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ChatDoctor-10k

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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: MRI results with mild disc desiccation c5-6 and C6-7. It says annular bulge and bony encroachment on right side of right neural foramen at c5-6. I had Chiari decompression, craniectomy and duraplasty 2008 and took out bottom part skull and c1/2. Now have terrible headache and neck pain. Brain MRI shows mildly predominant cisterns magna, mild amount of T2 signal of periventricukat and corona radiate white matter , tiny pineal cyst but no other mass. Focus of low gradient echo signal along posterior fall to right of midline likely benign calcification. Left more than right ethmoid sinus mucosal disease without acute sinus mastoid effusion. Small cyst found on sphenoid sinus.What does all this really mean? Is it related to my Chiari? ### output:	Hello! Welcome on Chat Doctor ! These MRI findings are not related to the chary surgery (besides predominant cisterna magma). The cervical spine changes are chronic changes which may explain the neck pain. The cysts are incidental findings, which are not related to the pain. I would just recommend follow up after 6 months with brain gadolinium enhanced MRI in order to monitor the pineal cyst for any possible progression. In my opinion the headache could be related to occipital neuralgia. But I would like to know more about your headache: - the location?- The duration?- Does coughing or physical exercise trigger the headache?- like pressure or throbbing type? I remain at your disposal for any further questions. 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 was diagnosed with squamous cell carcinoma of tongue . I underwent hemiglossectomy with neck dissection in Jan 2012. Then i underwent radiation therapy and cetuximab chemo . It has been 3 months since conclusion of radiation therapy. now i experience severe pain over the area of the tongue where i had the surgery that radiates to my ear. I also have tenderness over the same side of the neck. The pain is not constant, it is aggravated by chewing. I have started going to work now but i never have any pain while at work. I usually get the pain while at home in the afternoons and also early in the morning. what coukd be the probable causes of this pain. ### output:	There could be a number of reasons for your pain and a thorough clinical examination is necessary to rule them out one by one. It could be simply related to your surgery and radiation therapy as it can sometimes lead to inflammation of the nerves in this area leading to a neuritic pain that commonly radiates to the ear. It could be a local infection in the operated site compounded by the radiation. Worst possible, it could be a recurrence of your cancer. I would have liked to know the stage of your cancer as that would have helped me assess the risk of recurrence. I suggest you start on Tab Ciprofloxacin 500 mg twice daily + Tab Paracetamol 650 mg thrice daily + Tab Sanitizing 150 mg twice daily + Tab Gabapentin 1 tab twice daily. That should take care of the pain and infection. Meanwhile, get an appointment with your treating oncologist and let him have a look.
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: Im 52 and fell ice skating yesterday and came down hard on inside of right elbow and right knee.Yesterday the elbow bothered me and my forearm all the way down to my hand - not much swelling or bruising which is unusual for me.Today my shoulder feels very sore and my range of motion is not very good - my arm, shoulder and elbow feel best when I keep them tucked up against my body. Should I just keep on taking aleve and rest or should I get an x-ray? ### output:	Hello, You have shoulder pain cause, you fall down. There are many causes for having shoulder pain but in your case its looking there may be muscle strain or ligament sprain or other possibilities also as fracture of forearm or shoulder bone. But some home remedies which you want to apply, you can take cold /hot therapy:Take some ice cubes and wrap it in the towel and apply on affected area for 20 mins. It will reduce the swelling and relax the muscle, and you will feel better. But don't apply the ice directly on the skin as it can do ice burn there. Ice therapy apply up to 72 hrs of injury. You can take warm therapy but after 72 hrs of injury. It will reduce the inflammation which includes pain and swelling. You can take painkillers as ibuprofen and naproxen. These are anti-inflammatory and will reduce the pain and swelling. Keep your affected hand elevate from heart. You take rest for 72 hrs and don't put the weight on the affected hand. Move your fingers and arm when pain is minimal. 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. My son is 5 months old. He has a runny nose and productive cough. The other night, he woke up in his sleep coughing and also vomited. We went to see a family doctor today - his lungs are clear and ears are ok. She says that it may just be the common cold, and told us that a common cold & cough can last up to 6 weeks. Is that true?? I would think that if a cold last that long, that it most likely be bacterial at that point? And in that case, wouldn t my son need antibiotics? Would really appreciate a 2nd opinion on this. Thank you! ### output:	Hello, Thank you for asking at Chat Doctor. I went through your sons history and would like to make suggestions for him as follows:1. As he has been examined by a doctor, that is very nice for him.2. Yes, most of the colds and cough at this age are due to viral infection, and they can last from 7 days to 8 weeks (2 months). So I would agree with your doctor.3. As I mentioned, most of the infections are viral, and they do not need antibiotics. Antibiotics are required only when bacterial infections are suspected. Bacterial infection is best suspected from type of symptoms and sometimes with help of investigations. It is not correct that a long infection is due to bacteria.4. As your son does not have significant fever, no pus from ears, lungs are clear, no effect on playfulness, I would not think of bacterial infection.5. For such simple cold, I usually suggest my such patients saline Chat Doctor. 6. Antihistamines like HY
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 can feel my heart skipping beats and beating really fast for no reason. I get dizzy and sometimes feel very sick to my stomach. The other night all I did was stand up, not fast I just stood up and my heart took off and gave me chest pain, I felt sick to my stomach and very dizzy. I took my blood pressure and it was 177/100. Im very concerned so what could this mean? ### output:	Hi Sir/Madam. Welcome to Chat Doctor. I understand your query and concern. You possibly seem to have ventricular ectopic beats. These can manifest as skipped beats, producing a sensation of dizziness. This can sometimes lead to chest discomfort producing chest pain. The symptoms need evaluation in the form of baseline ECG and 2D echo.Additionally, 24h Holder ECG monitoring may be required. Elevated blood pressure has to be controlled in your case with suitable antihypertensive therapy.It's always advisable to keep your blood pressure under 130/80 mm of Hg. Pertaining to stomach issues, there could be an underlying element of acid reflux disease. I generally treat my patients with oral tablets of Pantoprazole. I suggest you to please see a doctor if his views are same and if you can prescribe these Chat Doctor. Definitive management depends upon treating the underlying cardiac arrhythmia with medical management and if necessary institution of a temporary or a permanent pacemaker to counteract nocturnal hypotension. I advise you to have a cardiac work-up at the earliest. Consultation with an expert cardiologist will help. Post your further queries if any, 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: Hi Doc! Im a male, 25 years old. I was given the results of our Annual Physical Exam (done last Feb 2013) and found that my SGPT is 157 U/L (a month before that I twisted my left ankle). Our office physician asked me to redo another test from other labs. Got the result today and found that it s 65 U/L. I did not change my diet nor taken any meds before doing another test. Is that normal? I was told that the normal count is 40 U/L. But a drastic drop after a month is a bit shocking to me. I don t have any vices. I have observed that Im currently gaining weight. The office physician now asks me to do a Lipid Profile and HBsAG . Im just getting worried. Is 65 U/L SGPT something to worry about? ### output:	Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). Elevated transaminase levels that is SGPT suggest inflammation in liver cells and may be harmful in long term. So you are required to be evaluated to find the cause of the elevation1. Avoid alcohol if you are taking2. Obese or overweight may be associated with NAFLD so see your weight and reduce it if it is more3. Lipid profile4. Tests for Hepatitis B, Hepatitis C, Serum ceruloplasmin for Wilson disease, and ANA and SMA for autoimmune disease5. Get ultrasound abdomen also to see for liver echotextureI hope I have answered your query and this will help you. Remain in touch and get-well soon.
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 mom is having knee pain (right leg) for a month. Every year, specially during winter time, she gets such joint pains for at least 10 days. After taking medications, she will get relieved of the pain. This year, it continues in spite of taking medications for more than 10 days An Ortho specialist prescribed medicines like Omez, Zerodol - P and some vitamin capsules. Her symptoms are swelling of joints, specially at her right knee and mild swelling in her toes and finger joints. She is finding so hard to climb staircase. After taking necessary lab tests for arthritis, it was all normal as told by the Ortho specialist. Recently through some of our friends, we heard of Class IV Deep Tissue Laser Therapy which is great for relieving pain at joints. Can you please let me know how the therapy is efficient in relieving joint pain? will it be beneficial to give it a try? Please suggest any herbal or drug therapy as mom is reluctant to go under the knife for a surgery. ### output:	Hello! Welcome to Chat Doctor ! Since you say all test came out normal. I think its normal knee joint pain which occurs in elderly people. As one ages, a fluid called synovial around knee caps which protects from friction during motion is degenerated. And hence one experiences pain around the knee. I suggest you to get ayurvedic treatment called Japan bast. In which we try to regenerate the fluid around knee and reducing pain. Laser therapy and any other surgery will not help you much. I won't recommend at least. Hope this clarifies your concerns. Thank you for contacting us. 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 45 years of age. I have undergone partial vaginal hysterectomy (only uterus & cervix removed) almost 6 weeks back. I have been suffering from dry mouth & throat with mouth sores & rashes in mouth. After surgery, doctor prescribed multi-vitamin, iron & folic acid tablets. but the sores & rashes in mouth do not go away. Any diagnosis & remedy for this problem? ### output:	Hi, Welcome to Chat Doctor, There are many causes of mouth sores ranging from mild to serious. Mostly, this sores are not serious and do not pose a significant health risk. Mouth sores might occur as the result minor trauma like biting or burning it with hot food, contagious (herpes simplex virus), canker sores (known as authors ulcers) are another common causes. Treatment is mainly depended upon the underlying cause, but symptomatic treatment is helpful as in most of the cases the cause remains unknown. You can see your family doctor or surgeon to rule out any other infective or malignant pathology, although the chances are rare. Here, I am giving you some information which can be beneficial to you.1) Maintain good oral hygiene and avoid hot and spicy foods.2) Antiseptic mouth wash (chlorhexidine) for gargles for rapid healing and to prevent secondary infection.3) Topical analgesic gel like Benzedrine which is also having a local anesthetic effect.4) Take folic acid with vitamin B complex to promote healing. Hope this information is helpful, but it would be advisable that you will see your doctor first and then ask for 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. I am a 52 year old woman. Two months After being hospitalized last year with ulcerative colitis, I had dvt/pe. I have been on coumadin since August. When I was discharged from hospital I was on 1 mg coumadin. I have regular pt/inr tests and am currently on 7mg coumadin daily. I have congential lymphedema & have always had ankle & leg swelling, however since pe have much more swelling. Recently had echocardiogram that showed pulomary hypertension, mild impaired left ventricular relaxation, trace mitral regurgitation, mild tricuspid regurgitation w/right ventricular systolic pressure estimated at 55 mmHG indicating moderate pulmonary hypertension.What does all of this mean? Am I at risk for another pe? ### output:	Hello ma'am After going through your medical details I would try to explain things to you in a rather simple way. Your echocardiogram reports tells us that you have leakage in two valves one is of mild type and other a bit more. Pulmonary hypertension in your case is due the Pulmonary embolism u had which happened due to DVT. Impaired relaxation of left ventricle means your ventricle is not able to relax fully during the stage of blood filling in it which is a common age related change that happens in Heart after 45 to 50 years of age. Chances of having a pulmonary embolism in DVT patients are more than other people, so you need to take good care of yourself in terms of proper medication, checking your INR periodically and keeping yourself mobile and active. 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..its LeAnne..I wrote to you last week about having an issue with my right calf..that when I push on it on the outer side of the calf muscle ..that I get strong pins and needles in the bottom of my foot ...You had suggested this could be Peripheral Neuritis..and suggested I see my doctor but that the condition was not serious...I saw my doctor today and he called it Peripheral Neuropathy ...Is this the same thing that your suggested?? And,,I thought Neuropathy was a serious condition..My blood levels were checked and were all normal...He told me it was from crossing my legs right over left and said the nerve was irritated...but I m a little scared as I have read alot about neuropathy in the past for my job...Can you please clarify any of this for me...I m nervous ...Is this permanent?? He didnt suggest me seeing a neuro or taking any meds..only told me to stretch my calves regularly and to apply some heat and to bulk up my calves a bit...Help ? ### output:	Hi, Thank you for posting your query.First, I would like to reassure you that you do not have a serious neurological illness and there is no need to worry. Yes, peripheral neuritis is same as peripheral neuropathy, and this is not going to cause any permanent damage or disability in your case. In your case, the neuropathy is due to mechanical pressure over the nerves in the legs, so, avoiding putting pressure would make your nerve better, and you would recover. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, 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: Hello couple of years ago I was diagnosed with a cervical stenosis. I have also noticed a slight tremor in my right hand. The tremor has become worse and I have constant forearm pain. In the last couple of months I have noticed that my left hand is starting to tremor. In addition my wife says that my body jerks while I am sitting lots of times I don t notice it. Should I see my doctor or can a cervical stenosis cause these symptoms. ### output:	Hi, Thanks for writing in. The spine is made up of an alignment of small bones. These bones have sponge like discs between them and the spinal cord passes along the back of these bones through the spinal canal. Cervical stenosis is a term used to describe a condition in which there is narrowing of the space through which the spinal cord passes. There might be pressure on the discs in the cervical spine and this is causing slight pressure on the spinal canal at a particular level and causing pinching of nerve roots leading to severe pain in the area supplied by the nerve. The disc problem which was present at one level might have progressed and affected the discs at other levels also. Right now you require a repeat MRI scan of the cervical spine and this will tell any significant changes that have taken place in two years. It is possible that you need urgent medical attention and this needs to be discussed with your doctor and treatment to be taken. There are many treatment options available. Initially patients are treated for the pain and discomfort by medication and physiotherapy. If the condition has progressed to non-responsive to medication then surgical techniques including laser surgery and radiofrequency ablation methods can help you get relief. Please do not worry.
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 accidentally tripped early this morning, inside my home. I am 6-5, 215 pounds. I was falling flat on my face, which I broke my fall by landing on my left elbow, in turn fracturing my scapula. I have had 5 surgeries to my left shoulder, to repair multiple labrum repairs, with the Bankart Procedure being performed. Prior to today, my Orthopedic Doctor stated that I would eventually need a total shoulder replacement. I am in SEVERE PAIN, and m local hospital called Dr. Felix Savoie, with the Tulane Sports Medical Facility, who is my shoulder Doc, and he will see me tom at 12:30. I am more than certain that I have torn more ligaments, and from the pain, it appears that I have a fracture to the glenoid portion of the scapula. Could you possibly give me your Expert Oppinion as to the prognosis/recovery, that I may be facing in the very near future? Any assistance would be much appreciated. Thank you for your attention to this matter ### output:	Dear patient First, diagnosis as to the cause of left shoulder pain should be done to give prognosis. As you said multiple surgeries are done on left shoulder. First X-ray of the left shoulder anteroposterior and axillary views should be done to rule out bony injury. Scapula fracture usually heals with conservative treatment and has good prognosis. Other investigation needed is MRI of the left injury to check for soft tissue injury. If muscle is torn and there is ban kart lesion injury prognosis should be guarded and surgery may be needed again. Please consult your operating surgeon with reports. 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: My husband has a good sized lump in his perineum. It is hard and symmetrical in shape. About two months ago his doctor told him it was a clog in his epididimis. The medication given did not help. He has also been diagnosed with chronic prostititis for the past 2 years, with none of the prescribed medications helping. ### output:	Hi, Dear thanks for the query to Chat Doctor virtual clinic. I studied your query in full details updated from you. I understood your health concernsBased on your query data, In my opinion, Dear You seem to suffer from Hard lump from Chronic Prostates with Scarred and Calcified Prostate. Treatment -Would suggest a work up with UroSurgeon-1-For Intra-Prostatic Antibiotic Injection treatment with 3 measly Booster doses.2-For Planned LRP-Laparoscopic Radical Prostatectomy-if discomfort for Prostatitis is more / or failure of Antibiotic Treatment.USG n CT/MRI studies to plan the Injection or LRP treatment is needed with at Team of Ur0Surgeon and Radiologist and Surgeon working together for better results in this very resistant type of disease. Hope this reply would help you to evaluate your case and treat it with your doctors in time to come. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. Chat Doctor. N.M.S. Genl-CVTS -Senior Surgical Consultant
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: when i excert my body to do anything. I immeditly get extremly tired that takes about ten to fifteen min. of whatever Im doing,if I try to beyond that point I sometimes feel very shakey. Like my sugar is low.Then sometimes the next day Im so tired I cannot even get myself out of bed. I am so weak I can hardly hold myself up let alone talk what could this be? Or can you give me Ideas of what I could look into on the net. All I know so far is I have sinus tackacardia. I take two heart med that make me feel much better. But Im still having this problems. the shakeness is a new syptom for me. can this heart issue make a person feel this bad? oh. I also take a stemulant when i do I feel a weird feeling in the middle of my chest. witch makes me think maybe a lung issue? I do how ever have my syptoms even without taking the stemulants. Thank you for your time & my spelling its not the bwst. ### output:	Hello! Welcome on Chat Doctor! I carefully passed through your question and would explain that your symptoms seem to be caused by a metabolic disorder (chronic anemia, thyroid gland dysfunction, low fasting glucose, or a Chat Doctor. Anxiety can also trigger this situation. Regarding stimulants, I would not recommend taking them, because they can exacerbate anxiety and all this clinical situation. I would recommend consulting with your attending physician for a careful physical exam and some tests: - a cardiac ultrasound - a chest X-ray study-complete blood count for anemia-thyroid hormone levels for thyroid dysfunction- cortisol plasma levels for a
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: Im a 26 years old lady. I had experience two successive MR last 3.5 years ago and 1one missed abortion 7 months ago. Now Im trying for a baby but i can not conceive. what medicine should i take now? what other things i should do now to conceive and what not? is there any possibility to not conceive? ### output:	HelloThanks for writing to us with your health concern. You have been trying to conceive after having had a prior conception.This is called secondary sterility. You need to consult an Infertility specialist in your area. First the routine blood work should be done - Complete blood count, viral markers, blood grouping, FSH, LH, TSH, Prolactin, OG TT etc.Also your husbands' semen analysis should be done. A follicular monitoring should be done to check the growth of the egg follicle. IF that is not adequate, then ovulation inducing agents maybe given to bring about ovulation.Also, a hysterolaparoscopy is in order to learn whether the uterine endometrium has been damaged or the tubes have been blocked. In addition to this is the factor of your having had recurrent miscarriages, whicChatDoctorplicates the picture.Please consult a high risk pregnancy expert. Have genetic testing for yourself and your partner. Also screening for antiphospholipid antibody syn Chat Doctor. I hope chromosomal analysis was done for all the prior pregnancy losses, it is an important step. A hysterolaparoscopy would rule out any uterine abnormalities. Take regular 5 mg per day folic acid supplements. Maintain an ideal BMI. 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 doctor, I am 29 year old male and i have the following problems. 1. anhedonia ( i am unable to experience any pleasure in any activity or with any person etc) 2. i am unable to experience love with anyone.( nobody in this world is close to my heart neither my mother nor my sister nor my wife. i dont enjoy any relationship and i really dont care what happens to them. i am concerned only about me in this world) 3. always thinking about my future and be feared about it 4. unable to concentrate on anything and not attentive 5. being in low mood all the time and easily irritable I have been under medication for long time but no improvement. I am currently taking attentol,betacap,deludon,evton with the current tablets i am little attentive and my concentartion improved. Prior to these medicines i have had sulpitac,despito,venla,anxiprol,ventab,felis etc and none of those medicines gave any improvement. My query is can anhedonia and lack of experiencing the love be cured. Thanks raj ### output:	Hi Raj. Welcome to Chat Doctor forum.In regard to your problem, I would like to know had started you on all the medications mentioned by you. And since how long have you been experiencing these symptoms. Are you experiencing increased stress at work or at home? Unless you have been prescribed this medication by a qualified doctor, I would like you to stop them and visit a qualified consultant. I am of the opinion that you might be suffering from a mild depressive episode (Which is NOT necessarily depression) which could have started as a result of stress. So please consult a qualified specialist if the complaints persist. Best wishes and 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: My father who just turned 90 this month was recently diagnosed with a tumor that is growing between the two bile ducts that lead into the liver. This was detected thru bloodwork and in the past two weeks he has had two seperate scopes, one of which involved the placing of a temporary stint into one of the ducts. The doctor who performed this discovered during the scope that the tumor was actually larger and was indeed blocking the other duct too. He did not have the dual stint that he needed so he just treated both blockages with temporary stints. We returned with my father yesterday to this same doctor who is a general surgeon. He advised to have the permanant dual stint placed as soon as possible but also added that there are risks involved. Namely not being able to place the left side stint due to the difficulty with manuvering to that side. My question in all of this is: should my father have this situation treated by this general surgeon (who is almost 70 years old) or should he be treated by a gastro specialist???? ### output:	Greetings. I appreciate your concern for your father. Your father is suffering from the cancer of the bile ducts which is an aggressive cancer. As he is very old, I think biliary stenting should be done to relieve the jaundice followed by some form of oral chemotherapy if he is able to tolerate that.However, if he is in a good health and the cancer is localized then upfront surgery is the option. Stenting will be done by gastroenterologist and surgery by a surgeon. Hope you now understand well and can choose depending upon the reports and health status of your father, whether to go for surgery or stenting first.
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: for the third time in the last 2 mths i hav an irritation on my scrotum and penis . it begins with an unbearable itch that only intensifies and skin sensitivity around tip of penis . the top of scrotum on the sides are white and the penis jus gets red and almost like blue coloration in some places . the only thing coincidental ios that i also hav a n itchy blister n the exact same spot on my wrist that came up at same time lasat time and more importantly i took bactrim for another problem both times and within the day problems began ### output:	Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that you have a fungal infection in the scrotum and penis, and it seems to be secondary to antibiotic intake that is Bactrim that you have taken every time you experienced the symptoms. It seems to be Subcutaneous Thrush leading to the symptoms of burning, redness and itching severely. I would suggest you to consult an Internal Medicine specialist and get evaluated and a thorough clinical evaluation and investigations like urethral swab culture can help in diagnosis and treatment can be done accordingly. You can be advised to apply antifungal ointment over the infected areas and along with it an oral antifungal medication course like Fluconazole can help. In case if you are sexually active or married the same treatment can be given to your wife/partner. Along with it take probiotics like Yogurt and also keep the area clean and Chat Doctor. . Take Levocetrizine for itching and redness. Hope this information helps. Thanks and 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: What could be the cause of a 7year old boy to have foul smelling stools? He was born fine. growth has always been below 5%. He suffers from severe constipation so takes miralx daily. aside from growth and asthma he apears normal and healthy. his apgar score was slightly low when he was born , he had rsv within the first month and followed it with pnemeonia, he also had several ear infections ending in surgery for ear tubes. Please help the doctors cant seem to figure out why?? important to note- he has had the salt/sweat test for cycstic fibrosis whicChatDoctore back neg. and growth hormone test also came back fine. with the exception of his last cbc which showed he was low in vitamen D nothing else has been found. More about the stools- they r dark brown in color w/an orange tint, they stick to bottom of stool and are difficult to get flushed also the closest related smell to his stools would be vomit. the smell is so strong it can be smelt in the rooms surrounding the restroom even and remains pressent for at least 30minutes following the stool. ### output:	The bad smell of the stool is because of the sever constipation, the stool which is stuck at the colon starts to be fermented by bacteria and cause this bad smell the regular use of laxatives and evacuation of the bowel can help with this problem a boy who has a growth below 5th gentile and has some constipation should raise the suspicion of celiac disease I recommend doing total serum IGA level, anti tissue trasglutminase IGA level to exclude celiac disease I 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: Hi there, I am suffering with a partially erupted 3rd molar on my lower right side. Only approx 20% of the tooth is visable and has been this way for about 3 years now. It is a tight seal between the tooth and the operculum which means its very difficult to keep clean, even using a syringe does not work. this is making it very prone to infection, and the smell....well lets keep this polite and say its more them embarrasing. My question to you is, what is the likelyhood that my dentist will agree to remove the operculum as i have read on alot of forums that the riskis involved with the lingual nerve are very high and the operculectomy has been removed from standard practice. Im in the UK, using a UK dentist just incase that makes a difference. I would really appriciate any help and advice you could give me. Thanks Sean ### output:	Thank you for your querying your case I must suggest that try to go to an oral surgeon and not just plain dentist. He will get orthopentomogram done(OPG). This investigation will show the angle of molar, size of root, and it also tells about the cause of impaction.Moreover, the 3rd molar is more or less a vestigial organ. It has no role in grinding or occlusion. Getting the operculectomy done might hamper your 2nd molar(if tilted)Extraction is the treatment in your case.... But do consult an oral surgeon as he is an expert and prevent lingual nerve injury. The lingual nerve injury is otherwise very rare. Extraction will also prevent chronic gingivitis, which causes bad oral odor. God bless
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: hw r u doctormy daughter is 4 yrs old n she has a small lump behind her head..she had it when she was born. this lump is also growing..is it anything serious..what should i dohere we dnt have qualified doctors n i am so scared to show to any doctor.. ### output:	Hi, Thanks for query to My Chat Doctor virtual Clinic. And welcome to Chat Doctor services, as the services are rightly for people like you. I studied all details of your query. I understood your health concerns about Treatment of the lump behind the head of your baby-Treatment-As the location of the lump since birth is not given it's very difficult to comment on the treatment as I am unable to assess the cause of the head lump on its back. From the possibilities for such a growing lump, your daughter seems to have Desmond Cyst which is a congenital lump and is of benign nature mostly. Any other cause for these needs to be ruled which your doctor would take care of, as he would have first-hand information, to which I don't have any access. In this background I would advise you to Urgently consult and have a Second Opinion from your Surgeon, who would do CT Scan or Skull X-ray to fix the probable cause of this tumor from the other causes which need to be ruled out in context to examination findings from your Surgeon. Hope this reply would help you in resolving this complex query and anxiety with it. I would appreciate if you hit thanks and write excellent review comments to help needy visiting patients at Chat Doctor. Welcome for any further query in this regard. Good Day!! Chat Doctor. N.M.S. Genl- CUTS. Senior Surgical Specialist.
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 on birth control for 5 years, First i had the mirena for 5 years then i switched to the depo shot in may and i got another shot in july, im due for another at the end of this month but all of a sudden i started spotting on tuesday, now its saturday and now im its heavy bleeding.... what could this be? ### output:	Depo-Provera (me Chat Doctor. Common side effects include nausea, stomach cramping/bloating, dizziness, headache, tiredness, breast tenderness, decrease in breast size, acne, hair loss, or irritation/pain at injection site. Serious side effects: 1. Menstrual periods that are heavier or longer than normal; 2.sudden numbness or weakness, especially on one side of the body; 3.sudden severe headache, confusion, problems with vision, speech, or balance; 4.chest pain, sudden cough, wheezing, rapid breathing, coughing up blood; 5.pain, swelling, warmth, or redness in one or both legs; 6.fever; 7.nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); 8.swelling in your hands, ankles, or feet; or 9.symptoms of depression (sleep problems, weakness, mood changes)So change in menstrual bleeding and heavy bleeding are side effects of demo shots. I suggest u to consult your treating doctor if bleeding won't subside.In the meantime
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: Can HSV 2 virus be cured 100%? during non outbreaks, is it safe to have unprotected sex with my partner? Can sanitary pads have an allergic reaction looking like blisters similar to HSV I requested the HSV test to be done when going to see my GP with regards to another ailment. My ex had affairs. He stated that I had HSV 1 (I can agree with this as I get the occasional cold sore on my lip) but stated that my HSV2 could be a Fals e positive. I have non whatsoever outbreaks, and the only ever time I got blisters was when wearing a sanitary towel, upper out area of my buttock, where the sanitary pad had contact with. GP said it could be a false positive, to repeat the test in 2 weeks time then. I read on the internet, yes that this can happen. A PCR test is the other test used to confirm, which I had routinely done at my GIT clinic recently, and it was normal. What would you please advise me? ### output:	HI, thanks for using Chat Doctor False positive tests can occur with any test, but the chance of a false positive can vary from one test to the other. You can consider repeating the test to see if it was inaccurate especially since another test had a negative results. There are some tests that have a high rate of accuracy, close to a 100%. The best would be an HSV western block test. In terms of curing this infection, it is not cured. Once a person has been infected, it is possible for transmission to occur both when a rash is present and also when they are no symptoms-asymptomatic transmission. I 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: Hi , im 32 yrs . Trying to conceive . Took a scan and dr told me im hvg pcos . Gave clomipure for ovulation and on 12th did my scan n was told im ready for ovulation n gave duphaston 10mg twice a day for 10 days when the course was over on the 12th june 14 found dark brown tinted blood cloths or blood around the area when used tissue got to see it. But no bleeding or cloths coming out only seen on tissue. Plus having slite pain on left side and sometimes right side of the tummy below the naval. Please can you tell me is this normal ? Are these my periods ? Or any signs of pregnancy ? Please help ### output:	Hallow Dear, It is good that you have responded to Closure which is Camphene citrate. When you saw that the ovaries were on the verge of ovulation, it would have been more informative had you continued to have ultrasonography to confirm the ovulation. Since you were taking Phaeton for 10 days, your menses, if at all they were to come would be delayed for few days. If you are not pregnant, you would get the menses about 4-7 days after discontinuing Phaeton pills. The brownish spotting could be the beginning of the menses, or it may the implantation bleeding also. You can confirm the situation by: 1. Pregnancy test on overnight morning first urine sample a week after the missed period; earlier it may report false negative results. 2. Alternatively, you may opt for Beta Chat Doctor test on your blood. I hope this helps you sort out your dilemma.
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 prostatitis since last July. My doctor prescribed Cipro for about 4 months then Doxycycline for 4 month. But I can t seem to get rid of it. There were times when i was taking the Cipro that I thought it may be gone but it would come back when the prescription was done. I also had bllodwork down and my doctor has assured me that there s nothing more serious going on. I m still taking the Doxy but after reading an article by Dr Weil I am also taking 60 mg of zinc daily and 6,000 mg of vitamin C daily. Also drinking lots of water. Any other advice? ### output:	HelloThanks for query. You have been facing problem of Chronic Prostatitis since 6 months and have been taking Ciprofloxacin and Doxycycline for almost 6 months, but there is no satisfactory relief from symptoms. Chronic Prostatitis is very notorious disease embarrassing both to the patient and treating Physician. In a given situation I would suggest you to consult qualified Urologist for clinical examination and digital recto get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Semen examination and Semen Culture 3) Ultrasound scanning of abdomen and pelvis4) Serum PSA.5) Culture of Urethral discharge obtained after prostatic massage. This will get specimen sample for microscopic and culture test directly from prostate. Further treatment will depend upon result of these tests and final diagnosis. Since it is chronic in nature you will be benefited more with daily prostate massage along with taking appropriate antibiotics as per culture report. 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 uncle (Age 64 years, 5 feet 7 inch, 68 kg ) went through a CABG X 2 on november 2005. suffering from DM for more than 6 years. form last 6 months he was worried about the number of his drop pulse beat (6 to 8/min) as his cardiologist told him upto 5 drop beat/min is normal. seeking advice from a different cardiologist about his drop beat problem and being adviced to take Amiodarone. with other medicine he took amiodarone for three month and the drop beat problem was over. now he developed some new complain like leg oedema and pulse rate is 50 to 55. his CT angiogram shows patent graft, on echo LVEF 48. taking Carvedilol, nitro glycerine tab, atorvastatin, PPI, Aspirine+clopidogrel. what should he do now with his bradycardia and leg oedema ### output:	Hi, This is Chat Doctor. It is good for any heart patient to have a low pulse rate as it keep the metabolism of heart low. So pulse rate of 50-55 is good for him. Significant symptomatic long pauses can be abnormal & he should go for a holder test which is a 24hr monitoring of ECG. Leg swelling is very common in post CABG patients as they have low protein - albumin. So I'll recommend you to test for Serum proteins in him & he can be given oral protein supplementation. Heart function of 47% is ok & won't cause much problem. Medicines are fine & he should continue them. 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 23 and been having serious pain in my chest and the pain comes and goes origin my arms and back as well I feel weak and tired and just hurting all the.time whats going on with meI have been having these really bad chest pains where it gets so unstable it makes it hard to breath it gives me these really bad headaches and back aches it makes my arms hurt and my body just feels so weak and not right ... I am a 23 year old mother to a four year old son I shouldnt be feeling like this what is going on with me ...I mean the pain. Will come all threw the day worse at night and in the mornings whats wrong with me Ive been to the emergency room here where I love and got called ridiculous and that im crazy its all in my head but I know what im feeling im not just image I bing all this please someone help ### output:	Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you're all symptoms are anxiety related mostly. Because at your age (23), cardiac diseases are uncommon. But better to get done ECG, if this is normal then no need to worry about cardiac cause. Get done chest x-ray and PFT (Pulmonary Function Test) to rule out asthma or bronchitis as a cause for your breathlessness and chest pain. If both these are also normal then anxiety is the likely cause for your symptoms. So better to consult psychiatrist and get done counseling sessions, try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. So avoid stress and tension. Be relax and calm. Don't worry, you will be alright.
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: HiMy husband (44) has recently had a sperm analysis. He had a vasectomy reversal back in December 2010. His results showed volume: 2.9 ml, density 12 million per ml, motility 35 % and normal forms 4%. He has quit smoking and is taking a zinc supplement. I have normal cycles and am diabetic HBA1C- 6.3. What are our chances of conceiving or increasing my husbands semen count further? His first count three months after the reversal was 0.6 million so we have seen fair progression already. However, we are desperate to conceive. Thanks in advance. ### output:	helloThanks for query. Recent semen analysis of your husband after vasectomy reversal is reported to be 12 millions per ml. It is very difficult to predict possibility of conception with sperm count of 12 million/ml though sperm motility is within accepted range for effective fertilization of female egg to result in pregnancy. Truly speaking there are no medications proved to be scientifically effective to increase sperm count.However, Following measure will help to increase sperm count to some extent. 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking. I would suggest you to consult qualified Infertility specialist and explore possibility of pregnancy with the help of newly assisted reproductive techniques like IVF or CSI. 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: Dear Sir,Good Morning This is Venkat Satya from Chennai. My brothers son aged around 17 years. He has a Skin problems with regards to Psoriasis and still sufferring the same since 12 years. Recently he ates Non-Vegetarian food then the problem came out with more complicated. He is not able to stand and sit becoz he is getting blood out of broken skin throughout the body. Awaiting your kind valuable reply. Thank you very muchVenkat Satya,+91 - 0000 ### output:	Hello. Thank you for writing to us at Chat Doctor Psoriasis is a chronic skin condition characterized by red, scaly plaques on various body sites particularly extensor skin surfaces like elbow, knee, lower back, scalp etc. Nevertheless, It can involve widespread body areas like the whole of arms and legs and the whole of torso. The disease may relapse after a seemingly complete cure. Extensive psoriasis requires systemic treatment apart from topical treatment. Systemic treatment options include Oral Methotrexate, Oral Cyclosporin, Phototherapy, Oral retinoids e.g. Accretion etc. These systemic treatment options can be used either solely Or may be combined to produce the desired results. Topical treatment modalities for treatment of psoriasis are Emollients, topical potent steroid creams/ointments/lotions (with or without salicylic acid), topical vitamin D analogue ointment/lotions (with or without topical steroids). I suggest him to visit a dermatologist in his region. The doctor will be able to assess the severity of his skin condition and advice accordingly. 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 was just reading one of the other questions and answers and noticed something that applied to me. I have a history of SVT and have had a catheter ablation for it. Since then, I have still had issues with heart racing (under SVT rates of 150, though) and my cardio thinks I have Innapropriate Sinus Tachycardia. Am on 50 mg Inderal daily. Toprol made my BP too low. The Q and A that caught my eye was the response from that doc telling someone to stay away from pools until their problem is dianosed. The doc thought it might be SVT. When I am in a pool for a period of time, I feel like I am starting to have some sort of heart issue and have to get out. Also, Ive noticed that, when Im riding in a car for more that 30 minutes, Ill get out of the car and feel a huge BP drop and feel like Im going to faint. Also get migraines soon after. Can you shed dome light on these things? ### output:	Dear, I'm glad to answer your question, but it shouldn't prevent you to visit your cardiologist .SVT is treated mainly by Isospin in much larger doses during the attack, then we release the patient on oral Isospin (240 mg / day). Also, we may let the patient on oral Propafenone 150 - 300 mg / day. Propafenone is more specific in arrhythmia than Isospin (calcium channel blocker) and Federal (Beta blocker) which have been used in lowering hypertension. So, I think you should change Federal to Propafenone 150 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 have piles problem from last 10 years. Now i am facing lots of problem from this. unbearable pain and blood losses. I want its treatment ASAP. I just want to know whether it can be cured with medicine or operation is the only option. also I want to know the process of operation. how many days of rest require after operation and how cost effective it is. I have a mediclaim facility of Max Bupa up to 5 lak. can it be cover under this facility. ### output:	Hello, Welcome to Chat Doctor, Proper treatment of piles requires thorough assessment by Surgeon. It's unusual to have pain in case of piles be it external or internal. Presence of pain indicates thrombosed pile (Piles are dilated blood vessel, clotting of blood is thrombosed pile) or also possibility of fissure in anus is to be considered. Proper management will therefore require thorough clinical examination to know the character of pile and other associated complication. I would suggest you the following which will definitely help 1. Increase water consumption-Consume at least 2 to 3 liters of water per day. 2. High fiber diet-Two serving of vegetable salad every day 3. Hot Sat bath-Add a handful of common table salt to a tub of lukewarm water. Immerse your bottom by sitting in it for 15 to 20 minutes each session twice a day. It will decrease pain and inflammatory edema. 4. Stool softener-Syrup Lactulose 10 ml twice a day will keep the stools soft preventing constipation and decreases bleeding and pain. Further management will depend on clinical assessment by your SurgeonThank 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: I AM FEELING LIKE A BURNING SENSATION IN MY CHEST... HAVE HAD GERD PROBLEMS BEFORE BUT I ALSO HAVE NASAL DRAINAGE IN MY THROAT THAT HAS BEEN GOING ON FOR THE PAST MONTH... GOTTEN SOMEWHAT BETTER WHEN I WAS TAKING MUCINEX BUT NOT ALL THE WAY GONE... CHEST PAIN REALLY IS ITS WORST TODAY AND I COMPLETED A 14 DAY REGIMEN OF PEPCID THIS MORNING... STILL NO RELIEF FROM THE PAIN.... ### output:	Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having uncontrolled HERD (gastroesophageal reflux disease) related pain. HERD 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 of Central chest pain. Along with Chat Doctor. 1. Avoid stress and tension. 2. Avoid hot and spicy food. Avoid junk food. 3. Avoid large meals, instead take frequent small meals. 4. Go for walking after meals. 5. Quit smoking and alcohol if you have these habits. 6. Keep 2 - 3 pillows under head in the bed to prevent reflux. 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: Hi there, I am 23, I have a 4mm disc protrusion at L4-L5, 6mm protrusion at l5-S1, mild disc protusions at t11-12 and c6-7 with reversal of cervical lordosis and severe central spinal stenosis at the lumbar disc protrusions. Currently I am taking 2 Lortab 10/500 every six hours for pain. Along with muscle relaxers, celebrex and otc advil. The lortab help but sometimes the pain is paralyzing. I feel like I need something to take when this happens. What would you recommend I do? I am afraid to tell my neurosurgeon because of my age. Should I just tell him? ### output:	Hi, thanks for writing to Chat Doctor. As per your description, you have LUMBAR DISC DISEASE with SEVERE CANAL STENOSIS. You can try a trial of conservative management as follows -* avoid lifting heavy weights * avoid forward bending activities which will cause worsening of disc protrusion* Use a lumbosacral back support * Intermittent pelvic traction to cause regression of discs* Maintain optimum body weight, if you are obese* Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.* Judicious use of analgesics and muscle relaxants. If the above measures fail to provide symptom relief and if you have shooting pains down the leg or inability to walk for long distances, then you may need surgical decompression. Approach your neurosurgeon and follow his advice. Hope this information is helpful. 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: My 18 month old has bowed legs. I brought it to the drs attention at her 12 month exam and he said it should resolve itself. I took her to the dr again at 17 months and showed him it is no better. He ran some xrays on her hips and knees. His nurse then called me and said her hips are fine but her knees show significant bowing and has refered me to a orthopedic which I am now waiting on. When I asked what that means they wouldn t answer me and said I need to see the specialist to see if she needs treatment. She walks with her legs very far spread and waddles. Her calves appear bowed but not very bad. But the dr didn t say it was her legs he said it was her knees. What exactly does this mean and should I be worried?? What sort of treatments would she need to correct bowing in the knees? ### output:	Thanks for follow up, it seems that she has insufficiency of calcium and It D3, late rickets. Don't spend time and do blood test for hemoglobin, It D, Calcium, Phosphorus. You should start to give her at least ostocalcium 5 ml once daily and then add It D3 according to analysis. Visit also orthopedic, he will give special treatment, but don't forget to give her Calcium products:-sesame seeds-spinach-cheese-panir-dahi-milkIn addition give to her multivitamins-zincovit 5 ml 1 time 1 month. Apples are very useful. Take sunbathing till 10 a.m. and after 4:5 p.m. 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, may I answer your Hi, my 13 month old son constantly has a cold and a cough this cough gets worse at night and becomes like a choking cough where he is crying after he coughs. When he was around 8 months old he was admitted to hospital with bronchialitus for 4 days and has just had the odd cough and cold and about 4 chest infections since then. He was prescribed with a blue inhaler a few months ago but is not on any inhalers or medication at the minute.Do you think he has asthma and if so what medication or inhalers should he be given? i just feel like im going round in circles as he has always got something and hasnt slept through the night for months.Thanks queries right now ? Please type your query here... ### output:	Hello dear!I can understand your concern. Your history suggests your child has hyper reactive airway disease. I would like to know a detailed history regarding family history of asthma and allergies. I would recommend a detailed physical examination by a pediatrician. I would advise you to start some good anti histamines like spy. Levocetrizine 3 ml at night for 2 weeks and montelukast sachet 4 mg at night for 3 months. To soothe the cough, ivy leaves extract containing spy., comes with the name of no cough, pros pan or cover are also beneficial if giving twice or thrice daily for a week. You can also try some home remedies like 1 teaspoon of honey in a glass of Luke warm water given once daily and also some soothing herbal tips like freshly squeezed ginger(few Chat Doctor. Give 2-3
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: 3 weeks ago, began having intense severe lower abdominal/pelvic pain, no bleeding, felt like severe contractions, felt a lot of pressure like I needed to push and my bladder felt as though I was 9 months pregnant by how often it felt like I needed to use the restroom. After all the urine came out, there was a shooting pain sensation that shot up into my abdomen. ER did at CT and U/S, enlarged uterus and 7 cm mass located within the lower uterine segment. Followed up w/gyno, he did pelvic and said he felt a baseball sized mass and couldnt locate my uterus and said everything felt all twisted up. Referred me to gyno/onc.Saw one and he also did pelvic & rectal exam, looked at the ct & u/s images and said it was a fibroid and recommended total abdominal hysterectomy.Saw another gyno/onc and he is saying that I have complete cervical stenosis and Hematometra.I now dont know who to believe. ### output:	HI ! From your history, it seems that irrespective of the pathology (whether it is a fibroid or a hemaometra), the mass pressed on your bladder due to which you had to push for passing urine. After passing urine, the pressure on the bladder was relieved, which gave you a sense of relief. One point in your history is perplexing, that is how couldn't both the ultrasound and the CT scan could not differentiate between the hematoma and fibroid. I would suggest you to carry your reports to an experienced radiologist, and get the opinion from him. Wishing you an early recovery.
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 severe asthma and my heart is feeling like it is pounding out of my chest. The doctors told me it was a side affect of the salbutamol i am taking but it doesn t feel like that. You can see it through my clothing like my chest is bouncing up and down and no one seems to be listening to me. Also with my asthma I am on montelukast pills, beclometasone, salamol, salbutamol and salmeterol and have just come off a course of preds (steroids) and I am still not stable. help me please.. ### output:	THESE ARE ALLERGIES AND IF NOT TREATED PROPERLY THEY START INCREASES AND THE MEDICINES YOU ARE TAKING TO CONTROL SYMPTOM PD ARE FAILING AND THEY CAUSE INCREASE IT IS NOT THE ALBUTEROL BUT THE INCORRECT TREATMENT CAUSING FAILURE OF MEDICINE STO AFFECTANTIBIOTICS MEDICINES LIKE PCM IBUPROFEN VITAMINS AND DIET SUPPLEMENTS ALSO TRIGGER ADD ANTALLERGICS MONTELUKAST 10 MG TUSCAN USE BRONCHODILATOR SVP START MINIMAL STEROID INHALER INSTEAD OF ORAL STEROIDS GET BLOOD SERUM TEST FOR SPECIFIC ANTIBODIES FOR FOOD AND POLLEN ALLERGENS IN YOUR BLOOD AND GO FOR IMMUNOTHERAPY TO CONTROL GALLERIES
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: Last night I had an odd episode and trying to figure if it warrants seeing a doctor. I am a 31 year old female about 140 pounds and had a healthy physical last year. But while swimming at my friends house late last night I encountered heavy breathing, loud ringing in my ears, loss of vision, shaking, dizziness, numbness in my hands, and almost completely passed out. My friend noticed my pale face and white lips and had me lie down. After an hour I felt good enough to drive home where I vomited the rest of the night witChatDoctorplete exhaustion. Today I still feel weak and moving fast still takes my vision and I did have ringing in my ears for about a minute with spots floating in vision while sitting. Can someone please give me some advice? Thanks! ### output:	Thanks for your question on Chat Doctor. I can understand your concern. Sudden onset breathlessness, dizziness, numbness, shaking, collapsing, loss of vision and ringing in ears are seen with 1. Pulmonary embolism 2. Heart diseases like heart attack 3. Epilepsy (seizures). So better to consult doctor and get done 1. Clinical examination of whole body. 2. CT or MRI of brain and EEG (electroencephalogram) 3. CT pulmonary angiography for the diagnosis of pulmonary embolism. 4. ECG and 2d echo for heart diseases. If all these are normal then sometimes stress and anxiety can also cause similar symptoms. So consult doctor and discuss all these and first rule out major diseases. 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: sir, I AM A 55 YR. IRREGULAR DIABETIC PATIENT (SINCE 1998)WITH KIDNEY PROBLEM FROM 2007 (S. CREATININE WAS 4.57) THEN AFTER TREATMENT IT GOES DOWN TO 0.90.AND AFTER THAT.MY S. CREATININE LEVEL IS VARY FROM 0.9 TO 2.18.TODAY IT IS 1.98 WITH BUN-42.7(MAX.-60),& URIC ACID IS 8.7 (MAX 10.6).I AM A INSULIN -HUMAN MIXTARD(30-70%)15&10 UNITS -BASED SINCE 2007(MAX 20-16 UNITS) .MY B.P. IS VARY FROM 140-90TO 110-70.TODAY IT IS 110-70. PL.GIVE YOUR VALUABLE OPINION SO THAT KIDNEY CAN BE SAVED. ### output:	HelloThanks for your query. Based on the facts that you have posted it appears that you have what is called as Diabetic Nephropathy. Your serum creatinine levels seem to be fluctuating. This is mostly due to improper conroll of Diabetes. Please monitor your sugar and creatinine levels frequently and consult your Nephrologist on regular basis for change in dosage of medications to keep both under control. This is the only way to prevent further damage to your kidneys. 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: Hello! It is so because I m very worried and wondering what the problem is and what I should do. Yesterday (early morning) I woke up with a strong pain in my stomach. It s in the entire stomach this pain is and it is stretched across the stomach and aches. I have to sit and suffer until the pain goes away (which is delayed). I feel a little better today, but the night was tough. So have not had such pain today. Have been taking medication for pain, and are not pregnant or so (15 years, I am). So please can I have an answer that can reduce my anxiety. ### output:	Hi! Good morning. I am Chat Doctor answering your query. It is good that you are relieved of your pain now. If you eat from outside specially the fast and fried food, this could be a factor for your pain by the way of some kind of intestinal infection creeping in from possibly food cooked under unhygienic conditions. If I were your doctor, I would advise you for a routine stool test for ova and cyst and treat it if positive. Apart from this, if considered necessary after clinical examination, I might get an ultrasound of abdomen done to rule out any kind of intra-abdominal pathology. However, you do not have to be anxious by this information. Possibly you might not need any of these if you are completely relieved at present. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem if it persists. 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.