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The conversation between human and AI assistant. [\|Human\|] My son (aged 3+ months) is suffering from Jaundice ....Hida scan is normal LFT deranged and HB 7.1 Doctor advised Udiliv syp (0.8 ml BD). does it OK? [\|AI\|] Hi.HIDE scan, in this case, was performed to differentiate between the two conditions : neonatal hepatitis and extra-hepatic biliary obstruction(ELBA). Neonatal hepatitis doesn't require surgery, while the other requires surgery. If HIDE shows tracer excretion into the intestines, it rules out ELBA. On the contrary, if it doesn't show tracer activity in the intestine, it can be because of both the conditions. UCA (Adílio) is thought to liquify the bile secreted and improve the Chat Doctor. It is used both as treatment and also before HIDE scan (at least 5 days before HIDE scan) to improve the clearance of bile into the intestines. If HIDE scan showed tracer activity into the intestines, you can continue giving ADÍLIO. Lots are deranged because there is damage to the liver cells because of inflammation.
The conversation between human and AI assistant. [\|Human\|] I had back muscle spasm last week. Went to the chiropractor and he helped my back pain, but since then I have been having some pain still in my back but the most uncomfortable pain is in my right arm, up into my neck and collar bone. I noticed the pain seemed to be going to a spot on my collar bone area, I then noticed a lump on the right side. [\|AI\|] Hello, Thanks for your query. The low backache is a result of muscle spasm which in itself is a protective mechanism body develops so that the back avoids abnormal posture. For pain to go, it takes not only rest (on a comfortable bed) but also avoidance of particular positions (during work, rest or recreation). Avoid sleeping on sides and stomach in case you do. While on work don't sit in one position for more than an hour and take frequent stretch breaks. Do not bend forward to lift things up, bend the knees and hips for that. Also discontinue any strenuous activity or exercises for some time. Having said that, you might want to consult your orthopaedician for a detailed physical examination and appropriate investigations. It might help with few medications and physiotherapy for a few days. Physiotherapy particularly lumbar traction for a week and back strengthening exercises after pain relief work well. Remember that medicines usually don't play a role in long term treatment, what does are exercises. Few exercises that the therapist will teach you must be done for lifetime. 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 niece had Thyroid cancer 15 years ago. She was pregnant at the time. They removed her thyroid and had the radio isotope treatment. A year ago she was dx with a 1 cm nodule on her R carotid. They told her it was probably from the collapsed thyroid leaves cookie crumbs and nodules may form around them. Today she was to have a biopsy nut had an ultrasound instead because it is on her carotid. It is now over 3 cm. What type of specialist should she be seeing? She has been told there is nothing that can be done. Is this true? [\|AI\|] Hi, Thanks for writing in. With a history of thyroid cancer 15 years ago, possibility of cancer recurrence must be evaluated. It is important to do detailed investigation for the nodule on the neck. As ultrasound is already done, the next step will be to do a CT scan contrast of the neck. An MRI scan neck can be done if available. This will tell the exact location, size and relation to the carotid. A biopsy can be planned based on the CT scan. She should consult a head and neck cancer surgeon right now. They are experts and will be able to tell if the nodule is respectable or not. With proper technique and guidance, an ultrasound guided FNAC and biopsy can be attempted, and a confirmatory diagnosis is to be made. After making a pathological diagnosis, treatment can be started even if the tumor is not operable. Chemotherapy and radiation will always help if surgery is difficult. Please do not worry.
The conversation between human and AI assistant. [\|Human\|] Hi Can you tell me if a swollen ankle and pain across top of foot when using stairs and pain in back of knee when rising from sitting can be connected to thyroid problems? I have not injured my leg, that I know of but back of knee is cagey when sitting at night. N [\|AI\|] Hi, thank you for providing the brief history of you. A thorough clinical examination is advised followed by some routine blood test. As swelling in the feet and pain in the back of the knee can be due to any of the factors of which we cannot jump to a conclusion of the Thyroid dysfunction. As most times, due to the signs and symptoms, we need to find a differential diagnosis of the condition and compare the signs and symptoms along with the laboratory findings. Also, if it is thyroid dysfunction the blood test should reveal the possible changes and bases on which the Chat Doctor. Besides, undergoing physical therapy for the swelling and pain behind the knee works well as per my clinical experience. RegardsJay In
The conversation between human and AI assistant. [\|Human\|] I just got a cold about two days ago. my throat has been hurting the whole time I been sick. but now instead of my throat being sore, there feels like there s a lump towards the middle of my throat. why is it there and how can I get rid of this lump fast? [\|AI\|] Hi! Welcome to Chat Doctor! This is a very common clinical presentation in my clinic and people often complain of lump following sore throat or common cold, flu etc. and as per my experience of ultrasound and related needle biopsy reports, I get following possibilities:1. Reactive enlargement of regional lymph nodes2. Reactive hyperplasia of tonsils, tongue lymphoid tissue or adenoids3. Abscess4. Ectopic thyroid tissue5. Cystic lesionsTherefore you have to take warm saline gargle, maintain oral hygiene and see an ENT specialist for a clinical examination and some azithromycin-based antibiotics under medical prescription!regards
The conversation between human and AI assistant. [\|Human\|] Hi,my 85 year old dad has been suffering with very sharp abdominal pain,constipation and loss of appetite for a few days,doctor gave him painkillers and laxative but he seems to be getting worse,he is on warfarin and nurse rang to say his blood was 9.5 and not let him take any warfarin tablets he seems to be getting worse.he never complains so i know he is in pain what can i do.hope you can help [\|AI\|] Hello! Thank you for the query. Your dads' hemoglobin 9,5 does not have to be caused by War fin. This medicine makes him more prone to bleeding, but every bleeding has its source. Abdominal pain, constipation, loss of appetite and low hemoglobin level sounds really like a colon cancer. Especially at the age of 85. Hemoglobin level is low because he is probably bleeding from gastrointestinal tract. That is why I suggest your dad to do not wait anymore and have some tests done. Abdominal ultrasound and colonoscopy are strongly advisable. Hope this will help. Regards.
The conversation between human and AI assistant. [\|Human\|] Hello my boy friend has type 2 diabetes and I took his blood sugar at 730 pm and it was 193 almost an hour later he started to feel like he was going to pass out so at 820pm his sugar spike to 217 so fast now he took his meds and he had not eaten what should I do [\|AI\|] HI, thanks for using Chat Doctor If he has an symptom related to infection (cough/cold or any infection) then this can cause an increase in his blood sugar. If this is not the case then the increase can be related to a change in diet or not using the medication as prescribed. He should do his readings regularly for the next 2 to 3 days at different points during the day-fasting, premeal, post meals, so that he can get a general idea of his control. If the readings are consistently high then he may need to speak to his doctor about his medication. I hope this helps
The conversation between human and AI assistant. [\|Human\|] My son has suddenly started to have red dry patches which are round-in- shape on his chest and shoulders.There are only a few, however they are unusual to his normal body/skin area. We swim, wear sun screen, etc... Can anyone tell me if we should take him to a doctor for an evaluation? About 2 (again only about 4-5) are round in circular form and rashish; there is no puss or discharge. Could this be ring worm? [\|AI\|] Hi, thanks for posting your query. Your son has developed round red Chat Doctor. This can be due to a number of conditions. You have not mentioned his age and whether it is associated with itching, which could have helped in narrowing down the possibilities. How every one the following conditions may be the present:Contact dermatitis, urticaria, psoriasis, acne, satyriasis rose, insect bite reaction, fungal infection(ring worm) etc. You should surely take him to doctor for evaluation and appropriate timely treatment. Hope this solves your query. Wish your son a speedy recovery. Take care
The conversation between human and AI assistant. [\|Human\|] I have a lump about half way up my spine and an inch to the right of it. It is slightly tender ti the touch, not soft but not rock hard, and seemed to almost somewhat disappear after prodding and poking it for a while, but it comes right back. I am very worried, any ideas? Skin on top. if it looks normal. 24 year old mother of 3, good health overall , but horrible skin problems... [\|AI\|] Hi. Thanks for your query. The lump you described can be due to a lipoma or a sebaceous cyst as the most common cause. A clinical examination by a Surgeon would give an exact clinical diagnosis. Since the position is midway on the back, this being a pressure-bearing area in sleeping, I would advise all such patients to get such lumps removed. There are 2 advantages:1. The disease is removed.2. One gets the exact diagnosis. So please go for excision of this lump.
The conversation between human and AI assistant. [\|Human\|] My hearts been Beatin extremely loud have been coughing some some but chest hurts bad last night it was awful I was tryin 2 sleep but my heart was pounding so hard I was scared Im only 20 i do smoke cigs It felt as if I was goin to die was waiting for the pain to ease but , unfortunately this morning the center of my chest was so sore. Its felt like a big bruise and it feels like it races [\|AI\|] Hello, thanks for posting a question. You seem to be having issues with palpitations. They can be caused emotional issues, smoking, underlying heart issues. Most of the time they are not harmful but scary. I advise you exercise at least 3 times a week, eat healthily, avoid alcohol or smoking and sleep 6-7 hours a day, and hopefully, you will be fine. Please see a physician if you do not get relief in 2-3 weeks for a physical examination. Best regards
The conversation between human and AI assistant. [\|Human\|] I am waiting to see a consultant about a potential cecum issue relating to a consistent pain in that area (ranges from severe to dull ache) but have recently started experiencing back pain (in the same area but at the back) and now it hurts when I simply sit.. More at the bottom of my back.. [\|AI\|] Hello, Thank you for contact us, Exercise in right manner will be effective to back pain but in wrong way might more painful for that. Commonly Nowadays it's mostly the common problems in humans. Mainly its due to inactivity of muscles it. Today every one having totally sitting life as no work at all that could be count as a body exercise due to that problem occurs. For back Pain you should follow instructions described below -Best medicine for Lower back pain is Rest. Resting for some days will heal the muscles which could be damage because of jerk. Muscles need some time to heal so give them time for the same. Another way is to take message with hot or cold water, Some people take cold water and some takes hot for massage. I didn't find anything in your description like its because of any jerk or accident still if pain is there after following above you should have to concern good doctor for the same. Other exercise or treatment will doctor suggest after checking you physically. Hope it will work for your back pain. Good luck, Take care. Thanks & regards,
The conversation between human and AI assistant. [\|Human\|] Its been almost 2 weeks now..i have been getting these skin rashes on different parts of the body now and then...it burns for a while then it disappears...it appears as tiny bumpy spots ...i have been taking medications(Allegra tabs)since last 2 days.. but its not helping...should i go for blood tests?? [\|AI\|] Thanks for contacting Chat Doctor, you are suffering from acute urticaria. Acute urticaria is a condition where an itchy rash suddenly develops. The rash may be triggered by an allergy, or by another factor such as heat or exercise. In most cases the rash lasts 24-48 hours and is not serious. The rash usually appears suddenly and can affect any area of skin. Small raised areas called weals (or wheals) develop on the skin. Food allergies such as allergies to nuts, strawberries, citrus fruit, egg, food additives, spices, chocolate, or shellfish can cause urticaria. Sometimes viral infection or contact with allergens can cause it. Calamine lotion or menthol 1% in aqueous cream can help with itching. You can increase the dose of Allegra 180 mg up to 4 times to control itching. Hope this will help you. Regards
The conversation between human and AI assistant. [\|Human\|] yes, how much of a pain killer is cymbalta? My pain management Dr. put me on cymbalta and no pain meds my concerns are withdrawal from my pain meds and will the cymbalta be sufficient in place of pain meds. i understood he was goimg to change my pain meds to oxcodine but he didn t. what happens to me now? [\|AI\|] Hi, Cymbal ta is a mediocre antidepressant that also has effects on stress hormones. Increased stress hormone levels at the level of spine and probably brain, block or take attention away from pain. So, everything is the same, but the feelings are damped down. It doesn't actually lower pain and generally, it is not enough by itself. This is more likely to work well the more the pain is due to nerves and spine nerve or spinal pain and less if it is due to a non-nervous tissue cause. So, a lumbar disk hitting nerves or spine will lower pain some witChatDoctorbalta, but there is enough direct trauma that it won't work completely. On the other hand, a disorder in which the nerves are the whole source of the pain such as shingles or fibromyalgia might be really helped by just the Cymbal ta. Hope I have answered your query. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] Hello there Dr my name is Kelly, I recently turned my life around by eating better and changing my lifetyle from pretty bad to awesome with Dr Cabot and Bowel food and a great eating habit for the last 3 weeks, my problem is I am experiencing pain in my liver or gaul around that area and is progressively getting worse. I havent had panadol, I want to monitor it. What do you think ? :D [\|AI\|] Hi. Such pain is usually caused by gallbladder stones. It doesn't matter which food do you eat now because it could have been formatted already. If you feel cramps paid son after meal it is definitely it. Also, you can try to take painkillers because it won't be very helpful in biliary police. So this is the way to check it. Spasmed or similar Chat Doctor. If you rule this out some more other diagnosis can be considered such as hepatitis, gastritis or IBD. SO I suggest going step by step. Do ultrasound and liver enzymes and then plan further examination. Wish you good health.
The conversation between human and AI assistant. [\|Human\|] Hello Sir, My name is Amit, i want to donate my kidney those whose need very urgent. But before that i want to ask that after donating my kidney, will i face any problem in future. But i am ready to donate it what ever it may be. please contact me if some body need of kidney. my blood group is O+.,, Age- 22, Height- 157cm, Weight- 70Kg. my email id is " YYYY@YYYY " [\|AI\|] Hi, Thanks for writing in. Donating kidney for money is illegal in India. You may donate it to any close friend or relative when such a person is matching with your HLA typing. Donating a kidney voluntarily to anyone who needs it urgently without knowing the person and the illness they have is not correct. Donation of kidney is through a major surgery and requires hospitalization and pre donation checks which need to be approved by ethical board appointed to oversee the donation process. There are organ transplantation laws in India and if anyone is caught indulging in malpractice then they will be scrutinized under existing laws of the land.
The conversation between human and AI assistant. [\|Human\|] Hello Doctor, For the past years i have been have a nasal allergy . I use to get this Allergy in my Nose once in a week. I use to get continuous sneezing and my nose will be very heavy. itz happens mostly when i drink cold water. i can t bear a sip of cold water also. sneezing go on for whole day but when i use Cetrizine and i will get released. PLZ suggest mi any permanent solution. [\|AI\|] Hello, You are having allergic rhinitis which will always re-occur ones the allergens (cold, dust, pollen) are present. You need to adjust your lifestyle and avoid allergens even though it is difficult to do, at least you will reduce the chances of you getting some allergy episodes. Then you can use antihistamines such as cetirizine or a nasal steroid spray to relief the symptoms when they present. I don't think there is any permanent cure for your allergy as it is already encrypted in your DNA and that can not be corrected by any known medical therapy. Wish you the best and hope this helps.
The conversation between human and AI assistant. [\|Human\|] hi my name is chantele im 17 and im freaking out, i have trouble breathing sometimes, im not sure what this one is but its either my chest or my heart hurting, i have trouble sleeping because i keep thinking im going to die, i also get really sweaty and shaky when i get scared , is this anything to worry about? will i die? i need answers, im really scared! thank you for your time. [\|AI\|] Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* This is most probably from psychosomatic manifestation of underlying anxiety disorder.* Suggestions for better outcome - One time consultation with expert Psychiatrist.- Avoid stress, anxiety.- Try to have sound, regular sleep of 8 hrs.- No smoking or alcohol.- Regular walking in fresh air, exercises, deep breathing, YOGA Hope this clears your query. Welcome for further guidance. Regards.
The conversation between human and AI assistant. [\|Human\|] i have bad acne problem for a long period of time like 13 years i living in Ethiopia i couldn t find a solution i am suffering and i lost my hole confidence every time the new acne coming out so can u help me for this not only to come out new one it become a black head my chest , nick , face, arms, and back hole part of my body i am single and i never married before and now i am 25 years young lady need ur help or might be itis the cause of dirty blood inside my body i don t know yet!! hope to hear favorable response soon. [\|AI\|] Hi I am Chat Doctor. .you don't have to really bother about the acne...there are many therapies which are quite effective in treating acne...see acne is a hormonal concern...and it always happens just BCO of the same....It's not your blood which is bad...so don't think negative...being a hormonal concern even the acne gets reduced there are chances that it may come back as well ...but still we need to treat it BCO we need to prevent the complications like permanent scarring and pigmentation...you are getting acne on face neck chest arms and the back BCO this is the seborrhea area of the body where there is more and more oily glands...I recommend that follow daily skin care with cleanser with 2% salicylic acid, toner and a good sunscreen...get your hormonal assay and sonography of pelvis...never break any acne, never touch them....you may be required to start with anti hormonal tablets or oral isotretinoin and oral antibiotic...for that see a good dermatologist....till then you can apply creams containing benzyl peroxide and clindamycin alternate nights...don't worry...acne never last forever...
The conversation between human and AI assistant. [\|Human\|] Yes I just had an MRI for shoulder pain and arm numness and tingling in fingers. First the arm numbness was too weird. No injury just painful to even lay on rt shoulder in bed, so now I have to lay back to rt side, rt arm still hurst in the Am and sometimsEs at resting. How do you treat bone marrow edema for the pain. [\|AI\|] Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to pinched nerve in the shoulder. I suggest using an anti-inflammatory medication to relieve the symptoms such as Ibuprofen. You can take this medication three times a day. If the symptoms continue you should see a neurologist and get evaluated. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] im a 36 yr old female, i really could do with some new suggestions.... i was diagnosed several years ago with ibs, i have been having severe constipation, bloating, stomach pains, night sweats, itching, lower back pains and a general feeling of unwellness on and off for several years, i have had the usual, colonoscopy and scans which were clear, (apart from gallstones - gallbladder removed 2 yrs ago) ive tried many medications which havnt worked, including many laxatives from my doctor, i can go weeks without bowel movements, when things are that bad the only thing that helps is picolax from the hospital, although im scared even that is not as effective as it once was ( had 1 sat morning another sunday morning and didnt work untill sunday evening!) ive just got back from seeing my gp again and although hes sending me for another scan, i really feel like he just said it to fob me off as he said i should try hypnotherapy, im fed up with constantly feeling so rubbish, its getting me down and its seriously impacting on my life, is there anything you could suggest that may help, i feel like im just being told oh its your ibs get on with it and that im wasting peoples time ....... many thanks for any suggestions you may have [\|AI\|] Hi, Thanks for your query, an elucidated history. Since you are a known patient of IBS- C meaning constipating form, the treatment has to be directed accordingly. You may try Remain plus at bedtime-the dosages to be adjusted as per your requirements. I would suggest you the following ::: Treatment:STRESS = stress is the most important cause of IBS. Please remember, and you must have observed that when you do not have stress your problem with IBS is reducedChange of lifestyle. I think maybe you are not coping with something. Vacation outside your area, mobiles phones to be off. You must have noticed already that these changes help a lot. Try to avoid anything which you are / have to do against your will and wish. Get into the hobbies which make you forget the world around you. Life comes only once, boss. If the change of routine helps, the necessity of medicines is Chat Doctor. Medicines :: You need to have a prescription of a Doctor, please discuss this with a Gastroenterologist to get a prescription. I would like to know which medicines have you taken in the past and in which dosage A and It D in therapeutic doses, Multiviatamins, probiotics, anxiolytic help a lot. Remember the simple dictum in IBS : you have to undergo necessary investigations before you are labelled as a patient of IBS. Secondly IBS is easily treatable, controllable and within the ambit of your psychological set-up. The moment the instigating or precipitating factors come into play the problem may re-start.
The conversation between human and AI assistant. [\|Human\|] hi, just out of the blue i get a really really really sore head and i feel really dizzy and i lose control i need help really fast . its serious and no doctors seem to believe people think im crazy and im only 12 please help me !!! ( my mother knows about this ) [\|AI\|] Hi,First relax, you are completely fine. It is because maybe you have some vision problem and need some glasses. So It's ok to tell your mom, she will take you to an eye doctor, and you will be fine regarding loss of control. You need a simple brain test. EEG, it will clear your situation but in any case you can do nothing without your mom. Go to her, and she will definitely help you out. 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 62 years old.I worked in a Power Station in India and retired now.I am taking the medicine Libotrip DS since 1990. Then, I got pre hypertension in the year 2005.Then.I have started taking medicine Seloken XL 50, Atorva 10, Olvance 40 Plagril gold 75, Resilez 150 and Becosules to control the Blood Pressure by consulting a cardiology doctor in Apollo Hospital in Chennai, Tamil Nadu, India.I am having my own doubt whether I am gong in the right path or not. Please clarify my doubt and please give your expert advice. [\|AI\|] Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Yes, you are on right path.2. If you are worried about too many medications, becomes is vitamin supplements, which is the only one you can stop and increase nutrition through diet. Others are compulsory.3. Weight reduction and cholesterol within good control, Astoria can be discontinued slowly after discussion with your doctor.4. Take medications regularly. Make sure, the blood pressure is always less than 140/90. Hope it helps. Any further queries, happy to help again.
The conversation between human and AI assistant. [\|Human\|] When I was born, my parents have told me that, my heart was to big in proportion to my body.I didnt hav to go throug a sergery, I just got some medicins, and after 3 weeks I could leave the hospital. My question is: what is what I discribed called (what is the diagnose)? [\|AI\|] Hi Welcome to Chat Doctor, I understand your query and concern. The diagnosis could be Cardiomegaly or Dilated cardiomyopathy. I advise you to get a 2 Dimensional Echo cardiograph of your heart immediately to confirm the diagnosis. A routine ECG, lipid profile, chest x-ray will help for evaluation. Once the diagnosis is confirmed, depending on heart parameters like Ejection fraction, blood pressure, heart rate the treatment options can be framed out. Avoid strenuous activities. Avoid smoking or alcohol if any, Report to emergency if you have symptoms like Shortness of breath, chest pain or dizziness. Consult your cardiologist for expert management. Post your further queries if any, Thank you.
The conversation between human and AI assistant. [\|Human\|] During our morning walks my wife gets short of breath on the hills, and her legs get heavy. She doesnt seem to improve with routine walking, and sometimes its worse than others. she is 5-4 and 142 lbs, and we have been walking for 45 minutes every day for many years [\|AI\|] Thanks for your question on Chat Doctor. I can understand your concern. Your wife is having breathlessness on heavy exertion (uphill walking). This is commonly seen with lung diseases like bronchitis and heart diseases like angina and heart failure. So better to rule out these diseases first. So get done 1. ECG and 2d echo to rule out heart diseases. 2. Chest x-ray and PFT (pulmonary function test) to rule out lung pathology. She may need treatment on the basis of these reports. Don't worry, she will be alright with treatment. Better to first diagnose herself and then start appropriate treatment. 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\|] hi there I have a sore hard lump on the side of my leg, I 1st felt it and expected a big bruise, but there was no mark on it all, it is slightly red, on the inside about 1/2 way between foot and knee, it feels hot to the touch, but there is no mark on it to suggest an insect bite. it is oval in shape, and around the size of a 10p [\|AI\|] Hi! Whenever a patient visits my clinic with any kind of leg lump which is sore and red, I usually get following possibilities as per needle biopsy experience:1. An abscess 30%2. Infected inclusion cyst 30%3. Benign tumors like dermatofibroma, lipoma or neurofibroma 20%4. Benign tumors of the bone or tendon 10%5. Soft tissue infection like folliculitis, panniculitis etc.10%Therefore, it is time to see a surgeon for an opinion and please don't worry as this is infective only and never malignant!regards,
The conversation between human and AI assistant. [\|Human\|] Hi, I am staying in Singapore. I had seizures after my delivery. It was for the first time. I was taking Kepra for 6 months. Later I had some anxiety related issues, so had zapiz .5 Then stopped the zapiz. After 1 month or so, I was affected by vertigo followed by anxiety symptoms. Now I have headache almost everyday. So I called my doc in India and taking zapiz .5. When I reduce it to half a dosage I am having the headache again. Now I am confused how long should I have zapiz with one full medicine dosage. [\|AI\|] Hi, Thank you for posting your query. Zapiz is a benzodiazepine, commonly used for treating anxiety. It has a high probability of causing addiction, if used for long. So, I suspect you are developing an addiction to it. That is the reason, as soon as you stop it, symptoms recur.First, we need to determine the cause of your headaches. If it is migraine, then, we need to use preventive medications. Since you have seizures also, topiramate or divalproex would be a better option than Kendra (levetiracetam), as they would help both seizures and migraines. For coming out of rapid, you may take the help of a psychiatrist. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/
The conversation between human and AI assistant. [\|Human\|] I applied, for insurance recently and was denied for out of range results by companies allowances. Having kept records of previous test,(all which have been within range ) as recently as I/2014...my sgot/sgpt levels have gone up. Current readings are sgot146/ sgpt 116. ??? I wish to follow up with someone but have no doctor at this time. Which professional should I seek for comparative testing and evaluation? I moderately drink, work out vigorously 3 days a week, am about to turn 50. Puzzled.... [\|AI\|] Hello, Welcome to Chat Doctor. I read carefully your query and I understand your concern. Normal levels of AST and ALT may slightly vary depending on the individual laboratories reference values. Typically, the range for normal AST is reported between 10 and 40 units per liter and ALT between 7 and 56 units per liter. ALT and AST are two of the most reliable markers of hepatocellular injury or necrosis. Their levels can be elevated in a variety of liver disorders. I would suggest you seek consultant with the gastro-hepatologist in your local region. You do not mention any other blood test report like GGT, ALP or Bilirubin level, in order to help me find determine the cause of your elevated transaminase. Hope I was helpful with my answer. Don't hesitate to ask again. Take Care,
The conversation between human and AI assistant. [\|Human\|] Hello Doctor ,my uncle is suffering from bone cancer & his major bones are invoved , his left femour also shows some neoplastic lesion, now he is completed 1st cycle of chemotherapy & radiotheray , can i know the possibility of complete cure ????? [\|AI\|] Hi, dairy have gone through your question. I can understand your concern. He has bone cancer. Possibility of cure depends on type and stage of cancer as well spread. In early stage of cancer chances of complete cure is high. In later stage possibilities of complete cure is low. Please send me details of cancer so that I can help you further. Thanks for using Chat Doctor. Wish you a very good health.
The conversation between human and AI assistant. [\|Human\|] My son is sick in bed with a fever. Began during the night, went to dr this morning. Checked for flu -negative. His skin issues are in other locations but I don t know where, but he told me about his hands. He was in Japan for a month for work. He has been home for 4 days. They have a daughter who is 21months old. Just thinking [\|AI\|] Hi... I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other anthems which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use HY Chat Doctor. This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. BUT PLEASE BEAR IN MIND THAT SKIN CONDITIONS ARE ALWAYS BEST DIAGNOSED AND TREATED AFTER SEEING THEM DIRECTLY. SO I SUGGEST YOU TO UPLOAD SOME IMAGES ON THIS WEBSITE AND GET BACK TO US SO THAT WE CAN HELP YOU SCIENTIFICALLY. Regards -
The conversation between human and AI assistant. [\|Human\|] i helped a man clean his house. i wore gloves and didnt sit on any surfaces, but he had mrsa in the past. he currently doesnt have any sores. ive washed with hibiclens and am washing my clothes with boiling water, is there something else i should do [\|AI\|] Hi. This should more than suffice. MRSA comes to those who have a poor immunity, also there are different grades of MRSA. In healthier individuals, it only causes a mild skin infection which in most cases does not even require treatment. Only in those who have a poor immunity does it manifest into something more serious. So all you need to do is take good care of your hygiene, and maintain your health. Best wishes.
The conversation between human and AI assistant. [\|Human\|] Hello My name is ebony and I m 21 years old . For the past months or so I have been having really bad chest pains ; as if someone is stepping on my chest with a boot on . My heart has irregular beats , one minute it s beating fast next minute it s so slow I can feel it like it s about to stop any minute ; times it feels like my back has sharp needles in it and I can t move ; I ve been to the hospital plenty of times my EKG is different everytime but yet they don t know what s wrong . I m very scared for my life . help please . [\|AI\|] Thanks for your question on Chat Doctor. In my opinion you should get done holder monitoring. Holder monitoring is continuous recording of ECG throughout the day (24 hours recording). So that exact event see can see. You may have arrhythmia. And holder monitoring is the best tool for evaluation of it. If this is normal than you should go for coronary angiography to rule out coronary artery disease. So better to consult cardiologist and discuss all these.
The conversation between human and AI assistant. [\|Human\|] I already typed in my query. As to your questions, I am 53, 5 7 , 180lbs (after losing 150 lbs with surgery, drugs, fad diets, etc.; just prayer) and have gone from a 32Plus to a 14Misses. I am on disability after being raped for the 4th time in my life 10 years ago. I am being treated for, among other things, PTSD, major depressive disorder , anxiety disorder, OCD, and bipolar I as well as fibromyalgia, CFS , IBS, arthritis, and bursitis . I was a practicing attorney at a renowned law firm when the last rape occurred. I developed tardive dyskinesia 2.5 years ago after a series of hospital stays. The injury about which I am inquiring was the result of a self-bite in my sleep several weeks ago. I have an appointment with my PCP toward the end of the month but I have the two listed questions in the interim. [\|AI\|] Hello and welcome to Chat Doctor. Thanks for your query. In the Public Forum, it is not possible to ask follow-up questions. So, I'm sorry to inform you that I am not able to view or access the questions which you have listed in your previous post. It may have been answered by some other doctor on the forum. If you would like to ask follow-up questions or clarifications after your initial query, please use the premium service. I understand that you must be going through a difficult time due to your multiple problems. But since I don't know what your specific queries, I can only give you general advise for your problem based on the brief information you have posted here. Self-biting during sleep can be due to a condition called bruise. There can be various causes for this and psychological stress is one of the most important causes. So, if you are having this problem repeatedly, I would suggest that you have a detailed evaluation to find out the possible cause. If you are having difficulty handling your multiple psychological problems, I would suggest that you consult a psychiatrist for further treatment. Wish you all the best.
The conversation between human and AI assistant. [\|Human\|] Hi, my mother is 72.She has scoliosis so constant back pain. She swings between faecal incontinence to constipation. She also had an op 6 months ago to tighten muscles to help with the incontinence. A few days before the op her back suddenly became very painful but not a pain she was used to, she felt it was more around the kidney area, but accepted it as scoliosis. She then was diagnosed with an abdominal aortic aneuyrism and is being monitored for that. The change in back pain has continued since.She has complained for 10 days now of constipation and has taken huge amounts of Movicol and sennacot. There has been liquid faeces passed but she feels like there is huge blockage and is complaining of extremely uncomfortable bloating, nausea etc. After reading a little about about AAA could the back pain and bloating be symptoms of that? [\|AI\|] Hi. Thanks for your query for your Mother. Read the history of multiple problems she is suffering from and tried to correlate all. The pain in abdomen looks to be due to overdose of Senna cot and SYVICOL. They are known to cause this sort of pain. If she is still feeling of block, this can be due to impacted xenoliths which can be seen on ultrasonography and a Soap-Saline enema may solve her problem. This is probably not due to Abdominal Aortic Aneurysm. If it expands there be will far more severe problems than just bloating and nausea.
The conversation between human and AI assistant. [\|Human\|] Hello, i had done my ivf embryo transplant on 23rd wednesday, march 2011. when shoule i be getting the positivity for pregnancy??? today is 30th march, & i did my ChatDoctor urine test , it showed nagative. what is my dpo day today??? please answer my 3 questions in detail thanks, [\|AI\|] Hi Welcome to Chat Doctor If embryo transfer was done in same cycle after ovum pick up then you can do beta Chat Doctor on 12th day, counting day of ovum pick up as first day. Kindly mention in detail which day ovum pickup was done and which day embryo was transferred. Beta Chat Doctor becomes positive about 12 days after egg retrieval, 9 days after a day-3 embryo transfer and 7 days after a blastocyst transfer, the woman should have a quantitative beta Chat Doctor blood pregnancy test performed. Urine test will be positive only one week after serum beta Chat Doctor. Take care.
The conversation between human and AI assistant. [\|Human\|] hi,m 20 years old girl,,,my skin is dry and m getting white and rough pattches on my face,how can i remove this ? and i want my skin to be fair,,could u pls suggest me any good cream...which can be available in medical shop,so dat i can buy....pls help me out [\|AI\|] Hello. Thanks for writing to us at Chat Doctor The white patches are most likely due to satyriasis Alba. The patches are common on Chat Doctor. They can be somewhat scaly as well, thus giving a rough appearance to the skin. Pityriasis Alba patches are light colored (lighter than the surrounding skin); the light color being actually due to post-inflammatory hypopigmentation. I usually recommend a good moisturizer, twice daily. You may use an OTC moisturizing lotion like Vaseline, once or twice daily depending on the severity of
The conversation between human and AI assistant. [\|Human\|] The inside of my mouth, especially around my lips, is wrinkly feeling and really burns when I brush my teeth. The inside of my lower lip is easier to see, and there are white pinhead-size bumps under the skin that I can see and feel with my my tongue. This has been getting worse over the past few months. Thank you. [\|AI\|] Hello, Thanks for consulting Chat Doctor, Read your query, as you have white bumps in mouth and lips it can be Recurrent authors ulcer, oral Lichen plans, or presence of forces granules. Don't be worried so much for this you should consult dentist and go for examination of oral cavity, in meantime you can apply ointment like McCoppin or Mugel on lips, you can take vitamin B supplements by consulting with your doctor. Hope it will help you. Wishing you good health.
The conversation between human and AI assistant. [\|Human\|] sorry i know its a lot but i need help....I am so undecided about everything i feel like a crazy person, sometimes I m doing good accomplishing things, & then the next I m weak & extremely depressed. I can t find what to do with my life! My bones hurt, I m itching all the time, it seems to be with the humidity. One day my face started to numb & my left body area. My lower back of my head is always hurting, my feet are in pain when I wake up & my thigh is in pain now. I m never comfortable anywhere or anyplace. The only place I find myself comfortable is at church and when I am helping others with my same problems...but I think I need help now. I get huge Panick attacks that make me shake in heat flashes when I m in fear of trust, alcohol, or drugs. I can t anymore...My head hurts because I can never concentrate and my body is always in pain. I hate my heart beat racing so fast that the next I can t get up in the mornings. [\|AI\|] Hi, thanks for query. I think you need help with your health. Please visit a physician and get your self properly examined. You may need some psychiatrist help also. You seem to be having some anxiety disorder which needs proper evaluation and treatment. Do not worry you will be fine. Try to avoid the situations in which you are not comfortable. Talk to your friends about this. Take good diet, keep your self busy all the time.bye.
The conversation between human and AI assistant. [\|Human\|] dear doc, i am suffering from this phlegm formation in my body since last 4 to 5 years.. it just forms in my body and it now troubles me very much. i feel as if it blocks my veins to brain/head and i cannot raise my head and i feel my head very heavy. i am on antibiotic almost 15 days in a month.. but i am not getting a permanent solution.. i also took homeo medicine for some time but once i stopped it has again started. will i have to take homeo medicine all my life ??? can u tell me how long i should take this medicine? also if u can help me with ayurvedic medicine. kindly assist. regards [\|AI\|] Dearths condition relates to oaf visit in Ayurveda. The symptoms you are mentioning indicate towards sinusitis. Well apart from medicines that restrict phlegm formation you also need immune boosters to check recurrence. Have turmeric in hot milk. Use honey in any form. Avoid cold atmosphere and cold things. Amongst medicines, you can use swamla as immune booster and mahalakshami villas RAS sworn yuk at. Oaf KET RAS or tribunal birth RAS can be considered as per the symptoms.
The conversation between human and AI assistant. [\|Human\|] Im 17 years old female and I get very turned on over even the smallest of things. I masturbate about 7 times a day and sometimes I ask the teacher if I may go to toilet so I can masturbate. I like to touch myself in public and in public toilets, knowing that someone is so close to me in another cubicle while im touching myself and even talking about it now really turns me on. Is this weird or will i grow out of it? [\|AI\|] Hello, The behavior pattern and masturbation habit needs to be stopped. Seven-time masturbation in a day is too much. A person should not masturbate more than 4 times a week. In your case, you are masturbating almost more than 25 times in a week. This kind of frequent and vigorous masturbation can damage the skin of your penis and can cause physical and mental stress. You must quit masturbation for a while to regain your strength. Therefore, I suggest consulting a psychologist for physical examination, diagnosis and treatment. 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 have hep c with a viral load 248 million I have symptoms for the first time. My gasro. Doc is making me feel like Im crazy cant possibly be that bad. Is that a high viral load. I want to take interfuron and she wont do it. Claming I seem deppressed notdepressed feel like shit everyday, I cant work I barley have the energy to take care of my 6 year old son. Im 34 and know I cant keep living like this. Should I change my doctor or can I insist on the interfuron please help me thank you. I quit caffeen no soda no coffee lots of watar changed my diet and take vitamims reguarly Ihave been proactive on my own rex re- [\|AI\|] If you are not depressed and want to try it, it is possible to take it. As long as you don't have other medical issues (thyroid, heart problems). There are new medications available for hepatitis C given together with interferon with a high cure rate.in the next 1-2 years there will be a new medication, and this will be approved to be given without interferonHepatitis C should not cause symptoms, unless your liver is swollen or very damaged.
The conversation between human and AI assistant. [\|Human\|] I have been getting very hot lately and randomly I will sweat a lot like A LOT my face and hands will lose all color turn white or green ish I can barely talk because I get tunnel Vision then I usually passout or throw up or both then its all better later on. Only thing I have noticed is Im not hydrating that much the days it happens [\|AI\|] Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that these symptoms could be related to different disorders: - low blood pressure - pheochromocytoma- thyroid dysfunction- carcinoid syn Chat Doctor. For this reason, I would recommend you to closely monitor your blood pressure and heart rate during the day. Further tests may be needed: - a chest X-ray study- an abdominal ultrasound-thyroid hormone levels-blood electrolytes- urinary epinephrine levels. An abdominal MRI study may be needed if an a
The conversation between human and AI assistant. [\|Human\|] i m married since one and a half years, i just wanna ask what is tablet fertyl 50 mg, my doctor recommended to start from 5th day of my period i had take 10 tablets and after the second period an start form the 5th day i also took 10 tablets . , i already completed the fertyl tablets course . everyday at morning i took bigmet 500 mg and eveyday at night i also took bigmet and one day by one day i took bromotine in the morning, will i become pregnant? thank you. [\|AI\|] Hi, Fertyl 50 tablets contains camphene citrate, which is used to induce ovulation in case of Poly cystic ovary syn Chat Doctor. Bigmet is metformin, which is an insulin sensitizer used to treat insulin resistance in PCs. Bromotine is Bromocriptin which is ergot derivative, it is dopamine agonist used as an adjuvant therapy in PCs. With this treatment most of the symptoms of PCs get cured and there is more chance to get pregnancy. If medical therapy fails surgical options are also available. Take care.
The conversation between human and AI assistant. [\|Human\|] I have been having lower back pain on the right side near my . It has caused my hip to raise up higher and my posture is not normal. I have pain when I get up from sitting and then walking. The pain is sharp and it causes me to feel like I am going to fall. I feel it on the tailbone of my spine. [\|AI\|] Hello, The mechanism of injury that you are telling suggests that you may have a fracture of coccyges which is the end of the tailbone that gives you pain while sitting, and you may change your posture by sitting on the side or leaning sideways which will give pain in the lower back. I have a question. Have you had pain while defecation or blood in stool after this fall? Fracture of tailbone might damage the rectum part of the bowel and give you difficulty in defecation and bleeding. Normally, a finger examination of the rectum by the doctor might be necessary to rule out this. Also, an x-ray of the lower spine will show a fracture or dislocation of the tailbone. The general prognosis is good. Hope I have answered your query. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] When I lay down on my left side I get a pain as if a ballon is blown up my then I get pain and feel sick. When up have a heavy feeling on my side with a little pain. Had scan all is said to be ok it feels like it is around my kidney. I have had kidney stone in past this does not feel like a stone. I get very little sleep as if I turn on my left it wakes me up. Female age 52 [\|AI\|] An ultrasound scan is fairly accurate in picking up kidney stones. Even if a stone is not in kidney and has passed down the urine tube which is the ureter, an ultrasound scan can pick up features of such a stone having gone down that passage by means of noting any swelling of the kidney. In combination with an X-ray PUB, we can be certain that to an extent of 90% that there is no stone, but if a CT scan says there is no stone, then you can be sure to the extent of 100%, in which case, the pain in your left side could be due to some other reason. Hope I have been able to reassure you.
The conversation between human and AI assistant. [\|Human\|] Hi, my dad has been having headaches for several days and yesterday has noticed a soft lump at the back of head. When touched it is painful he consulted his doctor today and doctor said he does not think it is harmful as it is under the skin and on top of the scalp but he said to come back if does not get better it feels like a nerve . Any idea what this can be [\|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-Neurorfibroma / or Neuro-lipoma ? Other possibilities of Dermatofibrosarcoma / or Malignant Shannon / or Atypical Fibroxanthoma/ Kaposi Sarcoma / or could be Desmond tumors from Scalp deep fascia with nerve involvement. 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\|] I have a reversal of cervical curve i also have c1-t1 bulge disk and c6-c7 disk bulge and a c7-c8 hernated disk i am currently having headaches and a funny tingling on top of my head which radiates to the back at times. can all these diagnoses cause my head to feel this way and can these issues be reverse and who is the best person to help. thank you. [\|AI\|] Headaches are not caused by spinal issues. They are a brain problem. However, there can be feedback from the upper cervical cord (c1-3)and discs that can push on it. Typically, a mild disc bulge does not cause this. If the headaches are short lasting and only on one side, this can be occipital neuralgia which can be caused by cervical problem. Typically tingling on top of the head with headaches is something called alloying which is the sensation of pain where there shouldn't be. This occurs after about 60 minutes after an onset of migraine. Of course, this can also be cervicogenic headache. Talk to a pain specialist who could do cervical trigger point injections and/or greater occipital nerve blocks which could provide some temporary relief followed by physical therapy.
The conversation between human and AI assistant. [\|Human\|] I think my 20 month old daughter got a hold of a little less than half of My 2mg xanex bar. I had left it on the counter & it was not there when I came back. I tried to induce vomiting by sticking my finger down her throat & she only threw up a lil white foam. I also swabbed inside her mouth with a wet wash rag & have been making her drink milk & keeping an eye on her. What should I do? [\|AI\|] Cellophane You for contacting Chat Doctor. Take her to ER, doctor will pass nasogastric tube and lavage her stomach. It will wash the medicine present in the stomach(which is not being absorbed so far). Keep her close. If there is altered state of consciousness then visit hospital. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health.
The conversation between human and AI assistant. [\|Human\|] I m 75 mg of Wellbutrin three times a day (I was taking it twice a day and the doctor increased it to 3xs a day. I don t have an appetite and have lost weight due to this; I m not complaining about the weight loss.I was overweight. The thing is that I don t feel that much better. I recently lost my brother (3 weeks ago) and that has affected me, I m sure. I don t like taking pills for depression, I don t like taking pills in general, but I do for high blood pressure which is under control My problem is taking the pills and not feeling that much better. I also noticed a slight memory problem.....I m frightened. [\|AI\|] Hello, Wellbutrin is usually given for depression and anxiety disorder. Though it is not considered the first line of medicine for this condition. It is given when other medicines don't work. You have not mentioned if you were taking any other medicines before this. If not then I suggest you to consult your psychiatrist and get opinion on other antidepressants like Escitalopram or Mirtazapine. 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 been getting a mild rash under my left breast that comes and goes quickly. The area itches and turns red with small bumps and then goes away within a couple of hours. The only thing is it comes and goes. This has been happening for almost a month. [\|AI\|] Hi, The rash occurring below the left breast off and on might be hives.also called urticaria. It may be without any cause.idiopathic or secondary.some cause may be there. You consult dermatologist for firm diagnosis and treatment. Thorough history may be taken by him. Investigations may be done to find out internal cause. I would advise antihistamines like fexofenadine 180 mg once a day till you get relief and steroid like methyl prednisolone in tampering dose if needed. You may feel better in few weeks. I hope you hot my answer. Thanks.
The conversation between human and AI assistant. [\|Human\|] 15 month old has stuffy nose and laringitis sounding with (a sort of croup sound cough which lasted 2 days) and no fever but is teething (molars) and is waking up throughout the night. He is eating,drinking and wetting and pooping appropriately but very irritable. [\|AI\|] Hi....this is not related to teething. I feel that he is going through a viral illness. Nothing to worry about it. 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\|] Hello Dr Vashistha I started having abdominal pains about 9 months ago, brought on by sitting in the leaned forward position. An ultrasound of the gall bladder revealed only a possible small polyp but a HIDA scan showed 5% ejection fraction so it was removed. The pains continued intermittently but constantly increasing in severity and occurrence. Initially the pain was about 2-5 lasting for a few minutes 1 or 2x per day, now it goes up to 4-6 with pulses to perhaps 7 and multiple times a day, again associated with sharp bending at the waist (the pain appears a few minutes after I bend). After the gall blader removal I also had a double contrast ct performed, which revealed no major problems including nothing post operative, and no appendix problems. There was only some mild perinephric inflammation. During this scan I placed a marker on my abdomen where the pains are present and the ct report stated that the marker was above the cecum. I also had a colonoscopy as a 50th birthday check after the pains started and while they found and removed 4 polyps, they saw nothing that would cause the pain. Any suggestions? [\|AI\|] Hi and thank you so much for this follow-up precision. I am so sorry to hear about these symptoms that you have reported. It is not uncommon to have a long-standing pain in the abdomen with no apparent cause after multiple investigations. I will suggest that this pain should be considered as part of dyspepsia and managed as such. Even without an established cause, pain medications to control the pain and improve your quality of life should be strongly considered. I feel comfortable doing so because beyond the symptoms, there seems to be nothing grossly wrong going on that may compromise your health status. I hope this helps. Furthermore, I wish you well. Feel free to ask for more information should need to be.
The conversation between human and AI assistant. [\|Human\|] Hi My doctor has given me Benforce M as i PCOD.Here in this forum I read one query where the lady has mentioned the same medicene she is taking post lunch n dinner.But my doctor has asked me to take before food.Kindly suggest which one is correct???? [\|AI\|] Hi, Benforce M (Active ingredient metformin) is commonly prescribed for the treatment of POD. Primarily used in the treatment of type 2 diabetes mellitus, it is found to be useful in treatment of infertility associated with POD by decreasing the elevated insulin levels. It should be best taken with meals to help reduce stomach or bowel side effects that may occur during the first few weeks of treatment. To avoid stomach upset, start with a very low dose (500 mg), taken with dinner. After a few weeks, the dose may be increased to 500 mg with breakfast and 500 mg with dinner. A few weeks later, the dose may be increased again to 500 mg with breakfast and 1 g with dinner. 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 19 year old male and I am not overweight. I don t use tobacco or drink alcohol regularly. The past 3 months i have had this feeling that the right side of my head is heavier than the left side. some other bizarre symptoms i have been having on and off for about 3 months also are jitteryness/shaking, involuntary muscle movements, lose of coordination. I also have this sensation that my heart is beating very fast but it really is not. I feel shaky all the time even when i am fully hydrated and have plenty of rest. On a couple separate occasions i ve felt like i was going to have a seizure/heart attack or something in that nature. i am beginning to become very concerned about these symptoms and i hope it is nothing serious... looking forward to a reply, thank you. [\|AI\|] Hi, thank you for providing the brief history of you. Since you have a worry about the seriousness of the symptoms you are facing I will advise you to meet up a neurologist and a cardiologist.a brain scan and a heart scan will be helpful to come closer to the symptoms. As you mentioned you have involuntary movements, loss of coordination, shaking / jerking feeling etc. you should meet up the Neurologist and take his advice. Once the brain and heart scan comes normal you may come out of this depression of serious illness which is bothering you a lot. Also discussing with the expert is never harmful, in fact it is more informative. I will recommend meeting a neurologist and cardiologist and get yourself checked once at least. They say - prevention is better than cure. So the earlier you act, the earlier we can come closer to the issues. With the grace of God I wish you a healthy and confident future
The conversation between human and AI assistant. [\|Human\|] My 11 year old son left eye is glassy and he developed pain in his left ear . He is experiencing sharp pains with certain movements . He saw a doctor yesterday but he did not have the ear pain and he was diagnosed with only a cold. He is miserable [\|AI\|] Hello. I just read through your question. The discomfort you describe is frequently when a sinus infection develops. This could be a viral infection, as your doctor has diagnosed, that will resolve on its own. However, if TOI notice the symptoms persisting or worsening over the next 2-3 days, its worth another discussion with your doctor. Perhaps at that point antibiotic treatment will be warranted.
The conversation between human and AI assistant. [\|Human\|] I have dry flaking sort of brown pigmented dry patches in the right corner of my nose, and inbetween my breasts. I m not sure what the cause is but i ve had it all my life but recently they have been more pigmented and problematic than usual. Also there are sort of wrinkles in the dry pigmented area between my breasts (Most likely caused by wearing a bra and pushing the skin together.) the one on the corner of my nose is starting to spread down my smile lines and I m getting a bit worried. It is not very noticable but it feels rouger and flakes off when washed. What is the reason? Also I m 18 years of age and I ve been working with alot of acrylic paints recently? could that be the cause? [\|AI\|] Hello. Thanks for writing to us at Chat Doctor I will keep a possibility of seborrhea dermatitis. Seborrhea dermatitis can present as itchy, flaky patches most commonly on the scalp; the patches can also develop at other sites such as the face and chest. All these areas are rich in sebaceous glands. The areas affected on the face are classically sides of nose, glabella, eyebrow area. Seborrheic dermatitis is a steroids responsive condition. I usually ask my patients to use a moderately potent topical steroid e.g. fluticasone propionate 0.05%cream, twice daily. Topical steroids usually bring about remarkable improvement in seborrhea dermatitis in about 2 weeks when they can be substituted with topical immunomodulator e.g. tacrolimus Or Pimecrolimus. Topical immunomodulators may be used as maintenance therapy in seborrhea dermatitis since it is a recurrent condition. I would suggest that you visit a dermatologist in your region for a confirmatory diagnosis as well as appropriate prescription. Regards
The conversation between human and AI assistant. [\|Human\|] Hi my 10 yr old daughter was at 2 birthday parties today and threw up tonight around 10 pm about 3 times then again an hour later said her stomached hurt and that it tasted weird then 2 hours later threw up and it was bright yellow. She is very thirsty and is now asleep [\|AI\|] Hi! Good morning. I am Chat Doctor answering your query. With the history of eating outside in a birthday party followed by abdominal pain and vomiting, the most probable diagnosis one could think of is a food poisoning. If the vomiting continues, and she feels thirsty, this shows that she might be heading towards a status of deny Chat Doctor. In that case, I would suggest you to take her to an ER of the nearest hospital for a clinical assessment, related investigations and appropriate treatment. 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\|] Hi, I have a lump thing near my pantie line, and I m a little concerned as to what it is. It has been there for probably about a month, maybe longer, but I only noticed it about 3 weeks ago. Since then, it hasn t changed at all, it hasn t grown, it hasn t decreased in size and it doesn t hurt... It s just kind of there. It is quiet small, probably a little smaller then pea size. It is under the skin, it doesn t push up like a boil would and I m certain that it isn t a boil because it hasn t grown and it doesn t hurt when I put pressure on it. It is a normal round size too. I would go to my local GP, but because I am in University, I am registered with them and no longer at my GP and at the moment, the doctors isn t available. Thanks Shannon [\|AI\|] Hi, dairy have gone through your question. I can understand your concern. You have mostly enlarged inguinal lymph node. It's due to reactive hyperplasia as a result of some infection or it may be due to tuberculous or lymphoma. You should take course of antibiotics. If it doesn't respond to treatment then go for biopsy and histopathological examination. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
The conversation between human and AI assistant. [\|Human\|] I have what i call "attacks" in my upper abdomen. They usually last an hour or two and have nauseau vomitting and cold sweats with them and are very painful! Last night i has the worst one ever! They are becoming more and more frequent like every night. Last night i was in tears the pain was unbearable and was going all the way to my back into the right part of my chest. It still hurts today but nothing compared to last night. I have an appt in two weeks but i dont know if i can take the pain that long. Is this something i would need to go ahead at go to an ER for? [\|AI\|] Hi. Thanks for your query. The most probable cause of the pain you have explained are :-Gastric ulcer as you pain is periodic and in upper abdomen--Pancreatitis. -Gall bladder infection and / or stones. I would advise you the following :Go to an ER. This is because you will get all the tests of blood, urine, ultrasonography, X-ray abdomen in the standing position and if needed a CT scan. This will enable us to get diagnosis and then a perfect treatment can be planned.
The conversation between human and AI assistant. [\|Human\|] After planting tomato seedlings outside, I experienced rather sudden nausea, runny nose, and nasal congestion.....what would cause this? The only allergies I m aware of is to wasp venom. It got better after diphenhydramine 75 mg., Compazine 30 mg, and a shower. [\|AI\|] HI, thanks for using Chat Doctor Allergies can occur to any stimulus whether environmental, food, soaps/lotions/detergents etc. This means that the reaction could have been due to something you were exposed to in your environment whether in the soil or on the plants that were planted or surrounding plants. If you wish to definitively determine the source of your reaction, you would need to consider allergy testing. This can be in the form of blood tests or skin prick testing. I hope this helps
The conversation between human and AI assistant. [\|Human\|] I got my result today it says.Diffuse heterogeneous echotexture of the liver, suggesting underlying hepatocellular disease and mild fatty liver infiltration, no sonographic evidence of a focal hepatic lesion is seen. It tells me to loose 10 lbs in 3 months and a low fat diet. On another note I had hep C and was treated for it and told it was no longer a PROLBLEM. I have no idea what this letter means can you explain it to me like a 10 year old, my doctor is not available and I m worried [\|AI\|] HelloDiffuse heterogeneous echo texture of the liver with mild fatty liver may indicate liver parenchymal disease. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. It may be due to fatty changes in liver in your case. You may need few more investigations like liver function test, lipid profile and ultrasound of abdomen. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] Hello Doctor, my age is 30, height 5ft, weight 70kg, in my 24 weeks pregnancy i have the HB level of 11.7Gm/dl & Now I am 33 weeks pregnant, my HB level is 8.7Gm/dl, Iam vegetarian, all ways iam feeling rest less, what should i do to increase the HB level & is this effect the fetus? [\|AI\|] Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that pregnancy is the condition of demodulation. So low hemoglobin is the possibility. To mitigate such effect it is necessary to start iron therapy before planning the pregnancy so demodulation won't occur. In the current position I advise to take the oral iron therapy with due consultation from the GP doctors nearby to you. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] I was wondering how I can get prescribed Valium by my doctor. I am a 19 year old Male and was prescribed 30mg Adderall XR in May of 2012 for my, just then diagnosed, ADD. I have always dealt with high anxiety, but recently it has gotten to a point that is distracting in my life. I am afraid to ask him and have him think I am some druggie, when I m not and I m afraid he d say something like the adderall is supposed to help with that. Please help! I am extremely stressed about this situation. Also, I think I may have generalized anxiety disorder but have never been diagnosed. Anything you can say about that would be GREATLY appreciated! Thank you! [\|AI\|] Dear Dollie, Hi! Your concerns about your health are very natural. You have got all rights to discuss your health with your doctor including the need to take Valium. Actually for anxiety symptoms, though diazepam (Valium) will help you symptomatically, there are better options than taking Valium. Discuss with your psychiatrist about taking some SSRIs along with your routine Chat Doctor. Also benefits of CBT and psychotherapy cannot be overemphasized for you. Trying seeing your psychiatrist soon and do discuss your concerns in detail with him/her. Hope I could solve your concerns.
The conversation between human and AI assistant. [\|Human\|] early december, i was consulted for fertility test. i have regular period, have history of myoma uteri. The last test showed fsh little too high 19 (the rest are normal - LH, Prolactin , etc). The doctor then give me Gynera tablet for 21 days. At the same time Last week, i was tested for ovulation , and shows one big egg develop. But now im having period 9 days earlier than should be. What is gynera for ? to mature my egg ? why my period becomes iregular? -- [\|AI\|] Hi, Thanks for your query. I read your query and understand your concerns. Following is my reply: 1) Get another test called AMH which can tell about ovarian reserve and can be correlated with FSH. 2) Genera is a birth control pill given to regularize your periods. You don't take it anymore than your case is different. 3) You egg seem to be decreasing. GO immediately for IVF if AMH levels are abnormal. I hope I answered your query. I will be available for any follow-up queries you have. Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] I have a feeling of salt while gulping and a feeling of blisters on the edge of my right side of my tongue .This has been for over a month now.I get a very bad smell from my mouth which irritates me further.I had checked with a dentist to which he said its not a dental problem and also i drink over 3 litres of water a day.I need to know the reason to which such a problem can occur. [\|AI\|] Hello there... There are various reasons for that... Please mention your age? ... Since you have already got yourself examined from a dental surgeon the other reason could be from the upper respiratory tract... Salty discharge could happen if you have upper respiratory tract infections. Post nasal discharge that runs down through your hypopharynx would taste salty...and you would appreciate it more when you lie in the supine position . Person with chronic sinusitis would also have bad breadth from their mouth... If the dental examination has ruled out your problem visit an ENT for further evaluation or visit an Oral and Maxillofacial Surgeon for further management.
The conversation between human and AI assistant. [\|Human\|] Hello: I have developed very large circular, flat discolorations on my back that at first, looked like bruises ie: sort of dark red. I have two that are perfectly round and two that are very large and oblong. I went to my primary care and he stated he thought it was exzema and gave me a topical cream, however, they do not itch , not raised, not dry or flaky. Only knew they were there because someone pointed it out to me. Within the last two days, I have developed two more, one on my hip and one on my shoulder blade. Could this simply be an allergy? I do take Simvistatin (40mg) and have been for approximately 1 year. I am 53 years old and have never experienced anything like this. I live in Florida (humid climate) and have been under stress so not sure if these things contribute. Any guidance would be appreciated. [\|AI\|] Hello and welcome to ChatDoctorcould you please clarify how large the lesions are and where precisely they are located i.e. upper back or lower. You mentioned living in a humid climate, do you sweat a lot? Do you have oily skin? Does anyone else in your immediate surroundings have these lesions. I would advise you to have a basic blood test done and visit a dermatologist this condition you are having might be a simple fungal infection(Tina tricolor). Allergies to Chat Doctor. Good luck
The conversation between human and AI assistant. [\|Human\|] hi i m kajal.i have pain in my back of left thigh and hip since 3 weeks. It started when i used to do exercise and rope jump. doctor has suggested me to take 2 doses of diclofenac sodium and paracetamol tablets; 1 dose of polybion czs daily.what should i do now? [\|AI\|] Hi, I have read your query. Usually back pain is managed with painkillers till 1-month period. If it persists beyond 1 month, then further investigations are done. Since your husband has a bad pain I will suggest the following: - Back pain can be due to many reasons. You should get x-ray lumbosacral spine done in AP and Lateral done send us report or discuss it with your doctor. Only then further management can be advised. - Avoid heavy weight lifting pushing and pulling heavy objects, because it will further increase back pain. - You can take medicine like diclofenac sodium and paracetamol tablets; 1 dose of polygon CZS daily by discussing it with your doctor. - Apply hot packs for 30 min in morning and evening. I hope it helps. Thanks.
The conversation between human and AI assistant. [\|Human\|] My dad is 65 years old , he is detected with heavy de[ression disorder. he has been suggested with paxidep 12.5 mg for 15 days, some times he gets restlessness. Please could advice when will depression subside or is this common behaviour with the patients [\|AI\|] Degree understand your concerns went through your details. I understand your emotions. Depression disorder has its own reasons. Your doctor had prescribed medicine. But medicine alone cannot cure chronic depression. Patient needs to understand the reasons behind the problem and try changing the understanding or lifestyles in accordance with the requirement. If he is depressed due to his own physical illness worry, it might take two to three months to realize that such a health problem is normal and inevitable. In any case, the depression intensity should come down within a fortnight or so. If you require more of my services, please post a direct query with every Possible details. Hope this answers your query. Available for further clarifications. Good luck.
The conversation between human and AI assistant. [\|Human\|] Hi,I have been using Invega 3 mg. for 10 years now, I think my breath smells like cat food. I am always thirstyand drink lots of water, are there any remedies for this problem? Thank You, MS [\|AI\|] Hello, As far as the halitosis is concerned, it can be because of the adverse effect of the Chat Doctor. The other possible causes can be secondary to the deposits over the teeth. So, consult an oral physician and get it evaluated. You need to get the teeth clean and maintain the oral hygiene. You can use mouthwash to rinse your mouth. Hope I have answered your query. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] how can ayone detect a hole in heart?if it does not closes automatically,upto what age its symptoms appears clearly??i was told in my childhood that i have one..but my parents show no sign of worry..they say it does not causes any problem as the doctor said to them.i can live normally my age is 21 [\|AI\|] Hi, Please note that some cardiac holes called septal defects close by themselves. Some when small cause defect only in infections, anemia or pregnancy. Large defects cause symptoms as repeated chest infections, decreased height and cardiac failure as a breathing problem etc. Such things can be evaluated by chest x-ray and stress echocardiography easily. 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 boy 6 yrs 8 months old ( 25 kgs weight).When he starts to sneeze he continues for 5 to six times with white thick nasal discharge coming out after two or three discharges.This condition is present in him for about three years.Of course, this does not mean that he sneezes frequently.But when he starts to sneeze it does not stop quickly.Three years back once when he had fever with cough and cold he started wheezing particulary after repeated coughing.So far I have seen four episodes in him with rougly eight months to one year gap between each episode.During the second and third such episodes he also complained about slight pain in the chest muscles and shortness of breath.During the first episode I took him to a pediatrician who told to my shock that he may have Asthma.He asked whether anyone in my family has it or not.My mother developed Bronchial Asthma at the age of 45+ due to over load of work and climbing of stairs and also because we used to have pet dogs and later cats in our family.She is still having the same problem.However, now netiher we have any pets in our house , nor there is any chance of vehicular pollution or cigarette smoke.I don t know how my child could get asthma.The doctor gave salbutamol to him and some antiboitics also.But I did not give the salbutamol tablets to him fearing that once it is given it may permanently damage his lungs.During the second such episode after about one year.I took him to my company hospital where the doctor suggested to give nebulizer with asthaline for 5 minutes.This time I obeyed and my son told that he felt releived .During the third time also as per the advice of our Company s doctor I gave him nebulizer for 5 minutes .Recently, he had fourth such episode after about one year gap.This time the doctor sggested nebulizer for 5 minutes at Hospital and also 2 salbutamol 2 mg tablets daily for five dyas along with Cefpodoxime 100 mg for 5 days ( 2 daily).When he was a small baby we used to keep him near to our closed wodden window as our bed was situated near the window) during sleeping after covering him with sweater and all other precautions during cold seasons.Is it that due to exposure to cold her lungs got damaged.The place where I used to work then used to get very cold during cold season.Anyway I used to keep a room heater below him also.Please confirm whether my child is asthamatic or not.Earlier to this episodes I used to give him cetrizine cough syrups on some occasions when he had cough and cold. [\|AI\|] Hi, I have gone through the detailed history you have given. A possibility of asthma is more likely in his case. In my opinion, you should definitely get done PFT (Pulmonary Function Test) with reversibility testing. If there is significant reversibility then asthma is confirmed. In my opinion, he will need intranasal spray containing steroid (fluticasone) and antihistamine (elastane). Oral combination of antihistamine (levocetirizine or fexofenadine) and anti-allergic (montelukast) is also beneficial. So consult a pediatrician and discuss all these. Hope I have answered your query. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] I sometimes find it difficlut in getting erceted and therefore cannot perform sex to my satisfaction. Could you please let me know the cause and how to treat it to make me perform better.<Your earliest reponse to my request will be very much appreciated.Jonathan Addy. [\|AI\|] HelloThanks for query. The problem of erectile Dysfunction that you are facing is mostly due to what is called as Performance Anxiety. Following measure will help you to boost up your confidence and getting good erection and delay ejaculation. 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking. Taking Sildenafil (Viagra) or Calls as on demand will help to get good hard sustainable erection and to have enjoyable sex. Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] my 2 year old daughter has really bad nappy rash she gets it everytime she does the toilet when i take her nappy off she complains its to sore sit down this time her both legs are bright red and her bottom is red will i have to take her in to a and e at the local hospital [\|AI\|] Hi. Thanks for posting your concern at Chat Doctor. I would keep a possibility of either diaper dermatitis, which is type of irritant dermatitis, the delicate skin in that area coming into prolonged contact with soiled diapers OR it could also be a case of candida intertwine, which is inflammation of the groin folds (diaper dermatitis usually spares the folds), the candida getting a chance to proliferate due to sweat and moisture in that area.-Keep the area air Chat Doctor. G clotrimazole+beclomethasone cream)-An antifungal dusting powder keeps the area
The conversation between human and AI assistant. [\|Human\|] Sir, my wife is suffering from amoebic liver abscess. Allopathy doctors recommend for aspiration using catheter.Though needle aspiration has been done once Is there any alternative treatment like ayurvedic which may absorb pus in the liver and thus avoiding aspiration [\|AI\|] Hello, Sorry to hear about your wives illness. An amoebic liver abscess can completely recover using antibiotics like metronidazole.However if the abscess is very large or close to the surface of the liver then medicines should be combined with aspiration as there chances of rupture of the abscess. Aspiration is also indicated if she has symptoms like jaundice or severe pain. So if your wives abscess large or close to the surface or causing jaundice or pain I would advise to go for aspiration. Hope this helps. Do get back if you have further queries. Regards Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] I ve had chest congestion for about a week now and I have been very light headed no mucus comes up but the lightheadedness is really sending my anxiety into over drive I went to the doctor before the chest congestion and wheezing started he said I had sinusitis and gave me a week s worth of amoxicillin any help please guys [\|AI\|] Hellothanks for choosing Chat Doctor for your query I were your treating doctor I would treat your problem as sinus infection, and certainly I would prescribe you a course of penicillin group of antibiotics like Amoxicillin plus clavulinic acid and cough remedies as the same was advised by your doctor.I would also suggest my patients for some lab investigation like complete blood count, X-ray PNS please do steam inhalation with deep breathing exercises 3 -4 times a day you can also start some antihistamines like tab levocetrizine or decongestant nasal spray hope this will help you regards
The conversation between human and AI assistant. [\|Human\|] I have a male friend who is 30 and has borderline personality disorder and borderline intellectual functioning who swallows spoons and pens when he is depressed, I m afriad that when he notices that I m concerned that I am reinforcing his self-multilating behavior can this be true? [\|AI\|] Degree understand your concerns went through your details. I suggest you not to worry much. borderline personality disorder guys do not trust others. In this case, please stop watching him directly. He needs medical treatment immediately. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.
The conversation between human and AI assistant. [\|Human\|] Hello doctor my name is LorikFerati,i have a body right and left knee thums after my practice besides ice what should i do to not feel that little pain like a thumb. and another problem what should i do to concentrate more when im studing? Im in highschool but im not serious enough i dont spend time enough studing my lesson homework i know that i should but i find it boring enough and leave my homework without looking back.. I would be thankfull if you d helped me..talk to you soon doctor,may you have a nice day. [\|AI\|] Hi I am Chat Doctor. . In my opinion I think icing is fine especially after exercises, you may add some B12 vitamin supplements and add some vegetation and fruits for giving you more power and energy that will help you concentrate better. Try to have a regular normal sleep pattern with at least 8 hours from 12 am as this makes your night hormones secretions for your growth at optimal levels. If your pain persist I recommend some lab investigations for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask.
The conversation between human and AI assistant. [\|Human\|] im 25 and trying to get pregnant. my husband has just started taking all kinds of medicine to increase his penis size and help build muscle mass and powder to gain. weight and more but I don t want to put it on here.my cycle is has been regular every since we had our first baby. just this month my cycle has been doing really really crazy stuff. so can all of his medication plus unprotected sex 3-4 times a week b messing with my body? [\|AI\|] Hi, Thanks for the query. Usually the size of genital organs won't influence the fertility. The count and quality of the spermatozoa is more important. Stress and strain and medicines can affect the hormonal levels and can alter the menstrual cycle. So you once consult gynecologist and get examined to find out the cause for irregular periods. After regularization of your periods you can track ovulation and plan intercourse around that time that will increase the possibility of pregnancy. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] I am female, 30 yrs, 11 stone. I was carrying plants by putting fingers in top of pots when felt pop in wrist, small very hard lump appeared on front of wrist below thumb, quite painful. Casualty doctor said it was a bony prominence which had come out of place but GP says its a cyst and changed all treatment. What do you think? [\|AI\|] Hi, Dear thanks for the query to Chat Doctor. Cause and treatment-for Your lump in the wrist-In my opinion -the lump on your neck-which appears to be old for quite some time-from your query facts. As you showed it to casualty doctoral send the report updates to me. From the facts in your query-Sudden post-trauma lump-can be of -due to Outdo place bony prominence-mostly due to the displaced bony set up in wrist or could be due to the unnoticed ganglion cyst ? As thought by your attending 2 doctor. In this confusing situation I would advise you-to have X-ray wrist and take opinion from orthopedic surgeon. This would help you to plan a treatment for this query where due to lack of information I can't comment exactly. So I would suggest steps as above which would help you to plan your treatment. So don't worry and act fast ASAP. Hope this would help your worry to take proper steps for health. Wishing you fast recovery. Wellcome again if you have any more query in this regard. Have a Good Day.
The conversation between human and AI assistant. [\|Human\|] I am 26 years old male .2 years ago i was undergone stent angioplasty.now for few days my heart is beating fast .i feel shocking for small reasons like somebody suddenly opens door,while driving if other vehicle just crossed me suddenly like these things my heart is beating fast.i feel anxious for silly reasons. [\|AI\|] Hello, I would explain that anxiety may mimic this clinical situation. Anyway, I would recommend checking thyroid hormone levels in order to exclude a possible thyroid gland dysfunction, blood electrolytes for possible imbalance and complete blood count for anemia. If these metabolic disorders have been excluded, I would recommend performing an ambulatory 24-48 hours ECG monitoring in order to exclude possible cardiac arrhythmia. Hope I have answered your query. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] my 15 week (approx. 11 lb baby) has a cold. runny nose, cough... last night she had a fever of 101.0, i gave her some baby tylenol today at 430pm and within an hour her rectal temperature dropped to 98.4. She is sleeping and eating well and has wet diapers. tonight i again used the rectal thermometer and though i may have not had it in perfectly as she was squirming, the temp. was 96.2. Is this something to be concerned about? She seems to be acting fairly normal. [\|AI\|] Hello, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. 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 on 8mg Warfarin approx. and yesterday had surgery on my arm .I had stopped the warfarin for two nights and reduced the two nights prior to this.I had severe post op pain and had 60mg of codiene 4 times in16 hours.I have had sharp upper abdominal pain felt nauseous and now have watery loose moitions .Not black though .Is this just a coincidence or should I be worried .Thanks [\|AI\|] Hi there ~I understand your concerns, and you have good reason to be concerned about your condition. I think that you will do well with visiting with a doctor to get your INR checked. I think that you may have had mesenteric infarction if you have been having sharp upper abdominal pain in the case of having reduced your warfarin usage and having despite using codeine. Furthermore, I hope you visit with a doctor as soon as possible to get an ultrasound scan to find out if all is well. You might also need an MRA and other imaging studies. I hope this works. Take care and have a lovely day!
The conversation between human and AI assistant. [\|Human\|] I was diagnosed with lupus , raynaulds and sjogrens in December. I have many MCTD symptoms. I am 42 with 3 beautiful kids and I am so scared. I just found a dent and line on my scalp . My worst fear of scleroderma . I will call my doctor right way but I am so scared. I knew I was losing my hair but I just noticed a dent. I am in a state of shock. [\|AI\|] Hello, Scleroderma can be a difficult condition to deal with, but you need to work with your doctor. Reporting of symptoms such as is Chat Doctor. It is easy to get confused with the number of symptoms reported in text books and may seem there is no end. There are lots of treatment options available and not all patients with scleroderma have a difficult time. Get a 2DECHO heart scan, nerve functions (if red.) done and check regularly with your doctor.
The conversation between human and AI assistant. [\|Human\|] Hi I am 20 years old, female, and I have been coughing up blood at least once a month for about a year. I have seen many doctors however, they said I have asthma and gave me an inhalor, but my symptoms are not being treated. They diagnosed me with asthma almost two years ago. I have had x-rays, ekgs, blood/urine tests. They said they didnt find anything and sent me home. Im still coughing deeply. Now Im getting dizzy spells almost everyday. I eat and drink right. My chest hurts. And little amounts of blood appear. I am a musician and I can not sing without coughing up blood afterwards. What do you suppose it is? Do you think it is serious? [\|AI\|] When your doctors have not found anything serious, we should respect them. However, in Ayurveda you have a solution. Find some medicines which are commonly available in India but elsewhere try to find it. AYURVEDIC1. Sitopaladi chairman 1 tsp and Scuba BH 250 mg + Lankan chasm 250 mg may be mixed in a tsp of honey and licked twice or thrice a day. When blood stops, stop adding Shubham chasm and continue other two.2. Vyoshadi vat and MARICHYADI vat : suck by keeping in mouth every 3-4 hrs or more. Together or alternatively.3. Gargles with turmeric powder in warm water.4. If you can syrup M. Vasaco from Govt. of India's M/s IMPEL, Jamnagar too, it will be a boon to you. This is said to make voice like that of Cuckoo. Try it. No side effects. It's a general tonic too.
The conversation between human and AI assistant. [\|Human\|] Can the TESE procedure be repeated if occasional immotile sperm not found? [\|AI\|] Welcome to ChatDoctorYes THESE procedure can be repeated if sperms are not found. If no spermatozoa is seen, then (1) additional biopsies of tissue are obtained through the same tunica incision, (2) biopsies are performed using additional incisions, and (3) contralateral biopsies are obtained, if needed. After dispersal, immediate intraoperative evaluation of the specimen is performed by a member of the IVF laboratory in the operating room. Subsequent processing of the testicular tissue suspension, including microdissection of the specimens is performed in the IVF laboratory. Hope this information helps u. Take care.
The conversation between human and AI assistant. [\|Human\|] blocks in back i have arthritis in my lower back.i was going to a pain clinic and they were giving me 12 shots at a time in my lower back along my spine..now another dr says i need both hips replaced..can the blocks do that damage to my hips? and now i have nerve damage in both legs. [\|AI\|] Hi, If you have severe enough arthritic degeneration to affect the lower spinal column then, there is a good chance that the hips will also be involved by the same process. The shots will not have caused your hips to deteriorate rather the same arthritic process. The nerve damage you perceive to be in your legs most likely is due to the same arthritis affecting the lower spine which is compressing lumbar nerve roots L4 and possibly L5. That's where the problem likely resides. Hope I have answered your query. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] Last night I experienced extreme pain in my lower abdomen and leg. I had been taking norethisterone for around 2-3 months and started randomly bleeding lightly last Sunday, still bleeding Saturday just past I stopped taking the tablets as not to waste them. It felt like someone was twisting my insides last night I was sweating and nauseous and could not stop the pain with ibuprofen or heat and the pain just got worse at some point I must have passed out and awoke later drenched in sweat with the pain even more intense abdomen and leg so i got up and I noticed the bleeding had became worse and found a blood clot around the size of piece of liver the pain gradually disappeared but I feel like I have been kicked by a horse from the inside out and I still have some pain in my leg. Was this a result of the pills? [\|AI\|] Hi, The passage of the large clot may have caused the pain and the associated nausea and sweating. Prolonged use of estrogen or progesterone can result in several side effects including circulation disturbances like thrombosis of limb vessels and embolisms. Please contact your health care provider immediately for assistance. You should get blood counts, bleeding and clotting time along with a trans-vaginal/pelvic sonogram to look for local causes. You should stop taking the Chat Doctor. Wish you good health.
The conversation between human and AI assistant. [\|Human\|] I have a family history of bipolar and ADHD problems but I have never been diagnosed. Currently at the age 0f 28, Im finding it more difficult to hold conversations with anyone, my temper is pretty explosive and my long term memory, if related at all, is horrible. I explained to a doctor once before that I can remember certain things but cant remember the past at all: I.E any of my childhood and most of childrens. Also, my wife says I sleep through everything, including alarms. What could be some causes? [\|AI\|] Degree understand your concerns went through your details. I suggest you not to worry much. I think you are over reading into normal events. Anger always comes due to frustrations in life. Frustrations are normal with everyone. People learn to ignore frustrations when they get experienced. Do you get angry to circumstances outside your home as you get angry at your house? Your office, bus stand, railway station, neighbors etc. If yes, you might need to get evaluated for anger issues. If NO, just understand and compare the two situations, and you can be better yourself. You should consult a neurologist regarding your memory problems. I don't think you have anything to worry about that. Psychotherapy techniques should suit your requirement. 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\|] for the past few months ive been getting hot flashes and chills on and off and also a dry annoying cough. ive had body aches since i can remember ex: i always have to crack my finger, back, neck, everything. but the past week or so ive lost my appetite, my stomach is upset or hurts at times during the day, i wake up like 50 times night and cant get comfy but the worst thing is even if i eat or not the acidic stuff in my stomach when i lay down makes me sick and goes to the back of my throat. its like that most nights. and ive been going to the bathroom more often just to have an upset stomach. i feel sick and run down but i still have to go to school cause im 17. whats wrong with me? also idk if this has anything to do with anything but i was diagnosed with bi-polar depression about a year and a half ago and anxiety later on and lately we found out im ADD and take no medications for anything. oh also last summer i got strep guttate psoriasis for 3 months until i got my tonsils out- medicine was no use. ok ive said a LOT so whats wrong :(? [\|AI\|] Degree understand your concerns went through your details. I suggest you not to worry much. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. 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\|] Hi, I am a 27 yr old female who currently in pain due to an infected tooth n root. I have an infection in one of my premolars and I cant get a root canal at the moment. The only health issues I hve is asthma,seasonal allergies,along with food n allergic to penicillin vicodin n latex. I am currently in dental school and my teacher says I need to treat the infection first so I am wondering if I take Erythrocin as an antibiotic will it help treat the infection until I get a root canal. Also what else can I do for the pain while it heals? How long do I take the antibiotics for? And last what are the possible side effects for going too long with an infected tooth and roots? Please help this woman in pain :-( [\|AI\|] Hello, Thanks for consulting ChatDoctorRead your query, as you have infected tooth, and you have toothache I will suggest you to go for Root canal treatment as early as possible that will give you relief in pain, as you are asking to take antibiotic course of medication that will give you temporary relief in pain. You can take medicine Amoxicillin course of antibiotic with analgesic Paracetamol, you can take vitamin B supplements, do warm saline gargle two - three times a day and go for treatment as early as possible. Hope this will help you. Wishing you good health.
The conversation between human and AI assistant. [\|Human\|] At times I feel like I actually have to make myself swallow and it feels difficult to take deep breaths. I felt like this two times this weekend, and they both happened while I was eating. I have felt this way a few times in the past before when I lie down to sleep. [\|AI\|] Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of either esophageal motility disorder or HERD (gastroesophageal reflux disease) is more. In both these conditions, patient is having symptoms in lying down position and while eating. So better to consult gastroenterologist and get done upper GIs copy. Start proton pump inhibitors and prokinetic Chat Doctor. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Keep 2-3 pillows under head in the bed to prevent reflux. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
The conversation between human and AI assistant. [\|Human\|] hello my bp ranges from 138/111 to 150 over 90 with a resting rate of 40 to 50. I am a non smoking female aged fifty, and cant afford my meds so i have been off of them for over a month now. I would rather go natural, but wonder if this could be the reason for my shortness of breath, dizziness, and seeing spots (not so much in the last few days).. Have had alot of sodim lately, 5 foot 7 weight is 163 [\|AI\|] Thanks for your question on Chat Doctor. I can understand your concern. Since your resting heart rate is 40-50 beats /minute, possibility of heart block is more. Normal heart rate is 70-90 beats /minute. But when there is problem in conduction of heart, there is delay in impulse transmission and hence, heart rate is low. This is low heart rate will cause less blood ejection infection systemic circulation. And this can will intern cause giddiness, dizziness, breathlessness etc. So better to consult cardiologist and get done clinical examination, blood pressure monitoring, ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG) for the diagnosis of heart block. If you is confirmed heart block then you will need pacemaker insertion. Don't worry, you will be alright. But first diagnose yourself and then start appropriate treatment. 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\|] Impression Abnormalvestibular-evoked myogenic potentials consistent with a bilaterial worse on the roght sacculo-collic reflex abnormality suggesting an abnormality of the bilaterial sacculus or inferior vestibular nerve what does this mean in english ? [\|AI\|] Hello, A HEMP was performed (Vestibular Evoked Myogenic Potential) test in order to assess parts of the patients BALANCE SYSTEM that lie within the inner ear. This is one type of BALANCE TEST that can be done usually when someone complains of dizziness, wooziness, or disequilibrium. Other tests that also assess the integrity of the inner ear mechanisms include CALORIC TESTING, POSTUROGRAPHY, NYSTAGMOGRAPHY, and others. Specifically, a HEMP assesses 2 items of the inner ear. One is called the TRIPLE and the other are the ACCUSE. Information is also gathered in this test about the VESTIBULAR NERVE (superior connection to the TRIPLE and inferior connected to the ACCUSE). The test found an abnormality present in BOTH inner ears (Right worse than Left). However, the test COULD NOT determine exactly whicChatDoctorponent of the system was not working properly. The abnormality picked up by the test was that of the SACCULO-COLLIC REFLEX (SCR). This is one of MANY postural reflexes the body utilizes which keeps head and the body aligned against acceleration forces. In this case the SCR is stated to be abnormal. This reflex keeps the head and body aligned against forces of movement or acceleration in a VERTICAL PLANE to the body. As an example, if a person were to be in a free fall situation because they jumped off the rooftop or from a ladder, the fact that the head and body don't go FLAILING while in the air is because of this Reflex ability to make instantaneous adjustments to the muscles of the neck and torso so that everything stays aligned. Once the person hits the ground then, anything can happen but while there is an acceleration force in a vertical direction the SCR will automatically keep head and body from going crazy in the air. Pretty nifty, yes? In the case of this individual the SCR was measured as abnormal on both sides (right side being worse than left). As a result of making that call the doctor went on to state that in their opinion either the CALCULUS or the INFERIOR VESTIBULAR NERVE connected to the calculus were not working properly. The CALCULUS is the element of the balance system found in the inner ear that sends information to the brain on vertical LINEAR acceleration of the head (and body since the 2 are connected). The INFERIOR VESTIBULAR NERVE is the cable that ties the CALCULUS to the brain and transmits the data. Apparently, the articles and superior vestibular nerves are A-OK. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] I have heavy hair loss and some small patches of loss in beard also which makes me worried. I like my beard now I m shaving because of this. I also have dandruff in my hair . Can it be cured I don t want to use medication more than a yr.My hair care includes wash hair 4to5 days in week. Use coconut oil 2 to 3 times in a week. Use The Body Shop Rainforest Shine Shampoo. Previously I was using apple shampoo from essential. I m little over weight. 86kg 5feet9inch tall. I eat mostly fish n meat.I consult doctor last year I got medication of cipla 8x shampoo which makes my hair too dry, dead and hard.so I stopped.Also a cream to apply on face keralin which made me feel my skin is burning so stopped. And I got oral tablet combit and carni-q.I finished course of carni-q 30 tablets . I only used combit first day 2 tablet stopped Because I didn t liked it taste [\|AI\|] Hi, You seem to have alopecia errata on beard and hair fall due to seborrhea dermatitis on the scalp. In both the conditions exact cause is not known. But, stress may precipitate or exacerbate s the conditions. Consult the dermatologist for the perfect diagnosis and proper treatment. I would suggest...- mild steroid lotion like Renovate lotion-apply at night on scalp-shampooing with ketoconazole-containing shampoo daily-almond oil may be oiled in scalp hairs after shampoo- tacrolimus lotion - apply on patches on beard-tab. biotin-avoid stress and anxiety. This may be continued for few months or till the good result. Hope I have answered your query. Let me know if I can assist you further. Take care. Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] I am a 53 year old female. For the last year I have had a wierd sensation when my tongue rubs against the inside of my bottom lip. Feels like steel. I have asked my Dentist to check but when he does he says everything looks normal. [\|AI\|] Hello, Thanx for choosing Chat Doctor, Your query is not clear to me because you have not given detail... I think you feel something hard like steel inside your lower lip when you rub with your tongue.right? If It's so then might be some pathological lesson has been developed... Proper radiographic examination should be done... If It's not so then it can be psychological.... Hope this will help you... Get well soon. Regards....
The conversation between human and AI assistant. [\|Human\|] goodevening doctor, my daughter is eight years old she is having cough , cold,fever for the the past ten days we went to a paediatrician he gave ascoril,calpol500,alexp cough syrup at first but there was no improvement at all then again we took her to the hospital he gave augmentin & salmucoloite for her then the cough became severe so he suggested nebulizer for her and also changed the medicines to respira - syrup ,romilast,clavam - 375mg then the fever became very high so he asked us to take a bloodtest(TC,DC,RBC)urine complete culture, allergy test we took everything. still cough continues we dont know what to do? she took 8 days leave for school half yearly exam starts day after tomorrow pls tell us what to do? she opens her mouth widely and sound coming from her nostrills when she is sleeping this is happening from her childhood.what is this? some suggests me to consult a ENT specialist pls advise me yours truly a worried parent [\|AI\|] Hello, By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you:-Questions:1. How many days per month does your kid cough or feel breathless?2. How many nights per month does your kids sleep get disturbed due to above symptoms?3. Does your kid feel breathless when running around or playing with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? Please revert to me with answers so that I can guide you better.
The conversation between human and AI assistant. [\|Human\|] Does masturbation effect the frequency of boners? all my friends say they get one once a week in school but I get 5 a day in school and I am NEVER thinking about something sexual. it just happens. Is it because I masturbate? if I stop will the frequency of my erection lower? [\|AI\|] Hello, The frequency of erection and masturbation has not much correlation. The person masturbate when getting sexual stimulus mainly and to achieve orgasm without intercourse. Even if you stop masturbation your sexual arousal and erection will not decrease. The sexual arousal by various stimuli is normal and don't worry about that. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] I have rapid pulse rate, feel heart beat in chest, pounding headache, swelling in ankles from new blood pressure medication, been taking 10 days (amlodipine 10mg). Also taking third course of prednisone for hoarseness from cough due to allergies and 2 previous BP medications (lisinipril 20mg, losartan 25mg) with side effect of dry cough. I can t tell anymore what side effects of the meds are causing what anymore. [\|AI\|] Hi, More probably swelling of your ankles are related to amlodipine. I think you can try to discuss with your doctor the possibility of treatment with beta blockers and diuretics. Beta blocker will eliminate your fast heart rate, and diuretic will reduce ankle swelling. They both will lead to lowering of your blood pressure. Depends on your blood pressure data, there are three variants concerning to amlodipine1. With Chat Doctor. Replacement with other medication of the same group in low dose, which has less probability of causing ankle swelling3. Continue with amlodipine, but with smaller dose Hope I could help nourishing you good health In case of further questions don't hesitate to ask
The conversation between human and AI assistant. [\|Human\|] when i eat egg noodle my stomach starts feeling really bad and i want to barf. my mouth gets watery and i get goosebumps. but when i eat eggs its fine, so i dont think its the egg. also when i eat deep fried food i also get the same problem. how can i fix this [\|AI\|] HI, thanks for using Chat Doctor The symptoms that you experience may indicate that you are allergic to one of the components in the meal. If you use eggs with no reaction then it may be the noodles or other ingredient added. If the same ingredient is added to the fried foods then you may be able to identify it. If it is difficult to identify then you should consider allergy testing. This can be in the form of blood tests or skin prick testing. I hope this helps
The conversation between human and AI assistant. [\|Human\|] For about a week I ve been having really sharp pain down my right leg. It s also a numb tingly feeling ontop of the pain. I ve also been having sharp pains in my lower stomach. I dont think its a blood clot because I dont have any discoloration or swelling. Please help.. [\|AI\|] Hi. It looks you are a female patient. A combination of a lower abdominal pain and severe pain down one leg which has developed into numbness is always suggestive of a spinal cord problem. I would advise you an MRI of the lumbar and thoracic area and of the abdomen particularly of the posterior wall to rule out any disease of the spine like tuberculosis or so, Ilio-psoas abscess and so on. Get an examination done by an Orthopedic Surgeon / General Surgeon, get appropriate treatment as per the findings.
The conversation between human and AI assistant. [\|Human\|] I m not sure what I did to my foot but while I m sitting it doesn t hurt. When I get up though it is very painful to walk. As I walk more then the pain/stiffness is less but still limping. No bruising or swelling. When I put weight on it the top of my foot hurts and now 2 days later, the arch is hurting as well. The outside muscle of the ankle that runs up the leg shoots pain up my leg when I walk. Should I see someone or give it time to heal? Thanks! [\|AI\|] Hi, Thanks for your query. Pain in arches can be due to flat fleet or muscle imbalances, or excessive fatigue of feet muscles and ligaments on prolonged pressure of walking, standing on hard surfaces without adequate shock absorbing cushions in insole or on faulty footwear, high heels etc. Treatment is contrast bath (alternate dipping in hot and cold water for 10 minutes, massage,elevation of feet on sitting, use of ankle support in daytime, use of silicone in-sole in footwear, Take anti-inflammatory medicines and acetaminophen. Take short breaks from walking and standing. Do toe and ankle exercises do hope that you have found something helpful, and I will be glad to answer any further query. Take care