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If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: i am 22 years old my hight is 5.4 and weight is 67 i had problem of short term memory loss i am 22 years old my hight is 5.4 and weight is 67 i had problem of short term memory loss . whatever i read that i forget after one sleep time is not fixed may be 8 to 9 hours i sleep can u help mi for good doctor in mumbai i am not rich, i am from very small family i need to take a tretment for that convenient cost which is convenience for mi my father is retired plz help mi ### output:
Hello Ram, At your age, you do not have to worry about memory problems. In fact, what you feel as memory problem is actually decreased concentration due to which you are not able to focus properly when you read. This can be because of many reasons like stress, lack of interest or distractions. Here are some things you can do:1. Set short term and long term goals, so that you know why exactly it is important for you to study. This will increase your motivation and also your interest in studies.2. Study with full concentration (without distractions), even if it is only for a short period (1 hour). Reading for hours without focus does not help you in long run.3. Take breaks in between so that your mind does not Chat Doctor. You can utilize the break to relax and refocus.4. "All work and no play makes Jack a dull boy". Integrate some play or exercise in your routine. Deep breathing exercises will also help calm your nerves.5. Do not compromise on sleep time as sleeping less will affect your concentration. If you can follow these (all self-help methods and costs only your time), then it may not be necessary to even consult a doctor. All the best.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Well, I was going to look at a combination of factors happening now. Lightheaded but bordering on a headache. Ringing in ears. Pain in left jaw. Low BP with high pulse. I have Rheumatoid Arthritis, so I chalked up jaw pain to that. Heavy stress right now, so easy to make it about that. Have appt with primary care on Tuesday, just wanted to check things out myself. ### output:
Hi, Let's straight come to the point as there are a lot of things to treat for. For tinnitus - you need to do some basic exercise for reducing the ringing of years. This exercises I have tried over 12 years and many have got benefit from it. It slows process but good one. Try taking water in mouth and hold in the mouth and do cheek movements. Try to do for as long as 1 minute. Jaw pain - for this the above one will help as there will be good amount of strength developing which will help ease the pain over the jaw as the ligament will get release of pressure. RA - in RA there is inflammation of the joints. Doing regular exercise and maintaining the joint ROM and sufficient muscle strength is required to avoid pain. Most patients with RA have to undergo physiotherapy for improving the lifestyle. Also anti-inflammatory medication will be provided by the Rheumatologist. Headache - for this you need to mention that where exactly the pain is. because some are vascular, some are due to neck stiffness. Having a good physical examination should help assess the cause of headache and medication based on it. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Every winter season for the past 5 years I have been getting bronchitis more frequently as the years went on til this year I had bronchitis twice from aug-December and pneumonia twice since Jan. This past Oct I was diagnosed with asthma. In January xray, it showed a spot on my lungs. So I went for a cat scan and it showed 5 small nodules. So then I had a sleep study to see if I had sleep apnea. Don t know the dull results but as what the tech said I didnt really stop breathing much but there were other factors that put me as a maybe. For the past week I have been wheezing and very productive cough and chest congested. Then today started have bad back pain when taking deep breaths, moving around, and coughing. was just looking for any other opinions. Also I m a non smoker. Was raised around second hand smoke though. ### output:
I respect other doctors who are treating you in the best way.However, to my own patients I give a non failing, side effect less and economic and very effective herbal remedy which is Ayurveda's wonderful medicine. These are M. Vasco syrup of M/s IMPEL, India and Hard Chat Doctor. Also, a combo of Sitopaladi + long pepper+God anti and holy basil leaves extract and ginger extract to be licked with honey three times a day. Ayurveda doctor will decide the dose as per need. All your 0 roblems will start vanishing within short period. Your doctor or you may opt to keep current medicine concurrently but with 15-30 minutes gap. No counteraction if medicines. Hope you will try it and then praise Ayurveda in few days.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: My 2 year old son has a split from the top of his buttcrack all the way down to his genitals. It hurts him to sit and its bled before (this is not the first time its appeared). I cant get it to go away and if it does happen to lighten up, it comes back pretty fast. What can I do? Any ideas as to what this is? ### output:
Hi, I had gone through your question and understand your concerns. You should be worried but not too much. Your cholesterol is not that high to be very worried. He may have hard stool or constipation. I see similar cases amongst young people who visit my clinic. In the first meeting, I advise my patients to go on lifestyle modifications for three months. I advise them to Chat Doctor. You can discuss this with your treating Doctor. For the next 2-3 months, try to follow the following guidelines. Then get your baby checked again.1. High fiber diet, green leafy vegetables, fruits, beetroots, cabbage, fresh juices, yogurts,fresh Dali.2. Cut down the processed food. White bread, rice, doughnuts, pizza should be completely avoided. Give him more raw salads with olive oil.3. A 40-minute physical activity every day like morning walk, evening walk or a visit to the playground or swimming pool.4. Dufalac 1 teaspoon daily for 1 month.5. For healing, you can use Pile ointment -apply before and after evacuation 4 times a day for 7 days. Start on these changes and get back to me in 2 to 3 months. Wish your son good health.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I am having uncontrollable urges with my tongue. I am pushing my tongue against my teeth. As well as rubbing and pushing on my gums where they meet the teeth. I see that I have already started shifting my teeth and caused gaps. The pain of my teeth and gums are horrible but I can not control it most days. I also see my gums receding, lifting, bleeding and tearing. Also I am starting to notice cracks in my teeth. My top 2 front teeth to be specific. This is the target area of my urges to push and rub on my teeth and gums. It used to be the bottom but now my tongue cant seem to relax and rests mainly on the roof of my mouth. What could cause something like this?!! ### output:
Hi. Thanks for the query. As per your complaint the symptoms that you are explaining is pointing towards TONGUE THRUSTING HABIT. In this condition the individual tends to push his tongue against the front causing spacing between the teeth, pain in teeth and gums, misaligned teeth and gum diseases. It can occur due to a number of causes like Sinus and adenoids related infections, large sized tongue or Macroglossia while stress can also be an important contributing factor. I would suggest you to consult an Orthodontist and get evaluated, and he can fabricate an orthodontic appliance known as Tongue Crib that will prevent hitting of tongue over the inner aspect of teeth, and you will test your tongue on the crib that will gradually reduce the habit. If you have stress then deep breathing exercises, meditation and if needed a consultation with psychologist can be made who can do counseling and advise you antianxiety medication. Hope this helps. Regards.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi Doctor, I am a female, 26 year hailing from India and live with my husband in Kuwait. Since yesterday, I have been feeling a slight discomfort with a chest pain that just disappeared after some minutes. But again since today morning, I have been experiencing a very slight chest pain along with a severe shoulder (around the top-middle back) pain and it hurts when I eat or swallow something. I can feel the food rubbing against the chest and this hurts my back right behind the chest (rib cage area). Its little difficult to even swallow water or saliva.I just want to mention that a few days back I did a strenous job of lifting something quite heavy. Could that be the reason for this discomfort? Its winter here and very cold too. I work as a Secretary in office and being busy my shulder hurts more when I sit in front of the computer for 8 hours. Could any one of these be the reasons for this problem and what is the remedy? should I consult a doctor immediately? or is it ok to wait for another day.Kindly advise.Thankyou. ### output:
Thanks for your question on Chat Doctor. I can understand your concern. Since you are heavy and strenuous work, possibility of musculoskeletal pain is more likely. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid sudden jerky movements of chest and shoulder. Apply warm water pad on affected areas of chest and shoulder. Take painkiller like ibuprofen or acetaminophen. Yoi will mostly improve with all these in 2-3 days. Of not improving then consult doctor. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: My query is related to Fileria. Specifically, my wife has had the disease which manifested itself some 12 years ago. It strangely disappeared. Over the past year she has been experiencing different types of ailments with no particular diagnosis. From my own research it seems quite likely that a dormant or medially equivelent worm has begun to infect again, doing something to the lymphatic system causing 1. Pain in her reproductive region (swelling discovered through a synogrophy) 2. pain and thickening of her thigh 3. Nausea 4. Dizziness 5. Shaking involuntarily of her leg, 6. Swelling under her arm pits 7. profuse sweating at times of stress in particular (again under the arms), 8. exhaustion and fatigue without exertion, 9. arthritic pain mobile throughout her body. ### output:
Hello, Thank you for the question and welcome to Chat Doctor ! I understand your concerns. In order to help you out I will need some more information about your wives health like was she treated the first time she was diagnosed with filariasis? Is she on any other medication? Has any test done for this condition? It is possible that her symptoms could be related to the chronic filariasis. Such chronic filariasis are usually amicrofilaria and thus not usually seen in blood smears. To diagnose it would need both tests-blood smear in Gains stain and PCR for malaria antigen to find if any are present. If diagnosed the treatment will be a course of albendazole/ivermectin or doxycycline based on test finding. Hope this helped. You can contact me for any future query. Take care!
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: hi im a 23 year old girl..i hav had scoliosis and kyphosis since i was a child..i had a 120 degree curve..i walked normally had no lung problems.. i had a surgery 6 months ago and woke up to find i can feel or move my both legs...by time my left leg recovered its activity but i can t sense heat or cold as to my right leg it took almost 2 months for me to be able to move it slightly..that s when it became spastic almost inhibiting any movement..nowafter 6 months i am walking on canadian cannes with a anti drop foot equipment for my right ankle cz i cant bend it..also i cant bend my knee the dr 1st said something about compression of nerves and brown sequard but was almost sure i was going to get back normal i seriously regret this surgery especialy because i was able to walk and hav a normal life more or less but had it mainly bcz of very bad appearance and now i cant walk or move easily i just want to get an opinion from you if i see a neurologist can he help me in any way.. or is there any second surgery that i need to hav that can make me better thanks ### output:
With your history, your doctor seems to be right. The recovery depends on the severity of nerve damage. I think your doctor must have done MRI once you had complained of mentioned symptoms. it's basically an expectant management. Any sort of intervention can do little. Though you can always go for second opinion anytime as I can't see your MRI. BUT NO MATTER WHAT, A POSITIVE ATTITUDE DOES A LOT GOOD at TURNING AWAY THESE TIMES. TC.:)
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hello doc, my husband is 34 year old with hepatitis C. The physician has treating him has suggested liver transplant. Could u give me insight about the same and who is it indicated? What are its complications? ### output:
The best treatment for people with end-stage liver disease is liver transplantation. The donation of liver segments from living relatives, splitting one donated liver between two recipients, new organ allocation policies and, especially, new approaches to liver transplants for people with Hepatitis C virus. Until recently, Hepatitis C virus infected livers were routinely discarded. But recent studies have shown that people already infected with Hepatitis C virus who receive livers from Hepatitis C positive donors can do as well as if they had received a liver not infected with the virus. This may mean that many more livers will become available for a person with hepatitis C. Liver transplantation does not cure HCV. The majority of people with hepatitis C who receive liver transplants experience a recurrence of the virus. Those with HCV who receive liver transplants also are at accelerated risk of developing cirrhosis within five years. Treatment with HCV-fighting medications may help prevent a recurrence of infection or treat recurrent illness that develops after a liver transplant. However, the effectiveness of this type of treatment after a liver transplant is unclear. The complications of liver transplant are acute graft rejection, vascular thrombosis, biliary leak or stricture, and infection. These patients are also at increased risk of developing malignancy, which needs to be considered in the evaluation process. Adverse effects of immunosuppressant Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi, I am 31 years old female. For the last one year I have been having severe problem with acne . I ve never had acne as a teenager or anytime before this. Initially I used salicylic acid facewash 2.5%, alongwith 2.5% benzac AC which seemed to reduce the acne considerably in a month. However, the acne recurred and the same medication did not work again. Right now for the last one week I have been using prescription medicine as follows: 1: deriva MS - applied all over face for 1-2 hrs. 2: benzoyle peroxide facewash 4% twice a day. 3: faceline+benzac 2.5% combination on the comedones every night. Now the comedones have come down but have instead become flatter and my face looks really red all over. How do I get rid of these red scars and how do i prevent further acne? ### output:
Hi there. At the outset, I note your problem has been present awhile now. No single treatment regime in acne works for all patients. If there is one medication that has universal appeal in acne management it has to be Roaccutane (systemic isotretinoin). It however has side effects & your dermatologist will be the best person to explain these in detail, take a consent form you before starting & do a series of preliminary blood tests & as per protocol at regular intervals during treatment. From your description you will definitely do well with a non-comedogenic sunscreen (I usually recommend Bioderma sunscreens formulated especially for acne patients) to reduce the redness & while using systemic isotreinoin therapy. Cheers & Good luck with your treatment!
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi, may I answer your health queries right now ? Please type your query here... my aunt is in the hosptial with chronic congestive heart damage however she was at the same hosptial 2 week before she went back with a good heart but they sent her home with the fluid still on her legs and feet now when we had to take her back 2 weeks later that are telling us to consider comfort care cause its nothing they can do. but my she was up walking round before she went now she can barely move she sleep all day her urine is dark brown her stool when she can is white she barely talks she got worse since being in the hosptial than at home how is it possible she this bad off ### output:
Hello, Brief Answer: Your aunt may need more anti-failure treatment, salt restriction and may be an anti-failure deviceExplanation: My opinion is that congestive heart failure mainstay treatment is diuretic, anti-failure Chat Doctor. sometimes when ejection fraction of the heart is too low we may intervene with anti-failure devices that may enhance heart condition this type of treatment has certain indications as not all patients are suitable for that kind of treatment. Stool and urine color you mentioned means your aunt mostly has obstructive jaundice, you need to check that with your doctors. I suggest my patients the following: salt restriction and adherence to anti-failure treatment is mandatory. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about the echocardiography data and electrocardiograph if available. Conclusion: I suggest you check with your aunt physician Hope I have answered your query. Let me know if I can assist you further.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Have had heart failure.mitrel valve replaced.had heart attack six months ago.now I feel very breathless rapid heartbeat.very tired and cough.this has started yesterday.my back is painful. (Left side) on beater blockers warfin aspirin fluid tablets (40mg) in bed now resting but my breathing is very heavy.have to see doctor tomorrow about my Inr.history of clots.thank you. ### output:
Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern, and would like to explain that your clinical situation appears a bit complicated. You have a history of previous diagnosed heart failure from a valve disorder, also a recent heart attack. Both of them have clear implications of a decreased cardiac performance. Possible responsible factors may have influence on heart failure decompensation, like an underlying inflammation/infection, a new onset cardiac arrhythmia, an acute coronary syn Chat Doctor. To better differentiate between several possible etiological factors, a careful physical exam, coupled with a resting ECG and cardiac ultrasound, chest X-ray study and several blood tests (like complete blood count, PCR, blood electrolytes, CK-MB, troponin I, AST & ALT, bilirubin, etc.) are necessary. A therapy optimization (potentially increasing diuretics doses, modulating beta-blockers regimen according to HF status and possible arrhythmia, and starting antibiotics for possible infection, etc.) would be necessary. You need to discuss with your attending physician about these issues. Hope to have been helpful to you! Feel free to ask me in case of further uncertainties. Greetings!
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: HI I HAVE MIS MY DEPO INJECTION AND IAM ALMOST 2 WEEKS LATE CAN I BE PREGNANT I DID TAKE I PREGNANT TEST ND IT SHOW NEGATIFE BUT MY SISTER IS ALSO 2 WEEKS LATE AND SHE WHENT TO THE CLINIEK AND TAKE A PREGNANT TEST AND IS SHOW POSITIVE BUT IF SHE TAKE THE SAME PREGNANT TEST THAT I HAAVE TAKEN IS SHOW NEGATIF HOW CAN THAT BE CAN I BE PREGNANT TO? ### output:
Hi and thank you so much for this query. The truth is that, when you miss your demo injection, the chances of getting pregnant are real. What I don't understand is why the pregnancy tests are not giving the same results for your sister when she uses the one that you used. Did you check the dates and make sure the tests were still good for use? Hope so. My advice is that you get a different brand of pregnancy test and repeat the test with. If the results are consistently negative, then you are most likely not pregnant. If the test should turn out positive, the visit the hospital and get this results checked out. I am so sorry about the inconveniences this has caused you. Please, always take your prescriptions serious to avoid future situations like this. Also, also consider using protection when having sex to help prevent STDs in addition to unwanted/unplanned pregnancy. I hope this ad Chat Doctor. Feel free to as me more questions if need be. Thank you so much for this opportunity. Wish you the best of health.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I m extremely itchy ALL OVER the place? I m extremely itchy all over the place! It constantly fels like there are bugs crawling all over me and biting me in random places. It almost feels like the kind of itch you get from an allergic reaction . Except i feel it constantly in random places all over my body. I m a very hairy person, unfortunately, so I don t think that helps. One night while I was asleep i woke up from my chest itching so bad and I just kept scratching and digging into cause it wouldnt stop and it hurt really bad and i had to put hydrocortisone on it. I live in a house on the lake and the temperatures right now are about a constant 104 every day. Don t know if that helps anyone. But please help me. I don t know what to do and I m freaking out because it s starting to itch ALL OVER and WONT STOP!! ### output:
YOUR DURATION OF DISEASE IS NOT KNOWN FROM HISTORY IT CAN BE FROM MANY CAUSES OILS SHAMPOO BODY APPLICATION MATERIAL DYES RECOOKING OILS ANY MED TAKING FOR OTHER DISEASE LIKE PCM IBUPROFEN VITAMINS AND DIET SUPPLEMENTARY CLOTHING TO LIKE CHANCES OF DUST MITE ALLERGY NEED TO FIND STILL THEN YOU CAN SE BASTING 10 MG NIGHTS YP CPM OR TAB CPM AT NIGHTLY CALAMINE LOTION LOCALLY OVER SKIN AS MANY TIMES YOU NEED CAN CONTINUE LONG
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I got into a fight last week, I was hit in the right side of my jaw and throat. It was complicated to close my jaw on the right side and when i did clamp down i could feel tension/popping close to my ear, after the pain was gone from that i started feeling it painful in my upper right esophagus area, the pain gets better throughout the day and no trouble eating, its sensitive in the one spot. I am worried it may be a swollen lympth node. Any advice? ### output:
Hi, thank-you for providing the brief description of your injury A thorough neuromuscular assessment is advised. As mentioned by you the mechanism of injury I will advise to first get it clinically assessed. As we need to see any muscular or bony injury is present. Also, as you mentioned you were not able to close the jaw, there may be an inflammation of the joint as well as the muscles of the post. May be to come closer to the diagnosis the CT or MRI may be advised to see the bone and the soft tissue status. As head and neck are really an important part of the body, negligence is not advised. Usually due to injury there may be three possibilities - no injury at all, injury to the bone or injury to the muscle & nerves. For coming closer to the issue, a proper assessment is advised. Also, in the front of the neck there is a presence of cartilages which needs an attention. Post that clinical assessment & if needed an MRI or CT the next treatment plan will be initiated based on the symptoms and signs. I wish you a good health and advise avoiding such fights in the future. Life is very important and precious.regards Jay In Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I recently had a pelvic ultrasound with endovaginal scan and it showed there is an apparent focal thickening of the endometrium measuring 5 mm (non-vascular) It might represent unusual polyp or focal endometrial growth associated with a small amount of hemorrhage in the canal above it. I am 60 years old, on biest and progesterone for 4 years; with lower abodominal pain (like low grade menstrual cramps at times) frequent urination and weight gain. Should I be doing something else? ### output:
Hi. Thanks for your query and an elucidated history. To consider your history one by one:The cause of the lower abdominal pain can be many. This can be due to PID, due to the mass in the uterus as per your ultrasonography. It is possible that there is a prolapse of the uterus giving you typical pains of the type of menstrual cramps. In addition, taking the best and progesterone as a hormone replacement therapy can have its own effect on not only the uterus but also on the body and can give wright gain and all associated symptoms. Frequent urination can be due to urinary tract infection or prolapse of the uterus as has been mentioned above. I would advise you the following::Blood tests, particularly of the hormonal status including the Thyroid function tests. Urine routine, microscopy, culture and sensitivity. Ultrasonography of abdomen. Physical examination by a Gynecologist to rule out any prolapse and so. Currating and biopsy of the endometrium to rule of the cancer. All these tests will lead to a proper diagnosis and plan for a proper treatment
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: What would cause shortness of breath on exertion of any kind , unable to sleep after a meal in evening Had 4stints put in right coronary artery a year ago Have been back to heart doctor and they say they cant find anything wrong, Pulmonary test say nothing is wrong GI say I have a hernia small and some esophagitis but nothing that causes SOB,Sometimes at night my ankles and feet turn blue and edematous and I cough a lot and on occasion pass out from coughing Now something is wrong and I want to live a quality life. I am 72 years old and use to walking 6 miles a day. ### output:
Greetings. Welcome to Chat Doctor, and thank you for your question. I understand your concern. Well, in the scenario where your cardiologist and lung specialist say that everything is fine, we have to seek for other causes of this situation. My first assumption was that you had these stents placed in a terrain of an acute myocardial infarction. In that case, a certain part of the heart muscle would be damaged and produce decreasing of the left ventricular function - rising of pressures in lung circulation - shortness of breath. My assumption is also based on the fact that your legs get swollen. If this is the case, then you should restrict your physical activity, to activities that do not produce shortness of breath, restrict salt from your diet. As about the cough, many patients that were subject to stent implantation or any cardiovascular disease, usually have angiotensinogen converting enzyme inhibitor (ACE-I) in therapy. These are very effective, safe Chat Doctor. But, up to 15% of cases they exert a side effect -
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: i was in a car accident like 2 months ago, broke a few bones, had surgery(hip and femur)a month later i began feeling left chest pains, left arm pains...typical heart attack symptoms in other words. last night was the 5th time i went to the e.r. thanks to this pains and again they found nothing wrong with me or my heart so i guess the ekg and mri were all good. the pain is still there on a daily basis my parents refuse to take me to the hospital they think i m insane. my questions are can my heart be bruised or enlarged?or that would have been ruled out with the ekg and mri?they said its not my lungs but the pain is on left back also, could it be only muscle pain?i don t have insurance and all this medical assistance is pretty expensive. if anyone could please get me on the right direction i would greatly appreciate it, this pain is so stressing it feels like a tickle on my lung or heart and i m scared if overlooked it will kill me. by the way i m a 19 yr old grl and nobody in my family has any kind of medical problems.... ### output:
Hello, I passed carefully through your question and would explain that it is less likely that your symptoms are related to the heart. In my opinion, your symptoms could be related to a musculoskeletal pain or anxiety. The resting ECG and MRI can help exclude a serious medical disorder. I would like to review your tests reports if you can upload them for a second opinion. Another option would be to perform a cardiac exercise stress test in order to completely exclude any cardiac issues. Hope I have answered your query. Let me know if I can assist you further.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi ive had the feeling im going to throw up for the last 4 weeks been getting slight headaxhes adizzynessm always tired and my lower back really hurts any idea y this could be im not pregnant as had a perioud 3day after i last had sex and ive a child this was nothing like my pregnancy before as people keep sujesting im up the duff ### output:
Hi, thanks for posting your concern in the Chat Doctor. I think the symptoms you have posted needs further evaluation to ruled out urogenital infection including PID, functional back pain coupled with anxiety disorder, mechanical back pain, ectopic pregnancy (less likely), functional bowel disease or IBS. I need further history for detailed evaluation-1. Do you have fever and/or chill and rigor?2. Do you have irregular bowel habit? 3. Have you ever seen blood in your stool or urine?4. Do you have burning sensation during urination and/or increased urgency, frequency, nocturia?5. Do you have any emotional stress at present?6. Does your pain radiate from the back? Secondly, you should consult your local internal medicine doctor at the earliest for further evaluation. You may need the following tests1. Blood for complete blood count, urea, creatinine, electrolytes2. USG. Whole abdomen3. Urine for routine examination and Urine pregnancy test (if USG is not done urgently)4. Stool for routine examination. You should avoid any stress and try relaxation sessions. Maintain good oral HY Chat Doctor. Avoid spices, carbonated beverages, alcohol and tobacco. For any further questions, please write back to me.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I am 41 yrs old & have type 2 diabetes & recently lost about 15 lbs for no reason. I have been eating better but not that much better & I have a stressful new job that could be the culprit but im scared b/c i know my body & i usually dont just shed 15 lbs in 2 mths with little to no effort. I am drinking more water lately but dont know if thats from the diabetes symptoms or not. Im scared something more serious might be wrong with me. I also pee frequently but I always have even before being dx w/diabetes,i went from 155 lbs down to 140 which is great but im scared b/c i usually have to work much harder to lose weight ### output:
Hello, Thanks for the query. I have gone through the details given and do understand your concern. However, there is no mention blood glucose level (fasting or PP) and HbA1c%, so there is no way to know whether diabetes is well controlled or not. Secondly no mention ChatDoctor. Persons with diabetes do lose weight at times fairly rapidly, particularly when it is uncontrolled with high blood glucose. That causes excess glucose loss through urine as well as increased frequency of toilet visits including getting up at night. In a well controlled diabetic FBG should be If blood glucose is not well controlled eating well can actually lead to more of glucose loss through urine. So my suggestion is please check your fasting, PP glucose levels and HbA1c% and try to bring those in the above recommended range. Then weight reduction will stop. Strict blood glucose control is the remedy. Thanks
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: 1. symptoms now: shortness of breath, fatigue, weakness, reduced ability to do anything, bluish color to palms, veins more prominent throughout body, chest pressure, chest pain (pinching feeling) on right side, headaches, numbness of hands, feeling cold.DOCTORS DID A CHEST X-TRAY AND ECG ON MONDAY. SAID EVERYTHING LOOKS NORMAL. THEYRE TRYING TO PASS IT OFF AS STRESS OR ANXIETY/PANIC ATTACK... I THINK THERES ANOTHER REASON(S). 2. 1 yr ago to now: itchy reddish rash that comes and goes many times during the day or sometimes once a day. appears as a cluster of bumps, scratches or wales. lasts for a few minutes at a time. happens whenever I lean against any hard surface, or if pressure is applied to the skin (bracelets, watches, testing pressure etc.)3. electric shock in spine.THANK YOU!!! ### output:
The first problem sounds like a congestive cardiac failure. Now where the EKG is normal, the possibility is that the echocardiography may show some changes. So I will suggest an echocardiography.2. Pressure sores and redness are common, one need not worry too much about it. However, if you can upload an image of the lesion, we can help you better by looking at the lesion3. Spine pain and trauma may often cause similar symptoms. I will suggest the test of MRI of the affected part of the spine. Let us know the reports, so we can help you further Best of luck Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I have this lump inside my neck on the lower right side and its been there for about a year. A few years ago I had something similer but on the other side and it went away. It causes me no pain but it feels like its getting bigger. I had it looked at during my last physical and was told it was just a cyst. I also have a bump on the back of my head close to my hairline at the bottom. Its about the size of a penny and very hard. Ever since I discovered it a few weeks ago it has only gotten bigger and now it is very sensitive.I am a very healthy and fit teenage girl who is 5 7. Please any information would be helpful! ### output:
Hi, Good afternoon from India. T-Thanks for your query to My-ChatDoctor Clinic.-I studied your query in depth. I understood your concerns.-My opinion -You have 2 lumps-a-neck lump-which is mostly-Sebaceous Cyst.b-hard penny sized, which increased in last few weeks and now bigger and sensitive-mostly-this lump is -a boil with cellulitis-in hairline on the back of head. Treatment-Consult a Surgeon who would treat it with-a-Neck lump-being sebaceous cyst-is Excision and Biopsy. Cure -is by-Surgical Excision Biopsy by ER Surgeon.b-Lump on back of Head-being -an Early unripe boil-which would regress after Antibiotics and Tb NSAIDs.-Hope this would help you to recover from worry-some query. Wish you a Fast Recover. Wellcome to Chat Doctor again.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Dear docs,Id been coughing constantly for nearly a year due to one busy month where I didnt get enough rest. After a chest x-ray, the doctor diagnosed me with Bronchitis. Second opinion said that too. However a third opinion whom is a specialist said that its just mild asthma and right now Im under 50/500 steroid accuhaler. Unfortunately, after a few months of stopping coughing, Ive got a cold and flu. Then, the cough started again. Right now, when I cough, my lungs feel uncomfortable and while breathing, I feel some kind of vibration. This worries me alot because Ive never experienced such before. So am I getting worse now? Are my lungs flooded? What am I having actually? Bronchitis or mild asthma? Should I be concerned?Confused. ### output:
Hello madam/sir, welcome to medical care magic.Don't worry. In bronchitis, it gets irritated and starts secreting more mucus. The tube narrows. So to bring out secretion, there will be cough and narrowing of this bronchus which causes difficulty in breathing. Severity of these narrowing almost like spasms is asthma. I hope now you understand what is happening. Severe coughing causes vibration like feeling. You said you had flu which again sensitizes the bronchus. So continue steroid inhaler till you are relieved of breathing difficulty. Definitely avoid dust exposure, steam inhalation -3 to 4 times per day. When you are comfortable start doing breathing exercises which strengthens the walls. With this I hope I cleared your doubts. Any further doubts you are always welcome. Take care. Good health
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi. So I broke my elbow when I was 8 years old and had to get a plate put in my elbow..now I am 18 now and for the past year I get extremely really bad pain in my wrist. It feels like someone broke my wrist. I went to get it checked out but of course when I went the pain was gone..I can go like two days where I can do what ever I want with my wrist and then next I can t even move my fingers without it hurting..its my left wrist and I never use that wrist for anything...I m so hangry because nothings helping it ..when it hurts I sometimes still can pick light things up but its just I can t move my wrist up or down and I get open any doors ..please help! ### output:
Hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. As you had surgery 10 years back with screws and plates in the elbow, my first doubt here is, is the plate and screws removed. If not than it has to be done for which you can discuss in person with an or tho. Also, when you have pain in the wrist and not able to even pick a ball then the motor and sensory nerves needs an assessment since you had a past injury which was treated with the screws and plates. As the muscles must have been weaker.Also, usually with simple physical therapy the strength is regained back, and muscle re-education is provided by physical therapy. In case if the screws and plates are not removed I will strongly recommend getting it removed as it will lead to restrictions in the overall growth of the bone and muscle system. RegardsJay In Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I am a 43 year old male with a medical history of essential hypertension for the last 8 years. initially i was given amlodipine 10 mg and a diuratic tablet almost for 4 years and my BP remained around 140/90-100. Now for the last one year i am on Losartan potassium 50 mg with amlodipine 5 mg a single tablet a day after breakfast and it keeps my BP around 130/90. I get my Lipid profile , KFT, etc regularly done and it happens to be normal. I am a non smoker and a moderate alcoholic and do a moderate exercise. Now i want to know how long shall I keep myself on the same drug , how safe is it , and what shall i do further? My height is 5.6 Weight is 69 kg and am highly sexually active . ### output:
Hello, The combination of losartan and amlodipine is presently considered one of the most effective antihypertensive and has minimum side effects. Also, it has been able to control your blood pressure well as per the reading you have mentioned. As you have essential hypertension, In high probability you would require lifelong medication to not just control the blood pressure but prevent any heart, kidney or brain related complications because of high blood pressure. The above medication is well tolerated with negligible side effects in an individual. The list is available on free net source. Neither losartan nor amlodipine would affect your sex life. So do continue the medication, Decrease salt in your diet, stay active and continue monitoring of risk factors and Co morbidity. Wishing you Good health. Regards
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I have pain along my arm in two places. The muscle is tender painful and has lasted for days. Is it a nerve or muscle issue. There a two small lumps that are tender to the touch along the underside of my lower arm between my elbow and wrist. It is difficult to use this muscle or hold anything of weight with this arm. ### output:
Here you have told symptoms like pain at arm and hand level along with lump between your arm and wrist at inner side. I suggest to check do you have neck pain complain too. If yes then it can be related with neck pain. If there is no neck pain and pain starts only from shoulder level then it can be due to shoulder arthritis too. And if your pain is kind of radiating pain then it can be due to hypersensitivity of your upper arm nerves which is disturbed at either shoulder level or neck level or arm level. I suggest you should visit an orthopedic for proper examination and evaluation. Here he also needs to see the size and location of the lump which you are talking about. Based on the diagnosis doctor will suggest for surgical opinion for cervical, shoulder or for lump area if there is anything major. If there is no major problem in your x-ray and examination then he will ask you to go for physiotherapy treatment and take few medications as a primary care treatment program and will review after some days. You can also use hot and cold pack at home for some more relief. Here since physical examination is not done by me, I have given simple guideline on what to do. I suggest do not wait further because it will worsen your issue, and then it will take time to improve. So just follow the suggestion and go ahead for treatment. And I am sure you will be fine with this. Take care.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi, I recently learned my Father was Rh Positive and my Mother is Rh Negative . I was born in 1957 - the second of six children. I know sometime in the 60 s any possible problems were eliminated. So I m wondering what types of health problems / risks may I expect in this regard? Is there a known gene mutation that I should know about, so I can share that with a doctor? Thank you. Clara ### output:
Hello Clara, Thanks for posting, If you and your siblings did not develop any complications at birth due to mother and fetus incompatibility then you have nothing to worry about now. Hemolytic disease of the newborn (the condition is known medically as erythroblastosis fetal is) occurs when there is an incompatibility between the blood types of the mother and the fetus/baby. There is also potential incompatibility if the mother is Rh negative and the father is positive. Now since you are lady, what you need to know now is your own blood type to be able to determine if you will require additional medical care when you are pregnant to protect the fetus (from incompatibility). The Rh factor genetic information is also inherited from our parents, but it is inherited independently of the AGO blood type alleles. There are 2 different alleles for the Rh factor known as Rh+ and Rh-. Now, if your father is Rh+ and mother Rh- it means you will likely inherit an Rh+ antigen (your genotype will be Rh+/Rh-= the two alleles but the Rh+ will be the dominant). So I do suggest, you quit being worried and know for sure that you will have no major health risk when it comes to your blood type. Do however get tested (blood groups) just to be sure. Hope this helps
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I have had a gas bubble near my groin for almost 2 years now. It hasnt gotten any larger, and is not painful. It comes and goes, and I am able to push it back in when it protrudes. It typically protrudes when I push, for instance when I am going to the bathroom. What is it, and what can I do about it? ### output:
Hello, Thank you for your query. Your description is suggestive of an Inguinal Hernia. When there is a defect in the abdominal muscle wall, the internal organs can push through it and can be felt & seen on the body. The intestine is usually involved but can include other structures too. A hernia can be asymptomatic as yours but can become complicated if a too much of an organ is pushed out and is strangulated by the opening defect in your abdominal wall. This is a life-threatening complication. I strongly recommend you see a general surgeon who could assess the size of the defect and advise a proper plan of action. I would do a physical exam, assess your medical /personal history and risk factors. Furthermore, I would also request an Ultrasound or a CT scan of the Abdomen. Depending on the findings, a treatment plan will be advised. Surgery is the only definitive treatment. A wait and watch plan may be an option if defect is very small. Avoid pushing or straining. don't lift heavy objects or do any activity that makes the hernia appear. This can enlarge the defect and cause strangulation as mentioned above you develop abdominal pain, blood in the stools, fever, see your doctor right away or go to the emergency. Hope this helps. Please get back to us if you need further clarification. Wish you good health
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi, I was diagnosed by my family doctor as having CKD , he did urine and blood work-he said a ratio between creatin (sp?) and I think it was potassium-it was abnormal. I was given potassium tablets when in the hospital 24 hours prior in hospital when they did my blood work because of chest pain and a convulsion because it was low...My family doctor said my potassium is now normal range 4.5 He said this has been ongoing as I had protienurea with my pregnancy 11 years ago and I ve been told numerous times I m fighting something because my potassium has always been low. My face is also always tingling numb-like a tightning when you have had too much sun. I have an ultrasound booked in a months time, and am being referred to a kidney specialist...a month is a long time, is there a chance he could be wrong? I m sorry for the spelling errors and I hope I was clear. Thank you for your time. Jenny ### output:
Hi Jenny, Welcome to Chat Doctor. From what you have mentioned in the question, you have longstanding low potassium, proteinuria and have recently been diagnosed as CKD. There are various stages in CKD, and it would be nice to know which stage you are in and what the latest actual EFR reading is? Low potassium in blood could be due to various reasons and will need investigation especially if you are having symptoms. The tingling/ numbness may be due to another problem (Calcium and Magnesium levels). It is appropriate to see a kidney specialist for your problems, and you will need quite a little blood and urine tests to clarify the reasons for your symptoms. BY. RB
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: My aunt went to the emergency room last night around 9, she was hot and freezing and her side was hurting her. Her blood pressure was 202 on the top when we first got there and then if came down to 192 and a little bit later it was 185 and then back to 192 - too high. what may be causing it ### output:
DEAR OVERTHINKS FOR CONSULTING AT ChatDoctorI UNDERSTAND YOUR CONCERN. BUT PROBABLY YOUR AUNT IS AN HYPERTENSIVE AND SHE IS NOT TAKING ANY MEDICATION ON THE DAY SHE WENT TO THE EMERGENCY A PRECIPITATING STRESS FACTOR MUST HAVE CAUSED A SHOOT UP OF BP THAT GRADUALLY DECREASED BUT STILL REMAINED HIGH AS SHE IS HYPERTENSIVESLIGHT FLUCTUATION CAN BE DUE TO AUTOMATED MACHINES, INTEROBSERVER VARIABILITY ETC . YOU NEED NOT WORRY ABOUT THE FLUCTUATION BUT YOU NEED TO START YOUR AUNT WITH A ANTIHYPERTENSIVE AFTER CONSULTING A CARDIOLOGIST... I ALSO ADVISE YOU TO GET A ECG AND CARDIO CHECK UP DONE . To RULE OUT ANY UNDERLYING PATHOLOGY.HOPE I HAVE ANSWERED YOUR QUESTION. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I have an infection in my second toe on my right foot. The toe itself from the knuckle to the tip is red/purple, inflamed, nerve pain is awful. What can I do and what is it. I have had this condition before, same toe same foot each time. They have prescribed me a course of cipro but have finished that and it didnt help at all. It seems to occur in colder months when I have to start wearing closed toe shoes. I have been soaking it in vinegar and water but that only seems to help while its soaking. I am od-ing on ibuprophen to keep pain at an almost tolerable level, also is so painful I cant sleep. I do have an appointment next week but until then---Please help!!!!! ### output:
HI, I understand your concern. You seem to have problem due to misfitting shoes. The pressure causes your symptoms of sever pain & inflammation & probably an abscess./ causing breakage of local blood vessels (with collection of blood there- that's why its red & blue) You should - - - Consult a surgeon for confirmation of infection/ abscess(which will need Chat Doctor. A change of antibiotic is needed in certain cases. ) Clinical examination/ x-ray would confirm the diagnosis.& the treatment planned accordingly would help you. - Cold compress helps in case of blood collection(hematoma) - Check your blood sugar & get it normal with specific medication along with antibiotic s - in case of an abscess. - Stop using/Change shoes (use ones with broad toe)/ Give rest to the part. In short, you need investigations according to expert advise & treatment thereafter. Thanks.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: i AM A KNOWN CASE OF DEDIFFERTIATED CARCINOMA OF THYRIOD WITH METASTAS TO LUNGS . i HAVE SEVERE BREATHING PROBLEM AND FEEL OF SUFFOCATION . i HAVE IN PARELLEL SEVERE RHUMATIOD ARTHRITES MANAGED BY PAIN RELIEVERS SUCH AS TREMEDOL +CROCIN +FANTYNYL 25 MICRON PATCH .I AM TAKING RAMIPRIL 2.5 MG BDTO MANAGE MILD HT AND HUMAN MIXTRAD INSULING TO MANAGE DM. I AM ON 24 HOURS A DAY NOIN STOP OXYGEN 4LITRE/MIN .PL ADVISE IF I TAKE BLUKOF OR ANY OTHER MEDICINE TO RELEIVE THE CONGESTION FROM THE CHEST AND THROAT PASSAGE , THE FEEL IS ALWAYS GASPING FOR BREATH AND SOFFOCATION . ( I AM USING BIPAP IN THE NIGHT AND DAY TIME ON SOS BASIS ) ### output:
Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* As you are on highest doses of painkillers possible, still I would suggest for your case - preference of semi reclining position - intravenous or oral bronchodilators, corticosteroids - deep breathing exercises, meditations - positive thoughts - no smoking if doing Hope this clears your query. Welcome for further questions. Regards.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I had some pain in my big toe and went to see a Chinese doctor who did a blood test and later told me i have romatism. I have no idea about this sickness and would like to learn more about it and if it is cureable or not? I would also like to know is only on my toe or will it be all over my body? ### output:
Hi, (Actually, the proper spelling is Rheumatism, not dogmatism). Rheumatism is not a single disease, it is a group of disorders that cause inflammation in joints, muscles and/or other soft tissues. There are several diseases such as Rheumatoid Arthritis, SHE, Scleroderma, Psoriasis, Gout, etc. and all of them are a kind of Rheumatism. Overall, the diagnosis of a Rheumatic disease is based on your history, examination and lab tests. You should only refer to an Internist or a Rheumatologist for proper diagnosis. Some Rheumatic disorders only involve one joint and some others involve other joints and even other parts of the body such as kidney, heart, etc. The major treatment for these disorders are the Chat Doctor. Although other treatments also exist. In most cases, rheumatic diseases cannot be totally cured, but with the help of proper medication the pain and other problems will go away, and the disease will be off for a long time. I suggest that if the doctor that you saw was not an Internal Medicine specialist or a Rheumatologist, you refer to another doctor to be sure that your problem is hematologic. Hope I have answered your query. Let me know if I can assist you further.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I live in a house where there are over 7 small philodendron plants hanging from the wall. Since moving in a month ago, I have never touched the plant, but have been experiencing extreme congestion, itchy watery eyes, and diarrhea. The bowel problems began 2 weeks ago, the other symptoms one week ago. Could the philodendron be causing this? ### output:
Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. Yes, Children Chat Doctor. Any many parts of the plants are allergic.2. Pollen of the plant can cause nose, respiratory and eye allergies, upon ingestion of its juice, one can get stomach upsets and upon touching the plant, one can get skin allergies.3. Your observation may be correct, congestion, eye symptoms may well be due to pollen of the plant. I am not sure about diarrhea, but it may also be possible as well.4. To confirm, I would suggest you allergy testing for pollen of the plant. If this is not possible, I would suggest you to keep plant out of house for a few weeks (8-12 weeks), if your symptoms improve, you could think it was due to allergy to the pollen. (After removal of plant from home, it takes a Food weeks to actually clear pollen from home, that's why it takes longer)5. Till you have symptoms, I would suggest you to take regular montelukast and levocetirizine. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I fainted two days ago in the middle of the night in a hotel all by myself , I hurt my self badly, big cut in my forehead as well as several incisions in the back of my head. I was completely out for about 2 to 3 hours until I finally came back. This is not the first time I faint, but it is the first I really hurt myself plus I was alone. I was diagnosed in mexico city in a hospital by a neurosergeon as having had a "Sincope Neurocardiogenico" do not know how to translate that into english. How serious is this? Can this be cured or at least controlled? I travel a lot by myself for working reasons, I am 53, and I need to travel, needless to say I am very scared this may happen again!! ### output:
Welcome to Chat Doctor. Syncope is a transient loss of consciousness(LOC) for a few minutes, loss of consciousness for 2-3 hours does not appear to be due to syncope. It would be prudent to rule out any cardiac arrhythmias by getting a 24 hour Holder testing(Mobile ECG) to rule out any bradyarrhythmias or abnormalities of rhythm and rate. A EEG, other causes of LOC need to be looked for, this includes seizures, TIA and other cause. Syncope needs to be checked for causes of orthostatic hypotension like Chat Doctor. Other causes of syncope like micturition /sneezing /neurogenic/vasovagal or carotid sinus syncope needs to be looked for. It would help to get a thorough neurological, cardiac and medical check up done to establish Theo cause of such symptoms.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I m a 55yr. Old male.ive been told I have peripheral nuerathapy in my legs and feet.i notice at first some numbness in my feet years ago , but lately I ve had what feels like an intolerable burning pain from the balls of my hips what i sit on ,all the way to my toes but the worst pain feelsit comes from the upper outside of my feet .its just jolts of electric like pain.i have literally taken my fist and try to beat this sensation from the top of myfeet.my dr put me on 1800 mg. / day neurotin,seems to help but when I ron out of meds, oh shit look out .I can t live with this much less sit still,defin no sleeps . , Any thing please sincere Ken.Anderson ### output:
Dear patient Considering your case there are two possibilities 1. Peripheral neuropathy 2.lumbar disc prolapse with nerve root compression. Both have similar clinical symptoms except back pain in disc prolapse. This needs to be investigated with EMG NCV of both lower limbs to confirm diagnosis. If EMG NCV report is showing peripheral neuropathy diagnosis is confirmed. Next step is to search for the cause of neuropathy which may be 1. Diabetes Mellitus 2. Vitamin B12 and riboflavin deficiency 3. Alcoholism 4. Lead poisoning. You should better consult neurophysician nearby you and get yourself examined and investigated thoroughly. If exact cause is fond and treated completely you should get long term relief. Till then continue treatment as advised. All the best.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: hi everyone. i have always been a worrier my whole life mostly about sickness, diseases, and death. so over the last month i had been suffering intrusive thoughts about harming my girlfriend of 8 years who i love so so much which caused me to be depressed and having panic attacks. so i found out today i have ocd and my psyciatrist has perscribed me zoloft. but im scared they might make me wanna act on my intrusive thought or become suicidal...note: i have never been suicidal ever i am terrified of death. i am very unsure about medication please help! ### output:
Degree understand your concerns went through your details. I suggest you not to worry much. The basic symptom every OCD patient shows is that of a doubtful approach in anything and everything. You are also showing the same. You should never worry about sickness, disease and death because you have no control over them. Furthermore, you can hope for the best and do your duty like doing exercise, being fit, eat good and nutritious food etc. But still you cannot control these three and also your future. That is basic. In OCD, you are always obsessed to thoughts and activities. Minor OCD, everyone has. When it goes beyond control, it is bad. Medicine Zoloft is good for OCD, prevents intrusive thoughts. Therefore, you should obey your psychiatrist and starting the Chat Doctor. Your psychiatrist knows your condition well, and he is good judge. Trust him and you will be alright. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I have a knot on the back of my head, it appeared about 3 days ago. It started out small and barely noticable. Now it is about 1/2 inch long and 1/4 inch wide. It is very painful and extremly painful when it is touched. Even some area around the knot is painful. I did not hit my head or can think or any other cause to where this knot came from. I had a nurse look at it to day, she had no idea what it could be but, ruled out pimple or infected hair folical. I am having headaches and slight trouble focusing, which in normal for me when I dont get enough sleep. But, it is torture to lay my head down to rest, and if I postion my self where I am not laying on it, it is still painful and very uncomfortable. I am more concerned with what this knot is and how to get rid of it than anything else. Please help. ### output:
Hi, DEar, thanks for your query to Chat Doctor. I studied your query in depth.1-In My opinion the painful knot on the back of your head appears to be a spider bite/insect bite/bedbug bite-with infection-cellulitis at the back of your head.2-Or it could be unnoticed early progressive folliculitis, which your nurse missed.3-I would suggest you to check with doctor, who would CBC, X-ray skull, for to rule out the unforeseen cause of the headache with the painful lump in your back of the head.4-Hope this would solve your query.5-Wellcome for any more questions on new or this subject also... Have A Good Day.!!
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: hello, my 1st xray revealed an acute nondisplaced 5th metatarsal base fracture. i.m wearing a slpint cast. week 4, my 2nd xray revealed nonunion. in week 6, i started using an ultrasound device by Exogen hoping this will help the bones uniunize. currently in week 8 and i.m still proned to swelling though most of the bruises have started fading away. i go back for xrays week 10. i have no expectations, but what are the possiblities & what should i be prepared for? ### output:
Brief Answer:Likely to be healed or require open reduction and internal fixation (ORIN) with intramedullary screw fixation. Detailed Answer:Warm Welcome. I appreciate your trust in Chat Doctor and assure you are on best portal on the globe for expert online medical services. I have thoroughly reviewed health query you raised, and well realize all of those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems. Based on what you said, there is possibility that the fracture gets union. Ultrasound therapy needs approximately 16 to 24 weeks for such recovery with good results. If you are not satisfied with above treatment, you may need to consult an orthopedic surgeon with fresh x-ray in hand who will perform fixation surgery with intramedullary screw fixation. In either case, close follow up is necessary to prevent disability. Hope I ad Chat Doctor. Let me know if you have further questions. I will be more than happy to clear any doubts. Keep a follow-up to see how you're doing. Regards!
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hello Dr. .. I am 41 years old, I live in Kuwait, married with six children, my older son is suffering from a lack of growth, age 15, and his body for 13 years, and is now being treated in the hospital, and the doctor treating him with Choriomon. The problem is that I suffered at the stage of adulthood, such as my son, did not notice my father or my mother, and when the doctor said: For my son, it must treat defect endocrine do not occur until health problems in the future, I was concerned, I decided to consult a doctor, do I need medication reorganize my body now? Height: 187 cm Weight: 120 kg I suffer from a problem in a period of organic erection. I suffer from a problem in ejaculation (semen comes out of the organic very slowly) Thank you ### output:
HelloThanks for your query, based on the facts that you have posted it appears that you have problem of erectile dysfunction and premature ejaculation. In absence of any major health issues cause of ED and premature ejaculation is mind related and due to performance anxiety. The problem of premature ejaculation is common, and every person suffers from it some time life. 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 Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Taking Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: HI, MY SISTER HAS Neurocysticercosys AND SHE IS TAKING EPTOIN 25 MG FOR THE LAST 3 YEARS.BUT DOCTOR ADVISE HER TO TAKE THE MEDICINE FOR THE NEXT 3 YEARS FROM LAST ATTACK.NOW ITS ALMOST 1 AND HALF YEAR IS COMPLETED FROM LAST ATTACK(TOTAL 3YEARS+2.6 YRS +5.6 YRS).BUT PROBLEM IS SHE GOT MARRIED IN MARCH 2012 AND SHE IS FEARING OF MISCARRIAGE IF SHE WILL GET PREGNANT .WHATS UR SUGGESTION. ### output:
Hello, I suspect you meant to say your sister is on 250 mg of Option ? Instead of 25 mg as mentioned above. (as 25 mg is too low a dose and unlikely to provide any meaningful protection against seizures) The risk of seizures is highest in those with multiple lesions in the brain especially those with surrounding inflammation. Even in people with calcified inactive lesions long term antiepileptic medications is necessary if the patient has recurrent seizures. In some it is possible to taper and stop medications after to 6 to 12 months of radiographic resolution of active infection. There should be no problem in continuing the antiepileptic medication when your sister gets pregnant. If she is apprehensive she can be switched to newer Chat Doctor. She could also discuss with her Neurologist regarding a trial stopping of medication. Hope this helps!
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: my son is 5 years old and he is suffering from on and off fever since 2 to 3 months .he was having cold and fever and we used antibiotics and it used to come down, but again he used to get fever ,so we got him done a widal test . it was positive. since two days he is on the course for typhoid fever. he used to take diet normally during fever also. may be he had infected with typhoid 2 months back. now will there be any complications and will he become a carrier? please reply me soon. i am very much tensed about that.his WBC COUNT IS 16000 cells/mm3. ### output:
Hi... Thank you for consulting in Chat Doctor. By what you quote it could be recurrent viral illness. I will explain to you how a viral illness behaves. Fever of 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 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. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 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. Regards -
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi Doctor I have been diagnosed with a supraubbilical hernia together with diverification.I am currently 14 weeks pregnant and i sought the opinion of a surgeon who explained that it is safe to go full term with the preganacy and have a normal delivery and afterwards I should have surgery to repair the problem. I am always in excruciating pain if I dont wear a belly-band, the hernia looks like the size of an orange. My obstetritian advised that i should have a caesarian and sugery to repair the hernia at the same time. I am opting to take the advise of my OB. How safe is this and is this advisable? Also, how common is it for a women to reach full term with this medical condition? I am sorry, i didnot realise that there was a payment involved (so so sorry). I do not own any credit cards or master cards ### output:
HiSupraumbilical hernia will have fat as its content. If it is blocked in the hernial sac, you will have pain. You can continue the pregnancy. You can reach full term without any complications. Your obstetrician advised for cesarean and hernia repair at single setting. Routuinely for cesarean section, transverse incision is given in the lower abdomen. To cover hernia in a single incision, they should give a long vertical incision from the lower abdomen to the upper abdomen to cover the hernia. My advice is to get hernia repaired initially with cosmetically good transverse incision. Try for normal delivery. Even if cesarean is planned, it can be done by transverse incision on lower abdomen. Wish you good healthRegards
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hello sir We are leaving in kashipur (Uttarakhand). My father suffering from leg pain (Thai) He is diabetic patient from last 2 year. Need your guidance for the treatment ... What is your recommendations over this Is there any treatment available at haldwani / Moradabad / bareily etc Waiting for your promptly reply .. Thanks & regards Pankaj kumar singh Mob:- 0000 ### output:
Hello have gone through your question and understood your concern. Pain in the legs can occur as a result of conditions that affect bones, joints, muscles, tendons, ligaments, blood vessels, nerves, or skin. Leg pain can occur at night, while lying down, or while running or exercising, depending upon the cause(an in jury or a chronic disease.) Since the leg contains a number of different structures and tissue types, a wide variety of conditions and injuries can cause leg pain. In your fathers case, in my opinion the cause can be Diabetic neuropathy (nerve damage from diabetes). This is a common cause of leg pain in diabetics. Anyway my recommendation for you is to consult his doctor because for diagnostic and therapeutic purposes, it is important to differentiate the exact type and location of his pain in the leg. Apart Diabetes other potential causes of leg pain are:Peripheral artery disease, Blood clots (deep vein thrombosis), arthritis conditions, The pain of sciatica (from disc disease of the spine). All these alternatives should be taken in consideration for the right diagnosis and only after the right diagnosis your father can have the right treatment. Hope this is helpful. Thanks for using Chat Doctor for your health queries. Wish you all the best.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: i have had a condition for the last 13 month now whereas it feels like a drop beat in my chest which happens everyday.but for the past 4 days these beats in my heart have been happening every 10 seconds. i got really scared and called an ambulance. i was on the heart monitors for 5 hours in the hospital and it was picking up my proble3m. the doctor said i am getting extra beats from the bottom of my heart and sent me home because their is nothing they can do for me. they have said nit is harmless but the problem is i am really scared and the beats are so intense. is this normal for a guy my age at 28 to be experiencing this. it is making me stressed out and the fear is terrifying....do u have any advice for me.......please help ### output:
Hello! Understand your situation, but you don't have to worry. With what you refer, it does not look a series problem. The problems with heart beat can have different causes. In your age, the possibility that this comes from organic factors, such as a heart disease, is very low. I think that your situation is transitory. However, if the problem persist for a long time and becomes more frequent and disturbing than I would recommend that you consult a cardiologist and make some examinations to evaluate your cardiac rhythm and function, such as ECG, echocardiography and a holder rhythm 24 hours. After these tests results and evaluating the heart rhythm and its nature, the cardiologist will take a decision to start or not any medication. I hope to have helped you with my answer. I wish you good health! Thank you for using Chat Doctor You are welcome to write again if you have other questions.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: My mean red blood cel distrib.width is flagged above normal range 14.2% this is constantly the case along with ESR. reading of 32mm/h above normal range. I am getting gripping pain in my chest and top of right arm. BP slightly raised and breathlessness on climbing stairs. My Father died aged 59 with heart disease/angina his Mother at 62 yrs.old and his Brother at 57 yrs. old n ot heavy smokers or greatly overweight and all virtually non drinkers. I am concerned my symptoms are being passed of as polymyalgia rheumatica and was given steroids on and off for past 4 yrs. they do stop the painful joints but on stopping them after 2-3 wks and in pain in every joint. I am 58 yrs. old probably a stone and half over weight but still try and keep active..walking lots and light exercise and good diet.Should I insist on further tests for heart disease? many thanks Patricia ### output:
Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases as you are active and doing exercise. But better to get done screening for heart diseases as you are having strong family history of heart diseases. So get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Sometimes, musculoskeletal pain can also cause similar symptoms. So avoid movements causing pain. Avoid bad postures in sleep. Avoid heavyweight lifting and strenuous exercise. 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.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: About 5 or 6 years ago when I was in middle school, I had to have a root canal on one of my bottom teeth. since then I have gotten braces put on and taken off my teeth. I still have a wire on the back of my bottom teeth. I have never had an actual problem with my root canal. Recently im starting to feel soreness and at sometimes intense pain starting from where my lower lip and lower gum meet to the starting of the top of my chin. I hurts to put pressure on it. When i put pressure on it , it sends a pain sensation through, I guess, My nerves to one of my teeth. I was thinking it might be because the wire on the back of my lower teeth had came off but im starting to think otherwise. Also i thought about this new found pain to be related to my root canal i had 5 or 6 years ago, but the strange thing id that the pain sensation is going to another tooth instead of the one I had a root canal on. It also hurts when I make facial expression that involve my muscles uncle my lower lip. (example: when going to kiss). To my knowledge I have not hit this area that is sore to make it hurt. ### output:
Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have said that you have undergone root canal treatment 5 years ago and Orthodontic treatment also now you are feeling pain don't worry it can be due to Orthodontic treatment may be due to treatment oral hygiene is not maintained properly that's why pocket formation is there any you feel pain and sensitivity, You should go to dentist and go for investigations IOWA done to get proper diagnosis and treatment, Hope this will help you. Wish you good health.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi Sir/ Madam,.. I have been afffected by thypoid before a year. Now i was been infected with dengue. I have been admitted in hospital and treated for the fever. Tested for Dengue, its positive and the doctor says it has been infected you before and now its been an antibiotic.My blood platelets drops due to this. Now its normal. But for past one year i had abdominal pain and shivering. I would like to know whether it is because of the thypoid fever or of dengue fever. Till now i have shivering . I have abdominal pain after i masturbate, pain in the joints. Liver, Kidney function is normal. please give me some suggestion, what could be the reason for this and if any other test should be done or it comes normal after dengue is cured fully.. ### output:
Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Typhoid infection can cause intestinal ulcer. Though typhoid got treated it can remain in its place causing a pain while you are on stress. Superadded dengue further causes injury in this ulcer. In some cases dengue can cause perforation and case even got worse. I advise you to take the USG abdomen this will guide you for any ulcer if present. Please do not eat heavily, you can eat small and frequent diet this will help you in your pain. You can take the Lactobacillus and serratopeptidase which can help in healing. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hello. I am just checking to see if I can get some ideas of why I have been feeling different over the last 15 months. I noticed that at times I have shortness in breath, fatigue (tired), decreased muscle strength. I am 45 years old and though maybe I was out of shape and a bad diet and maybe over weight (245). Over the last 2.5 months I have been working out everyday at least 60 minutes a day and eating better. I still feel the same and haven t seen any results. The reason I am asking is because I have always been in shape - Boxer and worked out. I have seen a few doctors but they haven t been very good at trying to find anything. I know something is wrong. I know my body but no one is listen. Blood work has been done and everything seems to be okay. I also had a Testostrone test done recently. I will be following up with a doctor on 10/14/14. What else could be going wrong? ### output:
Thanks for your question on Chat Doctor. I can understand your situation and problem. At your age of 45, menopause generally started. So possibility of cardiac disease is high during this age due to loss of cardio protective effect of estrogen. So first get done ECG and 2d echo to rule out cardiac cause first your symptoms. If both are normal then no need to worry about heart disease. Bronchitis is another possibility in your case as you are having breathlessness and fatigue. So get done PFT (Pulmonary Function Test) to rule out bronchitis. Consult doctor and discuss these investigations to rule out cardiac and Pulmonary causes. Hope I have solved your query. Wish you good health. Thanks.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi I have been going to the doctors now for 2 years trying to find answers. I have a lot of pain in my left shoulder blade, under my arm shoulder, and side of breast. Some times it is a stinging burning like it is on fire pain also with numbness. I have had blood work, cat scans, ultrasound, x rays, mammograms, MRI done this pass Monday. Results of MRI is no tears but lots of imflammation. I have a fullness feeling with it under arm and in shoulder blade. I can t get it across to doctor that the shoulder blade is hurting me to the point of not hardly being able to take it. What do you think could be going on.. All I have been given is tramadol 50 mg which doesn t do a thing for it. I also had a cortisone shot in the actual shoulder which helped should a little but didn t nothing for the shoulder blade or under arm and breast pain. ### output:
Hello, I have studied your case. MRI may show tear in rotator cuff around shoulder. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain, you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start IT, or ultrasound which is helpful in your case. You may need to take rest for early healing. Also check your it B12 and it D3 in your blood. If not relieved arthroscopic treatment will help. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take disregards Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: HI ,i am from Greece/Hellas .I have this problem with my testicals for about a year now...STRONG PAIN in my left testical nad sometimes rapidly changed to my right testical,also pelvic pain.I was diagnosed with 3rd degree varicocele in the left and 1st varicocele in the right testical...I made the surgery 1,5 month ago ,but the pain specially in the left testical just doesn t go away.I feel the pain all day and its extremely painful sometimes..I made alla the basic tests about bacteria or something else ,and i am clean .I took 3-4 months ago prixina for a month and vibramicyn for 14 days because the doctor told me that i have epididymitys ,but the pain didn t go...I don t know what i have and the doctors can t find a problem ..I am really psycologically below 0 ,sexual problems etc...i started today a naprosyn 4-day cycle (advice rom a friend) because i can t find a solution in my problem.can you help me please.i went to 7 urologists ,1 pathologist ### output:
Hi and. As a Urologist, i can understand your anxiety. You should write your age and present treatment. If you've not done a scrotal Doppler ultrasound, get it done and send report. The scan will give information about the two testis. If at all there's any pathology involving them, itll be well seen in the scan. Accordingly, proper treatment can be advised. Keep the scrotum supported. If scans done, send all the reports to me, as a direct question. Chat Doctor. Manga.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: After sleeping on the floor, I woke up to find that the tip of my fingers were numb. The numbness and tingling effect progressed trough the tips of my left hand fingers and became worse after doctors tried to give me a drip through my left hand. I pain gradually cept up my lower and upper arms and my muscles became weak. I feel little pain around my neck but the nerve pain had trasferred to the left side, my waist and down to my leg AND FOOT. cAN YOU PLEASE HELP AS i HAVE DIFFICULTY SLEEPING AND FEEL WEAK WHEN I EXERT MYSELF. There are one or two other possibilities for my possible nereve damage : Excessive inhalation of whitewash paint Inhalation of traces of argon gas over a couple of weeks Intestinal problems or diabetes Dejean Johnson ### output:
Dear Johnson, Abnormal position during sleep can cause compression of neurovascular structures resulting in tingling, discomfort and pain. The symptoms can last for few minutes to days depending on the amount of nerve damage. These phenomena can explain the symptoms you had in the upper limbs, while I am unable to explain the lower limb weakness too. If a definite weakness is documented by your doctor, then you would need to get a CT / MRI scan of the brain and rule out intracranial pathology such as ischemia / declination. A specific treatment can be planned based on the results of scan. If no significant / clinically co-relating pathology is found, then we may attribute these symptoms to anxiety and stress. Hence, a scan is mandatory. Discuss with your treating doctor. Hope this information suffices. Regards
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I am 39 and in the last six months I went from having normal periods (Ive always been regular, like clockwork) to a really light period one month, then a heavy period the next, skipped a period, light one again, then I had two 3 week long periods. One started normal, started getting light, then suddenly heavy again for a day, then light, then heavy again and so on. This was the case with my last two periods. Went to GYN and she had my blood tested and vaginal ultrasound and pelvic ultrasound done. My results of the blood test showed .6 for progesterone, 15 for iron, and a low Vitamin D count (dont remember what number she told me) I am now taking iron and Vitamin D supplements as well as 200 mg of progesterone daily. Mu ultrasound showed two small fibroids on the uterus and an enlarged uterus (20cm) and a very thick lining. She did an endometrial biopsy right then and there. Nurse called and said biopsy shows no cancer, but Doc wants me to come in and go over the results. What could I expect? I am so scared. ### output:
Hi dear, small fibroid in the uterus are very common and would not be a matter of concern if they are not located near the uterine cavity. In that case also they will result in heavy and frequent bleeding. A history of enlarged uterus associated with thickened endometrium and amenorrhea followed by heavy bleeding goes more in favor of adenomyosis. This, at present can be taken care of by medical management but yes you have to be under constant follow up
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I ve had a low grade fever for 2.5 months now along with headaches lasting a few days to a week and fatigue. The low grade fever is 99-100.2. I ve seen my PCP and had blood with ruling out infection including anaerobic infection and autoimmune disorders. He has referred me to an infectious disease specialist but the wait is a few weeks and I m worried to wait that long. There has been no mention of what it could be. OTC pain management doesn t help the headache or bring down the fever. Does this sound like cancer? All I can think of at this point is chronic fatigue syndrome or cancer. I also spoke to a nurse and told her about the fever and she simply said I don t have a fever and to take Tylenol even though I told her it doesn t work. The headaches are from a dull ache to throbbing. I recently even got glasses to try to help the headaches and nothing changed. Please give me advice. ### output:
Fever is defined as temperature greater than 100.1 Fahrenheit. Check to see how high the temperature is and if it is highest during daytime, nighttime, or every couple of days. Have you travelled anywhere during the last 2 months? Some infectious diseases are more common in certain areas. Have you taken any new medications? There is a possibility of Chat Doctor. Chronic fatigue does not cause a fever, so that can be ruled out. Do you have any other symptoms such as rash, itching, stomach pains, etc. You are correct that some types of cancer do cause a fever, but those conditions are pretty rare? Best regards
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: HI.. I AM 28 YRS OLD.LAST TWO MONTH AGO MY i was fell down from stairs and i got severe pain..after X-rays report is that my pars interartularies fracture. . doctor suggested me bed rest 3days n take physiotherapy....but my pain increasing day by day.my pain is increasing and travel left leg. after 6 weeks i am going to neuron specialist.. he took my MRI report...in my report is that my bone are okay.. but indicate one another thing is loss of normal lumber lordosis due to muscle spam in secondary stage.dr. suggest me exercise forward bendin and backword bending.2 weeks i am doing this exercise..after 2 week my pain is still so i am confuse what can i do further please suggest me ### output:
If your pain is due to muscle spasm at your back and loss of lumbar curve. Then I suggest doing exercise like spinal twisting, knee to chest one -one leg at a time keeping another leg on ground without lifting upper limb and with the help of your hands., pelvic bridging, and spinal extension, Lowe limb stretching in lying position. But do not do forward bending exercise. You can also visit a good physio who can understand the biomechanic of your problem and suggest you some good exercises. Here another thing is you can also take physiotherapy treatment like ultrasound to relax your soft tissue. As well, I must suggest to use hot pack regularly and frequently to have more of healing soothing and relaxing effect on soft tissues. Just follow this, and I am sure you will feel much better and will recover fast if you take some rest for next few days along with this. Take care.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Palpitations increasing over the last one week with associated dizziness possibly near-syncopal attach, once with slight jaw discomfort both sides. I am in the throes of evicting my son from a property he has decided to keep, now over a 6-month long issue. Possibly stress related as my actual appearance with the sheriff is only days away. I am a fainter with my first known faint at age 5 prior to a dental appointment. I will be 75 on 10/10. I care for my 83-year-old mother and to not want to go to the ER if I can do anything to forestall fainting spells, i.e., I cannot just dash off as any prolonged absence from my home without a sitter for her is just not safe for my mother. She has dementia as well. Virginia Lea Dorse ### output:
Degree understand your concerns went through your details. I suggest you not to worry much. I do hope that you are undergoing psychiatric treatment for dementia. But that is not enough. 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 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.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hello... Recently while outside one of the local foxes came by to check out what we were doing. I work outside most days and today the temperature was -10 and we were all bundled up. This particular fox which is one of the normal ones we see on almost a weekly basis found my glasses which I had dropped out of my pocket and took them in his mouth and walked a few yards before dropping them after we yelled at him. I went over to pick up my glasses with a gloved hand to bring them inside to wash them. I washed the glasses without a gloved hand and sanitized afterwards. Under the advice of my coworker I threw the glasses out. Fox exhibited no signs of infection other then its usual curiosity Is there a risk for rabies here? If I need a vaccine I could not get it for 3 - 4 days without an emergency flight home due to my location. Could this be determental to my health. Thanks! ### output:
Hi, Welcome to Chat Doctor. I understand your concern regarding necessity for vaccination. Based on the details mentioned in your query, you do not require vaccination for this episode as there was no direct exposure to the animal. However, as you mention that there is a chance of getting exposed to wild animals due to your location, pre exposure prophylaxis can be recommended. You have to take three doses of the rabies vaccine on 0,3,7 days with 0 being the first dose, followed by vaccination on 3rd day and then the seventh day. Avoid direct confrontations with wild animals for your own safety. I hope I have answered your query satisfactorily. Please get back if any more queries.thanks.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I live alone; have health problems; no family; tend to isolate; have severe PTSD and anxiety.depression. Yes, I am on appropriate meds-..everyday is the same. I just have my kitties. I live in a town where I do not belong. That said, I have owned this house for 16 years and just have too much "stuff" to move. Used to go to Europe each year, until my colon ruptured in Turkey and I was held prisoner. That ended travel. So here I am - not where I want to be, but "stuck." I am into the arts, travel and culture - this is the wrong place for me!!! ### output:
Dear serve understand your concerns went through your details. Please don't misunderstand me on saying, everyone lives in a place they seldom wants to be just because expectations and needs are always high for every human being just because it is a human way of thinking. I said the above sentence mainly because this sort of negative thinking and disappointment worsens your anxiety, depression and PTSD. Medicines alone seldom help you overcome your psychological issues. Lifestyle changes, changes in cognition and behavior (Cognitive Behavior Therapy should help), Relaxation therapy etc. should be used to make sure you adjust with your present conditions physically and mentally. This adjustment can only make you in harmonious relationship with your mind, behavior, circumstances and surrounds. Once you are harmonious, you will not be troubled. If you require more of my help in this aspect, please use this URL. http://yyyy.gl/yyyyy. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: hello sir ,SEMEN Colour Opaque greySEMEN Collection to Processing Time 60 minutesSEMEN Total Volume 3.0 mlSEMEN Liqufication Time SEMEN Reaction AlkalineSEMEN Total sperm count 82 Million/cmm 60 - 150SEMEN Actively motile 45.0 %SEMEN Sluggish motile 25.0 %SEMEN Non motile 30.0 %SEMEN Normal Forms 50.0 %SEMEN Pus cells 8 - 10 /hpfSEMEN RBCs 1 - 2 /hpfSEMEN Epithelial cells 3 - 5 /hpfSEMEN Fructose Positivethe above is the report of my semen analysis ..kindly guide if any issues need to be medicated ... ### output:
HelloColor, processing time, volume, liquefaction time (processing time), reaction, total sperm counts, all these are within normal range. Motility should 100 % normal, forms 50 % normal, pus cells present (you should take treatment for this) RBC, normal. Epithelial cells normal, fructose normal. Normal fertility is associated with sperm counts .48 million /CMM (in your case it is 80 million, so absolutely normal)with motility >63% with 13 % exhibiting normal morphology (normal in your case). In this case of semen analysis motility is somewhat lower than normal (but your wife can get pregnancy with this motility). Still, if long time passed for conception (trying for pregnancy) then consult INFERTILITY specialist and get his opinion. Good luck
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: My wife has been recently diagnosed with bipolar 2. I just found out she had been unfaithful in 2007 with one guy 3 times. She has also slept with 8 different men in the last year and a half. Seven of the men she had met with 1 or 2 times and had sexual relations. One of the men she had met with 5-7 times and had been physical 5 of those times. These encounters were all initiated through craigslist. She participated in discussions and planned these encounters through email. Did the Bipolar 2 cause her to participate and behave like this. How much of the hypomania and hypersexuality is responsible for this behavior? ### output:
Dear, as I could figure out here, there are two imp findings1) a condition of bipolar 2 disorder, as diagnosed 2) behavior suggestive of hypersexuality well, as for your query whether Hypomania and hypersexuality is associative in bipolar 2? Yes, rather Hypomania and hypersexuality is the defining characteristics of bipolar 2 disorder. There will be other behavior as excessive self-esteem, high self-confidence, irritability, aggression, decreased sleep, etc. all these are characteristic features of classic bipolar condition. Management would be mood stabilizer Chat Doctor. Avoid arguments or life stresses. Role of family members are very crucial here. Remember she is mentally ill and not well, have a sympathetic approach for her. If maintain eon regular medications the condition can be well controlled, medication can be required for life long as well. Hope to have satisfied your query. Thank you. Stay healthy
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Yes, I have a herniated disc that causes me to lose control over my bladder to add to this I have a PE which was just discovered. How long do I have to wait to address my disc problem which also causes me significant pain and my PE causes me significant pain. What do I do? My current pain med does not - hydrocodone does not give me relief. ### output:
Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. I read your history and found that the pain due to herniated disc is not reduced even after the HY Chat Doctor. I will advise you to get the thorough neuromuscular assessment done with the or tho first. Second, he may recommend you for a fresh MRI if you don't have one. Later, He will recommend you to for physical therapy. This is non-invasive and effective in herniated disc. A lot of research articles will be there on net to find one. By use of Therapeutic ultrasound therapy, TENS therapy the inflammation and pain will be controlled. Also, on later stages you will be taught exercises which will help regain the strength in the muscles, by which the inter vertebral disc spaces will be regained and the pinch from the nerve will be down. Besides, to understand, that physical therapy will help you to regain the maximum benefit on the longer runs, if you continue the exercises in the future. In my personal practice, we design a protocol not less than 12 weeks, keeping the assessment in mind. And we are able to get 100% success in cases. Also, regular exercises are advised to our patients and till date we have only to joy. RegardsJay In
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi, A couple of weeks ago I felt a hard lump in my neck, its just to the left of my Adams apple and about level with it, maybe a little higher, the lump is some where between a marble and a pea in size, it doesnt hurt and it does move up and down when I swallow and stick my Tongue out, if I push it it moves inwards towards my Adams apple but kind of clicks, or pops as I move it. I have an appointment at my gps tomorrow but Im terrified it might be cancer, could it be a nodule on my thyroid or is it to high up in my neck? Could it be a rock hard lymph node? Do I have a lymph node where I describe? Any ideas/advice would be great. ### output:
Hi ! Good afternoon. I am Chat Doctor answering your query. The history what you have described (moving up and down when I swallow and stick my tongue out) is typical of a hypoglossal cyst. This is a congenital cyst of the hypoglossal duct if not obliterated completely (which it should under normal circumstances). However, it ought to be confirmed by a clinical examination and related investigations like a CT scan/MRI of the neck region to rule out any other swelling arising from a lymph node and or the thyroid itself, which is less likely with the typical history have narrated. If confirmed, this needs a surgery to remove the cyst. 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.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: In treating infertlity due to PCOS, got small follicles even with clomid and 6 FSH injections in this cycle after taking metformin and NOVELON pills for 3 months I am 23 yrs old. trying for pregnency for last 3 years. Suffuring from irregular periods. Day 2, LH=8 FSH=4, overy is cystic. I taken metformin 3*250mg and novelon pills daily for last 3 months. In this cycle my doctor since day 2 given clomid for 5 days and 6 FSH 75 injection daily. But main follicle reached 12 mm size only and now slowly shrinking after stopping the injection. Whether it is due to novelon, as my friend told that it take 6 months for body to normalize the ovulation after stopping novelon? Should we try FSH injection in my next cycle or overian drilling, as suggested by my doctor?. ### output:
Hello dear! Thank you for asking. Your question has answers in it. If you need a baby, treat PCs. Lifestyle modifications will be a good start and are considered first-line treatment for women with PCs. Such changes include the followingDiet(A diet patterned after the type 2 diabetes diet has been recommended for PCs patients) increase fiber; decrease refined carboy Chat Doctor. Exercise regularly and minimum 45 minutes a day. Take vitamin D as 75 5 cases of PCs resulting infertility are corrected once low vitamin D levels are corrected. Weight loss is the most important thing you need. Use following medications Oral contraceptive agents (e.g., ethanol estradiol, me
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: sir,my age is 24(female). i am losing hair for the past 1 year and my hair became thin mainly on the middle of the head (front)..the sides are normal..back side also normal. .at present new hair is not appearing on the middle of the head... please suggest me the preventive measures for stopping this hair fall and how can i get my hair grow back normally? please also let us name of doctor at puna . ### output:
Hello, Thank you for posting on Chat Doctor. I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions, Chat Doctor. From your description, it seems you might be having early stage of female pattern hair loss which is due to your hormones or fractional alopecia from constant pull/force on hair due to particular hairstyle. If I were your dermatologist/trichologist, I would like to take through history including family history, history of recent major trauma/illness/stress/medications etc., your menstrual history and recommend some basic investigations like CBC, blood sugar, Thyroid function test. I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. Also, would put you on solution containing 5% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q era etc.). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week. Also inquire from your dermatologist about upcoming treatment options like monotherapy and platelet-rich plasma. Avoid combing in wet hair and let them
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I had an avm years ago as a child. All my test said I was fine, yet I had memory loss, speech problems, ect.. Now, as an adult I realize I have always had people helping me, parents husband. Realizing now that I am on my own, cant focus, cant manage my life, my thinking is not normal. I make decisions that others would never do and I do it with out thinking about the consequences. I dont remember things unless I write it down and do it over and over. I think thats why I failed so much in school. I could remember for a semester, but the next semester I could not build on what I learned before because I did not remember. Now, being on my own I cant even deal with basic decisions because I realize someone did it for me. I have had headaches my entire life, but tests say I am fine. I think when they fixed me they wired me wrong! This is difficult to find out..I realize we are dealing with the brain and the after affects. The surgery was years ago, but I am now in an environment that is making me want to research and understand why my brain does not work like others ### output:
Hi, Thank you for posting your query. Your symptoms suggest that you have cognitive impairment, mainly affecting your memory. It could be related to the surgery on the brain, if it caused damage to the temporal lobes. This can be found out if you have any MRI brain reports. In addition, we should look for unrelated causes, such as depression, vitamin B12 deficiency or thyroid disorders. Consulting a neurologist would be helpful. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: My father had prostate and it is diagnosed that it is cancers and was operated 10 years ago the doctor told that he has removed the cancer but could not operate the prostate because of come complication .After the operation the doctor under gone Cystoscopy test every year for 5 years after the operation and found no sign of cancer reformation after 10 year he has urinary infection with temperature he took antibiotics and also ultrasound was conducted and found that a little enlargement in prostate is there doctor advised to take medicine as there is not significant enlargement of prostate .After taking medicine he was cured and urine test it is found the inflection is gone and now after 20 day he has again have urinary infection can u please give me the reason ? ### output:
Your father does have enlarged prostate which is causing mild to moderate urinary retention which means they when ever he passes urine some amount of urine stays in the bladder due to enlarged prostate and that stasis of urine in the bladder causes urinary tract infection as urine is excellent media for bacterial growth would advise you to get his PMRV done which post micturition residual volume on which he will get ultrasound scan with full bladder, and then he will be asked to empty his bladder and again scan would be done to see how much urine stays within the bladder if it is more than or around 100ml that's significant. I would advise you to get his urinary tract infection treated by antibiotic and after that start him on tamsulosin 0.4 mg once a the before going to bed this will help him to empty his bladder completely avoiding any further infections.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I have back pain, not sharp but continuous. also experiencing extreme fatigue and pain in my lower abdomen. also light pain on the left and right of my womb. I have had 4 miscarriages, the last one in April. Have had very regular period but are much lighter now since my last miscarriage ### output:
Hi, thanks for posting your concern in the Chat Doctor. A dull aching back pain along with pain in lower abdomen and a bad obstetric history warrants further evaluation to rule out underlying uterine or ovarian pathology or pelvic inflammatory disease and ectopic pregnancy. Before any other test, please have a urine pregnancy test done at the earliest. You should have a transvaginal ultrasound scan to rule out any ovarian or uterine pathology. Urinary tract infection or any other pathology should also be ruled out. Therefore, you should have a routine urine examination also. You should also have a KOH test of vaginal secretion. NAT is done to rule out other causative organisms of PID. A complete blood count with ESR, urea, creatinine tests should be done. You should also consult your local gynecologist for clinical examination and further management. In case you are diagnosed with any infection, appropriate antibiotic treatment will be needed. A USG of PUB should be done to rule out any renal, ureteric or bladder pathology. For the time being you should maintain good oral HY Chat Doctor. Please also avoid unprotected intercourse. If your bowel habit is irregular, have spatula husk 2 SF in a cup of water at bedtime. For any further questions, please write back to me.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I have football player that had odd symptoms 35 minutes after High school football game this past Friday night. He was unable to move right hand and had no feeling in hand or finger movement and appeared to have lost of circulation from tricep down to hand, Arm appeared to also be retaining fluid. No present pain or pain during the game. Numbness radiated up arm into shoulder, Athlete went to emergency room. CTscan of neck performed and cervical xrays done. Results looked clean. He was given muscle relaxers and told he had a myo facial cervical sprain. Today on monday he came to my office before school. circulation looked worse in hand and arm, still whole hand numb except thumb. He was unable to move hand or fingers, He still appeared to be retaining fluid in arm. Hand and lateral side of arm was cold to touch and circulation poor. He again went to hospital as recommended . He had a cervical MRI and xray of forearm. All results showed no injury. He was referred to neuro doctor for nerve conductivity test but was unable to be scheduled as no one answered phone today. Any suggestions ### output:
Hi, These are clear signs and symptoms of brachial plexus injury, brachial plexus is the plexus of nerves and their roots that emanates from shoulder and goes into the arm. He needs an MRI of brachial plexus 5-7 days after the day of injury as in the initial period there is so much swelling that it is not possible to see brachial plexus clearly. She needs to consult a neurosurgeon or a plastic surgeon who can repair the plexus. Take care. Hope I have answered your question. Let me know if I can assist you further.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hello Dr. Followings are my Follicular study report. kindly please tell me is there is any major problem and my chance of getting pregnant. Uterus Anteverted and measures 5.6*3.1*4.0 cms. Myometrium shows normal Echogenicity. No focal lesion is seen. Ovaries Right Ovary measures 4.4*3.8*3.2cms volume 29.3cc Left Ovary measures 4.9*4.3*2.5cms volume 28.3cc both ovariesare enlarged and shows multiple small follicles in the periphery measuring 4 to 6 mms. POD POD is free No adnexal mass lesion seen. Impression Polycystic Ovaries. Day of cycle 11, follicle in right ovary 1.9*1.7 cms: follicle in Left ovary multiple small follicles: endometrial thickness 7.4mms: pod fluid nil. ### output:
Hi, Its normal study except for Polycystic Ovaries. If you are having regular menstrual cycles, you need not worry about Polycystic Ovaries. The only risk is of developing diabetes & obesity, which can be prevented by maintaining healthy lifestyle. If you are having irregular cycles, you might require some assistance for conception in the form of tablets/injections to induce ovulation. But as you are already having dominant follicle on USG, it seems that you are making eggs normally. Just remember that most important thing is to maintain healthy lifestyle (Don't put on weight, do at least 30 minutes of sweat inducing exercise daily).
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi Dr, I have just taken up a new hobby, I am on the trampoline for 1-2hrs at a time and after my last session I have become dizzy at random points when walking around, standing, sitting and laying down! This has been going in for 2days now on and off. Have i coursed some damage or is it am inner ear issue? Never had anything like this before and never get motion sickness. Thanks for your help ### output:
Dear, Welcome to ChatDoctorWe understand your concerns went through your details. Equilibrioception or sense of balance is one of the physiological senses. It helps prevent humans and animals from falling over when walking or standing still. Balance is the result of a number of body systems working together. The eyes (visual system), ears (vestibular system) and the bodies sense of where it is in space (proprioception) ideally need to be intact. The vestibular system, the region of the inner ear where three semicircular canals converge, works with the visual system to keep objects in focus when the head is moving. This is called the vestibulo-ocular reflex. I don't think there is anything to worry. It is just your new hobby. The ups and downs in trampoline definitely affects your balance because it affects the vestibulo-ocular reflex. This habitual reflex stays there till it gets used to it. Could take a week or more of continuous habitual practice. Don't worry. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi... I am 48 yrs old female, I got permanent fungal infection on my inner thighs near reproductive area on skin and during summer it increases a lot , I tried many antifungal creams but no positive result . Pls. suggest some good medicated cream for this. ### output:
His can understand your concern for the suspected fungal infection of inner thighs near the private parts. It seems you have a fungal infection of the groin (inner thighs and private parts) referred to as Tina courts. Antifungal creams containing Terminating or Clotrimazole or Fluconazole are very effective in the treatment of Tina courts. Apply the cream twice daily to the surrounding 4-6 cm of normal skin in addition to the rash. The following measures may prevent fungal groin infection (Tina courts) from recurring:1. Wash your groin daily; then Chat Doctor. The damp or moist groin is an ideal site for fungal germs to multiply. 2. Change your underwear daily. Fungi may multiply in flakes of skin in unwashed underwear.3. Check for the fungal infection of the toes. The fungi from athletes foot may spread to the groin. The same creams are used to treat fungal infection of the toes and the groin.4. Do not share towels with people in communal changing rooms. Wash towels frequently &5. Keep your own towel when you have a fungal skin infection to reduce the chance of passing on the fungus to others. Hope the suggestions given above could be useful in total eradication of the fungus from the going (inner thighs and private parts).
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I m diagnosed with major depressive disorder, severe anxiety and panic attacks. Been going on for about 3 years. Tries Zoloft, no help, prozak, no help. then my doc put me on 40mg Viibryd. I seel this helps quite a bit, as put me on 1mg klonipin twice a day as needed, and 200mg mg of Seroquel at night. This combo was working well for me until recently. I;m not sure what changed. i was to ask for Valium for those panic and anxiety attacks, but I m too scared of what he will say. I feel I need it, but...again I am scared. I just want to feel normal and not have to slap on my happy face so others think I m doing well. I guess, what do you say? ### output:
! Valium can not replace the need of anti-depressant and antianxiety. It will help you in anxiety, but the effect will wean away with time and also cause a problematic with Chat Doctor. You should try out other antianxiety medicines, there are still many good molecules left to be tried. You may continue using Seroquel, and can increase the dosage to 200 mg, taken in divided dose in day and night. If I had such a patient- I would go for using Venlafaxine or paroxetine, along with Seroquel. For panic attack, if they come it is helpful to take clonazepam or Mizoram in low dosage. With correct combination of medicines the patient always get better. So, there is no need to lose Hope. Hope the reply is useful feel free to ask more questions
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi, I am a 21 year old male. I sometimes get these pains right below my bellybutton and maybe right where my bellybutton is. It hurts to stretch it ( like when i lean back) but it goes away when i curl into a ball. If i stand straight up it hurts but kinda goes away until it goes away...only to return when i stretch it on accident. Worst part is when I pee. It feels as if my bladder is tightening up or pulling down or something. hard to explain but it hurts and sometimes makes me stop peeing. This has happened before but not for a few month. Can t remember how long it lasted last time. Also just in case it helps, it hurts to push on where the location of the pain comes from. Not horrible though just reminds me that its still there. To clear up other questions. I haven t had sex in a 2 1/2 months. Obviously not pregnant since I m a male. Also not sure if this is related but sometimes randomly i get a pain inside my guts somewhere and it hurts really bad for a few seconds and then goes away completely . No clue what either of these things could be. ### output:
Welcome to Chat Doctor Most probably u have one of three problems:1. Spastic colon: u can test ourself if these pains are related to certain meals or after meals or not2. GIT Inflammation: if u have continuous pain, vomiting, bowel changes & if u can have CBC test u will have high ABCs level.3. Abdominal muscle inflammation: this may come from sleeping in A/C or with direct cold air with not enough clothing, this may go alone with some pain relief tablets, Muscle relaxants & removal of the cause Thanks
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hello, I am 46 yr. old female. Type 2 Diabetes, CAD w/6 stents, GERD and, IBS Total Hysterectomy and GB removal about 20 and 22 yrs ago. In 2011 following quite sometime of abdominal symptoms I had a Endoscopy which showed a small stone in my small bile duct. ECRP was preformed with no stone found. The Dr. saw that there was scar tissue which had narrowed the duct and while trying to widen it, he perforated my bowel causing all kinds of problems beginning with a 10 stay in the hospital. Since this has happened I have been getting very sharp, cramping, upper middle abdominal pain that takes my breath away and double me over. They only last about 30-45 sec and come and go with no rhyme or reason. I have had a Hida Scan, Gastroperesis test another Endoscopy w/biopsies all normal. I am at the end of my rope.I know there is something the Dr.s are missing. PLEASE HELP ME! ### output:
Hi. Thanks for your query and an elucidated history. The cause of your sudden severe pain in an upper abdomen following the complication of ERCP is most probably: Intestinal obstruction due to stricture formation. The peritonitis or the injury to the bowel or the adhesion or kinking can cause this problem. I would advise you the following:X-ray of the abdomen in the standing position. Enteroclysis with barium under direct fluoroscopy control. Once the diagnosis is found a surgical correction will help you the most ... and you may be asymptomatic forever.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi, a week and a half ago I went to the doctor because I had shortness of breath, and I felt like an elephant was sitting on my chest, and felt like I was drowning when I layed down. I was started on prednisone, Flovent, and givin azethromiacin on top of the albuteral inhaler, singulair and Zyrtec my doctor already had me on for asthma and hay fever. Yesterday I went back to the ER because I was having extremely bad air hunger, I was dizzy and light headed, my fingers and toes where starting to tingle and the pressure on my chest was worse and accompanied by a raidiating pain that started under my left collarbone down to under my left breast. The ER took blood and chest X-rays that where normal and sent me home with a prescription for Xanax to help calm me down during an attack, threw out the night my left sided chest pain has gotten worse along with the pressure, and I have had no relieve using the Xanax, and I almost pass out every time I stand up. Ive also had swelling in my hands and ankles when I work for the past few months. Im worried about this pain and if I should go back into the ER today? ### output:
Thour allergic might be due to increase in other systems I think you might be having heart involvement you much check BP as it may cause the chest pain swelling due to long term asthma and allergy there is backflow of blood leading to more congestion and swelling continue with med check uptake some diuretic to clear of fluids from body done take any medicine like for sleep and anxiety consult specialist under these guidelines described above
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hello, My dad is 89yrs old and had a heart bypass 17yrs ago. Since then he has become a diabetic the type that effects the nerve endings. This can cause him alot of pain but for the last while his left arm has gone very numb and he is finding it very difficult holding anything without letting it fall. A couple of weeks ago he complained of a pain under his left armpit, that has gone now but he is still getting a very strange feeling there and all the muscel and skin have gone very flabby. The hospital are doing an MRI scan on him next week, they were going to do an angiogram but thought better of it because of his age, We were wondering could he have had a mild stroke without us knowing or is it the diabetes. ### output:
Hi dear, have noted all your detailsPeripheral neuropathy is a long term complication of diabetes mellitus to long term uncontrolled blood sugar levels the nerves in the body are desalinated(withered and damaged), hence causing abnormal sensations like tingling, numbness or as if insect is crawling like feeling is therefrom your history It's highly unlikely that it is stroke, though a MRI of brain should be done to rule out its possibility peripheral neuropathy can be treated by methylcobalamine, 1500mcg of methylcobalamine should be given daily for 3 months to see the effects his age is 89, and he is a diabetic it can be anything from coronary blockage to peripheral euro to a mild stroke, hence MRI, angiogram should be done, and methyl calamine should be started thank you
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: sir i have a tongue infection to the best of my knowledge,it has been one and a half year from which i am dealing with it. i am 20yr old male and i have treated this problem from 12 different doctors including veds and all. whenever i eat something solid it cuts very badly and get red scars on upper side and gets all red even toothpaste acts like paining somewhere on tongue..one thing i remember that i went to delhi one and a half yr back and there we were in hostel the last day when we were coming back home, i opened that water filter and i saw the filters were rusting very badly and we all were drinking that water for 5 months..doctor please help me it has been very long time suffering from thisyash nadheriaadd:-2/54 kala kuwa alwar(rajasthan)mob:-0000 ### output:
Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have tongue infection which is causing red sores is due to poor immunity of your body which is leading to glossies. I t could be due to nutritional deficiencies as well. I would suggest you to maintain proper oral hygiene. You should chew vitamin C pellets daily. Apply McCoppin gel on these red sores. You should consult oral pathologist for proper examination and rule out causes like lichen plans and geographic tongue and also ENT surgeon for proper treatment. Chat Doctor. Take multivitamins in diet. Avoid any hot and spicy food and take diet rich in soft food. You should take anti-oxidant syrup as well. Hope your concern has been resolved. Get Well Soon. Best Wishes,
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: hi, i am about a week & a half late on my period. my last period was about a week late as well. we thought it was stress related, right after i took a pregnancy test i started my period. 28 days later i was expecting my period again, nothing. so i took 2 more test, both negative. just starting a few days ago ive been getting light spotting. ive had constant to sever cramping, in my whole stomach not just my uterus. off and on feeling nausous. if my test say negative, where is my period at? or what may be the causes of this? ### output:
Hello dear, I understand your concern. In my opinion the irregular periods could be due to various reasons like stress, PCOD, overweight,obesity, hyperprolactinaemia where in there is increased serum prolactin. The normal cycle duration varies between 21-35 days in different women. Anything more than this regularly should be evaluated for the above causes by necessary investigations like ultrasound, thyroid profile, serum prolactin etc. As you have spotting along with cramps the pregnancy is to be ruled out. As the pregnancy test is negative I suggest you to repeat the test after a week. Because usually the pregnancy test gives accurate results a week after missed period. If the pregnancy test is negative the pregnancy is ruled out and the spotting might be due to hormonal imbalance and the above causes should be ruled out. Nothing to worry. All the above said causes are treatable. Adapt healthy lifestyle like exercise daily and healthy nutritional diet. Weight reduction in case of overweight or obese also helps in regularization of cycles. Hope this helps. Best regards...
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi there, Im trying to self-diagnose something. Basically, Ive had a few ingrown hair scares that I thought were possibly HSV II. Theyve always turned out to be ingrown hairs. Im very careful about protection etc. but Im concerned now that I again have a possible HSV II issue (that may just be an ingrown hair). Im 26, 135 lbs, 59, no health issues, and my question is - can HSV II or genital HSV I be just one bump close to the crease between my leg and my pubis mons? Because that is what I have, one little bump (that is very possibly an in-grown hair). Ive been reading that genital herpes is usually a cluster of sores. What do you think? ### output:
Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern.HSV never causes ingrown hair. It is likely to be some other infection.HSV 2 causes same symptoms as HSV 1. It causes cluster of blister which gets rupture leaving a burning pain and raw area. The lesion may be red RAE area with serous discharge. You can use acyclovir tablet for the infections. Please take the completed treatment under your doctors' guidance.HSV is notorious for its recurrence. Please take complete treatment. Please use condom for the sex. Otherwise, cross infection with the herpes with partner is maintained and will be difficult to treat. Better option is to avoid the sex until you are cured. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi there, my period is due around this time of the month and on Friday morning there was a little bit of blood when I went to the toilet so I assumed I was getting my period. But no more blood came till Saturday night and again it was only a little bit. No more untill Monday. is this spotting a sign of pregnancy ? ### output:
Hallow Dear, Spotting is not a sign of pregnancy; it is the non-appearance of the regular menses which arises the suspicion of the pregnancy. In fact missing a period is the first cardinal symptom of pregnancy. All other symptoms mentioned bellow appear about 10-15 days later. They are:1. Nausea & vomiting with pica2. Frequency of urination3. Breast changes: * Engorgement & tenderness * Dark discoloration of nipples and areola with increase in areolar size * Appearance of small nodules (Montgomery's tubercles) under the areola * Colostrum secretions from nipple However, the pregnancy cannot be diagnosed only by such symptoms. You have options of undergoing some tests:1. Pregnancy test on overnight first morning urine sample about 8-10 days after missing period. Earlier, these tests may give false negative results. 2. Beta Chat Doctor test which is very specific and sensitive. These tests can give reliable results even few days before missing a period.3. Ultrasonography 10 days after missing period will provide a direct visual evidence of the status of pregnancy.4. Clinical examination by an Obstetrician 2 weeks after missing period. I hope this provides you good options and gives you opportunity to take an informed decision.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi I could really use some advice,Im a 30 year old male and woke yesterday morning to the most horrific chest pain,it feels like someone is physically squeezing my heart,the intense pain lasts for about an hour and then Im exhausted and get chills,Im getting intermittent Sharp pains across my entire chest,pain between shoulder blades,some neck pain and headache very pale,I hav also been suffering from chronic insomnia for almost a year,i went to my g.p yesterday and explained my symptoms,she checked my b.p which was 140/80..pulse rate was 86,she merely brush me off telling me it was anxiety,this does not feel like anxiety,also I woke this morning to find a large area of black or bruised skin under my left armpit close to heart,also numbness and tingling In my right arm,I know this is a long list but I need some advice as to how i proceed from here,please can someone help me ### output:
Hello! Welcome and thank you for asking on Chat Doctor! I carefully passed through your question and would explain that your symptoms seem to be related to inflammation or an infection. Zoster infection can not be excluded either. I recommend consulting as soon as possible with your attending physician for a careful physical exam and some tests: - a resting ECG- a chest X-ray study-blood work (complete blood count, PCR, sedimentation rate, coagulation tests, blood electrolytes, kidney and liver function tests). Further tests may be needed to establish the possible cause. You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Kind regards,
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: GB Stone 10mm, Surgery/ Madicine, Now/ Later, can it cause cancer, Will removal impact having baby later 28 yr old Female 5 ft/ 60 kgs. Have a one and half yr kid. Have one gallstone of 10mm, found incidentally 2 yrs ago during USG for Pregnancy. was asymptomatic that time. Now, there is Sometimes feeling of heaviness, gas rolling, right upper abdomen, rarely pinching sensation, have not had any unbearable pain, USG 4 months back showed no inflammation, no increase in size of stone. have heard cases of Gallstone leading to Cancer. Worried. Some doctors suggest surgery. Some suggest that at this stage I need not worry bout Cancer and should wait for upto 5 yrs if no pain, jaundice. What should i do, Can i take any medicines to manage the stone or should i go in for surgery. In case I go for surgery, will it have an impct if I want to have another baby. My parents have asymptomatic gallstones which were found at the age of 50yr individually. ### output:
Hi, Thanks for using Chat Doctor. Chronic irritation due to stone causes malignant changes in gall bladder. As stone size is 10 mm there are chances of stone slipping into bile duct and causing obstruction, better to get operated for it.laparoscopic removal is better than there will be less bed rest required, you can return to your work early. Consult your doctor for examination and management. Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: yes. my boyfriend takes workout drinks regulary to workout. they have increased his blood pressure. he has a physical for a job, and beign a bit anxious has raised it a bit more, is there a tip or trick to lowering it for a short time. to get to a more normal number? ### output:
Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to give you some advises. In our daily practice in treating hypertension it is very important to look for secondary causes of hypertension. This is very important if we are dealing with a young person, because in this category secondary hypertension is very common. It means that it is a secondary disease or factor causing hypertension. It might be a renal problem, an endocrine or congenital problem. So first, my opinion as a cardiologist is that it is mandatory to do a full check up beginning with a blood analyses, an electrocardiogram, echo-cardiograph, thyroid hormones. After this, we might judge for others. The first thing to do when treating hypertension is lifestyle modification. If I was your treating doctor I will recommend stopping every workout Chat Doctor. In general, they have caffeine, Maurine and stimulant factors that rise blood pressure values. Your boyfriend should reduce alcohol and salt intake in daily eating. They booth rise blood pressure. He should stop smoking if he smokes and have a low fat diet to reduce blood lipids if they are high.These is just the simplest and the first thing to do. My opinion is that you will see a good result. If high values persist than he should make a deeper cardiologist consult. I hope I was helpful. Best regards.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi, For the past couple of months I have had lower pelvic pain and discomfort including sharp ovarian pain, which has gradually got worse and now have a constant feeling of pressure in my bowel and always feel like I havent finished when using my bowels. For the past two weeks I have had a constant ache in my lower abdomen and lower back just inside my coxic area, along with sharp intense pain in the right side of lower abdomen whicChatDoctores and goes but is there every day. It literally feels like something is pushing against my coxic bone. If I insert my finger into my anus I can feel my cervix not far in. I think I may have either cervic or bowel prolapse. I am 45 yrs old and have had four children. At my pap smear last year the nurse did say that my pelvic floor was extremely weak. ### output:
HI. Gone through your history carefully and repeatedly.IT occurs to me that you are suffering for a couple of months and has worsened over last 2 weeks. You also have a complaint of feeling of incomplete evacuation of bowel and other problems you have mentioned. IF all the problems are put together in an order to come to a clinical diagnosis, I would think of Pelvic inflammatory disease / inflammatory bowel disease. Anything of this may be a primary reason. I would suggest you to consult a Castro Surgeon to undergo clinical evaluation and also further investigations like endoscopies/ CT scan and whatever He may feel necessary. He may also seek a second opinion of a Gynecologist. I think a proper diagnosis is most important to start a proper treatment and management. Please let us know the results of consultations and investigations.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I need to consult someone who can help me overcome this feeling of loneliness and Dejection that i constantly feel ever since i got the shock from my boyfriend...I need answers to some questions as in what did i do wrong...why did he suddenly change? there are many complications...I understand this was not a usual relationship...I had two kids and he was unmarried and all that stuff i understand. But for 6 years we were madly in love...I worshiped him and could do anything for him. Nothing has helped me...my kids are devastated. i am good for nothing. i am a complete failure. i always stood by him when he needed me and he left me alone and dejected. I am not a teenager. I barely found love of my life. I was happy and suddenly he decided to break free...cant get over the shock...cant get over the shock....someone help me....i am so depressed...now that he is settled, he told me he cant be with me anymore...simple bcoz now he doesn t like the same things that he used to like once. help meeeeeeeeeeee!!!!!! I need answers. ### output:
Hello.......... The sudden loss of a loved one-what we call as bereavement is a common enough phenomenon in most peoples life. It usually results in an adjustment disorder though on occasions it can be severe, what we refer to as acute stress reaction. You would have to get over this initial phase of anger or depression over the next couple of months following which is required (is these symptoms persist), we would recommend appropriate medication or psychotherapy measures. At this juncture supportive psychotherapy by a (clinical) psychological counselor might be appropriate for you. Regards Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi this is manoj and I ve dark patches around nose and mouth, how to get rid of thid? And also I have dark scene color where I normally shave over the face as compare other skin color on my face. In short my face skin color is dark as compare to body. Pls suggest me something to remove this ftom my face as I am getting married soon and this is really annoying me. Thnx. ### output:
Hello, welcome to Chat Doctor, as per the description you have been giving, i suspect the skin condition of yours will be 1. DARK PATCHES AROUND NOSE AND MOUTH POINTING TOWARDS A CONDITION CALLED PLASMA OR IT MAY BE PHOTO-PIGMENTATION , DUE TO EXCESSIVE EXPOSURE TO SUN-LIGHT2. DARK SKIN IN THE SHAVING AREA OF BEARD POINTING TOWARDS- POST-INFLAMMATORY PIGMENTATION, EITHER DUE TO ROUGH SHAVING OR REVERSE SHAVING OR USAGE OF CHEAP QUALITY TRIMMERS anyhow you need to be examined properly and should be seen directly by eye to know the level of pigmentation u have, and perfect treatment required for you... I advise you to consult a dermatologist for further evaluation and treatment.until then start using good non-oil based sunscreen lotion .MANY OF NEWER TREATMENT MODALITIES FOR UR CONDITION.MOST EFFECTIVE IS CHEMICAL PEELING...CHEMICAL PEELING WITH SLC peel system (salicylic acid +lactic acid +citric acid) will be more effective for u....
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi there, I have been having abdominal pain, feeling nausea and vomiting mostly after meals for the past 4 months. I have lost 8 kg since having those symptoms. I have gone for a GI upper scope, colonoscopy, capsule scope, ultrasound and CT scan of the abdomen and it all came back negative. My specialist is perplexed and have prescribed all types of medicine possible and on anti-depression to relieve the pain as well as Bascupan alone does not seem to be working. He has ruled out being depressed as there are no reason for me have that and any related diabetes related GI problems have asked to seek a second opinion. Not wanting to go through all the test again, are there any specific thing that I should look out for? I am a 32 year old diabetic female and have been diagnosed with gastritis to acute gastritis and now chronic gastritis by the specialist. ### output:
HIT hank for asking to ChatDoctorI really appreciate your concern, the chances of gastritis and I think could be "Helicobacter" infection is just likely, if I would be your doctor then I would surely treat you on tentative basis keeping in mind the suspicious of Helicobacter, the following would be the line of treatment,1) Tab omeprazole 40 mg once at evening time for six week2) Tab Amoxicillin with Clavulanic acid 625 mg twice in day for five days 3) Tab Metronidazole 400 mg twice day for five days 4) Tab Chlorodiazepoxide one tab three times in day hope this medicine would help you take care and stop worrying have nice day.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: i have been having severe occasional mid upper abdominal pain , sometimes it last seconds to minutes. doctors have tested me and they say they dont see any problems. the pain is almost like a squezing to similar feeling of a pulmonary embolism . i had mult. pulmonary emboli 1 1/2 yrs ago due to blood clotting disorder. they are gone and my coumadin is checked weekly. but this pain in my middle upper abdomen chest area is concerning due to when it happens it takes my breath away and i break out into a cold sweat. i am very scared and i know something is not right, i am 30 yrs old and want to get to bottom of this. i never know when it is gonna happen and it makes me freeze so when driving i am scared i might wreck. any help will be greatly appreciated. sometimes it seems soda brings it on but i drink more water than soda. pleaseeeee help i am scared ### output:
Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You have got pain in the upper middle region of the abdomen. It is squeezing in nature.it is so severe that you get sweating during pain. You had pulmonary embolism 2 1/2 years back. The site and nature of the pain suggest it may be peptic ulcer, gallbladder pain, or liver pain due to hepatitis. It could be due to recurrence of embolism also. I advise you to consult a physician for diagnosis and treatment. You may have to go for gastrostomy, M.R.I. besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Dear Doctor, My Name is Pradip and I am 27 Year Old. Since 9 Month I am losing my hair and now the stage like scalp is visible. Also I consulted with doctor they suggest me for Mesotherapy which I had done before 4 month back at 2 times. Still no benefit. Today onward I started to take Tinafal Forte Tables twice in a day. Can you suggest me another tables for the same or other medicine. Should I consult to doctor? I am getting depress due to this reason. Please help me. Note: In My Family My Father has same problem and Grand Father as well. ### output:
Hello. Thanks for writing to us at Chat Doctor Your problem of hair fall is definitely linked with similar history in your family history. Scalp hair are genetically programmed for thinning and hair loss under the influence of testosterone. This programmed hair loss and thinning is known as An Chat Doctor. Hair loss is predominantly from the top of the scalp; there is anterior hair line recession and widening as well as deepening of the angles of anterior hair line thus giving a "V" like shape to the anterior hair line. Minoxidil and Finasteride have approval from US FDA for use in this type of alopecia. Treatment must be begun early to arrest progression of alopecia to later stages from which recovery may be difficult. The goal of treatment is to arrest the progression of alopecia. The tablets you have just begun contains Biotin which would help in recovery of hair fall along with minoxidil and finasteride, but it is not specific therapy for this type of alopecia. I would suggest that you visit a dermatologist for a confirmatory diagnosis as well as appropriate prescriptionRegards
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: hi doctor,i m 26 yrs old and i got married. i m trying for a baby so me and my husband consult wit a gynaec,dr ask me to tk stimufol for the 1st 6 days of my cycle then she gave me the injection ovitrop.she did follicular study n told us tat 3 egg are in good cond.then she use ChatDoctor inj aft repturing of the egg.we had the sex as per dr advise and from day 16 she ask me to use susten 300 thr vagina till in m using it thr vagina. nw i m in day 32(24-2-14).how s the possibility for pregenancy.i ve reduced my wgt from 85kg to 65 kg and hgt is 155cm.plz help me for my quest-anitha ### output:
Hi Anita, Thanks for writing to Chat Doctor. The chances of pregnancy in your case is good I.e. 80 to 90%. Austen which you are using helps in maintaining early pregnancy and prevent abortion. I hope you have got your husband semen analysis before starting your treatment. I wish you conceive this cycle. But if by any chance you don't conceive I suggest you to get your tubal patency done. If it is normal plan for GUI. It is intrauterine ingestion of sperms. Here sperms are washed and processed, and healthy sperms are placed in uterus. Avoiding sperm motility disorder. It is 15 min procedure. This will increase chances of pregnancy. Hope I have been helpful. Regards Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Had a lump above my froont tooth for ages like a good 5 to 6 months hurt when applied preasure but bar that it didnt bother me. In the past 12 hours its doubled in size and length and i now have sweeling to the face right by my nose and under my eye. Its very painful and ive had the lump since not long after having a filling in that tooth. Cant get in dentist till 28th as its christmas. Any ideas how i can keep the swelling down and pain away intill then. Any idea what it could be xx ### output:
Hi. Thanks for the query. As per your complaint it seems like there is formation of dental abscess due to deep Infection in tooth leading to accumulation of pus below the root tips of the tooth causing swelling and pain. At times the pus perforates the bone and gets accumulated under the soft tissues leading to swollen lump and when the inflammation and infection increases there can be swelling over the face/ cheek in the area adjacent to the infected tooth. It should be confirmed by getting an x-ray of the tooth done under supervision of an Endodontist.... In case if it is an abscess and tooth is in a condition to be saved then Root Canal Treatment of tooth followed by antibiotics and painkillers will help. In case of deep decay extraction of tooth will help in complete resolution. As of now consult an Emergency room and get evaluated and a prescription of antibiotics like Augmenting and anti-inflammatory painkillers like Ibuprofen along with Serratiopeptidases will help in reducing pain and swelling. Do cool compresses over the swelling. Hope this helps. Regards.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: Hi I had two teeth extracted last week last the first one top left and fine no pain the second the following day (Monday) was awful the dentist wasnt very pleasant on our first meeting and hed cancelled my appointment on the Monday knowing the pain I was in so I called up the same day and got an appointment half an hour before my original with the same dentist, it seemed to me as he didnt want to do the extraction he said if I have a drink it could come out of my nose which I found unusual and many other things it took him 25 mins to get the tooth out and he kept taking breaks about half an hour after Id left the dentist the pain I got was crippling I was screaming in pain and it wouldnt stop I had to go back to get another injection which seemed to help a little bit the pain was awful the whole was huge and its been a week today and the side of my tooth the one next to the tooth that was removed I push my younger up and the gum is spilt in half it pulls away from the tooth is this normal and I have what looks like a long price of tootChatDoctorming out the side of my gum ### output:
Hello, If it is a week, the gum must have got attached to the tooth and also the pain must have reduced. You should consult an oral surgeon to get checked it there is any Chat Doctor. Also, you should get an x-ray done to check if the tooth that is pulled has removed completely or is it still having some portion left in the extraction socket that is causing pain. For now, you should take soft meals, do warm saline gargles and take painkillers as and when necessary. Hope I have answered your query. Let me know if I can assist you further.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I need some advice on my 10 year old daughter. She is extremely afraid of the dark and sleeping alone. I have tried everything and nothing is working. She just keeps getting worse. She is having panic attacks now and keeping everyone in our house up at night. She is sometimes happy sleeping between my husband and I but now has us using a nightlight in our room. Last night she wanted us to let her sleep in our room with the lights on. She will cry and yell if we do not let her sleep with us. I have been trying all sorts of things but they are just not working. Any help would be great. She is a wonderful 5th grader who gets awesome grades and is so well rounded with friends and plays soccer. I just do not understand this. It started about 3 years ago but has gotten progressively worse in the last 6 months. I have spoke with her and nothing bad has happened to her. She just says she is afraid and does not want to go to sleep. We have a great nighttime routine and we do not give her any caffeine or sugary foods before bed. ### output:
DearWelcome to ChatDoctorWe understand your concerns went through your details. I can understand your emotions. But from the given information, I cannot provide you any concrete diagnosis. There could be so many reasons for what is happening. We need to find out. You gave information that you knew, there could be more. Your given information could be just typo. A good child psychologist should be consulted for a solution. Please do not delay. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I am 66 and have just been told I have cervical spondylosis. I am slightly overweight but very regular with my morning and evening walks. I have been put on Signoflam tablets twice daily and Volitra gel for a week. Hourly exercises involving my neck have also been prescribed. After a week, the orthopedist has said he will review if I should go in for physio therapy. I have a nagging pain in my left shoulder and sometimes the pain travels down my left hand. Both hands feel weak most of the time. I am not into full time work, so do not sit at one place for long. I work on my computer for a few hours a day, checking mails, blogging and doing surfing. What lies ahead and what precautions I can take? ### output:
Hi, You are experiencing symptoms of cervical myelopathy where the cervical nerves which supply your hands and neck, get pinched by the growths near the borders of the vertebrae, which called osteophytes. If the symptoms are worsening, (and there is a scoring system for that) and the spine surgeon feels you satisfy the scoring system, you might need a surgery in the future. The exact type of surgery and approach are guided by the symptoms and what imaging shows. As for the precautions you can start with putting on a hard cervical collar which would restrict movement in the neck and alleviate the symptoms. For the initial few days it will be cumbersome and might seem to make the problem worse, though if you persist it should help. There may be skin maceration etc., due to continuous friction and sweat. Kindly discuss this with your physician before wearing a collar.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: hi I have an old shoulder surgery that I fell again 6 weeks after the surgery and the doctor said I needed to have surgery on it again. but I didn,t. i also have a heart condition. I am having pains down that arm about 1/3 of the way down. what do you think it could be from? Thank you Rlkl;Gray ### output:
Hi, as you mentioned you have an old history of surgery of the shoulder what surgery was it? Based on that it will be possible to give inputs. Also, as you said the pain is a older one I will recommend you to do some static neck exercises followed by shoulder girdle Strengthening exercises. Perform the upper limb strengthening exercises as well. Now since the old history of surgery is unknown there are two possibilities - either the pain is due to the Nerve getting pinch in the nerve or either it is due to muscle weakness of the shoulder girdle. But in either of the cases to keep into consideration I have recommended exercises for both.Also, to understand that most pains in body is due to alteration happening in the normal anatomical position of the joints. And this thing can be corrected by only performing exercises as muscles support the bones and the joints in the normal anatomical position. Also, a physical therapist will help you with ultrasound therapy and TENS therapy for pain. This is the try you can perform before thinking further on the surgery aspect. As with physical therapy there is a mass reduction in pain and also strength in the muscles. Once the joint is stabilized by the muscle post stretching the Need for the surgery is reduced. With the grace of God I wish you a good health.regards Jay In Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I have a weird sleeping pattern. At night, when I try to sleep, I can t. And sometimes, I just sleep all day. Also, I ve been kinda withdrawn to the world. I think no one can understand me. I get angry at people. I don t listen to what people says. I get really upset and cry. And the major thing is, I don t feel happy at all. At times that I should be happy, I find myself feeling nothing at all. It s like all I feel is negative emotions . I hate explaining things to people. I prefer to be alone. Is this some kind of mental problem? ### output:
Hi and welcome to Chat Doctor. Thanks for your question... The symptoms which you have described, i.e. feeling low, inability to experience pleasure, negative thoughts, social with Chat Doctor. Are indicative of depression. You have to clarify how long you have been experiencing these symptoms and whether you are going through any major stress. Whatever may be the cause, it is important that you get help because you seem to be going through significant distress and suffering. But often, when we feel so low and disinterested, we don't feel like seeking help and everything simply seems pointless. So, it is important to be cautious of this and not refrain from getting help. One good way out is to keep talking and sharing your feelings with someone close, so that they would be able to motivate and guide you when you don't feel the initiative. Help is available in different ways... Medication, Psychological therapies like Cognitive Behavioral Therapy (CBT), etc. which can be decided according to your preference and the suitability for your situation. So, please consult a Psychiatrist and don't delay in seeking help. All the best.-
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: i am having mild to moderate pain in lower bck my mri says following1. lumbosacral spondylotic changes with posterocentral disc extrusion at L5-S1level causing compression of thecal sac and bilateral foraminal compromise 2. diffuse disc bulge t L4-L5 with indentation at the thecal sac and bilateral neural foraminal compromise ### output:
Dear patient Your MRI report is suggestive of disc prolapse at two levels. Human spine contains vertebra and between two vertebrae is intervertebral disc which is named according to the location of vertebra. So l45 disc is located between l4 and L5 vertebra and L5s1 is between L5 and s1. These two discs are located in bottom of spine. Now prolapse means these discs has come out of its space and compressing structures in spinal canal which includes nerves and the car. So your MRI report is suggestive of disc prolapse at l45 and l5s1 levels witChatDoctorpression of thecal matter and nerve roots. For assessing severity of prolapse canal diameters are required which is lacking in your report. So considering your report you require conservative management. Avoid forward bending and weight lifting. Sleep on hard bed. Take tab diclofenac plus thiocolchicoside combination twice a day and tab attract one at bedtime. Start physiotherapy with 1. Back strengthening exercises 2 back extension exercise and 3. Abdominal strengthening exercise. Do this on regular basis, and you will get long term relief. If you don't benefit by this then epidural escort injection is worthwhile. Hope this is helpful.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: i am female 26, i had a miscarriage nine weeks ago, had a period 4 weeks later. i done a test today cause of the way i feel and its positive, i have had unprotected sex since my period. am i pregnant or could the test be showing still from the miscarriage ### output:
Hallow Dear, Pregnancy tests are based on the raised titles of hormone Chat Doctor in the body. The title starts falling down after abortion process and roughly after about 8-10 days it becomes undetectable in the urine. Therefore, the pregnancy test becomes negative about 8-10 days after abortion. Positive pregnancy test 9 weeks after miscarriage cannot be attributed to that pregnancy. You have to consider following possibilities:1. You may be freshly pregnant again. Ultrasonography after about a week can confirm the diagnosis. 2. Failed abortion last time. This also will be clear after ultrasonography. However, you had menses 5 weeks ago, hence this possibility can be ruled out. 3. You could have developed choriocarcinoma or molar neoplastic disease. You have to report to Gynecologist to get quantitative estimation of the Chat Doctor in your body. If indicated, you may have to undergo curetting for biopsy of the tissue inside the uterine cavity. Ultrasonography is helpful in detecting or suspecting these lesions. However, this condition causes alarming bleeding which you do not have. Still, it is better to rule it out. Better to err on safer side. Choriocarcinoma can be completely cured with medicines if diagnosed and treated in time. I hope this gives you guidance for next step.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: I am a 59 year old, white female. I have been diagnosed with lupus, thalessemia minor, and I have a stent in my LAD. My blood pressure is low to normal and my cholesteriol is normal. Ive been feeling tired. My doctor recently took blood and the results are generally normal except I have elevated Leukocyte esterase 1+ and WBC of 6-10. My Creatinine is 1.13 and eGFR Non-Afr American is 53. My Ferritin count is 342. In addition, my Hemoglobin is 10.2, Hematocrit is 32.7, MCV is 71.6. MCH is 22.5, MCHC 31.4 and RDW is 17.1. Some of these results are because of my diagnosed problems. But I am concerned about what Ive read about these other tests are they indicators of some kidney disorder? ### output:
Hello madam, You have been diagnosed with lupus and thalassemia minor. Lupus can affect kidneys and since you have an active urine sediment i.e. 6 WBC in urine, it is better to undergo a renal biopsy and stage your disease and accordingly take the treatment. The outcome of lupus kidney disease would depend on biopsy findings.Also, you have mild anemia which may be due to thalassemia. Kindly get a serum ferritin and transferring saturation i.e. Iron studies to guide your anemia management. Hope I was of help. Further, queries, please get back to me.
If you are a doctor, please answer the medical questions based on the patient's description.
### instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### input: hello my question is I have pain in the center of my chest only hurts when I take deep breaths or if I tried to walk really fast I have acid reflexI take two nexium Z I pray Allah sac this that doesn t go away I drink alka seltzerand if you had just from the Lord to an upper GI and they tell me I have nothing everything is normal how can you be online when I lay down so it reflects from the job wake up choking so so I sleep on the reclinerif you no want to go to the hospital again because they always treat me is I m having a heart attack on that I am NOT have a heart again but there again they don t listen to me could you please help me I m really stressing out about this thank you. Blanca dayss ### output:
Thanks for your question on Chat Doctor. I can understand your situation and problem. Since your cardiac issues have been ruled out, I think you are having HERD (Castro Esophageal Reflux Disease) mostly as a cause for your symptoms. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. 7. Avoid smoking and alcohol if you have this habit. 8. Lose weight if you are obese.