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Answer this question truthfully | How is prolonged post-operative ileus characterized? | Prolonged post-operative ileus is characterized by hypo-active bowel sounds. Ileus is a condition in which the normal contractions of the intestines (peristalsis) are reduced or absent, leading to a blockage of the bowel. It is a common complication after surgery and can cause abdominal pain, bloating, nausea, and vomiting. In most cases, ileus resolves within a few days after surgery, but in some cases, it can persist for a longer period of time, which is known as prolonged post-operative ileus. One of the key features of prolonged post-operative ileus is the presence of hypo-active bowel sounds, which indicates a decrease in intestinal motility. Treatment may involve medications to stimulate bowel function, such as prokinetic agents or laxatives, as well as careful monitoring of fluid and electrolyte balance. | 874 |
Answer this question truthfully | Does excess prolactin in the body lead to an increase or decrease in libido? | Excess prolactin in the body is associated with a decrease in libido. Prolactin is a hormone that is primarily responsible for stimulating milk production in the breasts of lactating women, but it also plays a role in regulating reproductive function in both men and women. High levels of prolactin can interfere with the production of other hormones, such as testosterone and estrogen, which are important for sexual function. In men, excess prolactin can lead to erectile dysfunction and a decreased sex drive, while in women it can cause irregular periods and a decrease in libido. Treatment for excess prolactin levels may involve medications that lower prolactin levels and restore normal hormonal balance. | 787 |
Please answer with one of the option in the bracket | Q:A 31-year-old woman comes to the physician because of a 2-day history of low-grade intermittent fever, dyspnea, and chest pain that worsens on deep inspiration. Over the past 4 weeks, she has had pain in her wrists and the fingers of both hands. During this period, she has also had difficulties working on her computer due to limited range of motion in her fingers, which tends to be more severe in the morning. Her temperature is 37.7°C (99.8°F). Physical examination shows a high-pitched scratching sound over the left sternal border. Further evaluation of this patient is most likely to reveal which of the following findings??
{'A': 'Mutation of the HFE gene', 'B': 'Blood urea nitrogen level > 60 mg/dL', 'C': 'Decreased C3 complement levels', 'D': 'Increased titer of anti-citrullinated peptide antibodies', 'E': 'Coxsackie virus RNA'}, | D: Increased titer of anti-citrullinated peptide antibodies | 905 |
If you are a doctor, please answer the medical questions based on the patient's description. | Have left rib cage pain that radiates to my neck, shoulder, head and down my left side. I have gas and nausea. Was diagnosed with tinntinis after an MRI and seeing an ent. I am dizzy and nauseated too. Can you give me am idea for the cause. Had th rib pain ever since the birth of my second child. | Hello, The possibility of musculoskeletal pain is more likely but better to get done ECG and 2d echo to rule out heart diseases. If both these are normal, then no need to worry about heart diseases. Apply warm water pad on affected areas of chest. Take calcium and vitamin D3 supplements for faster relief. Avoid heavyweight lifting and strenuous exercise and also, avoid movements causing pain. Hope I have answered your query. Let me know if I can assist you further. | 766 |
Answer this question truthfully | What is the cause of Savage syndrome, also known as "resistant ovary syndrome"? | Savage syndrome is caused by FSH receptor insensitivity. | 135 |
Answer this question truthfully | What is the history and what are the symptoms of truncus arteriosus? | Bluish skin (cyanosis) Delayed growth or growth failure Fatigue Lethargy Poor feeding Rapid breathing (tachypnea) Shortness of breath (dyspnea) | 211 |
Answer this question truthfully | What type of shunt can cause right heart failure if it persists for a long time? | A shunt is an abnormal connection between two parts of the circulatory system that can cause blood to flow in the wrong direction. If a left-to-right shunt persists for a long time, it can cause right heart failure. This type of shunt allows oxygen-rich blood to flow from the left side of the heart to the right side, where it mixes with oxygen-poor blood. This extra volume of blood can cause the right side of the heart to work harder to pump blood to the lungs, leading to right heart failure. Left-to-right shunts can be caused by a variety of conditions, such as atrial septal defects, ventricular septal defects, and patent ductus arteriosus. If left untreated, these conditions can lead to serious complications, including heart failure. | 825 |
If you are a doctor, please answer the medical questions based on the patient's description. | MY MOM HAS PAIN IN HER BACK ON THE RIGHT SIDE. SHE IS IN THE HOSPITAL AND THEY CANNOT FIND ANYTHING WRONG. THEY CHECKED FOR A KIDNEY STONE, THEY CHECKED FOR DIVERTICULOSIS, WHICH SHE HAS HAD, SHE DOES NOT HAVE A GALLBLADDER. THEY ARE GOING TO DO A X-RAY OF HER BACK NEXT. SHE HAS BEEN IN PAIN FOR DAYS. ANY SUGGESTIONS? | Hello, Thanks for your query. If all these things are normal, then it could be DE to degenerative changes in spine or muscle strain. She may go for a physical examination by your Orthopedic to rule out any spine related pathology. She may be prescribed painkillers and/or muscle relaxants which should give you relief. Physiotherapy may also be advised if necessary. I would suggest trying swimming as this will help most in back conditions. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care | 867 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi my name is Gabriela im 21 years old, my weigth ir like 110lbs and my height ir 1.63mts. i have somo like white hard balls on my mouth under the tongue, i have 2 since a while now. they dont hurt or anything one is bigger than the other... And maybe i have them for a year i cant really tell... Why can I do? | Hello, Thanks for consulting Chat Doctor, Read your query, as you have hard ball like swelling under tongue this can be due to Obstruction of Submandibular salivary gland it can be due to presence of salivary stone or due to enlarged lymph node. For this I will suggest you to consult dentist and go for examination of swelling if needed go for investigations of salivary gland Biography and treatment. Hope this will help you. Wishing you good health. | 762 |
Answer this question truthfully | Is it possible to differentiate between active and latent Helicobacter pylori (H. pylori) infection using serology? | No, serology for H. pylori cannot differentiate between active and latent infection. Serology is a blood test that detects antibodies to H. pylori in the bloodstream, indicating exposure to the bacteria at some point in the past. However, antibodies may persist in the blood even after the infection has been successfully treated and eradicated. Therefore, a positive serology test does not necessarily indicate an active infection. To determine if an H. pylori infection is active or latent, other diagnostic tests such as breath tests, stool antigen tests, or endoscopic biopsies may be necessary. These tests can detect the presence of H. pylori in the stomach and assess its activity level, helping to guide appropriate treatment. | 849 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, My SGPT is 61 and normally its usually 18 all the rest LFT was WNL is this indicative of any problems? Do I need to check for Hep C. or have titers done for Hep B(was vaccinated for Hep B)? Or is there any thing else to consider. The day before this blood test was done had severe nausea. For my blood tests I was fasting from 12M and blood drawn @6AM. | Thank you for posting query. Hepatitis presentation. Further evaluation needed. What is your height and weight?herb is unlikely as your already been vaccinated. Anti HCV antibody and anti HAD antibody maybe test along with \"lipid profile\".high fat in body and HEPA infection are also common causes of hepatitis.HEPA is self limited disease. Fatty liver disease needs diet modification. Secondly, \"proper REST\" should be followed along with proper diet. Exercise and sports is usually NOT advice in acute hepatitis. Thirdly usually it takes 2 to 4 weeks to come down for liver enzymes and another 2 weeks to return normal. Therefore advice is | 1,001 |
Answer this question truthfully | What is the effect of increased arterial pH (metabolic alkalosis) on ventilation and PCO2? | Increased arterial pH (metabolic alkalosis) causes compensatory hypo-ventilation with consequent increased PCO2. | 202 |
If you are a doctor, please answer the medical questions based on the patient's description. | hi Total Cholesterol is 235,Blood pressure is 110/80, blood sugar is 71, serum creatinine 1.1, SGPT (ALT) is 97 , i was prescribed to take Rozavel 5 earlier, above given is the current level what should i do now! should i continue the same medicine or consult a new Doctor!? kindly advice! | Welcome to Chat Doctor. Dear friend, your cholesterol level is high. As you told that your SGPT is 97, I suggest stopping Ravel. Your other values are in normal limit. You should start diet modification like decrease fatty foods, daily brisk walking for 30 minutes, avoid smoking and alcohol. This diet modification will help to reduce your cholesterol level and to decrease your risk for cardiac disease. Repeat LIVER FUNCTION TEST- SEPT AND GOT after 1 weeks. Further medicine will be planned after SGPT and GOT lab value. Thanx for query. | 830 |
If you are a doctor, please answer the medical questions based on the patient's description. | I have itchy, irritated skin on my buttocks, with open pus drainage. These sores have been bleeding for 6-7 days, and show no signs of improving. Possibly a reaction to medication I ve been on for 7-9 weeks. Very painful, with need for pain pills at night to sleep. Any suggestions? | Hello, I understand your concerns. These skin lesions and area is specific for herpes virus infection or other viral STDs, and it would be good to do std test before treatment is initiated. You should apply mild corticosteroid cream and acyclovir ointment for a start. Also, it may be molluscan or HPV and in this case more specific antiviral therapy is required. I don't think this is related to medication allergy or side effect. Wish you good health. | 735 |
If you are a doctor, please answer the medical questions based on the patient's description. | It seems like when I lay completely flat on my back for longer then ten minutes when I try to get up I have a sharp pain in my lower back which causes me to be unable to get up. The pain normally goes away after 10-15 minutes, however, it has lasted up to two hours. | DEAR FRIEND, I UNDERSTAND YOUR CONCERNS ABOUT YOUR PAIN. SEE THIS IS MAY BE DUE TO MUSCLE STRAIN OR NERVE COMPRESSION, SO WE NEED TO TAKE CARE OF BACK... SEE IN THIS TYPE OF CASE PAIN IS THE MAIN FACTOR WHICH TROUBLES HIM DUE TO IRRITATION OF NERVE ROOTS. NO NEED TO WORRY, YOU NEED TO TAKE IT AND TRACTION THERAPY FOR HIS BACK IN PHYSIOTHERAPY CLINIC... IF ANY LOCALIZE PAIN IS PRESENT THEN TAKE ULTRASONIC THERAPY.... YOU NEED 15 days TO THIS THERAPY!! THEN ONLY START WITH VARIOUS EXERCISE... TILL THAT TIME WAIT FOR PAIN TO REDUCE.... | 804 |
Answer this question truthfully | What causes Sleep paralysis? | Isolated sleep paralysis is more likely to happen during the first two hours of sleep. Not getting enough sleep or sleeping on the back may cause more frequent episodes.
Though this condition may occur with narcolepsy, many people who do not have narcolepsy have isolated sleep paralysis. It is common in adults and is also seen in children.
Most people with isolated sleep paralysis do not have any mental health problems. However, these episodes seem to occur more often in people with:
Anxiety disorders Bipolar illness Depression Post traumatic stress disorder
Rarely, it runs in families. | 621 |
If you are a doctor, please answer the medical questions based on the patient's description. | I have a red swolen knot on the lower abdomen area. It burns and has grown front a marble size to an egg size lump in the last 4 days. I have been applying hot compresses. What could this be? Could it be an insect bite? I am an 86 yr old female who is in somewhat good health. | Hi ! Good morning. I am Chat Doctor answering your query. If I were your doctor, I would not opine on it without a clinical examination of the lump and getting some routine investigations of your like a blood sugar, CBC, and other necessary investigations as the case might be. Therefore, I would advise you to show it to a general surgeon in your area to get it managed properly to prevent any other complications. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor. | 1,004 |
If you are a doctor, please answer the medical questions based on the patient's description. | My mom hit her head hard yesterday, and has had a stomach ache since. She didn t even realize her head hurt until I jokingly massaged her head. She has a small bump but no visible blood or bruising that I noticed. She compared her stomach ache to hunger pains she had when she was pregnant with my brother (which isn t the case here). Her period recently passed a few days ago. She was scared about it being a concussion, but she s not dizzy or at loss of memory. What could be wrong? | Hi. The most probable reason I can think of is Irritable Bowel Syn Chat Doctor. This is most probably be covert / occult. Get her a few antispasmodic tablets to settle the abdominal pain. IF the motions have smell or are too loose, she can certainly take antibiotics. Since there is no concussion or vomiting nothing to worry about the head injury. Yet it is advisable to get her examined clinically and get a CT scan of the brain. | 916 |
If you are a doctor, please answer the medical questions based on the patient's description. | sir, my wife suffering from OCD since last 8 years . at starting i contact with doctors at jabalpur they diagonase as OCD. BUt medicine given by them are so hard and aftre increasing power my wife can not take such medicine. at present no any medicine ann take please advise me | Hi, There are multiple treatment options for OCD. Today many medications are available which have minimal side effects like fluoxetine, sertraline, etc. If given appropriately, these medications are very safe and generally are well tolerated. In addition, there is also option of cognitive behavior therapy, which is a treatment that can be started with medications or without if the OCD is not very severe. Such therapy is need your wife to visit the therapist at regular intervals (once to twice a week) for about an hourly session. Hope the information was useful. Best wishes. | 857 |
If you are a doctor, please answer the medical questions based on the patient's description. | i had some chest pain plagueing me for about a week approx 6 weeks ago. I only believe that this is relevant because since than i have noticed this sensation of pressure on the left side of my neck, not sure if there noticeable distension. .wanted to get a second opinion before i went to the doc.... | Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should consult doctor and get done 1. Chest x-ray to rule out lung pathology. 2. Ultrasound examination of neck to rule out lymph node enlargement or other mass lesion. Lung infection and lung malignancy (if you are smoker) are common cause for chest pain and neck pain and distention. Chest x-ray is needed to rule out lung infection and lung malignancy. If both, chest x-ray and ultrasound are normal then no need to worry much. Painkiller and anti-inflammatory Chat Doctor. Hope I have solved your query. Wish you good health. Thanks. | 929 |
Answer this question truthfully | What are the symptoms of hyperpituitarism? | Signs and symptoms of hyperpituitarism are the excessive production of growth hormone and abnormal hormone excretion controlled by the pituitary, such as prolactin and thyroid hormones.
Gigantism in children. Abnormal growth of hands and feet in adults Headache Visual field loss or double vision Excessive sweating Hoarseness Galactorrhea Sleep apnea Carpal Tunnel syndrome Joint pain and limitation of motion Muscle weakness Numbness or tingling of skin Osteoporosis, kyphosis Hypertension, arteriosclerosis, even heart failure | 571 |
Answer this question truthfully | What condition is suggested when a person with a long history of pneumonia and chronic mucopurulent cough develops hemoptysis? | When a person with a long history of pneumonia and chronic mucopurulent cough develops hemoptysis, it is suggestive of bronchiectasis. Bronchiectasis is a condition in which the airways in the lungs become damaged and widened, making it difficult to clear mucus and leading to chronic coughing and recurrent lung infections. Hemoptysis, or coughing up blood, can occur in people with bronchiectasis due to the irritation and inflammation of the damaged airways. Other symptoms of bronchiectasis may include shortness of breath, wheezing, and chest pain. Treatment for bronchiectasis typically involves antibiotics to treat infections, bronchodilators to open up the airways, and chest physiotherapy to help clear mucus from the lungs. | 860 |
If you are a doctor, please answer the medical questions based on the patient's description. | just advised by bedridden brother has something called acetobacter. has been living in a nursing home for 13 months. presently diagnosed with pneumonia which was treated with course of anti-biotics. now discontinued. how dangerous is acetobacter. im told its resistant to antibiotics. | Hi, Welcome to Chat Doctor. Acinetobacter is a gram negative bacteria which is a communal but is becoming a pathogen in recent years. It is one of the pathogens associated with hospital infections. These bacterium are resistant to many broad spectrum antibiotics. But it is susceptible to combination antibiotics and carbapenems. I suggest you get a sputum culture and sensitivity to decide the appropriate antibiotics for the Acinetobacter isolated. Thanks. | 742 |
Answer this question truthfully | Who is at highest risk for Catecholaminergic polymorphic ventricular tachycardia? | Children and young adults Having a relative with CPVT Family history of fainting (syncope) or sudden death.
Thus, if you or someone in your family has CPVT, you and all other family members should see a healthcare provider to get checked. You may need a genetic test. | 348 |
If you are a doctor, please answer the medical questions based on the patient's description. | hello, doctorplease Im 28 years old male & i have a baby once i want to get my wife pregnant for one year when I get a semen analysisit was 40 mil in count with 70% abnormal forms80% of abnormalities at tail formsso what should I do for improving this& is there any medications to takethx... MR.TAREK TALAAT | Hello, You have to rule out if you have varicocele this is the most common cause of impaired semen parameters. Varicocele is diagnosed by physical examination and confirmed by an ultrasound of the scrotum. Usually, I give antioxidants such as vitamin C vitamin E to help improve semen parameters. Exercise and eating a healthy diet also go a long way. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. | 756 |
If you are a doctor, please answer the medical questions based on the patient's description. | hi i hAVE CHRONIC LOWER BACK PAIN AND A TORN ROTATOR CUFF ON MY SHOULDER I AM IN CONSTANT PAIN AND AM HAVING A HARD TIME FINDING SOMETHING THAT WORKS i VE TRIED NARCOTIC, NON-NARCOTIC PATCHES, ICE, HEAT ETC, ANY SUGGESTIONS CAUSE IM TIRED OF GOING TO DOCTORS | Hello, I have studied your case. When such patient comes to my hospital we usually take x-ray spine to see for any nerve compression. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. Some exercises which can be done after pain has reduced include-Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg. Now lift both hand and leg simultaneously, 6 inches off the ground and supposition for around 10 breathes. Core stabilizing spine exercises will help. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. Hope this helps. Wish you a speedy recovery. Take care | 1,023 |
If you are a doctor, please answer the medical questions based on the patient's description. | I have a dark blood blister or clot in my mouth very swelled, feels like it will burst any minute, LOCATED at top gume in front of 2 front teeth and on roof of my mouth. I cannot eat anything other than liquids. Should I be worried what is the cause? | Hello, thank you for consulting with Chat Doctor. As you are mentioning that you have noticed a blood filled blister in your mouth there can be three possibilitiesFirst if it is present since a long time it can be haemangiomaSecond it can be angina bulls hemorrhagic which is caused due to trauma. Third it can be possible a blister caused by blood disorder, Better you visit a good dentist, get it completely examined with blood test and confirmed and treated. Hope it will help you. Regards | 743 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi i had sex with my wife..where i didn t insert also my penis in her vagina..but condom has broken near the vagina but i didn t evacuate my sperm..in safety she took the emergency pill..after 20hrs..is there are any side effects if really the sperm didnt go also?? Her periods are about a week ago and i should wait till her next periods or go to a pregnancy kit? | Hello dairy understand your concertgoer condom was broken, and I pill was taken after 20 hours. I pill is highly effective in preventing the pregnancy.IT has 0-5% failure rate It cause following side effects | 571 |
Please answer with one of the option in the bracket | Q:A 34-year-old man presents with a 2-day history of loose stools, anorexia, malaise, and abdominal pain. He describes the pain as moderate, cramping in character, and diffusely localized to the periumbilical region. His past medical history is unremarkable. He works as a wildlife photographer and, 1 week ago, he was in the Yucatan peninsula capturing the flora and fauna for a magazine. The vital signs include blood pressure 120/60 mm Hg, heart rate 90/min, respiratory rate 18/min, and body temperature 38.0°C (100.4°F). Physical examination is unremarkable. Which of the following is a characteristic of the microorganism most likely responsible for this patient’s symptoms??
{'A': 'Production of lecithinase', 'B': 'Inactivation of the 60S ribosomal subunit', 'C': 'Presynaptic vesicle dysregulation', 'D': 'Overactivation of guanylate cyclase', 'E': 'Disabling Gi alpha subunit'}, | D: Overactivation of guanylate cyclase | 927 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I had symptoms of a brain stroke in June and one of the symptoms was numbness which started in my left leg at the back of the knee. I take 300mg aspirin on a daily basis now. Today i woke up and my left knee feels stiiff and I have surface bruises along my shin and at the back of my calf . I have not been doing any major exercise this week or last week and had no stiffness yesterday. Should I be worried about this? | Hi, Thank you for posting your query. Aspirin is an antiplatelet agent, and may cause bruising related to trivial trauma. Sometimes, spontaneous bruising may also occur. As of now, there is no need to worry. However, if it increases, then, you should get it examined by your doctor. Also, mild numbness can be due to mechanical pressure on the nerves in the skin. But if the area of involvement increases, then, you should consult your doctor. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/ | 971 |
Answer this question truthfully | What causes Cyclothymia? | The causes of cyclothymic disorder are unknown.
Major depression, bipolar disorder, and cyclothymia often occur together in families. This suggests that these mood disorders share similar causes.
Cyclothymia usually begins early in life. It appears to be equally common in men and women. | 311 |
Answer this question truthfully | What is the connection between Cholera and External Links? | Chorela - World Health Organization What is Cholera? - Centers for Disease Control and Prevention
eo:Ĥolero he:כולרה ms:Penyakit Taun
Template:WikiDoc Sources | 216 |
If you are a doctor, please answer the medical questions based on the patient's description. | hi, one of my frnd had pain in his neck for 2 months. Doctor advised him MRI & CT Scan and found that there is lump. So he went for CT guided biopsy. The histapathology report confirms that its TB but Microbiology report of initial, 3 weeks & 6 weeks reports says that there is no mycobacterium. Doctor has put him on AKT and after 1 month the MRI report compared to initial report shows reduction in the lump. But its confusing that why Microbiology report says negative TB. Please advise.Weight | Hi welcome to the Chat Doctor Your tuberculosis report positive as per histopathology report and microbiology report negative Sometime microbiology report can be negative if done only by AFB smear examination.... So if needed in such conditions higher method like gene expert study can be done to rule out tuberculosis.... Your lump showing reducing in size after starting anti tuberculosis Chat Doctor. . Take care Consult infectious specialist or physician for examination Hope your concern solved | 995 |
If you are a doctor, please answer the medical questions based on the patient's description. | My mother has just been diagnosed with a tumour in her lung she is waiting for an appointment to see what kind of tumour whether its cancer or not and which form.....a couple of years ago she had bowel cancer and had half her bowel removed and was doing really well, we are concerned obviously and wonder whether there will realistically be a treatment available ? She is in her early 80 s too so difficult age to be coping with this. | Thanks for your question on Chat Doctor. In my opinion the present lung tumor might be malignant only. Since your mother had bowel cancer chances of lung metastases are very high. So better to get done PET (Positron Emission Tomography) scan and if there is hot spot than probability of malignant tumor is high. You may biopsy to confirm this. Treatment will remain palliative chemotherapy only, as it is stage 4 cancer, so surgery is not indicated. So better to consult oncologist and discuss all these. | 938 |
Answer this question truthfully | When to seek urgent medical care when I have HIV AIDS ? | Since HIV weakens the immune system, people with AIDS should consult a doctor and get tested if they believe they have it. If you are diagnosed with AIDS, you should be in constant contact with your doctor. People with AIDS are susceptible to infections and cancers that most healthy adults would not get and so they must be very aware of any new diseases which their bodies acquire, and report them to their physicians as they occur. | 489 |
If you are a doctor, please answer the medical questions based on the patient's description. | Doctor Im a 24 yr old female married and settled in kerala with mine in-laws.My husband is working abroad. since few months im noticing terrible changes in my behaviour example | Degree understand your concerns went through your details. I suggest you not to worry much. I can see your emotions. Please do understand that roaming mind alone cannot determine any mental health problem. You should ask yourself whether you had been to any disappointing situations recently? Also ask yourself, was there any traumatic incidents or emotional incidents in your life in the recent past. If the answer is yes then that could be the reason. Don't think that you have some mental problem, because thinking can aggravate symptoms. I am from Ottapalam, Alaska. Please post a direct query to me with all the minute details, and I am happy to help you.URL. http | 845 |
If you are a doctor, please answer the medical questions based on the patient's description. | hi, my 3.5 year old son has enlarged adenoids. He has difficulty breathing at night as he struggles to breath through the nose and holds his breath in a lot. its so distressing. GP prescribed a steroidal nasal spray thats not helping much and obviously surgery is to be avoided as he s too young. please help!! | HI...this is an upper airway resistance syn Chat Doctor. I agree that it should be very hard for you to see the kid suffering like this. But the steroids will take at least 6-8 weeks to show some beneficial effect. If even after this - there is no effect, you can consider other options like surgery. Your GP has done a good and job and I suggest you wait for the response if it is not 8 weeks yet or consider other options if it is more than 8 weeks of steroid nasal spray. Regards - | 795 |
If you are a doctor, please answer the medical questions based on the patient's description. | Dear Sir My doctor has told me that i am suffering with GUTB and suggested medicine course for a long period of 9 months. The medicines suggested by him are 1 benadon 2 soliten 3 zanocine 4 R-Cinex Is it true that I have to take the said medicine for such a long period to get the cure from GUTB | Thanks for posting your query to Chat Doctor. I wanted to know how did you confirm the diagnosis of tuberculosis, what test and specimen you had tested . If you have confirmed diagnosis it is mandatory to take combination of medicine for such a long period as Tuberculosis is caused by a bacteria Mycobacterium which is very resistant and difficult to treat with single Chat Doctor. I suggest you to not break treatment if diagnosis is confirmed .hope this information will be sufficient for your query .rate me if you are satisfied with my answer .feel free to ask. | 861 |
Answer this question truthfully | What is acute disseminated (postinfectious) encephalomyelitis, and what are its common causes and symptoms? | Acute disseminated (postinfectious) encephalomyelitis is a rare but serious neurological condition that can occur after an infection or vaccination. It is characterized by multifocal inflammation and demyelination of the central nervous system (CNS), which can lead to a variety of neurological symptoms such as headache, fever, seizures, confusion, weakness, and vision problems. The condition is thought to be caused by an abnormal immune response to the infection or vaccine, which can damage the myelin sheath that surrounds and protects the nerve fibers in the CNS. Treatment typically involves supportive care, corticosteroids, and immunomodulatory therapy to reduce inflammation and prevent further damage to the CNS. | 831 |
If you are a doctor, please answer the medical questions based on the patient's description. | hi I am 43 yrs old and 155 lbs I am so tired everyday I get home from work I have to lay down. I have gained 35 lbs in the last year and my metabolism has seemed to stop working, I have essesive pain in my lower back and have a hard time working my ten hours a day. on the days im off I still feel as tired and it seems to be getting worse. any ideas of what this may be?ntinua | Hello, History of tiredness, Fatigue and weight gain in the last in year. If you're living a sedentary lifestyle you're that the risk of gaining weight. The body tunes itself according to the activity of the person. If your active your metabolism will increase and if you're otherwise the metabolism shutdown. But there are some medical cases also which can be attributed to it. Hypothyroidism is one condition which causes weight gain, fatigue. Diabetes may also cause a similar picture. | 865 |
Answer this question truthfully | What causes Cellulitis? | Staphylococcus and streptococcus bacteria are the most common causes of cellulitis. Normal skin has many types of bacteria living on it. When there is a break in the skin, these bacteria can cause a skin infection. Skin in the infected area will become red, hot, irritated, and painful. | 309 |
If you are a doctor, please answer the medical questions based on the patient's description. | i have pleural effusion and continuing tb medicene last 4 months but my right lungs pain slightly whenever i saw it to my physician he suggested medicine onamcortil-20, for one month, but i have taken only 7days what should i do should go for any other test to find the cause or else what to do | Thanks for your question I completely understand your question pleural effusion occurs in the pleural cavity that is the covering of lungs, when there is effusion pain is due to pleurisy that is inflammation of the pleura. After the pleural effusion is healed, as it heals by pleural fibrosis or thickening the stretching of the healing pleura causes pain no need to worry this pain can continue for variable time. Complete pleural fibrosis and cure takes time, so you need to consult a pulmonologist to evaluate the situation thanks feel free to ask more questions may god bless you with good health | 894 |
If you are a doctor, please answer the medical questions based on the patient's description. | HiI just finished 6 chemotherapy treatments ( 3 weeks apart) for fallopian tub cancer. The treatment is the same as is for ovarian SGOT is 48 and my SGPT is 94. Could the elevated numbers be due to the chemotherapy? Whats your opinion on this?Valerie | Hi, dairy have gone through your question. I can understand your concern. Your liver enzymes level are slightly increased. It may be due to chemotherapy OT may be due to some other cause like alcohol, viral infection or toxins. No need to worry. No, any treatment is required right now. Just repeat your liver enzymes level after a month. Mostly it will come back to normal. 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. | 776 |
Answer this question truthfully | When to seek urgent medical care when I have Mycobacterium abscessus ? | Patients should seek urgent medical care when they have rapidly progressive symptoms. | 155 |
Please answer with one of the option in the bracket | Q:A 26-year-old woman presents with sudden-onset pain in her lower back. She says she was exercising in the gym several hours ago when she felt a sharp pain. The pain is radiating down the side of her leg and into her foot. On physical exam, her vital signs are as follows: HR 95, BP 120/70, T 37.2 degrees C. She has extreme pain shooting down her leg with a straight leg raise. Her sensation to light touch and pin-prick is intact throughout. Which of the following is the most likely diagnosis??
{'A': 'Disc herniation', 'B': 'Osteomyelitis', 'C': 'Cauda equina syndrome', 'D': 'Spinal stenosis', 'E': 'Ankylosing spondylitis'}, | A: Disc herniation | 650 |
Please answer with one of the option in the bracket | Q:A 4-year-old girl is brought to the pediatrician's office by her parents with a complaint of foul-smelling discharge from one side of her nose for the past 2 weeks. There is no history of trauma to the nose and she was completely fine during her well-child visit last month. She was born at 39 weeks gestation via spontaneous vaginal delivery. She is up to date on all vaccines and is meeting all developmental milestones. Her vital signs are within normal limits. Examination of the nose reveals a mucoid discharge oozing out from the left nostril. The girl panics when the physician tries to use a nasal speculum. Palpation over the facial bones does not reveal any tenderness. An X-ray image of the paranasal sinuses shows no abnormality. Which of the following is the most likely cause of this condition??
{'A': 'Nasal foreign body', 'B': 'Bilateral maxillary sinusitis', 'C': 'Nasal polyp', 'D': 'Septal hematoma', 'E': 'Nasal tumor'}, | A: Nasal foreign body | 964 |
Answer this question truthfully | What is peripheral edema, and how is it related to right heart failure? | Peripheral edema is a condition in which excess fluid accumulates in the tissues of the body, causing swelling, particularly in the legs, ankles, and feet. This condition is often associated with right heart failure, which can cause increased venous pressure and fluid transudation into the surrounding tissues. When the right side of the heart is unable to pump blood effectively, blood can back up in the veins, leading to increased pressure in the venous system. This increased pressure can cause fluid to leak out of the veins and into the surrounding tissues, leading to peripheral edema. Other conditions can also cause peripheral edema, but in the context of right heart failure, it is important to identify and treat the underlying cause to prevent further complications. | 850 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I am a 32yr old female who was admitted to hospital a week ago with suspected viral meningitis. i had a mri scan and a lumbar puncture all tests came back clear. Since returning home 5 days ago I have been experiencing nausea and vomiting constant dizziness dull head ache and today I have developed a rash on my Arms and legs and my right foot is swollen. Feeling really fed up now with no diagnosis | Hi, Thank you for posting your query. I can understand your frustration, however, I can assure you that you would improve soon. In cases of viral meningitis, MRI brain and CSF findings are often normal. Moreover, symptoms such as headache, dizziness, fatigue, etc. may last for up to a few weeks. My only concern is the rash. In viral meningitis, skin rash may occur at onset. However, you should exclude any possibility of Chat Doctor. I hope it helps. Please get back if you require any additional information. Best wishes, | 929 |
If you are a doctor, please answer the medical questions based on the patient's description. | I had a blood test for life insurance. Everything on the test came back good except my SGOT and SGPT. SGOT is 160 u/l and SGPT is 138 u/l. Tested negative for hep b and hep c. Im 29 and in good physical conditon. Not over weight or obese. Dont drink more than once every other week. What could be the problem? | Hi, SGOT and ALT are reasonably sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common cause 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 additionally 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. Wish you a good health. Kindly regards, | 1,019 |
Answer this question truthfully | What are observational studies that compare a group of people with disease to a group without disease called? | Observational studies that compare a group of people with disease to a group without disease are called case-control studies. | 234 |
If you are a doctor, please answer the medical questions based on the patient's description. | my five yr old daughter has a rash in her pubic area. It started with a pimple and has spread over the whole outer area. Took to pediatrician and he recommended neosporin and A&D ointment. It hasnt helped, only worsened and shees complaining that it is VERY itchy. Today we 1% hydrocortisone, I dont know what else to do. | Hi, Welcome to Chat Doctor, Its too difficult to suggest without having a lot at the rash. The possibilities are a severe diaper rash if she is using one which is not commonly done in this age and other more likely possibility Is a fungal infection. I would suggest you use plain clotrimazole cream TD's and you can see the response in 2 days time. Steroid is not recommended now. However, the best would be to consult a dermatologist and then consider trying this therapy because I'm just assuming the possibilities not confirming it which can be done by only seeing the lesion. Take care. | 916 |
If you are a doctor, please answer the medical questions based on the patient's description. | my Gastroenterologist has just sent me a letter after examination. I have a sarcoid condition which she says has infected my liver. I am currently on 20mg of Prednisolone for the sarcoid. Blood tests results below | Hi Dear. I think its Hepatic involvement of acidosis. Although hepatic involvement is usually asymptomatic, however ones LFT could be deranged because of chronic homeostatic disease, increase in pressure inside vein that carries blood to liver and cirrhosis. Glucocorticoid treatment is first-line therapy for hepatic acidosis, that's is why your doctor has put you on prednisolone it will improve your general symptoms and abnormal laboratory values. Just keep your medications regular and visit your concerning Doctor regularly. | 743 |
If you are a doctor, please answer the medical questions based on the patient's description. | im 30 years old my semen test is | Hi ... According to your report your sperm motility is less. Active motile sperm 25% which should be at least 50% .that is rapid plus slowly progressive active sperm both....Non-motile sperm should less than 10 their it is 45%. So abnormal... Only active sperm can fertilize ova. In 7 month sperm motility can only be affected if underlying cause present like ... Smoking and alcoholic habit, vitamin and mineral deficiency, excess stress and steroid intake.... Still there are chance you can fertilize ova .... If conception not cured then cause searched and treated accordingly. Antioxidants, coenzyme Q10, L carnitine can give for increase motility... Take spinach, citrus fruits, red peppers and broccoli more. Take care ... If still conception not achieved consult an Chat Doctor. | 817 |
If you are a doctor, please answer the medical questions based on the patient's description. | I have a very ill friend who is being claimed by Parkinson s disease.....he just started having seizures.....he can no longer speak, talk or eat......he is miserable....A month ago he had a bad accident ...a bookcase fell on him and broke his hip....had to have gall bladder & appendix out before hip was fixed.... he is 77, weighs 205 lbs...no longers wants company...just wants to be left alone...his whole neck area is closing down.....what causes seizures???? | Parkinson's is a disease common in age like your friends. It's quite interesting to hear about the symptoms from you. Thank you for writing us here. Parkinson's disease is treated with Chat Doctor. Seizures are because of the disease itself but it's rare. I would suggest a CT scan done for the conformation. Also, I expect that your friend isn't taking any other medication like phenothiazines or antihypertensive | 878 |
If you are a doctor, please answer the medical questions based on the patient's description. | I had a broken knee cap in 1999 that healed completely. Have had complete use if it. Now I am starting to get pain (Level 7-8) on one side o that knee. If I garden for example within 3 hours I am sorry. Or some days I just get shooting pains in that right knee. Have had 3 steriod injections, with little relief | Dear patient What is your age ? It seems you are past middle age since three steroid injections already are given most probably for osteoarthritis of the knee. You ate having symptoms of osteoarthritis of knee and this needs to be investigated. I would advise X-ray of involved knee anteroposterior(standing) and lateral views and skyline view of patella. This will help in confirming diagnosis. If X-ray report is showing arthritis you need to consult expert orthopedic surgeon with report. Meanwhile, avoid squatting and cross-legged position. Take tab diclofenac 50\u00a0mg SOS for pain relief. All the best. | 925 |
If you are a doctor, please answer the medical questions based on the patient's description. | I have been sick with chest congestion, cough, severe headache, dizziness since Sat. Saw my GP Mon. and he says its a virus. Headache gone yesterday, but today everything I eat tastes funny, kind of like medicine. Can you please tell me what this could be. Never has happened before. | Hello, The medicine like taste can be due to infection only and in case if you are taking any medicine then it can be due to the side effect of medicine also. But you need not worry; as the infection will subside the taste will gradually improve. For now, you can do warm saline gargles. Use a tongue cleaner to clean the tongue as it will help in removing any particles from tongue and make the taste better. You can do soda bicarb gargles. You can also chew flavored sugar-free chewing gums to mask bad taste. Hope I have answered your query. Let me know if I can assist you further. | 868 |
If you are a doctor, please answer the medical questions based on the patient's description. | I am a 29 yeah old female, 53 and 128 lbs. Ive had some sort of stomach bug for the last 24 hours (vomitting, diahreah, severe cramping), and havent been able to eat much besides a few saltines. I went to bed feeling better and knowing that by period would be starting any time now. I think I have started my period (as expected) owever, the menstrual discharge doesnt look like the normal blood, it looks more like bile - a yellowish color. Kind of freaking me out! Any explaination for that? | Hi. This is a very typical problem you have developed - of bile like menstrual flow. It is just possible that you have got a fistula between the upper intestines and the uterus. This can happen in cases of Endometriosis / Tuberculosis/ Gallstone getting eroded into the uterus and all such possibilities. Most important is | 821 |
If you are a doctor, please answer the medical questions based on the patient's description. | I am 21years old, i have had real bad lower back pain on my right hand side which twinges and sometimes twinges my right hand leg. Some days im in agony when i try and move my back, even bending slightly. This has been happening for a few months now but the doctor insists its nothing. I also used to go to the gym 3 times a week and i believe alothough not diagnosed, i got shin splints from running on the tred mill then about a week after this the back pain started and i havent gone back since. Please help. | Hello, Thanks for your query. After going through your query I think you are having muscle generalized pain all over the body. In my opinion these pains are likely to be due to vitamins and trace element deficiency specially that of vitamin D. I will suggest you to got following test to see cause .1. Serum Vitamin D2. Serum Vitamin B123. T3,T4,TSH(Thyroid profile) 4. Blood sugar fasting and PP5. HbFurthermore Empirically treat my such patients by | 961 |
If you are a doctor, please answer the medical questions based on the patient's description. | I had a bad car accident 4 years ago and had tingling down my right arm soon after which was the drs at A&E did not seem bothered about, and it was put down to whiplash, now I have a stabbing throbbing pain from my shoulder down my upper arm and wonder if something has been missed. My hands, feet and around my mouth go blue and numb 3-4 times a day too. Is this connected and should I seek other medical attention. After all this time its really getting me down. Any help would be appreciated | Hello, As suggested by you about whiplash injury, its possible to have had some amount of traction/compression on nerve root which originate from spinal column in neck. That could explain your symptoms of tingling sensation. During recovery of nerve roots, these symptoms might increase. As long as Their is no weakness in power/sensation, nothing serious about your symptoms. To control those symptoms, course of vitamin b12 could be considered. Hope I have answered your query. Let me know if I can assist you further. Take care | 1,024 |
Answer this question truthfully | Could you explain the meaning of dyskeratosis congenita? | Dyskeratosis congenita is a rare progressive congenital disorder that in some ways resembles premature aging (similar to progeria). The disease mainly affects the integumentary system, the organ system that protects the body from damage, with a major consequence being anomalies of the bone marrow. | 356 |
If you are a doctor, please answer the medical questions based on the patient's description. | A week and a half ago my gallbladder was removed. After surgery I had some bruising below the belly button incision that went away. Since it has become very hard around the area surrounding my belly button, tender to the tounch, slightly red, and a slight warmth to the touch. Is this all normal? If not should I call my surgeon in the morning or go to the hospital? | Hi.noted history of recent laparoscopic cholecystectomy and current tenderness, warmth and redness over the umbilical port site. It is possible that you have a surgical site infection. To rule this out, it is best if you do a follow-up consult with your surgeon, for physical examination and clinical evaluation. Diagnostics (such as ultrasound and complete blood count may be requested) and management (medical and/or surgical Chat Doctor. Avoid manipulation of the affected site and daily wound care is also advised. Hope this helps. Good day!!~ | 914 |
Please answer with one of the option in the bracket | Q:A 32-year-old woman with type 1 diabetes mellitus is brought to the emergency department by her husband because of a 2-day history of profound fatigue and generalized weakness. One week ago, she increased her basal insulin dose because of inadequate control of her glucose concentrations. Neurologic examination shows hyporeflexia. An ECG shows T-wave flattening and diffuse ST-segment depression. Which of the following changes are most likely to occur in this patient's kidneys??
{'A': 'Increased activity of H+/K+ antiporter in α-intercalated cells', 'B': 'Decreased activity of epithelial Na+ channels in principal cells', 'C': 'Decreased activity of Na+/K+/2Cl- cotransporter in the loop of Henle', 'D': 'Decreased activity of Na+/H+ antiporter in the proximal convoluted tubule', 'E': 'Increased activity of luminal K+ channels in principal cells'}, | A: Increased activity of H+/K+ antiporter in α-intercalated cells | 923 |
If you are a doctor, please answer the medical questions based on the patient's description. | I m having head sweats, headache, tingling of extremities, double vision, dizzness and tired.... I do have IBS, CAD, C4-5-6 arthiritus, had Afib twice, have 2 stents )LCX). All this started during Bowling last Wed, and had to set out the last tow games. In about 1 1/2 hours was okay to drive home. No problems at night time, only after eating breadfast or bending over moving items, Ken Newton | As you mention double vision, it may be an alarming symptom. Double vision can be because of some lesion in brain stem or may be involvement of neuromuscular junction disorder. You have atrial fibrillation before and cardiac problem already, so you are having strong risk factors for having a stroke. You need to get MRI brain done to look for any stroke and if that is normal, you might require to undergo Repetitive nerve stimulation test to look for myasthenia graves | 864 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I am a 30 year old female.. I have found a lump on my upper arm right side about a year ago it is about the size of a pea.. here recently about 6 month ago I found anoth on my right arm forearm just below elbow tonight I found another close to the one by my elbow ....should I call my dr? my uncle had lymphoma just not sure which kind and there are other forms of cancer in my family as well...should I be worried? | Hi, thanks for writing to Chat Doctor. From your given description, I don't think that the swellings are of malignant nature. If the swellings are rapidly growing with change in color and consistency, then they need to be investigated for any possibility of malignancy. Tissue biopsy and histopathological examination will confirm the nature of the swellings. To be on the safer side, I suggest you to consult your family physician for a detailed clinical examination and further evaluation, if needed. Hope this information is helpful. Good day | 963 |
If you are a doctor, please answer the medical questions based on the patient's description. | I have noticed about a month ago, a dark vein at the back of my 6yr old son s leg, just below his knee joint, right at the top of his calf. He has been diagnosed with environmental asthma and is on a daily medication called Singulair. Is this vein normal or could it be a side effect of his asthma meds, or could it be something different all together. Kind regards, Worried Mother | Thank you for posting your question. The location on the leg that you have mentioned does harbor a major vein. It is most likely that this prominence that you have noticed is a normal occurrence. Also, the Chat Doctor. Having said that, I would suggest you keep a watch for appearance of any new symptoms like swelling of the legs or appearance of new prominent veins. If so, consulting a doctor would be necessary. If you have any more doubts regarding this case, do write back. | 861 |
If you are a doctor, please answer the medical questions based on the patient's description. | my husband takes metformin,jardiance and Januvia I sure would like to find herbs or minerals for him to try to reverse his condition I know doctors like to use people as guinnea pigs but giving him more drugs doesn t seem to be helping his condition seems like it is making him worse do you know the reversal minerals or herbs | Hello, Indeed, managing diabetes is a complex of various approaches | 393 |
If you are a doctor, please answer the medical questions based on the patient's description. | My question is | Hi welcome to Chat Doctor. I understand your query and concern. Blocked renal arteries can be due to elevated blood pressure. This needs adequate timely investigative protocol. Curative stenosis can be due to Inuit stenting procedures. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful. Chat Doctor. Reduce the intake of fatty and fried food. One pomegranate a day will help to keep your heart at good pace without clot formation. Stem cell procedures are still under research. Stent in situ will be curative in your case. Consult a Cardiologist for further expert management. Post your further queries if any. Thank you. | 875 |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi i had bad toothache last week at top back tooth and over the last few days the pain travelled down to under my bottom jaw (by my neck) and it hurts when i swallow, my teeth at the back do need coming out but im petrified of the dentist, should i be worried, it even hurts when i open my mouth wide | Hello, As you are mentioning that you are having pain in the upper back tooth which is severe, there can be two chances-- first it can be possible that your wisdom tooth is erupting-second may be your upper tooth is infected and now the infection is spreading in the apical region or forming an abscess. In both the cases you have to visit the dentist as he will examine it properly with an x-ray. Thank you. | 709 |
If you are a doctor, please answer the medical questions based on the patient's description. | I have a small patch of water blisters on the shaft of my penis about a 1/4 inch in diameter. this is the second time I ve noticed them. The first time they went away in a couple of days and now there back after about a month. What could they be. I do not have or ever had multi partners. | HelloThanks for your query, based on the facts that you have posted it appears that you have blisters filled with clear fluid over shaft of penis. These are likely to be due to Herpes 2 viral infection transmitted through sexual intercourse with female partner having HSV 2 viral infection. Though you do not have multiple partners one can HSV 2 infection with a single partner who has dormant HSV 2 infection. Please get swab test of a fluid from blister and screening test done to rule out HSV infection. Chat Doctor. | 807 |
Answer this question truthfully | What type of familial dyslipidemia commonly presents with tendinous xanthomas, especially on the Achilles tendon? | Type II familial dyslipidemia commonly presents with tendinous xanthomas, especially on the Achilles tendon. | 221 |
Answer this question truthfully | What is the pathophysiology of achalasia? | The pathophysiology of achalasia is characterized by the inability of the lower esophageal sphincter (LES) to relax. | 157 |
If you are a doctor, please answer the medical questions based on the patient's description. | Good evening. I have an old lateral scar (approx 5 inchces which required stiches back then but we never got them) on my upper thigh, which is about 20 years old. While getting dressed tonight I noticed that 2/3 of it was swollen and raised off of my leg. it s not too sore. I was wearing jeans and was mowing the lawn for three hours tonight. Thoughts??? | Hi, thank-you for providing the brief history of you As you have a chronic scar which is getting bigger and bulging I feel you should try out physical therapy. As when the scar becomes chronic there leads to weakness of the muscle and the accumulation of the fluid in the area. Regaining the muscle strength will help reduce the swelling appearance and also taking therapeutic ultrasound therapy will help lose the scar as well. In my clinical practice most scar are treated with Therapeutic ultrasound therapy and exercises which helps reduce the symptoms. Regards Jay In Chat Doctor. | 940 |
If you are a doctor, please answer the medical questions based on the patient's description. | doctor i m suffring from infertility i have got some test like fsh , kh.husband sperm test and HSG also all test become normal but in m ovulation study my follicle is not generated and after taken medicine ( clomid & hmg injection) we got max 18mm follicle but i was not concieve. now what m i do for conceving plz suggeste i m very much worry about this. | Hi Welcome to Chat Doctor If hormonal tests (FSH, LH,TSH, prolactin), HSG and husbands semen analysis are normal then you are suffering from unexplained infertility. Please mention your age and time since marriage. 18 mm is a mature follicle, and you can expect ovulation. Sometimes Chat Doctor injection is given to trigger ovulation. Don't lose hope with single attempt. Trust your doctor and continue with the same treatment that is closed+BMG, which will help you to ovulate. If you do not get success in 2-3 cycles by timed intercourse, IUI (intrauterine insemination) can be tried for another 2-3 cycles. Take care. | 977 |
If you are a doctor, please answer the medical questions based on the patient's description. | hey this is david yesterday i ran a mile but i wanted to go one more lap around and then my thigh started to hurt i already broke it before i still have the rods in my leg still and i have this weird big bump and hurts thru a 1 to a ten it hurts like a five | Hello, I think you have got ankle post-traumatic arthritis. You should get ankle x-rays in 2 or 3 positions and confirm this diagnosis. The treatment is different depending on the stage of arthritis. In early stages the treatment is non-operative with medication, braces, and physical therapy. In advanced stages treatment is with surgery, ankle replacement, or fusion. Hope I have answered your query. Let me know if I can assist you further. | 700 |
Answer this question truthfully | What is the process by which fatty acids in the cytosol are converted to fatty acyl-CoA in preparation for β-oxidation, and which enzyme is responsible for this conversion? | In preparation for β-oxidation, fatty acids in the cytosol are converted to fatty acyl-CoA via the enzyme fatty acyl-CoA synthetase. | 304 |
If you are a doctor, please answer the medical questions based on the patient's description. | i am 31 years old, height is 5 ft. 8inch, weight is 75kg if i am suffering night fall or day fall due to over excitement, watching romantic movie, is there any problem i masturbated before 10 years ago but now without masturbating i have discharging automatically 2 to 3 times in a month so i want to is there any problem | Dear serve understand your concerns went through your details. A NIGHT FALL / nocturnal emission / wet Chat Doctor. Studies show that approximately 83% of men experience a nocturnal emission or leakage at some point in their lives. There is nothing wrong with a person if he or she experiences a nocturnal orgasm or nocturnal emission or leakage, as they are normal and healthy experiences. If you have experienced a wet | 742 |
If you are a doctor, please answer the medical questions based on the patient's description. | I am 25 year old .having obesity depress every time not able to remind simple daily routine activity.and my activeness completely gone n i am feeling too lazy..suddenly getting angry and feeling so hungry everytimes.pls i want to be active .i want to be young mentality also want to increase mental power.pls suggest me | Hello, Welcome to Chat Doctor I can understand your concern. Obesity is one of independent aggravating factor for depression. The symptoms like benign forgetfulness, Chat Doctor. Try to reduce the weight by exercise which will help in improving mood. Consult a psychiatrist for persistent depressive symptoms. Medicines like SSRIs are commonly used in depression. Fluoxetine is SSRI that doesn't cause weight gain and can prove useful in your case. Apart from the medicines try relaxation exercises, yoga, meditation to keep yourself relaxed. Thanks | 869 |
Answer this question truthfully | In the elderly population of the Western world, what is the primary cause of iron deficiency? | Colon polyps or carcinoma is the most common cause of iron deficiency in the elderly population of the Western world. | 210 |
Answer this question truthfully | What medical condition can occur in individuals with recent abortion who develop fever and foul-smelling vaginal discharge? | Septic abortion is a medical condition that can occur in individuals with recent abortion who develop fever and foul-smelling vaginal discharge. | 267 |
If you are a doctor, please answer the medical questions based on the patient's description. | i recently had a blood test because i was having a lot of pain whicChatDoctores and goes i have a crush fracture of t9 blood tests are generally ok, except for the eloctrophoresis which shows a discrete band consistent with plasma cell dyscrasia such as myeloma or mgus | Your electrophoresis reports says that it is consistent with plasma cell ascariasis. However not specified that it is myeloma or Gus. You need further investigation to confirm that what the disease you have. It depends on your monoclonal IG levels and your symptoms. Go for Monoclonal IG levels, bone marrow study, x-ray skull also needed. Also scan you have any lytic lesion AOR not. What is creatinine level and albumin level is also important. But one thing is sure you need further investigation for plasma cell ascariasis. Go for that and take treatment accordingly. | 840 |
If you are a doctor, please answer the medical questions based on the patient's description. | I was told today that I have a complex cyst or a mass on my kidney...the cyst has doubled in size in the last 10 months...I was told that either an MRI or biopsy would probably be done...have an appt. with urologist in July...Is this always something that has to have surgery...sorta scared | HelloThanks for query. You have been detected to have complex cyst in your kidney which has increased in size over a period of last 10 months. Considering the increase in size and being complex in nature one has to rule out any malignancy. This can be confirmed only by histopathological examination of a tissue from cyst by doing FNAC (Fine Needle Aspiration Cytology). Further mode of treatment will depend upon the histological diagnosis. Chat Doctor. | 744 |
If you are a doctor, please answer the medical questions based on the patient's description. | i drank a bunch of caffeine two days ago, and im under some stress. i woke up early wed morning with an irregular pulse/rapid pulse which has continued for a little over a day now. I took my resting blood pressure/pulse rate just now, and my blood pressure readout was 177/78 and my pulse was 89-94. I this continues should i go to the hospital, or should i go ahead an make a trip? i dont have insurance. | Hi, Regarding your concern, I would explain that your blood pressure values are a little high. Is your heart rhythm regular or irregular? Your symptoms seem to be related to caffeine intake. I would recommend having some rest, lying down and taking deep breath for a couple of hours. You should avoid physical activity which can cause further raise in blood pressure and heart rate. If blood pressure values do not improve in the next hours, it would be necessary going to the ER. Hope to have been helpful. Let me know if I can assist you further. Wishing good health, | 975 |
Answer this question truthfully | What are the contraindications for performing surgery on a patient with patent ductus arteriosus? | The decision to operate a patent ductus arteriosus should be made based on the risk to benefits ratio | 198 |
If you are a doctor, please answer the medical questions based on the patient's description. | my sister is suffering from hepatitis c last 7yrs treatment given which has worked on her and she has developed cirrhosis of liver throwing up blood white cells 32000 and blood count 8 every six months admitted to hospital has enlarged spleen and liver what can be done at this stage | Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). I can understand your concerns regarding your sister. At present She requires admission and evaluation. Since She has been throwing blood she requires urgent endoscopy and therapy such as varietal banding or fungal glue. Also, She needs to be investigated for hepatitis C like HAVANA and Genotype and treatment accordingly. Moreover, She should also be evaluated for liver transplant. I 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. | 911 |
Answer this question truthfully | What is the name of the enzyme that converts homocysteine to cystathionine, and what cofactor is required for this reaction? | The enzyme that converts homocysteine to cystathionine is called cystathionine synthase, and it requires vitamin B6 as a cofactor. | 254 |
Answer this question truthfully | What is the primary cause of fetal demise? | Idiopathic factors are the most common cause of fetal demise. | 103 |
Answer this question truthfully | In patients with mild hypothermia, which warming technique is considered the most effective? | The most effective warming technique for patients with mild hypothermia is passive external warming. | 192 |
Answer this question truthfully | What is a common illness caused by Haemophilus influenzae in children? | Haemophilus influenzae is a common cause of otitis media in children. Otitis media is an infection of the middle ear that can cause pain, fever, and difficulty hearing. Haemophilus influenzae is one of several bacteria that can cause otitis media, and it is particularly common in children under the age of 5. In some cases, otitis media caused by Haemophilus influenzae can lead to more serious complications, such as meningitis or pneumonia. However, with prompt diagnosis and appropriate treatment, most cases of otitis media caused by Haemophilus influenzae can be successfully treated with antibiotics and other supportive measures. | 707 |
If you are a doctor, please answer the medical questions based on the patient's description. | Every time i sit on my sofa or i lie down in my bed, i get this pain in my back in the exact same place all the time (to the right , across the middle) and then i have to stand up or roll over as it becomes very uncomfortable. i am worried as i am only 17 and this has been going for quite a while. | Hi Welcome to Chat Doctor I have gone through your query and understand your concern. This seems to be muscular pain with trigger spot as pain is on same spot. But you are required to get MRI of the region to exclude local pathology. Treatment of this is rest and analgesic such as ibuprofen. I apply injection triamcinolone locally to such persons coming to me with good results. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. | 884 |
Answer this question truthfully | What are the symptoms of Premature birth? | A premature infant's organs are not fully developed. The infant needs special care in a nursery until the organ systems have developed enough to sustain life without medical support. This may take weeks to months.
A premature infant will have a lower birth weight than a full-term infant. Common physical signs of prematurity include:
Body hair (lanugo) Abnormal breathing patterns (shallow, irregular pauses in breathing called apnea) Enlarged clitoris (female infant) Problems breathing due to immature lungs (neonatal respiratory distress syndrome) or pneumonia Lower muscle tone and less activity than full-term infants Problems feeding due to difficulty sucking or coordinating swallowing and breathing Less body fat Small scrotum, smooth without ridges, and undescended testicles (male infant) Soft, flexible ear cartilage Thin, smooth, shiny skin, which is often transparent (can see veins under skin)
Not all premature babies will have these characteristics. | 1,007 |
If you are a doctor, please answer the medical questions based on the patient's description. | My 46 year old male friend has been feeling unwell, his blood pressure is quite high and is heart beat is very high, some readings have been 91 and above. I would be very grateful for some advice about how normal this is, he is asthmatic and takes medication, his breathing is very hard, but not like an astma attack, the slightest thing makes him breathless, he takes other medication like co codomol and amitriptyline, he has had pain in his stomach right by the rib cage that it is thought might be an ulcer. but we are quite concerned about the heart beat, sometimes it has been very fast and it is pssible to hear a ticking fluttering type noise, very clearly. please any advice would be a help. Thanks | Hello, It is necessary for performing some tests in order to investigate for the possible causes underlying tachycardia and high blood pressure values | 857 |
Answer this question truthfully | What to expect if I have Bursitis (Outlook/Prognosis)? | The outlook is generally very good for bursitis, although in rare cases your bursa may have to be removed surgically if other treatments are ineffective. | 208 |
Answer this question truthfully | What does percutaneous closure for atrial septal defect mean? | Percutaneous device closure is commonly performed to close an ostium secundum type of atrial septal defect and patent foramen ovales. It is still not FDA approved for closure of other forms of atrial septal defects such as primum, sinus venosus and coronary sinus. With proper patient selection at experienced centers, it has been found to be as successful, safe and effective as surgical closure. Additionally, it has been associated with fewer complications and a reduced length of stay compared to surgical closure . | 580 |
Answer this question truthfully | What are some of the associated conditions or complications that may occur in individuals with coarctation of the aorta? | Individuals with coarctation of the aorta may be at increased risk for certain associated conditions or complications. For example, coarctation of the aorta is often associated with a bicuspid aortic valve, which can cause problems with blood flow and increase the risk of developing aortic stenosis or regurgitation. Additionally, people with coarctation of the aorta may be at increased risk of developing berry aneurysms, which are small, sac-like bulges that form in the blood vessels of the brain. These aneurysms can be dangerous if they rupture, causing bleeding in the brain. It is important for individuals with coarctation of the aorta to be monitored closely for these and other potential complications. | 834 |
Answer this question truthfully | What is the name of the outermost layer of the bacterial spore, and what type of protein is it made of? | The outermost layer of the bacterial spore is called the coat, and it is made of a keratin-like protein. | 207 |
Please answer with one of the option in the bracket | Q:A 47-year-old woman presents to the clinic complaining of bilateral eye pain for the past 2 days. The pain is described initially as “sand in the eye” but is now a sharp, stabbing pain. She denies any trauma, irritation, or new facial care products but endorses some joint pain in her fingers. Her past medical history includes diabetes diagnosed 5 years ago. A physical examination demonstrates some swelling of the cheeks bilaterally. A slit lamp examination with fluorescein stain shows a yellow-green lesion. What is the most specific antibody that characterizes this disease??
{'A': 'Antinuclear antibodies', 'B': 'Anti-Ro antibodies', 'C': 'Anti-Scl-70 antibodies', 'D': 'Anti-SRP antibodies', 'E': 'Anti-U1 RNP antibodies'}, | B: Anti-Ro antibodies | 755 |
If you are a doctor, please answer the medical questions based on the patient's description. | my daughter now 10 mths diagnosed with reflux at 2 weeks old on .05 liquid zantac once daily. has always been uhappy, cries always, always had a cold, attacks her ears, shoves fists in mouth extremely hard to put and stay asleep...pulls legs up while rocking her off upright, leans forward while sleeping. as i have slowly introduced foods the texture is more chunkier and she is becoming so bad.... all symtoms are tripled and she is waking up all night instead of just stiring and farting badly at night. HELP im going insane my patience is now on overload!! | Calm first. Feeding a child in the age group of 9 - 18 months IA an art. Chil Chat Doctor. Give them food in a bowl of their favorite color and choice. Put her food in it. Let her spill and eat on her own. If you are using a feeding bottle kindly throw it away. That may be reason of frequent resp infections. Apply coconut oil all over body. Give a nice body massage with it and make her sleep. Make her food energy dense with oil and ghee | 1,001 |
Answer this question truthfully | What is an overview of prostatitis? | The pathogenesis of prostatitis is not completely understood. An infection ascending from the urethra, chemical damage caused by the reflux of urine through the ejaculatory ducts and prostatic ducts and autoimmune involvement are a few possible theories related to the pathogenesis of various types of prostatitis. Chronic prostatitis/chronic pelvic pain syndrome is thought to be caused by an abnormality in the hypothalamic-pituitary-adrenal axis and hormonal derangements involving the adrenocortical hormone. These changes can stem from variable response to stress, neurogenic inflammation, and myofascial pain syndrome. On microscopic examination, neutrophils or lymphocytes can be seen inside the prostatic gland, among the cells of the epithelium or inside the stromal component of the gland. | 836 |
If you are a doctor, please answer the medical questions based on the patient's description. | I fractured my cauxis bone many years ago. I have always had hip problems (a birth defect left my left leg 1 1/2\" shorter than my right). I have also developed plantar fascitis on the right foot & same side as my lower back sharp pain (around kidney area). It comes as a SHARP pain when i do normal activities. What can it be & how can it be helped? | Hello! Welcome to Chat Doctor. Thanks for your query. In your case you have not mentioned the duration of the pain, still considering it as an acute problem we will try to provide a solution to your problem. In your case straight leg raising test should be performed to rule out sciatic pain due to herniated disc which is likely to be the cause of the pain.Further, X-ray of pelvis and lower vertebrae should be taken to rule out the cause the underlying problem. The pain be treated conservatively with diclofenac, paracetamol and Gabapentin. Consult an orthopedist and take further suggestions. Wish you a good health. Thank you. | 983 |
If you are a doctor, please answer the medical questions based on the patient's description. | liver is normal in size (9.6 cm) with moderately coarse parenchyymal echotexture. Intrahepatic biliary tree is not dilated. portal and hepatic veins are not dilated. no focal lesion seen . [everything other is normal. i have history of hepatitis B virus]. what will be interpretation of the statement above? | Hi, Thanks for posting in Chat Doctor. I understand your concern. Fatty infiltration and fibrosis give a coarse echo texture of the liver parenchymal. However, in your case, since the liver is of normal size with no dilatation of intrahepatic biliary tree, portal and hepatic veins, there is nothing much to worry about it at this stage. Since you have positive history of Hepatitis B, regular follow-up is necessary and kindly get it done as recommended by your doctor. Hope the information provided helps. All the best. Chat Doctor. S., MBBS., MD. | 857 |
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