you have history of heart disease a 2 d echo should also be done to rule out organic cause of arrhythmia. Take care regards
The conversation between human and AI assistant. [\|Human\|] I am a 24 year old female, i started taking biotin supplements 1000micrograms every other day after prolonged use of antibiotics (4 years every 3 months or so) for chronic UTI caused by genetics and issues with pelvic floor muscles. I was also on Nortrel 7/7/7 birth control during this time. I stopped taking birth control in November of 2012 and I am no longer suffering anxiety, extreme mood swings, depression, and my weight is slowly dropping currently 245 lbs(1st yr on birth control I gained 80 lbs with no change in diet and I was active into yoga and ballet before, also I am 6ft tall i walk several times a day still and wear a US size 16) I have missed my last 2 periods with multiple negative pregnancy tests (coincided with biotin use) is this something I need to get checked out or should I simply stop taking the vitamins? [\|AI\|] 1. long term use of birth control pills results in reduced absorption of B-Complex Vitamins and thus Biotin is prescribed by the Physician/Doctor for the same.2. Biotin has nothing to do with the periods, because this is all in the brain which sends hormones to the Female Reproductive system, and birth control pills disrupt this circuit leading to high or low levels of hormone related with ovulation.3. US FDA has laid guidelines on its consumption, because excess will cause harm like: excess growth of hairs and nails, in experimental mice it has shown to cause miscarriages, although this has not been proven in pregnant women.4. For the Pregnancy test: It should be taken 10 days after the missed period, during which Chat Doctor is excreted.5. Consult with your Gynecologist for any further Clarification.
The conversation between human and AI assistant. [\|Human\|] Hi there, I have to take a DVLA medical in order to get my licence back, as it has just been christmas i did over-indulge on alcohol and have two weeks until my test and am concerned if i fail, can you enlighten me that if i donk drink for the next few weeks if i should be ok, also if there is anything else i can do to cleanse my liver? [\|AI\|] Hello, It all depends upon the level of your liver enzymes at the moment. If they are very high at the moment then nothing can be done but if they are marginally high then total abstinence from alcohol along with regular exercises, fruit juices, plenty of water and a diet of fresh fruits and green vegetables for another two weeks, may help you. There is no medicine which can cleanse your liver. Best of luckThanks
The conversation between human and AI assistant. [\|Human\|] Last night while taking a bath, I got chills,shaking, fever, short of breath and dizzy,body aching, my head felt like it was going to explode. My husband took my temp it was 102.9, this lasted for about 30 min, took a Bayer asprin and everything seem to be ok. I am a 37 yr old Afro American female, and I keep headaches.Any ideas what was going on [\|AI\|] Thanks for your question on Chat Doctor. I can understand your concern. Sudden onset breathlessness, fever, chills, headache etc. are seen commonly with heart diseases like hypertension, acute heart failure, pulmonary embolism etc. So better to consult cardiologist and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo 4. Stress test 5. CT pulmonary angiography. If all these are normal then no need to worry about heart related diseases for your symptoms. Sometimes, simple viral fever can also cause similar symptoms. So Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] Ive been having discomfort to the back of both knees (in the bend of the knee) for quite a while. My doctor examined me for a Bakers cyst, which was ruled out. It often feels like I need to stretch my knees, especially if I am sitting at my desk working at the computer. Oftentimes, I extend my legs to alleviate the discomfort. It really isnt painful....just very uncomfortable and annoying. Tylenol seems to alleviate the discomfort to some degree, but I really dont want to be dependent on NSAIDS for the long term. Is there a homeopathic remedy that I could consider as an option? My PCP has not been able to offer me a solution. [\|AI\|] Hi sir/madam, Thanks for your question on Chat Doctor. Knee pain can be treated wonderfully well with HomeopatChatDoctoredicines, which are natural and therefore, safe for use. HomeopatChatDoctoredicines are helpful in both acute and chronic knee pain. They are safe for use among all age groups, without any risk of toxicity. HomeopatChatDoctoredicines are very effective in managing knee pain of degenerative, traumatic as well as inflammatory origin. They help in relieving the pain in the knee and the accompanying symptoms such as swelling, tenderness and stiffness. Foods to be Avoided:-1. Curds2. Fishes 3. Spinach4. Black gram5. Skipping night sheepfolds to be taken:-1. Garlic.2. Buttermilk.3. Bitter gourd.4. Hot water Chat Doctor. 5. Ginger. Medicines to be taken:-1. Thus To:- If the medicine is in pills form 4 pills. Don't touch pills with hand. Use cap of bottle to take pills. If the medicine is in liquid dilution form, 3-4
The conversation between human and AI assistant. [\|Human\|] I havent had sex with anyone in the past 2 months, problem started a month ago, i have only had one sex partner which was my wife. This happened after I shaved. Ive been getting red bumps, small ones all over my genitles and around the area, i do not have fever, soreness, no burning sensation, just some itchiness. A doctor mentioned it could be fungus, but it hasnt gone away. [\|AI\|] Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. From your description it looks like the bump arises because of the reaction of the shaving on genitals. I don't think its fungal infection. But you should consult the doctor after a week period because, this reaction wanes of in a few days. If it won't disappear than you can consult the doctor and review the diagnosis. Right now you should take the cetirizine tablet under your doctors' guidance for itching. Cleanliness and itching is all what is required to clear rest of the things. Please wear cotton undergarments it will prevent the erosion on the skin because of walking. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor
The conversation between human and AI assistant. [\|Human\|] Greetings to Dr. Rohit. I am Elizabeth Lee, from Malaysia.I have been suffering from psoriasis since I was 23 years old.Now, I am 34 years old.My psoriasis have been ups and down. But then its still manageable.But things turn differently, after my delivery of my baby since January 2010.My psoriasis have flared up so much that it covers 85% of my body, especially both my legs.I have seen many doctors, and even skins specialists.But then my psoriasis has not settled or remained the same severe.I had used 707 Oil, from India, by an Aryuvedic practitioner.And taken some oral Aryuvedic pills , Dermaflex, from India.But then my psoriasis has not improved.Now, after 4 months after my delivery, my skin has noit gotten any better, even though I have applied medication given by skin specialist.Any alternative medication??Please help. [\|AI\|] Thank you for writing to Chat Doctor. Psoriasis is really kashtsadhya to Ayodhya classification disease. You are advised to undergo Panchkarma at some good Ayurveda hospital near you. Till that time please take following for some relief. Karachi - The juice of the leaves of the Karachi can be applied locally on the affected regions.Garlic-Take 2-3 cloves every day with Khadirarishta10 ml+ Manjishthadi kvath10 ml+ 20 ml water.Jasmine-The flowers of the jasmine have good effects in the treatment of psoriasis. The flowers are crushed, made into a paste and are mixed with with need oil and applied on affected part. Kaishore GGUL- 2 pills thrice a day with lukewarm water water(1 glass at least)Need- Need cap 1, Hard Chat Doctor. Taruni kusumakar powder 1 tsp at nightnightNote: Karachi and jasmine may be used separately for sustained effect. However, it can be used simultaneously too, but I would prefer separate though its time-consuming.It's a vat key disease hence treatment is along those lines involving charm and rat. Food: Simple and light. If you feel satisfied may ask any query
The conversation between human and AI assistant. [\|Human\|] Hi Dr I am unable to feed my baby properly since his birth due to nipple eczema. .It is really painful when he sucks. .so started giving lactogen1 from the very beginning..as the days passes my nipple is becoming much worse...so use of lactogen1 has increased and breastfeeding is reduced to 1 time per day that too by pumping .so please tell me the giving lactogen1 for 2 month baby causes any problem and also please tell me how many times per day lactogen1 can be feeded to 2 month old baby... [\|AI\|] Breastfeeding is best for baby. Get your eczema cured and start feeding. Lactose 1 can be used as substitute but only when used properly. Prepare the milk by adding 30ml water to I scoop of the powder, maintain this ratio when preparing milk. Try to feed with cup spoon, as the nipple of the bottle are notorious to cause infection. If bottle is used boil the nipple after every feed. Lastly always discard any leftover milk... you can give Lactose as many times as you want only depending on the demand of the baby.
The conversation between human and AI assistant. [\|Human\|] I am a 71 year old female in good health. I had my 3rd colonoscopy yesterday and after it took more than an hour for me to wake up. I have no recollection of dressing or leaving the center. I was told that they had to give me additional medication during the colonoscopy. I have no memory of anything. Also, my jaw is sore on both sides as if someone held it in place. This is the first time that I have no memory of the recovery and the first time my jaw has been sore. Any reason? [\|AI\|] I appreciate your concern and asking on Chat Doctor. Brief Answer:You have anterograde amnesia of the procedure due to the effects of medication. Detailed Answer:Yes, certain medicines that are given before and during the procedure to relax the patient and reduce pain have this side effect. You do not recollect the memories of the procedure and some time after that. It is normal to happen and nothing to worry. I hope you find this helpful.
The conversation between human and AI assistant. [\|Human\|] hi, i was bitten by our pet dog in my palm, it doesnt bleed but i was worry for the bite leaves a red mark. our dog was being injected by an anti rabies vaccine. do i need to get vaccinated asap? are there any chances that ill be infected? thanks,. answers will be a big help. thanks and godbless [\|AI\|] Hello dear, I read and understand your concern. I am Chat Doctor, infectious disease specialist answering your concern. No, there is no chance of rabies if the dog is vaccinated. You should not worry as your dog is vaccinated. But if your dog is not vaccinated, and you have given the vaccine to it after the bite than you won't be covered with the anti rabies effect of the vaccine. Please take good care of the wound with the frequent cleaning and Chat Doctor. Avoid further injury to the bite mark. You can take the diclofenac tablet if you are having the pain with bite mark. Please take the
The conversation between human and AI assistant. [\|Human\|] i am an asthmatic patient on steriods oral,nebulizer,inhaler constantly.attacks come freqently have to take 40 mg,tapering after 5,10 days.also have to take duolin respules 3or4 times,livolin if feel dificulty in breathing,some time ipravent respules doctor recomends.duolin and ipravent they gave me sever dry cough blurring of sight.i also take seritide aquainhaler 2 times a day.unicontin-400 and montair plus once at night.but whenever i taper my dosage of steriods and it comes to 5 mg. attack again comes not all of suden but cough.cold comes first then in few days itdeteriorate and i have to start on steriods.pleas advise [\|AI\|] The best way for you is to get the support of pure herbal series of the Himalayas Ayurveda and consistently develop immunity and strength. These are safe and side effect less. You may have to go for a year or so with parallel mode but start noticing changes after first 2 months. If found suitable your doctor may slowly ask you to switch to non-toxic herbals as an alternative to current Chat Doctor. Any Ayurveda doctor can guide you well on this. My 33 years experience is not wasteful. Yes,
The conversation between human and AI assistant. [\|Human\|] I have a disk shaped lump in the middle of my back next to my spine. It hurts to touch it and its only on one side. I have also been very tired lately and get winded going up the stairs. I have also been have my veins show up more all over my legs and boobs. Do you know what is wrong with me? Could it be cancer? [\|AI\|] Hi. Thanks for your query and suspicion of a cancer. The site of back you noted as not the site of any cancer as such. This can be a lipoma, sebaceous cyst or so. Get an examination done by a General Surgeon, FNAC or removal for getting rid of the swelling and to get a histopathology diagnosis. The causes of your losing weight, showing up of the veins on the body and the boobs, getting tired easily can be due to a general problem like anemia, Athenian, or some medical condition like diabetes or so. I would advise you to visit a Physician to get an appropriate diagnosis and get treated accordingly after investigations.
The conversation between human and AI assistant. [\|Human\|] I have my wisdom tooth for 8 years now. But 10 days ago I felt some pain there, well not really pain,just annoying feeling that you get when a tooth falls out as it does in your childhood. So I felt the tooth with my finger and I felt that it was wobbling. My question is can a wisdom tooth fall out on Its own? So started to play around with my tooth hoping to make it more loose to fall out. But now my gums around the tooth is starting to get more painful. So I felt my gums to see where the pain is coming from and I could feel a very sore lump high above the wisdom tooth. What is this lump,should I have this lump when my wisdom tooth has been erupted for a while? Or is it because my wisdom tooth has come out abit and wobbling? [\|AI\|] Hello, Thanks for posting your query. The lump overlying inflamed periodontal flap is due to the inflammation surrounding erupting wisdom teeth. Frequent warm saline and Betadine gargle will relieve pain and infection. Clinical and x-ray examination of the inflamed area will help to decide the treatment. Tooth has to be either extracted or flap overlying tooth has to be removed to enhance tooth eruption, depending on the space available for tooth eruption. Take complete course of antibiotics-analgesics as per dentists prescription. Hope this helps.
The conversation between human and AI assistant. [\|Human\|] Female: As I am nw 27 years old, I want to get pregnant ASAP. Please tell me how can i get pregnant, tell me in breif details. Also I have a query that whenever I start sex with my husband I suddenly get wet. Is it a natural or I have some problem? If yes then how to cure it & what is the solution for it? [\|AI\|] Hi, Wetness during sexual intercourse is a natural phenomenon and is for lubrication. Unless it poses a serious problem, it does not hinder conception. It is due to the secretions from the vagina as well as the Catholics glands. To conceive, you need to time your intercourse during your fertile days, i.e., during the mid-cycle. If you cannot conceive naturally even after trying sincerely for six months, you should get expert help to aid you further through investigations and treatment, if any. Hope this helps.
The conversation between human and AI assistant. [\|Human\|] i have concerns regarding my hair.. hair fall has increased a lot and at some of parts even the scalp is visible and the hair is not growing there..scared that i may get bald head soon.. what do u suggest to get for hair growth in the area where it is not growing now [\|AI\|] Hi!! I understand your concern regarding hair loss, but we first need to find out the cause and then treatment can be started accordingly. Common causes I have encountered in my patients are male or female pattern baldness, hair loss due to thyroid disorders, anemia, any long ailment or intake of certain medicines. You will have to undergo certain tests like serum iron, TSH and serum ferritin levels. The treatment can be started once we are sure of the cause of hair loss. Hope this has solved your query.
The conversation between human and AI assistant. [\|Human\|] Hi, My 18mnth old daughter is suffering from severe cough and cold since last 4 days.She had high fever for 2 days which has subsided now. Paediatrician said tht she has chest infection & wheezing and prescribed Zifi 100 syp 3.5 ml twice daily, alerid syp 2.5 ml thrice, ambrolite s 5ml thrice daily and nebulizer with budecort 1.5 ml 1mg thrice for 5 days. she still has severe cough. Plz advise. [\|AI\|] Hi thanks for contacting Chat Doctor... Your daughter having bronchitis or bronchiolitis like infective condition of respiratory tract. ... Mostly in child it is because of virus... You are given correct treatment that is aerosol like bucolic and steroid nebulization as cough and wheezing that is bronchospasm present. Prophylactic definite antibiotic also given. Give her more fluid and semisolid balanced diet. She will gradually recover ... Her vitals regularly checked ... Take care.
The conversation between human and AI assistant. [\|Human\|] my daughter is 13 years , she had abdominal pain around the umbilicus for 15 days now , she has low grade fever 37.4-37.6 , since about 10 days she started to complain back pain that extend from thoracic to lumbar region , she has hihg WBC count with neutrophilia , but normal other CBC parameters , urine & stool are free , abdominal ultrasound shows nothing , since about a week she started to complain also ankle pain but no signs of inflamations , she already receaved ceftriaxone 1gm injection for 5 days & paractamol 500 mg twice daily , but she improve temporarly then complain again , now i am confiused , what is the cause & why she is not improving ? [\|AI\|] Hi. Thanks for your query. Read and understood the problems you 13-year-old daughter is having. It is good that the Ceftriaxone course if already given. High WBC indicate that she may have hidden abscess somewhere, and since she has pain in the spinal region I would advise the following:-Repeat CBC-MRI of the spine to see for an abscess or so.-CT scan for the abdomen to see any inflammatory process going on like inflamed lymph nodes or so.-Clinical evaluation and physical examination by a Surgeon can clinch the diagnosis and give a better plan for further treatment.
The conversation between human and AI assistant. [\|Human\|] sir i have an a problem and the problem is that,auto seminal flow occors from me. i was masturbating for a long duration(5 years),but now i leave masturbation,so after leaving i have this problem. and also a bad pain in my both legs+problem n urine....so sir reffer me some medicine. thanks.... [\|AI\|] Hello appreciate your concernLooking at your history it seems that you are having an STI or UTI like prostatitis if you can upload me a complete medical history I will be able to guide you better like your age and sexual history this flow is urethral discharge which might be coming from inflamed prostate in my opinion you should consult your GP for examination and a battery of tests like urine culture and sensitivity test as well as culture for the urethral discharge and an ultrasound or cystoscopy may require a course of antibiotic shave plenty of fluids maintain good hygiene thanks for your question best wishes
The conversation between human and AI assistant. [\|Human\|] Hello, about a week ago I had fallen down the stairs and landed on my back. It knocked the wind out of me, but after that I was only sore for a few days after. Two days ago, I had an attack where my back muscles started spasming, and it got to the point to where I was gasping for air. I had went to the ER and waited for about 4 hours and still wasn t called back so I just went home to sleep because I was extremely exhausted. I ve been alternating cold and hot compresses to the area that s most sore. Last night and tonight when I lay down to rest my back I hear crackling noises in my lungs, but they feel like they re pressing up against my ribcage. I can breathe, but it does hurt when I inhale deeply. I have insurance, but it s not all that great and I don t really want to have to go and get it looked at if it s something that will solve itself if it s a pulled muscle. The muscle is right behind my ribcage, close to my kidney region. [\|AI\|] Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having blunt back and chest trauma. Since you are having muscular back pain with breathing difficulties and cracking sound from lungs, we need to rule out these possible complications. 1. Rib and vertebrae fracture. 2. Pulmonary contusions3. Pneumothorax4. Muscular injury. So get done chest ray and x-ray of doraolumber spine to rule out all these. If both are normal than mostly you are having muscular pain. Try to follow these steps for better symptomatic relief. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site.
The conversation between human and AI assistant. [\|Human\|] Hello, my 3 and a half year old son hit his head against table edge about 45 mins ago. There was a slight dent whicChatDoctore up a few minutes later to become a little bump. I held a bag of iced peas to his head on and off for about 15 - 20mins and the swelling has gone down significantly. He seems fine and is dancing and singing to his favourite tv characters now. Should i still be worried?. [\|AI\|] Hi...if he's acting normally you need not worry about either the dent or the swelling. But to be on the safer side I will suggest you the dangers signs of head injury so that you will know when he may require medical attention -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. If none of them are present, I don't think you should worry about his trivial head injury. For pain, you can give oral Paracetamol in the dose of 15 mg/kg/dose(max ceiling dose 500 mg) every 4-6th hourly. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
The conversation between human and AI assistant. [\|Human\|] Good evening my name is Tisha I am 41. In 2003 I had a partial hysterectomy . 1/2/2013 I had to have another procedure done this this time everything removed pelvic cyct wall left tube and ovary pelvic cyst wall and right tube and ovary....including my appendix. My Dr. Stated I had an eight inch mass going inside of me and the mass had wrapped. Its self around my intestines large/ small bowel. I am now so afraid of what s to come next. I get all this advise from people until I do no know hat to do...use the patch- the cream- the pill or go natural. I feel as if someone just threw me off a cliff and I cannot stop. The nightsweats are horrible and I a not the best person to be around. Why my Dr. Did not detect thne when I had my annual! [\|AI\|] Hello Tisha, what I could get from details given by U is that both of your ovaries have been removed in the last surgery you underwent. Terrible night sweats experienced by you are probably part of post surgical menopausal symptoms, other related symptoms are hot flashes, Chat Doctor. You may discuss starting Hormone Replacement Therapy for relief of your symptom/s, with your gynecologist, after evaluating about the pros and cons of the therapy. Tk CR.
The conversation between human and AI assistant. [\|Human\|] My father found a Positive result in TMT before 6 years.Doctor suggested for angiogram.Due to busy schedule he did not take the test.Now he went for regular checkup amd TMT showed the same positive result..but he doesn t have any discomfort..6years ago also TMT was taken for resular checkup..Is he really nedd an angiogram [\|AI\|] Hi, Positive TMT means that there could be underlying ischemia and need further evaluation. The sensitivity of TMT is however around 70%, means it can wrongly detect 30% patients with false positive. There are many tests ahead of TMT with better sensitivity, but angiography is the gold standard and I think we all should make our doubts clear by directly going for angiography. So you should get the angiography done. Hope I have answered your query. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] what is the Praise the distress ... my boyfriend just had a blood test and the doctor told him he has praise its a virus that starts as a cold and then bactoria that was from the cold goes in the blood and messes with the bones ect ... please i need more information about this hope u can help me thank u [\|AI\|] HiT hanks for posting your query on Chat Doctor. Incomplete data may be some typing error. It is apparent that your boyfriend is having a contagious viral infection caused by Arbovirus which is also referred to as" slapped-cheek disease" because of the rash that develops on the face. In most patients, the infection is mild and requires little treatment. It can cause serious complications in patients with anemia or with weak immune system like it may stop the production of red blood cells and cause an anemia crisis. Patients with sickle cell anemia are at particular risk. For a noncomplicated arbovirus infection, self-care treatment at home is generally sufficient. People with severe anemia may need to be hospitalized and receive blood transfusions. Those with weakened immune systems may receive antibodies, via immune globulin injections, to treat the infectionSince it is a highly contagious disease, the transmission can be prevented by washing hands frequently, and not sharing food or Chat Doctor. Hope this answers your query.
The conversation between human and AI assistant. [\|Human\|] Hi, I took one Kamagra tablet (SILDENAFIL CITRATE) 36 hours ago, and even though facial flushing, dizziness and sickness has largely dissapeared, I still have a slight numbness feeling around my face/ears, and a slight headache still. I went to see a doctor at my local hospital last night, who took my full medical history, and he said I should be fine, as blood pressure and temperature was ok. He said that the drug can stay in my body for a few days. Just for extra piece of mind, will the slight numb feeling subside soon? I guess it is because of the stress of the recent increased blood flow. I am 30 years old, and on no nitrate medication no medical problems past. Regards, Mark [\|AI\|] Hello. I have reviewed your query and here is my advice. The reason for your feeling of numbness are threefold. One the medicines effect which will subside within 3 days. Two The stress of extra blood flow. Three the stress you created because of your apprehension. Forget all these. You should feel well within a week max. Hope I have answered your query. You can contact me for treatment options. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] I want to share with you about the problem of my sister. She is 30, Neuro Patent. couple of years, she had a minor worm in her mind. take regulary Valprin Chromo 500 mg two times, Phenobarbitone 90 mg at night. She is almost ok. but the problem is she dont listen of family members. awake the whole night, sleeps at day 8 - 4 pm. Negative things about some family members, always keeps doubts, etc. Watch TV alot. Behaves Lazy. Where should i take consultation by Psychologist or Psychiatrist. Kindly reply,Aditya BhargavaMb. 0000 [\|AI\|] Hi, From the information you have provided, your sister was found to have a parasitic infection in her brain for which she was put on sodium valproate 1gm and phenobarbital 90 mg. She maintained well till recently, and there has been a change in her behavior and her sleep pattern apart from having doubts regarding her family. Any sudden change in behavior, sleep pattern, symptoms of auspiciousness or changes in personal care etc. may be signs of a mental illness, and she may need medications for the current symptoms and hence it would be good to take her to a psychiatrist for an evaluation and treatment. Hope this helps, Chat Doctor.