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If you are a doctor, please answer the medical questions based on the patient's description. | my liver function test is ok except bilirubingindirect is high i.e. 1.09 and alkaline phosphate 148.30 as per the technlogies used BILD-BILT-BILI-SGOT-IFCC* SGPT-IFCC* ALKP-Alp IFCC* GGT-Ifcc* PROT SLAB which is ready or medicine and treatment to bring the above two items on normal parameter | Hi welcome to Chat Doctor .... Noted you have conjugate hyperbilirubinemia.... So obstructive jaundice has to be ruled out like by cholestatsis or gall stone.....USG done witChatDoctorplete LFT profile and liver enzymes......Meanwhile, urine for urobilunogen also done. Udiliv tablet might be needed.... If hepatitis is present viral marker study also done.....Meanwhile, fruits more and fat taken less. Clinical follow-up necessary.... Hope your concern solved.... Take care.... Chat Doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: my liver function test is ok except bilirubingindirect is high i.e. 1.09 and alkaline phosphate 148.30 as per the technlogies used BILD-BILT-BILI-SGOT-IFCC* SGPT-IFCC* ALKP-Alp IFCC* GGT-Ifcc* PROT SLAB which is ready or medicine and treatment to bring the above two items on normal parameter<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi welcome to Chat Doctor .... Noted you have conjugate hyperbilirubinemia.... So obstructive jaundice has to be ruled out like by cholestatsis or gall stone.....USG done witChatDoctorplete LFT profile and liver enzymes......Meanwhile, urine for urobilunogen also done. Udiliv tablet might be needed.... If hepatitis is present viral marker study also done.....Meanwhile, fruits more and fat taken less. Clinical follow-up necessary.... Hope your concern solved.... Take care.... Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | hello for about 4 weeks I have felt breathlessness. I am normally quite a fit person I do taekwondo and at times its tiring, but this is different, I feel that I am not getting enough air and that something is trapped in my throat and chest, at first I thought it might be a mild chest infection, because I have suffered with them before on a few occasions but they have been bad where it felt someone was sat on my chest. but this is different and now it feels like I have trapped air in throat and wanting to burp, its really a second opinion as I have seen doctor twice and had a blood test today. I am 48 and I wondered at first if it was thyroid connected. can you help. | I would like you to answer me few questions which would help me get to the diagnosis of your problem | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hello for about 4 weeks I have felt breathlessness. I am normally quite a fit person I do taekwondo and at times its tiring, but this is different, I feel that I am not getting enough air and that something is trapped in my throat and chest, at first I thought it might be a mild chest infection, because I have suffered with them before on a few occasions but they have been bad where it felt someone was sat on my chest. but this is different and now it feels like I have trapped air in throat and wanting to burp, its really a second opinion as I have seen doctor twice and had a blood test today. I am 48 and I wondered at first if it was thyroid connected. can you help.<|eot_id|><|start_header_id|>assistant<|end_header_id|>I would like you to answer me few questions which would help me get to the diagnosis of your problem<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hey, I have been depressed for the last couple of years but it has always been relatively obscure.. Lately (a year), I have started becoming extremely anxious and depressed every time I wake up and it slowly reduces--normalizing at night, and it starts all over again if i got to bed. What worries me is that I cant seem to remember things like before--it is affecting my morals, studies, vision and determination. What shall I do? | Hi, I read your query and can understand your concern regarding your symptoms. From what you have mentioned, it is highly likely that you are suffering from depressive disorder. The daily variation in sadness with more of it occurring in the early morning hours are typical in a type of depressive episode. I suggest you should seek psychiatric consultation for complete evaluation and stating treatment. Treatment for depression will include medicines like sertraline, Escitalopram, etc., (which are prescription Chat Doctor. These anti-depressant medications are safe and effective. In addition, you should start exercising daily which will help you relax and feel better. Hope this information was helpful. Best wishes. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hey, I have been depressed for the last couple of years but it has always been relatively obscure.. Lately (a year), I have started becoming extremely anxious and depressed every time I wake up and it slowly reduces--normalizing at night, and it starts all over again if i got to bed. What worries me is that I cant seem to remember things like before--it is affecting my morals, studies, vision and determination. What shall I do?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, I read your query and can understand your concern regarding your symptoms. From what you have mentioned, it is highly likely that you are suffering from depressive disorder. The daily variation in sadness with more of it occurring in the early morning hours are typical in a type of depressive episode. I suggest you should seek psychiatric consultation for complete evaluation and stating treatment. Treatment for depression will include medicines like sertraline, Escitalopram, etc., (which are prescription Chat Doctor. These anti-depressant medications are safe and effective. In addition, you should start exercising daily which will help you relax and feel better. Hope this information was helpful. Best wishes.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | hello I went to a doctor to day as ive had something under my jaw bone for months its pain full when moving my toung even yarning its quite pain full the doc said I had to go to the dentist but the dentist could not find anything wrong with y teeth so she did a xray theres no absece and no cist but a shadow shes refured me to a hospital what do you think | Thanks for your query, I have gone through your query. The jaw pain can be because of the myofascial pain dysfunction syn Chat Doctor. Nothing to be panic, consult an oral physician and get it evaluated. If it is a myofascial pain you need to take an analgesic with muscle relaxant like ibuprofen and chlorzoxazone respectively. If it is secondary to TMJ disorder, then you have to take proximal tablet. You should not eat hard things and do not open your mouth too wide. I hope my answer will help you, take care. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hello I went to a doctor to day as ive had something under my jaw bone for months its pain full when moving my toung even yarning its quite pain full the doc said I had to go to the dentist but the dentist could not find anything wrong with y teeth so she did a xray theres no absece and no cist but a shadow shes refured me to a hospital what do you think<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your query, I have gone through your query. The jaw pain can be because of the myofascial pain dysfunction syn Chat Doctor. Nothing to be panic, consult an oral physician and get it evaluated. If it is a myofascial pain you need to take an analgesic with muscle relaxant like ibuprofen and chlorzoxazone respectively. If it is secondary to TMJ disorder, then you have to take proximal tablet. You should not eat hard things and do not open your mouth too wide. I hope my answer will help you, take care.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | i ve had a sore on my right gluteal fold for several months that almost heals, then does not. another one happened above it but it went away. another similar spot happened on my arm, and has almost gone away. and same with my ears. | Hello, As I was going through the history is there a soreness at one point or multiple? Because if its at multiple regions it could be called as knots. But than, this will.be only on probable basis and not an accurate diagnosis. I will recommend that you need to show this to a proper skin specialist so that you can get an accurate diagnosis which can help to plan the further treatment. Because certain abnormalities always need some physical examination. I am not mentioning anything in particular which can make you panic. So the best thing to do is to visit a good skin specialist. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i ve had a sore on my right gluteal fold for several months that almost heals, then does not. another one happened above it but it went away. another similar spot happened on my arm, and has almost gone away. and same with my ears.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, As I was going through the history is there a soreness at one point or multiple? Because if its at multiple regions it could be called as knots. But than, this will.be only on probable basis and not an accurate diagnosis. I will recommend that you need to show this to a proper skin specialist so that you can get an accurate diagnosis which can help to plan the further treatment. Because certain abnormalities always need some physical examination. I am not mentioning anything in particular which can make you panic. So the best thing to do is to visit a good skin specialist. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have a deep ache in my collar bone specifically starts aching at night time. Im thinking it might be from lifting weights especially weighted dips. I am a bit of a worrier so im thinking this is the worst and i have an HIV infection. Would love to know what you think? | Hi, Since you have other medical complications you need to take a guidance from your physician if you can really do strenuous exercise like weight lifting. This kind of weight lifting exercises aren't advised to people without having any medical clearance. I feel you have sprained the Acromioclavicular ligament and that might because for the pain. For time being tried to avoid lifting weights and focus more on breathing exercises along with hot water fermentation at the pain site. You should do well in 5-6 days. Also, will request you to consider your primary physicians' advice before doing any heavy exercises. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have a deep ache in my collar bone specifically starts aching at night time. Im thinking it might be from lifting weights especially weighted dips. I am a bit of a worrier so im thinking this is the worst and i have an HIV infection. Would love to know what you think?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Since you have other medical complications you need to take a guidance from your physician if you can really do strenuous exercise like weight lifting. This kind of weight lifting exercises aren't advised to people without having any medical clearance. I feel you have sprained the Acromioclavicular ligament and that might because for the pain. For time being tried to avoid lifting weights and focus more on breathing exercises along with hot water fermentation at the pain site. You should do well in 5-6 days. Also, will request you to consider your primary physicians' advice before doing any heavy exercises. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Im 29 years old and i have taken course of letoval 2.5mg,twice a day from 3rd day of period till 7th day. And duphaston from 16th day till 25th day. This month my period was late by 3days so thought i concieved n done home pregnancy test where in that T band showed an faint line so thought that im prregnant. but after 3 days it started bleeding ., so im not sure whether i can continue the course prescribed by my gynae or not.? So plz giude me.,eagerly waiting to conceive and my follicular study says that follicles are 15-18mm and got rupturing at that. not sure of the ovaluation. | Hi, a follicle ruptures when it reaches a size more than 17 mm. So, it might have ruptured in your case. It can be confirmed on ultrasound. Sometimes biochemical pregnancy occurs after which you can get your periods. So, if you have got your periods, stop all the medicines except folic acid. You can try same medicines next cycle also. Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Don't get stressed too much. Hope I have answered your question. Regards Chat Doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, Im 29 years old and i have taken course of letoval 2.5mg,twice a day from 3rd day of period till 7th day. And duphaston from 16th day till 25th day. This month my period was late by 3days so thought i concieved n done home pregnancy test where in that T band showed an faint line so thought that im prregnant. but after 3 days it started bleeding ., so im not sure whether i can continue the course prescribed by my gynae or not.? So plz giude me.,eagerly waiting to conceive and my follicular study says that follicles are 15-18mm and got rupturing at that. not sure of the ovaluation.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, a follicle ruptures when it reaches a size more than 17 mm. So, it might have ruptured in your case. It can be confirmed on ultrasound. Sometimes biochemical pregnancy occurs after which you can get your periods. So, if you have got your periods, stop all the medicines except folic acid. You can try same medicines next cycle also. Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Don't get stressed too much. Hope I have answered your question. Regards Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | my 17 yr old daughter has two lumps on each side of her neck, the left side is more noticeable. currently under Doctors care, they think it can be mono in the worse scenario cancer. waiting is the worse part. what do you think. She complaints it hurts when she moves her neck and is constantly tired, never the less shes a high school student and wakes up at 5am Monday through Friday and works right after school, therefore that part of being tire I can understand but still worried. Thank you | Hello and welcome to Chat Doctor, Multiple lumps in neck could be due to infection, inflammation or neoplasm. A history of tiredness can be seen in chronic inflammation like tuberculosis and neoplasms. A history of pain suggests an infectious pathology. You need to get some investigations done. An aspiration cytology of these multiple lymph nodes is required. In this investigation, cells are aspirated from the lymph nodes, spread on glass slide, stained with appropriate stain. These cells are examined microscopically know the origin and nature of the lesion. Along with aspiration of the lymph nodes or swellings, peripheral blood smear also needs to be done. Thanks and take care Chat Doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: my 17 yr old daughter has two lumps on each side of her neck, the left side is more noticeable. currently under Doctors care, they think it can be mono in the worse scenario cancer. waiting is the worse part. what do you think. She complaints it hurts when she moves her neck and is constantly tired, never the less shes a high school student and wakes up at 5am Monday through Friday and works right after school, therefore that part of being tire I can understand but still worried. Thank you<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello and welcome to Chat Doctor, Multiple lumps in neck could be due to infection, inflammation or neoplasm. A history of tiredness can be seen in chronic inflammation like tuberculosis and neoplasms. A history of pain suggests an infectious pathology. You need to get some investigations done. An aspiration cytology of these multiple lymph nodes is required. In this investigation, cells are aspirated from the lymph nodes, spread on glass slide, stained with appropriate stain. These cells are examined microscopically know the origin and nature of the lesion. Along with aspiration of the lymph nodes or swellings, peripheral blood smear also needs to be done. Thanks and take care Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Doctor,Since few days, I am having pain in my middle back side, I used volini spary, Relispray and Hifenac -p tabelet, but, no use. Can you Dr. help me.My brief am 65 retaired from govt.service and crazy of reading all english news paper from the world and sit for long time on comp.chair as well as Ideat box.Regards,- Narahari -sorry, i can not pay as i am retaired from service you can help me without obligation please | Hi, thanks for writing to Chat Doctor. Based on the description and your symptoms, I suspect that the cause of your back pain could be MECHANICAL or POSTURAL (as you sit for long time in the computer chair). A correct posture during sitting position with a straight back will help in preventing the back pain to occur. For this purpose, I suggest you to use a Lumbar back support (available commercially) which fits over to your chair and maintains correct posture of your spinal column. If you don't find any improvement in the back pain, consult an orthopedic surgeon for a proper evaluation and management. Hope this information is helpful. Good day | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hello Doctor,Since few days, I am having pain in my middle back side, I used volini spary, Relispray and Hifenac -p tabelet, but, no use. Can you Dr. help me.My brief am 65 retaired from govt.service and crazy of reading all english news paper from the world and sit for long time on comp.chair as well as Ideat box.Regards,- Narahari -sorry, i can not pay as i am retaired from service you can help me without obligation please<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, thanks for writing to Chat Doctor. Based on the description and your symptoms, I suspect that the cause of your back pain could be MECHANICAL or POSTURAL (as you sit for long time in the computer chair). A correct posture during sitting position with a straight back will help in preventing the back pain to occur. For this purpose, I suggest you to use a Lumbar back support (available commercially) which fits over to your chair and maintains correct posture of your spinal column. If you don't find any improvement in the back pain, consult an orthopedic surgeon for a proper evaluation and management. Hope this information is helpful. Good day<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello !! Im a 19 year old girl having the problem of thin hair frm past three yrs.. recently iv started using ducray anastim nd tab trichoton forte after consultation... my query is that is it safe for me to continue wid d treatment nd i hv been irregular in my treatment till nw will it hv any adverse effect ? | Hi and welcome to ChatDoctorFor your hair fall and thinning, do continue the treatment advised regularly as they are good options for you. You must keep in mind that it takes a few months to see good results and for new hair growth to appear. Regular treatment is necessary. You can also use Anaphase shampoo or Renoir shampoo. At the same time, make sure to have a healthy diet with fruits, veg and proteins. Adequate rest is required. Avoid stress and pollution. Try to find the cause of your hair fall over the last three years and make necessary changes. Illnesses like fever, typhoid, any hormonal and menstrual problems, thyroid disorder etc. can cause hair loss. Low hemoglobin, iron levels also can affect it. Keep a check on Dan Chat Doctor. Avoid regular chemical or heat based beauty treatment on the hair. You can consult the dermatologist regarding these tests if needed. The treatments are safe for you. Do them regularly to see good results. Hope this helps. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hello !! Im a 19 year old girl having the problem of thin hair frm past three yrs.. recently iv started using ducray anastim nd tab trichoton forte after consultation... my query is that is it safe for me to continue wid d treatment nd i hv been irregular in my treatment till nw will it hv any adverse effect ?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi and welcome to ChatDoctorFor your hair fall and thinning, do continue the treatment advised regularly as they are good options for you. You must keep in mind that it takes a few months to see good results and for new hair growth to appear. Regular treatment is necessary. You can also use Anaphase shampoo or Renoir shampoo. At the same time, make sure to have a healthy diet with fruits, veg and proteins. Adequate rest is required. Avoid stress and pollution. Try to find the cause of your hair fall over the last three years and make necessary changes. Illnesses like fever, typhoid, any hormonal and menstrual problems, thyroid disorder etc. can cause hair loss. Low hemoglobin, iron levels also can affect it. Keep a check on Dan Chat Doctor. Avoid regular chemical or heat based beauty treatment on the hair. You can consult the dermatologist regarding these tests if needed. The treatments are safe for you. Do them regularly to see good results. Hope this helps.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | hi dis is mrs aradhana das. i m suffering from some skin disease on my fingers. it starts with dark dots inside the skin which converts in to blisters n then cracks on skin. whenever i use desonide cream i gets healed.. bt whn i stop using it , it starts agin. what should i do? please help me out. | Hi Dear, Understanding your concern. As per your query you have symptoms of dark spots on the skin with blisters which seems to be due to infection of hair follicles leading to folliculitis. Need not worry. I would suggest you to apply little pressure on that area with cotton dipped in warm water to ooze out the pus properly. Use calamine lotion on that to resolve itchiness. Apply Betadine over area and clean that area properly with antimicrobial agent. Use of corticosteroid ointment is helpful. Your symptoms will start resolving in 3-5 days. If it keeps on persisting visit dermatologist once to find out any hidden cause for your symptoms, and start treatment accordingly. Hope your concern has been resolved. Best Wishes, | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hi dis is mrs aradhana das. i m suffering from some skin disease on my fingers. it starts with dark dots inside the skin which converts in to blisters n then cracks on skin. whenever i use desonide cream i gets healed.. bt whn i stop using it , it starts agin. what should i do? please help me out.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi Dear, Understanding your concern. As per your query you have symptoms of dark spots on the skin with blisters which seems to be due to infection of hair follicles leading to folliculitis. Need not worry. I would suggest you to apply little pressure on that area with cotton dipped in warm water to ooze out the pus properly. Use calamine lotion on that to resolve itchiness. Apply Betadine over area and clean that area properly with antimicrobial agent. Use of corticosteroid ointment is helpful. Your symptoms will start resolving in 3-5 days. If it keeps on persisting visit dermatologist once to find out any hidden cause for your symptoms, and start treatment accordingly. Hope your concern has been resolved. Best Wishes,<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Thank you for your kindness advise.My english quite is limit but I hope you can understand.My son 8 years old 22 kgs.He got nose allergies.He cant sleep at night for long term.He doesnt look like kids but sleepy all the time like an old man.He has ardenoid face.But someone suggest me to try probiotics but I also found probiotics cause some worm so how can I do? I am confused and scare of worms too. | HI, thanks for using Chat Doctor Probiotics help with the immune system response and would help build up his immune system and reduce infections and allergies. In addition, if he can have allergy tests to find out what causes his allergic reaction then this would also help because you can then reduce his exposure. The use of topical steroid nasal sprays would also help to relieve his symptoms. Examples are alone, escort, Flonase, I hope this helps | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Thank you for your kindness advise.My english quite is limit but I hope you can understand.My son 8 years old 22 kgs.He got nose allergies.He cant sleep at night for long term.He doesnt look like kids but sleepy all the time like an old man.He has ardenoid face.But someone suggest me to try probiotics but I also found probiotics cause some worm so how can I do? I am confused and scare of worms too.<|eot_id|><|start_header_id|>assistant<|end_header_id|>HI, thanks for using Chat Doctor Probiotics help with the immune system response and would help build up his immune system and reduce infections and allergies. In addition, if he can have allergy tests to find out what causes his allergic reaction then this would also help because you can then reduce his exposure. The use of topical steroid nasal sprays would also help to relieve his symptoms. Examples are alone, escort, Flonase, I hope this helps<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I fell down last night, and hit my right knee very hard. I now have a small, dark red circle on my knee cap, and pain right at that point, but also surrounding my knee cap as well. It hurts more when I sit and its bent, but walking is slightly painful as well... | Hello, I suggest you to have some x-ray of the knee as you may have a nondisplaced fracture of patella (knee cup). This diagnosis should be ruled out. If x-ray is normal then is a simple soft tissue contusion that needs to be treated with rest, ice, elevation, and elastic bandage or knee brace and some anti-inflammatory Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, I fell down last night, and hit my right knee very hard. I now have a small, dark red circle on my knee cap, and pain right at that point, but also surrounding my knee cap as well. It hurts more when I sit and its bent, but walking is slightly painful as well...<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, I suggest you to have some x-ray of the knee as you may have a nondisplaced fracture of patella (knee cup). This diagnosis should be ruled out. If x-ray is normal then is a simple soft tissue contusion that needs to be treated with rest, ice, elevation, and elastic bandage or knee brace and some anti-inflammatory Chat Doctor. Hope I have answered your query. Let me know if I can assist you further.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Son 3 1/2yrs old hx of sinusitis ,ear infections, seasonal allergies and enlarged tonsils and adenoids Currently on singulair, nasonex, Zyrtec..we have stopped giving him the nasonex as his allergies were getting better (my mistake) He starts coughing while eating and gags at time .. Could this be related to his enlarged tonsils/adenoids? Thanks for your advise | Hi, I had gone through your question and understand your concerns. Adenoids cause secretion of mucus, which pass through hypopharynx and cause cough, you should wash his nose daily with nuclear or physiological solution to remove mucus, bacteria,allergens from nose. You can discuss query about adenoidectomy with your treating Doctor. Hope I have answered your question. If you have any further questions I will be happy to help | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Son 3 1/2yrs old hx of sinusitis ,ear infections, seasonal allergies and enlarged tonsils and adenoids Currently on singulair, nasonex, Zyrtec..we have stopped giving him the nasonex as his allergies were getting better (my mistake) He starts coughing while eating and gags at time .. Could this be related to his enlarged tonsils/adenoids? Thanks for your advise<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, I had gone through your question and understand your concerns. Adenoids cause secretion of mucus, which pass through hypopharynx and cause cough, you should wash his nose daily with nuclear or physiological solution to remove mucus, bacteria,allergens from nose. You can discuss query about adenoidectomy with your treating Doctor. Hope I have answered your question. If you have any further questions I will be happy to help<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My husband had back pain and fever.Doctor asked for scan to be done .Both kidneys are normal in size and echotexture .No pelvicalyceal dilation on both sides.Coticomedullary differtiation is well maintained.urinary bladder | Hi and thanks for the query, Recurrent urinary infections in this context could be due to poorly managed kidney stones, poorly treated urinary infections and a possible resistant and unidentified germ causing this infection. The sizes of the kidney stones might deserve either radiologic treatment like use of laser in lithography, or use of surgery. Surgery must not be invasive in this case for there exist endoscopic surgery, which can be well-used in this case. Thanks and kind regards. I suggest you consult a urologist. Bain LE, MD. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My husband had back pain and fever.Doctor asked for scan to be done .Both kidneys are normal in size and echotexture .No pelvicalyceal dilation on both sides.Coticomedullary differtiation is well maintained.urinary bladder<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi and thanks for the query, Recurrent urinary infections in this context could be due to poorly managed kidney stones, poorly treated urinary infections and a possible resistant and unidentified germ causing this infection. The sizes of the kidney stones might deserve either radiologic treatment like use of laser in lithography, or use of surgery. Surgery must not be invasive in this case for there exist endoscopic surgery, which can be well-used in this case. Thanks and kind regards. I suggest you consult a urologist. Bain LE, MD.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | i dropped my laptop on the top of my foot and i think i busted a vein and possibly broke something... a huge blood lump popped up immediately and after 2 days i still can t put weight on it to walk normally, and can t feel or move the two littlest toes | Hi ! Good morning. I am Chat Doctor answering your query. Yes ! Bursting of a vein or a fracture of a bone could give rise to a blood collection which manifests itself as a lump (hematoma). With your description of the lump, and restriction of movements, a fracture has to be ruled out, and so I would advise you to visit either an orthopedic surgeon or the nearest ER of a hospital in your area for a physical examination and related investigations like a plain X-ray of your involved foot to rule out the fracture. Further management would depend on the reports. Till then, you could go for an anti-inflammatory Chat Doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i dropped my laptop on the top of my foot and i think i busted a vein and possibly broke something... a huge blood lump popped up immediately and after 2 days i still can t put weight on it to walk normally, and can t feel or move the two littlest toes<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi ! Good morning. I am Chat Doctor answering your query. Yes ! Bursting of a vein or a fracture of a bone could give rise to a blood collection which manifests itself as a lump (hematoma). With your description of the lump, and restriction of movements, a fracture has to be ruled out, and so I would advise you to visit either an orthopedic surgeon or the nearest ER of a hospital in your area for a physical examination and related investigations like a plain X-ray of your involved foot to rule out the fracture. Further management would depend on the reports. Till then, you could go for an anti-inflammatory Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have been prescribed a five day course of 500 mg zinnat. Two days in I feel better but my guns appear to be worse. I have also started to bleed a little from my gums and noticed a little more white puss on them. I was wondering what I should do. Thank you | This medicine is cefuroxime which is in the cephalosporin group of antibiotics. It is a broad spectrum antibiotic. The antibiotic needs to be completed to have the full benefit. You need to be rinsing, brushing and flossing with gentle, but effective care. Warm salt water is an effective rinse. Often some increase in sensitivity can occur as the gums heal. I do not know the condition of your gums when you started the antibiotic. I suggest you discuss this with your doctor. Have you had a cleaning or are you scheduled for more cleaning or a deep under the gum cleaning? Puss on the gums is a sign of infection. You may need an additional prescription. Rinse such as chlorhexidine may be needed to help tissue healing. Please consult your dentist. Some anti-inflammatory medicine may help to heal and make you feel better. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have been prescribed a five day course of 500 mg zinnat. Two days in I feel better but my guns appear to be worse. I have also started to bleed a little from my gums and noticed a little more white puss on them. I was wondering what I should do. Thank you<|eot_id|><|start_header_id|>assistant<|end_header_id|>This medicine is cefuroxime which is in the cephalosporin group of antibiotics. It is a broad spectrum antibiotic. The antibiotic needs to be completed to have the full benefit. You need to be rinsing, brushing and flossing with gentle, but effective care. Warm salt water is an effective rinse. Often some increase in sensitivity can occur as the gums heal. I do not know the condition of your gums when you started the antibiotic. I suggest you discuss this with your doctor. Have you had a cleaning or are you scheduled for more cleaning or a deep under the gum cleaning? Puss on the gums is a sign of infection. You may need an additional prescription. Rinse such as chlorhexidine may be needed to help tissue healing. Please consult your dentist. Some anti-inflammatory medicine may help to heal and make you feel better.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have a small lump on the right side of my spinchter muscle. It doesnt hurt but I have noticed it about a couple weeks ago. I feel it when I shower and clean my area with my fingers.I have no pain but feel the size of thumb and does not bleed.thank you for your answer. | Hi. Thanks for your query. Read your clear history of lump on the right side of your anal sphincter muscle of the size of the thumb which does not bleed or cause any pain can be due to | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have a small lump on the right side of my spinchter muscle. It doesnt hurt but I have noticed it about a couple weeks ago. I feel it when I shower and clean my area with my fingers.I have no pain but feel the size of thumb and does not bleed.thank you for your answer.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. Thanks for your query. Read your clear history of lump on the right side of your anal sphincter muscle of the size of the thumb which does not bleed or cause any pain can be due to<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | hello my son will be 3 in aug. he was hosp. last october dx mrsa multiple boils, he now was a boil his dr prescribed amoxicillin and clavulanate k+ oral susp 400mg, the boil became an abscess and now he has diarrhea dark green there was not a culture done prior to antibiotic should I d/c prescription or is it a worsening symptom? He is a little more active and seems to be recuperating, appetite has increased | HI.what your kid is having is an antibiotic associated diarrhea. If the baby as you say is better than previous symptoms - then you need not worry. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. You can use probiotics - especially Saccharomyces bollards. It is specifically for antibiotic associated diarrhea. Make sure the baby is well HY Chat Doctor. Regards - | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hello my son will be 3 in aug. he was hosp. last october dx mrsa multiple boils, he now was a boil his dr prescribed amoxicillin and clavulanate k+ oral susp 400mg, the boil became an abscess and now he has diarrhea dark green there was not a culture done prior to antibiotic should I d/c prescription or is it a worsening symptom? He is a little more active and seems to be recuperating, appetite has increased<|eot_id|><|start_header_id|>assistant<|end_header_id|>HI.what your kid is having is an antibiotic associated diarrhea. If the baby as you say is better than previous symptoms - then you need not worry. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. You can use probiotics - especially Saccharomyces bollards. It is specifically for antibiotic associated diarrhea. Make sure the baby is well HY Chat Doctor. Regards -<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My husband (50 years old) has high blood pressure, hes currently taking ramipril, doxisosin and amilodipine, (he stopped taking simvastitin as it was making his knee joints hurt) he drinks alcohol on the weekend only.He is about 14 stone 7. He has improved his diet, but his bp still hasnt come down. He is also getting dizzy spells and sometimes feels weak and cant move arms(this improves when he has food). what else can he do? Also is spicy food good or bad for his condition? | Hello! Welcome on Chat Doctor! I carefully passed through your question and would explain that is important performing some tests to investigate for other secondary causes of high blood pressure | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My husband (50 years old) has high blood pressure, hes currently taking ramipril, doxisosin and amilodipine, (he stopped taking simvastitin as it was making his knee joints hurt) he drinks alcohol on the weekend only.He is about 14 stone 7. He has improved his diet, but his bp still hasnt come down. He is also getting dizzy spells and sometimes feels weak and cant move arms(this improves when he has food). what else can he do? Also is spicy food good or bad for his condition?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello! Welcome on Chat Doctor! I carefully passed through your question and would explain that is important performing some tests to investigate for other secondary causes of high blood pressure<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Ok so my front two teeth are DEAD they have been that way since I can remember. I have noticed these bumps on my gums above those teeth. They looked like pimples so I popped them and green chunks, yellow puss, and then blood came out. I know this is not normal but my question is what should I do?? Is it because those teeth r dead | Hello, Thanks for your query. As you provided the detail, it seems that there is infection in that teeth area. But the detail you provided is not clear, recantly whether there is any trauma in that area or not. Any ways, please visit an endodontist as soon as possible and go for thorough examination including x-rays of concerned teeth. You need root canal treatment in those teeth. Nothing to get worried. Take Care. Chat Doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Ok so my front two teeth are DEAD they have been that way since I can remember. I have noticed these bumps on my gums above those teeth. They looked like pimples so I popped them and green chunks, yellow puss, and then blood came out. I know this is not normal but my question is what should I do?? Is it because those teeth r dead<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thanks for your query. As you provided the detail, it seems that there is infection in that teeth area. But the detail you provided is not clear, recantly whether there is any trauma in that area or not. Any ways, please visit an endodontist as soon as possible and go for thorough examination including x-rays of concerned teeth. You need root canal treatment in those teeth. Nothing to get worried. Take Care. Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | hi there. i am 29, weight 22 stone and i am a smoker. I have recently been have heart palpataiotion, or extra heart beats. i wake up every day with dizzyness in my head, or what i can only describe as pressure on the head, my heart pounds and i just dont feel right. please can you advise... | Hello, Most probably these are ventricular premature complexes. These are ectopic or extra beats. These are usually benign and not life-threatening. These are frequently associated caffeine, smoking, alcohol, thyroid problems may aggravate these. So before going ahead we need to confirm it. You'll need ECG, Since these are not frequent ECG may be normal sometimes, so in that case you'll need 24 holder monitoring which can diagnose these. You should also get echo done to look for functioning of heart. Furthermore, you should also get thyroid test done. Avoid smoking, alcohol and caffeinated products. You should also discuss with your local doctor regarding Metoprolol XR 25 mg once a day, which will suppress these beats, after confirmation of diagnosis. Hope this helps you and get back if you have any questions. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hi there. i am 29, weight 22 stone and i am a smoker. I have recently been have heart palpataiotion, or extra heart beats. i wake up every day with dizzyness in my head, or what i can only describe as pressure on the head, my heart pounds and i just dont feel right. please can you advise...<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Most probably these are ventricular premature complexes. These are ectopic or extra beats. These are usually benign and not life-threatening. These are frequently associated caffeine, smoking, alcohol, thyroid problems may aggravate these. So before going ahead we need to confirm it. You'll need ECG, Since these are not frequent ECG may be normal sometimes, so in that case you'll need 24 holder monitoring which can diagnose these. You should also get echo done to look for functioning of heart. Furthermore, you should also get thyroid test done. Avoid smoking, alcohol and caffeinated products. You should also discuss with your local doctor regarding Metoprolol XR 25 mg once a day, which will suppress these beats, after confirmation of diagnosis. Hope this helps you and get back if you have any questions.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My last period was July 9-14. I was sexually active on both the 23 and 29. On the 30 I experienced very light pink spotting. The spotting only lasted about 2 days. I m almost positive it s not caused from an infection because I ve only been with one guy and he is std free. I ve had a headache for a few days straight now and have experienced quite a bit of dizziness. I know it is too early for a urine test but I was wondering if these were just symptoms of ovulation or is it possible that I am pregnant? | Hi there, I have understood your concern. If you have history of unprotected sex act, if you have history of regular cycles then your dates of sexual activity fall in the fertile period of cycle. And there us possibility of getting pregnant. Your symptoms can not be directly related to pregnancy. The very first and important sign of pregnancy is a missing period. As you have rightly said that it will be too early to expect pregnancy symptoms and get urine test done. I will suggest you to wait for your expected date of the cycle. If you happen to cross your dates, then please get mornings first sample of urine tested for pregnancy. In case of doubt blood beta Chat Doctor test and USG will be of help. Even if you are pregnant, you can opt for termination of the pregnancy with medicines safely till 9 weeks of pregnancy under medical supervision. I hope this answer helps you. Thanks. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My last period was July 9-14. I was sexually active on both the 23 and 29. On the 30 I experienced very light pink spotting. The spotting only lasted about 2 days. I m almost positive it s not caused from an infection because I ve only been with one guy and he is std free. I ve had a headache for a few days straight now and have experienced quite a bit of dizziness. I know it is too early for a urine test but I was wondering if these were just symptoms of ovulation or is it possible that I am pregnant?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi there, I have understood your concern. If you have history of unprotected sex act, if you have history of regular cycles then your dates of sexual activity fall in the fertile period of cycle. And there us possibility of getting pregnant. Your symptoms can not be directly related to pregnancy. The very first and important sign of pregnancy is a missing period. As you have rightly said that it will be too early to expect pregnancy symptoms and get urine test done. I will suggest you to wait for your expected date of the cycle. If you happen to cross your dates, then please get mornings first sample of urine tested for pregnancy. In case of doubt blood beta Chat Doctor test and USG will be of help. Even if you are pregnant, you can opt for termination of the pregnancy with medicines safely till 9 weeks of pregnancy under medical supervision. I hope this answer helps you. Thanks.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Doctor,I am 30 yrs old and I am an asthmatic patient from last 17 yrs And I am under formonide 400 medication but still I feel discomfort while breathing. Wanted to ask you regarding chest tightening. Is there any possibilty that the rib cage increase( chest increase) due to asthma as I observed my shirt size increased in last 6 months. And sometimes also getting pain while breathing | Thanks for your question on Chat Doctor. I can understand your concern. Yes, uncontrolled asthma can cause hyperinflation and air trapping. Both these cause larger lungs. And larger lungs when chronic can cause increase in chest wall size. All these are markers of uncontrolled asthma. Your pain is also due to this only. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. PUT (Pulmonary Function Test) 3. Chest x-ray. PFT will diagnose severity of asthma and air trapping. Chest x-ray will diagnose hyperinflation. You may need additional inhaled bronchodilators and inhaled corticosteroid (ICS). Oral combination of antihistamine and anti-allergic Chat Doctor. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hello Doctor,I am 30 yrs old and I am an asthmatic patient from last 17 yrs And I am under formonide 400 medication but still I feel discomfort while breathing. Wanted to ask you regarding chest tightening. Is there any possibilty that the rib cage increase( chest increase) due to asthma as I observed my shirt size increased in last 6 months. And sometimes also getting pain while breathing<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. Yes, uncontrolled asthma can cause hyperinflation and air trapping. Both these cause larger lungs. And larger lungs when chronic can cause increase in chest wall size. All these are markers of uncontrolled asthma. Your pain is also due to this only. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. PUT (Pulmonary Function Test) 3. Chest x-ray. PFT will diagnose severity of asthma and air trapping. Chest x-ray will diagnose hyperinflation. You may need additional inhaled bronchodilators and inhaled corticosteroid (ICS). Oral combination of antihistamine and anti-allergic Chat Doctor. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have been diagonised by liver biopsy due to my liver function test were abnormal, dr have found auto immune hap titas and have been on medication for 6 month, recently I have done my blood test and my result of alt still comes to 80, even after taking medication this has not been reduce to normal level.My question how long does it take to come to normal, also any food diet would make change to this or not. | Hi and thank you so much for this query. I am so sorry to hear about this elevated liver enzymes. Autoimmune hepatitis is treated with Chat Doctor. Talking of complete reversal of damage is unlikely. It will take months to years before the liver enzymes return to normal. What is guaranteed is that the progressive damage would be halted. After treatment, you should be able to start observing a downward trend in the liver enzyme numbers hope this ad | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have been diagonised by liver biopsy due to my liver function test were abnormal, dr have found auto immune hap titas and have been on medication for 6 month, recently I have done my blood test and my result of alt still comes to 80, even after taking medication this has not been reduce to normal level.My question how long does it take to come to normal, also any food diet would make change to this or not.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi and thank you so much for this query. I am so sorry to hear about this elevated liver enzymes. Autoimmune hepatitis is treated with Chat Doctor. Talking of complete reversal of damage is unlikely. It will take months to years before the liver enzymes return to normal. What is guaranteed is that the progressive damage would be halted. After treatment, you should be able to start observing a downward trend in the liver enzyme numbers hope this ad<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I get dizzy when i am laying down and go to turn my heard and sometimes siting down? hi i feel dizzy when i turn my head laying down or siting?fast move meant? | Hi, Cherie,You might have some problem in your ears or eyes. This condition is called vertigo. If you have infection or swelling in the ear causes vertigo while nodding your neck or turn the neck. Some time due to postural hypo tension vertigo is there. If you are above 35-40 due to cervical spondylitis you may get dizzy while doing neck movement. So evaluate your case and take the treatment. Ok and bye. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I get dizzy when i am laying down and go to turn my heard and sometimes siting down? hi i feel dizzy when i turn my head laying down or siting?fast move meant?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Cherie,You might have some problem in your ears or eyes. This condition is called vertigo. If you have infection or swelling in the ear causes vertigo while nodding your neck or turn the neck. Some time due to postural hypo tension vertigo is there. If you are above 35-40 due to cervical spondylitis you may get dizzy while doing neck movement. So evaluate your case and take the treatment. Ok and bye.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have a pink circle the size of a quarter with a lump in the middle. The size of a pin head. The first day it looked like a mosquito. Bite. Day 2 it seemed like it was healed today its larger and is all raised from the skin. The middle dose not look like a white head its just red | Hi, thanks for the query to my Chat Doctor CLINIC.-In my opinion-You are suffering from- -mostly-a lump of the tick bite with rash-may lead to Lyme disease with rash? --or could be a boil with folliculitis-Consult your family doctor / and skin doctor and investigate to fix the cause of it.-Remedy-Would be with --Tb-NSAID-for 5 days time-Antibiotic with advise from your family doctor for 5 days time.-Hope this would resolve your lump with pink circle around, Wishing you fast-recovery. Wellcome to my Chat Doctor Clinic again. Good night. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have a pink circle the size of a quarter with a lump in the middle. The size of a pin head. The first day it looked like a mosquito. Bite. Day 2 it seemed like it was healed today its larger and is all raised from the skin. The middle dose not look like a white head its just red<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, thanks for the query to my Chat Doctor CLINIC.-In my opinion-You are suffering from- -mostly-a lump of the tick bite with rash-may lead to Lyme disease with rash? --or could be a boil with folliculitis-Consult your family doctor / and skin doctor and investigate to fix the cause of it.-Remedy-Would be with --Tb-NSAID-for 5 days time-Antibiotic with advise from your family doctor for 5 days time.-Hope this would resolve your lump with pink circle around, Wishing you fast-recovery. Wellcome to my Chat Doctor Clinic again. Good night.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I am a type 11 Diabetic and have just had a stent implanted in my artery that was 90% blocked. I am experiencing a muscular leg pain from my buttocks through my thigh and down to my calf and shin. My question is haw harmful will and should I try Meloxicam? | Hi, I can understand your concern with the medicine meloxicam. Meloxicam is just another NSAID, and it decreases your pain and inflammation. So far your question is concerned, I will say that it is not contraindicated in diabetes and even in HD, but it should not be taken regularly and if you wish to take it for a longer period of time, you should get your kidney function checked every three months as with any other NSAID. My advice - As you are a diabetic, please check your kidney function every 3 months even if a doctor has prescribed it for a longer period. I hope, My answer is useful. Please do not hesitate to ask a counter question if required. Thanks, Chat Doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I am a type 11 Diabetic and have just had a stent implanted in my artery that was 90% blocked. I am experiencing a muscular leg pain from my buttocks through my thigh and down to my calf and shin. My question is haw harmful will and should I try Meloxicam?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, I can understand your concern with the medicine meloxicam. Meloxicam is just another NSAID, and it decreases your pain and inflammation. So far your question is concerned, I will say that it is not contraindicated in diabetes and even in HD, but it should not be taken regularly and if you wish to take it for a longer period of time, you should get your kidney function checked every three months as with any other NSAID. My advice - As you are a diabetic, please check your kidney function every 3 months even if a doctor has prescribed it for a longer period. I hope, My answer is useful. Please do not hesitate to ask a counter question if required. Thanks, Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | i m 19 years old and i have chronic itp but now my PLT count is 215000 can i go to the gym and continue weight lifting ??? thank you for helping me . | Hello;welcome to Chat Doctor Presently your platelet count of 215000 is normal, so you can do regular exercise in gym but as for weightlifting I would advise you to hold on for some time. If you are under treatment or any ongoing medicines for ITP then you will have to wait till the count remains normal and stable.Also, for weight lifting you have to better consult your treating Physician as he knows your general condition better so ask him. Thanks | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i m 19 years old and i have chronic itp but now my PLT count is 215000 can i go to the gym and continue weight lifting ??? thank you for helping me .<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello;welcome to Chat Doctor Presently your platelet count of 215000 is normal, so you can do regular exercise in gym but as for weightlifting I would advise you to hold on for some time. If you are under treatment or any ongoing medicines for ITP then you will have to wait till the count remains normal and stable.Also, for weight lifting you have to better consult your treating Physician as he knows your general condition better so ask him. Thanks<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I was doing some sprints and my heart started to heart. I think its my heart because when it would beat it would hurt so I got scared and stopped sprinting. I was tired but not completely exhausted. I have been doing some pretty intense running these last two weeks and since then my heart has been hurting throught the day just not a lot. The pain increases as I run harder but it was just annoying more than painful. Today I was doing some sprints and stopped because for the first time it was painful. I wanted to know why it might be hurting? because I have worked out like this before just without the many sprints that I have been doing these past two weeks. | Hi, Thank you for quarry, exertional chest pain(angina)According to your symptoms as you described it looks like exertional chest pain which is due to angina sectors in which the coronary artery become stenoses due to atherosclerosis resulting in pain when physical work increase because the stenoses artery doesn't fulfil the oxygen requirement of heart. This type of angina relieved by rest or taking sublingual nitrate, if a patient came to me with this complaint will first go for an EKG for the ischemic changes and stress test and proceed further according to the test reports. So it's better to consult a cardiologist for your problem. Hope the answer will help you in making decision regarding your problem. Wish you a good health. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I was doing some sprints and my heart started to heart. I think its my heart because when it would beat it would hurt so I got scared and stopped sprinting. I was tired but not completely exhausted. I have been doing some pretty intense running these last two weeks and since then my heart has been hurting throught the day just not a lot. The pain increases as I run harder but it was just annoying more than painful. Today I was doing some sprints and stopped because for the first time it was painful. I wanted to know why it might be hurting? because I have worked out like this before just without the many sprints that I have been doing these past two weeks.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thank you for quarry, exertional chest pain(angina)According to your symptoms as you described it looks like exertional chest pain which is due to angina sectors in which the coronary artery become stenoses due to atherosclerosis resulting in pain when physical work increase because the stenoses artery doesn't fulfil the oxygen requirement of heart. This type of angina relieved by rest or taking sublingual nitrate, if a patient came to me with this complaint will first go for an EKG for the ischemic changes and stress test and proceed further according to the test reports. So it's better to consult a cardiologist for your problem. Hope the answer will help you in making decision regarding your problem. Wish you a good health.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I am a 13 year old female. I am overweight. My friends have done research and think I could be on the verge of becoming bulimic. I purge once a week if they. I dont eat even if i am hungry often. I push food away and wont eat in front of people. I lie and say I have already eaten. I really dont want to tell anyone unless I know for sure if i am bulimic or not. | HiT hanks for using Chat Doctor The way you have explained your symptoms, you could become a case of bulimia nervosa. Currently, you are weight conscious, but not bulimic. In bulimia, patients do binge-eating and purging, or consuming a large amount of food in a short amount of time followed by an attempt to rid him or herself of the food consumed (purging), typically by vomiting, taking a laxative, diuretic, or stimulant, and/or excessive exercise, because of an extensive concern for body weight. You have few of these symptoms. Thanks | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I am a 13 year old female. I am overweight. My friends have done research and think I could be on the verge of becoming bulimic. I purge once a week if they. I dont eat even if i am hungry often. I push food away and wont eat in front of people. I lie and say I have already eaten. I really dont want to tell anyone unless I know for sure if i am bulimic or not.<|eot_id|><|start_header_id|>assistant<|end_header_id|>HiT hanks for using Chat Doctor The way you have explained your symptoms, you could become a case of bulimia nervosa. Currently, you are weight conscious, but not bulimic. In bulimia, patients do binge-eating and purging, or consuming a large amount of food in a short amount of time followed by an attempt to rid him or herself of the food consumed (purging), typically by vomiting, taking a laxative, diuretic, or stimulant, and/or excessive exercise, because of an extensive concern for body weight. You have few of these symptoms. Thanks<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I have a kid who is 13 months old. He does not eat well it is hard for me to make him eat. So i informed that to my Pediatrician and he gave me fortiron syrup. I just wanted know whether it is good to give my son the syrup. Whether it will cause any side effect. Do my son really suffer from Iron defecency so he is not eating ??? | Hi, the syrup name that you have mentioned contains iron and is an iron syrup which is given in child Chat Doctor. Iron syrup should not be given without proper evidence of iron deficiency anemia. You should do blood test like complete blood count with peripheral smear, iron studies and hemoglobin electrophoresis if your child is anemic. Based on the reports, proper treatment needs to be started. I hope this will help you. Take care. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, I have a kid who is 13 months old. He does not eat well it is hard for me to make him eat. So i informed that to my Pediatrician and he gave me fortiron syrup. I just wanted know whether it is good to give my son the syrup. Whether it will cause any side effect. Do my son really suffer from Iron defecency so he is not eating ???<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, the syrup name that you have mentioned contains iron and is an iron syrup which is given in child Chat Doctor. Iron syrup should not be given without proper evidence of iron deficiency anemia. You should do blood test like complete blood count with peripheral smear, iron studies and hemoglobin electrophoresis if your child is anemic. Based on the reports, proper treatment needs to be started. I hope this will help you. Take care.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Respected Doctor , I have a skin problem in edge my penis. Watching this like a mangy type but i dont have any itching and any disturbance and also it spreading now. Second one is My sperm is not fast coming, its coming slowly and not splashing.Thanks in advance. | Howell come to ChatDoctorLittle extra skin of prepuce sometimes given such appearance and this is noting to worry if this is annoying to you then you can go for circumcision, there is no specific measured speed unite of force in case of ejaculation no matter whether this is ejaculated in what speed there must not be any pain or retrograde ejaculation and this need to be rule out, hope this information helps, take care. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Respected Doctor , I have a skin problem in edge my penis. Watching this like a mangy type but i dont have any itching and any disturbance and also it spreading now. Second one is My sperm is not fast coming, its coming slowly and not splashing.Thanks in advance.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Howell come to ChatDoctorLittle extra skin of prepuce sometimes given such appearance and this is noting to worry if this is annoying to you then you can go for circumcision, there is no specific measured speed unite of force in case of ejaculation no matter whether this is ejaculated in what speed there must not be any pain or retrograde ejaculation and this need to be rule out, hope this information helps, take care.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Sir.. I am just passed mbbs and now working as medical officer in sub district hospital.. My sister s husband having fever since 2-3 days .. it reaches 102.5F .. cbs is normal with only thrombocytopenia 1,20,000 and malaria negative, dengue and lepto antigen negative and widal with o titre 1 | HelloWelcome to Chat Doctor Nice to have a question from our community. Single ofloxacin treatment is not sufficient according to me. We are practicing some another regimen with very good results with very low relapse rate. Definite 200 mg 1 tab twice a day+Azithromycin 500 mg 1 tab for 5 days with pantoprazole 40 mg 1 tab twice a day. All for two weeks. You can also use combination of definite+ofloxacin for 14 days. Azithromycin is used for relapse prevention. Hope you will get it. Thanks for contacting. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hello Sir.. I am just passed mbbs and now working as medical officer in sub district hospital.. My sister s husband having fever since 2-3 days .. it reaches 102.5F .. cbs is normal with only thrombocytopenia 1,20,000 and malaria negative, dengue and lepto antigen negative and widal with o titre 1<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloWelcome to Chat Doctor Nice to have a question from our community. Single ofloxacin treatment is not sufficient according to me. We are practicing some another regimen with very good results with very low relapse rate. Definite 200 mg 1 tab twice a day+Azithromycin 500 mg 1 tab for 5 days with pantoprazole 40 mg 1 tab twice a day. All for two weeks. You can also use combination of definite+ofloxacin for 14 days. Azithromycin is used for relapse prevention. Hope you will get it. Thanks for contacting.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Have trigeminal neuralgia and vertigo due to a head on car accident that put me in a coma for 3weeks this was 12 years ago but for the past 4 years been dealing with TN been on all the meds none work. Need to find a neurosurgeon. I live in Nashville,TN | Hi, Thanks for writing in. Trigemminal neuralgia is a condition which can get too disturbing at times. The treatment options are many and change with the severity of symptoms. Initial treatment is with anticonvulsant Chat Doctor. Others like oxcarbazepine, clonazepam and gabapentin have also been used with benefits seen in patients. Next are the antispasmodic group of medications which help muscles to relax. If medications do not help much then there are many minimally invasive surgical procedures that can help in your case. The procedures that help in trigeminal neuralgia includesMicrovascular decompressionGamma Knife radiosurgeryGlycerol injectionBalloon compressionRadiofrequency thermal lesioning above methods are the latest in the treatment of trigeminal neuralgia and I suggest you have a detailed discussion on the procedures offered by your neurosurgeon and take the one your doctor recommends. Please do not worry. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Have trigeminal neuralgia and vertigo due to a head on car accident that put me in a coma for 3weeks this was 12 years ago but for the past 4 years been dealing with TN been on all the meds none work. Need to find a neurosurgeon. I live in Nashville,TN<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for writing in. Trigemminal neuralgia is a condition which can get too disturbing at times. The treatment options are many and change with the severity of symptoms. Initial treatment is with anticonvulsant Chat Doctor. Others like oxcarbazepine, clonazepam and gabapentin have also been used with benefits seen in patients. Next are the antispasmodic group of medications which help muscles to relax. If medications do not help much then there are many minimally invasive surgical procedures that can help in your case. The procedures that help in trigeminal neuralgia includesMicrovascular decompressionGamma Knife radiosurgeryGlycerol injectionBalloon compressionRadiofrequency thermal lesioning above methods are the latest in the treatment of trigeminal neuralgia and I suggest you have a detailed discussion on the procedures offered by your neurosurgeon and take the one your doctor recommends. Please do not worry.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My mother is suffering from AIH. She is on steroid for some time now. On noticing depression, doctors have suggested her daily dosage of Zapiz. She has developed this continuous regurgitating kind of action. Is it because of steroid or side effect of Zapiz? Whats the olution to come out of it? | Hello, your mother is on steroid and has developed depression and was put on rapid. Then she developed regurgitation. Now you suspect rapid for the same.First-steroid, when given for longtime - can cause depression and many other psychiatric disorders. (it is seen very commonly in clinical practice).second | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My mother is suffering from AIH. She is on steroid for some time now. On noticing depression, doctors have suggested her daily dosage of Zapiz. She has developed this continuous regurgitating kind of action. Is it because of steroid or side effect of Zapiz? Whats the olution to come out of it?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, your mother is on steroid and has developed depression and was put on rapid. Then she developed regurgitation. Now you suspect rapid for the same.First-steroid, when given for longtime - can cause depression and many other psychiatric disorders. (it is seen very commonly in clinical practice).second<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | my husbAND is 58, smokes 2 packs a day for more than 40 forty years, he went to hte hospital and they found a spot on his lung and nodules on his lung, he also has one kidney and has to forced to drink water, i cannot get him to go to his regular doctor, HE ALSO DRINKS SEVERAL POTS OF COOFEE A DAY, A CONCERNED WIFE OF ELEVEN YEARS, THANK YOU | Hello, Since your husband is chronic and heavy smoking, we should definitely rule out malignant lung nodule. So get done CT guided biopsy from nodule or bronchoscopy and TBLB (transbronchial lung biopsy) for the diagnosis. If it is negative for malignancy, then no need to worry. But if it is malignant, then he will need surgical removal of a lobe of the lung. Hope I have answered your query. Let me know if I can assist you further. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: my husbAND is 58, smokes 2 packs a day for more than 40 forty years, he went to hte hospital and they found a spot on his lung and nodules on his lung, he also has one kidney and has to forced to drink water, i cannot get him to go to his regular doctor, HE ALSO DRINKS SEVERAL POTS OF COOFEE A DAY, A CONCERNED WIFE OF ELEVEN YEARS, THANK YOU<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Since your husband is chronic and heavy smoking, we should definitely rule out malignant lung nodule. So get done CT guided biopsy from nodule or bronchoscopy and TBLB (transbronchial lung biopsy) for the diagnosis. If it is negative for malignancy, then no need to worry. But if it is malignant, then he will need surgical removal of a lobe of the lung. Hope I have answered your query. Let me know if I can assist you further.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | uncle has gone through myocardial infarction recently after angioplasty in 1999 and bypass in 2009. Ejection fraction currently is 20. blood pressure 80/52. saturtion 96-100 heart rate 90-100 resp rate 18-30. He is on drugs currently and has to use cpap and bipap sometimes. please suggest some treatment or advice | Because of myocardial infarction your uncles' heart has become weak as compared to normal humans, the main problem is its inability to maintain normal fluid balance, medical management is what I would help you. Fluid restriction less than 1 Lt a day mallow salt Chat Doctor. Carvedilol, metoprolol, ace inhibitors like April, diuretic furosemide with Gladstone, statin, aspirin may be titrated as per his BP(which is low) heart rate and other vitalsDigoxin may be considered Lastly look for synchrony, if present CRT, dual pacemaker like think may help improve pumping Sir the question you asked required detailed discussion after reviewing all available reports and treatment he is already. For further information email [email protected] | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: uncle has gone through myocardial infarction recently after angioplasty in 1999 and bypass in 2009. Ejection fraction currently is 20. blood pressure 80/52. saturtion 96-100 heart rate 90-100 resp rate 18-30. He is on drugs currently and has to use cpap and bipap sometimes. please suggest some treatment or advice<|eot_id|><|start_header_id|>assistant<|end_header_id|>Because of myocardial infarction your uncles' heart has become weak as compared to normal humans, the main problem is its inability to maintain normal fluid balance, medical management is what I would help you. Fluid restriction less than 1 Lt a day mallow salt Chat Doctor. Carvedilol, metoprolol, ace inhibitors like April, diuretic furosemide with Gladstone, statin, aspirin may be titrated as per his BP(which is low) heart rate and other vitalsDigoxin may be considered Lastly look for synchrony, if present CRT, dual pacemaker like think may help improve pumping Sir the question you asked required detailed discussion after reviewing all available reports and treatment he is already. For further information email [email protected]<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, may I answer your health queries right now ? Please type your query here...SIR MY PROBLEM IS SOME TIME AFTER URINATION ,I FELT LIKE SOME THING IS COMING FROM MY PENIS & A CAN SEE THIS IS OILY THICKY SOME DROPE IS COMING & IT IS VERY OILY & LUBRICANT TYPE WHAT IS THIS I M VERY WORRIED | Hi, If you are sexually active then there is a high chance that you may have had a sexually transmitted disease. You need to see a doctor and the fluid would be tested for different types of bacteria, fungi and viruses. You may also need some antibiotics to ensure that you are treated properly. If you are not sexually active it is better also to have the fluid checked for its composition so that we will be able to provide proper management and treatment for your case. Hope I have answered your query. Let me know if I can assist you further. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, may I answer your health queries right now ? Please type your query here...SIR MY PROBLEM IS SOME TIME AFTER URINATION ,I FELT LIKE SOME THING IS COMING FROM MY PENIS & A CAN SEE THIS IS OILY THICKY SOME DROPE IS COMING & IT IS VERY OILY & LUBRICANT TYPE WHAT IS THIS I M VERY WORRIED<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, If you are sexually active then there is a high chance that you may have had a sexually transmitted disease. You need to see a doctor and the fluid would be tested for different types of bacteria, fungi and viruses. You may also need some antibiotics to ensure that you are treated properly. If you are not sexually active it is better also to have the fluid checked for its composition so that we will be able to provide proper management and treatment for your case. Hope I have answered your query. Let me know if I can assist you further.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have had asthmatic bronchitis for the last few weeks which has now tapered off to a mild cough. However, I had such a severe bout with it that it has affected the muscles on my right side around my rib cage. An X-ray didn t show any fluid but since the muscles in and around my rib cage are so sore should I have another X-ray or just consult my doctor? | Thanks for your question on Chat Doctor. In my opinion you should consult pulmonologist and get done PFT (pulmonary function test) to rule out residual bronchitis. You are still having cough, this suggests that you need more treatment. And excessive coughing cause more work to rib cage and rib muscles. So they can cause pain on coughing. So better to treat coughing first, so that your rib cage soreness will itself cured.PFT is needed to quantify severity of the bronchitis. So if you are still having bronchitis than inhaled bronchodilators are needed to suppress cough. And this can be measured only by PFT. So consult pulmonologist and first diagnose your cough and then start treatment accordingly. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have had asthmatic bronchitis for the last few weeks which has now tapered off to a mild cough. However, I had such a severe bout with it that it has affected the muscles on my right side around my rib cage. An X-ray didn t show any fluid but since the muscles in and around my rib cage are so sore should I have another X-ray or just consult my doctor?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. In my opinion you should consult pulmonologist and get done PFT (pulmonary function test) to rule out residual bronchitis. You are still having cough, this suggests that you need more treatment. And excessive coughing cause more work to rib cage and rib muscles. So they can cause pain on coughing. So better to treat coughing first, so that your rib cage soreness will itself cured.PFT is needed to quantify severity of the bronchitis. So if you are still having bronchitis than inhaled bronchodilators are needed to suppress cough. And this can be measured only by PFT. So consult pulmonologist and first diagnose your cough and then start treatment accordingly.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have Crohns disease, though its been under better control for the last few months. The week before Easter I had a small bout of a stomach flu (green bowel movements, weak, fever). It lasted for a few days and passed. Last Monday I had a hoagie from a restaurant that I frequent, but a few hours after eating it, I had HORRIBLE stomach cramping/pain. I took some Gas X, hoping it would help to relieve it. After tossing and turning all night, the pain eventually started to subside by the morning. I was experiencing rebound tenderness, but only for a day or so after the initial horrible stomach cramping/pain. Now its nine days later and I just had a bowel movement, but I also had a couple waves of intense stomach cramping/pain again. Theyve passed, but I feel a mild pressure sensation on my lower right side, almost like its on my hip bone. | Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You had Crohn's disease, and under control. Recently you had stomach disturbance with green stools, stomach cramping etc. If you are strictly avoiding the gluten containing foods like wheat, barley, malt, critical, and oats, it is definitely not crowns. It appears to be the amoebic colitis, an infection by an protozoan. I advise you to consult a physician for diagnosis and treatment. Don't worry you will be fine in no time with treatment. Best regards. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have Crohns disease, though its been under better control for the last few months. The week before Easter I had a small bout of a stomach flu (green bowel movements, weak, fever). It lasted for a few days and passed. Last Monday I had a hoagie from a restaurant that I frequent, but a few hours after eating it, I had HORRIBLE stomach cramping/pain. I took some Gas X, hoping it would help to relieve it. After tossing and turning all night, the pain eventually started to subside by the morning. I was experiencing rebound tenderness, but only for a day or so after the initial horrible stomach cramping/pain. Now its nine days later and I just had a bowel movement, but I also had a couple waves of intense stomach cramping/pain again. Theyve passed, but I feel a mild pressure sensation on my lower right side, almost like its on my hip bone.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You had Crohn's disease, and under control. Recently you had stomach disturbance with green stools, stomach cramping etc. If you are strictly avoiding the gluten containing foods like wheat, barley, malt, critical, and oats, it is definitely not crowns. It appears to be the amoebic colitis, an infection by an protozoan. I advise you to consult a physician for diagnosis and treatment. Don't worry you will be fine in no time with treatment. Best regards.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | iam suffering from a fungal infection from the past 3 years.i have used lot of anti fungal agents and topical applicants.but when ever i move from one place to the other the infection is again reverting.whats the best way to eradicate it completely.my self iam 25 years old,i dont taka alcohol,non veg.but i smoke regularly.i dont have any other complications in my body. | Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. You should have taken enough topical antifungal agents. It's now timebox you to take oral antifungal argent. You can take oral fluconazole tablet under your doctors' guidance. As you have old infection you have to take it for long duration. Please do not with Chat Doctor. Only complete treatment can treat you and prevent future infection. Please check out your blood sugar and HIV test. As this are the two most common infection which can give rise and cause recurrence of the infection. Please maintain good hygiene as it can equally help prevent infection. Please wear cotton undergarments as it can have some protective values. I will be happy to answer your further concern on bit.ly/ | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: iam suffering from a fungal infection from the past 3 years.i have used lot of anti fungal agents and topical applicants.but when ever i move from one place to the other the infection is again reverting.whats the best way to eradicate it completely.my self iam 25 years old,i dont taka alcohol,non veg.but i smoke regularly.i dont have any other complications in my body.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. You should have taken enough topical antifungal agents. It's now timebox you to take oral antifungal argent. You can take oral fluconazole tablet under your doctors' guidance. As you have old infection you have to take it for long duration. Please do not with Chat Doctor. Only complete treatment can treat you and prevent future infection. Please check out your blood sugar and HIV test. As this are the two most common infection which can give rise and cause recurrence of the infection. Please maintain good hygiene as it can equally help prevent infection. Please wear cotton undergarments as it can have some protective values. I will be happy to answer your further concern on bit.ly/<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My 11 year old son has lose of pigment that started on his left arm now is on his chest and neck. He also has a foot fungus problem and has lost some toe nails. I don t know if one has anything to do with the other but the lose of pigment is worrying me | Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My 11 year old son has lose of pigment that started on his left arm now is on his chest and neck. He also has a foot fungus problem and has lost some toe nails. I don t know if one has anything to do with the other but the lose of pigment is worrying me<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have EBV& B-CELL LYMPHOPROLIFERATIVE DISORDER on the right palate in my mouth that is very painful. I have stage 4 Lymphoma and am undergoing tests before starting the chemo. The biopsy reveals significant numbers of EBV& cells which have a similar distribution as the PAX5 cells. Of course there is more- but although I have OxyContin 5mg to take 1 to 2 every 4 to 6 hours as needed- it s not really helping. Is there anything else that I can do for pain while I wait for the chemo to start? Ny gums are swollen and there is necrotic tissue and it seems to be worse every day! What about an antiviral medication? | Hello, I hope you are feeling better now. You may ask your doctor regarding Aventador PR for replacement of Oxycontin. Since you are already on high dose medication, I would suggest you to do saline rinses. Also apply a local anesthetic gel over the ulcers so that you get some immediate temporary relief. Maintain the oral hygiene. Chat Doctor. Vitamin B complex and It C would help in healing as well. Hope you get well real soon. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have EBV& B-CELL LYMPHOPROLIFERATIVE DISORDER on the right palate in my mouth that is very painful. I have stage 4 Lymphoma and am undergoing tests before starting the chemo. The biopsy reveals significant numbers of EBV& cells which have a similar distribution as the PAX5 cells. Of course there is more- but although I have OxyContin 5mg to take 1 to 2 every 4 to 6 hours as needed- it s not really helping. Is there anything else that I can do for pain while I wait for the chemo to start? Ny gums are swollen and there is necrotic tissue and it seems to be worse every day! What about an antiviral medication?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, I hope you are feeling better now. You may ask your doctor regarding Aventador PR for replacement of Oxycontin. Since you are already on high dose medication, I would suggest you to do saline rinses. Also apply a local anesthetic gel over the ulcers so that you get some immediate temporary relief. Maintain the oral hygiene. Chat Doctor. Vitamin B complex and It C would help in healing as well. Hope you get well real soon.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I have a 5 month baby who only drinks a couple of oz of milk , she has lost alot of weight and does not enjoy eating baby food either. I have been to doctor and they said she is medicaly fine. Am I able to give her any type of supplement to help her gain weight such as glucose powder? | Hi... Thank you for consulting in Chat Doctor. I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if she/ he is not eating well. 2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause Chat Doctor. Regards - | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi I have a 5 month baby who only drinks a couple of oz of milk , she has lost alot of weight and does not enjoy eating baby food either. I have been to doctor and they said she is medicaly fine. Am I able to give her any type of supplement to help her gain weight such as glucose powder?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi... Thank you for consulting in Chat Doctor. I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if she/ he is not eating well. 2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause Chat Doctor. Regards -<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I am a 41 yr old woman with stage 3 kidney failure, have no ins & cannot qualify for Medical.I am having severe bodu aches with slight fever and my back is extremely achy & sensitive. I get throbing sharp pain through out my body that is intolerable, cannot find any thing to soothe. I last was seen by a DR 2 yrs ago & still have pending ER visit in the thousands, so going back and adding to my debt is not appealing. Advice would be greatly appreciated | Hello and welcome to Chat Doctor. As a Urologist, let me convey, that kidney function has 5 stages of failure. As kidney function deteriorates, the stage goes up. This is tested by checking, patient for swelling, urine routine and culture, microalbumin and protein, blood He, creatinine,urea, potassium,uric acid, sugar,ECG, chest X-ray, and ultrasound scan of abdomen. With these reports, your stage of kidney function can be staged, and proper treatment is advised. Fever is likely to be, due to infection. I advise you to see a Nephrologist at the earliest, with the reports. You can get my expert opinion, by sending the reports to me, as a direct question. Chat Doctor. Manga. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, I am a 41 yr old woman with stage 3 kidney failure, have no ins & cannot qualify for Medical.I am having severe bodu aches with slight fever and my back is extremely achy & sensitive. I get throbing sharp pain through out my body that is intolerable, cannot find any thing to soothe. I last was seen by a DR 2 yrs ago & still have pending ER visit in the thousands, so going back and adding to my debt is not appealing. Advice would be greatly appreciated<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello and welcome to Chat Doctor. As a Urologist, let me convey, that kidney function has 5 stages of failure. As kidney function deteriorates, the stage goes up. This is tested by checking, patient for swelling, urine routine and culture, microalbumin and protein, blood He, creatinine,urea, potassium,uric acid, sugar,ECG, chest X-ray, and ultrasound scan of abdomen. With these reports, your stage of kidney function can be staged, and proper treatment is advised. Fever is likely to be, due to infection. I advise you to see a Nephrologist at the earliest, with the reports. You can get my expert opinion, by sending the reports to me, as a direct question. Chat Doctor. Manga.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | HI DR I HAVE 6 MONTHS OLD BABY ,SHE IS PASSI;;;;;;NG GREEN COLOURED STOOL ,IAM FEEDING HER FORMULA MILK AP;TAMIL NO BREAST MILK ,NW I HAVE STARTED WITH RAGI AND BAN;ANA;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;; | Thanks for asking, but your question is not complete. Let me reassure that greenish stools are normal in child Chat Doctor. It occurs due to rapid transit of fecal matter through the large intestine and the bile does not get time to change to yellow color pigment of stool. 6 months is the right time to start semi solids. You have done the right thing by starting reign and banana. You can give any type of adult food in mashed form and low on spices. Introduce items one at a time. One possible reason for green stools is that your baby is getting too much foremilk and not enough hind milk which often occurs when breast milk production comes down. The hind milk provides most of the calories your baby needs, and makes him feel full. If breast milk is inadequate, no need to give formula milk; you can directly switch to semi solids. You can introduce | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: HI DR I HAVE 6 MONTHS OLD BABY ,SHE IS PASSI;;;;;;NG GREEN COLOURED STOOL ,IAM FEEDING HER FORMULA MILK AP;TAMIL NO BREAST MILK ,NW I HAVE STARTED WITH RAGI AND BAN;ANA;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for asking, but your question is not complete. Let me reassure that greenish stools are normal in child Chat Doctor. It occurs due to rapid transit of fecal matter through the large intestine and the bile does not get time to change to yellow color pigment of stool. 6 months is the right time to start semi solids. You have done the right thing by starting reign and banana. You can give any type of adult food in mashed form and low on spices. Introduce items one at a time. One possible reason for green stools is that your baby is getting too much foremilk and not enough hind milk which often occurs when breast milk production comes down. The hind milk provides most of the calories your baby needs, and makes him feel full. If breast milk is inadequate, no need to give formula milk; you can directly switch to semi solids. You can introduce<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Woke up Monday morning with vertigo ,room spinning,no balance,etc. never had it before..called doctor he gave me stemetil and distaclor tablets.now it s Thursday but still have slight balance problem and eye movement focusing. How long could this problem last for. Been out of work and lying down since Monday. Thanks marc | Hi, The tabs you are taking may give temporary relief, and may get alright if there is no root cause. If you are not relieved of symptoms consult a euro physician and ophthalmologist(if advised) For vertigo because of its multi various etiology the following investigations are needed1) A complete blood test2) ECG3) CT Brain4) Carotid Doppler euro physician will decide what type of investigation are needed. Find the cause and treat accordingly. You will be alright. Best Wishes | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Woke up Monday morning with vertigo ,room spinning,no balance,etc. never had it before..called doctor he gave me stemetil and distaclor tablets.now it s Thursday but still have slight balance problem and eye movement focusing. How long could this problem last for. Been out of work and lying down since Monday. Thanks marc<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, The tabs you are taking may give temporary relief, and may get alright if there is no root cause. If you are not relieved of symptoms consult a euro physician and ophthalmologist(if advised) For vertigo because of its multi various etiology the following investigations are needed1) A complete blood test2) ECG3) CT Brain4) Carotid Doppler euro physician will decide what type of investigation are needed. Find the cause and treat accordingly. You will be alright. Best Wishes<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Doctors. I am a 21 year old male. A few months ago I went to the doctors thinking I had an std on my penis, but the doctor told me not to worry and it is nothing but a skin tag. Wear and tare to be exact. I also told him I feel that I have some sort of fluid coming out and it leaves my penis feeling cold/numb. Right now it feels a little numb and I want to know what s happening. There is a little tingle when I go pee but not all the time. Please help. I can upload a picture too | Degree understand your concerns went through your details. The liquid that comes out of your penis is a combination of urine and the semen itself. That is a natural process of your body and there is nothing to be alarmed of. You consulted a doctor for STDs earlier and that episode is still staying as an obsession in your mind and that could be reason for your obsessive thoughts and related numbness of your penis. Please consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hello Doctors. I am a 21 year old male. A few months ago I went to the doctors thinking I had an std on my penis, but the doctor told me not to worry and it is nothing but a skin tag. Wear and tare to be exact. I also told him I feel that I have some sort of fluid coming out and it leaves my penis feeling cold/numb. Right now it feels a little numb and I want to know what s happening. There is a little tingle when I go pee but not all the time. Please help. I can upload a picture too<|eot_id|><|start_header_id|>assistant<|end_header_id|>Degree understand your concerns went through your details. The liquid that comes out of your penis is a combination of urine and the semen itself. That is a natural process of your body and there is nothing to be alarmed of. You consulted a doctor for STDs earlier and that episode is still staying as an obsession in your mind and that could be reason for your obsessive thoughts and related numbness of your penis. Please consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My husband is 30 years old and has had back pain for 10 weeks now, which started in his upper back and made its way round the top half of his body including his arm now it is in the lower bk He has been to gp 3 times first of all they told him he had tennis elbow, then, just a bad bk now they saying trapped nerve. its starting to effect his everyday life now and his relasionship with me and his 2 children as he is constantly grumpy which i understand as he says its getting him down now going to sleep and waking up in pain he has tried what the doctors say painkillers 4 times a day propping himself up when he sleeps nothing is working on some occasions where there is pain his skin feels hot to touch and he sometimes gets a rash on his hips. he has taken tramadol which does ease it a little but he cant take it during the day as just 1 makes him sleepy and he works tried looking on web but there are so many things it could be that it just makes me more worried when reading them and to be honest our gps dont really seem to care 3 different doctors 3 different diagnoses we are desprate for some help | HiT hank you for asking ChatDoctorI have gone through your query. Your problem can be due to injury to intervertebral disc or osteocyte Chat Doctor. This can cause a pinched nerve and continuous irritation and pain. A physical examination with an orthopedic is necessary to get clue for this and an X-ray followed by MRI of lumbosacral spine might be required to confirm it. For such cases i advice NSAIDs like diclofenac muscle relaxants like cyclobenzaprine and neurotrophic | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My husband is 30 years old and has had back pain for 10 weeks now, which started in his upper back and made its way round the top half of his body including his arm now it is in the lower bk He has been to gp 3 times first of all they told him he had tennis elbow, then, just a bad bk now they saying trapped nerve. its starting to effect his everyday life now and his relasionship with me and his 2 children as he is constantly grumpy which i understand as he says its getting him down now going to sleep and waking up in pain he has tried what the doctors say painkillers 4 times a day propping himself up when he sleeps nothing is working on some occasions where there is pain his skin feels hot to touch and he sometimes gets a rash on his hips. he has taken tramadol which does ease it a little but he cant take it during the day as just 1 makes him sleepy and he works tried looking on web but there are so many things it could be that it just makes me more worried when reading them and to be honest our gps dont really seem to care 3 different doctors 3 different diagnoses we are desprate for some help<|eot_id|><|start_header_id|>assistant<|end_header_id|>HiT hank you for asking ChatDoctorI have gone through your query. Your problem can be due to injury to intervertebral disc or osteocyte Chat Doctor. This can cause a pinched nerve and continuous irritation and pain. A physical examination with an orthopedic is necessary to get clue for this and an X-ray followed by MRI of lumbosacral spine might be required to confirm it. For such cases i advice NSAIDs like diclofenac muscle relaxants like cyclobenzaprine and neurotrophic<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My mother is 60 years old and sufrering from CA GB. She has been operated two surgeries one about 2 yrs back and another about 3 months back for removing 11cm tumour. She is now suffering from fever since 1 day and very low TLC (appx 3500). Her HB is 11 and rest of the counts are also normal. Can you please prescribe any ayurvedic/natural/diet/alloapathic treatment to increase TLC and help fight cancer? | Your mother is suffering from carcinoma of gall bladder and has been operated twice. If she has not been treated with radiotherapy to tumor bed followed by adj. Chemotherapy the cancer is liable to recur. Suffering from 1 day fever can be because of infection. For which conventional treatment / symptomatic treatment is needed. Have her blood culture and sensitivity done and treat her with appropriate antibiotics. Else visit your physician to get her investigated for recurrence. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My mother is 60 years old and sufrering from CA GB. She has been operated two surgeries one about 2 yrs back and another about 3 months back for removing 11cm tumour. She is now suffering from fever since 1 day and very low TLC (appx 3500). Her HB is 11 and rest of the counts are also normal. Can you please prescribe any ayurvedic/natural/diet/alloapathic treatment to increase TLC and help fight cancer?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Your mother is suffering from carcinoma of gall bladder and has been operated twice. If she has not been treated with radiotherapy to tumor bed followed by adj. Chemotherapy the cancer is liable to recur. Suffering from 1 day fever can be because of infection. For which conventional treatment / symptomatic treatment is needed. Have her blood culture and sensitivity done and treat her with appropriate antibiotics. Else visit your physician to get her investigated for recurrence.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | On my back right above my tail bone and to the right alittle I have a quarter size bump. It hurts when its pressed on. My lower back around that area has been hurting for the past two months. And its not getting better. Do I need to worry. They have me going through physical therapy with different exercises. All its doing is aggravating it and making pain worse. What do you think? | Hi and welcome to Chat Doctor. It is questionable is it subcutaneous lump or this is caused by bone pain. If you feel lump that hurts on touch It can be perianal abscess or colonial sinus and surgical treatment combined with antibiotics is the most successful treatment. You should consult proctologist for evaluation. If you have bone ain then you must do X-ray exam to see are there any degenerative changes. Wish you good health. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: On my back right above my tail bone and to the right alittle I have a quarter size bump. It hurts when its pressed on. My lower back around that area has been hurting for the past two months. And its not getting better. Do I need to worry. They have me going through physical therapy with different exercises. All its doing is aggravating it and making pain worse. What do you think?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi and welcome to Chat Doctor. It is questionable is it subcutaneous lump or this is caused by bone pain. If you feel lump that hurts on touch It can be perianal abscess or colonial sinus and surgical treatment combined with antibiotics is the most successful treatment. You should consult proctologist for evaluation. If you have bone ain then you must do X-ray exam to see are there any degenerative changes. Wish you good health.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Sir, My father, aged 71 year is very skeptical about my mother. We trace the sign of this problem since 2000. But nowadays the problem has deteriorated such a way that his attitude has become a problem not only for my mother but for us also. My mother is reeling under a psychological pressure. We feel very sorry for her plight she is sustaining from my father. My father suspect every one. Every man in the bus, in the train, in market or say whenever they are out of the house. Even do not spare the neighbors who are officers with me. He passes shameful, vile and unbearable sarcastic remarks to my mother who is at the age of 58. My father suspectsthe the servants of the house that they keep evil eye on my mother. Oh, it is intolerable for all of us, leave our mother aside whose life has become just like a hell who rarely visits out of house due to her husband suspicious attitude. She does not spare the lelations instead. He doubted my my mausa ji and one of my cousin brother. He can doubt anyone But it is high time when my mama ji, mother s younger brother visited us. We all were sleeping in common room. But after some days my father was suspicious to this relations. He was sitting while keeping an eye on the bed where brother an sister were sleeping on common bed. In common room there is single doublebed over which my mother and mama slept while other members were adjusted otherwise in the same rooom. Thus he suspected the conduct of my mother Age of an opposite male does not matter for my father. He may suspect a boy of 18 years. Some times I doubt, if I continually sleep for a couple of days with my mother on same bed, he could doubt our relation too. It needs mention here that my father even suspected other boys or the relations or friends of my sisters when my sisters were unmarried. He was suspisious in the same way as he teats my mother, whenever the members of opposite sex was staring at my sistes or trying to be intimate with them. This is the history and your precious advice is sought for. Thanking you. Prithvi Pal Singh aged 42 years. | Dear prithee by now you should have noticed that your father is ill and is suffering form a psychiatric illness called Senile Psychosis. In this condition every thing around him looks suspicious, and you have to remember that the experience of suspecting others is actually real to him because his mind is no longer able to differentiate from reality and imagined world that he is living in. This usually occurs due to excessive production of a euro chemical called Dopamine. Hence he needs medication urgently sometimes in the thought of unfaithfulness he may try to attempt suicide hence i advice you consult a psychiatrist near your place about his condition get medication for him and put in his food without his knowledge if it does not like to visit a psychiatrist. We also have to evaluate your father for any tumors in the brain hence a CT scan would be good idea, along with tests to make sure he does not suffer form dementia(forgetfulness). | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Sir, My father, aged 71 year is very skeptical about my mother. We trace the sign of this problem since 2000. But nowadays the problem has deteriorated such a way that his attitude has become a problem not only for my mother but for us also. My mother is reeling under a psychological pressure. We feel very sorry for her plight she is sustaining from my father. My father suspect every one. Every man in the bus, in the train, in market or say whenever they are out of the house. Even do not spare the neighbors who are officers with me. He passes shameful, vile and unbearable sarcastic remarks to my mother who is at the age of 58. My father suspectsthe the servants of the house that they keep evil eye on my mother. Oh, it is intolerable for all of us, leave our mother aside whose life has become just like a hell who rarely visits out of house due to her husband suspicious attitude. She does not spare the lelations instead. He doubted my my mausa ji and one of my cousin brother. He can doubt anyone But it is high time when my mama ji, mother s younger brother visited us. We all were sleeping in common room. But after some days my father was suspicious to this relations. He was sitting while keeping an eye on the bed where brother an sister were sleeping on common bed. In common room there is single doublebed over which my mother and mama slept while other members were adjusted otherwise in the same rooom. Thus he suspected the conduct of my mother Age of an opposite male does not matter for my father. He may suspect a boy of 18 years. Some times I doubt, if I continually sleep for a couple of days with my mother on same bed, he could doubt our relation too. It needs mention here that my father even suspected other boys or the relations or friends of my sisters when my sisters were unmarried. He was suspisious in the same way as he teats my mother, whenever the members of opposite sex was staring at my sistes or trying to be intimate with them. This is the history and your precious advice is sought for. Thanking you. Prithvi Pal Singh aged 42 years.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Dear prithee by now you should have noticed that your father is ill and is suffering form a psychiatric illness called Senile Psychosis. In this condition every thing around him looks suspicious, and you have to remember that the experience of suspecting others is actually real to him because his mind is no longer able to differentiate from reality and imagined world that he is living in. This usually occurs due to excessive production of a euro chemical called Dopamine. Hence he needs medication urgently sometimes in the thought of unfaithfulness he may try to attempt suicide hence i advice you consult a psychiatrist near your place about his condition get medication for him and put in his food without his knowledge if it does not like to visit a psychiatrist. We also have to evaluate your father for any tumors in the brain hence a CT scan would be good idea, along with tests to make sure he does not suffer form dementia(forgetfulness).<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | hello Doc my son is 4yr old. he has recurrent cold and cough once in every two months. he was diagnosed with adenoid at 2yrs of age but only precautionary measures were advised. now as its winter and also due excess feeds of sweets and chocolates his cold has resurfaced with running nose. he was advised on metaspray and singulair tablets(montelukast sodium tablets 4mg) for 3weeks and now when his x-ray of lateral view of skull taken ,he is said to have enlarged adenoids. his breathing is not bad but he snores and breaths through nose though his mouth remains open. he continuously adjust his sleeping position to have a better breathing. elevated surface for head and neck(using pillow) is of more comfort breathing and sleep to him. should I get adenoidectomy done or is there any grace period to wait until medications show the effect? thankyou, Dr.Srija(PT & EI) | Thank for consulting. Honestly, if your child has 2-3 stage of enlargement of adenoids better visit ENT doctor and discuss question about adenoidectomy. You understand that recurrent infection will not stop and runny nose and cough will always prevent to study normally. Furthermore, adenoids interfere to normal blood circulation in brain, because less oxygen arrives to brain. From my side we check analyses blood, urine, ECG, if these are normal, then go to surgery. You can try to treat with steroids if adenoids will decrease after metaspray till 1 stage, then OK. You only increase immunity to child. For example, give Tulsa juice 5ml 1 time 1 month, ginger and lemon tea, multivitamin-zincovit 5ml 1 time 1 month. Start to go in for sports | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hello Doc my son is 4yr old. he has recurrent cold and cough once in every two months. he was diagnosed with adenoid at 2yrs of age but only precautionary measures were advised. now as its winter and also due excess feeds of sweets and chocolates his cold has resurfaced with running nose. he was advised on metaspray and singulair tablets(montelukast sodium tablets 4mg) for 3weeks and now when his x-ray of lateral view of skull taken ,he is said to have enlarged adenoids. his breathing is not bad but he snores and breaths through nose though his mouth remains open. he continuously adjust his sleeping position to have a better breathing. elevated surface for head and neck(using pillow) is of more comfort breathing and sleep to him. should I get adenoidectomy done or is there any grace period to wait until medications show the effect? thankyou, Dr.Srija(PT & EI)<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thank for consulting. Honestly, if your child has 2-3 stage of enlargement of adenoids better visit ENT doctor and discuss question about adenoidectomy. You understand that recurrent infection will not stop and runny nose and cough will always prevent to study normally. Furthermore, adenoids interfere to normal blood circulation in brain, because less oxygen arrives to brain. From my side we check analyses blood, urine, ECG, if these are normal, then go to surgery. You can try to treat with steroids if adenoids will decrease after metaspray till 1 stage, then OK. You only increase immunity to child. For example, give Tulsa juice 5ml 1 time 1 month, ginger and lemon tea, multivitamin-zincovit 5ml 1 time 1 month. Start to go in for sports<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My ENT has diagnoside me with thrush after being on steroids and antibiotics for surgery. I have deep groves in my tongue and it is very painful to eat or drink. I have no sores inside my mouth; just tongue and roof of mouth where breathing tube was placed. What has caused my tongue to crack? | Hi, Cracks on the tongue can be due to infection or oral thrush and also there is a possibility that you have got fissure tongue leading to deep painful grooves over tongue. So my suggestion to you is to consult an Oral Physician and get yourself checked. For thrush, you can be advised a course of antifungal medicines like Fluconazole to be taken orally along with Statin mouthwash gargles and sucking Clotrimazole lozenges. You can also gargle with numbing mouthwash like Lidocaine to reduce pain and can suck Capitol lozenges. Avoid spicy and irritant foods, eat plenty of probiotics like yogurt. Hope I have answered your query. Let me know if I can assist you further. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My ENT has diagnoside me with thrush after being on steroids and antibiotics for surgery. I have deep groves in my tongue and it is very painful to eat or drink. I have no sores inside my mouth; just tongue and roof of mouth where breathing tube was placed. What has caused my tongue to crack?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Cracks on the tongue can be due to infection or oral thrush and also there is a possibility that you have got fissure tongue leading to deep painful grooves over tongue. So my suggestion to you is to consult an Oral Physician and get yourself checked. For thrush, you can be advised a course of antifungal medicines like Fluconazole to be taken orally along with Statin mouthwash gargles and sucking Clotrimazole lozenges. You can also gargle with numbing mouthwash like Lidocaine to reduce pain and can suck Capitol lozenges. Avoid spicy and irritant foods, eat plenty of probiotics like yogurt. Hope I have answered your query. Let me know if I can assist you further.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I had a blood clot in my leg a year and a half ago and this resulted in pulmonary emboli as shown by a CT with contrast The CT also showed a nodule in my right lung. I was placed on Cumadin. I had a second CT a year ago and the only notation was a small nodule in the right posterior costophrenic sulcus of the right lung which did not appear to contain fat or calcifications and this finding did not change over the year. I recently had a 3rd CT with contrast which showed mild diffuse fatty infiltration of the liver. Visualized portions of the spleen and gallbladder were unremarkable, however there is a 2.2 cm cyst withing the posterior upper pole cortex of the left kidney. It has internal Hounsfield units consistent with water. There is no evidence of ascites seen and the remainder of the upper abdominal structures are unremarkable. What can you tell me about the mild diffuse fatty infiltration of the liver and the 2.2 cm cyst on the left kidney?Thanks | Fatty liver can be caused by excessive alcohol intake (Alcoholic SEATO hepatitis, ASH) or due to excessive fatty food intake and sedentary lifestyle (Non-alcoholic SEATO hepatitis, NASH). ASH is usually the beginning stages of alcohol induced liver damage and is completely reversible if the patient refrains from alcohol. NASH is being much more commonly diagnosed currently owing to poor dietary habits and sedentary lifestyles of people. High caloric intake, high fatty food intake and poor exercise regimens lead to deposition of fat goblets in the liver tissue leading to fatty liver (which shows up as increased echo texture on USG). This is also completely reversible in the initial stages if caloric intake is limited and exercise regimens are adhered to. If left unchecked, patients usually become obese, diabetic and in final stages may lead to cirrhosis of the liver which will necessitate a liver transplant. I would suggest a healthy diet and exercise regimen. Although there is no time limit on when to get a repeat scan, I would suggest one, once you have succeeded in losing some weight. Cysts in the kidney are very common finding on scans of the abdomen. As long as it is not enlarging in size or causing any symptoms, it is a totally normal finding. I would not worry about it. Hope this helped, and please do not hesitate to contact me for further details - [email protected] | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I had a blood clot in my leg a year and a half ago and this resulted in pulmonary emboli as shown by a CT with contrast The CT also showed a nodule in my right lung. I was placed on Cumadin. I had a second CT a year ago and the only notation was a small nodule in the right posterior costophrenic sulcus of the right lung which did not appear to contain fat or calcifications and this finding did not change over the year. I recently had a 3rd CT with contrast which showed mild diffuse fatty infiltration of the liver. Visualized portions of the spleen and gallbladder were unremarkable, however there is a 2.2 cm cyst withing the posterior upper pole cortex of the left kidney. It has internal Hounsfield units consistent with water. There is no evidence of ascites seen and the remainder of the upper abdominal structures are unremarkable. What can you tell me about the mild diffuse fatty infiltration of the liver and the 2.2 cm cyst on the left kidney?Thanks<|eot_id|><|start_header_id|>assistant<|end_header_id|>Fatty liver can be caused by excessive alcohol intake (Alcoholic SEATO hepatitis, ASH) or due to excessive fatty food intake and sedentary lifestyle (Non-alcoholic SEATO hepatitis, NASH). ASH is usually the beginning stages of alcohol induced liver damage and is completely reversible if the patient refrains from alcohol. NASH is being much more commonly diagnosed currently owing to poor dietary habits and sedentary lifestyles of people. High caloric intake, high fatty food intake and poor exercise regimens lead to deposition of fat goblets in the liver tissue leading to fatty liver (which shows up as increased echo texture on USG). This is also completely reversible in the initial stages if caloric intake is limited and exercise regimens are adhered to. If left unchecked, patients usually become obese, diabetic and in final stages may lead to cirrhosis of the liver which will necessitate a liver transplant. I would suggest a healthy diet and exercise regimen. Although there is no time limit on when to get a repeat scan, I would suggest one, once you have succeeded in losing some weight. Cysts in the kidney are very common finding on scans of the abdomen. As long as it is not enlarging in size or causing any symptoms, it is a totally normal finding. I would not worry about it. Hope this helped, and please do not hesitate to contact me for further details - [email protected]<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | i have pernicious aneamia and receive b12 injections, they do not appear to be lasting the full 12 weeks after about 8 weeks i start to feel lathargic and start talking in my sleep that is when i can sleep until about a week before my injection i am practically bedridden what can be done? | Hi, dairy have gone through your question. I can understand your concern. In pernicious anemia there is deficiency of intrinsic factor which is necessary for it b12 absorption. You have it b12 deficiency. You should take regular injectable it b12 therapy. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i have pernicious aneamia and receive b12 injections, they do not appear to be lasting the full 12 weeks after about 8 weeks i start to feel lathargic and start talking in my sleep that is when i can sleep until about a week before my injection i am practically bedridden what can be done?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, dairy have gone through your question. I can understand your concern. In pernicious anemia there is deficiency of intrinsic factor which is necessary for it b12 absorption. You have it b12 deficiency. You should take regular injectable it b12 therapy. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi im 18 and last night i just noticed a small hard painless lump on my right breast. its very small. i just noticed it which means its very recent like it just showed up in the past couple days. What do you think it might be. Im extremely scared. Please Help | Welcome to Chat Doctor .1. No need to get scared, it's not the age to worry about the lesions in the breast.2. You are giving a very short history since you are seeing that lump.3. Generally in few cases this kind of symptoms are seen, they turn up as dilated ducts or focal dilatation.4. More over you wait for a week, if its asymptomatic, and feel again - Then see your doctor.5. An ultrasound scan will help to evaluate what It's and what it contains.6. Hope it helps. Anything to ask ? Do not hesitate. Thank you. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi im 18 and last night i just noticed a small hard painless lump on my right breast. its very small. i just noticed it which means its very recent like it just showed up in the past couple days. What do you think it might be. Im extremely scared. Please Help<|eot_id|><|start_header_id|>assistant<|end_header_id|>Welcome to Chat Doctor .1. No need to get scared, it's not the age to worry about the lesions in the breast.2. You are giving a very short history since you are seeing that lump.3. Generally in few cases this kind of symptoms are seen, they turn up as dilated ducts or focal dilatation.4. More over you wait for a week, if its asymptomatic, and feel again - Then see your doctor.5. An ultrasound scan will help to evaluate what It's and what it contains.6. Hope it helps. Anything to ask ? Do not hesitate. Thank you.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I seem to have sciatic nerve pain. Left lower back, upper buttock, down outside of left thigh pain and burning. I am also having pain from the sciatic pain area around the hip into the lower left side. Is the left lower side pain associated with sciatic nerve pain? | Hi. I would like to clarify that the symptoms what you experience is due to neural irritation from the back. Clinically it can be called as Sciatica... The exact cause could be a Nerve root compression, compromised due to disc herniation or by any reduced lumen through with the nerve root exit in the vertebra we call it as stenosis. The factors which reproduces the pain pattern as in case bending forward or arching backward . Prolonged siting.etc. gives a clinical clue to proceed with further investigation so that suitable treatment protocol be made as per your severity and irritability. There are various reasons that could lead to sciatica. Poor posture. Bad muscle balance like weakness in one side with tightness in the opposite side.less stability. Previous injuries.sometimes even a simple muscle stiffness can lead to such symptoms treatment depends on the source of symptoms. I would recommend frequent icing and rest to reduce the pain. You can have a lumbar support to reduce the load in the irritable structure.meet an orthopedic surgeon at the earliest to find out the source of symptoms Hope this is helpful for you.kindly revert in case you need further clarification | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I seem to have sciatic nerve pain. Left lower back, upper buttock, down outside of left thigh pain and burning. I am also having pain from the sciatic pain area around the hip into the lower left side. Is the left lower side pain associated with sciatic nerve pain?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. I would like to clarify that the symptoms what you experience is due to neural irritation from the back. Clinically it can be called as Sciatica... The exact cause could be a Nerve root compression, compromised due to disc herniation or by any reduced lumen through with the nerve root exit in the vertebra we call it as stenosis. The factors which reproduces the pain pattern as in case bending forward or arching backward . Prolonged siting.etc. gives a clinical clue to proceed with further investigation so that suitable treatment protocol be made as per your severity and irritability. There are various reasons that could lead to sciatica. Poor posture. Bad muscle balance like weakness in one side with tightness in the opposite side.less stability. Previous injuries.sometimes even a simple muscle stiffness can lead to such symptoms treatment depends on the source of symptoms. I would recommend frequent icing and rest to reduce the pain. You can have a lumbar support to reduce the load in the irritable structure.meet an orthopedic surgeon at the earliest to find out the source of symptoms Hope this is helpful for you.kindly revert in case you need further clarification<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Dear Doctor,My father in law got an ultrasound done recently as he had acute pain in his abdomen and back, which said that he had chronic pancreatitis with calcification in the CBD, he also has a problem of passing frequent abnormal stools since the last two days, which has somewhat been relieved since yesterday as i gave him three doses of creon 25000 units, please suggest what should we do now. | HI. A proper history, clinical examination, investigations as per these findings alone can lead to a proper diagnosis. This is most important to lead to a proper management/ treatment. You have to consult a Gastroenterologist who can perform ERCP- remove the stones and pass a stent... This is therapeutic and helps a lot. If he is taking alcohol, he has to stop . Continue Creon with food. He also has to avoid all foods and beverages, which he must have observed that they increase the problems. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Dear Doctor,My father in law got an ultrasound done recently as he had acute pain in his abdomen and back, which said that he had chronic pancreatitis with calcification in the CBD, he also has a problem of passing frequent abnormal stools since the last two days, which has somewhat been relieved since yesterday as i gave him three doses of creon 25000 units, please suggest what should we do now.<|eot_id|><|start_header_id|>assistant<|end_header_id|>HI. A proper history, clinical examination, investigations as per these findings alone can lead to a proper diagnosis. This is most important to lead to a proper management/ treatment. You have to consult a Gastroenterologist who can perform ERCP- remove the stones and pass a stent... This is therapeutic and helps a lot. If he is taking alcohol, he has to stop . Continue Creon with food. He also has to avoid all foods and beverages, which he must have observed that they increase the problems.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My 22 months girl has a black oval spot under her right foot. Just notice it 2 weeks ago. I am sure It is not a mole. I assumed it was a dry blood under skin from a pinch or something like that. After 2 weeks it haven t change at all, I am worry now. Can this be someting else? | Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My 22 months girl has a black oval spot under her right foot. Just notice it 2 weeks ago. I am sure It is not a mole. I assumed it was a dry blood under skin from a pinch or something like that. After 2 weeks it haven t change at all, I am worry now. Can this be someting else?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I fell down the stairs just over a week ago and have hurt my Coccyx, this is still very painful when I am sitting. My job means that I am sitting for more than 7 hours a day (in a fashion) - Am i aggravating it, and will sitting this amount of time make the situation worse? | Hello, As you have damaged the coccyx bone I will advise you to use piles pillow as you sitting posture is longer for now due to the job profile. Since you shouldn't allow more pressure to get apply over there to allow inflammation to subside the piles pillow is of good choice. Also doing some exercises for core, lumbar spine and hip muscles will help improve the overall condition and reduce the pain. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, I fell down the stairs just over a week ago and have hurt my Coccyx, this is still very painful when I am sitting. My job means that I am sitting for more than 7 hours a day (in a fashion) - Am i aggravating it, and will sitting this amount of time make the situation worse?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, As you have damaged the coccyx bone I will advise you to use piles pillow as you sitting posture is longer for now due to the job profile. Since you shouldn't allow more pressure to get apply over there to allow inflammation to subside the piles pillow is of good choice. Also doing some exercises for core, lumbar spine and hip muscles will help improve the overall condition and reduce the pain. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | About a year ago I found out I had 2 herniated disc s and a bulging disc. I had a baby 3.5 months ago. Now my back is hurting so bad. I can t sleep at night, I cry because it hurts so bad and I have called into my job twice in the last week because I couldn t walk or move because I would cry it hurt so bad. What do I do? | So you to have to repeat the MRI to know the recent changes and to know if you have to proceed to surgery. You should keep sleeping in supine position avoid (twisting your back, prolonged sitting and standing, straining and lifting heavy weights.) You should wear lumbosacral belt. You should receive the following medications | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: About a year ago I found out I had 2 herniated disc s and a bulging disc. I had a baby 3.5 months ago. Now my back is hurting so bad. I can t sleep at night, I cry because it hurts so bad and I have called into my job twice in the last week because I couldn t walk or move because I would cry it hurt so bad. What do I do?<|eot_id|><|start_header_id|>assistant<|end_header_id|>So you to have to repeat the MRI to know the recent changes and to know if you have to proceed to surgery. You should keep sleeping in supine position avoid (twisting your back, prolonged sitting and standing, straining and lifting heavy weights.) You should wear lumbosacral belt. You should receive the following medications<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I had a gallbladder attack 9 weeks ago, I was treated with antibiotics an IV fluids for 4 days. The ultrasound shows 8mm stone and 2 more of 4mm. I am vegan and had not other attack since then. the only issue I have is slight pain under my rib cage. I wonder if that slight pain is going to go away. Doctor said that could be an internal bruise from the attack | Hi.noted history of gallstones associated with pain. Even if you're vegan now, the pain wouldn't go away if the underlying pathology (gallstones) is still there. Antibiotics will only decrease the inflammation of your gallbladder but will not dissolve the stones. It is best if you consult with a doctor with urgency, preferably a general surgeon and especially now that the symptom is persistent and bothersome, for physical examination and clinical evaluation. Diagnostics and management (medical and surgical) will be directed accordingly. Definitive treatment is cholecystectomy (surgical removal of the gallbladder), which could be done laparoscopically (gold standard) or through open technique. Hope this helps. Good day!!~ Chat Doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I had a gallbladder attack 9 weeks ago, I was treated with antibiotics an IV fluids for 4 days. The ultrasound shows 8mm stone and 2 more of 4mm. I am vegan and had not other attack since then. the only issue I have is slight pain under my rib cage. I wonder if that slight pain is going to go away. Doctor said that could be an internal bruise from the attack<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi.noted history of gallstones associated with pain. Even if you're vegan now, the pain wouldn't go away if the underlying pathology (gallstones) is still there. Antibiotics will only decrease the inflammation of your gallbladder but will not dissolve the stones. It is best if you consult with a doctor with urgency, preferably a general surgeon and especially now that the symptom is persistent and bothersome, for physical examination and clinical evaluation. Diagnostics and management (medical and surgical) will be directed accordingly. Definitive treatment is cholecystectomy (surgical removal of the gallbladder), which could be done laparoscopically (gold standard) or through open technique. Hope this helps. Good day!!~ Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | For the past 4 months I have had continuous canker sores popping up inside my mouth. I also have had aching joints, mainly fingers, elbows, hip. I am a male, 50 years old. I have also noticed blurred vision that comes and goes. For the most part I am in good health otherwise. | Hello, I read carefully your query and understand your concern. The symptoms seem to be related to an arthritis. I suggest doing a X-ray of the hands and rheumatoid blood factor. Meanwhile, I recommend using anti-inflammatory medications such as Acetaminophen to relieve the symptoms. I also recommend using cold compresses for local application. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: For the past 4 months I have had continuous canker sores popping up inside my mouth. I also have had aching joints, mainly fingers, elbows, hip. I am a male, 50 years old. I have also noticed blurred vision that comes and goes. For the most part I am in good health otherwise.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, I read carefully your query and understand your concern. The symptoms seem to be related to an arthritis. I suggest doing a X-ray of the hands and rheumatoid blood factor. Meanwhile, I recommend using anti-inflammatory medications such as Acetaminophen to relieve the symptoms. I also recommend using cold compresses for local application. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Dronis 20 is having what type of side effect? Patient is suffering from endometriotic cyst from 5 months. latest after operation our local doctor suggested for Dronis 20 for coming 6 months. Shall we can go ahead with same? YYYY@YYYY | Hi, Chat Doctor. Its common side effects include nausea, stomach pain, headache (migraine), breast pain, weight gain, irregular menstrual bleeding, clot in the veins of the leg, and high blood pressure. Yes, you can go ahead with the prescribed treatment and during the course of the treatment if you suffer from the troublesome side effects you may consult your treating doctor. Hope I have answered your query. Let me know if I can assist you further. Take care | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Dronis 20 is having what type of side effect? Patient is suffering from endometriotic cyst from 5 months. latest after operation our local doctor suggested for Dronis 20 for coming 6 months. Shall we can go ahead with same? YYYY@YYYY<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Chat Doctor. Its common side effects include nausea, stomach pain, headache (migraine), breast pain, weight gain, irregular menstrual bleeding, clot in the veins of the leg, and high blood pressure. Yes, you can go ahead with the prescribed treatment and during the course of the treatment if you suffer from the troublesome side effects you may consult your treating doctor. Hope I have answered your query. Let me know if I can assist you further. Take care<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello i have a question my young daughter who is 3 has had to episodes of nose bleeding within 24hours apart and they both occurred after she was screaming very highly would this be the reason that she is having the nose bleeds in the first place? And should i run her to the ER? | Hello. I just read through your question. When experiencing a nosebleed, the head you beat open back and ice placed on the bridge of the nose in order to stop the bleeding. Multiple nose please or not. To connect her during a viral in less war in patients with seasonal allergies. They can also a car with no apparent explanation at all. As long as you are able to stop the bleeding, there is no need to run to emergency room. However, the next opportunity you get, I recommend be seen by your doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hello i have a question my young daughter who is 3 has had to episodes of nose bleeding within 24hours apart and they both occurred after she was screaming very highly would this be the reason that she is having the nose bleeds in the first place? And should i run her to the ER?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello. I just read through your question. When experiencing a nosebleed, the head you beat open back and ice placed on the bridge of the nose in order to stop the bleeding. Multiple nose please or not. To connect her during a viral in less war in patients with seasonal allergies. They can also a car with no apparent explanation at all. As long as you are able to stop the bleeding, there is no need to run to emergency room. However, the next opportunity you get, I recommend be seen by your doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My son is 22 and just recently went back playing rugby after a year. He was diagnosed with grade 1 spondylolistheses at L5/SI secondary to bilateral pars defect. He is now complaining of pins and needles and weakness. He has gone to a college doctor and a physio today. Nobody seem to be to concerned. He does not live in the same city as me. I am an experienced nurse and I am quite concerned. I have told him to go straight to an emergency room if the pins and needles persist. I just want clarification on this. | Hi there, if the tingling and weakness is in your sons legs I recommend that he goes to an emergency room without delay. A grade 1 spondylolisthesis is usually not very concerning, but if it is mobile (or unstable) and worsens with activity, it could be worse than a grade 1 currently and pinching the nerve roots that control his legs, bowels/bladder. I am extremely concerned about the weakness you state that he is having, and I would have him seek emergent medical attention without delay. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My son is 22 and just recently went back playing rugby after a year. He was diagnosed with grade 1 spondylolistheses at L5/SI secondary to bilateral pars defect. He is now complaining of pins and needles and weakness. He has gone to a college doctor and a physio today. Nobody seem to be to concerned. He does not live in the same city as me. I am an experienced nurse and I am quite concerned. I have told him to go straight to an emergency room if the pins and needles persist. I just want clarification on this.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi there, if the tingling and weakness is in your sons legs I recommend that he goes to an emergency room without delay. A grade 1 spondylolisthesis is usually not very concerning, but if it is mobile (or unstable) and worsens with activity, it could be worse than a grade 1 currently and pinching the nerve roots that control his legs, bowels/bladder. I am extremely concerned about the weakness you state that he is having, and I would have him seek emergent medical attention without delay.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi Im Juneil and Im 17 years old. Ive been dipping for 10 years now, but I had a unusual small circles on my gums, why is that? I doubt think its mouth cancer, cause I take really good care of my teeth, and brush em 2 times a day. Please contact me back, and thank you so much | Hello, Thanks for consulting Chat Doctor, Read your query, as you feel of small circle on your gum don't worry this is not mouth cancer it can be inflammation in gum due to localized enlargement of gingival, infection in tooth due to caries secondary to Periapical abscess, or localized inflammation of periodontal ligament secondary to Periodontal Abscess. I will suggest you to consult your dentist for examination and evaluation of gums and rule out the cause of circle in gum, in meanwhile do warm saline rinses, maintain proper oral hygiene, use regularly mouthwash. Hope this will help you | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi Im Juneil and Im 17 years old. Ive been dipping for 10 years now, but I had a unusual small circles on my gums, why is that? I doubt think its mouth cancer, cause I take really good care of my teeth, and brush em 2 times a day. Please contact me back, and thank you so much<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thanks for consulting Chat Doctor, Read your query, as you feel of small circle on your gum don't worry this is not mouth cancer it can be inflammation in gum due to localized enlargement of gingival, infection in tooth due to caries secondary to Periapical abscess, or localized inflammation of periodontal ligament secondary to Periodontal Abscess. I will suggest you to consult your dentist for examination and evaluation of gums and rule out the cause of circle in gum, in meanwhile do warm saline rinses, maintain proper oral hygiene, use regularly mouthwash. Hope this will help you<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | well 3&1/2 months back i was prescribed WINOLAP-5 for my wheezing . i had that for about 10 days. i was fine afterwards. Lately i cough out mucus during night time & now due to cold i am having bad stuffy nose , wheezing as well light asthmatic feeling can i continue with winolap-5? my e-mail address is YYYY@YYYY | Dear Mr. galaxyfunworld, Good morning, By your history it is apparent that you have allergic tendency with off & on episodes of breathlessness. Cold or flu like illness aggravates the symptoms. I suggest you to have your chest examined by your doctor for assessing the degree of bronchospasm. Meanwhile, you may please continue T. Wino lap for 5-7 days. Plus Steam inhalation/ nebulization 3-4 times a day and a short course of bronchodilator + steroid therapy would also help. I hope you find my response to be helpful and informative. I hope this answers your query, I will be glad to reply any follow-up query that you have. Wishing you best of health. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: well 3&1/2 months back i was prescribed WINOLAP-5 for my wheezing . i had that for about 10 days. i was fine afterwards. Lately i cough out mucus during night time & now due to cold i am having bad stuffy nose , wheezing as well light asthmatic feeling can i continue with winolap-5? my e-mail address is YYYY@YYYY<|eot_id|><|start_header_id|>assistant<|end_header_id|>Dear Mr. galaxyfunworld, Good morning, By your history it is apparent that you have allergic tendency with off & on episodes of breathlessness. Cold or flu like illness aggravates the symptoms. I suggest you to have your chest examined by your doctor for assessing the degree of bronchospasm. Meanwhile, you may please continue T. Wino lap for 5-7 days. Plus Steam inhalation/ nebulization 3-4 times a day and a short course of bronchodilator + steroid therapy would also help. I hope you find my response to be helpful and informative. I hope this answers your query, I will be glad to reply any follow-up query that you have. Wishing you best of health.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | im a 22 year old male taking pro amitine due to vaso vagal episodes durring gym exercises i get light headed and nauseous it seems to happen everyday and can hear my heart beat in my ears. is there an alternative medication or procedure because i dont see an improvement | Hello! Welcome on Chat Doctor ! There is not a specific treatment for these episodes. The main thing to do is to avoid the triggering factor. Anyway, I would recommend performing some tests to exclude other possible causes that may mimic this clinical situation | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: im a 22 year old male taking pro amitine due to vaso vagal episodes durring gym exercises i get light headed and nauseous it seems to happen everyday and can hear my heart beat in my ears. is there an alternative medication or procedure because i dont see an improvement<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello! Welcome on Chat Doctor ! There is not a specific treatment for these episodes. The main thing to do is to avoid the triggering factor. Anyway, I would recommend performing some tests to exclude other possible causes that may mimic this clinical situation<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I receive an odd reaction to certain foods, and I was wondering if it was a food allergy or something else. The area below my ears down a little ways of my neck tingle a lot. It is a lot of pain and am not able to move my jaw or sharp pain will ensue. Please let me know what this condition is called and how it can be fixed. | Hi and thanks for this query. I am so sorry to hear about what you have been experiencing with certain food stuffs. If this has been happening and repeatedly with the same food types, then it is probably an adverse reaction treated t some element found in the food. If the symptoms are too severe, then please avoid consuming these food types and wait until the condition is ad Chat Doctor. However, if they are minor and not incapacitating to you, you may choose to continue eating it while you seek medical attention. Treatment of most of these conditions require an anti-allergic | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I receive an odd reaction to certain foods, and I was wondering if it was a food allergy or something else. The area below my ears down a little ways of my neck tingle a lot. It is a lot of pain and am not able to move my jaw or sharp pain will ensue. Please let me know what this condition is called and how it can be fixed.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi and thanks for this query. I am so sorry to hear about what you have been experiencing with certain food stuffs. If this has been happening and repeatedly with the same food types, then it is probably an adverse reaction treated t some element found in the food. If the symptoms are too severe, then please avoid consuming these food types and wait until the condition is ad Chat Doctor. However, if they are minor and not incapacitating to you, you may choose to continue eating it while you seek medical attention. Treatment of most of these conditions require an anti-allergic<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi i just wanted to know if you could tell me of any home remidies that could help me . So yesterday i had a high fever ththe highest being 101.3 i monitored my temperature and managed to bring it down. Im feeling a little better today except for one problem, my head hurts really bad when i cough | Hi welcome to Chat Doctor forum. You condition probably is a viral fever, for this you can try home remedies like black pepper soup, oatmeal of boiled rice, leaves of Tulsa with honey, and so many home remedies, for temporary relief, so they should be taken several times. As viral fever is a self limiting disease if you use such things you will be free during the course of fever. That is why the old people suggest to not use medicines till three days. If not subsided they have to you have to go to a doctor he will investigate and find the type of fever and give treatment. If you go to doctor in the first day you can have immediate relief. If it is a viral fever also to prevent secondary infection the doctor will give treatment, and you will be free of symptoms. Wishing for a quick recovery, and thanks for calling. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi i just wanted to know if you could tell me of any home remidies that could help me . So yesterday i had a high fever ththe highest being 101.3 i monitored my temperature and managed to bring it down. Im feeling a little better today except for one problem, my head hurts really bad when i cough<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi welcome to Chat Doctor forum. You condition probably is a viral fever, for this you can try home remedies like black pepper soup, oatmeal of boiled rice, leaves of Tulsa with honey, and so many home remedies, for temporary relief, so they should be taken several times. As viral fever is a self limiting disease if you use such things you will be free during the course of fever. That is why the old people suggest to not use medicines till three days. If not subsided they have to you have to go to a doctor he will investigate and find the type of fever and give treatment. If you go to doctor in the first day you can have immediate relief. If it is a viral fever also to prevent secondary infection the doctor will give treatment, and you will be free of symptoms. Wishing for a quick recovery, and thanks for calling.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | i m addicted to handpractice from last 2-3 years too much becoz of that my whole body affected my eyes goes too mch inside it looks very dull face now days like m very sad n my hairs also from front little white n internal weakness also..... can u suggest me wht to do n wht i have to take in my meal m vegetarian so i can t eat non-veg i wnt to ged rid as soon as possible plz suggest me | Hi, Your problem might not be due to masturbation so do not worry about masturbation. It seems that you might be having Malnourishment giving rise these problems. As you are vegetarian, take high protein diet like milk butter, ghee, cheese, pannier, puddings, cereals, pulses. Take fresh veggies and fresh fruits. Take some Chat Doctor. Take some multivitamin and Iron supplements. Avoid stress. Ok and take care. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i m addicted to handpractice from last 2-3 years too much becoz of that my whole body affected my eyes goes too mch inside it looks very dull face now days like m very sad n my hairs also from front little white n internal weakness also..... can u suggest me wht to do n wht i have to take in my meal m vegetarian so i can t eat non-veg i wnt to ged rid as soon as possible plz suggest me<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Your problem might not be due to masturbation so do not worry about masturbation. It seems that you might be having Malnourishment giving rise these problems. As you are vegetarian, take high protein diet like milk butter, ghee, cheese, pannier, puddings, cereals, pulses. Take fresh veggies and fresh fruits. Take some Chat Doctor. Take some multivitamin and Iron supplements. Avoid stress. Ok and take care.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I am feeling strong heartbeat and weird flutterings in abdomen. Unprotected sex may. Light bleeding each month since but cycles ranging from 25-33 days. Negative urine tests. Could I be pregnant? I also had a lletz done in April and came off pill at same time. | Hi ! Good afternoon. I am Chat Doctor answering your query. All the precautions including birth control pills are not 100% foolproof in protection against a pregnancy. If I were your doctor, I would go for a serum Chat Doctor determination to rule this out, followed by an ultrasound of the pelvis/abdomen if need be. In case all are negative, I would suggest you to see a physician/cardiologist to rule out any other pathology. 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. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I am feeling strong heartbeat and weird flutterings in abdomen. Unprotected sex may. Light bleeding each month since but cycles ranging from 25-33 days. Negative urine tests. Could I be pregnant? I also had a lletz done in April and came off pill at same time.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi ! Good afternoon. I am Chat Doctor answering your query. All the precautions including birth control pills are not 100% foolproof in protection against a pregnancy. If I were your doctor, I would go for a serum Chat Doctor determination to rule this out, followed by an ultrasound of the pelvis/abdomen if need be. In case all are negative, I would suggest you to see a physician/cardiologist to rule out any other pathology. 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.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | hi im denis joy from kerala.im suffering severe low back pain.im not able to sit without chair and i cant bend or do any activities depend on back pain.doctor said its disc problem but im not sure.im only 17 years old.im so desp now.what should i do.please help.please..... | HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely due to lumbar disc herniation. A physical examination with an Orthopedic will give clue for that and an X-ray followed by MRI if needed should be done to confirm that. For my patients with such condition I advise muscle relaxants like Thiocolchicoside NSAIDs like Diclofenac and neurotrophic Chat Doctor. I send them to physiotherapy along with this. Wearing a supporting belt is also helpful. If no improvement after this then a surgical correction can be considered. Hope this may help you. Let me know if you have any further query. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hi im denis joy from kerala.im suffering severe low back pain.im not able to sit without chair and i cant bend or do any activities depend on back pain.doctor said its disc problem but im not sure.im only 17 years old.im so desp now.what should i do.please help.please.....<|eot_id|><|start_header_id|>assistant<|end_header_id|>HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely due to lumbar disc herniation. A physical examination with an Orthopedic will give clue for that and an X-ray followed by MRI if needed should be done to confirm that. For my patients with such condition I advise muscle relaxants like Thiocolchicoside NSAIDs like Diclofenac and neurotrophic Chat Doctor. I send them to physiotherapy along with this. Wearing a supporting belt is also helpful. If no improvement after this then a surgical correction can be considered. Hope this may help you. Let me know if you have any further query.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | HI. I am currently on Geodon for Major Depressive Disorder, Bipolar 1. I see my Psych in the am but am just trying to do a little research beforehand. Can I switch to Nardil without the normal 2 week washout. I have checked each and every one of my other drugs in the drug-drug interactions, and they are all safe. Just curious before going into the meeting tomorrow. -Theresa | Degree understand your concerns went through your details. Please understand psychiatric medicines are prescribed according to the condition of the patient. Depressive disorder and bipolar disorders are having far fetching consequences and therefore psychiatrist usually take many things into considerations. They also employ differential diagnosis to confirm the diagnosis. Therefore, discussing the medicines and its effects on a patient may not be possible here. Generally, Geodon (ziprasidone) is an antipsychotic medication. It works by changing the effects of chemicals in the brain. Geodon is used to treat schizophrenia and the manic symptoms of bipolar disorder. Talk to your psychiatrist in detail about the research you conducted. Let him take decisions, and please work with him for a perfect cure. If you require more of my help in this aspect, please use this URL. http | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: HI. I am currently on Geodon for Major Depressive Disorder, Bipolar 1. I see my Psych in the am but am just trying to do a little research beforehand. Can I switch to Nardil without the normal 2 week washout. I have checked each and every one of my other drugs in the drug-drug interactions, and they are all safe. Just curious before going into the meeting tomorrow. -Theresa<|eot_id|><|start_header_id|>assistant<|end_header_id|>Degree understand your concerns went through your details. Please understand psychiatric medicines are prescribed according to the condition of the patient. Depressive disorder and bipolar disorders are having far fetching consequences and therefore psychiatrist usually take many things into considerations. They also employ differential diagnosis to confirm the diagnosis. Therefore, discussing the medicines and its effects on a patient may not be possible here. Generally, Geodon (ziprasidone) is an antipsychotic medication. It works by changing the effects of chemicals in the brain. Geodon is used to treat schizophrenia and the manic symptoms of bipolar disorder. Talk to your psychiatrist in detail about the research you conducted. Let him take decisions, and please work with him for a perfect cure. If you require more of my help in this aspect, please use this URL. http<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, i get a blocked nosed every night and cant sleep because i cnt breathe properly, and sometimes wake up in the middle of the cos i stop breathing and get back to sleep. when i wake up every morning my nose is stuffy and sneeze alot of mucus out , and i suffer with pain above and between my eyes and my forehead. Thanks | Hi. From your history I feel you are suffering from sinusitis and allergic rhinitis. You could take steam inhalations often and when you have nose block take Tab. Minaret one tab at night, this will relieve the stuffy nose and headache as well, if you're not allergic to medicines. But I suggest you visit an ENT doctor for an examination of the sinus, nose for any DNS and then start treatment accordingly. Meantime avoid dust exposure and eat healthy Wish you good health | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, i get a blocked nosed every night and cant sleep because i cnt breathe properly, and sometimes wake up in the middle of the cos i stop breathing and get back to sleep. when i wake up every morning my nose is stuffy and sneeze alot of mucus out , and i suffer with pain above and between my eyes and my forehead. Thanks<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. From your history I feel you are suffering from sinusitis and allergic rhinitis. You could take steam inhalations often and when you have nose block take Tab. Minaret one tab at night, this will relieve the stuffy nose and headache as well, if you're not allergic to medicines. But I suggest you visit an ENT doctor for an examination of the sinus, nose for any DNS and then start treatment accordingly. Meantime avoid dust exposure and eat healthy Wish you good health<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | my granddaughter is six months old and it seems like her arms are twisted outward from her shoulders down. when arm is relaxed it hangs with hand pointed out with palms facing up. Her doctor has never mentioned anything was wrong but seems every odd to me. | Thanks for using Chat Doctor. I have gone through your query and I can understand your concerns. Your description suggest a possibility of dislocated shoulder. Ask the parents for any history of fall, If not it could be a congenital dislocation. I suggest you to consult an orthopaedician at earliest and get evaluated. We have to do an X-ray to make a diagnosis. Most of the cases can be reduced manually without any surgery. Rarely surgery may be needed to correct the deformity. Both cases require immobilization in a cast for few weeks. Hope I have answered your query. Regards. Chat Doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: my granddaughter is six months old and it seems like her arms are twisted outward from her shoulders down. when arm is relaxed it hangs with hand pointed out with palms facing up. Her doctor has never mentioned anything was wrong but seems every odd to me.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for using Chat Doctor. I have gone through your query and I can understand your concerns. Your description suggest a possibility of dislocated shoulder. Ask the parents for any history of fall, If not it could be a congenital dislocation. I suggest you to consult an orthopaedician at earliest and get evaluated. We have to do an X-ray to make a diagnosis. Most of the cases can be reduced manually without any surgery. Rarely surgery may be needed to correct the deformity. Both cases require immobilization in a cast for few weeks. Hope I have answered your query. Regards. Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have a very very very sharp pain down my right leg when I stand up and start to walk, this started with a very sharp pain in my right upper butt yesterday, I sett a lot and I think its my sciatic nerve ???. I have been on my back all day , icing 1/2/hour then 1/2 no ice and every four hours i take 4 ibuprofen 200mg. I have to drive tomorrow can I find a stretching move that would help. | Hello, I have studied your case. Usually nerve compression can't be seen on x-ray you may need MRI for this. If there is any nerve compression then that may need specific treatment. I will advise you to do MRI instill time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have a very very very sharp pain down my right leg when I stand up and start to walk, this started with a very sharp pain in my right upper butt yesterday, I sett a lot and I think its my sciatic nerve ???. I have been on my back all day , icing 1/2/hour then 1/2 no ice and every four hours i take 4 ibuprofen 200mg. I have to drive tomorrow can I find a stretching move that would help.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, I have studied your case. Usually nerve compression can't be seen on x-ray you may need MRI for this. If there is any nerve compression then that may need specific treatment. I will advise you to do MRI instill time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi there doctor I am very confused at the moment | Hi. Thanks for asking in Chat Doctor. Your symptoms of nausea, abdominal cramps and tiredness may be due to the high level of progesterone in the pill rather than pregnancy because severe abdominal pain in early stage of pregnancy is uncommon. Emergency pill or morning after pill is effective if it is taken within 72 hours after an unprotected sex. If the ovulation has already occurred then the morning after pill will not interfere with fertilization but will interfere with implantation of the fertilized ovum. Since you have got with Chat Doctor. Although the failure rate is less than 10% you should still rule out pregnancy through blood test which is more accurate than the urine test. If found positive then you should consult your treating | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi there doctor I am very confused at the moment<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. Thanks for asking in Chat Doctor. Your symptoms of nausea, abdominal cramps and tiredness may be due to the high level of progesterone in the pill rather than pregnancy because severe abdominal pain in early stage of pregnancy is uncommon. Emergency pill or morning after pill is effective if it is taken within 72 hours after an unprotected sex. If the ovulation has already occurred then the morning after pill will not interfere with fertilization but will interfere with implantation of the fertilized ovum. Since you have got with Chat Doctor. Although the failure rate is less than 10% you should still rule out pregnancy through blood test which is more accurate than the urine test. If found positive then you should consult your treating<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My sister has a form of alzhimers called aphasia. She recently took cipro for a UTI and seems to have gotten much worse in her verbal skills. Could cipro have an effect on her or is this perhaps coincidence and she is just slipping away on course. Her mind is still functioning fairly well but can t verbally communicate. Hard to see this happen. | Ciprofloxacin is not known to cause or worsen verbal skills in a patient of Alzheimer's- Aphasia. I would like to look for any other cause before attributing it to ciprofloxacin. If not found any other obvious reason, worsening verbal skills is seen as natural course of Alzheimer's. And worsening verbal skills with ciprofloxacin is just a coincidence in my opinion. Also, I would like to suggest you to consult your treating psychiatrist about this worsening to rule out any pathology with brain imaging. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My sister has a form of alzhimers called aphasia. She recently took cipro for a UTI and seems to have gotten much worse in her verbal skills. Could cipro have an effect on her or is this perhaps coincidence and she is just slipping away on course. Her mind is still functioning fairly well but can t verbally communicate. Hard to see this happen.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Ciprofloxacin is not known to cause or worsen verbal skills in a patient of Alzheimer's- Aphasia. I would like to look for any other cause before attributing it to ciprofloxacin. If not found any other obvious reason, worsening verbal skills is seen as natural course of Alzheimer's. And worsening verbal skills with ciprofloxacin is just a coincidence in my opinion. Also, I would like to suggest you to consult your treating psychiatrist about this worsening to rule out any pathology with brain imaging.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | For the past few days Ive had bad hunger like pains in the pit of my stomach to my chest. I feel hungry, and my stomach growls, even after Ive consumed food. Although I never consume much. Ive felt lightly nauseous at some points and headaches too. Extremely bad sore throat, it feels tight. Ive also been coughing up bloody clotted phlegm. I havent been eating very well. Not much in the past week really. I just went through a bad breakup and I have past problems with Bulimia. Could that be a factor in why Im having these symptoms? | Hi. Thanks for your query. Yes, stress and anxiety are the most major factors for such problems like bad hunger pains, stomach growling, nausea, past history of bulimia. Get an upper GI Endoscopy done to see if there is an ulcer or cancer in the stomach. Coughing with bloody phlegm can be due to severe infection in the nose and throat or a mass. ENT examination will help to get a proper diagnosis and treatment., | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: For the past few days Ive had bad hunger like pains in the pit of my stomach to my chest. I feel hungry, and my stomach growls, even after Ive consumed food. Although I never consume much. Ive felt lightly nauseous at some points and headaches too. Extremely bad sore throat, it feels tight. Ive also been coughing up bloody clotted phlegm. I havent been eating very well. Not much in the past week really. I just went through a bad breakup and I have past problems with Bulimia. Could that be a factor in why Im having these symptoms?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. Thanks for your query. Yes, stress and anxiety are the most major factors for such problems like bad hunger pains, stomach growling, nausea, past history of bulimia. Get an upper GI Endoscopy done to see if there is an ulcer or cancer in the stomach. Coughing with bloody phlegm can be due to severe infection in the nose and throat or a mass. ENT examination will help to get a proper diagnosis and treatment.,<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | i have been going to my doctors with right swollen testicle pain just above and as gone up to stomach round in to lower back pain is severe my doctor gave me ciprofloxacin they have not said what the problem is its been going on for four weeks i am in constant pain | Hellman and swelling in testis need immediate medical attention. It may be due to many causes like infection, mass,torsion etc. Antibiotics are not always helpful in all cases. You need proper clinical examination and investigations. Investigations include routine hologram, ultrasound and color Doppler of scrotum, urine RE/ME. Ultrasound can exclude many conditions like orchids, torsion,fluid accumulation etc. Treatment depend upon findings. You should consult surgeon. Get well soon. Take Care Chat Doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i have been going to my doctors with right swollen testicle pain just above and as gone up to stomach round in to lower back pain is severe my doctor gave me ciprofloxacin they have not said what the problem is its been going on for four weeks i am in constant pain<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hellman and swelling in testis need immediate medical attention. It may be due to many causes like infection, mass,torsion etc. Antibiotics are not always helpful in all cases. You need proper clinical examination and investigations. Investigations include routine hologram, ultrasound and color Doppler of scrotum, urine RE/ME. Ultrasound can exclude many conditions like orchids, torsion,fluid accumulation etc. Treatment depend upon findings. You should consult surgeon. Get well soon. Take Care Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I woke up this morning filling good about 2 hours into the day i was cleaning house when all of a sudden I got real dizzy light headed an then the hole room started spenning I went an layed down but it continued for about 2 hours finally started letting up i still get light headed when i stand up for a little bit now my kneck up to the bottom of my head acks and I have bad head acks | Hi, I am Chat Doctor. I have read your message. I think I can help you. A per the query, you have reported a sudden onset of vertigo that was started when you were cleaning the house that reduced but persisted when you lie down and gets more as soon as you get up. Now, sudden onset of any neurological symptom suggests a possible stroke. And therefore I suggest that you go to an Emergency room as soon as possible and request an MRI of the brain to make sure that there is no stroke. If there is a stroke, you will need to be initiated for the appropriate medications depending on the type of stroke and also the duration after which you manage to reach the hospital. However, you have not reported any other feature like weakness or imbalance. So there is a possibility that instead of having a central cause of vertigo like stroke, you may actually have a peripheral vertigo like benign positional paroxysmal vertigo. There are simple medicine like betahistine that will need to be initiated. There will also be exercises like Brandt Zaroff exercises that the doctors/neurologist will need to teach you. However, since stroke is a more serious condition, and a condition in whose management time is a very crucial factor, I think you should get to an emergency service in a hospital that boasts of a neurologist as soon as possible. Once the stroke is ruled out, then the peripheral causes can be considered and treated. I have tried to make it as simple as possible. I hope that you benefit from the suggestion. Please get to an emergency as soon as possible. In the meantime, try to remain still and in bed so that the episodes of vertigo do not worsen. Avoid sudden jerky head movements. Please note, I have assumed that you have no cardiac issues, no diabetes, no hypertension or any other significant past history, as this has not been mentioned in the query. Best of luck, | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I woke up this morning filling good about 2 hours into the day i was cleaning house when all of a sudden I got real dizzy light headed an then the hole room started spenning I went an layed down but it continued for about 2 hours finally started letting up i still get light headed when i stand up for a little bit now my kneck up to the bottom of my head acks and I have bad head acks<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, I am Chat Doctor. I have read your message. I think I can help you. A per the query, you have reported a sudden onset of vertigo that was started when you were cleaning the house that reduced but persisted when you lie down and gets more as soon as you get up. Now, sudden onset of any neurological symptom suggests a possible stroke. And therefore I suggest that you go to an Emergency room as soon as possible and request an MRI of the brain to make sure that there is no stroke. If there is a stroke, you will need to be initiated for the appropriate medications depending on the type of stroke and also the duration after which you manage to reach the hospital. However, you have not reported any other feature like weakness or imbalance. So there is a possibility that instead of having a central cause of vertigo like stroke, you may actually have a peripheral vertigo like benign positional paroxysmal vertigo. There are simple medicine like betahistine that will need to be initiated. There will also be exercises like Brandt Zaroff exercises that the doctors/neurologist will need to teach you. However, since stroke is a more serious condition, and a condition in whose management time is a very crucial factor, I think you should get to an emergency service in a hospital that boasts of a neurologist as soon as possible. Once the stroke is ruled out, then the peripheral causes can be considered and treated. I have tried to make it as simple as possible. I hope that you benefit from the suggestion. Please get to an emergency as soon as possible. In the meantime, try to remain still and in bed so that the episodes of vertigo do not worsen. Avoid sudden jerky head movements. Please note, I have assumed that you have no cardiac issues, no diabetes, no hypertension or any other significant past history, as this has not been mentioned in the query. Best of luck,<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have Hep c and last yr when tested they said my viral load was dorment? can you tell me when should i see someone about getting treated and what are the signs, i also take a numerous amount of pysc meds and currently on suboxone but i dont want to take the suboxone all my life ...lately i am having alot of pain in abdomen area | Hi, Since you apparently had very low Hepatitis C virus RNA levels, your doctor told you that the virus is dormant. This means that you do not need to start treatment now. You need to be screened at least one to two times a year to assess if the virus has started replicating and the status of your liver function. If your doctor finds these test reports worsening, he will suggest that you start treatment. Till then, you need to take care of your health by avoiding alcohol and other substances including opioid analgesics like Suboxone which can harm your liver. Please take steps to prevent the spread of the virus. Also, immediately inform your doctor if you experience yellowish discoloration of eyes, skin and nails along with nausea and loss of appetite. Hope you find this helpful. Best wishes. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have Hep c and last yr when tested they said my viral load was dorment? can you tell me when should i see someone about getting treated and what are the signs, i also take a numerous amount of pysc meds and currently on suboxone but i dont want to take the suboxone all my life ...lately i am having alot of pain in abdomen area<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Since you apparently had very low Hepatitis C virus RNA levels, your doctor told you that the virus is dormant. This means that you do not need to start treatment now. You need to be screened at least one to two times a year to assess if the virus has started replicating and the status of your liver function. If your doctor finds these test reports worsening, he will suggest that you start treatment. Till then, you need to take care of your health by avoiding alcohol and other substances including opioid analgesics like Suboxone which can harm your liver. Please take steps to prevent the spread of the virus. Also, immediately inform your doctor if you experience yellowish discoloration of eyes, skin and nails along with nausea and loss of appetite. Hope you find this helpful. Best wishes.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | hi i am 30 yrs old , last week i was suffered 102-103 fever, now i am ok , but i feel very laziness , my s typhi o is 1;80, H is 1.160 , AH 1.80 , BH 1.80 , is this positive report of Typhoid , please suggest me mujhe kya karna chahiye , is this serious matter or not | Hello are still a typhoid fever positive in very low concentration, so need not worry. When such patient visit I prescribe a combination of definite+ oofloxacin, twice in day for 14 days. In your case, this is not a cause of concern. Take healthy diet and laziness is a common thing after typhoid, so don't worry. Resume your work at once and if you feel tiredness then take Tylenol or paracetamol (whenever require). Since this is my opinion, so consult your doctor and take a prescription. Good luck. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hi i am 30 yrs old , last week i was suffered 102-103 fever, now i am ok , but i feel very laziness , my s typhi o is 1;80, H is 1.160 , AH 1.80 , BH 1.80 , is this positive report of Typhoid , please suggest me mujhe kya karna chahiye , is this serious matter or not<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello are still a typhoid fever positive in very low concentration, so need not worry. When such patient visit I prescribe a combination of definite+ oofloxacin, twice in day for 14 days. In your case, this is not a cause of concern. Take healthy diet and laziness is a common thing after typhoid, so don't worry. Resume your work at once and if you feel tiredness then take Tylenol or paracetamol (whenever require). Since this is my opinion, so consult your doctor and take a prescription. Good luck.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have some swelling on the left side of my face. I have pain in my teeth. The back one on the upper. On the bottom my teeth are hurting from the back to the front teeth. The top tooth was hurting when I went to the dentist. They X-ray and couldnt find anything wrong. But they decided to clean them. Then the tooth on the bottom swell up with the gum coming out over the tooth. I went to the dentist to have that tooth pulled. But it like it is spreading because now the teeth are hurting all the way to the front. | Hi Dear, Welcome to Chat Doctor. Brief answer - Periodontal Abscesses per your query you have symptoms of gum swelling and tooth pain which is becoming generalized in nature it's because of presence of infection, plaque, calculus and food debris accumulated inside the gum area. Extraction of tooth i.e. pulling out of tooth is not a treatment option for your case as tooth pain is generalized in nature. I would suggest you to visit Periodontist once and get it examine properly. Go for root cleaning, curettage and root planning as you have debris inside gums which are causing detachment of gums from arch. Scaling is not the only option as you don't have superficial rather deep debris accumulation. Use antimicrobial mouth wash. Brush twice daily with proper brushing technique. Floss daily. Do warm saline or Betadine gargles to prevent bacterial build up. Go for flap re-positioning if its is advised by periodontist. Use Sensory or any antisenstivity toothpaste to prevent generalized arch pain. Hope your concern has been resolved. Get Well Soon. Best Wishes. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have some swelling on the left side of my face. I have pain in my teeth. The back one on the upper. On the bottom my teeth are hurting from the back to the front teeth. The top tooth was hurting when I went to the dentist. They X-ray and couldnt find anything wrong. But they decided to clean them. Then the tooth on the bottom swell up with the gum coming out over the tooth. I went to the dentist to have that tooth pulled. But it like it is spreading because now the teeth are hurting all the way to the front.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi Dear, Welcome to Chat Doctor. Brief answer - Periodontal Abscesses per your query you have symptoms of gum swelling and tooth pain which is becoming generalized in nature it's because of presence of infection, plaque, calculus and food debris accumulated inside the gum area. Extraction of tooth i.e. pulling out of tooth is not a treatment option for your case as tooth pain is generalized in nature. I would suggest you to visit Periodontist once and get it examine properly. Go for root cleaning, curettage and root planning as you have debris inside gums which are causing detachment of gums from arch. Scaling is not the only option as you don't have superficial rather deep debris accumulation. Use antimicrobial mouth wash. Brush twice daily with proper brushing technique. Floss daily. Do warm saline or Betadine gargles to prevent bacterial build up. Go for flap re-positioning if its is advised by periodontist. Use Sensory or any antisenstivity toothpaste to prevent generalized arch pain. Hope your concern has been resolved. Get Well Soon. Best Wishes.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I am 20 years old and have a two year old son. I have a petite body build and have not gained much weight lately. I got one lone stretch mark on my right breast while pregnant and it hasn t bothered me until recently. It is extremely painful and seems to be getting larger; it is hollow-like and looks bruised. My right breast hurts pretty much all the time but every now and then, I will get a sharp stabbing pain where the stretch mark is, sometimes it s so bad I almost cry and can t breathe. When I think cancer, I think of a tumor, so I have no clue what this hollow spot could be!! Please help.. | Thanks for your question on Chat Doctor. I can understand your situation and problem. No need to worry much for cancer. As your age is too young to have cancer. Cancer lumps are generally not painful so again fewer chances of malignancy in your case. In my opinion you should first get done mammography of right breast. This will tell you about your breast lump. I think you are having abscess or infected cyst which causes so much pain. So no need to worry about cancer just get done mammography and start treatment accordingly. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I am 20 years old and have a two year old son. I have a petite body build and have not gained much weight lately. I got one lone stretch mark on my right breast while pregnant and it hasn t bothered me until recently. It is extremely painful and seems to be getting larger; it is hollow-like and looks bruised. My right breast hurts pretty much all the time but every now and then, I will get a sharp stabbing pain where the stretch mark is, sometimes it s so bad I almost cry and can t breathe. When I think cancer, I think of a tumor, so I have no clue what this hollow spot could be!! Please help..<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your situation and problem. No need to worry much for cancer. As your age is too young to have cancer. Cancer lumps are generally not painful so again fewer chances of malignancy in your case. In my opinion you should first get done mammography of right breast. This will tell you about your breast lump. I think you are having abscess or infected cyst which causes so much pain. So no need to worry about cancer just get done mammography and start treatment accordingly.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My husband works in landscaping and since it has gotten very warm he feet get extremely sweaty. It causes a rash on his feet that resembles diaper rash. It also causes some swelling. It is also very painful. Once he showers and it starts to dry up the rash is even more very painful. He has seen a physician but no one really knows what it is or what to do with it. He was told not to put anything on it. He has tried different shoes and socks but it doesn t help. If he is off a few days the rash will go away but leaves angry dark purple scars for a few weeks that eventually fade away. Do you have any suggestions of anything we could try to get him a little relief? Thank you for your time. | Hi, It can be either a heat rash or biting of any specific insects or bugs outdoors leading to a severe allergic reaction. So, it is advisable to consult an Allergist or Immunologist and get him evaluated. An allergy test or an antibody test can be done to rule out if it is due to allergic reaction. For now, you can do cool compresses over the rashes and apply Calamine lotion over it. He can take anti-allergics like Levocetirizine if there is itching. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My husband works in landscaping and since it has gotten very warm he feet get extremely sweaty. It causes a rash on his feet that resembles diaper rash. It also causes some swelling. It is also very painful. Once he showers and it starts to dry up the rash is even more very painful. He has seen a physician but no one really knows what it is or what to do with it. He was told not to put anything on it. He has tried different shoes and socks but it doesn t help. If he is off a few days the rash will go away but leaves angry dark purple scars for a few weeks that eventually fade away. Do you have any suggestions of anything we could try to get him a little relief? Thank you for your time.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, It can be either a heat rash or biting of any specific insects or bugs outdoors leading to a severe allergic reaction. So, it is advisable to consult an Allergist or Immunologist and get him evaluated. An allergy test or an antibody test can be done to rule out if it is due to allergic reaction. For now, you can do cool compresses over the rashes and apply Calamine lotion over it. He can take anti-allergics like Levocetirizine if there is itching. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I am 39 years old and just found out yesterday that a CXR I had last week showed a pulmonary nodule. I am a 3/4 to 1 ppd smoker with a history of persistently elevated WBCs, fibromyalgia, and hypothyroidism. Is it probable that I have an early lung CA? My MGF is deceased from lung CA and PGF deceased from stomach and esophageal CA. Both were smokers. Thank you for your input. | Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should consult pulmonologist and get done CT thorax with Contrast to know the characteristics of nodule because you are at high risk for malignant nodule. You are smoker and having positive family history for cancer. So get done CT thorax with Contrast. CT will tell you about exact size, shape, structure of nodule. CT will also tell about association with surrounding lung structure, mediastinal lymphadenopathy etc. All these points are important in differentiating between benign and malignant nodule. If it is benign lesion then no need to worry. But if it is malignant looking nodule then biopsy is needed for confirmation. In any case, better to quit smoking as soon as possible. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I am 39 years old and just found out yesterday that a CXR I had last week showed a pulmonary nodule. I am a 3/4 to 1 ppd smoker with a history of persistently elevated WBCs, fibromyalgia, and hypothyroidism. Is it probable that I have an early lung CA? My MGF is deceased from lung CA and PGF deceased from stomach and esophageal CA. Both were smokers. Thank you for your input.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should consult pulmonologist and get done CT thorax with Contrast to know the characteristics of nodule because you are at high risk for malignant nodule. You are smoker and having positive family history for cancer. So get done CT thorax with Contrast. CT will tell you about exact size, shape, structure of nodule. CT will also tell about association with surrounding lung structure, mediastinal lymphadenopathy etc. All these points are important in differentiating between benign and malignant nodule. If it is benign lesion then no need to worry. But if it is malignant looking nodule then biopsy is needed for confirmation. In any case, better to quit smoking as soon as possible. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | i had taken 5 days course of primolut n because i have delayed period may be due to i had taken i pill 72 on my 6th day of last period. My weight is 57 and height is 5.3 and age is 25 . I completed this course 2 days back , i had taken pregnancy test before the course of tablets, i m waiting for mh period, and last night i have unprotected sex, what are the chances of pregnancy due to last night intercourse | Hallow Dear, I-pill provides protection against pregnancy effectively when taken within 72 hours of the unprotected sexual intercourse. It does not prevent the pregnancy from any sex after the consumption of the pill. Primal N does not offer any contraceptive effect when taken only for 5 days for induction of with Chat Doctor. Pregnancy test before the course of tablets does not provide any relevant information; particularly when performed before missing a period. Since your last unprotected sexual intercourse is not protected by any contraceptive method, you should consider the possibility of pregnancy. If you have missed period, then to find out the pregnancy status | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i had taken 5 days course of primolut n because i have delayed period may be due to i had taken i pill 72 on my 6th day of last period. My weight is 57 and height is 5.3 and age is 25 . I completed this course 2 days back , i had taken pregnancy test before the course of tablets, i m waiting for mh period, and last night i have unprotected sex, what are the chances of pregnancy due to last night intercourse<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hallow Dear, I-pill provides protection against pregnancy effectively when taken within 72 hours of the unprotected sexual intercourse. It does not prevent the pregnancy from any sex after the consumption of the pill. Primal N does not offer any contraceptive effect when taken only for 5 days for induction of with Chat Doctor. Pregnancy test before the course of tablets does not provide any relevant information; particularly when performed before missing a period. Since your last unprotected sexual intercourse is not protected by any contraceptive method, you should consider the possibility of pregnancy. If you have missed period, then to find out the pregnancy status<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi i have a mysterious disease with me from last 1 month the disease is with my skin, due to some allergy there is heavy itching in my whole body and when itching the body it will get red and there is some swelling and get lines on that area of the body. Please suggest me how can i get relief from this disease? | Hello. Thank you for asking at Chat Doctor. I went through your history. I would like to ask you a few more questions like - what is your age? Did you have similar complaints in past? Do you have any other allergies? Do you have any digestion/gastric-related complaints? Do you have any other medical condition or do you take any medicine on regular basis? However, from your given history, I would like to make suggestions to you as follows | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi i have a mysterious disease with me from last 1 month the disease is with my skin, due to some allergy there is heavy itching in my whole body and when itching the body it will get red and there is some swelling and get lines on that area of the body. Please suggest me how can i get relief from this disease?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello. Thank you for asking at Chat Doctor. I went through your history. I would like to ask you a few more questions like - what is your age? Did you have similar complaints in past? Do you have any other allergies? Do you have any digestion/gastric-related complaints? Do you have any other medical condition or do you take any medicine on regular basis? However, from your given history, I would like to make suggestions to you as follows<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | i have a small hole at the back of my lower left jaw tooth. it was a bit inflamed but was on antibiotic for a nasty flu and sore throat. i gargle with salt water and used a mouth wash . it is not painful just uncomfortable now. | Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint black discoloration and small hole in the tooth is a clear indication of infection in the tooth causing tooth decay. As the infection seems to have progresses leading to nerve exposure or the infection is very close to the nerves causing sensitivity or discomfort. I would suggest you to consult an Oral Physician and get evaluated and a thorough clinical evaluation and x-ray has to be done. In case if decay is superficial and not involved the nerves then filling with tooth colored filling material will help. In case if the decay has involved the nerves then root canal treatment followed by capping of tooth has to be done. Hope this information helps. Thanks and regards. Chat Doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i have a small hole at the back of my lower left jaw tooth. it was a bit inflamed but was on antibiotic for a nasty flu and sore throat. i gargle with salt water and used a mouth wash . it is not painful just uncomfortable now.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint black discoloration and small hole in the tooth is a clear indication of infection in the tooth causing tooth decay. As the infection seems to have progresses leading to nerve exposure or the infection is very close to the nerves causing sensitivity or discomfort. I would suggest you to consult an Oral Physician and get evaluated and a thorough clinical evaluation and x-ray has to be done. In case if decay is superficial and not involved the nerves then filling with tooth colored filling material will help. In case if the decay has involved the nerves then root canal treatment followed by capping of tooth has to be done. Hope this information helps. Thanks and regards. Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | When I bend over or twist at times I get very sharp pain in the upper right rear portion of my hip. I have no discomfort in the joint itself ever or any other areas on a regular basis, but with the slightest wrong movement the sharpness almost brings me to my knees. What is the deal | Hello, Looking at your details it looks that you may be having problem at your sacroiliac joint. It can be a sacroiliac joint dysfunction. You should not worry about this. Do following to have relief in this | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: When I bend over or twist at times I get very sharp pain in the upper right rear portion of my hip. I have no discomfort in the joint itself ever or any other areas on a regular basis, but with the slightest wrong movement the sharpness almost brings me to my knees. What is the deal<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Looking at your details it looks that you may be having problem at your sacroiliac joint. It can be a sacroiliac joint dysfunction. You should not worry about this. Do following to have relief in this<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | dear sir how can posible to improve my active motile? i have now active motile 1st hr 10 & 2nd hr 05 my sperm count is 3.4 million i use madicine levocarnitine tablet 330 mg. mecobalamin 0.5 mg. levothyroxine sodium. choriomon 5000 i.u.inj. & gonal fsh 75 i u inj evry week 1 by 1 4 month after use all madicine & i test semen this result before use madicine my result is sperm count 38.2 million active motile 1st hr 30 2nd hr 25 my age 46 i dnt have any child | HelloThanks for query. You have asthanospermia and have been taking medications advised by your family Physician. I would like to state that there are no medications proved scientifically to be effective in increasing the sperm motility.However, Following measure will help you to improve sperm motility to some extent.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: dear sir how can posible to improve my active motile? i have now active motile 1st hr 10 & 2nd hr 05 my sperm count is 3.4 million i use madicine levocarnitine tablet 330 mg. mecobalamin 0.5 mg. levothyroxine sodium. choriomon 5000 i.u.inj. & gonal fsh 75 i u inj evry week 1 by 1 4 month after use all madicine & i test semen this result before use madicine my result is sperm count 38.2 million active motile 1st hr 30 2nd hr 25 my age 46 i dnt have any child<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloThanks for query. You have asthanospermia and have been taking medications advised by your family Physician. I would like to state that there are no medications proved scientifically to be effective in increasing the sperm motility.However, Following measure will help you to improve sperm motility to some extent.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I am having pain in my abdomen that wraps around my side and onto my back. The pain is level with my belly button and is only on the left side. It came on suddenly and is a throbbing but dull achey pain. It goes back and forth between bareable and bad, I am on no medication, except birth control and I am a breast feeding mother. What should I do? | Helots type of pain in abdomen on the left side and radiating in the back may be due to these possibilities, these include.1 Left renal calculus or stone in kidney as mostly pain in abdomen radiates to the back is a characteristic feature of renal calculus. Diagnosis can be confirmed by ultrasound abdomen .2 Urinary tract may be the cause of this pain, Diagnosis can be confirmed by urine culture.3 In female such type of pain may be due to salpingitis or Ovarian cyst. Diagnosis can be confirmed by ultrasound of ovary. In my opinion taking of pills is nothing to do with this pain. So consult a physician and get his opinion as mentioned above. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I am having pain in my abdomen that wraps around my side and onto my back. The pain is level with my belly button and is only on the left side. It came on suddenly and is a throbbing but dull achey pain. It goes back and forth between bareable and bad, I am on no medication, except birth control and I am a breast feeding mother. What should I do?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Helots type of pain in abdomen on the left side and radiating in the back may be due to these possibilities, these include.1 Left renal calculus or stone in kidney as mostly pain in abdomen radiates to the back is a characteristic feature of renal calculus. Diagnosis can be confirmed by ultrasound abdomen .2 Urinary tract may be the cause of this pain, Diagnosis can be confirmed by urine culture.3 In female such type of pain may be due to salpingitis or Ovarian cyst. Diagnosis can be confirmed by ultrasound of ovary. In my opinion taking of pills is nothing to do with this pain. So consult a physician and get his opinion as mentioned above.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My 4 year old daughter developed red spots on her knee, chest & underarm 2 weeks ago, gp advised Fucidin Cream, over a week later it was not working and started to spread, now I am using Daktacourt but it is still spreading to the other side of her body and small spots are starting to appear around her eyes, what could this be, should I be concerned? | Hi, new line welcome to this forum. Can understand your concerns. Rush Hour body for about 2 weeks could be due to bacterial infection, fungal infection, Eczema, Rash due to low platelet count. Since you have already given juridic acid cream, if it's a bacterial infection it should have corrected. The chances of fungal infection and Eczema cannot be ruled out without examining the patient. The Rash due to low platelet count can occur in some devices like idiopathic thrombocytopenic purpura, so it is very necessary to do platelet count in child and look for any low platelets. In my opinion, you should immediately do a platelet count and an examination by Dermatologist is a must. I hope this will help you. Take care. Regards | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My 4 year old daughter developed red spots on her knee, chest & underarm 2 weeks ago, gp advised Fucidin Cream, over a week later it was not working and started to spread, now I am using Daktacourt but it is still spreading to the other side of her body and small spots are starting to appear around her eyes, what could this be, should I be concerned?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, new line welcome to this forum. Can understand your concerns. Rush Hour body for about 2 weeks could be due to bacterial infection, fungal infection, Eczema, Rash due to low platelet count. Since you have already given juridic acid cream, if it's a bacterial infection it should have corrected. The chances of fungal infection and Eczema cannot be ruled out without examining the patient. The Rash due to low platelet count can occur in some devices like idiopathic thrombocytopenic purpura, so it is very necessary to do platelet count in child and look for any low platelets. In my opinion, you should immediately do a platelet count and an examination by Dermatologist is a must. I hope this will help you. Take care. Regards<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I recently started working as a housekeeper, but a couple days ago i started getting this back pain, he seems to have gotten worse, its right around my left shoulder blade, sometimes when i move it makes a popping noise and when it does it feels like its on fire right after that. It also hurts even just if running water touches it. | Hello, You have back pain which worsens after any movement and even touch of water, means you must be having muscle sprain or might be some injury on back by lifting any heavy wt. So muscle spasm may be there on your back around your shoulder blade. Therefore, it is my advice to take rest and apply analgesic & muscle relaxant cream gently on affected area and also take some analgesic & muscle relaxant tab such as diclofenac sodium + Paracetamol+ Chlorzoxazone twice a day. If not relieved by above than you must go for X-Ray(Chest PA View) or MRI and consult a Orthopedic Surgeon or Re habitation center for Physiotherapy advice. Hope You will resolve your Problem, All the best and Good Luck. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, I recently started working as a housekeeper, but a couple days ago i started getting this back pain, he seems to have gotten worse, its right around my left shoulder blade, sometimes when i move it makes a popping noise and when it does it feels like its on fire right after that. It also hurts even just if running water touches it.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, You have back pain which worsens after any movement and even touch of water, means you must be having muscle sprain or might be some injury on back by lifting any heavy wt. So muscle spasm may be there on your back around your shoulder blade. Therefore, it is my advice to take rest and apply analgesic & muscle relaxant cream gently on affected area and also take some analgesic & muscle relaxant tab such as diclofenac sodium + Paracetamol+ Chlorzoxazone twice a day. If not relieved by above than you must go for X-Ray(Chest PA View) or MRI and consult a Orthopedic Surgeon or Re habitation center for Physiotherapy advice. Hope You will resolve your Problem, All the best and Good Luck.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | i just had my ultrasound and need to know your professional objective opinion | Dear friend, Thanks for your query. I can appreciate your concerns. If you don't have any symptoms, such as, burning/blood in urine, no pain in abdomen overlying the kidneys; no increase in frequency of urination, then you just relax. It is a benign simple cyst, for which no treatment or surgery is required. You are also not likely to have any problems except in rare condition when it ruptures due to blunt injury in which case, there may be some bleeding in urine. If you have high blood pressure, pl ensure that it is kept under control with Chat Doctor. HAVE A NICE DAY AND A SPEEDY RECOVERY. Fond | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i just had my ultrasound and need to know your professional objective opinion<|eot_id|><|start_header_id|>assistant<|end_header_id|>Dear friend, Thanks for your query. I can appreciate your concerns. If you don't have any symptoms, such as, burning/blood in urine, no pain in abdomen overlying the kidneys; no increase in frequency of urination, then you just relax. It is a benign simple cyst, for which no treatment or surgery is required. You are also not likely to have any problems except in rare condition when it ruptures due to blunt injury in which case, there may be some bleeding in urine. If you have high blood pressure, pl ensure that it is kept under control with Chat Doctor. HAVE A NICE DAY AND A SPEEDY RECOVERY. Fond<|eot_id|> |
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