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<s>[INST]I had surgery to fuse L4,L5 and S1 9 moths ago and I am experiencing pain in my lower back right side radiating around and into my groin. I had 3 steroid injections in my hip because a recent mri showed a tear in my hip socket. My orthopedist said it was nothing more than burcitis and that the pain I was having was to do with my back. My neuro surgeon say the fusion is fine and healing well. What would you advise[/INST]Hello, I have studied your case. You may need to do MRI spine again to see for nerve compression Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. If there is instability then fusion with fixation may help. As per your previous surgery of spine now there is possibility of discuss, which can be confirmed by MRI with contrast or CT pyelogram. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and TENS therapy will help will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Wishing you good health. Take care.</s>

<s>[INST]Hi, I m using shades like lipsticks , gloss, lips balm for more than 5 yrs,....but for past one year, m getting allergie to those products...I seriouly don t know the reason which is making my lips itch & irritate...now-a-days whenever m using lip shades, it will automatically cause my lips & lipline - dry , itch and irritates....so stop to use lipshades and switch on to use lip balm, since lips became very dry if m not applying any mositure on it ..[ Using products are Lakme & Lotus ]...Previously i don t have this kind of problem...Only recently it is causing....Can anyone assist me the cause of my problem... Thanks.[/INST]Hi, welcome to the Chat Doctor forum, the complaints which you mentioned is called as contact dermatitis or chemical irritant dermatitis, it has an allergic component, since you are getting this for the past 1 year it signifies that your immunity which prevents from getting this kind of allergies is getting down to lower levels, I suspect you are under some kind of tremendous stress either financial or mental which is causing this type of hypersensitivity in you, this is absolutely curable with special homeopatChatDoctoredicines.... get well soon ! You can contact me on Chat Doctor. Com</s>

<s>[INST]hi sir,my daughter is 4 yrs old and we have been to india last year for christmas and came back on january 13th 2011,right from then my child started spiking a fever. it happens about every three weeks to 1 month. she will be fine in the day, playing, going to school, the only thing is she says her belly is sore but doesn t complain too much. then when it comes to about 5pm she deteriorates very quickly. becomes very lethargic, sleeping, crying but not knowing whats wrong, shivering. her temperature goes up. this usually only lasts that one night and by the next day she s almost as normal...for another few weeks.[/INST]Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your daughter have symptoms of frequent fever and shivering which seems to be due to poor immunity of body which making your child susceptible to infections. Well this is something you should be concerned about as it could be due to underlying systemic pathology. Need not worry. I would suggest you to visit pediatrician once and get it examined. You should go for complete blood count and urinalysis done to detect level of infection and find out any systemic pathology. Start treatment after proper diagnosis. Till then take Ibuprofen/ Acetaminophen. Chat Doctor. You should do tepid sponging if fever is of high intensity. Take diet rich in multivitamins. Hope your concern has been resolved. Get Well Soon. Best Wishes,</s>

<s>[INST]Hello I have bee severely depressed f or eight months, anxiety anger,guilt fear ,I have been taking Zoloft and gabapentin it seems to agitate me more,I used to take Ativan for many years and narcotics for severe pain relating to several bad fusions and a titanium plate,been t several doctors at emerg and walk in clinic who no longer will prescribe my old regular medications to cope,I moved from my home town and the confusion ,frustration,accusations began, five years ago,now iam sixty alone and afraid of what would happen should I be hospitalized, trazodoned, or something worse and disappear as a vegetable,I ve been to mental health who gave me ability to no avail.i have been on cilopran and others no changei have along history of fibromyalgia low thyroid headaches and never feel rested and secure,I live in canada and resources and options are limited, frightened I,ve been treated horrifacly a few times and afraid of what they will do ,or prescribe.d o you have any enlightening advice.my world is crashing in losing everything that was once dear and necessary,all because I moved and left my home where I was safe but can,t goback now. Any illuminating thoughts .?go[/INST]Degree understand your concerns went through your details. I suggest you not to worry much. I am not so happy to read your thoughts. You are 60 and you have life experiences. Every incident in our life, whether negative or positive, teaches us a positive lesson. In that sense whatever happened us is supposedly taught us a lesson for our future. We live today. Not in yesterday. There is no surety that the same thing will happen again. So approach future with positive might, because THERE IS NO ALTERNATIVE. If you are apprehensive about your future, you also lose your TODAY. I am not overlooking your illnesses. You are supposed to have learned by now, what are your problems and started living according to the situations. Once you start adjusting with the problems, cure starts. Forget medicines, concentrate on life. Psychotherapy is the answer. 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.</s>

<s>[INST]I have heel blisters, that I am trying to let reabsorb, there are white floating objects underneath, what are these? Also, prior to the blisters, I have been having numbness and pain at the back of the heels, it started with a mal fitting pair of sneakers, but that was months ago and I only wore them once.[/INST]Hi I did understand your concern. Your lesion may be a reaction to the new shoes and that can cause such problems. The blisters will slowly heal on their own. You can apply Luke warm fomentation on it with a clean cloth and if they burst apply an antibiotic Chat Doctor. In view of severe pain please consult doctor. Numbness and pain over heel can be due to diabetes, electrolyte imbalance or due to nutritional deficiency or Achilles tendinitis and planter fasciitis would recommend you to get evaluated for these lesions step by step as each have different treatment.I hope this yellowish you all the best thank you for using Chat Doctor. I hope this helps</s>

<s>[INST]I just had an MRI on thursday, Ive had many MRIs in the last 10 years but this was my first experience in a 3.0 Tesla imaging unit. I have relapsing remitting multiple sclerosis and am on Tysabri as my disease modifying drug, I have tested positive for the JC virus {papovavirus} and so my MRIs are to watch out for possible signs of PML. My head has been pounding off and on since thursday and I was wondering if this is common in higher Tesla MRIs.[/INST]Hi, Thank you for posting your query. It is possible to get headaches after 3.0 Tesla MRI and several of my patients have also complained about that earlier to me. I am not sure of the exact reason, but may be related to noise or higher magnetic field. It settles down in a few days. Wishing you a favorable MRI report. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/</s>

<s>[INST]this is the first day of root canal, after coming back from doctors clinic once the initial sensation started i have unbearable pain , i have taken Katrol DT and dic+paracetamol tab together but no releif kindly suggest its 2 AM night and i dont know what to do[/INST]Thanks for your query, I have gone through your query...the pain could be because of the tooth infection.the analgesics you are taking is enough for the pain to come down, but you have to take a course of antibiotic like penicillin and metronidazole...if the pain is unbearable then you can take intramuscular injection of an analgesic. I hope injection is not required.just take the analgesics what you are taking and consult your dentist in the morning... I hope my answer will help you.take care.</s>

<s>[INST]My father in law whois 84yrs of age was rushed into hospital with pains in his abdomen last week, he is being treated for gallstones. When we visited he had a drain attached. he was discharging fluid which was a dark brown? He now has the nor virus so we cannot visit. Is this serious? Thank you[/INST]Hello welcome to ChatDoctornoro virus infections are not so serious as you think. These infections occur mostly in crowded places like hospitals, nursing homes, schools. In most of the patients it gets cured unless it has complications like severe deny Chat Doctor. It is highly contagious infection. Close contact with patient can also spread the infection. Hope I have answered your question, if you have further questions I will be happy to help.</s>

<s>[INST]Hifenac mr tablet was taken by my wife age 29 due to the pain in her lower waist , the reason is i suppose body cramp due to a massage by a proffesional.now she is suffering a severe pain in her waist and could not able to move and walk. should i go for a injection,pain killer or any spray pain relief ?[/INST]Hello, As you are already taking tablet Higher MR still she has severe pain and not able to walk, so I think you should consult with orthopedic for detailed examination. I will advise you today to do x-ray lower back and hip joint after orthopedic opinion. Now, along with Higher MR, you can use Voting spray or apply diclofenac gel. If still symptoms not relieved, I will advise MRI after Orthopedic consultation. I think you are suffering from severe muscle spasm or may possibility of nerve injury, but we have to confirm that. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST]For months my back has been hurting and I thought it was just a muscle strain. When it continued past four months it became more intense and difficult now to turn over in my sleep. It is worse at night then during the day when I am in movement. Today though the pain has gone up my back and making it harder to take a breath without a minor amount of pain. I don t have insurance, it s too expensive for this hard-working independent, American woman. Help![/INST]Hello, Thank you for using Chat Doctor. I read your question and understood your concern. This is back pain probably for fiscal hernia or discuss that may need examinations such as MRI etc. In your condition since you do not have any insurance and can not do these examinations, I would recommend starting some exercises at home to strengthen your core muscle, back and abdominal. You can do these exercises in home and do not even need to go in gym. It will need at least 3 months to see and effect but stick with it. I wish you quick recovery.</s>

<s>[INST]Hi I have noticed a sizeable but painless lump on my right calf muscle, I have been suffering a lot with restless legs lately and put it down to my recent pregnancy but now I have noticed this lump and I feel generally tired and just not myself? Any ideas what this could be? I am 29, 5 7 and 12 and a half stone, I smoke and have used the contraceptive pill since I was 15.[/INST]Hi, dear You have lump on calf muscle. It can be ganglion cyst or some soft tissue tumor. You should go for ultrasound study to know exact location and origin of lump. If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.</s>

<s>[INST]Hi, im a 27 yr old female and over the past 2 yrs i have been getting left sided chest pain, and pain in my left rib that also radiates to the back. my 3rd rib is protruding as thats what my doctor said. i feel breathless n i get skipped hb everyime i get pain in that rib. I have had x rays done but everything seems normal.[/INST]Thanks for your question on Chat Doctor. I can understand your concern. Mild Breathlessness, skipped heart beat, left sided chest pain etc. can be seen in arrhythmia (rhythm disturbances in heart). So first get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about heart diseases. In my opinion, your pain is mostly due to musculoskeletal cause. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Apply warm water pad on affected areas. Take painkiller like ibuprofen. Sit with proper back and chest support. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.</s>

<s>[INST]my 4 year old daughter has had a low grade fever which has spiked usually in the afternoons for 4 days, reaching only 100.5 so our doctor wouldn t see us. She has also had loose stools, some cramping in her stomach, congestion both in her chest and in her nose and a runny nose. Today I noticed a small blister in the corner of her mouth that looks like Herpes. A friend of hers has outbreaks on her mouth all the time that look like Herpes, but all over her mouth and I work very hard to monitor their play. This also seems to be symptoms of hand foot mouth disease except she doesn t have the rash on her feet and hands, only the blister on her mouth. Any thoughts as to what may be going on? There has been no change in appetite or energy level.[/INST]Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.</s>

<s>[INST]I have sciatica pain from a hip reconstruction I had in 2002. Now Im experiencing weakness when lifting my arms. FAcial numbess, mostly on left side but feel a little on right. Legs are almost numb from knee down, it does travel up my left leg. Feet numb and tingling too. My head is almost kinda numb and I cant think straight. Dizzy on and off. I feel sick to my stomach. Please help.Thank you, Nancy[/INST]Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. The history is suggestive of Peripheral Neuropathy You need to visit a Neurologist and undergo Clinical Examination of ReflexesExamination of Sensory System Nerve Conduction Studies After that we can treat and try to cure you at the earliest Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask</s>

<s>[INST]Hello docs n experts, Since yesterday I m ejaculating red semen. I noticed it yesterday while masturbating, even today I seen same thing when I was trying to confirm was it a normal one day case or a serious issue. Now I think it is a serious problem for me. Please help me.[/INST]HelloThanks for your query, based on the facts that you have posted it appears that you have got Haematospermia (Blood in semen) noticed after masturbation. This is mostly due to trivial injury to urethra due to rough vigorous shaking of your erected penis. Please get Ultrasound Scanning of the penis done to rule out any major injury. You need to take broad spectrum antibiotic like Čeferin along with anti-inflammatory Chat Doctor. Ensure to </s>

<s>[INST]I take effexor XR 75 mg once a day. I have no appetite ever. Sometimes i go days without eating and don t even realize it. When i eat, i never want to be eating. Its like im just doing it because i have to. Food never sounds good. Also, i ve noticed i feel almost no emotion. Im always in a generally good mood... but when something tragic happens its like im completely immune to it. I feel no sadness. I feel no fear, no worry. When it comes to relationships.... i can take it or leave it. When me and my girlfriend of four years broke up.... She was devastated. Crying, saying how hard it was emotionally. I felt nothing. I haven t cried or even came close to crying in a very long time. Why is this happening? Is this normal?[/INST]Hi Cablejm2 ! You are taking Effector for your depression. Now this medicine give you depression. If you're taking this medicine for long time, do ask for change, cause like other psychotic Chat Doctor. This medicine made you emotionless, so you can deal with life situation. Now take the advantage leave this medicine, do exercise and make hobbies and live your life. And don't leave medicine at once give gap gradually. And get out of this medicine trap. See you again bye.</s>

<s>[INST]I m 33 weeks pregnant, and have been feeling really unconfortable. Sometimes when I sit down it hurts or when I try to stand. It even hurts sometimes when I m laying down and go to roll over. It like sharp jabs of pain along my sides and under my belly. Is this normal?[/INST]Hello dear, I understand your concern. In my opinion the pain abdomen can be due to various reasons like preterm pains, muscle cramps etc. It needs physical examination to rule out the cause. In case of any preterm pains there can be cervical changes. You might need complete urine examination to rule out any infection. Nothing to worry. It will subside with spontaneous treatment. Avoid stress. Take adequate fluids up to 2-3 liters per day. Best regards...</s>

<s>[INST]my 14 year old son fainted at school on Monday and afterwards he couldnt move his arms initially he had been watching a documentary on blood vessels in Science when this happened taken to dr who wasn t overly concerned should I be taking him to see someone else[/INST]Thanks for asking. I have gone through your question and I understand your concern. Your 14-year-old son fainted in school while watching a documentary on blood vessel. From information given by you, I am able to understand that he said he was not able to move his arms on but afterwards he is able to move. Chil Chat Doctor. There is nothing to worry or I don't think there is no need to take your child to some other doctor. It is normal adolescents hope I answered your question</s>

<s>[INST]Why do I wake up with my arm or arms in the air? sometimes they fall and I hit my husband who gets mad. Is this a neurological issue as Ive had 7 operations on my neck and back? Is it due to med I take for pain or depression? Stress induced? Any ideas to stop this behavior? Thank you so very much for any input you may have.[/INST]Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. It could be a type of parasomnias, but they are not to be bothered. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. </s>

<s>[INST]I had a small tumor removed from my bladder yesterday at a hospital 60 miles away. This afternoon I started having blood in my urine. Late today i had another bladder full of blood and after urinating, followed by a warm flush sensation which took an hour to diminish. I estimate I have bleed about 3 or 4 ounces of blood. Waiting to see if it is less or more next time or should I be calling 911 now to take me to the local ER where there isnt a qualified Urologist available... e-mail YYYY@YYYY[/INST]NamasteWelcome to ChatDoctorGreetings of the dayroom the description given by you, you seem to have clot retention in bladder, bladder is not able to completely evacuate and bleeding from the tumor site may be going on. Would suggest you to call up your emergency number, you require a bladder wash which help solve your problem. A qualified physician is capable of attending to it. I hope it helped back to me if you have any other overtake disregards Chat Doctor. </s>

<s>[INST]my mom takes spironolactone med due to her current heart problem. This med was priscriber by MD in Ethiopia and she is hear in USA. The Dr. here is doing a lot of test but in the mean time she is running out of this med. So if she stop this med what is the risk?[/INST]Brief Answer:There are no risks from the interruption of Spironolactone, while her blood pressure values are normal. Detailed Answer:Hello, Thank you for using Chat Doctor. There are no risks from the interruption of Spironolactone, while her blood pressure is not higher than the normal. Spironolactone can be stooped immediately without any problem. Meantime your mother should monitor strictly her blood pressure values at least three times a day. If the values are higher than 140/90 mmHg, than she should refer this to the treating doctor, in way to prescribe any other antihypertensive Chat Doctor. Hope this is helpful. Let me know if you need more clarifications. Otherwise, please close and rate the answer. Kind </s>

<s>[INST]Woke up with a discoloration on my left hand and some swelling around my middle finger . Now it looks like I have a huge bruise on my hand from knuckle on my middle finger to whole back of hand to the wrist . I do not remember hitting it on anything. I was lifting a canoe while I was camping a few days ago. I am on blood pressure medication and one half of a water pill plus baby aspirin .This is because I only have one functioning kidney due to chemo damage to my left kidney[/INST]Hi, Please get the renal function tests done and if it is normal you need not worry about having single kidney. Usually the remaining kidney compensate for the other non-functioning kidney. The bruise might be because of aspirin. However you have to consult your physician for definitive diagnosis. Take care not to take too many analgesics without prescription as they will have adverse effect on kidneys. Regularly monitor your kidney function. Regards</s>

<s>[INST]:) hey i got a question .. so yeah i had a root canal on one tooth and being lazy i forgot to get the permanent filling and as time passed my tooth fell out .. so my question is .. Can i still get infection there even if i had a root canal and forgot to get the filling and my tooth fell out ??[/INST]Thanks for your query, I have gone through your query. The chances of root canal treated tooth getting infected is very less unless it is not properly treated. The fell out tooth structure could be only the crown portion. The Root canal treated tooth becomes weak after RCT, so it has to be crowned immediately. Now the roots might be remaining with in the bone. Consult an oral physician and get a radiograph to rule out the presence of root piece. If root is there then get it removed. I hope my answer will help you, take care.</s>

<s>[INST]hello docter.... my baby girl of 1 year 9 months has been getting hives for the last 2 months... usually after she gets up in the morning n after a afternoon nap.. allergy testing done showed she is allergic to milk. so we have stopped it and giving her isomil. but still ni improvement. she requires to be given allerid once a day otherwise the patches increase. what to do? worried abt giving allerid on a long term basis.[/INST]Hello, Thank you for asking at Chat Doctor. I went through your daughters history and would like to make suggestions for her as follows:1. I would like to know more about her milk allergy symptoms. How was milk allergy diagnosed? If she is really allergic to milk, taking any milk product (be it curd, buttermilk, butter, milk biscuits, milk chocolates, etc.) can cause her allergic reactions.2. If she is not taking any milk products and still she develops allergic reactions, I would suggest allergy testing for other foods such as soy, ground nut, wheat, rice, egg, seafoods, tree nuts, etc. This will help you to identify the allergy, if any.3. Hives can occur even without allergies. Possible causes are viral infections, bacterial infections, parasites, Chat Doctor. 4. As she is getting hives since 2 months, I usually suggest my such patients investigations like serum total IGE, allergy testing for common allergens, complete blood counts, ESR, stool examination, urine examination, etc. However, before suggesting investigations, I always take a detailed history about her each and every symptom, diet, environment, </s>

<s>[INST]I was just diagnosed with multiple organ cancer...nodules in peritoneum cavity, liver, bowel,uterus,lung, pelvis. We do not know the primary cancer. Do you recommend going to MD Anderson, Sloan Kettering or the like. I am a 79 year old female who I thought was in good health.[/INST]Hello, Knowing the primary site is essential for treatment. Treatment varies from organ to organ. Site can be known by doing a biopsy from any of the nodules and doing immunohistochemistry (IOC) on that biopsy material. Both MD Anderson and Sloan Kettering are nice hospitals. Please consult a good oncologist in good hospital. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST]hi i ave tb i on medication but now i found a lump in the back of my neckjust at the top of my spine will they take fuilod from it because i dont want them to i had it done on my lung and it was very painful thank u my age is 54 5 foot 8 ins and iam a diabetic[/INST]Thanks for your question on Chat Doctor. I can understand your concern. Yes, fluid aspiration from neck abscess is must for the diagnosis of type of infection. Since you are diabetic, this kind of purulent infection can be seen with mixed infection like aerobic, anaerobic bacteria with tuberculosis. So abscess fluid (pus) culture and sensitivity report is needed. Culture will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. For this we need abscess material, and it is available only after aspiration. It is not much painful procedure. Intensity of pain will be similar to simple needle prick. If you're really afraid of pain then ask your use local anesthetic agent (lidocaine) before the procedure. Don't worry, this won't cause pain. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.</s>

<s>[INST]Hello, my friend recently just had food poisoning. He has vomited twice since. Now he is saying he feels cold inside, has a headache, whole body aches and its sore to touch, muscle and joints hurt, gets dizzy if standing to long, and has been falling asleep on and off all day[/INST]Thanks for your question on Chat Doctor. I can understand your concern. Food poisoning causes gastritis, vomiting and diarrhea. Vomiting and diarrhea causes loss of fluid and electrolytes (sodium and potassium) from the body. Gastritis and vomiting cause less appetite and decreased oral intake. So overall patient is deny Chat Doctor. These can cause all the symptoms like headache, generalized body ache, muscle and join pain, giddiness, sleepiness etc. Best treatment for this is oral rely</s>

<s>[INST]My husband is having a dull tightness in his right abdomen. He describes it as a feeling of being full after eating small meals and a feeling that his stomach is balled up in one area. He has been very gassy and sometimes a pain or an uncomfortable feeling is there and stays there for a while until he lays down. He states that when he lifts his arms up there is a feeling like it is being pulled because of how tight it is. He has had blood work, stool samples, x-rays, liver enzyme test, pretty much everything except for a CT or MRI and everything has came back normal but he is still having the same feeling. We do not have a clue as to what else could be causing this.[/INST]Hi. Thanks for your query. Just to recapitulate: dull tightness in right abdomen - full after eating small meals - balled up in one area-gassy- being pulled because of how tight it is.-everything except for a CT or MRI- I would advise starting with a simple investigation like: Plain X-ray of the whole abdomen in the standing position-this may show air-fluid shadow if intestinal obstruction. Yes, CT will definitely help the diagnosis. In the meantime he should stop all the foods and beverages that you both have observed to have increased the problem. The treatment will depend upon the diagnosis and can be medical or surgical. There is a possibility of an inflammatory process going on in abdomen with added intestinal obstruction.</s>

<s>[INST]Hello my name is Penny. I got home from work I took my shoes and sock off, changed clothes. I sat down and my toe was hurting, I tried to figure if I hit the toe on something or dropped something on top if the toe but it hadn t happened. I tried to ignore it but in a few minutes I took a good look at the toe, it felt warm, looked to see if I could find if it looked like I had some type of bite but didn t find anything, that s when I noticed a red ring around the big toe.I googled ring around the nail and the first thing I did was soak in warm epson salt and it said to do it 3 to 4 times a day. Will this heal the toe in a few days and it s all healed,[/INST]This should be looked at by a foot and ankle specialist. You didn't mention your age or vascular status. In the worst case scenario this can be a gangrenous situation setting it. Assuming you are young and healthy that should not be the case. If your nails are too long they can bang into the front of your shoe causing a separation of the nail from the nail bed or bleeding under the nail which causes pressure and pain. If there is blood under the nail the blood would need to be released to relieve the pain. Another cause of a ring on the toe is ringworm which is a fungal infection-though, that is usually not severely painful as you describe</s>

<s>[INST]sir my mother is 54 and is not feeling well these days, she had been a depression patient. is suffereing from ortho has undergone surgery for utrerous removal she is complaining for some pain and unconsiousness these days i got her to delhi for a complete health check up the most worry i have is that in my maternal history many of the family members are cancer patients i want to know what should i do[/INST]Degree understand your concerns went through your details. I suggest you not to worry much. The condition of your mother is normal in the population of females whose uterus is removed. This depression could also be related to the depression of menopause. The negative thinking and loss of self-esteem and self-respect during this period results in mild to moderate depression. Motivation is what she needs and provide her with abundant amount of motivation. She shall be alright within around two months. 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.</s>

<s>[INST]I have started to have little blisters on my ankle after I had an external fracture of the malleolus. I have kept my leg raised above my heart for hours but the swelling does not appear to be going down and teeny blisters have started showing up. What is the significance of these blisters and what more can I do to get rid of them?[/INST]Howell come to ChatDoctorThank for asking I really appreciate your concern, soft tissue inflammation if happens due to fracture of bone then it may give rise to soft tissue as well as tissue inflammation which causes the blister formation, inflammation actually increases the local temperature of the skin superficial as well as internal which is high enough to form the blister, if the inflammation being controlled well then such blister formation can be prevented, underlying cause (Here the fracture bone needs to be surgically managed as early as possible to prevent further tissue damage) till keep the leg elevated hope this information helps.</s>

<s>[INST]Hi, I just received my blood results, because I am always a bit low on iron. Iron is 16 ( 10 - 250?), but also RDW is a bit high - 14.9 (max. 14.5). I take iron daily, is not helping all that much. Should I be pursuing this with my doctor? How? Many thanks.[/INST]Hi, dear. I have gone through your question. I can understand your concern. You have iron deficiency. You should take iron supplements. If oral iron is not helpful then you should go for injectable iron therapy. Because you may malabsorption. Your RDW is slightly high and It's due to iron deficiency. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.</s>

<s>[INST]I have been tested for heredity hematochromosis and it came back negative, I have high sugar level from my my diabeties, checked me for hepatisis and it came back negative. I am tire, joints trobs, muscles tingle and numb. blood preassure is fine. I have a fatty liver. high level of iron in liver. now it is to the point they want to do a liver bioposy.[/INST]Hello, Thanks for the query. Fatty liver is there, but from, how many days, you are having these problems. High blood sugar level, how many days. Joints pain, muscles pain, numbness all these symptoms may be due to diabetes, if you are a chronic diabetic or blood sugar level is not under control. Liver biopsy is very important as this will reveal exact nature of damage to liver. Hope I have answered your question. If further any question I will help. Good luck. </s>

<s>[INST]Hi I am a 25 year old healthy male, since monday 24 jan 2011 I cant swallow anything I find it really hard to drink aswell and each day it has got worse. Pain killers not helping at all and now Im findind it very hard to swallow my serliver. My throat is not swollen on the out side but I cant open my mouth fully wide. I have not eaten In 4 days[/INST]Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have difficulty in swallowing which could be due to stiffness of jaw joints as you not able to open mouth, and it could be due to raised pressure in lower end of esophagus. Need not panic much. I would suggest you to visit gastroenterologist once and get it examined. You should go for endoscopy as well. You can go for surgery of lower end of esophageal sphincter if pressure is really high. Till then, you should maintain proper oral hygiene. Take antibiotic and do mouth stretching exercises. You should start treatment after proper prescription from doctor. Take diet rich in soft food and Chat Doctor. Do warm saline gargles. Hope your concern has been resolved. Get Well Soon. Best Wishes,</s>

<s>[INST]help me doctor, 2d, echo, carrotid and several more test were done to me but yielded negative results, my bp rises up, my doctor said io developed nerbyos means im nervuos, she gave me maintenance for the bp, but stlii goes up, help me doctor what is this in exact, and remedy copuld you giv ts been 3 months of suffering, thank u sir may you act on this immidiately, alan de roxas[/INST]Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain and give you my opinion. We talk about hypertension if we have mean values that exceeds 140/90 mmHg. Hypertension is divided in two groups: essential or idiopathic hypertension without an identifiable cause and secondary hypertension, usually in young ages, meaning that is a secondary cause of it. This cause might be a renal disease, an endocrine problem, a cardiovascular pathology. As you explain, you have done all the examinations, and they result normal. According to this, we are dealing with essential hypertension. It is a chronic disease. It has not a definite cure, but it should be treated life long. If you tell that you still have high blood pressure values despite your treatment, it means that you have to rise your medication to better control your blood pressure. So, if I was your treating doctor I will recommend a holder pressure monitoring for 24 h, to know your mean values. After that if they result high I will add another medicament or rise the dosage of your existing ones. Hope I was helpful. Wish you good health. Best regards.</s>

<s>[INST]Hello and thank you in advance. Woke up to a horrible itch on my arm - looked at it - it is swollen, red about three inches around, very warm to the touch, and now bumpy. Looks like a spider bite... two tiny red marks in the center. I cleaned it and sprayed bactine over area. Is there anything else I can do or be concerned about?[/INST]Hi, Welcome to Chat Doctor, It seems that you might have some poisonous insect bite giving allergic rash with severe itching. Due to bad itching nail scratches might produce some infection on the part. Go for short course of antibiotic to clear infection. Take anti-histamine like Cetirizine or Levo-cetrizine as and when required. Apply some local triple acting cream. Keep that part Chat Doctor. Ok and bye.</s>

<s>[INST]Hi there. Ive been having significant drops in my H&H. I dont have my print out with me, but I am reticing. My Iron saturation is 4. Im going to assume I have fibriods? Each month my CBC values have been declining. My question is : Will I need a transfusion if I postpone getting my fibriods removed?[/INST]Based on your query my opinion is1. Yes, fibroid can cause a fall in hemoglobin values and parameters related to RBC.2. This is explained by the effect of sub mucosal fibroid which can cause increased bleeding, so blood loss results in decrease RBC counts and Hemoglobin.3. You need to get it removed if it is a large fibroid and sub mucosal in location.4. Transfusion requirements depend on how much your Hemoglobin is. If it's less than 7, you will require transfusion, if not it can be corrected by parenteral iron therapy. Hope this helpsRegards</s>

<s>[INST]My son is 3.4 years old and weight is 13 Kg. He is having cough from past 10 days along with fever and cold. Fever is down and he is having light cold. We had given ventryl 4.5 ml dose 3 times per days for 3 days. Still the cough is not reduced. Could you please prescribe best medicine for cough?[/INST]Hello, Thank you for asking at Chat Doctor. I went through your sons history and would like to make suggestions for you as follows:1. It is possible that after a viral infection, cough persists for a few weeks. If fever has subsided, please do not worry about cough.2. For symptom relief of cough, I would suggest him a cough syrup containing antihistamine like pheniramine.3. Warm saline gargles would also help him to recover early. Hope above suggestions will be helpful to your son. If you have any further query, please feel free to ask at Chat Doctor. Wish your son the best of the health ahead. Thank you & Regards.</s>

<s>[INST]Lately my body feels swollen like I am retaining water, more than what I normally do and both my hands fall asleep at night to the point where I cant feel them when I wake up. What could be causing this? I take a pill for over active bladder could this be the cause or perhaps it is damaging my kidneys, Ive been on this medication for two years now.[/INST]Hi, Nephropathy that is kidney disease has to be ruled out first. For that investigate with serum urea, creatinine, EFR estimation. I also suggest you to investigate with serum protein estimation, serum TSH estimation, SGPT and GOT estimation. I suggest you to consult physician for examination. Kindly mention you are on which medication. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST]Hi, my baby boy is 7 months old, he has had a high fever for the last 36 hours, I took him to GP yesterday she gave me ibuprofen and pamol for him - so far it has been working well, tonight however he is burning up again but still has freezing cold hands and feet - what does this mean and what should i do??[/INST]Hi, Thanks and welcome to Chat Doctor. High fever must be controlled irrespective of diagnosis with paracetamol 15 mg/kg every 4-6 hourly along with tepid sponging to prevent febrile convulsions. For cure of the disease cause of fever has to be investigated. Viral fever subsides of it own within a couple of days.Otherwise, consult pediatrician. Hope this answer is OK for you Please feel free to ask further queries if any. Chat Doctor. V. Subrahmanyam.</s>

<s>[INST]I have had a bad cough for about 5 months. I have also chronic migraines, I have sleep apnea and I also have hypothyroidism . Lately every time I cough I pee heavenly in my pants :( I have night sweats and also my hands and feet have been sweating a lot. What do I do?[/INST]Thanks for your question on Chat Doctor. I can understand your situation and problem. You are having too many health issues simultaneously. In my opinion you should consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test). You are having chronic cough for 5 months. So we need to rule out lung infection and bronchitis first. So chest x-ray is needed to rule out lung infection.PFT is needed to rule out bronchitis. Uncontrolled sleep apnea can also cause chronic cough. So better to consult pulmonologist and first diagnose yourself and then start appropriate treatment. You are having stress incontinence (urine problem). So control of cough is needed to treat urine problem.</s>

<s>[INST]my fiances penis all of a sudden went numb today, he was playing a board game and felt very weird..like his penis started hurting and then slightly going numb. He wants to know if this is caused by excessive weed smoking or excessive smoking in general...[/INST]Thanks for your question on Chat Doctor. I can understand your concern. It is a known fact that cigarette smoking in general leads to impotency. Weed or marijuana smoking is highly associated with erectile dysfunction (lack of erection) and both of these in combination are too bad for sexual health in a male. Even otherwise, both these agents are highly addictive, and potentially dangerous as you must know. It is highly recommendable that he stops smoking both these agents as early as possible. He can seek medical attention for treatment of with Chat Doctor. It is not easy, and you, as fiancé, must persuade him and support him mentally to quit. Take care, Regards</s>

<s>[INST]Hi, i experienced anticipatory anxiety this week due to knowing i might have to take an elevator after foot surgery (today). I m Claustrophobic in a big way. I took .5mg of Lorazepan before bed last night (Thurs) and slept fine. Since I had extreme anxiety Mon, Tues, Wed, and Thurs., couldn t eat or sleep well, my question is, can I take another .5mg Lor. tonight without becoming addicted? Also, since this is situational anxiety, brought on by the thought of the elevator, could my anxiety subside on its own now, since surgery is over? bty, they let me walk down the stairs! :)[/INST]Dear serve understand your concerns went through your details. One dose of Lorazepam 0.5 mg usually do not have any addictive properties. For addiction, you need to take it continuously. I see your case as actual anxiety disorder which happened after the traumatic event of your surgery. I suggest counseling and if needed therapy. 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.</s>

<s>[INST]I recently had a 9mm Kidney Stone laser blasted in July. My CT showed smaller stones in both my kidneys. A week after the surgery I had the stent removed. Later that night I passed a 3mm stone. A recent x-ray showed a stone in my right kidney and minute stone in my left kidney. The stone that was blasted was analyzed. The results were 100% Carbonate Apatite.My doctor gave me a diet to follow to reduce the possibility of new stones and keep the stones currently in my kidneys from getting bigger. I researched Carbonate Apatite stones online and now Im confused. The information I found said most of these types of stones are caused by some kind of infection, most common UTI, but also kidney. Also, any stones should be removed from the kidneys. They called the stones, infection stones.Should I get a second opinion? Im concerned I am not receiving the appropriate treatment. I am female - 51 years oldI do not have a UTI, and my urine is clear. I have never had a kidney stone prior to last month. Thank you for your assistance.[/INST]Hello, Thanks for the query to Chat Doctor. Forum. Stone (calculus) in the urinary system causes sever discomfort but why stone formation take place exact etiology is not known. I usually prescribe my patients plenty of fluid in any form with lemon juice twice in day with water on empty stomach. 2 idly I prescribe disodium HY Chat Doctor. In India only tablet Calgary or near 2-2-2 till stone expel from urinary system. I tried a formula over many patients successfully without any side effects, you can try, Take black pepper chew them one by one 10 first day on empty stomach early in the morning. After chewing </s>

<s>[INST]I recently got very sick. At first I felt like I had a bladder infection, because it was uncomfortable to urinate. An hour later, I noticed blood clots in my urine and the discomfort continue to worsen. Within 2 hours my urine went from being normal color to solid red and I was in excruciating pain during urination. The doctor put me on antibiotics and sent the sample for a culture/sensitivity test. It tested positive for ecoli. I am wondering if even though I am feeling much better, do I need to seek follow up care to ensure there isnt damage to my kidney, etc.[/INST]Hello, It is always good to follow up, and I don't think you will much to worry after the visit. It is just a reassuring visit as your infection has already been resolved, and well treated in time. Yes, E. coli is one of the main culprits of urinary tract infections. It causes bleeding in urine too, along with other symptoms of infection like pain and urgency to urinate. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST]Hi Doctor, I have got some skin infection since 6 months. I have some allergy sort of on my neck and chest. Itching is there only when sweating. I visited near by dermatologist. She told me that its a fungal infection called sobi and prescribed some medicine. what are the causes of sobi? Is sobi completely curable . if so how long it may take ? do i need to take any precautions?[/INST]Hi, Thanks for posting in Chat Doctor. Skin infection what you are having is Seborrhea dermatitis caused by yeast Malaysia. It is inflammatory skin disorder which is chronic, relapsing and usually mild dermatitis. It is not completely curable, but can be effectively controlled. Antifungal medications ketoconazole and ciclopirox are both effective for the condition. These medications should be applied tropically on affected areas of skin. You may have applied it whenever it appears again. In case the response is not satisfactory, topical corticosteroids or topical urea may also be used along with it. Hope the information provided would be useful. All the best.</s>

<s>[INST]My dad, 73, has been diagnosed with Esophagel cancer stage 4 he also has pneumonia and a feeding tube to the stomach, plus a fistula eso/traq. He had a heart attack 30 years ago. Dr has said that cant do anything for him. No chemo, radiation, anything. That chemo wd kill him in a week. Do you agree. What is the time frame?[/INST]Hi, dairy have gone through your question. I can understand your concern. Your dad has esophageal cancer stage 4. No surgery will help. Treatment options are chemotherapy and radiotherapy. Despite treatment prognosis remains poor. Life expectancy is not good. He has not good health, so chemotherapy side effects leads to worsening of life. There is no major difference between life expectancy with or without chemotherapy. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.</s>

<s>[INST]I started off with a bad cold about a month ago. I seemed to get better about a week or so after I first initially started to feel ill. After a few days it came back and was worse than before. Now 4 weeks later, the only symptom I still have is the severe coughing spells that will sometimes lead to vomiting.[/INST]Hi there, Welcome to Chat Doctor. I understand your situation. Your symptom might also accompany a runny or stuffy nose, a feeling of liquid running down the back of your throat, frequent throat clearing and sore throat, hoarseness,wheezing and shortness of breath. You might be having allergic rhinitis or Gastroesophageal reflux disease. Try taking tablet containing montelukast + levocetirizine, cough suppressant syrup before bed at night and pantoprazole 40 mg empty stomach in the morning. If your cough doe snot subside by this you should see a doctor and get a chest X-ray done to get a confirmed diagnosis. In the meantime stop smoking, avoid allergens and reduce acid reflux. This includes eating smaller, more frequent meals; waiting three to four hours after a meal before lying down; and elevating the head of the bed at night. Hope this helps you. Take care.</s>

<s>[INST]Hi, My youngest son was sick for two days with a fever. I took both boys to the doctor yesterday and my oldest son got a tb test. He is now running a high fever 102-103. Should I rush him to the hospital? Normally I wouldn t go to the hospital unless the fever reaches 104 but I m just concern because he had a TB done yesterday[/INST]Hi, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all. Once the viral fever comes it will there for 4-7 days. So do not worry about the 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. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. </s>

<s>[INST]good pm just want to asko if godex ds is good for fatty liver. because my husband took godex ds for 2 weeks but instead of lowering the sgpt result the fatty liver doubled... in ultrasound my husband liver seems to be normal... what like to be the problem[/INST]Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Godex may not be effective if there is inappropriate dietary and lifestyle habits. So diet should be changed, alcohol avoided and then see will there be improvement. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor. </s>

<s>[INST]Hi Can you tell me if a swollen ankle and pain across top of foot when using stairs and pain in back of knee when rising from sitting can be connected to thyroid problems? I have not injured my leg, that I know of but back of knee is cagey when sitting at night. N[/INST]Hi, thank you for providing the brief history of you. A thorough clinical examination is advised followed by some routine blood test. As swelling in the feet and pain in the back of the knee can be due to any of the factors of which we cannot jump to a conclusion of the Thyroid dysfunction. As most times, due to the signs and symptoms, we need to find a differential diagnosis of the condition and compare the signs and symptoms along with the laboratory findings. Also, if it is thyroid dysfunction the blood test should reveal the possible changes and bases on which the Chat Doctor. Besides, undergoing physical therapy for the swelling and pain behind the knee works well as per my clinical experience. RegardsJay In</s>

<s>[INST]i get difficulties in breathing when i inhale fumes and dust and when humidity is very high.what is the possible treatment and the cause.am 57 n i have no treatment[/INST]Hiwelcome to Chat Doctor forum Allergic asthma or bronchitis is caused due to allergy to some particular substance as u have mentioned as dust or fumes or anything else. The inhalation of these substances causes narrowing of respiratory passage which causes difficulty in breathing and gradually a persons respiratory system is damaged. So first thing is to prevent this inhalation whenever you're in such environment. By covering mouth and nose. Second most important thing is treatment which is best in Homeopathy. So please consult a physician .take care</s>

<s>[INST]Hi Doc, I hv problem of blemishes on my face n my skin specialist hs suggested Melacare but I don t know for how long should I use it so it won t give me bad effects. I hv pigmentation on some parts of my face so can I use iy there to get flawless skin?[/INST]Hello, Welcome to Chat Doctor. From your history, the blemishes on your face could be due to plasma, freckles or even post inflammatory hyperpigmentation. Melacare contains a steroid as one of its components which over long term use can cause side effects like skin thinning, redness and whitish discoloration. It should be used only under the guidance of your dermatologist. You could also benefit from using a broad spectrum sunscreen with SPF 30and above every 4 hours even indoors and in cloudy weather. You could use a lightening cream containing 2 % comic acid, licorice, albumin and niacin amide which is safer and devoid of steroidal side effects. You could also get glycol peels done by a qualified dermatologist. Hope this helps you. Take care.</s>

<s>[INST]I am 45, had a vasectomy 6 years ago, 6 1 300 lbs, and had an extremely low T level in May 2013 (120), have periodic bouts of ED. My doctor has me on testosterone injections every 2 weeks 1ML. I take Lisinopril 20 mg 2X daily, Atenolol 100 mg 2X daily, and Amlodipine 5 mg 2 X Daily, for hypertension. Other than that, no other meds. I have noticed that from time to time my seminal discharge is yellow and clumpy (similar to gelatin). Is this normal, or is there something I need to be concerned about. This most often occurs during prostate stimulation not normal ejaculation.[/INST]HelloThanks for writing to ChatDoctorYellow color of semen may be due to infection. It may be due to prostatitis, UTI etc. You may need antibiotics if there is infection. Other investigation like routine femoral, RBS,Ultrasound of pelvis should be done. Trans rectal sonography of prostate can be done if needed. You should consult your doctor. Hope I have answered your query. Take Care Chat Doctor. </s>

<s>[INST]My father met with a road accident on 4th June , 11. He is still in the hospital. CT scan report on 7th June: large acute haemorrhagic contusion with perilesional oedema in the lft frontal para-saggital location. Acute bleed along the posterior aspect of inerhemispheric fissure. Undisplaced fracture of the left temporal bone. He can t talk much. talking very slowly. and has some sense[/INST]Ct scan post-traumatic brain injury may show - extra rural or sub rural or intro cerebral hematoma. Wat u have mentioned was intro cerebral indicating with injury with in the brain parenchymal. Associated to that there is surrounding isogenic edema in response to injury. Concerning the site regarding front parietal region centers for speech are located. Services which deals witChatDoctorprehension. And Broad which is motor component which deals with speech production. As there is isogenic edema & contusions located at centers of speech there is difficulty in speaking. As the contusions n edema decreases he will recover to a normal tone which might take was to months.</s>

<s>[INST]Hi,am 23 years of age and the problem I have is that my gums are unhealthy causing my teeth to be forming gaps which I do not like, besides that my gums form pus and plaque after some time,now can braces work for me @ my age? Looking forward to hearing from.[/INST]Hello, Thanks for consulting Chat Doctor Read your query, as you have gap in between teeth, plaque and pus formation in gums that is periodontal abscess, gap in between teeth can be due to periodontal problem may be due to weak periodontal ligaments or there can be bone loss. I will suggest you to consult Orthodontist for examination of tooth periodontal condition if possible yes you can go for Fixed Or tho treatment at your age. Discuss with your dentist, and you can go for braces. Hope this will help you. Wishing you good health,</s>

<s>[INST]My friend had a pilodontal cyst that turned into a massive growth. He had it almost completely removed but it is deep to his tailbone and about 5in wide. His dr said today he had a rare form of squamous cancer but that is about all he was told. Can you help out. He was also told there was only about 48 cases since 2007 that have presented with this form of cancer[/INST]Hi, Thanks for writing in. A colonial cyst is a condition which occurs in the skin over the gluteal cleft due to low intensity chronic irritation. This is treated by wide excision and I understand that your friend has got it done. The treatment of excising it till the tailbone is as recommended and his doctor gave him the right treatment. Unfortunately it has turned out as a squamous cell cancer in the biopsy report and this might require aggressive treatment. Multi modality treatment approach might be required. Since surgery is done this might be followed up by chemotherapy and radiation therapy depending on the aggressiveness of the cancer. It is being found that radiation therapy works better for squamous cell cancer of the colonial cyst. Please do not worry.</s>

<s>[INST]Hi, so my mom s been experiencing an aching from her right leg and it kinda has bruises (it doesn t really have the same color of the typical bruise you know, but to the spot where it aches and we can clearly see that her right leg s way bigger than the other, so it has a huge dark spot on that area I don t really know what is it called) so anyway, she s been experiencing it for almost a year now. Before, my went to the doctor she was recommended to go to the dermatologist. When she went there, they just gave her creams and some anti-inflammatory lotions which doesn t work on her. Then after that, she went to another doctor (it was her co-worker, my mom worked in a hospital as a Nursing Attendant btw) so she asked her co-worker if she could do a biopsy on her leg. But the doctor said she couldn t, not unless she undergo MRI testing first to know which part should she do the procedure. So a week after that, my mom went to the other hospital (this hospital is private and a well known hospital in our town) so after a week, she got the result. They told her that it was only a thickening of the leg muscles and that her veins on her leg (right) are kinda loose so she needs to support it, so they advised her to buy their product to support her veins. It s like a stocking but it s thicker than a normal stocking and which is really tight on her. The doctor said that she should wear it on the day time coz and remove it during the night time to let her leg breathe. But, nothing happened. The more she wear that stocking, the more that bruise on her leg turns dark. And btw, that pain she s feeling started as a small lump then over the period of time turns what it is now. So please do help me, because I really love my mom and seeing her like that pains me. Thank you![/INST]Hello, Dark bruise on the leg with chronic pain is commonly due to Thrombocytopenia (Idiopathic thrombocytopenia purpura / Heparin induced thrombocytopenia). She can take Acetaminophen (Tylenol), one SOS when required for relieve from pain. She can apply ointment Thrombophob or Thrombophob gel locally on the area affected to reduce the dark bruise. However, other medical conditions that may cause similar symptoms are Superficial thrombophlebitis (inflammation / swelling of a vein due to a blood clot), Hematoma, Deep vein thrombosis, varicose vein complications, etc. You are suggested to visit ER, get your mother clinically examined by a GP, get Blood & Imaging tests done at the earliest. She may be referred to a Hematologist or Immunologist. Her treatment will depend on the severity of the pathology detected. Let the disease detected & get her treated. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST]Hello i have been having a problem with a swollen lump on the side of my neck near my chin. sometimes it will be painful and there will be a sudden "burst" of the lump and and i can taste a bitter fluid coming up my throat. is that a swollen lymph gland?[/INST]HI. The history of burst of the lump and giving bitter fluid in mouth may be due to the swelling and infection of the submandibular salivary gland. The causes cane : stone in the duct of the gland or a stricture in the duct or infection and inflammation of the gland. I would advise having a clinical examination by the Surgeon or the ENT Surgeon by putting a gloved finger and palpate for the stone and the gland. If there is an impacted stone in the ducts, this can be easily removed and a few stitches to invert the opening so that the complication is reduced. If there is a gland infection with the swelling and stones, this may have to be removed.</s>

<s>[INST]Doctor my baby is 2 months old..From birth she is feeding Lactogen1 no breast milk. I tried a lot of medicines for breast milk but failed.The matter is that the stool of baby is having foul smell. And her motion is too difficult hardly one times in a day. Is there any problem.[/INST]Most formula milks are cow milk based and hence difficult to digest. When the child is unable to digest it, the undigested remains are degraded by intestinal bacteria to produce foul smelling gases. I would suggest getting a stool routine microscopy (including test for reducing substances) to be done. Treatment will depend on the results. In any case, I would suggest changing the formula to a soy based formula and see if there is a difference.</s>

<s>[INST]Hi, may I answer your health queries right now ? Please type your query here...My husband had bowel cancer surgery in 2009 and has just had a CT Scan and has been told the cancer has returned to the pelvic area and lymph nodes and cannot have further surgery. Does this mean he is terminally ill?[/INST]Hi, Thanks for writing in. Bowel cancer is difficult to treat in some patients and your husband might have had a recurrence lymph node involvement. In this situation there is disease spread to the regional lymph nodes and this make it difficult to operate. However, treatment should be started after COSI Chat Doctor. Many patients can have good response to chemotherapy and radiation therapy and show significant reduction in size of lymph nodes. This can then be assessed again and a staging can be done and if possible then operated at a later date. Bowel cancer is also seen to spread to liver in nearly half the patients, and therefore it will help to check on the liver from time to time by ultrasound scan or CT scan. Lungs should also be screened regularly. Hope he recovers with treatment. Please do not worry.</s>

<s>[INST]My almost 9 month old has a rash/hives around the edges of her diaper, armpits, belly and backs of her legs. We just started introducing solid foods. We introduced oatmeal yesterday. She had a virus a week ago. No fever, just vomiting for about 8 hours. She s had a bit of loose stool this week. is this a food allergy or a continuation of whatever she had last week?[/INST]HI ...this is not suggestive of food allergy. This is classically fitting into eczema as it is involving the flexural surfaces of the body. The trick of the management is keeping the skin moist and never allowing it to be Chat Doctor. For this oil massage and lotions like Hiatus will help. But usually kids grow out of it...that is as the age progresses, they become better starting from 6 months of age, and they gradually get better. Regards - </s>

<s>[INST]For the past 3 to 6 months, i have been having daily minor giddiness and lightheaded - but not to the point of losing my balance. I am able to do 100% of my day to day basis, however, due to its daily presence (of minor giddiness and lightheaded), it makes me very worried. What could it be and what type of doctor should i see?[/INST]Welcome to Chat Doctor! After reading your question it comes out that you are having some giddiness and lightheaded less from past 3-6 months, but it is not affecting your life. Had I been at your place I think I would meet a general physician or medicine specialist? To me, it appears to be either some blood pressure problem or may be a case of cervical spondylosis. Getting your routine tests and BP checked will rule put some usual causes. You are right in finding for its cause as even though this is not disturbing you life, but this is a symptom, and it should not be there. Anyway, it looks to be only some minor problem, so donor worry a lot, see a doctor. Only after examining you one can pinpoint the reason. Hope the reply is usefulness free to ask more questions</s>

<s>[INST]Hello , my 7 year old daughter has a large lump under her tongue . I have been to the doctors but referred to specialist . Im really worried as its stopping her eating as she complains it hurt after eating and her speech is now being effected . I have pictures if you require them .[/INST]Hi, welcome to Chat Doctor. A large lump under the tongue in a child should not be ignored and needs an attention of a specialist like a Pediatric Surgeon or ENT surgeon because not only affect the voice but also air entry and respiration and there may be a lot of saliva formation which may lead to aspiration pneumonia. There may be multiple causes like manual, any mucous retention cyst, rhabdomyosarcoma, etc. All of them have different pathology and so, the treatment is also different. Please show it to the doctor and the child may require an imaging modality like CT scans and a biopsy for the diagnosis and once the diagnosis is confirmed, excision may be required after pretreatment.</s>

<s>[INST]My symptoms started with major fatigue for a few days, then headache, burning eyes, now it is in my throat/chest....not much of a cough; slightly swollen glands. I also have a lingering ache in between my shoulder blades. I was diagnosed with mono a few years ago...could this have anything to do with these symptoms?[/INST]Hi, thanks for asking question in Chat Doctor. Here is some suggestion for you. You have diagnosed with mononucleosis. These symptoms are because of it. Take enough water. Take nutritional diet. Take more fruits. Take rest for few days. For mononucleosis symptomatic therapy is beneficial. For preventing bacterial infection we can use antibiotic. Take simple analgesic.Don't worry. With the time symptoms will relieve. Happy to help you if any query.thanks.</s>

<s>[INST]My son is screaming with tooth ache it seems to move from his top teeth to his bottom an d hurts when eats and drinks even if it is hot food and drink he has had this on and off for 2 weeks now but last night and today have been the worse and medicine and bonjela dont seem to ease his pain he is only 5 yrs old[/INST]Hello, Thanks for your query. Nonsteroidal anti-inflammatory Chat Doctor. The cold temperature will help ease the pain. Buy an over-the-counter tooth and gum numbing gel to help ease the throbbing for a few hours. These gels are applied directly to the affected area and usually work for several hours. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care</s>

<s>[INST]The last two weeks i have been having chest pain to my back at about the same time everyday, usually evenings when Im working. The pain is very discomforting like a slow tightness. I have a trainee right now who is also stressing me out. Also Ive been really tired daily. Im in great shape and normally dont have issues like this. Any idea what the daily pain in my chest is???[/INST]Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your health issues submitted in your query. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is-Your current health issues seem to be due to -Anxiety and probably high BP, by evening time, especially after days stress with trainee -lately. You need to check with your Physician and with ECG after BP checks. Though in normal health, work stress may cause chest pain from high BP with thence Other causes-as cited above-need to be ruled out, by verification with Physician/and or Surgeon. Dos-Consult with Physician who would investigate physically and by ECG and other tests with 1 weeks record of BP in morning and evening. Tb Alpha .25 mg x 2 times a day to start with.8 hrs sound sleep. Low salt / low calorie/ diet to control the weight problem if you have it. Physical Gaming would keep the body fit and would increase the stress tolerance in time to come. Add up Antihypertensives with diuretics if need be. This would fix the cause amongst the above or other possibilities. You need to treat it with Physician which should be done on priority and urgently to avoid further complications. This would resolve the complaints of yours. Constant followup with local family or specialist Physician for long term would give you long remissions in time to come, which would depend on meticulous followup treatment of your health concerns. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. For early recovery-please follow above dos which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229Wishing Good Healthy Life!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS</s>

<s>[INST]My son has Isthmic Spondylolisthesis. He also suffers from vertigo and dizzy spells. Hes had a lot ot testing to ensure there isnt any underlying condition causing the vertigo/dizziness. Weve never put it together until recently...when I read that spondylol can cause vertigo. Is this true?[/INST]Hi, thank you for posting. I have gone through your query and I understand your concerns. It is true that Islamic Spondylolisthesis can cause dizziness. This condition causes neck muscular spasm. In patients with Islamic Spondylolisthesis blood flow to the brain base is low due to muscular spasm, and this is the reason why patients have dizziness. The treatment of this condition contains painkillers and muscle relaxant medications. A neck X-ray, a complete blood count and a urine test are necessary in order to check the condition of the patient. If the condition is aggravated non-steroidal anti-inflammatory medications are necessary. Chiropractic procedures can also help. You should contact a neurologist to discuss the treatment. All the best.</s>

<s>[INST]Hi Doctor, I need one information. I sometimes get red colored ulcers on my tongue after eating few particular things like Indian gooseberry or something which is sour and tangy.It again goes off immediately after I drink water or something which is cold.Please can you suggest what can be the reason behind this.[/INST]Hello, Thanks for the query to Chat Doctor. Forum. Actually few persons have sensitive taste buds over tongue. These sensitive buds react with citric acid present in certain fruits or other eatables particularly tangy and irritant fruits, need not worry. The best way is to avoid such type of fruits. 2nd option is applied local triamcinolone oral gel over tongue immediately after use of such fruits. Good luck. </s>

<s>[INST]I WENT TO MY ENT DOCTOR AND HE CHECK MY THYROID AND IT WAS NORMAL AND THEN HE NOTICE A BLUG ON THE FRONT OF MY NECK AND TOLD ME IT WAS A MASS AND FOR ME NOT TO WORRY AND I AM TOLD IT NEEDED TO BE REMOVED. WHICH I AM SCHEDULE TO HAVE THE SURGERY THIS MAY. DO I HAVE ANYTHING TO WORRY ABOUT LIKE CANCER OR WHAT? I AM CONFUSED. AND IS IT DANGEROUS? DAWN[/INST]Thanks for your question on Chat Doctor. Mass in neck have many causes. And it can be due to either benign or malignant causes. Benign lesions are1. Lipoma2. Dermoid3. Infective enlargement of lymph node. 4. Benign thyroid cyst etc. Malignant lesions are1. Malignant lymph node involvement. 2. Thyroid malignancy etc. So surgical removal and histopathological examination is needed to rule out these causes. So don't worry, get done excision and biopsy of mass. Further treatment is based on etiology of the mass.</s>

<s>[INST]hi doctor, my mom did a MRI few days ago and it said tiny t2 abnd flair hyperintensity focus are seen in subcrotcial white matter of both frontal lobe . corresponding area shows iso signal intensity in t1 weighted images i want to is it very serious kind of dieases?? and also i would like to know the causes, treatment and any complications of this situation. i would also like to know what are the things to be taken into consideration for my mom. thank you ![/INST]Hi NEA, Thank you for posting your query. MRI brain findings of your mother are common findings, and can occur in a variety of conditions. These include migraine, ischemia of brain (less blood flow) and desalinating illness (where the covering of the nerves get damaged). The most common cause is migraine. There is no need to worry about this finding. Based on your moms symptoms, the neurologist would be able to come to a conclusion regarding the diagnosis. Medical treatment would help her get better. Best wishes, Chat Doctor. </s>

<s>[INST]Hello. I got all four wisdom teeth extracted 6 days ago. Ive taken all antibiotics and have been rinsing religously with warm salt water. My top extraction sites feel totally fine, but the bottoms hurt like none other. Its mainly the left side. When I look inside my mouth I can see white bone in the extraction sites.. Is this normal, or is it possible that I may have dry sockets/infection?[/INST]Hello and welcome to Chat Doctor forum, I will be glad to answer your query, I would like to inform you that sometimes following extraction a sharp bony spicule(piece) is left behind which hurts. You can see your dentist and if required he may file it down, it is quick and painless procedure, does not take long. If it is a Chat Doctor. I would advise you to see your dentist as a follow-up after extraction. I hope this answer was useful. I wish you good health, take care.</s>

<s>[INST]Hi I am 51 female ,perimenopausal,for the last 18 months I have suffered with a yellow coated tongue in the morning and it is getting a lot worse.I feel awful in the mornings any way and look generaly unwell.I have a healthy diet.I am seeing a gynocologist for cyst on my ovaries and my uterus had a thicker lining than normal.I have a lot of wind and bloating and pains in my abdomen-I am a bit of a mess. Can you help[/INST]Hello:)Welcome to Chat Doctor. A yellow tongue indicates accumulation of bacteria. Your hormonal irregularity can add to this. These bacteria then release certain chemical to make the tongue yellow in color. Have adequate water 3 liters per day. Reduce consumption of caffeinated beverages. Maintain oral hygiene and floss daily. Use a mild mouth wash thrice a week. Cleanse your tongue regularly using a tongue blade. Quit any tobacco and alcoholic habits. Regards.</s>

<s>[INST]I have just had breast cancer surgery 9 days ago. the margins are clear, but it was estrogen/progesterone positive. They want to do chemo and radiation, but I feel there has to be a better approach in treating this. I work for a naturopath, but his specialty is not chemo or radiation, but would like someone who will work with him in my care.[/INST]Hi, Thanks for writing in. Cancer is a difficult condition to treat and treatment differs in every patient depending on the location, size, staging and post surgery biopsy findings. Since you have had surgery only 9 days ago, it will help to discuss with your oncologist and depending on the biopsy report, go for a comprehensive treatment. Even is the margins are clear, there is estrogen/ progesterone positive nature and this requires you to have chemotherapy and radiation. The earliest this is started the best outcome it will have. I wish you reconsider the benefits of chemotherapy and radiation in your case and start treatment on time. Naturopathy can give you comfort and detoxify your system, and it is best to discuss your treating doctor on when to take simple naturopathy procedures and wait until you are done with initial chemotherapy. Even if the margins are clear, there can still be persisting microscopic invasion of cells and this can lead to flaring of cancer an few months. Radiation is precise and specific to the region of cancer. Please do not worry.</s>

<s>[INST]I have weight issues but over the last 12 months my asthma as changed its breathless all the time feeling of pressure on my chest breathing worse at night waking gasping also legs very swollen also arms and girth sometimes swollen Im exhausted all the time[/INST]Getting breathlessness while sleeping with swelling of feet is an indication that you may be having early symptoms of left ventricle failure or say heart failure. But with the history of asthma, you must mention at what age you started having asthmatic attacks, any precipitant factors of asthma, on what medications you are, and do you have a history of hypertension. You must proceed with your routine check up, blood pressure and blood sugar evaluation, ECG and chest x-ray. Sleeping in a propped up position may comfort you. These symptoms should not be taken lightly, and proper evaluation must be done.</s>

<s>[INST]i have a doubt regarding sexuall intercourse ,i can go for only once and for the second time hardly after that its very hard i get eraction even if i wanted hav and i am not safisfying my wife . pls let me know how make it possible ! and am just 25 years old ![/INST]Hello, Causes of erectile dysfunction are:-1) Psychological2) Stress3) Fatigue4) Diabetes5) Other chronic illness.6) Spinal cord injury. You can table sildenafil, one hour before intercourse after consultation. Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with sex expert. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST]I get the depo medrol 80 mg injection for my allergies, and i got one recently a day before my cycle was due to start, which is always on time, and my cycle came a week late, and its been on every since for almost 3 weeks. Is this a side effect? Im 44 years old, no fibroids never had any complicatios with my cycle, no chances of pregnancy.[/INST]Hello, Thanks for using Chat Doctor. I read your query and understand your concerns about delayed periods. Although delay in periods is not a prominent side effect of steroid use, but it is one of the side effects commonly observed among middle-aged women. This happens because the menstrual cycle is regulated by hormones which are steroidal in nature. The use of demo me Chat Doctor. I hope this answers you. Thanks and regards.</s>

<s>[INST]Hi my daughter age 7 is not breathing right .when she is eating food she needs to stop chewing and take deep breath from her mouth,and she gets uncomfortable,is her nose blocked or is she just not used to breathing from her nose I don t understand what to do[/INST]Hello. I just read through your question. The most common reason for what you describe is nasal congestion. Usually this is cleared by simply blowing the nose and perhaps administering saline nose Chat Doctor. However, this could sometimes be an issue with the lungs (i.e.: wheezing). If she is otherwise comfortable, I don't consider this an emergency. However, I do recommend consulting with your pediatrician.</s>

<s>[INST]I had itchy scrotum and groin. After two to three days, I got pimple like bumps and there were some small white pimples which did not cause any pain. But that area smells bad and in some places it is sticky. and the places where the pimples were present is peeling off and that region also sticks .[/INST]Hello, From your description, it seems that you are having multiple sebaceous cysts on scrotum. Many males are having this. Because of that you are having itch. It won't require any treatment until it covers the most part of scrotum, or it gets infected badly. Surgery is the only treatment option available for it. Some males are undergoing surgery for cosmetic reason. To get rid of itch, you can maintain good hygiene at private parts, take bath regularly and make the area Chat Doctor. Hope this helps you. Thank you.</s>

<s>[INST]I have a lump by my jaw sort of under my ear, it s like the size of a pea and it doesnt hurt really but it feels kind of like a bruise when i touch it. my friend said it s a swollen gland or something. I was wondering if I should worry about it and why it s there.[/INST]Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged lymph node due to reactive hyperplasia, tuberculosis or lymphoma. Or it can be some benign cyst. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.</s>

<s>[INST]I have had what started as a rash 3 months ago. I spent the previous night in a hospital, because I took a spill at home. Soon this rash turned into severe hives on face, thigh, arms (inside elbow) and mainly the right side of my back (which is the side I sleep on) and my breasts (which is where the nightgown in the hospital rested. That was the end of February and now its May and the itching especially on my breasts and under my left arm (and down the arm to inside of the elbow.The itching and little bumps (like hives) are so bad you wouldnt believe it. Doctor gave me Triamcinolone 0.1% cream, but it doesnt do that well. I tried Cortiscone from the drug store..not that great either. Im taking Bensdryl tablets, because they did control the hives pretty well, but this rash and all the little bumps are killing me.[/INST]Hello, With such presentations in my clinic, I would first rule out underlying causes responsible for your rash rather treating symptomatically for months. To confirm exact pathological causes I may advise you a blood differential count and total count of blood. Treatment depends upon exact causes. So, no need of all these medications at all. Please let me know if you have further questions before meeting your primary care doctor. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST]Hi, I recently have been getting a lot of cold sores for no reason. One would show up and then it would heal and then another would show up. But these past couple of days I have found like a small round lump near my jaw. When I touch it, it would move around and it hurts. I can t see it but I can feel it. Is it something I should be concerned about?[/INST]Hi, dear. I have gone through your question. I can understand your concern. You may have some leukoplakia or some malignant lesion. You should go for biopsy of that lump. Go for biopsy and histopathological examination. Then take treatment according to your diagnosis. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.</s>

<s>[INST]Hello doctor ! my age is 43, height 177cm and weight is 83 kgs. All the CBC, sugar and LFT parameters are normal. HDL is 37 and LDL is 122.3... ultrsound report says that i have grade 1 fatty liver. Is this is cause of concern? how to get the liver normal. i walk for one hour almost 4 times a week. drink and smoke socially. Any medicine to cure fatty liver ??[/INST]Hi and Welcome to Chat Doctor. I appreciate your concern for the fatty liver. You need to have some lifestyle modifications in order to get rid of fatty liver:1. Since you are overweight (BMI is 26.49), your maximum healthy weight based on a BMI of 25 is 78.32 kg. So, continue regular physical activities in addition to walking2. Avoid fatty meals (both vegan and non-vegan), fast and junk foods, salted snacks, Chat Doctor. </s>

<s>[INST]Hi. Last night and again today, I ve noticed a large and noticeable pulsation in my neck in the area of the carotid artery. It s especially pronounced when I m supine. This afternoon, while at work, I noticed the pulsations in my neck and then, shortly after, realized my right hand was shaking and the arm felt weak. It subsided after a few minutes. When I returned home this evening, I noticed the beating in my neck and, using a video camera on my phone, confirmed the pulsations are visible and most visible when I m lying down or back on pillows. I feel okay otherwise, although my arm and shoulder again feel a little strange. (Although, truthfully, I m wondering if I m just reading into things a little bit.) I do have a history of heart issues: I had a patent foramen ovale closed in my heart in 2010 due to several years worth of strange symptoms (visual, pins & needles, etc.) that were likely ongoing and sporadic TIAs, according to my cardiologists. I have had no repeat episodes since the surgery, although have had a few cases of pericarditis since then. Otherwise, I am in excellent health/fitness. Weight ~130. Height ~5 6 . Physically active, no drug use, occasional social alcohol use. No family history of cardio disease. The question: should I be concerned about these symptoms and go to the ER, or is it normal? Or, somewhere in between those two extremes?[/INST]HIF you see carotid pulsations or jugular vein pulsations and felt weakness of arm simultaneously and with history of heart operation, you may consult a cardiologist for it. You may also watch if you get rapid pulse or irregular radial pulse, some symptoms of dizziness or not.I may suggest an echocardiogram to record the chamber functions, valves and pressure gradients to rule out any abnormalities of atria and ventricle size</s>

<s>[INST]Hi, I am 36 weeks pregnant. All my reports have been fine considering baby weight, amniotic fluid & doppler flow. However, my last ultrasound a couple of days ago showed the baby in a head up position with a single loop of cord around neck. Can I still have a normal delivery? can the baby turn on its own in due course of time to engage in head down position, before my delivery date which is 14th Feb.?[/INST]Hello, and I hope I can help you today. If your baby is in the head up position at term, it is not recommended that you deliver vaginally, because there is risk to the baby of birth injury. So if you reach your due date with your baby in the head up position, your obstetrician will likely recommend cesarean section. However, there is a possibility that the baby could turn around on its own. Ways to help this to happen is to do what you can to let your belly hang to give the baby a chance to rollover. Going on your hands and knees and arching your back high into the air, like an angry cat, for 10 minutes every day, can sometimes help the baby to turn around naturally. However, the best way to help the baby to turn around is for your obstetrician or midwife to perform a procedure called a version. In the US, versions, which literally are done by the doctor pushing the baby into a somersault is performed under ultrasound guidance in a hospital setting. It works about 50% of the time and can give a woman a chance at a normal vaginal delivery. Regarding the cord around the babies neck, 15% of normally delivered infants have an umbilical cord around their neck. So the presence of the cord around the neck now does not mean that there will be any problems with labor and delivery if the baby is able to get into the right position. If you are considering having a version, I suggest that you speak to your delivering provider about it soon, as the success rates of version decrease significantly after 37 weeks. I hope that I was able to adequately answer your question today, and this information was helpful. Best wishes for the rest of the pregnancy and delivery,</s>

<s>[INST]I feel pain and lifeless sort of feeling in my both legs, below knee area. Mostly in calf muscles. I am having this pain for more than 3 years now and 24 hours a day. In the morning, its hard to get up and do something. I am really low in energy levels all the time. Standing for long, intensifies the pain. I have consulted many doctors, neurologists, they gave many stress relieving medicines along with vitamins but nothing helped even a bit. I want to do exercises but there is literally no energy in me due to these prolonged pain. I feel low and down through out the day at work and at home too. Please advise.[/INST]Dear patient you need detailed blood check up for complete blood count with ESR level. Low hemoglobin level may be the reason for lethargy and weakness. Pain in the Lower limbs may be due to spine pathology with nerve compression. First X-ray of the lumbosacral spine anteroposterior and lateral views and them MRI of the lumbosacral spine with screening of whole spine needs to be done. Please get it done from radiology center nearby you. Meanwhile, start tab regain x 75 mg one at bedtime with tab attract twice a day for pain relief. If report is abnormal you need to consult orthopedic surgeon nearby your area with report.</s>

<s>[INST]Am 30 yrs old female I have two kids one is 5 yrs and the other is of 3 yrs and I cancelled my pregnancies with pills thrice after them.am actually scared of infections caused during family planning or any other temporary measures of contraception.am now worried about my health pls suggest any contraceptive measures either temporary or permanent which does not affect my health and not does not cause any infection Regards[/INST]Hello dear. Understand your concerns. You want contraception long term:you can use Copper T, which is available in many varieties like effectiveness for 1 year,3 year,5 year,10 yearMirena implant, demo shooter options for short term are like diaphragms, hormonal injection, hormonal patch, or condom by your partner. So you can choose it by consulting with the gynecologist for better effect and to prevent the side effects. I hope this will help you. Thanks. Chat Doctor. </s>

<s>[INST]Hello, I was diagonised with hepatitise B for the last seven months back, my first doctor has put me on antivairal drugs lemuvudine but later i was advise by the second doctor to stop taking the medicine becouse the vairal load was low and it doesn t qualified me for treatment and later liver biospy was done but i don t have the varius in my liver but since then my liver enzyems keep on elevating especially the alt , alkaline, billrubin, total protein , ggt & at times the mentions ones also reduce though HIV B varial load was done later and it was below 25mm in DNA . What could be the problem am so scared of liver concer and chriosis. Secondly can someone grow up with hepatitise B from child hood up to the age of 60s? if so what is the life span of the person having a chronic HIV B?[/INST]If you have elevated liver enzymes and hepatitis B you should probably get treatment, but it also depends on the results of your liver biopsy (if there is active inflammation or not). Also getting treated will prevent your chances of getting liver cancer. If you are coinfected with HIV, then you should definitely control the hepatitis B with medications since the risk of liver cancer is higher if you have both HIV and hepatitis B. Keep in mind that some HIV medications also work against Hepatitis B (such as tenofovir, also known as Arvada) reasons why your doctor may have stopped lamivudine.</s>

<s>[INST]Hi, I am 38 year male suffering from cold from last 3 days. Doctor has prescribed me Allegra 180 and Azee 500 for 3 days. Lately, a very severe pain has started in my right chest and seems to aggravate the moment i breathe or cough. Will the prescribed medicine help in this or do I need to see the doctor again?[/INST]Thanks for posting you query to Chat Doctor.Allegra is an antiallergic medicine and AEE is an antibiotic, so both medicine do not use full in chest pain .you need to find out the cause of such sever pain as it could be muscular pain or may be due some cardiac disease.cardiac pain are usually associates with sweating and breathlessness constant pain may aggravate on movement, so if you are having such symptom need to immediately consult to medicine physician .but if it is muscular pain it will receive by taking some NSAIDs with muscle relaxant. I suggest you to contact to your local physician he will do local examination and treat you accordingly. Hope you would be satisfied with my answer. Feel free to communicate if any query.regards, Chat Doctor. </s>

<s>[INST]hello , i am mohammed 32 years old last 3 years before i married that time i am only 3 month sex with my wife after that i go foreign after 2 YEAR I came from foreign. my wife got 1st month result possitive (preganancy test) after 3 month my wife baby misscarriage and also doctor advice to clean the utrus bag that we done. after that doctor advice to take ar wonder tablet for me this is the right one can you please give me your good suggestion i hope for your rely[/INST]HelloThanks for query. Your wife had miscarriage after 3 months of conception is itself suggestive that you are not infertile.Hence, you do not need any medication being commonly used in treatment of infertility. The cause of miscarriage is due to failure in growth of Zygote (Product of conception) due to many hormonal factors and chromosomal abnormality and are never due to any direct in sperm.Hence, a male partner does not have to take any medication. Chat Doctor. </s>

<s>[INST]I had a hammer hit me in my right pelvis area where I imagine my ovarie to be ... I have been married 2 years and no luck getting pregnant how can I get this looked at. Can it make me not get pregnant? How much does it cost for in vitriol or to get my husbands sperm tested[/INST]HI, thanks for using Chat Doctor It is unlikely that this injury would have significantly affected your ability to conceive. There are different reasons for infertility. It can be due to male or female causes or due to a combination. In terms of your partner, you are right in assuming that he would need a semen analysis. The cost would vary according to one lab to the next. He can either consider speaking to his urologist, speaking to a lab directly to find out the cost. In terms of your investigations, your doctor would need to assess the different aspect of the reproductive system-the uterus, ovaries, tubes, cervixThis would involve both imaging and blood tests. You should consider visiting your gynecologist or a fertility specialist. Even if issues are found with either of you there are effective techniques available that may be able to help you conceive. I hope this helps</s>

<s>[INST]I had a crown put in three years ago. I had not noticed any pain or problem with it, yet the dentist says he needs to replace it because there is decay under it. Is this unusual? I thought crowns were permanent. Should I get a second opinion, and how do I go about doing that??[/INST]Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it is possible that if the margins of the crown is not intact and there is a gap between crown and tooth, water and food debris along with bacteria can seep into the tooth and leads to secondary Infection. In this case if the decay has not reached the nerves present in the center of tooth then you may not have pain, but the tooth can continue to decay. If this is the case you will have to get the crown removal, get the tooth filled or Root Canal treatment has to be done followed by replacing the crown. You can take a second opinion if you wish as well as you can send me a scan of the x Ray of the crowned tooth so that I can guide you how you should proceed for treatments. In case if tooth is decayed then the treatment advised to you is appropriate. Hope this information helps. Thanks and regards. Chat Doctor. </s>

<s>[INST]I have ESLD and have unremmiting itching. I am unable to sleep at night and am able to take short naps during the day. I have tried all the known OTC remedies but to no avail. If this is what I have to look forward forward for the rest of my life its not much. My bilirubin levels are very high. I am at my witts end. Do you have any ideas or suggestions? YYYY@YYYY Thank you, Marc[/INST]Hitching in the end stage liver disease can be quite problematic, there are quite a few things tried for it with limited success in some cases. Anti- histamine like cetirizine, defense Chat Doctor. Some local application lotions a like calamine and soothing agents are useful. Then there are medications like rifampicin and ursodeoxycholic acid. Please consult your doctor to see if any of these work for you. Thanks.</s>

<s>[INST]19 y/o female 110 lbsI, no significant medical bg. was hit in the chest with a blunt object right above my left breast about 1 week ago. Now when I breathe in too deeply, sneeze, cough, or move my left arm in a certain way, I feel discomfort/pain. The pain comes from sneezing. Also now there is quarter-size bump and the pain travels to my armpit/side area at certain times. When I press down on the bump I feel some pain. It is a hard bump but no bruising. When my chest got hit I felt winded. Thank you for any answers[/INST]Thanks for your question on Chat Doctor. I can understand your concern. You had blunt chest trauma and symptoms you are having at present are due to musculoskeletal injury after such trauma. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Take painkiller and anti-inflammatory Chat Doctor. 5. Apply warm water pad on affected areas. Don't worry, swelling and pain will subside with all these in 1-2 weeks. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.</s>

<s>[INST]Hi my stomach swells up and I also have a tired sort of gritty feeling behind my eyes for some period of time over possibly the course of the week I start to feel as if my body inside is shaking and I have mild anxiety attacks.over this period of time I have swollen stomach slightly painful sometimes not always and after my anxiety attack I am really tired.throughout I have very low energy.I have had numerous blood tests are which of showed nothing and also I have had blood tests for a thyroids problem botChatDoctore back as ok.my diet is ok but not great and found last year when this happened I ate extremely healthy and it went away.i understand that I have to keep a good diet of fish veg and fruit ect but wonder what is happening to make me feel like this.i occasionally take omeprazole for acid indigestion could indigestion be the problem? Or just a symptom of a problem?[/INST]Degree understand your concerns went through your details. I suggest you not to worry much. I can understand your emotions. In psychology, we broadly call it obsession. You had that disturbing sensation once. You expected it to happen again and focused. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck.</s>

<s>[INST]Hi i am 20 years old and I have had stomach aches that feel like cramps in my lower abdomin for about 3 months now and recently its been gas and I have been peeing a lot. Im not sure whats wrong I took a pregnancy test and It said negative.. so whats wrong with me?[/INST]Hi, Thanks for your history - cramps in lower abdomen for 3 months, gases and frequency of urination. I would advise you:: Blood-complete blood picture, kidney functions tests, blood sugar fasting and post-lunch, Urine-routine, microscopy, culture and sensitivity (before start of antibiotic)Ultrasonography of abdomen. This will help to get a diagnosis whether this is intestinal infection of chronic sort like IBS, tuberculosis or Diverticulitis; and urinary tract infection or bladder stone or PID-pelvis inflammatory disease. Proper diagnosis will lead us to a proper treatment. IF required you may need a Contrast enhanced CT scan of the abdomen.</s>

<s>[INST]Hi, my lower back usually is sore. Im only 17 and already have back pains. But today, Ive been having lower pains by my spin, but of to the right a little, near my butt. Usually when I have back pains, I lay on a hard flat surface and it feels like my back shifts into place, but this time when I did it, it cracked about 7 times, then I felt a major pain so I rolled over to my stomach, cried for a few seconds, and stood up. I thought the pain was gone, til I started walking around again? I already been told my back was mis aligned. but I have no clue what this is.[/INST]Hi, Thanks for posting your query. From description, it seems you might be suffering Mechanical back pain. It is a common medical problem. Mechanical back pain implies the source of pain is in the spine and/or its supporting structure. The surrounding muscles and ligaments may develop reactive spasm and pain.1. Lie on hard bed2. Taking muscle relaxants in combination with mild painkillers will help you.3. Hot water fomentation to back 2-3 times a day and applying a local analgesic gel on the affected area will also help in providing a relief.4. Physiotherapy - Inferential therapy (IT) to your back will help you relieve the pain5. Avoid Chat Doctor. These activities can increase your back pain. You can start with swimming and mild aerobic exercises. These do help a lot in the back pain. Do adequate warming up before starting the exercises daily. Taking calcium and vitamin D 3 supplements will also help in early recovery. You can get these prescribed from your orthopedic. Hope this will help you. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards</s>

<s>[INST]My dad was recently diagnosed with stage 4 pancreatic cancer that has also spread to the liver . The cancer in size are the size of a grain of rice. I have seen charts where cancer starts out like a grain of rice,pea,grape ect.. all the way up to a golf ball. So my question is : Does the size of the cancer mean that he has a greater chance of survival with treatment now because the cancer is still so small? Or in a stage 4 diapnoses the size of the cancer doesn t matter.....[/INST]Hi, In some sort of cancer even in stage 4 cancer there is chance of complete cure. But unfortunately pancreatic cancer is not of this category. Stage 4 disease has guarded prognosis. Now some more information will be helpful like his liver function test, no. of liver metastasis, routine blood test to have a more elaborate discussion. Anyway size of primary in pancreas matters little in the setting of metastatic disease. Consult your doctor.</s>

<s>[INST]My neck broken pipe from from the rooftop six and 600 pounds Crush push my head into Manchester airport Halo intrigue me for two days then they proceeded to go into the back of my neck I got 4 rods tutus and bunches screws no mobility two months later I got osteomyelitis real bad case into my bones and blood I feel like I m get again and I m sick all the time why is this happening[/INST]Hi, thanks for the brief history of you. Since you mentioned the osteomyelitis you have been diagnosed at a later stage post surgery then you may have an infection persisting in blood cells as well. There are chances you get infection frequently. Why don't you meet up the surgeon and discuss if you can do some exercises. As EXERCISES will help you to boost your metabolism and help you avoid frequent infections. It is even important that you do exercises under guidance because of the neck injury you had in the past. The improvement in the metabolic and immune system will help you feel stronger and healthier. With the grace of God I wish you a speedy recovery.</s>

<s>[INST]I have anxiety. At my Dr appt. yesterday my bp was 138/96 and my pulse rate 98. Previous 2 appointments over last year or so was 138/96 and 138/94. Im concerned, but doctor just seems to think anxiety, yet due to anxiety I can feel my heart racing multiple times throughout the day. I feel sick.[/INST]Hi, I can understand the distress you might be having due to anxiety. Anxiety disorders can lead to multiple symptoms like worries, palpitations, sweating, tremors, Blood pressure fluctuations, etc. I suggest you seek a psychiatric consultation for the same. Baseline investigations like complete blood counts, thyroid profile and ECG would be required to rule out any underlying medical conditions. Treatment with medications like selective serotonin reuptake inhibitors will be helpful in your condition. In addition, you should start exercising daily. That will help in reduction of anxiety. Hope this information was helpful. Best wishes.</s>