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Answer this question truthfully
What are some medications used to treat lead poisoning?
Dimercaprol, calcium disodium EDTA, and DMSA are commonly used to treat lead poisoning. These medications work by binding to lead ions in the body and helping to facilitate their excretion through the urine. Dimercaprol is typically administered by injection, while calcium disodium EDTA and DMSA are usually given orally. Treatment for lead poisoning may also involve chelation therapy, which involves the use of a medication to bind to the lead and remove it from the body. It is important to seek medical attention if you suspect that you or someone you know may have been exposed to lead, as the effects of lead poisoning can be serious and potentially life-threatening.
729
If you are a doctor, please answer the medical questions based on the patient's description.
ihave swelling or a lump in myupper left abdomen right under the ribs - it goes from about middle of abdomen across to my side. no pain on palpation, and have also had pain in my left ribs on my back. not constipated, but feel really full after eating a small meal. no temp. or other pains
Respected user, hi I evaluated your query thoroughly.* As per the narration it seems to be pathology related to stomach, pancreas, spleen as tumors of stomach, pseudopancreatic cyst, splenic cyst, splenic tumors & others.* You require Ultrasound of abdomen & pelvis as basic necessity to find the root cause of worry & further management plans accordingly. Hope this helps you. Welcome for any further assistance. Thanks for using Chat Doctor .com & giving us an opportunity to assistWishing you fine recovery from the same. Regards dear take care.
837
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What is the association between exposure to a certain substance in utero and the incidence of vaginal adenosis in females?
Increased incidence of vaginal adenosis is classically seen in females who were exposed to diethylstilbestrol (DES) in utero.
247
If you are a doctor, please answer the medical questions based on the patient's description.
I have stage 4 liver failure. i had a tooth extracted on thursday and that same evening a blood blister looking thing appeared on extraction site, now i have three of them, they look like blood filled sacks kind of black looking. should i seek medical attention, one of them bleeds a bit, then stops.
Hi Dear, Welcome to Chat Doctor. Undeestanding your concern. As per your query you have blood filled blisters at extraction site which is normal after every extraction for first 2-3 days. As you have stage 4 liver disease your immunity is highly compromised, I would suggest you to maintain proper oral hygiene. Follow all post-operative instructions such as do warm saline gargles, do not suck or swish any liquid forcefully, do not eat hard food and avoid any kind of vigorous exercise. Eat very soft food. Chat Doctor. Take combination of ibuprofen and diclofenac. Visit dentist once if symptoms keeps on exaggerating or if bleeding does not stop. Hope your concern has been resolved. Get Well Soon. Best Wishes,
1,017
If you are a doctor, please answer the medical questions based on the patient's description.
i have a question about my asthma medicine. i was taking advair for a few years. it was working great till my insurance change and couldnt use advair anymore and switched me to dulera, which is not controlling my asthma. when i was using advair never had to use my rescue inhaler now that im on dulera i have to use my rescue inhaler more often. what should i do?
Hi, I appreciate your concern. Actually Ruler contains formoterol & mometasone and Adverse contains fluticasone & albuterol. Though both contain anti-asthma Chat Doctor. In case your symptoms were well controlled with Ruler, it is better you continue taking it. In case your insurance company does not provide you Ruler, then you can try increasing the frequency of usage of Adverse, which might help. You can also try taking
789
If you are a doctor, please answer the medical questions based on the patient's description.
I broke my radial bone above my wrist 3 weeks ago and its in a cast - i can move my fingers but when i do i get pins and needles and a vert odd feeling in my wrist. It feels very sore and tight around the wrist area. Is this normal and should i even be flexing my fingers? Many thanks in advance.
Hello, Everything you are describing is normal. Even though you are in a cast, your wrist is still broken, so it will feel weird for a while. You should also keep moving your fingers to make sure they don't get stiff. This will help you get back to normal when you get out of the cast. Moving your fingers shouldn't affect the break at all, as long as the cast is well molded and the break is stable. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
794
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Can you provide an overview of tumor lysis syndrome?
Tumor lysis syndrome is classified according to the 1993 Hande-Garrow classification system into two groups i.e. laboratory tumor lysis syndrome (LTLS) and clinical tumor lysis syndrome (CTLS).
245
If you are a doctor, please answer the medical questions based on the patient's description.
i had an ovarian systectomy last year and i just did an ultrasound and found out that i now have 2 mature follicles of 2.2 and 2.3cm and my right ovary is enlarged. the doctor prescribed duphaston 1o mg twice a day to start on the 5th day of my next menses for 2 cycles, but i want to have a baby
Hello, I have gone through the query and understood your concern. As per your sonogram, the follicles do not seem to have ruptured, considering their size. It is essential for a follicle to release the ovum to enable fertilization. Phaeton can be used safely and is useful to prepare the endometrium. You have to establish ovulation. This can be done by measurement of the basal body temperature, ovulation studies and enhanced by hormones. Your chances of conception are good as you have good follicles. Hope this helps.
817
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Among HIV protease inhibitors, which one is known for displaying the strongest inhibition of CYP450?
Ritonavir is the HIV protease inhibitor that is known for displaying the strongest inhibition of CYP450. CYP450 is a group of enzymes that are responsible for metabolizing many drugs, including HIV protease inhibitors. Ritonavir is often used in combination with other HIV protease inhibitors to increase their effectiveness and prolong their half-life in the body. However, because of its potent inhibition of CYP450, ritonavir can also increase the levels of other drugs that are metabolized by this pathway, leading to potential drug interactions and side effects. Therefore, careful monitoring of drug levels and dosages is necessary when using ritonavir in combination with other medications.
797
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What gram-positive bacteria is associated with granules that stain with aniline dyes such as methylene blue?
The gram-positive bacteria associated with granules that stain with aniline dyes such as methylene blue is Corynebacterium diphtheriae. These granules are known as metachromatic granules or volutin granules, and they are composed of a polymer of inorganic phosphate called polyphosphate. The staining of these granules with aniline dyes is a characteristic feature of Corynebacterium diphtheriae and is used for its identification. This bacterium is known to cause diphtheria, a serious respiratory illness that can lead to heart and nervous system damage. Treatment for diphtheria typically involves antitoxin therapy, antibiotics, and supportive care. Vaccination is recommended for all children to prevent the disease.
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What is the difference in location of pain between peptic ulcer disease and GERD?
Peptic ulcer disease is associated with epigastric pain (near the stomach/duodenum), while GERD is associated with retrosternal pain (near the esophagus).
235
If you are a doctor, please answer the medical questions based on the patient's description.
several weeks ago a laundry basket full of wet towels fell on my upper inside bicept. immediately a large lump the size of an orange formed on my arm but no visible bruising. It is very sore and hurts all the way up to my shoulder causing constant pain. i thought it would go away by now. what do you think it is?
Hi and welcome to Chat Doctor. Thank you for your query. Well, this is probably post-traumatic hematoma or fibrous and this should pass spontaneously in several weeks. Also, considering your description this may be some other benign subcutaneous lesion such as lipoma, fibrous or atheroma and if there are no skin changes such as redness, pus discharge or pain and fever then you should not be worried since it can be easily surgically removed under local anesthesia. Then it there is doubts it can be sent to the patohistologic analysis. 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.
994
If you are a doctor, please answer the medical questions based on the patient's description.
I have been making a horrible whezzing cough it occurs when i tried to talk, pain in my back lower back and now i have just notice i am bleeding but not bad bleed, i am been having stomach pains i havent been able to eat sometimes.. feel nausa sometimes too
Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of bronchitis is more. Your stomach problems are mostly due to HERD. HERD can cause worsening of bronchitis. So we need to treat HERD and bronchitis both simultaneously. For bronchitis, consult pulmonologist and get done clinical examination of respiratory system, PUT (Pulmonary Function Test). You may need inhaled bronchodilators and inhaled corticosteroid. For HERD, start proton pump inhibitors and prokinetic Chat Doctor. Avoid hot and spicy food.
842
If you are a doctor, please answer the medical questions based on the patient's description.
i have con in my small finger in the foot , i operated once a time in ksa before 15 years. now it has occurred again. and too much paining now. i have also problem of walking. so what do now. kindly give me advise thanks regards samuel bhatti. dubai. camp boss
Hithank-you for providing the brief history of you. As you have corn the pain is because of that. Looks like your feet muscles are weak and leading to corns frequently. I will advise you to undergo physical therapy and learn some exercises of the feet to make the muscles stronger. Also therapeutic ultrasound therapy should help reduce the inflammation and pain. In my clinical practice most cases with corns are treated with physical therapy, and they respond wellheads Jay In Chat Doctor.
751
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What are the laboratory results for Sheehan's syndrome?
Lab evaluation gives a picture of partial or panhypopituitarism. Laboratory findings consistent with the diagnosis of Sheehan's syndrome are including hyponatremia, hypokalemia, hypocalcemia, hypomagnesemia, hypophosphatemia, anemia, pancytopenia, eosinophilia, hypoalbuminemia, low fasting plasma glucose, and decreased levels of anterior pituitary hormones (free thyroxine, estradiol, cortisol levels). The most sensitive tests are inadequate prolactin and gonadotropin responses to stimulation.
552
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What are the major risk factors for pancreatic adenocarcinoma?
The major risk factors for pancreatic adenocarcinoma are smoking and chronic pancreatitis (especially > 20 years).
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Q:A 13-year-old girl is brought to the physician by her father because of a worsening pruritic rash for 2 days. Five weeks ago, she was diagnosed with juvenile myoclonic epilepsy and treatment with lamotrigine was begun. Her immunizations are up-to-date. Her temperature is 38.8°C (101.8°F). Physical examination shows facial edema and a partially confluent morbilliform rash over the face, trunk, and extremities. There is swelling of the cervical and inguinal lymph nodes and hepatomegaly. Further evaluation is most likely to show which of the following?? {'A': 'Fragmented red blood cells', 'B': 'Increased absolute eosinophil count', 'C': 'Positive heterophile antibody test', 'D': 'Anti-measles IgM antibodies', 'E': 'Elevated antistreptolysin-O titer'},
B: Increased absolute eosinophil count
799
If you are a doctor, please answer the medical questions based on the patient's description.
I m 16 and I had a seizure during the summer and face planted into a door and the floor. I scratched my forehead and was going in and out of consciousness for a while. Now I m forgetting a lot of stuff and I keep having progressive migraines that have been happening every day. Should I be worried, my mom won t take me to the hospital to be checked. Should I worry about my health further deteriorating
Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms could be related to a brain lesion. From the other hand the fact that you have had a seizure followed by a head trauma, raises suspicions of possible intracranial bleeding (like delayed subdural hemorrhage, etc.). The progressive deterioration in your clinical situation is really concerning. So, I would recommend consulting with a neurologist for a careful neurological exam and performing some tests
920
If you are a doctor, please answer the medical questions based on the patient's description.
Ive had a mild pain in my left lower jaw for about a month, towards the back. Its mild and it comes and goes but never gets any worse. At first, it was accompanied with soreness and mild swelling under my chin and on the left side of my jaw up to the ear. That went away after a few days but the mild on and off pain in the lower jaw, towards the back left tooth, remains. I have no pain chewing or no direct tooth pain. Please also note that I have had a chronic phelgm problem all winter. No runny nose, sore throat, or cough, just nagging phelgm in the sinuses.
Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint pain on left jaw along with swelling under the chin is indicative of some or the other forms of infection which can be due to
811
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What is an example of a drug category listed in the Beers Criteria that can increase the risk of a specific type of infection?
What is an example of a drug category listed in the Beers Criteria that can increase the risk of a specific type of infection? An example is proton pump inhibitors (PPIs), which can increase the risk of C. difficile infections.
353
If you are a doctor, please answer the medical questions based on the patient's description.
Hello! I m Suzanne. I just turned twenty five, I ve been diabetic (type two) for a few years now. I also was born with a genetic brain disorder that results in parts of my brain not functioning, in areas of memory and sense especially, as I have severe sensory integration. As I grew up symptoms were easier to bear of course, but today after lunch I got so dizzy and nauseated that I felt overwhelmingly sick. Couldn t look at screens, listen to any sound or music without feeling worse. I don t have low or high blood pressure, and I haven t had an episode like that in a long time. Could my anemia or dehydration have been a cause?
Greetings from Chat Doctor. Thanks for posting your query. There are many causes for Dizziness, from simple and easily treatable causes to serious causes. Simple causes are
806
If you are a doctor, please answer the medical questions based on the patient's description.
When there is symptoms like paralysis OR numbness in entire one side of the body, what are some of the reasons that is caused? Is it high blood pressure OR something else? If it is high BP , what happens with High BP? Does the blood vessels burst in the brain? What kind of specialty doctor could diagnoise and treat this? A neuro specialty or ?
Hi.thanks for writing us Paralysis or Stroke may result from either bursting of blood vessels in brain resulting in hemorrhage or occlusion of blood vessel site resulting in ischemic stroke. Symptoms depend upon site of blockade or bleed, that may be weakness in half of body, numbness, deviation of mouth, slurring of speech, giddiness, omitting etc. common causes for stroke are hypertension, diabetes, increase cholesterol, smoking, connective tissue disease, old age, blood clotting disorder I think you are satisfied by my answer
879
If you are a doctor, please answer the medical questions based on the patient's description.
Hello Doctor... My daughter is four years old. Since last 45 days she is not having her food. In morning she vomits after having milk and cries a lot while having lunch now dinner. Her diet has reduced to half of it which she used to consume earlier. She doesn t like to have anything in morning.she has a problem of constipation and cries a lot due to hard motion. I have visited to child specialist in Mumbai but no changes can be seen. Please help..
Hi... Thank you for consulting in Chat Doctor. I think your kid is having habitual constipation. Once constipation settles - her appetite will automatically improve. I have certain questions and suggestions for you. Questions
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What is the underlying cause of acne vulgaris, and what is the mechanism by which the associated glands secrete their contents?
Acne vulgaris is due to chronic inflammation of hair follicles and associated sebaceous glands, which secrete their contents through a holocrine mechanism.
282
If you are a doctor, please answer the medical questions based on the patient's description.
My pathology report for seborrheic or actinic keratosis on my face had a mixed conclusion of keratosis atypia/surface cell squamous cell skin cancer. I have been using estrogen since 2007 for vaginal atrophy. Can 10mcg of estrogen cause this? I am fair skinned and have had sunburns over my 63 years
Hi, dairy have gone through your question. I can understand your concern. You may have keratitis with atypical or squamous cell carcinoma. It has no relation with your estrogen therapy. It is not responsible for squamous cell carcinoma on face. SO don't worry about that. Confirm your diagnosis and take treatment accordingly. 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.
786
If you are a doctor, please answer the medical questions based on the patient's description.
I am a 42 years old. I had a uterine leiomyoma.4 months ago I underwent surgical treatment and hemo transfusion.4 days ago my blood examination revealed HbsAg positive, ALT 2040 U/L, AST 2090 U/L, Total bilirubin 10.60 mg/dl, Direct bilirubin 7.58 mg/d Which medication should I take and what kind of diet I needThank you for attention
Hi thanks for contacting Chat Doctor... Noted here you have viral hepatitis by hepatitis b virus... You can take Ad\u00edlio tablet.... Regarding diet try to avoid high fat diet Fried food less..... Avoid alcohol.... Green leafy vegetables more .... Fruits like apple, mango, papaya more... Sugar Cain juice useful.... In evening take vegetable soup.... One tsp crushed carom and cumin seed with water taken early in morning.... Yoghurt good to take.... Outside food and junk food or non veg avoided.... Repeat viral marker after 6 months of first detection to rule out chronic case.... Take care. Chat Doctor.
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Q:A 54-year-old man comes to the physician for a follow-up examination after presenting with elevated blood pressures on both arms at a routine visit 1 month ago. He feels well and takes no medications. He is 178 cm (5 ft 10 in) tall and weighs 99 kg (218 lb); BMI is 31 kg/m2. His pulse is 76/min, and blood pressure is 148/85 mm Hg on the right arm and 152/87 mm Hg on the left arm. Physical examination and laboratory studies show no abnormalities. The physician recommends lifestyle modifications in combination with treatment with hydrochlorothiazide. From which of the following embryological tissues does the site of action of this drug arise?? {'A': 'Ureteric bud', 'B': 'Metanephric blastema', 'C': 'Mesonephric duct', 'D': 'Pronephros', 'E': 'Mesonephros'},
B: Metanephric blastema
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Please answer with one of the option in the bracket
Q:A 40-year-old man comes to the physician because of a 1-week history of palpitations and dizziness. His pulse is 65/min and regular. An ECG is shown. A drug is administered that inhibits non-dihydropyridine calcium channels in the heart and his symptoms improve. The drug administered to the patient most likely has which of the following effects on the cardiac conduction system?? {'A': 'Prolongation of Purkinje fiber refractory period', 'B': 'Decrease in bundle of His refractory period', 'C': 'Delay in ventricular myocardial repolarization', 'D': 'Decrease in ventricular myocardial action potential duration', 'E': 'Prolongation of AV node repolarization'},
E: Prolongation of AV node repolarization
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Please answer with one of the option in the bracket
Q:A 58-year-old man with a history of alcoholism is hospitalized with acute onset nausea and hematemesis. On admission, his vitals are as follows: blood pressure 110/70 mm Hg, heart rate 88/min, respiratory rate 16/min, and temperature 37.8℃ (100.0℉). Physical examination shows jaundice, palmar erythema, widespread spider angiomata, abdominal ascites, and visibly distended superficial epigastric veins. Abdominal ultrasound demonstrates portal vein obstruction caused by liver cirrhosis. Where in the liver would you find the earliest sign of fibrous deposition in this patient?? {'A': 'Portal field', 'B': 'Lumen of sinusoids', 'C': 'Perisinusoidal space', 'D': 'Interlobular connective tissue', 'E': 'Lumen of bile ducts'},
C: Perisinusoidal space
752
If you are a doctor, please answer the medical questions based on the patient's description.
I pinched my hand yesterday. Several hours later I noticed a large swelling and bruise use on the back of my hand. I applied ice. Now the bruise has spread to the knuckles on 3 fingers and up to the wrist. My concern is maybe I severed a vein and is still bleeding. There is no break in the skin and very little pain. Should I be concerned?
Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have bruise in hand. Well there can be many reasons for symptoms you mention in query like blunt trauma, coagulopathy, anticoagulant medications, fracture or hand injury. I would suggest you to consult apply ice pack, keep your hand elevated and give your hand proper rest. I would suggest you to consult general surgeon for proper examination. Doctor will check tenderness and consistency order X-ray or CT scan to confirm the diagnosis. Doctor may prescribe antibiotics along with anti-inflammatory, may surgical Chat Doctor. Hope your concern has been resolved. Get Well Soon. Best Wishes,
1,016
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Which gram-positive species is Streptokinase a virulence factor for?
Streptokinase is a virulence factor for Group A Streptococcus (GAS).
136
If you are a doctor, please answer the medical questions based on the patient's description.
i have mono. and a girlfriend. we made out the day before i went to the emergency room. this was 2 weeks ago. ive had symptoms for longer than that. she seems to have a cold but no serious symptoms. what im getting at here is when can we make out again? thanks
Hi, dairy have gone through your question. I can understand your concern. Infections from mono take 4 to 8 weeks to develop symptoms. Once infection subside person can secrete virus for years. So isolation is difficult to done in cases of mono. But most of the people develop immunity against mono once they infected with it. So don't worry about that. You can carry on. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
808
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Can surgery be considered as a treatment option for bursitis?
Surgical intervention is not usually recommended for the management of bursitis. Surgical techniques such as bursectomy or longitudinal band release are generally reserved for patients with chronic, recurrent, or septic bursitis.
290
If you are a doctor, please answer the medical questions based on the patient's description.
Hi im 19 athletic and generally very healthy. However the last two months have been the worst of my life. It started as shortness of breath then phlem and a terrible cough. But now my throat feels tights and I have terrible stomach pain. I feel like there is something stuck in my throat. Please help, no one knows what wrong with me but I know its serious.
Hi thanks for contacting Chat Doctor... Here first you should be examined properly for your condition... Here your throat examination, direct laryngoscopy examination, auscultation done first.... It might be allergic swelling like that of asthma ... Chest x-ray and pulmonary function test useful for detecting it and other resp causes like chronic obstructive pulmonary disease or bronchitis.... If any developing growth present in larynx or trachea then it will be detected by above examination and investigation procedure... Take care..... Avoid stress. According to cause treatment guided. Chat Doctor.
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What to expect if I have Glossopharyngeal neuralgia (Outlook/Prognosis)?
How well you do depends on the cause of the problem and the effectiveness of the first treatment. Surgery is considered effective for people who do not benefit from medications.
250
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In a woman who has a history of breast cancer, what is the potential significance of persistent headache or back pain?
Persistent headache or back pain in a woman who has a history of breast cancer may suggest the possibility of metastasis, which is the spread of cancer cells from the original site (breast) to other parts of the body. Metastasis to the brain or spine can cause symptoms such as headache or back pain, respectively. It is important for individuals with a history of breast cancer to report any new or persistent symptoms to their healthcare provider for further evaluation.
590
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What is the name of the enzyme that is involved in the conversion of homocysteine to methionine, and what are the cofactors required for this reaction?
The enzyme involved in the conversion of homocysteine to methionine is called methionine synthase, and it requires methyl-THF and vitamin B12 as cofactors.
306
If you are a doctor, please answer the medical questions based on the patient's description.
Hi, so every now and then, I get these really minor pains on the left hand side of my chest. They dont last very long and are not associated with any other symptoms as well. Any idea what this pain could be a result of and if I need it to be checked?
Thanks for your question on Chat Doctor. I can understand your concern. Left sided chest pain should always be checked for heart diseases. So better to consult doctor and get 1. Blood pressure monitoring 2. ECG 3. 2d echo. If all these are normal then no need to worry heart diseases. Sometimes simple musculoskeletal pain can also cause similar symptoms. So take painkiller and muscle relaxant Chat Doctor. Apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright. But better to rule out heart diseases first. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
905
If you are a doctor, please answer the medical questions based on the patient's description.
I am a female, 24 y.o 5 8 220lb active with no previous major medical issues. About a 5 weeks ago I got thrown off a horse and at the time I thought I had only suffered a broken rib, distal radius, and scaphoid but now that the pain is gone and things are becoming more visible, I have found a divot/ledge on teh anterior portion of my distal tibia and am wondering if you could have a broken tibia and have only pain to pressure of touch and still be able to have normal mobility?
Hi, If at 5 weeks you have a bump on the anterior aspect of the tibia which is only painful to touch its unlikely you have a tibia fracture. It is a contusion and at this surface the bone is practically below the skin and so will appear like tender bump on the bone. It should not affect your walking. This should disappear within a month or so. I assume the rib, radius and scaphoid have been treated and is healing well. Take care. Hope I have answered your question. Let me know if I can assist you further.
991
If you are a doctor, please answer the medical questions based on the patient's description.
Hi Dr. What is the state of the liver of an adult with the following LFT test result? SGPT - 29 SGOT - 27 Total protein - 8.3 Albumin - 4.0 Akaline phosphate - 46.3 Bilirubin level
Hi welcome to the Chat Doctor Kindly mention your complaint for which this investigation planned... You're all reports (mentioned in history) are within limit except direct bilirubin which is borderline elevated SGPT, GOT, total bilirubin, protein values are within limit, so no need for worry USG abdomen can be done to rule out gall stone as direct bilirubin slight increased If you have no symptoms nothing more investigation needed as per my opinion Hope your concern solved If having further query you can ask me. Take care
708
If you are a doctor, please answer the medical questions based on the patient's description.
a person just stopped by and asked what was on his arm. it looks like one big giant bee sting which he says does not hurt and itches a little. it is spreading and there are no puncture wounds that I could see where he could have been bitten. Any idea on what possible causes this could be?
Hello, Welcome to Chat Doctor, When bees sting a person they will inject venom through their stinger into the skin of the victim. People stung by bees will have an allergic reaction to the sting and in severe cases it will cause anaphylaxis. For any Bee sting, following measures should be followed1. If the stinger is present remove it immediately. 2. Apply ice or cold packs to the area to reduce the bodies inflammatory reaction.3. Wash the area with soap and water4. Take antihistamine such as Ben Chat Doctor. 5. Pain relievers such as ibuprofen or acetaminophen can also provide relief of symptom. Aforementioned measures should follow whenever there is a bee sting. Thank you.
973
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Does hermaphroditism really exist?
True hermaphroditism is a medical term for an intersex condition in which a person is born with both ovarian and testicular tissue. There may be an ovary on one side and a testis on the other, but more commonly one or both gonads is an ovotestis containing both types of tissue. External genitalia are often ambiguous, the degree depending mainly on the amount of testosterone produced by the testicular tissue between 8 and 16 weeks of gestation. It is rare for both types of gonadal tissue to function. Individuals are either 46, XX or 47, XXY. Template:Disease-stub
602
If you are a doctor, please answer the medical questions based on the patient's description.
MY RIGHT LEG HEEL POTION WHILE WALKING,WHEN IT PRESSED GET SLIGHT PAIN, I TOOK THE XRAY CONSULTED ORTHOPATIC DOCTOR HE TOLD ME TO TAKE MUVERA TABLETS FOR 20 DAYS DAILY ONE TABLET.STILL I AM GETTING PAIN,CAN U SUGGEST SOME TABLET. I AM FROM INDIA,LAST MONTChatDoctorE TO USA FOR SIX MONTHS.
Hi, You may develop tendinitis or heel spur or osteoarthritis of ankle. Until examination is done it is difficult to say what it is. You may use little heel elevation candles. Use tablet Diclofenac. Need physiotherapy and avoid waking bare foot with hard surface. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further.
721
If you are a doctor, please answer the medical questions based on the patient's description.
I have shortness of breath and heaviness in both of my lungs. Recent CAT scan showed fibrotic changes in the small lymph nodes in my lungs. I have been an asthmatic for over 35 years and in the last few months my lungs feel very different. At times, it is difficult to speak without shortness of breath and slight coughing. Not sure if this is related... but my fingers and hands turn blue when I exercise. Any ideas?
HI, thanks for using Chat Doctor Fibrosis can occur in persons with history of severe or in those with uncontrolled asthma. It means that normal lung tissue has been replaced by scar tissue. The reduced ability of your lungs to transfer oxygen to the blood would cause the shortness of breath and also the blue nail discoloration on exercise. It would be best to discuss these change of symptoms with your pulmonologist. Your medication may need to be altered. I hope this helps
896
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What exactly is Zenker's diverticulum?
Zenker's diverticulum (ZD) also known as pharyngosophageal diverticulum. It is an acquired sac-like outpouching of the mucosa and submucosa layers originating from the pharyngoesophageal junction. Killian's dehiscence a pulsion of false diverticulum occurring dorsally at the pharyngoesophageal wall surrounded by the oblique inferior pharyngeal constrictor muscle and the transversal fibers of the cricopharyngeal muscle. ZD occurs due to increased intraluminal pressure in the oropharynx during swallowing, against an inadequate relaxation of the cricopharyngeal muscle. An incomplete opening of the Upper Esophageal Sphincter (UES) causing the protrusion of the mucosa through an area of relative weakness at the dorsal pharyngoesophageal wall. The pharyngoesophageal phase of swallowing is affected in ZD resulting in hindering the neuromuscular functions such as chewing, initiating the swallowing, and propulsion of the food from the oropharynx into the cervical esophagus.
1,017
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What is the corticopapillary osmotic gradient?
The corticopapillary osmotic gradient is the gradient of osmolarity from the cortex (300 mOsm/L) to the papilla (1200 mOsm/L).
172
If you are a doctor, please answer the medical questions based on the patient's description.
I just sneezed and then had a sharp pain in my lower left abdomen. It was short-lived..like 30 seconds..but very severe. Almost felt like something ruptured. Bracing the area supportively with both hands brought a little relief. Haven t moved from the living room chair I was sitting in when it happened, but so far now the pain is completely gone. What could that have been?
It could have been a spasm of the abdominal muscles because of the sudden and explosive sneezing. The sneeze reflex involves contraction of a number of different muscles and muscle groups throughout the body including abdominal muscles which contract suddenly to increase the pressure within the abdomen, which pushes the diaphragm upwards and is one of the actions performed during the sneeze. I wouldn't worry about it if the pain subsided completely within a short time. I hope I have answered your question. Please feel free to get back to me in case you have any more doubts.
955
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What specific characteristic of Malassezia furfur makes it a concern for neonates who are receiving total parenteral nutrition (TPN)?
Malassezia furfur's lipophilic nature is the characteristic that makes it problematic for neonates receiving TPN.
246
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Hello, I noticed a small lump under the skin on my cheek a few days ago. I can move it around by lightly pushing on it with my finger. It is not painful unless I poke at it for a while but then the slight pain goes away if I leave it alone. I have been researching what it might be but have not gotten any clear answers. I am assuming the worst and am wondering if this is something I should worry about?
Hi Dear, The symptoms you mention in query are pointing towards a condition known as skin cyst. This type of cyst can occur due blocked sebaceous glands, swollen hair follicles, high levels of testosterone and the use of an Chat Doctor. Usually they are harmless. I would suggest you to consult dermatologist for proper examination and to rule out condition like cherry Angola, folliculitis and lipoma. There are many treatment options for cyst like steroid injection, Incision and
886
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What are some common symptoms associated with Charcot-Marie-Tooth disease?
Charcot-Marie-Tooth disease may present with a variety of symptoms, but some of the most common include lower extremity weakness, such as foot drop, and sensory deficits. Foot drop is a condition in which the muscles that control the foot and ankle become weak, leading to difficulty lifting the foot and walking. Sensory deficits can include numbness, tingling, and other abnormal sensations in the legs and feet. Other symptoms that may be associated with Charcot-Marie-Tooth disease include muscle wasting, difficulty with fine motor tasks, and problems with balance and coordination. Charcot-Marie-Tooth disease is a genetic disorder that affects the peripheral nerves, and there are several different subtypes that can cause varying degrees of symptoms. Treatment may include physical therapy, orthotics, and other supportive measures to manage symptoms and improve quality of life.
961
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What is chronic allograft nephropathy and how does it relate to kidney transplant rejection?
Chronic allograft nephropathy is a condition that can occur after a kidney transplant, and is characterized by a gradual decline in kidney function over time. It is a common form of chronic kidney transplant rejection, which can occur when the recipient's immune system recognizes the transplanted organ as foreign and attacks it. Chronic allograft nephropathy can lead to progressive damage to the transplanted kidney, and may eventually result in graft failure. Treatment options for chronic kidney transplant rejection may include immunosuppressive medications, such as corticosteroids or calcineurin inhibitors, as well as other interventions to help preserve kidney function.
772
If you are a doctor, please answer the medical questions based on the patient's description.
I had no period for two months. I than had clots, with no period for about three days. Now its a light flow. I am having central abdominal pain ( about three days), bloody diarrhea two days ago, hot flashes to the point of sweating, light headed from stomach issues. I just feel all around yucky. Do you have any idea what could be going on?
Hi. Thanks for your query. Passing of the clots followed by light bleeding can be periods called oligomenorrohea, or you have missed abortion. But at the same time you have central abdominal pain, bloody diarrhea hot flashes to the point of sweating, light headdress can all suggest the possibility of severe enteritis causing septicemia causing all the symptoms you have. I would advise in such a patient the following
760
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hi Doctor; i have face nightfall problem 3 to 4 time in week last 8 year and i have masturbation last 13 year and loss erection and very weakness in my peniz size. plz tell me any medicine available on this problem. plz tell me. any problem created my sexual life. and my current age is 26 plz help me Regrad.............. sachin s..............
HelloThanks for query. You have been indulged in frequent masturbation since many years and now facing problem like Erectile dysfunction. Frequent habitual masturbation practiced over years causes problem like ED and Premature Ejaculation. You need to restrict this habit which requires self-determination. Please try to reduce the frequency of masturbation by keeping yourself busy in activities like sports, reading, social work etc. so that you will not get free time to masturbate. Chat Doctor.
843
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What are black pigment gallstones, and what are some of their key characteristics?
Black pigment gallstones are a type of gallstone that is composed of calcium bilirubinate. They are typically radio opaque, meaning that they can be seen on medical imaging tests. Other characteristics of black pigment gallstones may include a dark color, a hard texture, and a higher prevalence in certain populations, such as people with cirrhosis or sickle cell anemia.
454
If you are a doctor, please answer the medical questions based on the patient's description.
Had two lower impacted wisdom teeth removed in Mexico. That was six days ago. Strong pain in the jawline comes and goes and yesterday I developed flu like symptoms such as low grade fever, aches and general fatigue. Tijuana is a long way to return to. When should I be concerned enough to see a local dentist or doctor? Am taking clindamycin 3 times daily.
Hi, Thanks for asking the query, Wisdom tooth extraction is often associated with post extraction complications like pain, swelling, fever, malaise, difficulty in mouth opening. You don't worry about the symptoms as they will subside after sometimes. Follow the post extraction instructions given by the Dentist properly. Take complete course of antibiotics and analgesics, take tab paracetamol for fever. Take lukewarm saline and antiseptic mouthwash rinses. Hope this helps out. Regards...
850
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Back pain and medication. I got told I need a double disc replacement by 1 doctor but then got told I just need physio my another doctor. What do I do because I am in so much pain. I have been on morphine for over a year now because of the pain, is this bad for me.
Hello, Thank you for contact us,Nowadays it's mostly the common problems in humans. Mainly its due to inactivity of muscles. But as you describe I would suggest that you may have to concern a good doctor as one of your doctor told you for disc replacement and other one for physio, so you tried second ones suggestion but not work. So, Definitely without wasting of time you have to concern doctor and follow the instruction because it's already time to do that I think. Hope it will work for your back pain. Good luck, Take care. Thanks & regards,
813
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What is the mechanism in which a hormone decreases the number or affinity of its receptors in a target tissue?
Down-regulation is the mechanism in which a hormone decreases the number or affinity of its receptors in a target tissue.
231
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Hi last week I had a sore throat that moved to my right ear.. For a few days. It was Also painful to swallow but it went away after a few days. Yesterday I woke up with a swollen, painful tongue with a lump inside. Today I still have the pain and the bump and my sore throat is back? What is going on?
Hello and welcome to ChatDoctori have gone through your query. Sore throats commonly caused by a viral infection, but bacterial infection may also cause a sore throat like
472
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My 11 yr old daughter have been suffering from chronic otitis media since her 1.6 years. Eardrum of both ears, as said by an ENT Dr, have been eroded. He suggested for an instant operation, failing which, he opined, irreparable damage may cause to hearing nerve & CNS. Xray Mastoids says that Sclerosis of mastoid air cells on both sides of ear are detected. Kindly tell me about the treatment and the operation. Is it recoverable?
Howell come to ChatDoctorI really appreciate your concern, if the condition being treated for infection, and allergy and no satisfactory result found, and it is the investigations suggestive of surgical condition then it is to be given try, and it may not have any bad consequences, and if infection and allergy not being treated then This has to be given try first, in investigations MRI is the test can is advisable, it is also advisable to have second opinion, hope this information helps.
923
If you are a doctor, please answer the medical questions based on the patient's description.
My four year old girl has a temp of 101.7. she is eating ok and drinking water. but she is complaining her front bottom two teeth hurt when she bites down. Can children run a temp when their adult teeth are starting to come in? her teeth are not loose yet.
Thanks for your query, I have gone through your query. The eruption of teeth can cause fever and diarrhea. These conditions are called teeth thing disorders. Nothing to be panic, you can give your child a dose of paracetamol syrup and let her do saline gargling. You have to consult an oral physician to confirm the diagnosis, since the fever can be because of many reasons. I hope my answer will help you, take care.
673
If you are a doctor, please answer the medical questions based on the patient's description.
Hi, I recently suffered kidney inflamation from infection. It was extremely painful. I was under antibiotics for 1 week. However, after 2 weeks, Im feeling the UTI is still there and my kidney is starting to hurt again. Can I get antibiotics from my pharmacist? Thanks
Hello and welcome to Chat Doctor. The infection of kidney is called pyelonephritis, and it is not easy to get it fully cured like a regular UTI. The return of the symptoms suggest that the infection has not completely subsided, and you require higher antibiotics. You cannot get them from your pharmacist. My advice is to visit a Urologist, and he will do a urine culture and antibiotic sensitivity and Ultrasound scan of abdomen. Then you will be admitted and will start on antibiotic injections for a week, depending on the test result. Hope this discussion will be helpful to you. Thank you.
862
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HI I M SUFFERING FROM INFERTILITY . I HAD A MISCARRIAGE AND NOW HAVING CYST . DOCT KEPT ME ON SEPHEN AND DID MY FOLLICULAR STUDY WHICH SHOWED A SINGLE MATURE FOLLICLE OF SIZE 20.2 MM. SHE ASKED ME TO DO INTERCOURSE ON THREE DAYS NOW.MY HUSBAND IS ALSO TAKING FERTISURE M AFTER HSA.I M MARRIED 1 YR BACK N WANT TO CONCIEVE.KINDLY SUGGEST ME. THAKING YOU
Hi, Follicle of 20 mm. size is considered adequate for ovulation to occur. Follow your gynecologists advise and ask for a follow-up sonogram to know the rupture of the follicle. Having a single miscarriage is not a negative point in future conception. This happens with many couples who go on to have uneventful pregnancies later. As your husband is also on treatment he may be asked to have a repeat semen count after three months of treatment. Please get further advice from your doctor. Good luck.
852
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What is angiodysplasia and what does it result in?
Angiodysplasia is an acquired malformation resulting in tortuous dilation of vessels of the GI tract.
151
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My husband pawan khanna s prostate is enlarged. vol is 25.4cc, weight- 26.2g . dr. said its prostatemegaly grade1. urinarybladder wall is slightly thickened by 5.2mm. Two days earlier he is having this problem. wanted to know abt it and any precautions.
HelloYour husbands findings suggests mildly enlarged prostate with thickening of urinary bladder. Thickened urinary bladder may be due to enlarged prostate. He may need proper clinical examination and investigations. Investigation includes routine hologram, random blood sugar, urine RE/ME. He may need PSA(prostate specific antigen)after evaluation. Enlarged prostate is managed by both conservative and by surgery. Since he has mild enlargement he may only need medicines and follow up. He may need medicines like 5-alpha reductase inhibitors(finasteride) or alpha blockers. It needs evaluation by a urologist. Get well soon. Take Care Chat Doctor.
903
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What is the vasoactive property of the F-series prostaglandins?
The F-series prostaglandins are vasoconstrictors.
112
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What medical imaging technique is used to manage back pain in patients with a concern for malignancy (such as a history of malignancy or nocturnal pain)?
The medical imaging technique used to manage back pain in patients with a concern for malignancy (such as a history of malignancy or nocturnal pain) is X-ray. X-rays are a type of radiation that can pass through the body and create images of bones and other structures. X-rays can help diagnose conditions such as fractures, tumors, and degenerative changes in the spine that may be causing back pain. However, X-rays are not always necessary for managing back pain, and healthcare providers may also recommend other imaging techniques such as MRI or CT scans depending on the patient's individual needs. It is important to discuss the risks and benefits of any medical imaging procedure with a healthcare provider.
868
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What is the molecule responsible for positively regulating Glucose-6-phosphate dehydrogenase (G6PD)?
Glucose-6-phosphate dehydrogenase (G6PD) is regulated via positive feedback by NADP+.
185
If you are a doctor, please answer the medical questions based on the patient's description.
My son is 9 and had a stomach virus two weeks ago. Last week I notice a pea size lump on his left shoulder blade. I figured I would watch it, thinking it was a swollen lymph node due to the virus. This morning I found another lump on his right shoulder, a little larger than a pea. Should I be worried?
Hi, dairy have gone through your question. I can understand your concern. You have multiple enlarged lymph node. It may be due to reactive hyperplasia, tuberculosis or lymphoma. You should go for biopsy of one of the lump. Then go for histopathological examination. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
798
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My 3 yr old daughter has been off for the last 3 ~ 4 weeks with cold like symptoms coming and going. This morning she has woke crying with quite high temp with(to the touch) and headache but very cold feet. She has phlem in her throat has been a little sick and is again full of cold.
Hi, very sorry to hear about your daughter. High fever, cold extremities, headache, cold, cough with phlegm are suggestive of lower respiratory tract infection, flu, common cold. Giving Tylenol or Metal or Cal pol syrup will reduce the fever and headache, however consult your local doctor or Pediatrician as she might require antibiotic for cough to subside. Keep her well HY Chat Doctor. Hope she gets well soon. Thank you.
709
If you are a doctor, please answer the medical questions based on the patient's description.
Does under going knee surgery affect sperm count, motility and morphology? Especially if they are low already? My husband and I have been trying to conceive another child for 16 months. He has meniscus surgery on the 2nd and we will be seeing a fertility specialist on the 9th to talk about ivf with icsi. I was wondering if the surgery would affect his sperm even more.
Hello and welcome to Chat Doctor. Thanks for your query. Having a knee surgery will not affect the fertility or impact the sperm count, motility or morphology. Most meniscal repair surgeries are done arthroscopically i.e. under local or spinal anesthesia. Even if done under general anesthesia, the surgical procedure or the anesthesia is unlikely to affect a persons' fertility. So, you don't have to worry much about the impact of surgery on your husbands' fertility. You can go ahead with the fertility treatment as planned. Wish you all the best.
921
If you are a doctor, please answer the medical questions based on the patient's description.
Dear sir, I am manoranjan das from odisha.My father is a kidney failure patient. Now he undergoes for dialysis for twice a week.some time once a week since 1year.He has sugar since last 2years.As you know dialysis in India is very expensive and we belong to middle class family.For that sir, I want to know is there have any ayurvedic or harbal treatment which reduces the frequancy of dialysis.Or is there have any final solution.As i saw many of people told if we take ayurvedic medicine along with dialysis it results more harmful for patient.For me my fathers life is very important.But now we are not too strong about fainacial condition.Please suggest me proper guideline.
**1. Since both kidneys are not functioning properly thus one has to look out for Pre-renal/Renal and/or post renal cause of the same, but since your father is undergoing dialysis which means that his attending nephrologist has gone through the possibilities. 2. since he is suffering from sugar also, which implies two things
1,017
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What are the symptoms of Munchausen syndrome?
A person with Munchausen syndrome gains intense satisfaction from the attention associated with playing the ill patient or victim. Signs and symptoms that may suggest Munchausen syndrome include: A spectacular medical history that includes a large number of tests, medical procedures and operations Odd collection of seemingly unrelated symptoms No conclusive results despite intense medical investigations New symptoms that appear after medical tests prove negative Extensive medical knowledge of many different illnesses Frequenting many different doctors, sometimes in other states Frequent presentation at emergency departments, usually at different hospitals Requests for invasive medical procedures or surgeries Failure to improve despite medical treatment, including relapsing for unknown reasons.
849
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What are the symptoms of Budd-Chiari syndrome?
Symptoms of Budd-Chiari syndrome include the following: Abdominal swelling or stretching Pain in the right upper abdomen Vomiting blood Yellowing of the skin (jaundice)
214
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I m a 28 year old male who just recently discovered problems with carnitine levels. My free carnitine is low at 19, my bound carnitine is 62 making my ratio a whopping 3.26. While I wait for results, I have several questions about treatment options...
Hello! I would explain that it is necessary performing some tests in order to investigate for the possible causes underlying low carnitine plasma levels
403
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Is muscular hemihypertrophy a symptom of congenital hypothyroidism?
No, muscular hemihypertrophy is not a symptom of congenital hypothyroidism. Congenital hypothyroidism is a condition in which the thyroid gland does not produce enough thyroid hormone from birth. This can lead to a range of symptoms, including poor growth, delayed development, and intellectual disability. However, muscular hemihypertrophy, which is a condition in which one side of the body has larger muscles than the other, is not typically associated with congenital hypothyroidism. Muscular hemihypertrophy can be caused by a variety of other conditions, including genetic mutations and nerve disorders.
676
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What is the characteristic tetramer formation and name associated with α-thalassemia caused by a four-gene deletion?
α-thalassemia due to a four gene deletion is characterized by formation of γ4 tetramers, known as Hb Barts.
223
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When to seek urgent medical care when I have Tetanus ?
The wound should be taken care of as soon as possible.
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Q:A 75-year-old woman presents to the emergency department because of a brief loss of consciousness, slurred speech, and facial numbness. Family members report that she complained about feeling chest pain and shortness of breath while on her morning walk. Medical history is noncontributory. Physical examination shows decreased pupil reactivity to light and hemiplegic gait. Her pulse is 120/min, respirations are 26/min, temperature is 36.7°C (98.0°F), and blood pressure is 160/80 mm Hg. On heart auscultation, S1 is loud, widely split, and there is a diastolic murmur. Transthoracic echocardiography in a 4-chamber apical view revealed a large oval-shaped and sessile left atrial mass. Which of the following is the most likely complication of this patient's condition?? {'A': 'Atrial fibrillation', 'B': 'Atrioventricular block', 'C': 'Congestive heart failure', 'D': 'Mitral valve obstruction', 'E': 'Pericarditis'},
D: Mitral valve obstruction
950
If you are a doctor, please answer the medical questions based on the patient's description.
hi! my mother recently underwent urine and blood test because her legs is swelled after the test the doctor confirmed that her kidney is infected and this is at early stage and the doctor gave her some medicines to recover. i just wanted to know that its not kidney failure right and do we need to consult a nephrologist now ?
Hello, If the doctor you are consulting have diagnosed her to have kidney infection and already given probably antibiotics for the same it will take around 5 to 7 days to get it right. Her leg might be swelled because the functioning of kidney must be hampered due to some reason like infection. I would advise you to complete the course of medication prescribed to you and see whether the swelling improves. If it doesn't even after completing the course, you can repeat the urine routine examination and serum creatinine and urea and either get back with me or you can consult a nephrologist. I would be glad to help you out. Thank you
964
If you are a doctor, please answer the medical questions based on the patient's description.
my 7 year old son had viral fever 4 days back and he is under treatement. today we checked the platelet count and it is 1.26lakhs and the total count is 2200 cells/ we went for dengue check also... which is negative, what may be reson for the low counts and what diet he should take and when the blood test should be done again?
Hi, your symptoms are suggestive of viral fever. it's quite common in viral fever that you have low platelets count and low WBC. Many other cause of that are there. But it's not as frequent as viral. You should go for repeat blood count at alternate days till your counts become normal. no, any specific diet is required in viral infection. Just take plenty of fluid orally. Thanks for using Chat Doctor.
734
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I have quite serious acne and I m currently on my 4th week using Roaccutane . I have noticed a nasty cyst/ boil in my pubic area. It is filled with blood/puss and every time of popping it grows again and doesn t seem to be leaving me alone. Is it acne or could it be something more serious? I do seem to have spots around my pubic area but this seems more nasty than a spot?
Hi, Thanks for writing in. You are suffering from folliculitis and acne. The Roaccutane has nothing to do with it. Continue the Roaccutane. You can continue the treatment and apply tobramycin cream over the boil cyst. A course of oral antibiotics will be helpful. Visiting a dermatologist will allow proper evaluation of skin condition and prescription medicine. These will help in long term relief. Hope this helps. Good luck! Chat Doctor.
816
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What is the recommended treatment for enteropathic arthritis associated with inflammatory bowel disease (IBD)?
The recommended treatment for enteropathic arthritis is to treat the underlying inflammatory bowel disease (IBD).
223
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my mother has a cough that been quite chronic. and now she has trouble breathing she feels pressure from her waist up to her chest . the dr took an exray and results were clear . she has hypo hypothyroidism and is on med for it as well as fibromyalgia med.. im really worried.she is out of breath even to talk.please help
Thanks for your question on Chat Doctor. I can understand your mothers situation and problem. In my opinion, she is having bronchitis. Chronic cough with breathlessness in old age people is commonly caused by bronchitis. Chest x-ray is mostly normal in this because it is not structural lung disease. We need to get done PFT (Pulmonary Function Test) for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. She may need inhaled bronchodilators and inhaled corticosteroid. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.
988
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my brother has been diagnosed with IgA nephropathy and he is 19 years old, his BP is 140/80 and is currently prescribed by Amlogard 5mg, arkamin and omnacortil 40mg with fish oil. Is transplantation advisable for him as his creatinine is 5.9 and blood urea is 182.
HelloThanks for query. Your younger brother who is just 19 years old has been diagnosed to have IGA Nephropathy with his serum creatinine being 5.9 IGA Nephropathy is a progressive disease that progresses very fast and 10 years survival rate is reported to be less than 60 %. And more over results of the medical treatment are not encouraging. In view of his age being just 19 years I would suggest you to get Renal Transplant done. Chat Doctor.
710
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What is the most common chronic disease of the central nervous system (CNS) in young adults?
Multiple sclerosis is the most common chronic disease of the central nervous system in young adults. This autoimmune disease affects the myelin sheath that covers nerve fibers in the brain and spinal cord, leading to a range of symptoms such as muscle weakness, numbness, and vision problems. The exact cause of multiple sclerosis is not known, but it is thought to involve a combination of genetic and environmental factors. While there is currently no cure for multiple sclerosis, there are treatments available that can help manage symptoms and slow the progression of the disease.
676
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What types of infections do Candida, gardnerella, and trichomonas commonly cause?
Candida, gardnerella, and trichomonas are all types of microorganisms that can cause infections in the human body. Specifically, these three organisms are known to cause infections of the vagina. Candida is a type of fungus that can cause vaginal yeast infections, while gardnerella is a type of bacteria that can cause bacterial vaginosis. Trichomonas is a type of parasite that can cause trichomoniasis, a sexually transmitted infection that can affect both men and women. These infections can cause a variety of symptoms, including itching, burning, and abnormal discharge, and can be treated with medications prescribed by a healthcare provider.
730
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What is the typical platelet count for someone with Hemophilia (A, B, C)?
Hemophilia (A, B, C) is a genetic disorder that affects the blood's ability to clot properly. While Hemophilia can cause a range of symptoms, such as excessive bleeding and bruising, it typically does not affect the number of platelets in the blood. Therefore, someone with Hemophilia (A, B, C) would be expected to have a normal platelet count.
418
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I have been treated for severe colitis,lately large bruises appeared on legs and arms, I accepted them because of my age 86 ,then the ones on my legs appeared with red blisters and severe itching,ice was the only relief I found,I treated the open lesions caused by scratching and there is some itching left.My legs feel hot and tight.Do I need to see a Dr? or continue to home treat?
**1. At your age [80], likely cause of red blisters could be bulbous phemphigoid [BP] which mainly affects people aged over 70, and since condition is autoimmune thus treatment/management is required to control symptom.2. Colitis is one triggering factor for BP [which is mentioned in your history]3. Thus do not continue with home treatment apart from Chat Doctor. [may cause serious infection if left untreated]
798
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My son is nine years old. A month back he got infection in his penis and was treated by antibiotics. 3-4 days back his urine comes out every 15-20 minutes, involuntarily. Sonography shows slight thickness in bladder while urine, penis are normal, Can you suggest anything, Regards, Jasvinder
Hi dear, Is he having an unusually tight foreskin? Any history of narrow or broken urinary stream? The significance of bladder thickening depends on few factors. It depends on the bladder wall thickness mentioned, and whether it was measured while bladder is full or empty. Usually a thickness above 3\u00a0mm in a full bladder is taken as significant. If thick wall is confirmed, this usually suggests some obstruction to urine flow, like a fibrosis(tight foreskin) or urethral obstruction. This may need special test like MCU(contrast x-ray while passing urine) or ureteroscopy to find out the cause. Your doctor will discuss with you. Hope I have answered your Quertle me know if I can assist you further Chat Doctor.
1,011
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So I currently have a concussion from passing out at school. its been about 3 weeks, and this morning I woke up feeling extremely dizzy, nauseous, and I had a huge headache. I was feeling fine yesterday, so I dont know whats wrong? It feels as if Im on a boat and everything around me is moving, which is making me sick.
Hello . Welcome to Chat Doctor . I read your query, and it seems that Headache and dizziness with nausea sensation makes me to think of possibility of Benign Paroxysmal Positional Vertigo (BPPV)also a simple migraine can cause similar symptoms. I wound suggest you to get prescribed for 1) Tablet Betahistine 8\u00a0mg to reduce symptoms of dizziness. 2) Tablet Acetaminophen 650 mg to treat severe headache. You should also know to prevent BPPV with some information
787
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Which cranial nerves exit the skull through the jugular foramen?
Cranial nerves IX (glossopharyngeal), X (vagus), and XI (accessory) exit the skull through the jugular foramen. The jugular foramen is a large opening in the base of the skull, located between the temporal and occipital bones. These three cranial nerves are responsible for various functions related to the throat, neck, and upper chest. Dysfunction of these nerves can lead to symptoms such as difficulty swallowing, hoarseness, weakness of the shoulder or neck muscles, and other problems. Causes of dysfunction can include trauma, infections, tumors, or other neurological conditions.
651
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I feel hungry after I eat because I have this strong urge to eat immediately. I also have a very burning sensation in my stomach after I eat and I cant seem to focus. At the same time I have been feeling dizzy and losing my balance. I dont normally feel like this but I have been feeling like this for more than a week now.
Hi. Thanks for your query and an elucidated history. You have a typical history. Although seen commonly in acid peptic disease, such symptoms can be seen even in the cases seen rarely such as vascular insufficiency of the bowel due to arterial occlusion and so on. So a battery of investigations is necessary, such as
640
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Q:A 62-year-old Caucasian male receiving treatment for stable angina experiences intermittent throbbing headaches. What is the most likely cause?? {'A': 'Transient ischemic attack', 'B': 'Elevated creatine kinase', 'C': 'Beta adrenergic inactivation', 'D': 'Acute hemorrhage', 'E': 'Vasodilation of cerebral arteries'},
E: Vasodilation of cerebral arteries
356
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i was bitten by a small puppy a week ago, i am on rabbis vaccine course n had 2 doses of vaccine( ie 3rd day, 7th day) on last sat ie 13th oct 2012, and my question is- can i have alcohol or do i need to follow any restrictions regarding alcohol consumption ??? will be thankful for your respone....
Hi.I've gone through your query. I can understand your anxiety. Rabies is fatal if symptoms are manifested. As you are already on the vaccination schedule, you will be okay. But taking alcohol in between the schedule can interfere with the effective functioning of vaccine. It impairs the immune system & causes decrease in efficacy of vaccine. So do avoid alcohol until all the shots of vaccine get over. Hope I have answered your query. Let me know if I can assist you further. Take care.
789
If you are a doctor, please answer the medical questions based on the patient's description.
i have been off chemotherapy for about 2 months and have all sorts of aches n pains.. Is this just my body getting back to normal and is this usual as hospitals only ever give you side effects of being on chemotherapy not side effects of coming off it!!
Hi, dairy have gone through your question. I can understand your concern. You may have side effects of chemotherapy. Chemotherapy is very toxic Chat Doctor. It destroys malignant cells but along with that it destroyed some normal body cells also. So it leads to weaknesses, pain, low blood count, hair loss, frequent infection etc. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
804
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What is an intramural hematoma in the aorta?
Common risk factors in the development of IMH are hypertension, smoking, connective tissue disorder (Marfan's syndrome, Loeys-Dietz syndrome), bicuspid aortic valve, prior aortic surgery, aortic aneurysm and atherosclerosis.
268
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Hi I am Chitra Das, house wife from Gushkara, Burdwan. I have a pain in the left side up the naval fot the last 6-8 months. After tea it appears and after having something it disappears for some time and after some time it again appears. I have done USG and the report says to consult \"Gut Pathology\". I have tried medicines like antacid, albendazole, raviprazol tablets etc. but it does not go. Please help me. YYYY@YYYY
Hi Chiara Was. Thanks for your query. Your history of pain on the left side of the naval, increasing after tea and reducing after eating something is suggestive of Gastric Ulcer or cancer. USG is of no help in such diseases. Since you have not been much benefited with Antacid, albendazole, Omeprazole, you need to undergo the following investigations ;Upper GI Endoscopy and CT scan of abdomen to get a correct diagnosis, then only proper treatment is possible. Consult a Gastroenterologist.
917
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What is the connection between non-ST elevation myocardial infarction and chronic kidney disease?
Class I " 1. Creatinine clearance should be estimated in UA / NSTEMI patients and the doses of renally cleared medications should be adjusted according to the pharmacokinetic data for specific medications. (Level of Evidence: B) " " 2. Patients undergoing cardiac catheterization with receipt of contrast media should receive adequate preparatory hydration. (Level of Evidence: B) " " 3. Calculation of the contrast volume to creatinine clearance ratio is useful to predict the maximum volume of contrast media that can be given without significantly increasing the risk of contrast-associated nephropathy. (Level of Evidence: B) " Class IIa " 1. An invasive strategy is reasonable in patients with mild (stage 2) and moderate (stage 3) CKD. (Level of Evidence: B) (There is insufficient data on benefit/risk of invasive strategy in UA / NSTEMI patients with advanced CKD stages 4, 5)"
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If you are a doctor, please answer the medical questions based on the patient's description.
My doctor has been trying to treat my anxiety from ADHD issues with antidepressants, I have tried 3 different kinds, and each one has had the same effect on me, they make me cry for no reason at all and make me very very tired. I was wondering if my doctor is not taking the right route, or what I need to do in the long run, because I do not enjoy feeling this way.
Hello You have been prescribed anti-depressants for anxiety and ADHD issues. You have crying spells all the time, and you feel tired throughout the day. Most of anti-depressant act as antianxiety Chat Doctor. The reason for crying, tiredness etc. symptoms is depression itself. You are not able to enjoy things and this is also due to depression. Anti-depressants are the best choice of treatment in such case. For poor
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If you are a doctor, please answer the medical questions based on the patient's description.
Hello madam/sir, i am feeling mild chest pain in the left side of my chest area and also sometimes spreads to left arm.. thsi is happening since last 10 -12 days .. though it is not continuosly bt happnes after soem time interval .. could u plz suggest me something
Thanks for your question on Chat Doctor. I can understand your concern. Left sided chest pain is commonly seen with heart diseases. So we should first rule out heart related pain in your case. So get done 1. Blood pressure monitoring 2. ECG 3. 2d echo. If all these are normal then no need to worry about heart diseases. Sometimes muscular pain can also cause similar symptoms. So take painkiller and muscle relaxant Chat Doctor. Apply warm water pad on affected areas. Avoid heavyweight lifting and strenuous exercise. Don't worry, you will be alright, but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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