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The conversation between human and AI assistant. [\|Human\|] A patient was admitted to the hospital with chronic obstructive pulmonary disease. His PO2 was 55 and PCO2 was 65. A new resident orders 54% oxygen via the venturi mask. One hour later, after the oxygen was placed, the nurse finds the patient with no respiration or pulse. She calls for a Code Blue and begins cardiopulmonary resuscitation (CPR). Explain why the patient stopped breathing. [\|AI\|] Hello, We all have a respiratory center in our brain. This center regulates out breathing. This center works under the influence of oxygen and carbon dioxide percentage of the body. In COPD patients, this center works under low oxygen percentage. Actually low oxygen (hypoxia) is helping the brain to send messages regarding breathing. When COPD patients receive high flow oxygen, this hypoxic central Chat Doctor. So never give high flow oxygen to COPD patients. Try to maintain their oxygen saturation around 88-90%. Hope I have answered your query. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] My 19 year old daughter has a bruise on each side of her neck. They are not hickeys but that was my first thought. She did not know they were there and when she saw the first one she kind of freaked out. When she saw the second she teared up. She woke up this morning with body pains and stuffed up. She also has diarrhea. She is 5 7 and 125 pounds in good health. [\|AI\|] HI, thanks for using Chat Doctor It is possible that the rash may be due to viral exanthem which is a rash that occurs along with a viral infection. The aches and pain, nasal congestion and diarrhea are in keeping with an infection and viral infections are more common than bacterial for these symptoms. Rest, fluids and over the counter medication should help but if the symptoms continue or worsen then she may need to see her doctor. Pain medication, oral and topical decongestants may help. I hope this helps
The conversation between human and AI assistant. [\|Human\|] I have a question if someone can please help me, at age 17 I became pregnant off of the birth control yaz. at the time of my pregnancy I became very ill, getting dissy spells, fainting and losing my sight to spotty and blurred vision from a few seconds to a almost a minute. i never got checked out by a neurologist but my obgyn believed I had been experiencing episodes of epilepsy . after birth it stopped. now im 21, and when I have occasional drinks recently up to a certain point in the time frame while I am drinking I black out and am still awake and functioning to a certain limit but friends have said that s I complain of pain in my body like a major headache or telling them I feel exhausted and weak while im blacked out but they always thought I was just dehydrated. ive even thrown up and right after im incoherent, cannot speak or are not able to walk and a few minutes after thati fall asleep and I don t wake at all until the next morning they ve even thrown water on me and I would not wake up. my breathing and heart still beating they just assumed I passed out but the next morning Im completely confused because I can only remember up to a certain part of the night and after I cant recall anything at all. im wondering if maybe im having an episode of epilepsy which causes me to black out while im under the influence [\|AI\|] Hello, The earlier episodes you describe of dizzy spells & grain of vision could be due to Syncope or pre syncope. The episodes are brief & lasting few seconds to a minute. The more recent episodes could be seizures or syncope. The prolonged period of unresponsiveness, lack of memory for the previous nights events and other accompanying symptoms raises the possibility of seizures. Visit a neurologist who will be able to perform an EEG, Brain imaging & other tests which can help in confirming the diagnosis. A cardiac evaluation for any cause of blackouts is also necessary. Hope this helps.
The conversation between human and AI assistant. [\|Human\|] My son is three years old today he started complaining about his back hurtng he has flu like sympotoms and is brething very heavily he feels very hot I have not been able to check his temp I dont have a thermometer. I was wondering if I should take him to the hospital? I dont know what kind of medication to give him because he is allergic to tylenol. [\|AI\|] Hi... Thank you for consulting in Chat Doctor. By what you say this looks like a viral illness. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. As you say he is allergic to Tylenol or Paracetamol I suggest you give him Ibuprofen. Ibuprofen can be given in the dose of 10 mg/kg/dose (maximum ceiling dose of 400 mg) every 4-6th hourly that too only if fever is more than 101F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards -
The conversation between human and AI assistant. [\|Human\|] Hi. I am a 22 year old female. I just recently noticed a vertical indentation from the very top of my head down maybe an inch of my crown. It doesnt really hurt, but because I have been touching it a lot and allowing family members to feel it, it seems a little soar or sensitive now. I just got my hair dyed last week where I sat under a heater for a while. I have not had any injuries, but I have always had crazy allergies. I wake up nearly every morning with a runny nose, congestion, and sometimes a sinus headache. I use to get allergy shots once a week for a while, but that was years ago. I have also lost about 10 lbs, I have been trying to eat healthier and exercise. But this past week or 2 I have been eating junk food. What is this seemingly sudden indentation on my head? Should I be concerned? [\|AI\|] Hello Dear! Thank you for asking. I read your query and I want you to know that if the indent on your head is not proceeded by some trauma or fall then it is probably innocuous, and it will go away. If it doesn't in a week you can see Nearby GP to assess this bump and sort out the etiology for you. If it hurts simple acetaminophen or topical NSAIDs will be enough. Now your main Concern. Allergic rhinitis with allied morbiditiesyou need 3 phases for management1)Avoidance:Avoiding exposure to allergens such as pollen, dust mites, and mold to a minimum and all other environmental control measures.2)Medication therapya-Second-generation antihistaminesCetirizine (Zyrtec) Levocetirizine (Rizal) Cetirizine and pseudocode Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] Hi doctor, I am 28 year old married female. My periods are regular. we are trying to conceive since 1 year without any luck . So we went to an infertility specialist to ensure that things are normal. Doctor did my husbands semen analysis and the mobility rate is only 20%.I am undergone trans vaginal sonography, and i am normal.But for me doctor prescribed siphene 100 mg for 5 days(day 3rd to day 7 of cycle) and advised for scan on 9th or 10th day. My question is siphene 100mg needed for me,when my scan result came as normal. [\|AI\|] Hi there ~I understand your concerns. Since the semen analysis of your husband shows that the motility rate of your husbands sperm is 20% you might need to go for an IVF or an GUI(though less of a chance than IVF). I wonder if you have consulted another gynecologist for a second opinion. I think you should and make sure you do not leave any stone unturned at this time. I hope this helped, and I wish you the very best. Take care!
The conversation between human and AI assistant. [\|Human\|] my 5 year old will start coughing every night close to bed time. She is not always laying down when this happens. She also has this every morning. She has had tubes in her ears, tonsils and adnoids already removed. I hate the thought of giving her cold meds every night....thoughts. [\|AI\|] Hi, Welcome to Chat Doctor, The symptoms you quoted are suggestive of a hyperactive airway disease which in simple terms means allergic symptoms something similar to asthma. The cough can be due to hyperreactivity of your children airways. Her adenoids and tonsils been removed puts her in the list of highly sensitive child because her immunity power would have been decreased. Your child needs to see a pediatrician and If I were him, would have started you child on inhalers which can be of great help for her in reducing her discomfort. Happy to help with any further queries. Take care.
The conversation between human and AI assistant. [\|Human\|] Hi I had sex on May 3. We used a condom and I am on birth control but I don t always take it the same time everyday. I got my period on May 24. Well my period this month was light but I still was able to use a tampon. It was mostly brown with some red mixed in. It was heavy enough that I would need a tampon sometimes but other times there was nothing at all. I took a test before I got my period and it was neg. I took another one today on May 29 and it was neg. I am feeling dizzy today and nauseous with fatigue. Could I be pregnant ? Is this implantation bleeding? [\|AI\|] Hallow Dear, I gather from your history that you have sex about 21 days before the menses. It is very unlikely that sex on this day would lead to pregnancy. Moreover, you are on regular birth control pills though the timing everyday may be variable. However, the bleeding during the so-called period was brownish and scanty. So the possibility of pregnancy has to be assessed. Seven days after (?) missed period, pregnancy test gives reliable result. Though the first test you performed was too early to be reliable, the second test was after five days. It is also negative. So the chances of pregnancy are practically nil. Still I would request you to perform pregnancy test on overnight sample of first morning urine sample afterv4 days again. If this is also negative, you are not pregnant. You may go for ultrasonography to rule out blighted ovum in aborting process. Mostly this appears to be less bleeding due to hormonal imbalance. If you are taking progesterone dominant pills, they can cause such a low bleeding. If you do not get regular bleeding after one week, please report to the Gynecologist.
The conversation between human and AI assistant. [\|Human\|] Hi I am 18 weeks pregnanat. My gtt reading is 152.I am taking glycomet S 500 half after breakfast.My sugar levels were controlled but since last 2 or 3 days they are bit high. Fasting is Post lunch 122 Post Dinner 142. Is there any sign of worry. [\|AI\|] Hello, I have gone through your query and understood the concern. The cause of the recent rise in the blood glucose levels should be determined. Variation in the diet, stress, infection and also the increasing demand that occurs during the mid-trimester should be excluded. If needed, the dosage of the medication may be stepped up under the guidance of your doctor to maintain stable sugar levels in the body. As such, the elevation is only slight and so, please do not worry. Proper management will tide over the situation. Wish you good health.
The conversation between human and AI assistant. [\|Human\|] i pretty sure i have i a heart condition and/or close to having strokes,im 30yrs old have been having the episodes(thats what i call them)since 2007,tried to see dr. but they said i was to young for heart issues,i never said anything about my heart, on two different dr, and times [\|AI\|] Thanks for your question on Chat Doctor. I can understand your concern. Your doctor is right. Heart diseases are uncommon at your age of 30 years. But some heart diseases like arrhythmia, dilated cardiomyopathy (DCM), Hypertrophic Obstructive Cardiomyopathy (HOC) are seen at younger age. All these can cause episodic symptoms (similar to your case). Symptoms include heart palpitations, chest heaviness, pressure, breathlessness on exertion, giddiness, unconscious and fall etc. So get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG) to rule out these heart diseases. If all these are normal then no need to worry about heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
The conversation between human and AI assistant. [\|Human\|] Hi. Iam a healthy 39 year old woman and i just had my tubes tied on 2nd Feb. Ever since coming out of the operation I had pain on my right side and from last Friday a blood clot has formed approx 7cm long and 1cm wide. I was sent home from hospital saying that they are not too concerned and the clot will dispurse into my body. The doctors also said that it wasnt connected to the surgery and that it is just blood vessels broken. I am concerned. Should I be? Where would this bleeding be coming from? Any opinion would be great. Thank you. Sam [\|AI\|] Hi, dairy have gone through your question. I can understand your concern. Your clot must be situated outside the vascular system. It is called as hematoma. There are many reasons for that. Any kind ob extravasation of blood can lead to that. No need to worry. It will dissolve by itself. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.
The conversation between human and AI assistant. [\|Human\|] this started on friday. i bought a box mix of oriental food from our local walmart and wihtin seconds swallowing 2 pieces of general tsos chicken my face turned red and i started to itch all over my upper body.. i used my inhaler and drank lots of fluid and took benedryl.. it went away now every time i eat no matter what it is the same thing happens.. I have looked over all the ingredients of everthing ive eaten over the weekend and they are all things ive eaten regularly and never had a problem with. [\|AI\|] Hello, Welcome to Chat Doctor, As you had the symptoms of allergy to the unknown food products. As you are telling that all the ingredients within that are being used regularly. Did you check for the expiry date whether is stored according to the recommendation, this could have all the possibility to produce symptoms which you had? As it has come down with been Chat Doctor. This is what I can make out with this medical history. Thank you.
The conversation between human and AI assistant. [\|Human\|] I had abdominal tuberculosis 12 years back and has been cured. After 9 years of married i have not conceived yet. Also 3-4 iui s failed & one IVF cycle became failure at the primary stage itself i.e. after 48 hours of egg retrieval the eggs did not fertilise at all. Why the eggs did not fertilise is that due to tuberculosis i had earlier [\|AI\|] Hi, Thanks for your query. I read your query and understand your concerns. Following is my reply: Failure of fertilization is not due to tuberculosis. There might be some problem with egg, sperms or the temperature of incubator in IVF laboratory. I suggest you change over to different IVF center in your next cycle of treatment. If same thing repeats, you may have to consider donor semen / donor eggs. I hope I answered your query. I will be available for any follow-up queries you have. Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] Hi, Im 20 years old and started to get chickenpox yeterday,there is constantly new pox, and now theres one that I accidently popped on my eyelid,it hurts. Can it spread into my eye and cause problems with my vision? Also my penis forehead,underneath the forehead skin,is itching and there is 2 small red dots on it. Is this normal? Os will it cause complications? How long is the period of new pox evolving? [\|AI\|] Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor. I have read your question completely, I understand your concern and will try to help you in the best way possible. I am sorry to know that you are suffering from chicken pox, but I want to assure you that it is usually self limiting, although symptoms are very irritating and annoying. Chicken box can spread to practically anywhere in the body from eye to penis even inside mouth and throat. It is quite notorious infection for mucous membranes, and it can irritate them. Chicken pox on penis are possible even they have been reported inside urethra. It usually takes 7-10 days to recover from chicken pox your doctor must have started medicines, you just have to take them regularly. Don't pop the bumps by yourself they are going to leave marks if you do. Even without popping they can leave marks but you don't have to worry with time marks will go. In next week or so your rash will grow and will reach a peak then it will regress and go away in 3-4 further days. You just have to tale Tylenol for fever and
The conversation between human and AI assistant. [\|Human\|] I feel trapped and I dont know what to do I am scared and I think I am going to do something that I am going to regret and I dont know were to turn I cant get in to a doctor yet please help [\|AI\|] Relax first, there is nothing impossible in this world if one thinks so. Keep courage and think patiently. You are not going to do anything which a sensible person does not do. You may in trouble but there is no way you should feel low. Talk to your relative or a friend because at times they will help you find way of your problem. Take deep breathes and go to an open space and have good cup of tea or coffee, and you will feel better and then with big lions' heart solve the problem. Buy
The conversation between human and AI assistant. [\|Human\|] Dear Doctor, I am 27, weight around 65kg and am 178cm tall. I have been diagnosed with a Grade 1 Fatty Liver . However, my LFT is perfecty normal. I don t smoke , I have never touched alcohol or non-veg food. I have a critical medical exam in around 6 months from now where an Ultrasound would be taken. Aprt from regular exercise (12-15km walk / jog everyday, 10km cyling) and a healthy diet (chapathis, raw vegetables, lack of fried or fatty food), what else could be done to ensure that the Ultrasound does not reflect a fatty liver? I would like to request you to kindly let me know what could be done to burn the fat and ensure that the Ultrasound is normal. Kindly help me out as I need to find a solution to this problem nd get rid of the same in a month from now. Is one month a realistic target? Please let me know. Thank you. Good day. [\|AI\|] Dear Sriram!many thanks for the query. I have gone through your mail in detail and could grasp the contents. Firstly, your weight is just fine for your height. Actually you are a bit underweight. A grade I fatty liver on an ultrasound does not mean anything at all. Fatty liver with raised liver enzymes will require attention and sometimes medication. Otherwise, it doesn't mean anything. You keep up with your regular exercise and diet and nothing else is necessary. A grade I fatty liver in a medical examination will not disqualify an individual from any fitness test. Regards
The conversation between human and AI assistant. [\|Human\|] Hi, I had what was diagnosed as an infected hair follicle drained by a doctor yesterday, she made a small incision and all the nasty stuff was drained, it is on the left side of my bikini line and about an inch in diameter. I am just wondering if it is normal for it to be a little red and hot to the touch after this procedure and for how long please? I have kept it clean and applied damp compresses as advised. Kate. [\|AI\|] Hello, Welcome to Chat Doctor. I understand your concern. It can be red and warm immediately after incision & Chat Doctor. But it should be resolving over time. So, you should expect gradual decrease in pain, warmth and redness. If it is not decreasing gradually or increasing after the procedure (which is less likely if the procedure was done adequately) then it is a matter of concern, and you should visit the doctor again. It is difficulty to precisely say how long the redness and warmth will last as it depends on factors like severity of abscess and extent of procedure, but I can only say it should be decreasing over time, for which you are the best judge to decide. Hope this will be helpful. Do ask if any further question is there. Thanks for using Chat Doctor. Take care.
The conversation between human and AI assistant. [\|Human\|] in 2003 i was diagnised for cellular damage and high levels of protiens. my problem since then is i often get spreading sensation in my body and slightly get panicky.i have heart palpitations.i was on multiple vitamin treatment under a neurologist. my problem still persists. advice please. [\|AI\|] Hi, This is Chat Doctor. Increased heart rate & palpitations can have a lot of causes. It can be normal sinus tachycardia due to anxiety or stress, or it could be abnormal supra ventricular tachycardia. For the diagnosis, you need to do ECG at the time of palpitation & tachycardia. If the duration of palpitations are short enough to reach a nearby hospital, we put a 24hr ECG monitoring (Holder Monitor). You also need to do a 2D Echo & thyroid function test to see for any associated abnormality if any. Thanks
The conversation between human and AI assistant. [\|Human\|] I have been having disturbing symptoms: eyes overly sensitive to any light, ears very sensitive to loud noises, small motor skills, can t control hands in order to do every day tasks, balance and depth perception problems, extreme anxiety, speech and memory problems. forget everything I m doing, can t remember anything even for 5 seconds. This is interfering with my life and work. What can I do? These symptoms are fairly sudden - about 4 months. I am 60 years old. Please help [\|AI\|] Hello! I read carefully your question and understand your concern. In my opinion your symptoms may be related to a panic disorder. The memory problems are of short term memory and are more related to the lack of attention, which is typical in anxiety. In your age I would recommend a good neurological examination and neuropsychological tests to examine better the problem. Other tests like a full blood work and a brain MRI scan would be necessary to exclude secondary causes of a panic disorder syn Chat Doctor. Hope to have been of help! Thank you for using Chat Doctor! Greetings!
The conversation between human and AI assistant. [\|Human\|] Hi - I drank heavily on consecutive nights (Friday and Saturday night) and had a few drinks on Tuesday night preceding a liver panel test on Wednesday. My AST was found to be high (58 on a normal scale of 0-55 u/l). ALT was normal (32 on a normal scale of 0-69 u/l). Should I be concerned or were the drinking sessions of the past week to blame for the elevated AST levels? Thank you. [\|AI\|] Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). Increase in AST is due to liver cell injury which may be due to alcohol intake. It is a matter of concern as prolonged liver injury can cause cirrhosis that is shrinkage of liver which is irreversible. So I will advise you to avoid alcohol. Also, other common and treatable causes like Hepatitis B and C virus, Serum ceruloplasmin for Wilson disease especially if you are young, ANA and SMA for autoimmune disease are to be investigated as they also cause increase in ANTI hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.
The conversation between human and AI assistant. [\|Human\|] I have, a hard black bump just inside my lower lip. I have had it for several months. It seems to move around . it is painless and does not seems to have grown much over the last few months. Sometimes it feels more on the surface and others it seems to hide. Im very concerned and have been having great anxiety that this could be cancerous. Please help. [\|AI\|] Hi. Thanks for your query. Noted the history and understood your concerns. The commonest cause if hard black bump inside the lower lip that sometimes is prominent and sometimes hides can most probably be due to the following reasons:Hematoma that has got organized. Melanoma should be ruled out. This can be done by:Clinical examination by a General Surgeon. Color Doppler studies. And excision with histopathological examination. This will give us the definitive treatment as well as definitive diagnosis to be assured.
The conversation between human and AI assistant. [\|Human\|] does oral cancer, end stage, painful and agonising ? My sisterinlaw has mouth cancer, she was told about 2 months ago the surgery to remove her tongue and jaw was not possible due to the advanced state of the cancer. Now she is at home has gangrene of the neck, dark green stuff coming out of her trach , from her nose down is totally unrecognisable. her demise seems to be long and very slow. is that common ? [\|AI\|] Hi, Thanks for writing in. Sorry to hear about your sister-in-law who is fighting cancer of the oral cavity in the advanced stage. Cancer causes uncontrolled proliferation of abnormal cells in a region of a body. If there is gangrene then there is an infection which is there in the nose. In such situations, it is better to provide supportive care and treatment. Antibiotics are required to reduce the severity of infection and pain relief is important to keep her comfortable. Though we know that nothing much can be done, please provide her adequate nursing care so that she lives with dignity and in peace. Please do not worry.
The conversation between human and AI assistant. [\|Human\|] hi i had someone come into work with a 3 by 3 inch red rash spot on his leg today it was swollen and said it itched, hurt, and had some hard lumps in the middle of it that he said puss came out if he pinched them. He also stated that he had one come up last week on his other leg that was the same thing that lasted for about 4-5 days and then went away. [\|AI\|] Welcome to Chat Doctor. 1. The history suggest the most possible cause will be infected abscess / collection.2. The possible cause could be hair follicular infection. 3. A course of antibiotic will help, if not then a small incision and Chat Doctor. 4. An ultrasound examination will help delineate the nature of the lesion, its source and extensions.5. Depending on the findings - the treatment will be accordingly. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you.
The conversation between human and AI assistant. [\|Human\|] My daughter in law was planning on a tummy tuck in the next couple of months, but was just diagnosed with Lupus. Would it now be unwise to go ahead with the surgery? Shes scheduled for a consultation with the plastic surgeon in two weeks, but will cancel the appointment if this is something that she now needs to forget about. She hasnt had a chance to speak with her primary care doctor yet, because she was notified via email with the results of her blood work. Thank you very much [\|AI\|] Hi ! Well, presently she needs to be evaluated for the disease activity by doing some routine tests like CRP, ESR, Urine R/M, for proteins, RFT etc.. If they are raised that means disease activity is going on. Plus there is a concern about the medications she will be on by your doctor. If she is on immunosuppressive therapy that needs consideration. So, in nutshell she needs detailed evaluation for lupus before undertaking any kind of procedure because that may lead to disease flare. Than. Take care.
The conversation between human and AI assistant. [\|Human\|] Hi, I am a 18 year old female. I have recently had 2 root canals and a tooth extraction because of infection. Is it normal to have a small pea sized bump on the back right side of my head close to the top of my ear? The tooth extraction was on the left side. It doesnt hurt at all and I only just noticed it today. [\|AI\|] Helloo...read through your query...accordingly I feel that bump has no relation with the extraction.also it is in the opposite side...based on the presently explained situation your perfectly fine...bump has no relation to the extraction area...if u have more doubt(I feel u don't have to worry anything at all) u can meet a dermatologist and based on clinical condition u can get the treatment done...hope your benefitted something with this reply.have a healthy day!!!
The conversation between human and AI assistant. [\|Human\|] Hi doctor, i m Faisal, back in Feb 2011 i had angioplasty procedure. Now i am having a tooth ache and its really bad. Please advice is it safe to get it extracted? if not can someone give me a reason for this. I m having really bad pain and these antibiotics arent really helping me out. [\|AI\|] Hello, Your history of an angioplasty should not exclude you from having an extraction. Your medical history needs to be reviewed with your dentist. Out of control high blood pressure would be a reason not to extract until your blood pressure is under control. Taking a blood thinner would require a period of stopping the medication prior to an extraction. Your dentist will consult with your physician. You should consult with a dentist and have an x-ray taken. Antibiotics only control the spread of an infection. You must follow through with treatment. Usual options would include an extraction or root canal followed with a restoration. Anti-inflammatory medications such as Tylenol or Motrin may offer some relief until you visit the dentist. Thank you for your inquiry. I am available for any additional questions and hope you are able to feel better soon.
The conversation between human and AI assistant. [\|Human\|] Dizzy, wobbly legs not really holding me up, looks like a drunk walking around ( I am not drunk) except the wobbly legs lasts about an hour, if I try to carry on as normal as I can. But yesterday that was impossible my legs were too bad to carry on, I sat down, not laid down, passenger in a car after about an hour of sitting down things settled down. [\|AI\|] Dear patient. Thank you for your question. Without a proper physical examination it is very difficult for me to point out what the problem exactly is however I can help you narrow it down1) Nerve conduction abnormality: Peripheral Nerve degeneration scan lead to such symptomsDiagnosis: Motor Nerve and reflex examination and Nerve conduction test which is diagnostic. Causes can be Diabetes, Gillian Barre syn Chat Doctor. 2) Muscle pathology: Conditions like ALS or Fibromyalgia can result in such symptoms however this is extremely rare, and my money is it that is probably a Nerve degeneration disorderAgain I apologize I could not be of much help however the history you provided was less and a neurological examination in such cases is warranted
The conversation between human and AI assistant. [\|Human\|] Ankylosing Spondilitis Question I have been in a flare for nearly five months, feeling pain predominantly in my ribs and thoracic spine . It is very debilitating unless I take my voltaren (25mg) x4 per day and Panadol Osteo x6 per day. I am wondering will this flare up ever go away or am I likely to have this pain for much longer yet? [\|AI\|] HAI, Thanks for writing in, Ankylosing Spondylitis (AS) flare up can be controlled well with medications but cannot be avoided. You have to take proper medications for AS to avoid the progression of the disease. Seems you are only taking NSAIDs for AS. Discuss with your doctor regarding starting you on Awards like Sulfasalazine. Sometimes acute flare-ups need steroids with/ without dose modification of Awards. You have to take medications for AS regularly as advised for life long to control the disease progression. Physiotherapy is very important to keep your back flexible. Taking NSAIDs for long term might cause gastritis and renal impairment. Take them as per your doctors' advice. Wish you a good health. Regards.
The conversation between human and AI assistant. [\|Human\|] Am I pregnant? I am currently 2 weeks late on my period, I done a test when I was 2days late but have been told it has been too soon, I have been feeling very run down the last few days and tonight we had unprotected sex again and he came inside me, does this higher my chances of getting pregnant? Or am I pregnant? [\|AI\|] Hi I think you should do a urine pregnancy test again. It will confirm whether you are pregnant or not. Overdue of 2 weeks may be a sign of pregnancy. Repeat intercourse can increase the chance of pregnancy if you are not pregnant because sometimes ovulation is delayed and thus periods get delayed. So do a pregnancy test and if you don't want a baby consult a doctor. If test is negative then go for an ultrasound, and you can take medicines for inducing periods after consultation with a doctor.
The conversation between human and AI assistant. [\|Human\|] Hello my 2.6 years boy is having fever. Can if i use paracetemol250 alone is enough or do i need to use antibiotic also? Or else please give me prescription. Usually we use Fepanil125 till now for normal fever and SUMO for high fever. What do you suggest. [\|AI\|] Most of such fevers are caused by viruses where antibiotics are ineffective. So, you do not need to give antibiotics. Paracetamol helps in reducing fever. If you use paracetamol 250 mg/5 m syrup, you will have to give half the amount in ml than if you had given 125 mg/5ml syrup. How much you need is dependent on the actual weight of the child. Email contains paracetamol, but Sumo contains paracetamol 125 mg + Nimesulide and I would not recommend the use of the latter. You may use Metal P instead. It contains metonymic acid and is more effective in reducing temperature. We cannot give you prescriptions through this platform. It is just to enrich your knowledge so that you can deal with your situation better.
The conversation between human and AI assistant. [\|Human\|] i am asking this for my husband.Last month he has diagnosed as B/L varicocoele R>L. would you plz give me the relevant advice . we are trying for the pregnancy for 6 months. semen analysis report on 19/03/11 is ; liquifaction time -10 mt reaction - alkaline volume - 1 ml microscopy pus cells -8-10/hpf 1-3active spermatozoa seen in whole field now he is taking T. HI Q &T.CARNISURE 500 by aneeshya [\|AI\|] Hereafter semen analysis, there is 1-3 motile sperms only, while normally for a fertility require 48 million / ml (sperm counts) . In your husband NEARLY it is azoospermia. While motility require is. 63 % and > 13 % exhibiting normal morphology. Now your husband is taking tablet HIS and Carlisle 500, but I doubt these tablets improve SPERM counts. In my opinion note down this thing:Operation for varicocele is not indicated unless there is :1 Pain2 Serious depression of SPERMATOGENESIS (OLIGOSPERMIA OR AZOOSPERMIA). So your husband require SURGERY for varicocele, thereafter get in semen analysis for further evaluation of case. Good luck.
The conversation between human and AI assistant. [\|Human\|] i m 48 years, i take alcohle last 20 years, my reports LFT, RFT & LIPID PROFILE are Dear JAGDEEP , Results- Test Name : LFT- ( Parameters :- Billirubin TOTAL-1.72,Billirubin DIRECT-0.70,SGOT-46,SGPT-102,ALKALINE PHOS ADULT-136,ALKALINE PHOS CHILD-,PROTEIN-7.4,ALBUMIN-4.2,GLOBULIN-3.2,ALB / GLOB RATIO-1.3 ) , Test Name : LIPIDOGRAM- ( Parameters :- Tryglicerides-87,Total Cholestrol-152,HDL Cholestrol-47,LDL Cholestrol-88,VLDL Cholestrol-17,Ratio-3.2 ) , Test Name : RFT- ( Parameters :- UREA-22.0,S CREATININE-0.97,URIC ACID-6.9 ) , Test Name : TFT(T3, T4) normal all is well or not [\|AI\|] Hello, You can have steatohepatitis due to alcohol intake. Your reports are suggestive of liver affection. So I suggest you investigate further with USG abdomen scan for further workup. Meanwhile, you can take vitamin E tablet and Adílio for primary management. You should avoid alcohol use due to liver affection. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] Hello Dr , Me and my husband are facing strong itiching problem at our panty lines with red rashes over there and these itching increases at night strongly Also ths red rashes are spreading near our private parts and that too itches full day and ng that rashes also itches alot ..please help us to get rid of this issue and also help us knw the cause of this itching and rashes...Ur reply is awaited Thanks... [\|AI\|] Hi, brief answer: Tina crurisdetailed answer:as per your history, you and your husband have fungal infection called idea cruris.my treatment advise would be:1. Maintain hygiene.2. Take bath daily.3. Wear loose cotton clothes.4. It may take at least 2-3 months to heal completely, so treatment has to be continued for 2-3 months.5. You may take a course of oral antifungals for 3 months of cap itraconazole 100 mg twice a day for 7 days every month after consulting a dermatologist.6. Also, you may take tab levocetrizine 10 mg twice a day for itching.7. Also, you may apply topical antifungals like fluconazole cream twice a day. Wishing you good health. Thank you
The conversation between human and AI assistant. [\|Human\|] my fiance woke last night with what looked like a severe sunburn all over him he had very bad diareahha and then got some chills his eyes were red and blood shot and his heart beat very elevated. we had dinner out and this happened about 3 hours after [\|AI\|] HI, thanks for using Chat Doctor It is likely that the symptoms are related to an allergic response to some component of the meal used. The diarrhea would have caused increased heart rate because of the fluid loss. He needs to replace the fluids and electrolytes that he lost due to the diarrhea. This can be done with oral rely Chat Doctor. An oral antihistamine may help with the rash and paracetamol with his fever and chills. If his symptoms do not resolve or worsen, it would be best to see his doctor for assessment. I hope this helps
The conversation between human and AI assistant. [\|Human\|] I have had a kidney transplant for 13 years from my son, after going through Large B cell Lymphoma At MD Andersons lastr year, The first chemo round, I was tested and was found completely clean of cancer, I did 3 more rounds of chemo at thier request, Each time i was set through PEP/CT and found clean, I went last March and Aug 28 to retest, Still nothing found, Also did 28 days of Radiation through Dec 2012, after being back form retesting my transplanted kidney started to leakig or shedding protein, this was found out by my GP s nurse practicianer at my resquest due to abnormal dark urian, I need to see a nephrologist, how do I go about finding a good knowlegable kindey specialist in Sheveport La. [\|AI\|] Hi, Welcome to Chat Doctor forum. You had a kidney transplantation 13 years back, and had beta cell lymphoma, and had several chemo rounds. The time-lapse, and chemo load both may contribute for the kidney changes. To know the reason may not be possible by any doctor. The thing in front of you is to find the condition of the kidney, and what is the treatment for it and to know the prognosis. From our side it is possible to know the facts in depth by our ask a specialist, there you can have approach to a nephrologist, and clear your doubts by direct approach. Wishing for a quick and complete recovery. Thank you.
The conversation between human and AI assistant. [\|Human\|] dear dr, my friend is affected by TB IgG positive. She is geting the value for TB IgG is 625 ( refferance 135 - 235 ) her age is 28y. she is not able to consive. give the solution for thi problem immediately. [\|AI\|] Hello Kennan;welcome to Chat Doctor Egg positive of TB suggests old infection and not an active infection. The reason for problem in conception of your friend can be many like irregular periods;PCs;TB;Ovulatory cycles;male infertility etc. just to name a few. There is no immediate solution for it and your friend, and she has to get investigated fully to find the cause and once the cause is treated she will become pregnant. So tell her to consult a Gynecologist and get treated. Thanks
The conversation between human and AI assistant. [\|Human\|] I live in France. A sonogram detected a 19 mm polyp in my bladder in May. The scan was prompted by the presence of hematuria. This was followed by a thoracic, abdominal and pelvic MRI which detected no other abnormal growths. I completed a 2 year regimen of prednisone to control Hortons disease and feel that this was the causal factor for this growth. I finally weaned off the prednisone in August of this year. By utilizing some of the protocols of Drs Nicholas Gonzalez and James Forsythe I was able to stop the bleeding, but at a friends birthday party this past weekend I consumed about 2 ounces of champagne and the bleeding resumed with a vengeance. I am seeking an integrative oncologist in southern France. Can you recommend one? [\|AI\|] Hello and welcome to Chat Doctor, I will take an opportunity to give an opinion regarding your problem. Was the polyp removed from your bladder? If yes, was it examined microscopically? Hematuria is caused by different causes like disorders of kidney, bladder stones and growths in the bladder. Cystoscopically, a polyp is detected in the bladder. This polyp could be benign or could be malignant. This polyp needs to be removed and sent to a pathologist for microscopically examination. If no malignancy is detected no further treatment is required. If malignancy is present, surgery and/OE chemotherapy is required. So, first you need to consult a surgeon for removal of the polyp. Thanks and take care Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] White 62 year old male with pain on balls of feet, primarily right foot with topical swelling between big and first toe on right foot only. Work involves walking or standing on concrete for up to 10 hours daily some time on stress mats ( but I also add a layer of cardboard to mine which really minimizes the discomfort). Some pain ( 7 of 10)when I press down on the second ( first to the right of big toe ) on right foot. Help [\|AI\|] Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint pain in ball of the foot also known as METATARSAL that occurs due to inflammation in the area of metatarsal bone while lies in the region of your ball of foot. In your case it seems to be due to long persistent standing hours. Other causes can be:-Obesity.-Stress Fractures.-Arthritis-Ill-fitting shows.-Diabetic Neuropathy.-Bunion etc. I would suggest you to consult an Orthopedic and get evaluated and a thorough clinical evaluation and investigations like x-ray, MRI Scan, blood tests to check for arthritis, gout and diabetes can help.-You can be advised to take anti-inflammatory painkiller like Ibuprofen, Naproxen.-Do cool compresses over the foot.-Limit standing hours.-Avoid excess exertion and also high impact exercises.-Insoles or Orthotics can also be advised.-Avoid high heels and wear flat shoes/candles.-You can also be advised Physiotherapy for relief. In case if there is no resolution at times steroid injections and surgical treatment can also be advised. Thanks and regards. Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] Yes, I have Marfan s and I ve been on atenolol for years. My aorta is 3.9 and today at my 6 month check up , my cardiologist wanted to put me on losartan 25 mg. I am scheduled for an echo next week, what if it has increased in size, will it hel p? [\|AI\|] Hello! Thank you for asking on Chat Doctor! I understand your concern and would like to explain to you that Marian syn Chat Doctor. Aortic wall consistency may be damaged, manifested with aortic dilatation and aneurysms, sometimes leading to aortic wall dissection. Thus, it is of utmost importance to follow up aortic dimensions and structure, in order to be right in time for any needed intervention. Facing your actual aortic diameter, seems that it is around the upper limit of normal. So, you have to be very careful with your hypertensive therapy. Beta-blockers (Atenolol) are the main stay of therapy. You have to follow your doctor advice to start Losartan even at a higher dose, if it is judged necessary for controlling blood pressure. To may try other antihypertensive medications as well (always under medical advice and supervision). If aortic diameter increases more than 50-55 mm, despite appropriate therapy, then a strict supervision for a near and potential aortic surgery would be necessary (to avoid a fatal aortic dissection and rupture). Hope to have been helpful. Greetings!
The conversation between human and AI assistant. [\|Human\|] I had a blood infusion done and followed up by an immediate blood test, cbc. Two hours later my Doc called and said my hgb level dropped and had to get an immediate blood transfusion, second one in two weeks. Does the iron infussions cause my hgb s to drop like this always? [\|AI\|] Hi, Thanks for asking. Based on your query, my opinion is as follows.1. No, iron infusions do not reduce hemoglobin levels.2. Chat Doctor. Hemolysis could be due to allergic reaction to iron (possible, but it would be severe) or other causes, which a peripheral smear would identify.3. If you have severe anemia or mild and moderate anemia with cardiac failure, then only blood transfusion of packed red cells is necessary. No, iron infusions never cause. See, if you have allergic reaction. Hope it helps. Any further queries, happy to help again.
The conversation between human and AI assistant. [\|Human\|] My leg below my knee stings or burns when touched. I first noticed a few weeks ago I knelt down and it felt like rug burn when it touched the rug. Now it feels the same when my pant leg touches something. For example, my leg touched the inside of my car when I was reaching for something and it stung or burns. Also now my toes feel kinda funny sometimes, I don t know if they re related to each other. [\|AI\|] Hi, Thanks for the brief history of you. As you mentioned the abnormal burning sensation while touch then it's a sensory disturbance across the course of the nerve. For which simple exercise for strengthening the core, spinal muscles and lower limb will be of guidance. Nerve sensory dysfunction can be of many causes but most of them are controlled by accurate exercises and proper rehabilitation.in case the symptoms are getting worse than a lumbar spine MRI, NCV and EMG reports will help to analyze further. Regards
The conversation between human and AI assistant. [\|Human\|] Hi when I stand or walk for a short time period it begins to be pain like a no circulation pain in my right thigh on down to the point that my foot feels swollen. If I ignore the pain and continue standing or walking the right side (my knee on up) begins feeling numb. When I sit to relieve it hurts. A year ago I was 221lbs I did not have these problems. I lost weight to be 167 I am now 178, and 5 4. What could be wrong with me. [\|AI\|] Hi, Thank you for providing the brief history of you. A thorough clinical neuromuscular assessment is advised followed by an MRI of lumbar spine. Since, the pain is of the radiating nature, it looks more of a pinched nerve in the lumbar spine, where you are getting the symptoms of pain and numbness. Also, post clinical assessment the level of nerve can be assessed which is pinching. Treatment options will be made simple with physical therapy and recovery will be obtained in 3-4 weeks of time. Maintenance of the muscle strength has to be continued to avoid long term injuries. In my clinical experience, the majority of patients respond well to physical therapyRegardsJay In Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] my son is 29yo.several wks ago ,for about 4-5 days,he had tingling of arms and legs. At the exact same time,he had whooshing in head that was worse when he moved his head and neck. He has hx of sinus surgery 5 yrs ago. Hx of brain tumor ,7 yrs ago. follow up MRI every 6 mos to. . 1 yr. NEVER changed . Primary doc did all blds, vit B,lyme, and a brain MRI ALL were Neg. Neuro or ENT?Sounds Like ????? [\|AI\|] Hello! Welcome on Chat Doctor ! I read carefully your question and understand your concern. You should know that his complaints could be related to a cervical spine lesion or a bulging disc in this region. Considering his past medical history for brain tumor (which may sometimes lead to medullary seeding), I would recommend performing a cervical spine MRI study. You should discuss with his doctor on these issues. Hope you will find this answer helpful! Wishing all the best,
The conversation between human and AI assistant. [\|Human\|] Hi yes I have been suffering with lower back pain for around a year now. I have what feel like small marbles either side of my lower spine. I m 34 but feel 84. Chiropractors just seem to suck me dry of Money but fail to resolve anything. I m not one to complain but I don t wanna live with this forever [\|AI\|] Hi, Thank you for your query. I can understand your concerns. It seems that you are having chronic lower back pain which has not been relieved with treatment received so far. Other treatments that may be recommended if your pain does not improve with medicine and physical therapy include:Epidural injectionSpinal surgery, only if you have nerve damage or the cause of your pain does not heal after a long timespan cord stimulation, in which a small device sends electric current to the spine to block pain signals Some people with low back pain may also need Job changes. Small marble like lumps on either side of your lower spine could be either multiple neurofibromas or lipomas. Nature of lumps can however be assesses properly on physical examination only. Regards
The conversation between human and AI assistant. [\|Human\|] hello sirmy self kiran .... recently i got engaged wid one of ma fren...we met for 2-3 timesnd d guy has told me dat he has got some premature ejaculation problem...nd he says like i should take dis condition as if he is on d worst stage....can u plzzz tell me...wat can b d conditions bad 4 melike can i get pregnent if i get married wid himcan v njoy totally sex married life or notreallly sir i will b very thnkfull to u....if u can guide me....thanx a lot [\|AI\|] Hi, Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes. Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Premature ejaculation may occur with a new partner. It may happen only in certain sexual situations or if it has been a long time since the last ejaculation. Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. In many cases premature ejaculation gets better on its own over time. Treatment may not be needed. Practicing relaxation techniques or using distraction methods may help you delay ejaculation. For some men, stopping or cutting down on the use of alcohol, tobacco, or illegal Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Take care
The conversation between human and AI assistant. [\|Human\|] I have a quick question. Last year, I struggled with self-harm for a brief period, but stopped on my own never having sought help. Then, last weekend, I did it again. I dont plan on doing it again and feel I can stop on my own. Should I still seek help? [\|AI\|] Degree understand your concerns went through your details. I suggest you not to worry much. Though the question seems simple, there is supposed to be more to it. Every behavior has its reasons. If you behave in such a way that you harm yourself, even just once, why? I need an answer to the above question. Generally self harming behavior comes out of anger and frustration. Both these emotional outbursts can go out of hand. Then another question comes forth. What was your emotional state when you tried to harm you in both those occasions? Please, You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck.
The conversation between human and AI assistant. [\|Human\|] My Mother, 84, has postural hypotension, COPD,severe osteoarthritis,.Blood pressure drops when stands. On medication to raise blood pressure, wears elastic stockings, takes iron, eats lots of salt and drinks gatorade;still BO drops when stands. Is getting bedridden. [\|AI\|] Blood pressure Chat Doctor. Athis pooling causes decrease in blood pressure. Medications, elastic stockings and other measures will help in this condition. Apart from the above measures, I would suggest getting up slowly from the bed to avoid any sudden dip in blood pressure. Medications may need dose titration in such cases for optimized effect. Consult your physician and do follow the prescription. Hope the above information helps you. Thanks.
The conversation between human and AI assistant. [\|Human\|] I am a 76-year old female with atrial fibrillation, having logged blood pressure for 3 months. BP is good, heart rate is consistently staying at 100+ and irregular heart symbol, according to digital BP machine. This I have discussed with triage nurse and am to see heart doctor next week. Am in good health, have no stressors in my life except am a caregiver for my husband. No problems there either. After logging BP s for over 3 months, the doctor changed me from Propranolol 240 mg per day to Metoprolol, just last week. It seems my heart rate is still increasing with no apparent reason off and on the last few days, BP still fine. Still having the irregular heart symbol off and on. No chest pain, no shortness of breath or discomfort. Just the quivery feeling when the heart rate is up. I am resting more. No exercising, just the trips to store at this time. [\|AI\|] Hello as you describe you fall in the triage of persistent /permanent AF. With all studies it has been proved that controlled rate gives equivalent as to bring rhythm (irregularly) under control, so you will have irregular heart rate mostly forever, and you should not be worried about it. However, you need to bring heart rate under control, so they will increase the dose of metoprolol or add another Chat Doctor. Also, I recommend you to be on anticoagulants (a kind of blood thinner) to prevent clot formation and avoid future risk of stroke
The conversation between human and AI assistant. [\|Human\|] My sister is 3 years old and has a history of poor appetite, ear infections, and poor immunity. 3 weeks ago she began having bloody, foul smelling diarrhea containing mucus. The doctor did a stool test and determined nothing other than that she had some sort of lower abdominal issue, so we removed gluten and lactose from her diet. The chronic diarrhea continues, and she is losing weight rapidly. What could it be and how do we proceed? [\|AI\|] Hi... Thank you for consulting in Chat Doctor. I understand your concern. I have a few questions and will suggest few possibilities. Questions:1. What was the birth weight and what is the current weight?2. How is the attaining of developmental milestones?3. Is the stool oily and floats in the pan?4. Is there any color change in the hair or skin?5. Is there any history of recurrent serious infections? Possibilities:1. Chronic diarrhea - ? Fat malabsorption2. Micro Nutrient deficiency3. Immunodeficiency either primary or acquired. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
The conversation between human and AI assistant. [\|Human\|] 1st, sorry for my english! 2nd, I got hit(3-4 days ago) in the stomach near my hips. 1st days it was painfully to walk or change position (sit, or stand up). Today it aint that bad but the worst is when I sneeze or cough, its very very painfully so I have to hold myself to not do it.I dont have any visual sign. Is they something that could be dangerous? Thx for answering me and sorry for my english once again. [\|AI\|] Howell come to Chat Doctor No need to sorry for English you really narrated in good manner, if this is history of fall and having pain while sneezing or coughing if this is so, possibility of soft tissue swelling may be likely, and better to get done the x-ray of injured part for better diagnosis, till then pain can be managed with following medicines 1) Tab Acetaminophen 500 three times in day2) Tab Ibuprofen 400 mg three times in day this would come around after few days if no serious injury is there, have a nice day
The conversation between human and AI assistant. [\|Human\|] My father was diagonised with Carcinoid cancer and recently has had mood swings...being angry one minute, mad the next, or even sometimes not realizing his anger. He takes octriotide(sp) injections along with another pill (the name escapes me right now) but it is relatively new. Is there a certain diet he should be on to avoid these mood swings. Please advise... [\|AI\|] Thanks for your question on Chat Doctor. Cancer itself can be a reason for such psychological behavior. Depression in cancer patient is quite common. So consult psychiatrist for this behavior. Another possibility is carcinoid tumor which secrets histamine and VMA. This substance s can cause such symptoms. Other possibility is spread of carcinoid in brain causing such symptoms. So consult psychiatrist for this.
The conversation between human and AI assistant. [\|Human\|] i cant get pregnant even after using ovulet tablets and my husband using addyzoa am 30 years i have been usingovulet and my husband using addyzoa for past three months but all in vain.pliz help [\|AI\|] Hello, Welcome to Chat Doctor. You have not mentioned since how long you have been trying for pregnancy because infertility is termed only if after 1 year of unprotected intercourse, you are not getting pregnant. For conception, try having intercourse every month around your ovulation days as it is the best time for conceiving. It usually occurs regularly, around day 14 of a 28-day menstrual cycle. The best timing of intercourse in order to conceive is day 10, 12, 14 and 16 (in case of late ovulation) of a 28-day cycle. You can use an ovulation predictor kit for detecting the ovulation time also. After intercourse, do not wash immediately and keep on lying for half an hour. If still you are unable to conceive, then the various medical causes need to be investigated. Consult an infertility expert then. Hope it helps. Regards.
The conversation between human and AI assistant. [\|Human\|] I had a crainiotomy the 5th and yesterday hit the top of my head past my incision. It was on the inside door frame of the van. I called my neurologist and they know. I have pain but no bleeding or passing out nothng ike that. However, just now I tried singing and now have throbbing jaw pain on the right side same side as I hit my head [\|AI\|] Hi Dear, Understanding your concern. As per your query jaw pain after head injury is because of two reasons. One is TMJ dislocation and other is jaw fracture. Sometimes due to sudden jerk or wrong opening of mouth TMJ get dislocated from its socket or also get fractured. I would suggest you to restrict your jaw movements, do not sing, avoid eating hard food, try to eat soft or liquid diet and consult oral surgeon. Doctor may order orthopantomogram of face to find out exact cause. Doctor may clinically reduce the jaw into its socket if jaw is found to be dislocated. If there is fracture the wiring will be needed. Doctor may also prescribe muscle relaxant. For now tie a bandage around head and jaw to restrict movement. Hope your concern has been resolved.
The conversation between human and AI assistant. [\|Human\|] my MRI of lumbar spine reveals disc dessication with mild posterocentral disc bulge at L4-L5 level causing indentation over ventral thecal sac . What is the treatment and what precautions should i take. I had my first episode in April 2012, and again about 3 days back. both the times there has been severe pain lasting for a more than a month the first time. please help. [\|AI\|] HelloUsually 1-2 attacks of low back pain (in young age) are self limiting and not need much medication. But you have to follow the precautions so that you don't get such type of pain in the future. 1. Alternate hot and cold fermentation.2. Use hard bed to sleep, avoid pillow.3. Do not massage it, only apply anti-inflammatory gel gently to reduce pain. 4. Do regular physiotherapy and exercise by consulting you physiotherapist.5. Avoid all long term sitting, standing and Chat Doctor. 6. Avoid jerky movements of back. Hope this will help you, and you have a pain less spine. Best Wishes
The conversation between human and AI assistant. [\|Human\|] VERY URGENT PLEASE HELP!!! My Mother is 52 Years of Age. She is Suffering from Obstructive Jaundice Since 2/06/2010(June10). She is a High Diabetic Patient since last Three Years. I am giving the Report Details because I dont understand any thing and at present i want your advice what to do or what not to do??? she Had an Operation -Open Cholecystectromy on 09/09/2009. USG- CBD & 9 HBR dilated SOL blocking CBD. Liver- Palpable firm Umbilical Hernia +ve LFT- Bilirubin 20: Un-conj=3.7 Conj=15.2 Urea/ Creatinine WNL P Line = 14.5 Sec (Control 13 Sec) MRI Report: Soft tissue mass at porta causing high biliary obstruction-? Cholangiocarcinoma FNAC : The overall cytomorphological features are of well differentiated adenocarcinoma of the biliary epithelium consistent with Cholangiocarcinoma. CT Scan of Upper Abdomen: Infiltrating mass at porta causing biliary obstruction at confluence- likely cholangio-carcinoma Infiltration of duodennal wall by mass * Sub centimetric periportal & upper retroperitoneal nodes. Please suggest what steps shall i take furthur? Please!! [\|AI\|] Hi, In this case it seems like there is a tumor which infiltrates extra hepatic biliary ducts and this tumor is advanced. Considering these findings, or you should consult oncologist and surgeon to see if surgical therapy is possible in this case or chemotherapy is the only option. I hope I have answered you query. If you have any further questions you can contact us in every time. Wish you a good health. Kindly regards,
The conversation between human and AI assistant. [\|Human\|] What is the best way to get pregnant. We ve been trying hard for one year.. I am also under the care of an obgyne..and still not get one..I took medicines and some injections for my follicles..my husband s sperm count is very good and normal..I hope u can help me..thank u. [\|AI\|] Hallow Dear, Since your husbands' sperm count is very good, one issue is sorted out. Now considering failure to conceive for one year, you will have to undergo certain evaluations to assess your fertility capacity. 1. Evidence for Ovulation: Ovulation can easily be assessed by ultrasonography and home kit. However, initial evidence by ultrasonography has many advantages. It provides direct visual evidence of egg release. Moreover, we can see the size of the follicle before it released egg. Follicle of the size between 18 mm and 21 mm size produce the healthiest eggs who have better possibility of successful pregnancy. Also, it provides information about lining of the uterus (endometrium). Endometrium of thickness between 9 mm and 14 mm is most conducive for successful implantation of the fertilized ovum. Once you locate the day of ovulation, sexual activity can be planned on and around the day of egg release. Microscopic study of the endometrium in the second half of menstrual cycle also can provide evidence of ovulation. Hysteroscopy gives the visual impression of endometrium and then biopsy of the endometrium can be taken for microscopic study. Hysteroscopy will also give information about any abnormalities, diseases or adhesions in the uterine cavity. Hormonal study like FSH, LH, Progesterone, Estrogen and Prolactin can throw a light on the function of the genital system. 2. Patency of the reproduction tract can be assessed by Hysterosalpingography in which X-ray of the uterus and tubes is done after filling radio-opaque dye in the uterus. Laparoscopy also can give this information. Laparoscopy also provides information about the external appearance of the internal genital organs. If any issue is detected, it will have to be treated accordingly. If all the findings are within normal limits and still you fail to conceive, then it becomes an unexplained infertility when Artificial Reproduction Technique may have to be followed. Please report to an Infertologist. I hope this should help you.
The conversation between human and AI assistant. [\|Human\|] 36yrsn 5inches n wt 62kg im taking for cholestrol tab explended 10mg,ascard75mg,tab xanax.5at nigt but i feel continue vertgo all the day even B.Pis normal some times high130/90 SO IM TAKING TAB NORVACS5MG BUT NOT WELL ALL REPORTS NORMAL LIPID PROFILE WAS RAISED BUT NOW IN CONTROL SINCE 1YRS I HAVE CONTINUE ABOVE SAID COMPLAIN BUT VERTIGO ALL THE DAY SO CANT SURVIVE LIFE AS A NORMAL CONDITION [\|AI\|] Hello, Your symptoms could be related to an inner ear disorder. Another possible cause to consider would be thyroid gland dysfunction or a central nervous system disorder. For this reason, I would first recommend consulting with an ENT specialist for a physical exam and labyrinthine tests. It is also necessary checking your thyroid hormone levels. The next step to follow would be to perform a brain MRI, in order to examine your brain. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] a person aged about 17 yrs of ht 5 ft 12 inches, around 75 kgs with no significant past history had rt sided chestpain radiating to rt shoulder and arm and burning sensation on the same side and was feeling difficulty in talking and breathing .he was unable to lift rt hand properly.what may be the cause an its diagnosis ? [\|AI\|] Thanks for your question on Chat Doctor. I can understand your concern. Right sided chest pain with radiation to right shoulder joint and breathlessness are commonly seen with lung diseases like lung infection and bronchitis. So we should first rule out these. So consult pulmonologist and get done 1. Clinical examination of respiratory system.2. Chest x-ray 3. PUT (pulmonary function test). Chest x-ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. He will mostly recover with antibiotics, inhaled bronchodilator and inhaled corticosteroids. So first diagnose him and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
The conversation between human and AI assistant. [\|Human\|] I injured my lower back 2 weeks ago. The pain went into the inner thigh and now extends in part down the inner leg to the foot. I am unable to properly bend the leg, and a dull ache remains in lower back and buttock. Most noticable thing however is swelling of leg and foot and what feels like muscle knots in places where the most intense pain is. Age 40, Average weight/height. [\|AI\|] Welcome to Chat Doctor I have gone through your query and understand your concern. At present, you need analgesic such as ibuprofen for pain relief. Physiotherapy will be helpful. You are also advised to get your vitamin D3 done and if found low you can get vitamin D3 supplements. You can further investigate the case by doing MRI of lumbar spine. Swelling of both foot can be also due to heart related condition, so you can get your heart condition examined. You can discuss with your treating Doctor about it. Hope I have answered your query. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. Wishing you good health. Take care.
The conversation between human and AI assistant. [\|Human\|] i had elevated bilirubin for more than one and half months.sometimes bilirubin is 1.7, 1.8 ,2.4 etc but my others results in LFT are normal. For quite some time in this period i had also consumed some antibiotics like levoflaxcin etc for some my UTI related problem. Now im ok and had stopped these. yesterday i had got LFT and my bilirubin is 1.47 rest all results ok. Now i m taking liv-52 2 tablets thrice in a day. is this will work and i will be fine? should i control my diet also bcz i m very fond of eating and drinking ( drink once in 2 weeks but had stopped in this period ) [\|AI\|] 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. It depends on the cause of elevated Lots. In case of fatty liver, it will help. But in case of cirrhosis hepatitis or biliary issues it won't be helpful. The next step is to look for certain liver damage and most common case is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additional done. Then appropriate treatment can be started. 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.
The conversation between human and AI assistant. [\|Human\|] My son was bitten by a monkey 2 years ago he was 4 years old then. My husband said it wasnt dangerous so we didnt take him to a doctor. It healed within in 2 days, but i heard today that it could be dangerous. What are the possibilities Im very scared [\|AI\|] Hello, Welcome to Chat Doctor, Monkey are known reservoir of rabies, and it has all the potential to transmit rabies. If your son was bitten by a monkey he should have received post exposure prophylaxis. As it is 2 years after the exposure, the chance of getting rabies will be less. The PEP includes1. Washing the wound thoroughly with soap and water.2. Active immunization with anti rabies vaccine on days 0, 3, 7, 14 and 28.3. Passive immunization with anti rabies serum.4. Oral antibiotics like Tab Augmenting, twice daily for 5 days. Thank you.
The conversation between human and AI assistant. [\|Human\|] hi im 14 years old and mum said im eating to much cheese and i need to go on a good dieat becase my dad has a veary bad heart and since i have been eating alot of cheese i have shortness of breath and pains ubove my ribes i haveent told my mum about it becase she worryes to much what can i do to fix it plz help [\|AI\|] Thanks for your follow-up question on Chat Doctor. I can understand your concern. At your age of 14 years, shortness of breath and chest pain are mostly due to lung pathology. But since you are having strong positive family history of heart disease in father, and you are eating too much cheese (cholesterol), first get done ECG and 2d echo to rule out heart diseases. If both these are normal then no need to worry about heart diseases. Consult pulmonologist and get done clinical examination of respiratory system to rule out lung pathology. Better to avoid excessive cheese in diet and start regular exercise.Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
The conversation between human and AI assistant. [\|Human\|] I am from PAKISTAN. My mother is having hole in her left ear and gets infection every month. she visited many ent specialists they give medicines to eat and drops to put into ears. but after some time again water starts coming out. today she has again infection in her ear. she cant hear when we speak normally. and uses hearing aid. but when gets infection she stops using hearing instrument as she says i feel uncomfortable. please tell some remedy and drops which can work for her. she puts cotton full of vaseline into ears while taking bath sothat wayer couldnt enter into ear but even then she gets infection. [\|AI\|] Hi, From history it seems that she might be having chronic middle ear infection producing perforation in her ear Chat Doctor. Go for culture and sensitivity test of ear discharge. This will give information about organisms causing this infection and antibiotic medicine very effective against this organism. After report your doctor will prescribe long course of specific antibiotic medicine. There might be having healing of ear
The conversation between human and AI assistant. [\|Human\|] my husband has had a pressure on the center top part of his brain for about 3 years now, accompanied with nausea , dizziness , loss of appetite , sleepiness. What possible conclusions can this lead to? He s had MRI, CT Scan both neg, went to ENT for allergies (didn t get better) he had 2 Spinal punctures and they found slight meningitis, but the neurologist said it wasn t anything to worry about. These tests were done a year ago and he s worse now then he was then, and I m getting worried! We no longer have insurance, but I want him to get better, any suggestions on what his diagnosis could be? [\|AI\|] Hi, You should be repeating the CT Scan or MRI head to rule out any Brain Tumor or if to see is the Meningitis is completely cured. If it is meningitis and is completely not cured, there are chances of his symptoms recurring back. The cause for this has to Found out like TB Meningitis or something else as treating the cause will definitely help. If TB Meningitis is confirmed, he will have to take Medicines for 6 Months at least for complete cure. Take him to a Neurologist for a second opinion at the earliest. I wish him Good Health, Good Luck.
The conversation between human and AI assistant. [\|Human\|] Hi i jus got my wisdom teeth pulled the day before yesterday....2 on the top and 1 on the bottom right. My face is really swollen and its traveling to my eye and it really hurts to open my mouth so its hard to see if it my jaw bone causing the pain or if it the actual socket ...i really need help the pain meds arent really woeking [\|AI\|] Hias per the information provided by you, the pain and discomfort you are feeling is the result of inflammation due to traumatic wisdom tooth extraction. The pain on opening the mouth is due to injury to the mastectomy muscle while injecting the anesthetic deep in the muscle to numb the operating site. These symptoms are going to stay for 2 to 3 days more.unless it's a Chat Doctor. Take the prescribed painkiller and take rest for medicine to take effect. If the symptoms persists for another 2 days then see your dentist again .wish for your quick recovery. Take care
The conversation between human and AI assistant. [\|Human\|] I have been having moments lately where my heart feels like its trying to jump out of my chest all of a sudden that come and go. Today I noticed that after wards I couldnt laugh because it would happen again. When I was younger I had a heart murmur. Is this it coming back? [\|AI\|] Thanks for your question on Chat Doctor. I can understand your concern. Yes, worsening office heart murmur can cause similar kind of palpitations. Actually heart murmur can cause arrhythmia (rhythm disturbances in heart). Some tachyarrhythmia like supra ventricular tachycardia (SVT), atrial fibrillation, atrial flutter etc. can cause pounding of heart. So get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). On the basis of these reports, you will need anti arrhythmia Chat Doctor. Don't worry, you will be alright with appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
The conversation between human and AI assistant. [\|Human\|] left brain painim suffering from pain in my left side of brain from few days. It happens 1 or 2 times a day for few seconds or 1,2 mins. I noticed mostly it occurs when i playing games on my phone. Is this a eye disorder?? or something else??.. kThanx [\|AI\|] 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. This can be due to refractive Error. Please consult your ophthalmologist first and neurosurgeon after that 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://yyy.ly/yyyyyyyyyy Best Wishes for Speedy Recovery Let me know if I can assist you further. Take care.
The conversation between human and AI assistant. [\|Human\|] Hi, I had root canal therapy 2 days ago. I have slight swelling above the canine tooth that was treated, that extends up to an inch below my eye. I am on amox antobiotics. No pain....Is this normal? I spoke to my dentist yesterday morning and he said he wasnt surprised, and to keep taking antibiotics... [\|AI\|] Helloo...read through your query....slight swelling after root canal treatment is usual...its just sign of inflammation due to instrumenting etc...nothing to worry.continue antibiotics prescribed by your dentist(its perfect).after a week it will be reduced...do salt water gargle.and don't bite in that area for few days till a crown is placed...and be happy and cool...hope your benefitted something by my reply .have a healthy day!!!
The conversation between human and AI assistant. [\|Human\|] Hi Doctor Currently being treated for back pain due to pinched sac tic 4-6 veritable 2 years now MRI reveled problem. Completed at least 50 PT sessions moved to pain management and concurrently accupunctre treatment surgical solution is radical surgery. [\|AI\|] Hi I am Chat Doctor. . In my opinion from your given past history you may have serious spinal disc herniation. If physiotherapy and medical treatments fail for more than 1 year endoscopic or surgical intervention by your neurosurgeon are recommended. I suggest a new MRI scan and suggest your case with more than 1 neurosurgeon to decide your best choice of treatment. Nowadays minor endoscopic interventions are very effective. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask.
The conversation between human and AI assistant. [\|Human\|] Hi. I was sitting down and my heart out of nowhere just started beating fast like six beats and then went back to normal. My heart has done this thing where it pause and then start beating again but never has it beat that fast without me doing anything to make it do that. What causes this to happen? [\|AI\|] What you describe might be a transient arrhythmia, where the heart misfires for a small-time and regain s normal heart rate soon after, we should know what is the rhythm to know the reason. Best is to get a EKG done at the time of episode, if it's a happens Daily than a 24 hour holder. If it's too rare but troublesome something called event recorder. In some probabilities what you feel might be subject with normal beating of the heart where all the test about may come negative, in such a would reassurance as nothing being wrong either your heart All the above discussion is to find directions the reason behind the increased which you can follow only if your episode is more sever, lasts longer or is frequently happening otherwise you may just forget about it Regards
The conversation between human and AI assistant. [\|Human\|] i feel like i have OCD. and not just a joke. i feel like i have to scratch without an itch. last night i couldnt sleep because i made myself bleed scratching. and if something touches my body, it drives me crazy if it doesnt touch the other side of my body. but im just a kid. i told my mom but she just says ill be fine. i believe it because she is in the medical field but im worried [\|AI\|] HiT hanks for using Chat Doctor I think, you have obsessive and compulsive disorder for contamination. In that case, you should take advise of a psychiatrist for proper diagnosis and management. In kid, treatment includes both medication and behavioral therapy that would help you to control these symptoms. You can also try some relaxation exercise. In case, you need further help, you can ask. Thanks
The conversation between human and AI assistant. [\|Human\|] I woke up about 2.5 weeks ago to find a lump on my shin about 1 inch long. It s very red, hurts when i walk and gets itchy sometimes. There has never been a bruise on it or around that area in the past 3 weeks at least and it is very warm to the touch. I don t recall hitting my leg, though i might have and not noticed. Should I be worried because the lump has not gone away or because it didn t form a bruise? Could it be something serious? [\|AI\|] HI, Dear,Thanks for your query to Chat Doctor virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns about the Cause of itchy painful lump on your shin. You should not worry about such a lump as its non-cancerous. But you need to consult Er Surgeon and to fix its cause by physical and lab investigations from many other causes of such a lump. In your case with the facts put up by you, it seems to be due to-either popped up perforator with hematoma, as it gets itchy sometimes, under the skin. Any stressful movements with varicose veins with incompetent perforators would cause such a lump or it could be due to bug bite with infection with boil. So Don't worry but be on the watch and consult ER Surgeon if it grows and becomes more painful.-As the with very small duration, I would suggest you to Consult an ER Surgeon and get the physical examination and his Second Opinion on it. This would help you to plan treatment with your ER surgeon. Hope this reply would satisfy your query and worry with ITF you feel satisfied with this reply, dont forget to hit thanks and write excellent review comments, which would improve my rating for new needy visitors to Chat Doctor. Welcome for any further query in this regard to Chat Doctor. Have a good day. With Chat Doctor. N.M.S. Genl-CVTS, Senior Surgical Specialist
The conversation between human and AI assistant. [\|Human\|] I ve recently been diagnosed with ITP. I also have very dry brittle nails and have had excessive hair loss for several years now. Lately i have had extremely itchy scalp and Yesterday I discovered a painful lump on the base of my skull behind my ear. Could this be some sort of autoimmune problem like Lupus or even worse a lymphoma? I m concerned. [\|AI\|] Hello, Autoimmune conditions can co-exist with ITP so your symptoms of brittle nails, alopecia would fit in provided at least 2 other criteria were fulfilled to diagnose SHE. There are several others such as discoid rash, Malay rash (butterfly rash), deposits, arthritis, blood abnormalities, CNS abnormalities, ANA positive, ACL abs etc. so a thorough clinical & lab reports are required before such a diagnosis is done. Swollen lymph nodes (if that is what is the painful lump behind the ear) can be a presenting feature in some SHE patients as well. Thanks.
The conversation between human and AI assistant. [\|Human\|] mebex syrup 5 ml + xputum 1ml + zincovit 1ml ( all syrup prescript by experianced MD docter) gives my child 2.5 year of age. but after 1 hour appx. he will going to sleep , normally at this time 11 pm at night, but i ask u question its normal facter ? [\|AI\|] Hi, I had gone through your question and understand your concern. You should be worried but not too much. Your child may easily fall asleep in this time. These medicines don't cause sleepiness. Mebex is used for deforming, xputum-ambroxol-for cough only, zincovit will boost immunity. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your baby good health.
The conversation between human and AI assistant. [\|Human\|] I am having pain in my left upper chest. My arm has been hurting too. I took Ibuprophen, Nepraxon didnt help much. Took Beyers 80mg Aspirin..it went away but again it comes back. Today I did ECG and came out normal. May be it might be a chest infection but I have had flu shot this year. It is not pleurisy either. It doesnt hurt when I breath. It is just constant. Is it ok for me to take DROXYL-500? If yes, how many for how many days? [\|AI\|] I suggest u to have one chest x-ray and CBC report done just to rule out pneumonia though the possibility is very less according to your symptoms... It seems your pain is due to some muscular cause. I advise u to take tab enzoflam or any goof muscle relaxant for twice a day for at least 5-7 days... And apply topics diclofenac gel in the area of pain. Tab. Chat Doctor. . To be taken only if pneumonia suspected though there are better antibiotics than
The conversation between human and AI assistant. [\|Human\|] hi im just wondering sometimes i feel like theres an air bubble in my stomach and then i feel it rushing to my head and my eyes feel like thier opening to give my 20 20 vision and after i get a headache and my heart beats so fast and i need to stop what im doing because i also get very dizzy, pls explain what this means [\|AI\|] Hello, Thanks for writing in. From the symptoms you have been experiencing, it looks like you are having constant anxiety and panic. This happens when one is under stress and starts having somatic complaints. Please consult a qualified psychiatrist and get yourself examined for possible stress related anxiety. You may also need certain psychological evaluation and take counselling. Hope this helps.
The conversation between human and AI assistant. [\|Human\|] i just had an episode. I ve been having dizzy spells for a while no couple of weeks. Today I was at the store getting coffee. I don t remember paying or driving home. When I got home I had crapped my pants in the truck, no recollection of doing that. I was all discombobulated. Confessed and seemingly locked out of my house, I had left the keys in the ignition of my truck weird. I ve had a couple of dizzy bouts since then, what do you think? My girl friend came home unexpectedly and took me to cvs for blood pressure check. first reading was 144over 103 pulse 71. 141 97 69 last reading was 143 107 . What should I do [\|AI\|] Hello! I read the question and understand your concern. In my opinion the troubles you have may be related to a brain problem. It may be a benign condition called transient global amnesia or just stress. Low blood flow to the brain , an ischemic transitory attack or an even a tumor may cause these problems. I would recommend you to go to the doctor, have a neurological examination, a cardiologist consult and a full blood work up. Your blood pressure is high. If the problem persists an EEG and brain MRI may be necessary to rule out serious underlying causes to this situation. Hope to have been helpful! Best wishes
The conversation between human and AI assistant. [\|Human\|] Hi My son is getting cough or get congestion again n again because of pollution. So this doc has recommended Montek LC kid for a month and Pedimmune for 1 month. She said will continue Montek for 1 more month. Since from last 6 mnths he is getting it again n again. [\|AI\|] HI, thanks for using Chat Doctor If he is continuously exposed to the source of his allergies then the symptoms would recur despite medication. The medication would only help to reduce the symptoms but would not be able to eliminate them completely once the source of allergies is present. You would need to continue the medication (Monte) to help to reduce the intensity of his symptoms. I hope this helps
The conversation between human and AI assistant. [\|Human\|] I have a rash under my arm, it is like red welts, they burn and itch, i have had them for 3 weeks now and they are spreading. i have tried gold bond powder and a itch medicine that our dr. gave me for our son who had several bad spider bites. my arm pit kind of smells like yeast. [\|AI\|] Hello, Your symptoms point towards this diagnosis :1. Tinea corporal characterized by itchy, red coin shaped large lesion over your body.2. Candidiasis (intertwine) characterized by itchy red macerated lesion over body folds with some pus filled lesion also present.3. Erythrasma characterized by less itchy, red-brown smooth lesion over your body folds. You should start with oral antifungal like fluconazole, antihistamine (levocetrizine, loratadine), and a cream containing antifungal (above like clotrimazole) and steroid (like dexamethasone) to apply over the affected area. This treatment cover Tina, intertwine and erythema. However, I would suggest you to consult a dermatologist to start your treatmentThanks Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] I am having knife pains in the left middle side of my back. sharp pain that stabs like a knife and releases. this has been happening now on and off for 3 weeks. so sharp I almost drop to my knees. It lasts only for a minute or less and I can be sitting or laying on my left side or standing and it all of sudden for no reason stabs me hard. what could this be? [\|AI\|] Hello, I have studied your case. It can be due to nerve compression in spine. You may need to do MRI spine. Another possibility of space occupying lesion for which also you may need to do MRI.Sometimes CT scan will give good image. 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 inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. If nerve compression confirmed later on then surgical decompression will give permanent relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care
The conversation between human and AI assistant. [\|Human\|] My 7 year old daughter has 8 little marks (tiny cuts or bites) on her back and neck that are bleeding a little. Most are in spots that were covered by her shirt and she can t reach all of them so I don t think she s scratching. Could these be bed bug bites or flea bites or something else altogether? [\|AI\|] Hi, Welcome to Chat Doctor. I have read your question in detail and I know that you are very concerned about your child but don't worry about it. By what you quote it seems that your child probably has got insect bite. In insect bite, there is redness, swelling and slight bleeding at the site. Apply mupirocin cream locally. I hope this will help you. Wishing your child good health. Take care. Regards Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] hello sir,<br><br>I am 23 years old. when my penis get erected the foreskin cannot be moved back easily.i have to force it back and it settles at the end of glans. again i have to force it to the front of glans. so please suggest me how can my foreskin can be moved easily.<br><br> [\|AI\|] Thanks for contacting Chat Doctor with your medical questions and concerns am sorry to hear that you are having problem with your foreskin. This is a very common condition where the skin does not fully expand. This can cause pain and over time may lead to infections. In my practice when I have men with this problem I refer them two a urologist to perform a circumcision. The cutting of the foreskin then will allow proper erections and prevent future infections. Hope this answers your question. Please contact us again with your medical concerns and questions
The conversation between human and AI assistant. [\|Human\|] 5 days gripey stomach painI have had gripey stomach pain for 5 days now. It is mostly situated RH side, but whole of stomach is puffy and tender. When I touch under my rib bone or on the middle of the breast bone it is especially sore. The pain is so bad sometimes that it makes me get breathless and feel nauseous. I have not been sick. It does not improve with anti-inflammatory such as ibruprofen. Lying down with hot water bottle gives some relief but it never goes away. The pain sometimes seems to die away slightly but then comes back in this building wave - which is when I feel breathless and sick - and stays there. I do have my period right now but I am 27 and never in about 14 years of menstruation have I had more than slight discomfort for one day. This is very different. [\|AI\|] Hi. Thanks for your query. The history is suggestive of a problem which is involving the lower chest and upper abdomen. I would advise you to go for a clinical / physical examination as this can detect better than the investigations ; for example the breathing sounds, rebound tenderness are the clinical entities and to be elicited by a Doctor himself. After clinical examinations the relevant investigations can be advised ; which h in your case can be :::X-ray chest to start with Ultrasonography- it can detect the pleural fluid too as well as the gallbladder, liver and problems if the whole abdomen. * CT scan for confirmation * Routine blood tests including liver function tests, blood sugar* Urine and stool tests* Standing X-ray of the abdomen to see intestinal obstruction. * upper GI endoscopy if suspected to have acidity related problems. The treatment will depend upon the findings.
The conversation between human and AI assistant. [\|Human\|] Hi, I received my blood test with elevated ALT 49 and AST 41 levels. I have always and even up to a month ago had ALT and AST levels in the 20s range. I am a 34 year old female. I have currently reduced my synthroid medication from 50 mcg to 25 mcg. Other than that, I haven t changed anything else. I recently am also dealing with an infection with my lymph nodes in my neck. Should I get tested for hepatitis? I keep reading online that elevated liver enzymes (ALT and AST) means you could have hepatitis. Or could this be caused by the reduction of my synthroid thyroid medication? [\|AI\|] His per your letter, your ALT and AST are mildly elevated. No need for further evaluation regarding this. These enzymes are elevated not only in Hepatitis, but also on many other diseases. So, There is no need to test for hepatitis now. There is no relationship to the reduced dose of Thyroid medication. But, Enlarged Lymph nodes in the neck have to examined and evaluated. It may be due to simple infection or Tuberculosis or Cancers like lymphoma please consult your surgeon and proceed. Wish you good health
The conversation between human and AI assistant. [\|Human\|] the right side of my scrotum is red, inflamed and oozing a clear, sticky and smelly liquid.the liquid goes from clear to sticky clear, then to crust. the doctor told me it s contact fibrosis and gave me a fungal/cordizone cream mixed with a steroid to get rid of it and told me to keep the area clean and dry. . . after 4 days it was gone ...yet,it came back 3 weeks later worst than ever.before it was just sore in the effected area ...now it itches and is more sore than before and is spreading to surrounding areas. just yesterday under my scrotum started itching at night...and after rubing it to releive the itch = the skin there is oozing and sore now as well. Is this contact fibrosis like the doctor said? Is it jock itch? Hives? since it started in the right pit area of the scrotum it might be chafing? or is it something worst like scabies cause of the crusting of the liquid etc. what do you think this is? and how am I suposed to keep an area dry that is oozing clear liquid? any herbal remedies for this? cause i think it has gotten more sensitive in that area since i used the cordizone cream on it. [\|AI\|] Hi, From history it seems that you might be having fungal infection and now super added with bacterial infection causing lots of problems. You may require INE course of antibiotic medicine course for 5 days to clear bacterial infection. This will give relief from oozing and itching. Apply triple action cream locally. Afterwards go for one oral antifungal medicine course. Keep local hygiene clean, Chat Doctor. Ok and take care.
The conversation between human and AI assistant. [\|Human\|] I was playing in a softball tournament this past weekend and slid into home plate. It resulted in a skin abrasion on the left side of my left legs shin bone. It s about 10 inches long and 3 inches wide. I also have a 3 inch scrap about an inch wide on the inside of my right knee. Both abrasions were really soar after it happened but I was able to finish the rest of the game and walk with a small limp the rest of the day. Sunday night was restless when it came to sleep but, nothing compared to Monday night. I had a relentless leg throb in both legs all night long. I slept a total of 45 mins. Last night I actually slept through the night while keeping the larger of the two abrasions outside out the blanket while I slept. They have both had a lot of heat coming off them ranging at a 7-8 on a 1 to 10 scale. They have both been oozing a clear to diluted yellow puss. My skin is hard and tight around the larger of the two abrasions and it s tender to the touch. I ve also had a fever on and off since this has happened Sunday afternoon. The most pain I feel from all of this though is when I attempt to walk. I ve been out of work all week because It s too painful to walk on my legs. I ve been on bed rest keeping my legs elevated on pillows. The only time I get off the bed is to use the restroom and shower. The moment I shift my legs to the edge of the bed and proceed to put my weight down on them to walk to the bathroom I feel an intolerable heart throb in my legs. I walk on my toes on my left leg and i brace myself on my right leg with a hop between leg shifts. I cry every time I shower and use the restroom because the pain is so intense. If I can hold onto something to keep a lot of the weight off of my legs It doesn t hurt as bad so, needless to say I ve been using a lot upper body strength to get around. I don t feel any pain when I lay in bed with my legs elevated but the pain grows intensely when I attempt to walk. I ve been taking Tylenol extra strength 500mg (1) before I got to sleep every night. The abrasions are developing scabs around the outsides but, the center is still a foggy yellow colored scab. What is the best pain killer to ingest? What is the best abrasion dressing to use? What is the best ointments for abrasions? I m a 23 year old female. Please help. [\|AI\|] 1) Tylenol is enough for abrasions, or you can take NSAIDs like Ibuprofen for pain relief2)As the wound is big it is bound to take some time to heal completely. The foggy part in the center is exudate and antibody collection that will help in healing. 3) Abrasions are best left uncovered for faster healing. I would suggest and antibiotic ointment like Tobramycin to prevent wound infection4) I would also like to suggest getting an X-ray done if not already done. Thank you. Stay fit and happy recovery.
The conversation between human and AI assistant. [\|Human\|] purple gums after fall - my daughter fell and hit her mouth. Her gums were bleeding around one tooth. There is no bleeding anymore but her gums are purple and the tooth is sensitive to cold things. Is this something serious? Do I need to take her to a doctor? [\|AI\|] Thanks for your query, I have gone through your query. The purple color over the gum could be secondary to hematoma or bleeding following trauma. The sensitivity in the teeth could be because of the fractured teeth. Consult an oral physician and get the radiograph done to rule out any fracture in the teeth. If it is fractured in the root then It's difficult to save the teeth. Consult an oral physician and get it ruled out. I hope my answer will help you, take care.
The conversation between human and AI assistant. [\|Human\|] HiI have a small hard like bump on my upper part of my nose next to my right eye. It seems to be lighter in color than the rest of my face. It also feels though I could remove it easily but I dont want to do that in fear of it being something like a skin cancer. There is no pain at all from it and I touch it very often.What can this be and how to treat it please? [\|AI\|] Hi. To understand in the first place, the lump in on the face-the most presentable part of the face.; I mean you should do not do something that this will turn into a bad scar for lifetime. This is not a skin cancer for sure. From the history you have provided, I think this can be a sebaceous cyst or a Desmond. Since this part is very important for aesthetics and anatomically, I would advise you to visit a Doctor to ascertain the diagnosis.
The conversation between human and AI assistant. [\|Human\|] i was hospitalised 16 days ago with cellulitis. I was treated with IV antibiotics, for 7 days, then released from hospital with a further 8 day supply of oral antibiotics. I completed the course today. However when I do not have my leg elevated, the redness returns with some swelling. Is this normal or should I see my GP? Thanks [\|AI\|] Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that after having this much long antibiotic course red less probably should have been gone. But there must be recurrence of the infections. So in my advice you should consult the doctor. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] I have had a some what severe sore throat for over a week .I have treated it with every otc med I can think of.I went to an independent clinic that claims I have an upper respiratory infection. I am in a lot of pain and have a low grade fever that only breaks with ibproferin .They will not give out antibiotics .What can I do, go to my primary doctor for antibiotics or is there anything over the counter that will clear this up? [\|AI\|] Thanks for your question on Chat Doctor. In my opinion you should do following things simultaneously to achieve good relief in URI.1. Avoid oily and spicy food.2. Do warm water gargles 5-6 times a day.3. Take Caroline group of antibiotic. 4. Take antihistamines5. Take anti-inflammatory Chat Doctor. Take all these for 5 days and if not improved than get done chest x-ray to rule out lower respiratory tract infection (LETI).
The conversation between human and AI assistant. [\|Human\|] I have been diagnosed with right atrial thrombosis and am on anticoagulants andaspirin. Recently blood tests revealed total cholestrol at 467 and ldl at 197needing second opinion and further treatment.pl.respond at YYYY@YYYY or 0000 [\|AI\|] Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Anticoagulants are effective for all types of thrombus. Both arterial, venous and even atrial thrombus.2. The INR range should be maintained between 2-3 at all times, then only anticoagulants will be effective against thrombus.3. The cholesterol level is too high and needs to be brought down at the earliest. Risk of atherosclerosis and infarction present. You need to be started on statins and vibrates. Non-pharmacological therapy includes weight loss, low fat diet, fiber rich diet along with moderate exercises. LDL apheresis can also be done, if it continues to be high. Hope it helps. Any further queries, happy to help again.
The conversation between human and AI assistant. [\|Human\|] Hi, I have a persistent localized and Dime-Sized rash along my T-4 spine area; it used to appear in the winter, now year round. It itches and flares up at night and morning. I ve used topical, OTC and Rx ointments and lotions, yet, persists. What causes it and is there treatment? RXs, Include- Lotrimin;Aquaphor; Desitin; Lamisil; EpiCeram and DESONIDE LOTION 0.05%. Can you help? Thanks, Lance [\|AI\|] Hi, Perhaps it is a patch of eczema. The low humidity in winters Chat Doctor. I suggest you to use a moisturizer regularly in that area. In addition, I suggest you to apply a moderately potent topical steroid, e.g., either mometasone furnace 0.1% cream or triamcinolone acetone 0.1% cream, twice daily. In addition, I suggest you to take an oral antihistamine, e.g., Tablet Cetirizine once a day for symptomatic relief from itching. Hope I have answered your query. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] LAB REPORT Patients Name : Mr. AHMAD IBRAHIM ALHAMAD Age/Sex : 33 Years /M Permanent : AD0000 Centre : WALK IN Visit No : 1112AD0000 Reg. date : 01-Oct-2011 Ref Doctor : Dr.IBTESAM . Test Result Units Reference Range Semen Analysis Method of Collection Masturbation Spillage Nil Time of collection 11:15 AM Time of arrival 11:15 AM Time of examination 12:15 PM Liquefaction time > 1 HR Min Appearance Grey White Grey White Viscosity High Volume 2.5 mL = or > 2.0 PH 8.0 7.2 - 8.0 The number of sperms /mL 4.0 Million/mL = or > 20 The number of sperms per 10.00 Million = or > 40 ejaculate Motility at 1/2 hour Motility at 1 hour Rapid Linear Progressive 5 % Sluggish Linear Progressive 25 % Total Forward Progressive 30 % Dr.Saravana N.Chetty Specialist Pathologist RePrinted on : 01-Oct-2011 5:44PM : Printed on : 01-Oct-2011 04:46PM Authenticated on : Requested on : 0 1-Oct-2011 11:07AM 01-Oct-2011 04:45PM Copy of Original Page 1 of 3 LAB REPORT Patients Name : Mr. AHMAD IBRAHIM AL HAMAD Age/Sex : 33 Years /M Permanent : AD0000 Centre : WALK IN Visit No : 1112AD0000 Reg. date : 01-Oct-2011 Ref Doctor : Dr.IBTESAM . Test Result Units Reference Range Non Progressive 5 % Non Motile 65 % Total number of active Sperms in 3.0 Million the ejaculate MORPHOLOGY Abnormal forms Pin Head 2 % Microsperms 1 % Deformed 1 % Bent neck 2 % Curled Tail 1 % Miscellaneous Immature 6 % Total no. of abnormal Sperms 13.0 % Cellular Elements Pus Cells 4-5 hpf Erythrocytes 0-1 hpf Epithelial cells OCC hpf Specimen : Semen Dr.Saravana N.Chetty Specialist Pathologist RePrinted on : 01-Oct-2011 5:44PM : Printed on : 01-Oct-2011 04:46PM Authenticated on : Requested on : 0 1-Oct-2011 11:07AM 01-Oct-2011 04:45PM Copy of Original Page 2 of 3 LAB REPORT Patients Name : Mr. AHMAD IBRAHIM AL HAMAD Age/Sex : 33 Years /M Permanent : AD0000 Centre : WALK IN Visit No : 1112AD0000 Reg. date : 01-Oct-2011 Ref Doctor : Dr.IBTESAM . Test Result Units Reference Range W.H.O MANUAL Motility : 25 % or more with Rapid Linear Progressive Activity (A) Motility : OR 50 % or more with Forward Progressive Motilitty (A+B)CORELATION OF SPERMS AS PER W.H.O. CRITERIA & MACLEOD GRADES (A) Rapid Linear Progressive Motilitty Includes Macleod Grades IV & III Grade IV : Excellent Swift Progressive Motility Grade III : Moderate Progressive Motility (B) Sluggish Linear Progressive Motility corresponds to Macleods Grade II Grade II: Struggling Progressive Motility (C) Non Progressive Motility corresponds to Macleods Grade I Grade I : Poor Sluggish Non Progressive Motility ** End of Report ** Dr.Saravana N.Chetty Specialist Pathologist RePrinted on : 01-Oct-2011 5:44PM : Printed on : 01-Oct-2011 04:46PM Authenticated on : Requested on : 0 1-Oct-2011 11:07AM 01-Oct-2011 04:45PM please can you give me evident opinion about the above mentioned [\|AI\|] HELLO AHMAD IBRAHIM AHMAD, I will comment on your semen analysis report.in the first page liquefaction time is mentioned as less than one hour. Ideally should be within 30 minutes. But still less than one hour is considerable. Ph is normal -alkaline -8.0.volume should be 2to 5ml -yours 2ml.-normal.total count should be around 20 million/ml-yours 4million/ml-less than normal.-abnormal. Rapid forward progressive motility of sperm after one hour - 50 % or more than that is normal-yours is 30%only.morphology-More than 30% of the sperm cells should have normal shape.(Kruger criteria: More than 14% of the sperm have a normal shape). Your report says abnormal sperm in less count- it is normal. Pus cells will not present in semen. Still it is non-significant as of your report. Finally it is an abnormal report, because it contains problem in motility. Thank you hope I answered your query.
The conversation between human and AI assistant. [\|Human\|] My husband just recently had a psa test done. he is a 42 year old black male. his results came back with a score of 36..5 We have been having sex everyday for the last month twice a day. With oral sex and penis manipulation. Will this cause levels this high. No other symptoms as well. Will repeat test on friday with orders of no ejaculations Concerned wife [\|AI\|] Hi, Thanks for writing in. The PSA level is an indicator for possibility of prostate cancer. However, there are additional reasons for having an elevated PSA level, and some men who have prostate cancer do not have elevated PSA. It can be elevated in conditions like infection of the prostate. Repeating the test is necessary for your husband. Most men with an elevated PSA level turn out not to have prostate cancer; only about 25 percent of men who have a prostate biopsy due to an elevated PSA level actually have prostate cancer.
The conversation between human and AI assistant. [\|Human\|] I have Wegeners. Last Rituxan infusion Jan 2013 and Prednisone free since Nov 2013. I was taking Plaquenil and the occasional Diclofenac and have weaned off those completely as well. It has been about a month medication free and I am having a flare. My doctor is on vacation and I m not sure what to do. Severe joint aches in back, knee and elbow as well as increased inflammation in right ear. Prednisone? If so how much. Also do I start taking Plaquenil again...it will take a while to get back into my system. If I take prednisone without a maintenance drug in my system will my body be reliant upon it? [\|AI\|] Hi, thank you for providing the brief history of you. As you being suffering with Wegener, and taken steroids as well, for which now you are again having pain and aches, so you want to restart the medication. Well, self-medication is never advised as if complications happen one can never be sure off. Also, steroids for longer run will not be a choice of any physician due to the future side effects and the troubles if taken in excess dosage. As you have the joint aches, pain, backache, knee pain, elbow pain, etc. I will advise you to undergo physical therapy. As per the pathology of the Wegener, one needs to make the control of the symptoms with little medication and more of the physical therapy like - exercises. In my clinical practice most patients with Wegener are misdiagnosed with RA and only on a later stage they come for a conclusion of Wegener. We recommend them to try physical therapy and the majority of them has a good outcome score. Since the pain can be controlled without more of the medication than it should be tried out. RegardsJay In Chat Doctor.
The conversation between human and AI assistant. [\|Human\|] hi I am diagnosed with hypertension, mild stenosis of the AV, and trivial thickening of the MV leaflets. Should I undergo open-heart AV replacement whilst my heart is otherwise reasonably fine, or wait until the condition worsens? And (wearing my gloomy hat), what is the rate of morbidity during surgery and at 30 days? Thank you. [\|AI\|] Hello, Usually, severe aortic valve stenosis need another mechanical reparation, or a less severe or mild but symptomatic.Open-heart surgery is made routinely but in special centers can be done a mini-invasive procedure called TAR, which is less traumatic and need to be done by experienced doctors. Open-heart surgery in a good heart has less morbidity. Hope I have answered your query. Let me know if I can assist you further.
The conversation between human and AI assistant. [\|Human\|] Hli,e maym I aniswenr yousr htealth oqumeariecsh right now ? Please type your query here...I have problem in stomach from 2 months. Actually I feel that something touches internally from left side. I have taken diagnosis from sfdarjang hospital doctor . He advised me to take ultra sound of whole abdomen. I did but no any problems in the ultra sound report. But I still feel the problem. So what should i do? [\|AI\|] Hi. Thanks for your query. Your problem of feeling of something touching internally from the left side for the last two months, with consultation of a Doctor from Safariing hospital and normal ultrasonography is suggestive that you should seek for further investigations. I would advise you the following since your problem is being continued :-Take another opinion of another Surgeon. Get CT scan of the whole abdomen done. If required barium studies and diagnostic laparoscopy can help a lot for the proper diagnosis and treatment. The possibilities are intestinal tumor as it is not picked by ultrasonography. Intermittent intestinal obstruction can mimic such a problem. You should see a General Surgeon when you are in actual symptoms for an easy diagnosis.
The conversation between human and AI assistant. [\|Human\|] My son has a history of nonstop vomiting. Anything can start it, such as withdrawal from a medication, the flu, a stomach bug. He has had every test known to man to find out what causes this. He had his gall bladder out, exploratory surgery thinking it was a kink in his colon. He will vomit 2-three days, sometimes more. It has interrupted his life as he is just 32 years old. He is now treated for anxiety and depression. The only thing that was ever found out was that his stomach does not empty into this colon at times. He was prescribed Reglan at that time, and it seemed to work, but because of the interactions with his current medicines, he can t take it. Could the doctors be missing something, and if not, could this condition be cured? [\|AI\|] Degree understand your concerns went through your details. From the given symptoms it seems the doctors did not miss anything except Bulimia Nervosa. Of course, that too is an anxiety disorder related disorder. But that to a distant possibility. This condition seems to be anxiety and depression related. You need to talk to your doctor and work with him to get better treatment options. If you ask them they will advise you. Don't be shy to ask your doctors. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck.
The conversation between human and AI assistant. [\|Human\|] I had an avm years ago as a child. All my test said I was fine, yet I had memory loss, speech problems, ect.. Now, as an adult I realize I have always had people helping me, parents husband. Realizing now that I am on my own, cant focus, cant manage my life, my thinking is not normal. I make decisions that others would never do and I do it with out thinking about the consequences. I dont remember things unless I write it down and do it over and over. I think thats why I failed so much in school. I could remember for a semester, but the next semester I could not build on what I learned before because I did not remember. Now, being on my own I cant even deal with basic decisions because I realize someone did it for me. I have had headaches my entire life, but tests say I am fine. I think when they fixed me they wired me wrong! This is difficult to find out..I realize we are dealing with the brain and the after affects. The surgery was years ago, but I am now in an environment that is making me want to research and understand why my brain does not work like others [\|AI\|] Hi, Thank you for posting your query. Your symptoms suggest that you have cognitive impairment, mainly affecting your memory. It could be related to the surgery on the brain, if it caused damage to the temporal lobes. This can be found out if you have any MRI brain reports. In addition, we should look for unrelated causes, such as depression, vitamin B12 deficiency or thyroid disorders. Consulting a neurologist would be helpful. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/
The conversation between human and AI assistant. [\|Human\|] i chew tobacco about once a day for the past year. recently, the left side of my tongue doesnt really hrt but rather aches some times. Also there are several pink colored lumps (small) on the very very back of my tongue, unreachable by a toothbrush. wondering if you have any idea what this is or if it is early signs for cancer . i dont have luekoplakia or anything like that right now which is why i thought it was weird that just my tongue hurt. my wisdom teeth are on their way in aswell i do not know if that would effect anything [\|AI\|] Hello and thank you for your question. If the bumps are on the top of your tongue, chances are they are to circumvallate papillae which help in taste. If they are on the sides of your tongue then chances are they are the foliate papillae. It is highly unlikely to develop oral cancer from one year of use, but does increase you chances of developing it. I would recommend discontinuing the use of chewing tobacco and use substitutes like Capitol gum. Your wisdom teeth can contribute to the pain, and you should probably be evaluated to have them taken out. See if the pain stops after discontinuing the usage of the chew. It may take two weeks for the tissue to heal post exposure to the irritant. Best wishes and good health.

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