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The conversation between human and AI assistant. [\|Human\|] Hi i am having severe pain on my right back for 2 days I was admitted to hospital in emergency yesterday, but after giving me pain killer injection and medicine prescription they discharged me. No stone found in ultrasound but doctor said it is kidney stone pain. But I am having pain on regular intervals. Some time it is severe. Please suggest what should i do. [\|AI\|] HelloThanks for query. Based on the facts that you have posted I think you have stone in middle part of your Rt ureter . Normally stones in the middle 1/3 part of the ureter are not picked up in ultrasound Scanning as this portion of the ureter is overlapped by bowels (Intestines). You need to do either CT Scan of Kidney Ureter or radiological test called Intravenous Paleography(MVP) to confirm /rule out mid Ureteric stone. Please consult qualified Urologist for evaluation and get the test done under his guidance to confirm the diagnosis. Further treatment will depend on upon the result of the test and final diagnosis. Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] Sir my wife is in 13 week of pregnancy she is having subchorionic bleed since 7 week of pregnancy and at present it is in a clot form of size 3.5x1.7x2.6 cm taking Tab Progesterone 200 mg, Injection Hydroxyprogesterone 500 mg weekly x 4 weeks taken, Tab Calcium, Tab Folic Acid, Tab Eltroxin 50 mcg is there any problem further [\|AI\|] Hi, chorionic bleeding is not much of a problem if size is decreasing on repeat scan. She is taking correct medicines. Just tell her to take as much bed rest as possible. One more thing that there is a chance of less liquor with growth retardation of baby, so get the growth scans done after 26 weeks at intervals of 3 to 4 weeks. It will tell you early about that. Hope I have answered your question. If you have any other query I will be happy to help. Regards Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] Last night I fell down a few stairs after my foot slipped out from under me. I landed on my back quite hard, but there wasnt any pain except for the initial impact pain. This morning, I started getting pains that feels like it is stabbing my heart, although they only come when I breathe in deeply or stretch my muscles. Should I go to the doctor or am I just overreacting? [\|AI\|] Hi, Cannot say in your particular case but, angina/heart attack/etc. is not caused by falling, is not stabbing, is not positional, is not associated with breathing. So, heart is not associated with this sort of pain. But lung, muscles, joints, surrounding tissue irritation is associated with this sort of symptom, and it could be a fracture or tear. Mostly even the larger injuries do not have a treatment. If the pain is getting better and if breathing is not affected generally there isn't a lot to do. Hope I have answered your query. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] In September 2014 I had a colonoscopy with pre-cancerous polyps removed. Was instructed to return in 10 years to repeat. History of colon-rectal cancer on paternal side of family. For 2 weeks now, my feces is sludge consistency. Nausea accompanies. Cholecystectomy 1995. Advice? [\|AI\|] Hi, Thanks for writing in. With history of colon cancer in family, there is a need to keep a close watch on bowel movements. Though sludgy stools for 2 weeks need not compulsorily be cancer, but it requires you to have an urgent colonoscopy and CT scan abdomen and pelvis with focus on the colon and rectum. It is possible that you might also have a bowel infection or an inflammatory bowel condition which is causing sludgy stools. It is also important to do complete blood investigations and tumor markers. Please also get blood test done to know if your blood counts are normal. Please do not worry.
The conversation between human and AI assistant. [\|Human\|] I need advice my whole left side has been hurtin my knee extermly hard to walk ankle. N my right knee behind does to. My left wrist is swollen I m in so much pain I move my body and a throbbing pain goes to my wrist up my arm and can barely close my hand. My other wrist is startin to hurt. [\|AI\|] Hello, Your symptoms are suggestive of arthritis. The pain in the arm and hand could be a pinched nerve, caused by a bulging intervertebral disc in the cervical vertebral column. I would recommend consulting with your attending physician for a physical exam and some tests:- Complete blood count, PCR, ESR for inflammation- A cervical spine X-ray study- A knee joint X-ray study-RF plasma levels should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] Hi, may I answer your health queries right now ? Please type your query here... below my penile side my both sides of skin becomes dry and become very senstive i apply itch card the itching cream but it is not working its become very senstive and my skin colour change into red and black kindly tell me what is the problem [\|AI\|] Hello. Thanks for writing to us at Chat Doctor Most likely it is a fungal infection; fungal infections are common at sites such as groin folds because the fungus gets a chance to proliferate in the moist, humid conditions that prevail in the folds, specially in hot and humid weather conditions like tropical countries. If I was the treating doctor I would have asked you to use a topical cream containing antifungals like either Ketoconazole Or Fluconazole Or Bifonazole, twice daily for 4-6 weeks. I normally also ask my patients to take an oral antifungal because the condition may not respond adequately to just topical antifungal creams. Oral antifungals like Fluconazole, Itraconazole are faster acting and therefore rapidly effective in this condition. An OTC oral antihistamine e.g. cetirizine 10 mg once daily will provide you symptomatic relief from itching. I would suggest that you visit a dermatologist for a confirmatory diagnosis as well as appropriate prescription. Regards
The conversation between human and AI assistant. [\|Human\|] The sole of my feet are feeling hot in the night and makes me feel very uncomfortable i cant even walk.i usually put a cold wet handkerchief on them or step on a wet cloth for relieve!kindly tell me what could be the reason???what should i do???kindly advice. [\|AI\|] Hello, Pins & needles feeling (hotness) in the feet, difficulty in walking is an indication of nerve disease or nerve inflammation. It looks like Peripheral Neuropathy. You are suggested to visit a GP & get physically examined. Get all Nerve Conduction tests, Nerve biopsy, skin biopsy, Imaging tests & blood tests done. Your treatment will depend upon the severity of the pathology detected. In the meantime take vitamin B6, B12 with folic acid & minerals (calcium, zinc, magnesium). Stay away from addictions if any. Maintain blood sugar levels to normal else it will trigger nerve inflammation. Do not get overweight. Avoid oily food. Take berries, fruits, veggies, whole grain, food rich in calcium, protein & iron. You can take low-fat dairy products. Hope I have answered your query. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] my daughter got a hematoma on her gum above her upper front teeth as a result of bridgework. it has been several weeks and the pain has come and gone. However yesterday herllips and chheks swelled up again and she is in a great deal of pain. the pain medicine isnt helping her. is this normal and what can she do? [\|AI\|] With your query, don't know how did you confirm it was a hematoma however such lesions must be clinically examined and treated for good prognosis otherwise it may act as sides for infection. Hope your daughter is not having any other systemic complications like bleeding disorders my sincere suggestion is visit your doctor and know the reason for sudden increase in swelling which is not a normal clinical sign. Hope this helps you
The conversation between human and AI assistant. [\|Human\|] Hi, may I answer your health queries right now ? Please type your query here...i am 36 years old married wowan my esr level is 50 & my bp stays 65 down & 90 above also uric acid is in normal range 3 and hb is 9.6 .& suffering from rh factor +.so guide me how to control esr & increase hb by medicine,diet &physicaly [\|AI\|] Hi, dairy have gone through your question. I can understand your concern. You have RA factor positive. ESR is high in any connective tissue disease. SO it will remain high in you also. No need to worry. For your hemoglobin you should go for anemia profile. You may have iron deficiency or it b12 deficiency. You should take treatment accordingly. Take iron rich food like beggary, dates, green leafy vegetables, Chat Doctor. Hope I have answered your question, if you have any doubts then contact me at bit.ly/
The conversation between human and AI assistant. [\|Human\|] Hi, I am an hemophiliac type A , factor 8 , with percentage around the 5% less or more of +/-1% ... I found that Dicynone, might be helping to recover my small capilars to recover, in case i have some sensitive area with small capilars impacted by some pressure or force, that caused longtime ago some small hemorragy of the kind of ankle ... but now, no blood, just i feel sometimes some pain in those small capilars, and because of pressure of the body weight over my ankle, i feel those small capilars might pass small hemorragy, as being week ones, so that i thought of using the Dicynone, and i am not sure if this might help, and it was a fully subjective decision, after i discover this medicament with my wife, and read its data-sheet i felt it might help me (as hemophilia Factor 8) to save my small injured capillars within my ankle area... Thanks to explain to me, what might such medicament impact on my case, and i know it is not the proper way, but just some hope in my mind to avoid one day totally (the factor 8, injection, as treatement of precaution in such small doubtfull cases, where no clear hemorragy is showing).Best Regards,O. Dahan YYYY@YYYY [\|AI\|] Hiyou have the factor level around 5% and that's good. You are not having severe hemophilia thus an unprovoked bleeding is less likely. I will suggest you not to take any treatment as you are quite asymptomatic and level is not bad. You will definitely need treatment [tranxenemic acid for local and small bleed and replacement of factor for accident, significant bleed or planned surgery]is limited conditions. For your Angel, its possible to feel tingling sensation and pressure due to old injury. Do good and gentle physiotherapy. It will help.
The conversation between human and AI assistant. [\|Human\|] hi doctor, i m 24yr old girl but have a serious hair fall problems.also i feel i smoke a lot that could be the reason.i smoke 10ciggarettes a day and this hair fall problem is happening for last 1yr now.i m left with very little hair.what do u suggest??? [\|AI\|] Howell come to ChatDoctorI really appreciate your concern, some conditions are there as long as the hair fall is concern in female and these are hire root fungal infection, hormone changes, endocrine dysfunction, MAL nutrient, stress, and these all need to be ruled out and differentiated till then condition can be managed with "Minoxidil 5 %" to be applied on scalp hope this information take care and have a nice day.
The conversation between human and AI assistant. [\|Human\|] my baby is 7 months old , last 20 days we give biscuts idly and ceralac last one week daily 10 times loose stools and now some time his stools is green color, what is the reason behind that and doctor says dont feeel he is active and normal urine out put [\|AI\|] Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] I have had e-coli which has nearly gone but I now have a bloated stomach and pain at the top of my stomach after I eat. I have just had a breath test whicChatDoctore up negative. Could the e-coli have damaged by stomach lining and that is causing the pain? [\|AI\|] Hi ! Goode veining. I am Chat Doctor answering your query. If I were your doctor, I would test the stool also for cysts of amoeba, which is not an uncommon finding. If positive, a course of anti-amebic would cure the condition. Otherwise, I would go for some proton pump inhibitor Chat Doctor. Also go for more roughage and enough liquids in your diet. Detailed Answer:Hi Deniselexi ! Good evening. I am Chat Doctor answering your query. Before I answer your query, I would like to know the following to help you better:1) Were you completely well before four years with no such symptoms ?2) Does the pain get well of its own, or with some medication ?3) Do you take Advil for this pain or any other problem and for how long ?4) Do you suffer from any acidity or burning sensation behind your sternum ? I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] I got surgery last Wednesday. They cut my gums open & attached a chain to a tooth so they could pull it down. My mouth was fine the first few days. Now the roof of my mouth is swollen & cut up & hurts when I eat anything. The spot that they cut open is fine, it s just the roof of my mouth that s hurting now. What can I do to cure it? [\|AI\|] Hi Dani, From your quarry, I could understand that you have a locked tooth which dentist is trying to pull by attaching a hook after exposing it from the gum. The pain in the area around the tooth is normal as there bone remodeling is going on. But the area of the pain according to you is center of the palate, I suggest you to visit your dentist as i don't know the position of the tooth which he is pulling. If you post me the OPG, I could guide you better. Thanks,
The conversation between human and AI assistant. [\|Human\|] hai sir,my mother 60 years was suffering with diabetic since 15 years giving insulin now a days when insulin was given she was unable to go to bathroom not urine,stool last month blood report was in normal fasting 80 whats going wrong with my mother ?doctor suggest me your answer sir [\|AI\|] Thank-you user for your query. I understand your concern. As per your situation all I can suggest is that ask your mother to start having high fiber diet such as oats, cornflakes, salads, and along with it ask her to Chat Doctor. This will help in reducing the constipation and regularize the bowel habits. You may also give her Dulcolax tablet at night. You may also get a whole abdomen ultrasound done too. But before starting this consult any Castro medicine doctor. He will help you much better. And yes its great that your mother is having controlled fasting sugar. God bless
The conversation between human and AI assistant. [\|Human\|] Hi my name is annie I am 30 years old I have had kidney stone twice and three each time they where removed and later found out that my one kidney has shrunk and I have a small cyst on the other I tried to take my life last year October by taking antidepressants and found my kidneys very sore and now it is may and I have felt tired for the last two weeks and have pain in my kidneys that come and go and I also have pain in my bladder but I dont know if it is my bladder that is sore because I have had 5 cuts for kids and last night I noticed that I smell very wee like what is going on do I have kidney stones again or something else I am so tired I also have rhemothoid atritisis and depression I am on med for atritisis and depression help thank you [\|AI\|] HI IAM Chat Doctor. First STOP THINKING THAT THESE ARE INTERRELATED. TAKE EACH DISEASE SEPARATELY. REGARDING KIDNEY ISSUES I THINK YOU NEED TO GET AN ULTRASOUND OF KIDNEYS AND RENAL FUNCTION TESTS TO Assess THE KIDNEYS. STONES CAN CAUSE SHRUNKEN KIDNEYS IN LONG TERM BASES BUT IF KIDNEYS FUNCTIONS ARE OK YOU NEED NOT WORRY. I DON'T KNOW WHAT MEDICINES YOU ARE TAKING FOR RHEUMATOID BUT THEY HAVE SOME EFFECT ON STOMACH AND SOME TIMED LIVER OR KIDNEYS BUT YOU HAVE TO TAKE THESE MEDICINES FOR PAIN SO Can't LEAVE THEM. REMEMBER DEPRESSION CANT BE TREATED WITH MEDICINES ALONE. YOU HAVE TO START FEELING GOOD, ACT ACCORDINGLY AND POSITIVELY, THERE ARE MANY PEOPLE IN WORLD WHO SUFFER FROM A LOT WORSE DISEASES BUT FIGHT IT OUT. YOU ARE BETTER THAN MANY. THINK OF YOUR CHILD
The conversation between human and AI assistant. [\|Human\|] I am 32 year old ,510 height,80kgs weight .I have some irritation inside my lungs and it wont persist continous .It comes when i sit at too much cold place (ac).and that time mucus develops inside my lungs with normal color ,but no cough.It disappears after few hours or maybe last for one day .It started before 5 months with a slight fever and cough.that time my doctor advices antibiotics ,that time fever and cold went but this irritation was there ,during this irritation occur i have little bit pain on my upper back side near to shoulders and neck .I dont have any pain during breathing and i do excercise daily . [\|AI\|] Hi thanks for contacting to us... Here according to your complaint you might have allergy to cold... It doesn't seem much serious.... Whenever you have common cold development by cold air ...take levocetrizine simply.... If nasal congestion and blockage more than short term Palestine spray given.... You can do CBC .if necrophilia present then antibiotic needed otherwise treated symptomatically.... More water taken... More fruit juices... Healthy balanced diet. While having cold, excess spicy and fried food avoided. If condition worsen then x-ray needed to rule out bronchitis. Take care. Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] My 75 year old friend with a history of a non malignant brain tumor that was removed 10 or 12 years ago, now is experiencing severe depression. In last few weeks, he can no longer walk without a walker and a nurse holding him. His medical staff say it is due to depression. Is that a symptom of depression? Or should a recurrence of his brain tumor be pursued? Bette Forberg. YYYY@YYYY [\|AI\|] Degree understand your concerns went through your details. Your friend is already 75. There is a sort of depression whicChatDoctores when people get old. The depression which affects physical mobility and mood. Such symptoms can be called psycho-somatic symptoms. This depression could be psycho-somatic. I do suggest you to consult your neurologist for evaluation. 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 detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care.
The conversation between human and AI assistant. [\|Human\|] hi dr, i am a feeding mother of 5 mth old baby. I have psoriasis and so i am off any of the systemic medicine. it agravated in last month. Is it safe to take roxithromycin (150 mg) during lactation along with local applications ? My leisions have become red ... [\|AI\|] Hi., As you said you suffer from psoriasis from last 15 years. I would like to say few things about psoriasis.... Psoriasis is a chronic relapsing and autoimmune disease. There may be having scaly plaques on various parts of the body, scaly lesions on the scalp. Exact cause is not known. Genetic tendency, autoimmunity, stress, Chat Doctor. .etc. may be responsible for precipitation and exacerbation of psoriasis. You consult dermatologist for firm diagnosis and treatment. I usually recommend only local treatment for psoriasis in pregnant and lactating women. For itching, you may take antihistamines like levocetirizin... Avoid steroid, as there may be severe flare up after stopping it. Roxithromycine is safe, you may take it if needed. You may apply mild steroid cream or calcitriol point on the lesions on the psoriasis lesions. You may apply moisturizer to improve the skin texture. Furthermore, you should avoid soap bath for few weeks. And you should be free of stress and worries as that might worsen psoriasis. You might get good result. I hope you got my answer. Thanks.
The conversation between human and AI assistant. [\|Human\|] I am 23yr old now. I am sufferiing from backpain since last 6 years. I cant even bend. Its getting stiffer everyday. Doctors say that my muscles are weak so i am facing that problem. They say i need a lot of excersice. So I am looking for a physiotherapist. [\|AI\|] Welcome to Chat Doctor. 1. The possible cause of back pain in your age group will be positional abnormalities in the first place.2. Other possible cause could be systemic disorders like inflammatory / infective cause of the spine.3. You need to try back exercise initially followed by the physiotherapy if symptoms persists further investigations might be needed.4.MRI is the best investigation of choice for evaluate the cause. - see your GP and get the physiotherapy. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] Hi, my mother who is 89yrs old is taking the following medication: lisinopril 5mg., lasix 20mg., norvasc 5mg., pantoloc 40mg., lanitop 0,1 mg., and spiriono 25 mg. daily. My question is if pure aspirin small doses for occasional headaches would counteract the medication or would it help to possibly decalcify her her arteries a little. Thank-you for your time.George [\|AI\|] Hi I have through your question first aspirin function is to decrease platelet aggregation when there is arthritis your area internal winning gets hurt and platelet tend to aggregate regarding aspire, occasional use for headache will not affect anything ut it may help to decrease aggregation of platelets but too much aspirin has its own side effects for example ulcer in stomach thanks hope answer your question
The conversation between human and AI assistant. [\|Human\|] I have pain in my lower stomach and on lower r & l lower abdomen. My stomach is swollen/bloated and hard to touch. I have trouble urinating at times. I have had lose stools. I ve been running low grade fever, aches and pains, & have slept for 3 days (off and on), but feel exhausted. [\|AI\|] HI. The commonest causes of pain in lower abdomen with swelling and tenderness on touch, troubled urination with loose stools suggest that you may be suffering from the Enterocolitis or Typhoid fever. Get a consultation of the Doctor, get investigated :: Blood-complete blood picture, kidney functions tests, blood sugar fasting and post-lunch, Tidal for typhoid, although it may take 7 days to become positive.Urine-routine, microscopy, culture and sensitivity (before start of antibiotic)Ultrasonography of abdomen. Get started with the proper treatment of an antibiotic and metronidazole, get admitted for intravenous fluids and antibiotics as you are too tired.
The conversation between human and AI assistant. [\|Human\|] Hi. I will start with the fact that i had the mirena iud incerted feb 2011. A few momths later developed anxiety. Was prescribed prozac and anxiety attacks begab immediately. Suffered through that for a little over a year before finally requesting to be taken off. Ive been off for a few momths and had mirena removed last feb. I have had 2 periods since which were not normal. Pretty much three weeks of random spotting with each period. For the last week i have been experiencing nausea, a burning sensation in my stomach, lightheadedness and a low grade annxiety. I started spotting yesterday a brown discharge and then this morning a little of red but mostly just comes when using the bathroom. Took a pregnancy test a few days ago and came out negative. My question is whether this all sounds like side effects from mirena and post removal? Could it be a stimach ulcer? A combo of several thing? [\|AI\|] Hello, thanks for the query. IUD removed, and that chapter closed now. Now we are talking about your problems that nausea, burning sensation in stomach, anxiety. Blood spotting is normal so don't think about that. This is the nature of an individual that how he or she reacts to things around him. Over reaction to surrounding is a form of anxiety and that is in your case. When IUD was inserted from day first you were not feeling comfortable with it and that was an anxiety. IUD removed and still you didn't come out from that dilemma and that is anxiety. Due to anxiety you are feeling hyper acidity (gastritis) like symptoms. So control yourself, if not, than consult a psychiatrist and take TT. You will be right within a short period. Regard
The conversation between human and AI assistant. [\|Human\|] In school, i have dificultys concentrating. I cannot pay attention or concentrate on something unless i find it interesting or simple. I cannot sit in one place for more than 30 minutes, or i will start to feel antsy. Is it possible that i could have a mild condition of ADD or ADHD? [\|AI\|] Degree understand your concerns went through your details. I suggest you not to worry much. This problem is being faced by a lot of pupils across the world. Once you have good concentration in other things which re interesting, movies, games etc., then you are not troubled by any diseases. If you have Added, then the attention deficit should be in every aspect, including interesting movies. The span of attention might vary. In your case, the problem clearly is lack of interest in some subjects. There are a lot of methods to make learning effective and interesting. Making a goal and sticking to that is one. Learning with the help of pictures, organization chart, diagrams etc. is another. Group discussion is another. You have to learn anyhow, then why not getting everything right? 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 some effective learning techniques which should help you. Hope this answers your query. Available for further clarifications. Good luck.
The conversation between human and AI assistant. [\|Human\|] Hi I heard a snapping in my calf muscle when I dropped down from a pull up bar. It happened 3 weeks ago. I did RICE the first 48 hours and stayed off any walking. I had to go to work for a few days and hopped around for 3 days. Swelled up a lot and had sever pain by the end of the day. Have now been off work for two weeks and seeing a chiropractor that is treating my calf with cold laser, ice and electro magnetic treatment. It s getting slowly better but it still swells up a lot and is still sore if I m up during the day. Am I doing the right treatment and how long will it take Thx Patrick [\|AI\|] Hi Hope this message finds you in good health. I have gone through your complaints and understand your concern. You seem to have injured your calf muscles which generally take around 3-4 weeks time to heel, if given adequate rest, The treatment you are taking is absolutely right, but I guess you are not taking sufficient rest. But still, it will eventually heal. Take analgesics, anti-inflammatory tablets, crepe bandage, rest. Nothing to worry about. I hope your question has been answered. If you have any follow-up queries, feel free to consult me anytime. Thanks, Take care, God bless.
The conversation between human and AI assistant. [\|Human\|] I have Polycystic ovaries. So doctor prescribed be Ginette35 tablets. I took that tablets for 3 months. Since the side effects(like breast pain) is more Doctor prescribed me novelon tablet. I took novelon 1 cycle. Also my TSH level is 5.7. so having Thyronorm 25mg. Body pain is more. I feel I am so weak. I am very lean type. height is 163cms, weight is 46kg. Please tell me whethe cyst is dangerous or It will cause infertility? [\|AI\|] Hi, PCOD is a multi-symptom disease that causes irregular or absent ovulation accompanied by multiple follicular cysts of the ovary, obesity, hirsutism, acne, insulin resistance and infertility. It is basically a disturbed pattern of the hypothalamo-pituitary-ovarian axis. It has a very good response to proper management. As your cycles are steadied you may be induced for ovulation with proper monitoring and this would give you good results. You may need Metformin also along with induction; tubal patency also needs to be tested before initiating treatment. Take folic acid. Please be positive as POD has a very good response to treatment and follow your doctors instructions. Good luck.
The conversation between human and AI assistant. [\|Human\|] hi my 8 month old had a stomach virus with vomiting and diahrea for two days. After that finally subsided she got a low grade temperature of 100.8 for 24 hrs with tylenol. that has now subsided and she has severe congestion and a cough (which i believe is from the mucous dripping down her throat) the dr prescibed her a med that she said is simlar to zurtech in adults. ive also been using vicks baby rub and saline drops. any other suggestions? its been almost a week now! she is also eating and drinking well. [\|AI\|] Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal
The conversation between human and AI assistant. [\|Human\|] Sir,I am 40 years old female .The soles of my feet have burning and itching sensation.I am having mild antral gastritis problem , which is usually under control by yoga and proper diet.Besides, I had a sudden weight loss of about 5 kg in the last few months, sudden thinning and loss of hair also .Please advise [\|AI\|] Hi, As per the history of burning and itching feeling in feet, did you try applying the skin moisturizer? Most times it is due to Chat Doctor. But let's look it in other way. Burning sensation can be due to even excess of uric acid. Are you having any burning sensation in the urine? Have you got the uric acid test done? If not please do it, so we can rule this out. The third angle happens with the nerve root entrapment in the lumbar spine lower level regions like L5 and S1 which may be the cause of the burning and itching both. It may have additional symptoms like tingling, numbness and pain. Based on the above method of ruling the one by one possible causes we can come to a conclusion. Please try the cream first. If not better than uric acid test. If uric acid test negative then the third call of MRI of lumbar spine to assess the nerve root entrapment. Treatment will be guided accordingly. Hope I have answered your query. Let me know if I can assist you further. Jay In
The conversation between human and AI assistant. [\|Human\|] I think I am Bipolar. Teeth Chewing while sleeping. Depression. Negative Thinking. Could be GENETIC(Found symptom in Father - He has lost everything). Takes so much pressure. Last year got divorce. Feel A Need To Commit Suicide- Feels like nobody needs me, and I can t change anything now, and life is going to be more worst. Feel so scared and afraid of people and 21st century blood bath, greed and hatred. NEED HELP ON A SERIOUS NOTE.---NEED HELP----WITH HONESTY---DOCTOR ! PLEASE CURE ME. [\|AI\|] Degree understand your concerns went through your details. I suggest you not to worry much. Your symptoms do point towards so mental disorders including bipolar. But do not have two main symptoms - Cyclic Extreme euphoria and extreme depression. Therefore, stop diagnosing self and consult a psychologist soon and get diagnosed properly. If mental disorder exist get proper treatment. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck.
The conversation between human and AI assistant. [\|Human\|] started as burning pain high on right side, under ribs. I have had a hida scan and abd u/s....both neg. (although my gallbladder took a very long time to show up on the hida scan). I swear I can feel something inside when I bend to the right side. The burning has somewhat subsided but now I notice more of a dull pain running straight down, mid right side. It is also tender to the touch. My pcp wants to do a endoscopy/colonoscopy next but I think and CT of the abd might be a better idea. Your thoughts? [\|AI\|] Hello, Several features of pain can be helpful in clarifying what is going on and the next steps for diagnosis and treatment. Type of pain:Burning mostly means a nerve is having problems. This can be either a sick nerve or a nerve that has had an injury. Electrical, shooting would be others implying nerve source for pain. Location of pain:There is a lot to this. First, if something goes in the pathway of a nerve, then that is the nerve involved. Nerves are long and the pain is in a belt-like long pathway. Smaller areas are smaller nerves. This also tends to say what might be going on. Obviously if there was an injury to the area and then there was pain outward from it "hit a nerve" would be a possibility. Sick nerves are multiple areas and tend to be the TIPS of the nerve not the whole nerve. So, a localized irritated nerve often can be treated. But often the cause is not found if it is not trauma. It can be Lyme disease or lupus or autoimmune disease, but these are rarely the 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 am 50 yrs old and suffering ILD, hypothyroidism and osteoporosis. I am taking defnalone 3 mg, corcium-k2, mucinac 600mg, reswas, eltroxin 75mg, and gemfos 35 (weekly). Let me know the side effects of the medicines and what precautions or care should i take? [\|AI\|] Hi, For Deflazacort, you need steroid in general. Check metabolically RBS, fasting lipid profile, at least. For thyroxine, you need to check TSH. For Memphis, CTX and PNP (Bone turn over markers). Repeating BMD after one and half years really helps. If you have thigh pain, X-ray the thigh. For jaw pain, visiting a dental surgeon is required. Hope I have answered your question. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] my baby is 10 months old and she was having fever from last one week. she doesnt have fever now but she has a full blown cold. from today morning onwards her sound is changed and she is having cough also. please tell me some remedy for cough and sound change [\|AI\|] Hello, Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine. For the nasal block, plain saline nasal
The conversation between human and AI assistant. [\|Human\|] I suffer anxiety attack that make me feel like I am having a heart attack. For the past three days I have felt horrible and feel like I should go to the hospital, but my family says that it is just an attack and not to do that. Is there any way to tell the difference between the two? [\|AI\|] His understand your concern. Feeling like heart attack is like panic attack. Panic attack is anxiety disorder and can be treated with medicines and psychotherapy. SSRI like paroxetine/ Escitalopram can be useful in panic attack. But before that you require proper evaluation of your symptoms. So please consult and get help. Besides this. Some natural ways to treat anxiety and daily stress exercise, meditation, deep breathing and hyperventilation and relaxation. Proper sleep and diet can help.stress-free activity, do pleasurable activity like music and hobbies positive outlook confidence all this will help you to counter daily stressStill have queried then feel free to ask. Thank you.
The conversation between human and AI assistant. [\|Human\|] It has been suggested that I have back surgery, inserting a rod from L-1 thru L-11, At this point in my life, with the severe pain, inability to do much around the house or anything enjoyable outside of my home, I wonder if the is the route I should take and what kind of recovery time I might be looking at if I go ahead with the surgery? [\|AI\|] Hello, I have studied your case. You may need to do MRI spine again to see for nerve compression It may take 3 months time for complete rehabilitation after surgery. It also depends on type of surgery and pattern of operation. You should consult with your operating surgeon before going for surgery. You can consult physiotherapist for help. Physiotherapy like ultrasound and TENS therapy will help will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.
The conversation between human and AI assistant. [\|Human\|] Hi. I got veryyyy sick ten days ago with very sudden lower back pain and abdominal pain and fever of 103. I had loose stools and was going to the bathroom several times an hour. The color was that of algea on a pond. Slimy like mucus but a dark yet neon green color. The fever broke that night and didnt come back. However, I have had severe stomache cramping, have lost ten pounds very quickly, and have had nothing but loose stools for ten days but it has returned to normal color. They now have mucus like stuff in it and tons of white dots. My dr sent me to the e.r. for a catscan which broke while I was in it. They got enough of a pic to rule out my galbladder, kidneys and liver . They admitted me 9 days ago for possible appendicits because my white blood count was 0000. The released me the next morning because the surgeon felt whatever had lodged in or blocked appendix had moved. I was sent back to e.r. last night by my dr. because he wanted cultures and stool samples done. They did none of these even though I asked for them. They admitted me yet again because I finally got a complete ct scan and they couldnt see my appendix due to swelling of my colon . Dr. told me the right side of my colon is very swollen and thinks I have IBS. I think I have parasites or worms. What do you think? [\|AI\|] Hi dear.thank you for posting your query on healthcare. Dark greenish, mucoid stools of loose consistency is suggestive rapid colonic transient of stools because of that bile poured from duodenum is not getting converted to stercobilin.rapid colonic transient generally occurs in diarrhea .the is also supported by the fact that your scan is showing swelling in the colon. Parasitic infestation should be ruled out .hope you got your answer.
The conversation between human and AI assistant. [\|Human\|] usg finging shows prostate enlarged in size median lobe enlargement 16.1 mm, U.V 118 ml. doctor suggest for review USG pvr & PSA , DOCTOR ALSO PRESCRIBE wing medicines for ten days 1 cefpodoxime proxetil 2 Tamsulosin hydro chloride 0.4mg+dutasteride 0.5mg. please suggest it is good treatment for patient of diabaties [\|AI\|] Hello and. As a Urologist, i must suggest you continue the same treatment now. Median lobe is seen in many patients. It's called tribal prostate gland. It has nothing to do with diabetes. Diabetes should be well controlled. You must have had urine routine and culture test, with fasting sugar, HbA1C, kidney function tests, and PSA. Urine culture should have been checked before starting the antibiotic. A THUS (trans rectal ultrasound scan), is better to assess the prostate gland. If you've any doubts, you may contact me directly, with all reports. Chat Doctor. Manga.
The conversation between human and AI assistant. [\|Human\|] I hVE 17 year old daughter adn a 15 yer old son, they both had their gall bladders out over the last 2 years. Hers 3/2014 and his 10/2014. They both get random bouts of nausea and vomiting. No fever, but fairly frequently the vomiting and nausea and random pains int heir left sides. Could this be a side effect from haviong their gall bladders out? So far, all their check ups have come back normal. Cananything be done to help them with this? [\|AI\|] Hello, Welcome to Chat Doctor. I read carefully your query and I understand your concern. The nausea and vomiting are related with the gallbladder surgery, it maybe happens especially when your child Chat Doctor. Bile function is the digestion and absorption of fats and fat-soluble vitamins in the small intestine. Bile is produced by the liver and then delivered to the digestive tract, but a good quantity is also stored in the gallbladder for later use. One important function of the gallbladder is to regulate bile secretion (not only store it) so the small intestine has the proper amounts of bile when needed. If the gallbladder is removed the liver will be continuously transporting bile to the digestive tract, but in smaller quantities and is not uncommon to experience the following side effects after gallbladder removal: Indigestion, loss of appetite, chronic diarrhea, stomach and intestinal pain, nausea and vomiting after eatingThese occur because the body can no longer digest fats properly. For these reason I recommend you to made as routine a low-fat diet to your child
The conversation between human and AI assistant. [\|Human\|] About two hours ago my child ate about 1/3 of a 325mg aspirin. He threw most of it up. I had him drink as much water as I could get him to and he still seems fine. Hes playing and eating and hasnt developed a fever or anything. Should I still take him into er or is he going to be okay? [\|AI\|] Hello. I just read through your question. Firstly, the amount of aspirin taken is not toxic, so there is little need for worry. Additionally, the fact that he through up indicates that the aspirin likely never entered his bloodstream in the first place. Finally, his behavior since the ingestion is perfectly normal, indicating that he is fine. Therefore, there is no need to have him checked at an ER and you do not have to worry.
The conversation between human and AI assistant. [\|Human\|] I went to the clinic because i felt on odd tingling sensation on the roof of my mouth. i was diagnosed with strep throat and have been on my antibiotics of 9 days now. The roof of my mouth feel numb and i can feel little bumps on the roof of my mouth. What could this possibly be and is there nything over the counter I can try that may help this? [\|AI\|] Hi. Thanks for the query. Tingling sensation and bumps on the roof of the mouth or the palate can be most probably due to inflammation caused due to Infection if the Infection is not completely resolved. Other cause can be sinus infection. You should continue with the prescribed course of antibiotics, start doing warm saline gargles and take anti-inflammatory painkillers like Ibuprofen. In case if the symptoms does not improve consult an Oral Physician and get evaluated. Hope this helps. Regards.
The conversation between human and AI assistant. [\|Human\|] Hi, I am 29yrs old, had difficulties a few weeks ago where I passed out cold twice in the space of 30mins and have been feeling very tired and light headed since. My doctor did blood/urine tests which resulted with no problems. He is now having me do an ECG today which I am a little concerned about! Is it just routine? I am usually VERY energitic and so this feeling and obviously losing consciousness has been worrying me a lot. [\|AI\|] Hello and welcome to Ask a Doctor service. I have reviewed your query and here is my advice. Most likely you are having cardiac arrhythmia like supraventricular tachycardia. It's basically abnormalities in heart rate where rate is very fast and BP Chat Doctor. It's possible that your would be normal because it can pick only during episodes. You may extend holder monitoring, which is the device which monitor ECG and exactly diagnose the arrhythmia. If episode doesn't recur then it may not pick the arrhythmia. Last and best option is electrophysiologist studies which will diagnose and treat arrhythmia permanently in most cases. So you need to visit cardiologist as early as possible. Also, if you are getting the feeling of having episode then you should try to cough hard to abort the episodes. Hope I have answered your query. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] I was bitten on Friday, not sure if it was a fly(deer or black) or a spider. at my hairline above my left eye. Saturday my eye swelled shut. I applied ice and the swelling went down but on sunday upon awaking it was swollen again. I applied ice again and it subsided. Waking this morning to the same situation. what do you suggest. The swelling itches but not the bite site. [\|AI\|] HelloWelcome to Chat Doctor, Spider bites are actually rare occurrences and bites from most spiders cause local redness, irritation and pain that usually can be treated at home. These local reactions usually resolve without treatment over a period of 7-10 days. I would suggest you to follow Wash the site of the spider bite well with soap and water. Apply a cool compress or ice pack over the spider bite location. Over the counter pain relievers may be used to relieve symptoms. Thank you.
The conversation between human and AI assistant. [\|Human\|] I have a 2 year old son who I just finished bath time with. We noticed 5 perfectly round circles about the size of a pea going straight down his spine. The circles are dark red and raised just a little. The circles are in a line starting about middle of back down to lower back... Any ideas of what this could be??! [\|AI\|] Hi...by what you quote I feel that they could be spontaneous bruising due to a bleeding disorder or a simple allergy like urticaria. But if he is otherwise active I do not think you should worry about it. I want to tell you one important thing - Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. 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\|] hello sir i m 27 year old unmarried student. i m suffering from a problem. in my urine i discharge sperm also. it may be occure at night without doing urine.i musterbate (Hand practice) only max. 5-8 time in a month.my wait is 67 kg n body is avarage. this problem is only 5 days old.pls sir tell me any medicine and precautions thank you sir. [\|AI\|] Hello. I have reviewed your query and here is my advice. Semen can be found in urine. You already know that the tract through which urine comes, sperm comes out of the same tract. So urine can contain semen. The semen may be seeping after urination or during urination or when your bowels are compressed. There is nothing wrong in this phenomenon and this is absolutely normal. Therefore, please do not worry too much about this. 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\|] hello, i was running and ran into a fire hydrant and smacked my leg very hard..the. fleshy part above the knee. it hurts very badly and is bruising and swollen...but i can stand on it...i am having difficulty bending it..i dont think it is broken but i am concerned about it [\|AI\|] Hi, Thanks for your query. From description, it seems to be soft tissue injury Swelling might be due to haematomaformation(collection of blood). You need an x-ray to rule out any bony injury. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance. Beside icing and elevating it, you can take anti-inflammatory Chat Doctor. 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\|] my husband age is 29 yrs.height is 5.10ft.his sperm analysis report showsquantity: 6.0 mlcolor: greyish whitetransperncy: opaqueviscosity: viscoustime of liquification: 30 minutsPH: 7.5fructose: positivesperm total count: 95mill/mllive count: 65mill/mlsperm per ejaculate: 570millmotile sperm: 68%rapid linear progression: 10%slow/non-linear progression: 60%non progressive: 30%normal form: 35%small oval: 50%amorphous: 15%WBC: 02 [\|AI\|] Hello Thanks for writing to your husbands semen analysis report suggests infection. Infection is indicated by the presence of WBC in semen. Normally there shouldn't be any WBC in semen. Infection may be due to prostatitis, UTI etc. You need antibiotics for infection. You need few more investigations like routine hologram, RBS,Ultrasound of pelvis should be done. Trans rectal sonography of prostate can be done if needed. Proper antibiotics should be prescribed depending upon sensitivity report. Other factors like sperm count, motility and morphology are normal. Get well soon. Take Care Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] Hello, I ve had a chesty cough for around 4 or 5 weeks now. If I cough hard enough it moves the phlegm which seems to be lodged in my lungs, but more often than not this also makes me vomit. I am quite wheezy and my breathing is shallower. I am 13 weeks pregnant so was unsure whether a trip to the Doctors would be productive if I cannot take anti-biotics? Thanks Jane [\|AI\|] HI, I understand your concern. It seems that you have respiratory tract infection... probably bronchitis. & its getting worse because of not being treated out of fear. No dear, you need not be scared Its true that in pregnancy one has to take care not to get any infection & thus avoid intake of antibiotics. Still there are conditions (like you are in) when giving antibiotics is better than having the worst illness & then take loads of medicines / also affect fetal development/ affect your own health & respiration. Thus hampering fetal health too. - again there are some antibiotics which are safe in pregnancy. So it's always better to take treatment in time than to face complications in the future. * I would therefore advise you to consult your gynecologist/ a physician / get investigated as per advise & start with treatment advised . To get rid of the problem soon. Thanks.
The conversation between human and AI assistant. [\|Human\|] Im 24 weeks pregnant and i have this horrible tooth ache that gets worse when i put anything cold in my mouth. It hits my head really bad and my whole right side of my face hurts and the back of my eye i dont know what to thibk could i have an exposed nerve ? [\|AI\|] Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you are Pregnant, and you have pain and Sensitivity in your tooth, don't worry it can be due to Pregnancy induced gingival problem, or may be due to your tooth is carious with exposed pulp, this time no treatment is possible as you are pregnant so, you take medicine one tablet Paracetamol when you feel pain, After Delivery you consult Dentist and go for investigations if Carious then go for Root canal treatment and if periodontal problem or gingivitis then go for Oral prophylaxis done, Hope this will help you. Wish you good health.
The conversation between human and AI assistant. [\|Human\|] I alongwith my son aged about 10 years reside at Ranikhet in district Almora(Uttarakhand). My son has problem with his nose. He easily gets cold and always contiues to drag sometimes phlegm and sometimes dry air upwards through nose for the last three /four years. I shall be highly obliged if you could please advise me about the line of curative treatment so as to get rid of this problem. Thanks. [\|AI\|] Hello, I understand your concern. I am Chat Doctor, Infectious diseases specialists, responding to you.These is the common viral infections. It does not require any treatment except symptomatic treatment. This includes chlorpheniramine male ate for blocked nose and running nose, paracetamol for fever, you can also do medicine gargle as and when required whenever you feel its viral infections. I will be glad to answer your further query. Thank you for your contact to Chat Doctor. Wish you the best health. Thank you, ChatDoctor.
The conversation between human and AI assistant. [\|Human\|] my teenage granddaughter has a rarid heart beat. It got to 145. her blood pressure also was high 168/138. This all came on one evening. I took her to the ER and said it was hypertension. But did not tell me what to do if it happens again. Last night she had a rapid heart beat again, I wasnt with her so dont know blood pressure. She also says she has pains severe in her chest and feels like she cant breathe. [\|AI\|] Hi! I have gone through your question and I understand your concern. I would say that what you prescribe it may be a hypertension(HBP.) But sometimes the blood pressure gets high when the patient are going through a stressful situation , this is often when the patient experience one time in a while and associated with anxiety situations. Sometimes the intake of too much salt or calcium or being overweight can cause high blood pressure. I would advise you to measure your daughter s blood pressure 3 times a day (different times a day when she is relaxed) for one week and register the results. If the result is high blood pressure more than 140:90, I would recommend going to your local doctor, so he can do some examination to evaluate the heart, kidney, hormonal levels, cholesterol to rule out any primary cause of high blood pressure.Meanwhile, reduce your daughter your salt intake, calcium intake and if its neccesaryto lose weight. Wish these help ! If you have any other question please feel free to ask me.
The conversation between human and AI assistant. [\|Human\|] Hi Im suffering from chronic severe allergy , from air borne dust/particles. Now seems it is causing air trapping in lungs, and though till now Pulmonary Function Test report is normal, Doctors, i visited are saying there is no curative treatment, only palliative inhalers they prescribed ... Could you pls suggest if there is any advance treatment for air borne allergies? [\|AI\|] Hi well come to Chat Doctor. For any allergy right treatment is to avoid it as far as possible and supportive treat- in case of accidental exposure like inhalers. So move with mask, avoid dusty roads, smokes, area where newer construction is going on, cosmetics, keeping carpet in the house etc. That is also major part of treatment. No cure for any allergy but prevention is equally good option. Thanks
The conversation between human and AI assistant. [\|Human\|] my 5 years old son had temperature of 39.2c last night gave him liquid paracetamol and hour half later his temp had gone down to 36.5c so he went to bed but this morning he is complaining of bad pain in back of neck in the middle he is unable to move it to side without crying in pain, i have checked his temp its 37.8c [\|AI\|] Hi, If he don't have any other symptoms like severe headache/vomiting/cough/throat pain/neck swelling, we can take this as a viral fever with lymph node enlargement in neck (although it is uncommon in the middle back of neck) causing local inflammation and pain. Try giving him ibuprofen syrup(100 mg/5ml) 7ml three times a day after food. If he is not getting better by then, kindly take him to doctor for further evaluation. 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\|] I am 37 year male and I have a white spot in the roof of my mouth. I took a treatment which includes multivitamins and retinol cream to apply. But after having it for 2 months the white spots are not disappearing. Please suggest the possible solution. [\|AI\|] Hello, White spots on roof of mouth can be due to a number of causes, and it depends on the shape and size of the spots. Small clusters of white spots can be due to Forces spots that are hypertrophied sebaceous glands. If there are white patches then can be due to hyperkeratosis. For narrowing down the exact cause and advising you appropriately I would need pictures of the patches. Please upload the images for better understanding and diagnosis. Hope I have answered your query. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] Hello, I am a recent kidney transplant recepient and over the last day or so my gums are hurting and appear to be swollen. I had called my transplant coordinator and she said that she really didnt think it had anything to do with the medication I was on. She did say that prednisone may cause a delay in healing....so the question is, why else would my gums be painful and swollen? I have flossed several times but didnt find anything up near the sore gums. [\|AI\|] Hello and welcome to Chat Doctor. As a Urologist and kidney transplant surgeon, i understand your concern. After a recent transplant, youre on a regime of steroids and immunosuppressants. Swelling of gums is a minor issue. Maintain good oral hygiene, and brush your teeth, twice daily. Also, using a mouthwash helps. You may use Chlorhexidine gel over swollen areas, with a gentle massage. The swelling will subside gradually, as the dosage of steroids also is reduced. If you've any other doubt, send it as a direct question to me. Chat Doctor. Manga.
The conversation between human and AI assistant. [\|Human\|] My penis shaft at the base is a bit thin than my shaft around glance.Penis is totally straight but it erects downward and if i press urethra in between anus and testicle it comes upwards and harder than before.Is this erectile dysfunction?How can i overcome the problem? [\|AI\|] His understand your concern. Erectile dysfunction means inability to erection. If your penis is straight and hard means you have enough erection. Testis is movable and if you press it moves to other site. You just require to learn normal anatomy of male genitalia. So read about it from internet. It is all normal thing, and you do not have erection problem. Just learn and relax. I hope I have answered your query. Thank you.
The conversation between human and AI assistant. [\|Human\|] had a bad headache over the last two days just got one of those blood pressure monitors reads 192 over 117 and i guess my heart rate was 94? dont have a history of high blood pressure in family. I am 160 lbs,5 7 ,35years old never smoked hardly drink. Not really under stress. should I be going to the E.R.? [\|AI\|] Hello, The headaches are related to high blood pressure values. These blood pressure values are quite abnormal at your age. For this reason, I would recommend consulting with your attending physician for a physical exam and some tests: - a resting ECG and cardiac ultrasound-thyroid hormone levels for thyroid gland dysfunction- blood electrolytes- cortisol and aldosterone plasma levels for a Chat Doctor. If all the above tests result normal, you should consider anxiety as the main cause underlying your complaints. 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\|] yes my doctor has me on fluconazole 200mg for a yeast infection for a couple weeks and still iching in vaginal area and went back to him and put me on the same drug 1 pill a week for 7 week and metonidazole vaginal gel and still having eritation in vaginal era and had my sugar check and it was ok do you know what the problem is [\|AI\|] Hello, Thank You for the query at Chat Doctor Since your doctor have recommended continuing fluconazole and metronidazole, the probability is that infection has not cleared completely and causing itching. Once the infection clears up completely. Itching will subside. Other possibilities of vaginal itching are chemical irritants like condoms. Lotions. Scented wipes. Douches, lawn Chat Doctor. Allergy to fabrics etc. and lichen sclerosis (chronic condition that causes thin, white patches of skin). These conditions are treated by discontinuing the irritant factor and use of steroid creams to relieve itching. I recommend that you continue the medications as prescribed and If itching persist after a week, follow up with your doctor to discuss other possibilities causing your symptom.Meanwhile, there are few things you can try to help alleviate itching-wear light cotton panties-Keep the genital area clean and
The conversation between human and AI assistant. [\|Human\|] Hi there I m 27 and in great health otherwise, but for the last few days I ve been having a pain in the right side of my head (feels deep..like in my brain or something). It happens when I laugh, cough , bend over etc. I m wondering if this is a cause for concern or what it could possible be from. Thanks! YYYY@YYYY [\|AI\|] Hi, thanks for writing to Chat Doctor. Based on the description, I suspect that you could be having COUGH HEADACHE which usually results from increases intracranial pressure during coughing causing headache. The other possibility is a SINUS INFECTION, for which a X-ray of the PNS or a CT scan will establish the diagnosis. Based on the severity of involvement a course of an Antibiotic along with anti-inflammatory agent or a surgical Chat Doctor. So, a detailed clinical examination and appropriate investigations are needed for further management. Hope this information is helpful. Good day
The conversation between human and AI assistant. [\|Human\|] I know someone who had cervical cancer. She abuses prescription meds. In and out of rehab. Lately she has had nausea, inability to hold food down, lost her hair and lost a lot of weight. She wont tell anyone what is happening. Then she said she has kidney failure. Can she do dialysis? How long do people like her last? We are trying to gather info to scare her into taking care of herself. [\|AI\|] Hello and welcome to Chat Doctor. As a Urologist, i advise you, that a person with kidney failure can do dialysis.There are indications for dialysis. Surviving kidney failure on dialysis, in a patient with cervical cancer, is difficult to predict, without knowing its stage. Dialysis can be done, but the long term prognosis isn't very good. If you send details like abdominal CT/ MRI scan, all blood reports, to me as a direct question, i can give you an expert opinion. Chat Doctor. Manga.
The conversation between human and AI assistant. [\|Human\|] I have been having fever chills lower adominal pains, swollen of the breast fatigue and had 2 negative blood test for pregnancy what can possibly be wrong with me? if there a possibility i can have a still born fetus in my womb? i been getting my period every month and sometimes twice a month, I am schduled to get my tubal done Monday [\|AI\|] Hi! Good morning. I am Chat Doctor answering your query. With your kind of history, I would advise you for an ultrasound of the abdomen before getting your tubal done to rule out your apprehensions. Till then, I would advise you for an anti-spasmodic along with a proton pump inhibitor for a symptomatic relief only. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] Doctor, my boyfriend just got into a car accident last night and it was a head on collision. He hit his head on the steering wheel and has a bump the size of half of a baseball on the right side of his forehead and hasn t went to the hospital or emergency yet. I ve been reading similar stories and they say that a couple weeks after their car accident the patient gets seizures. He is 19 years old and 6 3 about 185 pounds. He says his neck and legs are sore but he is fine. What should he do? [\|AI\|] Hi, Thank you for posting your query. I agree with you that seizures may occur after a head injury. However, it occurs only in a minority of patients (typically less than 10% of patients with head injury get seizures). What I would suggest is to get a CT scan of the brain done. If there is internal brain injury, then there are higher chances of getting seizures. However, if the scan is normal, then, there is very little chance of getting seizures. There is no need to worry, as even if seizures occur, they can be treated with medications. I hope it helps. Please get back if you require any further information. Best wishes, Chat Doctor. Ly/
The conversation between human and AI assistant. [\|Human\|] Hi a day ago i found a pea sized lump in front of my left ear and right before my jaw it is hard painless unless i touch it. My family thinks its a cyst. I also had a stomach virus a couple weeks before so i dont know if that has anything to do wiith it. Thank you. [\|AI\|] Welcome to Chat Doctor. 1. Pain less tiny lump in from of the ear - the possible cause will be sebaceous cyst. Generally needs to monitored unless causing any discomfort.2. They occur when the gland blocks and causing the collection with in - usually take good time (years) to increase in the size.3. In this case the I would recommend you not to disturb the lump, do not squeeze, press or scratch - in that way you will complicate the process.4. There is no relation with the stomach symptoms you are facing, a very tiny possibility is enlarged lymph nodes due to stomach cause - but lump characterization does not fit there.5. If any discomfort get it examined and take needful actions accordingly. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] I had a tetanus shot about 3 days ago and now I have a very sore small lump in my neck near my collar bone, is this normal? The only reason Im concerned is I just had a c-section and Im worried about blood clots. I did not notice this lump before the shot, so I dont think it is a clot but I thought I would check. [\|AI\|] Hi, Reviewed your query.Don't worry, as by no means the sore lump near collar bone would occur due to clot after the tetanus shot in the arm. This lump seems mostly due to the general immune reaction with flare up of the lymph node near the collar bone. Still I would advise you to have a check-up from your doctor to get the worry ruled out. Hope this would relive your query satisfactorily. Write excellent review and hit thanks if this has helped to resolve your issue. Welcome again further for any query in this regard. Have a good day. Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS
The conversation between human and AI assistant. [\|Human\|] A couple of weeks ago I was masturbating and I felt this stinging in my urethra. It was uncomfortable. I had sex with a girl on the rag a couple weeks before this, but no discharge or stinging while urinating has happened. Theres just some discomfort in my urethra. Could it be a UTI or a yeast infection? [\|AI\|] Good Day, and thank you for being with Chat Doctor ! Yes a urinary tract infection whether caused by yeast or bacteria is always a possibility and should be ruled out with an urinalysis. If it is confirmed then treatment should be started. It can also be caused by excessive ejaculation and masturbation. If the symptoms persists then I would strongly recommend an urinalysis. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ Chat Doctor. Best wishes
The conversation between human and AI assistant. [\|Human\|] My partner has a lump in his wrist and his elbow which was found by his doctor they have requested blood tests this week, he is very worried as to what it might be, it is very painful for him, do u have ay advice as to what the possibilities are please x [\|AI\|] Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Lump on the wrist and on the elbow could be 2 different entities-One on the wrist could be Ganglion and one around the elbow -could be anything from bursitis/gouty tofu. Or both at wrist and elbow could be due to gouty tofu or from Bursitis or tendons heat synovitis. CT study/ USG study of the wrist and elbow could fix the exact cause of these lumps. Other causes for such a complaint could be ruled by Second opinion from a Surgeon or Dermatologists. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist
The conversation between human and AI assistant. [\|Human\|] In the past few months, I have had chest pains, like indigestion in the middle of my chest. I have had two ECG and they where off, but the hospital said it was reflux, they did a blood test at the same time and that came back that I didnt have a heart attack. I feel dizzy even if I bend down to touch my toes. I do suffer from HBP,Diabetes, Fibromyalgia, Reflux and two heart valves dont close property not major. I do suffer with severe pain daily, but this pain in the chest gets worse when walking or exercise. [\|AI\|] Respected user, hi I evaluated your query thoroughly.* This is in relation with weak immunity of your musculoskeletal system with underlying comorbid conditions, where your lungs are not able to handle certain maneuvers to that of normal person can do.* No medications are going to cure it except your lifestyle modifications - very regular basis deep breathing exercises with YOGA without failure for 40-50 minutes per day will work tremendously.- regular walking in fresh air to rejuvenate lungs with enough oxygen.- avoid smoking / alcohol-have regular sound sleep of 8 hours-refrain from getting acidity-control your BP, Blood sugar, weight, Cholesterol levels-avoid stress / anxiety Hope this helps you to any extent. Thanks for using Chat Doctor & keeping trust in our medical services. Welcome for any further assistance. Wishing you healthy life ahead. Regards dear take care.
The conversation between human and AI assistant. [\|Human\|] Hi, I cut the side of my left big thumb while cutting fruit about 4 months ago . I had so much blood blood coming out as a result of this. I put pressure on the cut area and the blood eventually stopped. I put plaster on it. I later realised that the skin had closed up the open wound by the time I removed the plaster. I tried to pressed out the fluid I noticed was inside. Since then the wound remained closed with a kind of keloid -like scar swollen , and a bit painful when i touch it or rob it against something accidentally. The swollen reduces if I use plaster to cover it up, but came back to the usual swollen -like size when it is taken off -especially when the area come in contact with water.How can I reduce the swollen or the keloid -like scar in a natural way?Does it mean that a complete healing is not has not taken place yet? Please advise. [\|AI\|] debris it is keloid then we need a dermatology advise for some topical injection and Chat Doctor. More over for any infective because we need to see if there was any blood clot initially which is creating the problem. A regular antibiotic with analgesic, antiinflammatory can benefit us.However, the best natural way is to prevent continuous contact with water.in such cases we usually advise for an investigation to see any abnormality and not a plaster to cover it. Hope this helps welcome for further queries.
The conversation between human and AI assistant. [\|Human\|] HI, doc I have a problem with my throat area I had a virus for about 18 months which made me cough continuously, since then I have had a problem with coughing up phlem. I have had a specialist look down my throat and he said it was clear, I then had a barium meal which also came back clear. About two years ago I went to a lung specialist he said that I had a small scar on my lung also slight enzyphema. My uncle s both passed away last year their death was caused by a serious lung infection one believed to be asbestosis and the other was chronic enzyphema. I am sick of coughing up phlem and gurgling my voice sounds terrible. Many Thanks Terry [\|AI\|] Thanks for your question on Chat Doctor. I can understand your concern. Your symptoms like chronic cough with expectoration (phlegm) are more suggestive of bronchitis. So we should first rule out bronchitis in your case. Better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is must for the diagnosis of bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. So get done PFT. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). With appropriate treatment, you will definitely 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\|] Hi: My daughter,who is 9, had a moss green bowl movement. She said she had a stomach ach, but nothing else seems out of the ordinary. She is on meds for reflux, but she has been on that most her life, and this has never happened. I can t think of anything different or green that she has eaten lately. Any suggestions? [\|AI\|] Hi...what your kid is having is a bacterial or bacillary dysentery. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. But this age greenish diarrhea is a definite indication for starting antibiotics. I suggest you consult your pediatrician. 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\|] Hi Doctor, Could you pls tell me use of silybon syrup for my 2 year child to get more hungry. he is not eating food & drinking milk last many days. his weight 10.00 kg only i am very upset about this. I just want to improve my child strength by taking more good foods. Pls if you could suggest some options as well.. Thanks, Rinku Sharma [\|AI\|] Hi...it is an ayurvedic preparation and there is no allopathically proven benefit about this medicine. Moreover, a kid of 2 years weighing 10 kg is good if otherwise the activity is normal. An active is a well kid even if she/ he is not eating well. Development of a kid is as important as, or I would say even more important than growth alone. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it. I suggest you not to use appetite stimulants on long run as they may cause Chat Doctor. Regards -
The conversation between human and AI assistant. [\|Human\|] Hi i was at my schools post graduation party until 5 this morning, and directly after I experienced chest tightness, difficulty breathing, and I have chest pain when I jump around. What is wrong with me? I am not an asthmatic nor did I eat anything to cause an allergic reaction. [\|AI\|] Hi welcome to Chat Doctor... You are having complaint of chest pain and breathlessness of sudden onset ... So you should consult to good pulmonologist for physical examination and auscultation ... According to examination you might need investigation like .....1. Chest x-ray 2. Spirometry 3.blood pressure measurement 4.EKG 5. Echo if needed According to cause treatment given. If bronchitis there than according to severity bronchodilator or antibiotic needed. Take care So without delay consult physician or pulmonologist nearby ...
The conversation between human and AI assistant. [\|Human\|] I m training for a 1/2 marathon and ran 11 miles on a flat course a week ago. The next day there was considerable pain in my lower leg. localized swelling. No redness. Area is interior about 6 inches above my ankle. I tried running again three days later and was unable to. [\|AI\|] Hi, You may be having a stress fracture of tibia. This fracture happens due to overexertion. You were not having enough experience running and due to overrunning this has happened. Please Avoid running for a period of six weeks from now and take rest. Pain will go away once you stop running. Take calcium and vitamin D supplements. X-ray is not helpful for diagnosis. After 6 weeks start progressive training under the guidance of physiotherapists. Hope I have answered your query. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] I have a high calcium level and and a high TSH level. I have undergone treatment for a hypothryroid in the past with no success. The last two years I have gained 80 pounds, Im chronically fatigued and I have been experiencing increased head aches and dizzy spells. How do I find a doctor who knows more about the thyroid/pituitary function and is willing to do additional testing? [\|AI\|] Hello and welcome to Chat Doctor, High levels of TSH suggest hypothyroidism or low levels of thyroid hormones. Replacement therapy with thyroid hormones is required. High levels of calcium can occur in number of conditions like hyperparathyroidism or any other condition causing bone resorption. The structure and function of parathyroids is required. For more assistance, you need to consult an endocrinologist. Thanks and take care Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] Hi, I am 40 years old 175lb, 5-7 and have hepatitis B, my new girlfriend is planing to go and get shots for her protection, she was told it will be 3 shots one month apart for each. Do we have to wait for all 3 shots / 3 months or is it safe after first or second.. I do not want her to get infected and am willing to wait but just want to make sure. Thanks in advance [\|AI\|] Hello, How are you? Thanks for writing into Chat Doctor. My name is Chat Doctor. I am a liver and pancreas surgeon and I hope to answer your question today. I am sorry to hear about your diagnosis, and I am happy to hear that your girlfriend is planning on getting vaccinated. The reason why booster shots are given during vaccination is to create a subset of immune cells called "memory B cells". These cells store the memory of the antigen (in this case hepatitis B virus) and will produce protective antibodies as soon as they encounter it the next time (for ex if your girlfriend by any chance gets infected). The creation of memory b cells may require multiple exposures to the antigen - hence the booster doses. Having said that, this holds true to the majority of cases. Some people can develop high levels of protective antibodies even with minute exposure to antigens. The only way to know for sure whether a protective level of antibodies have been attained is to measure the Anti-bug antibody levels (which is done routinely in most laboratories). Some people who are poor responders may need up to 5-6 booster shots before a protective level is reached. So in short, if you want to be sure of the immunity of your girlfriend, I would measure her blood levels of protective antibodies (>10 IU is considered protective). This does not mean I am discouraging you from getting the booster doses - The only way to be fully immune is to complete the vaccination schedule. Hope this helped and hope you get better. Please do not hesitate to contact me for any further details. Have a great day
The conversation between human and AI assistant. [\|Human\|] Today after I had a bowel movement, I became very weak, sweating everywhere on my body, shortness of breath. I went to the ER and blood pressure was 110/100. I was released after 5hrs. I was told to follow up with a GI. Bloodwork came back normal, no infection, xray showed I had little stool in my intestines. I am still weak and tried. I have been having issues with this for about 6wks, but never the shaking, etc. I had other tests done last month showing I have red and white bloodcells, protein, and other cells in my urine. I had a CT scan done last month as well and it showed I had moderate amount of residue in my intestines. I have been Gluten free for about 5yrs and I felt 10x s better but now I am hit and miss. I have a hard time eating, I am eating about 1 meal a day. I am never hungry and when I do eat I feel bloated and sick to my stomach. There are times I will have a headache that will last for days and nothing I take will take care of it. It can get so bad I am in tears. What are your thoughts on what I should do or ask the Dr. to test for? [\|AI\|] For shortness of breath issue, you need to evaluate cardiovascular and lung function to relieve you from the tension of chest problems, this means:cardiac: ECG, echo, settings: chest x-ray, pulmonary function essence they're done, you should move on to other issues, as you stated you had kidney issue too, get that test repeated and see if its aggravated or reduced kidneys: Renal function testing coming to the nausea when trying to eat something, do you have epigastric burning too? (burning below the rib cage in the center), please let me know so that we can discuss further regarding your treatment plan and investigations required.
The conversation between human and AI assistant. [\|Human\|] I got stung by a honey bee on the bottom of my second to yesterday, not allergic thankfully. I removed the stinger right away and cleaned with alcohol, a little swelling but it felt like I dropped something very heavy on the top of my toe. The bottom is fine and the swelling is gone, but now there is a bruise on the top of my toe. I m wondering, is that normal? [\|AI\|] Dear user......sting usually followed by allergic or immune reaction that cause swelling or inflammation or bruise of the affected area ...........but from your words you did mistake when you apply alcohol to affected toe.............we recommend only ice packs...it will make improvement............alcohol generally is very irritant and not recommended in case of sting injury............alcohol cause more reaction of the tissue and cause bruise, so it was good that you have no swelling when injured but mostly alcohol cause that bruise............wish you healthy life...take care of your self
The conversation between human and AI assistant. [\|Human\|] I have hep C and for the past couple of days I have been having pains with my liver and cant breathe normally. When I sleep I have to lay down a certain way so it doesnt hut when I do breathe. What does this sound like? Or should I just go to a doctor? [\|AI\|] Hi.and welcome to ChatDoctorthere are many causes for difficulty in breathing ranging from infectious causes to complication of underlying diseasesHepC may lead to liver cirrhosis early in life if not treated properly. HepC may lead to liver cirrhosis which may lead to fluid retention in the body and in lungs as well.you're strongly recommended visiting treating physician immediately. Regards Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] hi i m 25 years old male and i m having problem with my hair as my hair suffer a substantial loss in the frontal and anterior over the last year when i consulted with a doctor she prescribe me with morr F solution and curlzvit tablet plz let me know the effectiveness of these medicine and their side effects. thanks [\|AI\|] Hello, It may be used for hairless. It will work by increasing the blood supply to the scalp or affected area. Possible side effects are: 1. Dermatitis.2. Excessive hair growth on face.3. Headache.4. Itching. Culprit is a multivitamin tablet may be useful to avoid the hair fall. So I think I answered your questions still have queries please feel free to ask. 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\|] I work mowing lawns. I wear a dust mask. i have had a cough and a weazy chest on and off for months. I had an opperation on my veins on my legs 2 years ago and I ended up with post op Phenomina. Then Pharygitis and my throat has never been the same. I generally feel well but i am sick of this chest i have. [\|AI\|] Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of bronchitis (inflammation of airways) due to working in lawn is more likely. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (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. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).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\|] 30 year old female, 380 lbs, 5 5 ,...having tingly hands, sore arms, sore breasts, no period, swelling of legs and feet, tired a lot. No other issues in past other than gallbladder removed in 2009. On Paroxitine, changed birthcontrol 6 months ago, stopped taking it a month and a half ago. [\|AI\|] Hello, Your symptoms are suggestive of a metabolic disorder. I would recommend consulting with your attending physician for a physical exam and some tests:- Complete blood count for anemia-thyroid hormone levels for thyroid gland dysfunction- Blood electrolytes- PCR and ESR for inflammation- Kidney and liver function tests-Vitamin B12 and vitamin D plasma levels should discuss with your doctor on the above tests. Hope I have answered your question. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] My fiance is 44 years old, she thinks she had tuberculossis at 4 years old she was never hospitalised, she stayed at home and would play with her brother and was with her mother and Father and has never had problems, she has no scarring of lungs. Could this have been something other than Tuberculosis. [\|AI\|] Thanks for your question on Chat Doctor. I can understand your concern. Tuberculosis of childhood almost always produce Scar lesion on chest x-ray. Since she is not having any Scar lesion on chest x-ray at present, no need to worry about childhood tuberculosis. She might be having pneumonia which was healed by antibiotics. So no need to think too much about old disease as she is having normal chest x-ray at present. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks.
The conversation between human and AI assistant. [\|Human\|] i have been suffering from a fever for the last 5 days, i have been taking a course of AB but today seems to be the worst i have felt, my temp has gone from 37.2c one hour ago to 38c and i am sweating extreamly, my headache has worsened in the past 5 hours even after taking panadol and my breathing has become laboured, my sinuses are blocked and i am unable to sleep, i am wondering if i should go to the hospital or if this is the last of the fever trying to leave my body? [\|AI\|] Hi, I had gone through your question and understand your concerns. Most probably you have upper respiratory tract infection. Headache is due to nose blockage. Take steam inhalation with added menthol or if available LARVAL PLUS TABLET, it will be very effective. Take one anti-allergen like LEVOCETRIZINE 5 mg,use paracetamol for 3 times daily. Consult an ENT specialist soon. There is a possibility of malaria fever because you have fever, chills, headache rule out it by diagnostic test(rapid malaria kit method) if you not get relieved with in 2 days. Continue same antibiotic minimum of 6 doses(3 days). Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
The conversation between human and AI assistant. [\|Human\|] I have been having heart palpitations on an almost daily basis. Yesterday I had one so bad, it made me cough and I got a bit disoriented and couldnt talk right. I had an US done on my heart earlier this year. I do have mild tricuspid regurgitation and mild mitral regurgitation. Could my heart palpitations have anything at all to do with these daily heart palpitations even though the docs say both these regurgs are normal. [\|AI\|] Mild regurgitation of valves are normal finding of 2d echocardiography, so palpitations are most like not caused by it in your case palpitation is a feeling .....it can be a normal fast heart rate(sinus tachycardia)or dangerous fast heart rate (arrhythmias)I would like you to go for a normal ECG a holder(will record your beats for 24 hours)and a treadmill test as any abnormal heart beat will become evident during test get your thyroid profile done anxiety and smoking can also cause it so in case you are a smoker give up smoking and try to relax ND lower anxiety levels thank you
The conversation between human and AI assistant. [\|Human\|] Hi. I have a tooth that does not fit in my mouth, so it s on the side of another tooth, on top, believe it s a molar. Iv had it for about 8 years but in the past year latley iv been getting food stuck between it in my gums that becomes extreamly painful. Iv also been feeling tired, sluggish, dizzy, lightheaded, just simply out of it. I was wondering what this could be? It s running my everyday life [\|AI\|] Thanks for your query, I have gone through your query. The food lodgment is because of the maligned teeth. Consult an oral physician and get your teeth cleaned and after that maintain oral hygiene. You can take an opinion from the orthodontist to correct the maligned teeth with braces. You can use mouth washes, and should rinse your mouth soon after eating anything. I hope my answer will help you, take care.
The conversation between human and AI assistant. [\|Human\|] My boyfriend broke out in an awful rash and the skin had bumps and was red and very itchy and painful. The bumps went down after a cold shower and Benadryl. He plays baseball and for the last week and a half he s been using gold bond powder in his pants. What could be causing this? [\|AI\|] Hi, Welcome to Chat Doctor. I am suspecting hives in your boyfriends case and this could be due to an allergic reaction to the gold bond powder he might be using. These reactions are usually to some chemicals or foods or new soaps and cosmetics. I suggest he keep a track of new cosmetics or chemicals he might have been using in the recent past which might have triggered this reaction and best avoid them. For now, he can continue with the Ben Chat Doctor. If itching increases he can take Tab Atari 25 mg twice daily to control the itching. He can use a gentle soap to clean the inflamed area. I hope I have helped. Thanks.
The conversation between human and AI assistant. [\|Human\|] Hi, Im not at all sure that my jawline is accurate. My top Jaw completely overlaps my bottow jaw. None of my teeth interlock, meaning that they do not fit into each other. I have to be honest when I say that I havent been to the dentist in a few years. The last time I went to the orthodontist, they made a mould of my jawline and then called me back because they wanted to give me an x-ray. However, my mother made up her mind and decided she did not want me to have one because she is worried about the amount of radiation that they emit (I personally think she was more concerned about the cost if there was anything wrong). Not even my molars or pre-molars fit into place. Physically whenever I close my mouth my top lip always stick out far over my bottom lip and my face has a sort of camel-like shape (not sure if thats related). Furthermore, when I eat/chew, I tend not to use my incisors of canines much and it is mostly always eating from the side (molars and pre-molars). Im seroiusly considering making a dendist appointment soon. Do you think there is anything wrong with my jaw and do you know what can be done. Thankyou for any help or advice :) [\|AI\|] Hello, From the details provided, i assume that you have got a prognatChatDoctoraxilla causing overlapping of jaws. You must visit an orthodontist and get orthodontic treatment done. If necessary, orthographic surgery may be required to correct the jaws. Dental x-rays usually expose radiation which is to an affordable range by a human body. So, nothing to be worried. Meanwhile, avoid mouth opening too widely and check whether proper lip seal is attained. Take care.
The conversation between human and AI assistant. [\|Human\|] Dear doctor, am a 37 year old single working parent of two daughters of 9 and 5 years age. hail from a very dysfunctional family of abusive mother and non existent father, brothers who have been dependent on me for years. amde one of them study and got him a job etc. when my marriage failed i stayed with them for 6 months and soon realised have no future here, moved to pune with my daughters and by gods grace was able to carve a fresh life and job etc for me n daughters...have requested my parents to stay with me as working and looking after daughters is not easy...now my problem is that i cant stand my family...they steal from me especially my mother, totally they depend on me for everything, instead of helping me out, they are becoming a liablity on me...my mother is chronically deprrssed i think coz sh eis hooked oto TV serials big time and she laughs and cries with them..eats n sleeps there infront of TV. if i let them go..i find it difficult to manage things physically, if they are there, i find it very hard to manage things physically. this march on a family holiday, my bro and father beat me up infront of my kids coz they were rude to me and my kids and i wanted to go home..and my bro is also gng through rough marriage coz of his lying cheating ways..and all that frustrations he took it out on me..and am not able to forgive and forget and i dont want to also...that beating publically by the same people i loved and supported fo ryears has taken a big emotional toll on me..and only coz of my daughters am pulling through somehow,,,but finding it very hard day by day to keep my spirits up and its eating me from inside that my own mother and brother can steal from me and do these things for me...when am already dealing wih so much in personal and professional life...want to totally cut them off but coz of kids cant do that as well...pls help to become the strong person that i was. I find myself absolutely alone as have moved cities post separation with very abusive/alcoholoic/ controlling/cheating hubby.. :( Mona. [\|AI\|] Hello...... Thanks for your query. I can understand your emotional turmoil. As you described you indeed belong to a very dysfunctional family setting. You require meeting a psychological counselor for venting out your thoughts in person. Following this interpersonal or family therapy can be attempted to modify your family roles and improve interpersonal relations. In addition, you require a thorough psychiatric evaluation and may need to be started on anti-depressants and psychotherapy (e.g. cognitive behavioral therapy) as appropriate. Hope you found the information useful. Regards Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] hi i have a 19 months old baby and he has a ct scan and that shows that he had an arachnoid cyst in left middle cranial fossa my questions are ... it could be genetic ? how dangerous its for my baby ? it will be come a brain cancer or what d i need to do / he doesnt show any symptoms no fever no seizures the only symptoms that could have is his head is big .. [\|AI\|] Hi thanks for asking question. Usually arachnoid cyst doesn't show any sign and symptoms as in your case. This cyst can be congenital, or it is secondary to trauma and infection. But its genetic etiology not well established. This cyst is having purely benign nature. But with the time it can cause symptoms due to compression by increasing size. There is lots of controversy regarding treatment. But usually if cyst small and no symptoms and then treated conservatively with routine clinical and radiological follow up. But it is large space occupying cyst and symptomatic then it has to be removed to prevent developmental delay and seizure like symptoms. The surgical modality include open craniectomy with marsupilization, stereotactic cyst aspiration, ventriculocystostomy. Today laparoscopic cyst removal gaining more popularity as it lead to better exposure, less trauma and short hospital stay. I hope I have solved your query well. Thanks for contacting Chat Doctor
The conversation between human and AI assistant. [\|Human\|] Hello: I am having pain in my stomach mostly on the right side right under my breast and it feels like a fluttering feeling (like bubbles ) and the area is sensitive to touch but when I push it in the pain goes away. Can that be a ulcer and if so it doesn t matter what I eat or drink it is there it only feels better when I am laying down. [\|AI\|] Hi Donna, Thanks for writing your query. Your symptoms can be due to increased acidity and gas production. You should get following investigations done :-1. Liver Function Test.2. Ultrasound upper abdomen.3. Test for H.pylori.4. Endoscopy. You can take antacid like Omeprazole 20 mg along with Risperidone 10 mg once a day for relief from your symptoms. Following precautions will be helpful :-1. Avoid spicy/oily foods.2. Donor miss a meal.3. Avoid mental/emotional stress.4. Avoid cigarette/alcohol, if any.5. Chat Doctor. I hope this is helpful to you. Thanks.
The conversation between human and AI assistant. [\|Human\|] Hi, this is the result of my semenanalysis. I want to see if there is any problem.volume: 5 cc, ph; alkaline, viscosity: normal, liquefaction time: 30, sperm count: 60,000,000, motile:70%, active motile: 40, sluggish: 30, non-motile: 30%, abnormal shape: 20 %Thanks in advance. [\|AI\|] Thanks for contacting Chat Doctor with you medical questions. You are concerned about your recent sperm analysis. The number of sperm is very good and indicates that you have a very normal sperm analysis. You should have no problem trying to conceive a child. The abnormal shape sluggish motility and non-motile numbers are all within normal limits hope this answers your question. Please contact Chat Doctor again with any of your health care concerns
The conversation between human and AI assistant. [\|Human\|] hii dr.. i am 33 yrs old ,i got married since one yr .i resently found varicocele in my lt side..i am working in dubai.its mild degree.dr told me to take tablet for 3 months. i will go vaccation on october.shall i try to get pregnent to my wife on october and post pond my surgery may b next yr..it might b on april...bc my wife also working abord..kindly reply to me sir thank u.. [\|AI\|] Thanks for asking in Chat Doctor forum In Short: Usually surgery is not advised if varicocele is mild. Explanation: Varicocele usually occurs on the left side. You need not worry about this if it is mild and your semen analysis is normal. So, there is no hurry to have a child, you can take your own time, and it is ok to have child after your surgery also. It's your personal decision so, you may proceed with your own idea without postponement. Good luck
The conversation between human and AI assistant. [\|Human\|] Hi, I had a total thyroidectomy in 2012, with RAI and this past April had 40 lymph nodes removed, 7 of which were positive for papillary cancer recurrence. I just had my follow-up bloodwork and am on 125 Synthroid 8x/week. My Tg was 6.3, down from 23.7 and my TSH is 0.77. I was told that the Tg is still high, since it should be 0 and this means there still could be residual tumors although invisible on US. Why do I need to have lower than normal thyroid levels to suppress the tumor growth? [\|AI\|] Hello, TG or thyreoglubuline is a glycoprotein, so a protein, produced in your thyroid gland. So when your thyroid gland is completely removed (total thyroidectomy) or destroyed by radioactive sodium, the TG level should in theory be zero as there is no thyroid tissue level left. In cases of some thyroid cancer like papillary cancer the TG level is a parameter to follow up the disease. So if the TG level is increasing, that might be a sign that the cancer has come back. So after removing the lymph nodes it's a good sign that the level of TG is going down, but I agree that the level is still too high. So it's not a question of suppressing, it's rather a question of follow up of your cancer. The difficult part is when levels are still high and there's nothing to see on the ultrasound, where are there still cancer cells? So a Ct scan of the neck and chest might give information as well as a nuclear scan. Hope this answered your question
The conversation between human and AI assistant. [\|Human\|] I have a chronic cough with excessive mucus and I have had this condition for over 2 years. Test shows my lungs are clear, sinuses are clear. Where can this mucus be coming from and what can I do to get relief from this cough? It is changed my life drastically. I don t cough when I am laying flat. It causes me to vomit quite often because I can t get all the mucus out. Any ideas? [\|AI\|] Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of bronchitis is more likely. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (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. You will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Oral N acetyl cysteine (NAC) twice a day is also helpful. 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\|] what is minimum requirement of penis length for conceiving a women of age 30? [\|AI\|] Hi;welcome to Chat Doctor The minimum requirement of penis length for conceiving or healthy sex life is more than 2 inches when in erect position. The excess length is OK, but it does not matter much because:--there is less or no sensation of pleasure in vagina after a depth of 2 inches.--for fertilization during pregnancy the sperms have to travel to go to the ovum or egg & not the penis. I hope the answer is helpful to you. Thanks
The conversation between human and AI assistant. [\|Human\|] Hi, My child age of 8, has a mild Sidenham Chorea, no signs of previous ARF. EEG, MRI scan, Videocardiogram dont show any damages. Is there a homeopatic cure or substitude of the penicillin he is supposed to take for at least another 10 years?Thank you, Svetla [\|AI\|] **1. Since chorea is a delayed manifestation of rheumatic fever [Jones major criteria] and appears after a long latent period from the antecedent streptococcal infection, thus other manifestations [ARF/EEG/MRI] may be normal when chorea appears, thus regular supervision and follow up is necessary.2. Make sure that the attending physician examine the heat for any valvular lesion, search for exophthalmos, butterfly rash in face, signs of hepatocellular failure, K-F ring in cornea or polycythemia.3. Penicillin is the safest and Chat Doctor. In Ayurveda we along with Penicillin give Immunomodulators for increasing the immunity which will help him ward of opportunistic infections. [kindly consult in your locality]
The conversation between human and AI assistant. [\|Human\|] is this real? i slammed my lip onto a table, bit through my lower lip... it bled and seemed to heal fine. a month later... it is still hard like a blood clot feeling.. it is red and there is a white-ish bump. i ve tried to pop it before but it just bled more. either way it is hard, not painful but uncomfortable. wondering what this is... if i should go in for a visit or if it will reabsorb? [\|AI\|] Hi. Thanks for your query. Read and understood your problem. The appearance hard red and white bump in the lip after a trauma caused by hit on the table can be due to the following reasons:-This can be a Cyst -Organized hematoma appearing hard-Acquired Hematoma. You should go for a Visit to the General Surgeon or an ENT Surgeon for clinical evaluation so that the removal will be easy. Since this is more than a month you have this problem, it is unlikely to be absorbed by the body. There is no point in waiting for more.
The conversation between human and AI assistant. [\|Human\|] chest x-ray report- bilateral congested hila shadow with perihilar accentuation, lung markings are shown in both mid and lower zones, costopherenic angles are clear, cardiac size is normal and no active parenchymal lesion could be shown. my wife is a sugar patient and is suffering from serious cough for last 2 months and as per Dr. advise taking antibiotic but with no significiant result. what to do?can antibiotic cure [\|AI\|] Thanks for your question on Chat Doctor. I can understand your concern. I have gone through the x-ray report you have mentioned. This x-ray report is suggestive of bronchitis. And bronchitis can cause cough which needs to be inhaled bronchodilator and inhaled corticosteroids. No need to give antibiotics further as it can cause side effects. Better to consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. She will improve with inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS)(budesonide or fluticasone). Strict control of diabetes is also needed. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks.
The conversation between human and AI assistant. [\|Human\|] My leg is sensitive to touch. Hurts worse when I lie down. The pain radiates from my hip to my shin, it also feels like it is bruised even though i haven t had an injury to this area. The pain is usually a throbbing pain. the shin and thigh pain causes me to have to have to switch positions very frequently. What could be the cause of this kind of pain? [\|AI\|] Hello, I have studied your case. Due to compression of spinal nerve root there can be pain in your thigh and shin. I will advise you to do MRI spinor these symptoms analgesic and neurotrophic medication like pregabalin can be started consulting your doctor. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Another possibility of pain arising from pelvis and hip. So Ultrasonography pelvis and abdomen with CT scan will help you in diagnosis. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.
The conversation between human and AI assistant. [\|Human\|] I have been suffering from fever(between 98.9 and 100f) for the last 15 days. My blood report says the lepto Sperosis weakly positive and sgot is 136u/l and shot is 181u/l and alk. phosphate is 374iu/l and in the ultrasound Scaning it found that miles hepatomegaly .it found in the seventh Day of fever.then my doctor admitted me and penicillin injuction And doxycycline tablet given. 3rd after the admission another blood report had Taken, the report says sgot is 54u/l and sgpt is 130u/l and alk.phosphate is 211u/l But my temparature was 1p00.4f in the evening. So I discharged from that hospital And went to a famous hospital and told the history and admitted there. They were took my blood report again and in it sgpt is 69u/l.it is the 14 th day of my fever. They were also found no malaria and filaria.my wBC is 7900 cells/cumm, platelet count 2.9 lakhs Esr 06mm/hr,creatinine is 0.8mg/dl.. they were only given doxycycline and lactic acid bacillus capsule.and A Mubarak tablet. But my temparature is between 98.8 and 99.8.they were told me there is no fever and Discharged me yesterday and advised to continue the capsule and tablet. But my temparature is not touch In the normal stage.please help me. Taken, the report says shot is 54u/l and sgpt [\|AI\|] Hi Harinarayanan, That was a detailed description of your symptoms. Thank you. Firstly, please relax. I see that you have received the right treatment from the day 1 of your fever. Be glad about it. The test values vary from different laboratories. Please continue your current medications and complete them. You will be fine soon. It would take some time for the reports to come back to normal. Repeat the tests after 2 months and recheck the results. As of now, nothing extra needs to be done. Get well soon.
The conversation between human and AI assistant. [\|Human\|] I had a ultrasound 2 weeks ago and it was determined I had gallstones. At this moment I am having pain in the middle of my chest and in the middle of my upper back between my shoulder blades. I have a headache and slight right jaw pain. Is all of this associated with the gallbladder. My doctor is out of town and have an apt with him July 7th. Should I be concerned about a heart attack. I am 52 yrs old and have been under quite a bit of stress lately. [\|AI\|] Yellowest pain may be due to gall stones, however it may be due to other causes like reflux/acidity, cardiopulmonary causes etc. I suggest for definitive treatment of gall bladder stones. Definitive treatment is surgical removal of gall bladder(cholecystectomy). Gall bladder calculus are prone to infection and obstruction, so it is wise to get rid of it. Gall bladder calculus usually doesn't respond to medical management. Empirically you can take proton pump inhibitor like pantoprazole 40 mg once daily half hour before food in the morning. I also suggest for ECG in all leads and cardiac evaluation. Get well soon. Take Care Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] Hi, I have 3 children, 1 has grown according to her growth chart the other 2 are slow growers. I have had their bloods done and the eldest does always seem to be on low side with iron but all else is normal. I have Hashimotos So I tested their thyroid and it is also normal. I m wondering if their growth could be slow due to anxiety and panic attacks. My 14 yr old boy suffered with them a lot five years ago, the 9 year old girl has been suffering with it for last 2 years. Thanks Lisa [\|AI\|] Dear Lisa, your concern is appropriate. The anxiety and panic attacks need proper, long term treatment and counseling. You need to keep your cool i such a situation. Stay calm and be with the child. Try to find and eliminate source of attacks. Growth may or may not be hampered in such cases. Depending on how much psychological trauma the child has sustained and if this has affected his diet. Good nutrition is necessary for normal growth. Try to involve them in various activities, games etc.