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If you are a doctor, please answer the medical questions based on the patient's description. | hi my name is steve im 32 year old I have chest pain and high back pain muscular type of pain what it could be ... I already made my heart test with blood exam ... the pain is not intense but it keep bugging me for about 3 week I consult my doctor he said it was muscular I force him to take xrays of my chest but noting ... thank you in advance steve | Hello, I have studied your case. Due to compression of this nerve root there is pain in your back and chest. Due to occlusion of vessels there can be burning sensation. I will advise you to do MRI thoracic spine, HRC [CHEST] and EMG- CV [nerve conduction study]X-ray may not show details. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. 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: hi my name is steve im 32 year old I have chest pain and high back pain muscular type of pain what it could be ... I already made my heart test with blood exam ... the pain is not intense but it keep bugging me for about 3 week I consult my doctor he said it was muscular I force him to take xrays of my chest but noting ... thank you in advance steve<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, I have studied your case. Due to compression of this nerve root there is pain in your back and chest. Due to occlusion of vessels there can be burning sensation. I will advise you to do MRI thoracic spine, HRC [CHEST] and EMG- CV [nerve conduction study]X-ray may not show details. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. 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. | My son is almost 8 months. He fell off the bed a little over a week ago.We were not sure if he hit his head. We took him to the ER and everything checked out ok. No marks or bumps on his head or anywhere else. 6 days later he has a big, soft, squishy lump on the right side of his head. He is acting normal. Took him to the pediatrician yesterday and they sent us for a cat scan. They said everything looks fine and it s probably swelling from when he fell. And it could be there for another week or so. But, it s doesn t seem to be going down and Ifeel like it may vbe getting harder. Why would this lump take so long to show up if he in deed hit his head? Could it be something else? Should I get another opinion? | HI...coming to your queries.1. Usually a soft tissue swelling like this will take sometimes 2-3 weeks also to go off completely.2. The other possibility is a hematoma or a subcutaneous blood collection, and it is also harmless and take almost the same time to resolve.3. You need not get another opinion. . First be reassured that your kid is normal. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. If none of them are present, I don't think you should worry about his trivial head injury. 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 son is almost 8 months. He fell off the bed a little over a week ago.We were not sure if he hit his head. We took him to the ER and everything checked out ok. No marks or bumps on his head or anywhere else. 6 days later he has a big, soft, squishy lump on the right side of his head. He is acting normal. Took him to the pediatrician yesterday and they sent us for a cat scan. They said everything looks fine and it s probably swelling from when he fell. And it could be there for another week or so. But, it s doesn t seem to be going down and Ifeel like it may vbe getting harder. Why would this lump take so long to show up if he in deed hit his head? Could it be something else? Should I get another opinion?<|eot_id|><|start_header_id|>assistant<|end_header_id|>HI...coming to your queries.1. Usually a soft tissue swelling like this will take sometimes 2-3 weeks also to go off completely.2. The other possibility is a hematoma or a subcutaneous blood collection, and it is also harmless and take almost the same time to resolve.3. You need not get another opinion. . First be reassured that your kid is normal. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. If none of them are present, I don't think you should worry about his trivial head injury. Regards -<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi. I m a 35 yr old male and have suddenly started to get large red lumps and sores under my jaw line. I m taking vitamin d supplements and inner health once a day.. They have become quite painful and have had a course of antibiotics and cream but no relief. It s been 2 weeks now Bh | Hi, If I were your treating Doctor for this case of a jaw lumps, I would come up with three possibilities | <|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 m a 35 yr old male and have suddenly started to get large red lumps and sores under my jaw line. I m taking vitamin d supplements and inner health once a day.. They have become quite painful and have had a course of antibiotics and cream but no relief. It s been 2 weeks now Bh<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, If I were your treating Doctor for this case of a jaw lumps, I would come up with three possibilities<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | i was diagnosed with cervical cancer with lvsi, i had surgery and lymph nodes removed the lymph nodes were negative. however recently i noticed that after i have had sex there has been vaginal bleeding and rectum bleeding what does that mean and what do ido | From your description I gather that you did not receive any radiotherapy which would mean that you had an early stage cancer. However, vaginal and rectal bleeding in a patient who has had cervical cancer are not good signs. They could simply be the result of a local infection or a symptom of recurrence. If you have received radiotherapy then it could be one of the side effects of the radiotherapy. First, get yourself examined by an oncologist to rule out any obvious disease or infection. Also get an ultrasound of the abdomen and pelvis to be sure. | <|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 diagnosed with cervical cancer with lvsi, i had surgery and lymph nodes removed the lymph nodes were negative. however recently i noticed that after i have had sex there has been vaginal bleeding and rectum bleeding what does that mean and what do ido<|eot_id|><|start_header_id|>assistant<|end_header_id|>From your description I gather that you did not receive any radiotherapy which would mean that you had an early stage cancer. However, vaginal and rectal bleeding in a patient who has had cervical cancer are not good signs. They could simply be the result of a local infection or a symptom of recurrence. If you have received radiotherapy then it could be one of the side effects of the radiotherapy. First, get yourself examined by an oncologist to rule out any obvious disease or infection. Also get an ultrasound of the abdomen and pelvis to be sure.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My dad (60 years) has kidney failure for one year now (both kidneys damaged) due to wrong medication received from a doctor, he was on pd for a few mths after his catheter was infected, he has now began doing hemo once again after a surgery to get his fistula running. For about 6 months or more he has a severe cough that isnt going away, what can we do? | Hi, Please get at least a Chest X-ray PA view done. Also, a few tests like CBP with ESR might be contributory. If there is no major problem as seen on Chest X-ray, he might improve with symptomatic treatment alone. Also, I hope his cardiac function is normal. In some patients with borderline cardiac dysfunction, the heart status gets worse after a fistula has been created, and this could contribute to cough and breathlessness. Again, this can be easily detected on chest X-ray, and if required, 2D Echo. | <|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 dad (60 years) has kidney failure for one year now (both kidneys damaged) due to wrong medication received from a doctor, he was on pd for a few mths after his catheter was infected, he has now began doing hemo once again after a surgery to get his fistula running. For about 6 months or more he has a severe cough that isnt going away, what can we do?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Please get at least a Chest X-ray PA view done. Also, a few tests like CBP with ESR might be contributory. If there is no major problem as seen on Chest X-ray, he might improve with symptomatic treatment alone. Also, I hope his cardiac function is normal. In some patients with borderline cardiac dysfunction, the heart status gets worse after a fistula has been created, and this could contribute to cough and breathlessness. Again, this can be easily detected on chest X-ray, and if required, 2D Echo.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi there. I have a condition where I will feel dizzy in the head and then it feels like my legs is very tiered lam. I will then feel that my head and body is drained off all energy and I will then faint. This is a condition that I have for more than 23 years. Did all the tests in hospital , eeg,brain scan , heart scan , and they could not found anything wrong. I have a theory that I mite have anxiety attacks. Could that be it? I m 47 years old female. After I fainted I sleep for 2 solid days. All energy is drained from my body. Sometimes it feels that my arms I can feel how the blood is pumping thru my arms. Funny feeling. | Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Your Symptoms can occur in Anxiety. Since your EEG, Brain Scan, heart Scan are all normal, this is most likely due to anxiety. I would suggest you consult a Neurologist / Psychiatrist and take relevant and complete treatment at the earliest Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Best Wishes for Speedy Recovery Let me know if I can assist you further. Take care.-loops 1 | <|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 have a condition where I will feel dizzy in the head and then it feels like my legs is very tiered lam. I will then feel that my head and body is drained off all energy and I will then faint. This is a condition that I have for more than 23 years. Did all the tests in hospital , eeg,brain scan , heart scan , and they could not found anything wrong. I have a theory that I mite have anxiety attacks. Could that be it? I m 47 years old female. After I fainted I sleep for 2 solid days. All energy is drained from my body. Sometimes it feels that my arms I can feel how the blood is pumping thru my arms. Funny feeling.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Your Symptoms can occur in Anxiety. Since your EEG, Brain Scan, heart Scan are all normal, this is most likely due to anxiety. I would suggest you consult a Neurologist / Psychiatrist and take relevant and complete treatment at the earliest Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Best Wishes for Speedy Recovery Let me know if I can assist you further. Take care.-loops 1<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I am an 18 year old male from Mississippi.. recently, my ankle has suddenly locked Up on me. I can move it downwords, as well as side-to-side, with little to no discomfort... But I physically cannot move it upwards towards my shin, and if I try to force it upwards it feels like it is about to break. It feels like it needs to pop , like the way you pop your knuckles or your back.. Can you tell me whats wrong with me? | Hello, Based on your description of your condition, I think you may be suffering from tendinitis of ankle joint. This commonly occurs when one of the tendons or ligaments around the ankle gets swollen. I would suggest you to avoid heavy sporting activities and go slow for a couple of weeks and see how it goes. Usually, with this the tendinitis goes down. Even with these measures, if the complaints persist then you may require an X-ray to rule out any bony problem. 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 am an 18 year old male from Mississippi.. recently, my ankle has suddenly locked Up on me. I can move it downwords, as well as side-to-side, with little to no discomfort... But I physically cannot move it upwards towards my shin, and if I try to force it upwards it feels like it is about to break. It feels like it needs to pop , like the way you pop your knuckles or your back.. Can you tell me whats wrong with me?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Based on your description of your condition, I think you may be suffering from tendinitis of ankle joint. This commonly occurs when one of the tendons or ligaments around the ankle gets swollen. I would suggest you to avoid heavy sporting activities and go slow for a couple of weeks and see how it goes. Usually, with this the tendinitis goes down. Even with these measures, if the complaints persist then you may require an X-ray to rule out any bony problem. 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. | FOR ABOUT A MONTH NOW I HAVE BUMPS, ALMOST LIKE SMALL PIMPLES, SOMETIMES WITH A TEENY TINY AMOUNT OF PUSS IN THEM AND SOMETIMES JUST RED. I AM SOMEONE WHO IF I GET IN THE SUN MY CHEST WILL BREAK OUT TERRIBLY SO I AM ASSUMING I GET SUN POSION HOWEVER I HAVE NOT BEEN IN THE SUN NOR A TANNING BED AND FOR ALMOST 1 FULL MONTH NOW I HAVE THESE SPOTS. I HAVE NOT CHANGED ANYTHING..NO NEW DETERGENT, SOAPS, FOODS ETC. SOMETIMES THEY LOOK WORSE THAN OTHERS. I WOKE UP YESTERDAY MORNING WITH NEW ONES GOING UP MY NECK AND ON THE SIDES. I CURRENTLY HAVE THEM ON MY CHEST, UPPER ARMS, BACK AND NOW MY NECK. THEY DONT ITCH BUT RATHER EMABARRASING. HELP!!! | Hello, Welcome to Chat Doctor. I understand your concern. From the details you have given, I assume that you are suffering from folliculities. The red pus filled pimple you are having on your body are most likely infected follicles(hair roots). There may be many reasons for the same as a previous exposure to sun, excessive sweating, friction due to tight clothing, etc. You need not worry in this matter because most of the time it is benign self limiting condition. You should apply some antibiotic ointment (like provide) or antibiotic powder (newsprint powder) along with skin soothing lotion like calamine. I advise you to keep the area clean by washing it with warm water and mild soap. You should not wear tight cloths and should not let the follicles excessively compressed or stretched. Avoid scratching or bursting the pus filled follicles. Consult a doctor if they don't go away in 10 days. Please rate this answer helpful if it was helpful to 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: FOR ABOUT A MONTH NOW I HAVE BUMPS, ALMOST LIKE SMALL PIMPLES, SOMETIMES WITH A TEENY TINY AMOUNT OF PUSS IN THEM AND SOMETIMES JUST RED. I AM SOMEONE WHO IF I GET IN THE SUN MY CHEST WILL BREAK OUT TERRIBLY SO I AM ASSUMING I GET SUN POSION HOWEVER I HAVE NOT BEEN IN THE SUN NOR A TANNING BED AND FOR ALMOST 1 FULL MONTH NOW I HAVE THESE SPOTS. I HAVE NOT CHANGED ANYTHING..NO NEW DETERGENT, SOAPS, FOODS ETC. SOMETIMES THEY LOOK WORSE THAN OTHERS. I WOKE UP YESTERDAY MORNING WITH NEW ONES GOING UP MY NECK AND ON THE SIDES. I CURRENTLY HAVE THEM ON MY CHEST, UPPER ARMS, BACK AND NOW MY NECK. THEY DONT ITCH BUT RATHER EMABARRASING. HELP!!!<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Welcome to Chat Doctor. I understand your concern. From the details you have given, I assume that you are suffering from folliculities. The red pus filled pimple you are having on your body are most likely infected follicles(hair roots). There may be many reasons for the same as a previous exposure to sun, excessive sweating, friction due to tight clothing, etc. You need not worry in this matter because most of the time it is benign self limiting condition. You should apply some antibiotic ointment (like provide) or antibiotic powder (newsprint powder) along with skin soothing lotion like calamine. I advise you to keep the area clean by washing it with warm water and mild soap. You should not wear tight cloths and should not let the follicles excessively compressed or stretched. Avoid scratching or bursting the pus filled follicles. Consult a doctor if they don't go away in 10 days. Please rate this answer helpful if it was helpful to you. Take care.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | im a 52 year old woman who, 18 months ago, woke to find my tatse altered and the right side of my face distorted. These symptoms lasted for three days whilst l was away on holiday. on returning home my GP thought l had Bells Palsy but did no tests to confirm this. Since this time, ive suffered from severe frontal headaches which dont respond to pain killers and these are reducing my quality of life greatly. Ive had a recent MRI which showed no tumours or vascular dysfunction but did show a lot of thickening of both sinuses. The right side of my face still distorts daily especially in bright sunshine or during exercise and the headaches are almost constant. Can you help me at all/ | Hi, Thank you for posting your query. The clinical symptoms suggest Bells palsy, and it is mostly a clinical diagnosis. However, in cases of doubt, a nerve conduction study (facial conduction and blink reflex test) can help us confirm the diagnosis. Symptoms such as facial distortion and pain may occur in a person with past history of Bells palsy. In any case, other conditions have been excluded as your MRI brain is normal. You may benefit from medications such as pregabalin (to reduce neuropathic pain) and trihexiphenydyl to reduce facial distortions. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. 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: im a 52 year old woman who, 18 months ago, woke to find my tatse altered and the right side of my face distorted. These symptoms lasted for three days whilst l was away on holiday. on returning home my GP thought l had Bells Palsy but did no tests to confirm this. Since this time, ive suffered from severe frontal headaches which dont respond to pain killers and these are reducing my quality of life greatly. Ive had a recent MRI which showed no tumours or vascular dysfunction but did show a lot of thickening of both sinuses. The right side of my face still distorts daily especially in bright sunshine or during exercise and the headaches are almost constant. Can you help me at all/<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thank you for posting your query. The clinical symptoms suggest Bells palsy, and it is mostly a clinical diagnosis. However, in cases of doubt, a nerve conduction study (facial conduction and blink reflex test) can help us confirm the diagnosis. Symptoms such as facial distortion and pain may occur in a person with past history of Bells palsy. In any case, other conditions have been excluded as your MRI brain is normal. You may benefit from medications such as pregabalin (to reduce neuropathic pain) and trihexiphenydyl to reduce facial distortions. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My left foot and ankle is swelled and has been for over a week. The top of my foot is sore to rub. My heel is really sore to touch and walk on. Can plantar fasciitis cause your foot and ankle to swell. I ve made no changes in my eating habits at all. I am limping from the plantar ficiatis. | Hi and welcome. Yes it may be caused by plantar fasciitis. Also, an injury to the foot or ankle can lead to swelling. The most common is a sprained ankle, which occurs when an injury or misstep causes the ligaments that hold the ankle in place to be stretched beyond their normal range. To reduce the swelling from a foot or ankle injury, rest to avoid walking on the injured ankle or foot, use ice packs, wrap the foot or ankle witChatDoctorpression bandage, and elevate the foot on a stool or pillow. If swelling and pain is severe or doesn't improve with home treatment, see your doctor. Wish you good health. 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 left foot and ankle is swelled and has been for over a week. The top of my foot is sore to rub. My heel is really sore to touch and walk on. Can plantar fasciitis cause your foot and ankle to swell. I ve made no changes in my eating habits at all. I am limping from the plantar ficiatis.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi and welcome. Yes it may be caused by plantar fasciitis. Also, an injury to the foot or ankle can lead to swelling. The most common is a sprained ankle, which occurs when an injury or misstep causes the ligaments that hold the ankle in place to be stretched beyond their normal range. To reduce the swelling from a foot or ankle injury, rest to avoid walking on the injured ankle or foot, use ice packs, wrap the foot or ankle witChatDoctorpression bandage, and elevate the foot on a stool or pillow. If swelling and pain is severe or doesn't improve with home treatment, see your doctor. Wish you good health. Regards<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | female,age 27.i am suffering from typhoid from last 12 days . now my fever is normal. i am taking antibiotic medicine as prescribed by doctor. yesterday i underwent widal test, tested positive. how long will reports show positive? any serious issue ? | Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. Typhoid infection usually requires a 15 to 20 days depending on the individual situation. Widal test is diagnostic as well as prognostic tests available. It will clear up once the bacteria Salmonella type clears from the system. So once your antibiotics kill all the bacteria tidal test becomes negative. Please complete the treatment to get complete cure from the infection. Glad to answer your further concern. You can contact me on bit.ly/ Chat Doctor. Thank you, ChatDoctor | <|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: female,age 27.i am suffering from typhoid from last 12 days . now my fever is normal. i am taking antibiotic medicine as prescribed by doctor. yesterday i underwent widal test, tested positive. how long will reports show positive? any serious issue ?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. Typhoid infection usually requires a 15 to 20 days depending on the individual situation. Widal test is diagnostic as well as prognostic tests available. It will clear up once the bacteria Salmonella type clears from the system. So once your antibiotics kill all the bacteria tidal test becomes negative. Please complete the treatment to get complete cure from the infection. Glad to answer your further concern. You can contact me on bit.ly/ Chat Doctor. Thank you, ChatDoctor<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Dear doctor, i am 27 year old, i am suffering from psoriasis from last 6 years. Now i am using allopathic treatment which involves using an immunosupressent and methotrexate tablets. It was under control till last 4 months back, but now again it re-ocuured. For better treatment of psoriasis, which tretment is good i.e. allopathy or homeopathy or ayurvedic.? | HAI, Psoriasis is an autoimmune disease. Whatever system of medicine you follow, if you are under mental stress and anxiety problem you can't get solution for psoriasis. Stress influence more in this skin condition. Only medication will not give you proper result. Anxiety, stress will aggravate the symptom even though you are under medication.avoiding/controlling/balancing stress and anxiety will give you better result.in Ayurveda system of medicine certain type of psoriasis is completely cured with oral and external medication along with meditation to balance your mind and stress level. Thank you hope I answered your 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: Dear doctor, i am 27 year old, i am suffering from psoriasis from last 6 years. Now i am using allopathic treatment which involves using an immunosupressent and methotrexate tablets. It was under control till last 4 months back, but now again it re-ocuured. For better treatment of psoriasis, which tretment is good i.e. allopathy or homeopathy or ayurvedic.?<|eot_id|><|start_header_id|>assistant<|end_header_id|>HAI, Psoriasis is an autoimmune disease. Whatever system of medicine you follow, if you are under mental stress and anxiety problem you can't get solution for psoriasis. Stress influence more in this skin condition. Only medication will not give you proper result. Anxiety, stress will aggravate the symptom even though you are under medication.avoiding/controlling/balancing stress and anxiety will give you better result.in Ayurveda system of medicine certain type of psoriasis is completely cured with oral and external medication along with meditation to balance your mind and stress level. Thank you hope I answered your query<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, i got my implanon removed on 22nd january. I hardly had periods whilst i had the implant in. We are trying to conceive but im unsure whats going on. For the past two days ive had a light orange/pink very watery discharge. I thought my period was starting but its not getting heavier, and is only there when i wipe, nothing on the sanitary towel. Is this normal after the implant is removed? | Hello, I have gone through your query and understood the concern. It is common to experience some amount of with Chat Doctor. You can wait for a couple of days to see if your period will ensue. Usually the hormone levels decline within a week after removal of the implant and fertility returns within six weeks in the majority. If you find no respite even after a week please see a specialist for a proper appraisal and further management. Maintain a healthy weight, healthy diet and regular exercise. 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: Hi, i got my implanon removed on 22nd january. I hardly had periods whilst i had the implant in. We are trying to conceive but im unsure whats going on. For the past two days ive had a light orange/pink very watery discharge. I thought my period was starting but its not getting heavier, and is only there when i wipe, nothing on the sanitary towel. Is this normal after the implant is removed?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, I have gone through your query and understood the concern. It is common to experience some amount of with Chat Doctor. You can wait for a couple of days to see if your period will ensue. Usually the hormone levels decline within a week after removal of the implant and fertility returns within six weeks in the majority. If you find no respite even after a week please see a specialist for a proper appraisal and further management. Maintain a healthy weight, healthy diet and regular exercise. Hope this helps.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Im 51yrs.old and I have been have muscle cramps all over my body now for 5days...Went to hospital and got Fluids w an IV ,but at that time it was only my legs...then later that day I started have cramps in arms, jaw, upper lip and need some ideas what to do please... | Hello, I have studied your case. Cramps in the whole body are usually due to lack of sodium and calcium in the body. So you need to check if your calcium and sodium are normal. If you are on high blood pressure medicines then chances of salt deficiency are higher. So go through this test. You can also take salt with juices and water. 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: Hello, Im 51yrs.old and I have been have muscle cramps all over my body now for 5days...Went to hospital and got Fluids w an IV ,but at that time it was only my legs...then later that day I started have cramps in arms, jaw, upper lip and need some ideas what to do please...<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, I have studied your case. Cramps in the whole body are usually due to lack of sodium and calcium in the body. So you need to check if your calcium and sodium are normal. If you are on high blood pressure medicines then chances of salt deficiency are higher. So go through this test. You can also take salt with juices and water. 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 a iron deficiency my iron is at 14 and should be at 35 and because of that I am now anemic,I tried taking iron pills but they made me constipated and I tried iron in liquid form but it tasted terrible, is their any other way to get my iron up, can you take it in a shot etc...? Thanks | Hi, dairy have gone through your question. I can understand your concern. You have iron deficiency anemia. If you don't like oral iron then you can take injectable iron sucrose. Take iron rich food like Jerry, dates, green leafy vegetables, Chat Doctor. No need to worry. Consult your doctor and start injectable iron therapy. Hope I have answered your question, if you have any doubts then contact me at 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: I have a iron deficiency my iron is at 14 and should be at 35 and because of that I am now anemic,I tried taking iron pills but they made me constipated and I tried iron in liquid form but it tasted terrible, is their any other way to get my iron up, can you take it in a shot etc...? Thanks<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, dairy have gone through your question. I can understand your concern. You have iron deficiency anemia. If you don't like oral iron then you can take injectable iron sucrose. Take iron rich food like Jerry, dates, green leafy vegetables, Chat Doctor. No need to worry. Consult your doctor and start injectable iron therapy. Hope I have answered your question, if you have any doubts then contact me at bit.ly/<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | me and my boyfriend had sex .could i end up being pregnant in a couple days? Hi, me an my boyfriend had sex an he came in me four times all last night an all morning after not having sex for like 3 days.i had my last period dec 25 2010.could i end up being pregnant in a couple days? | Hi, Welcome to Chat Doctor ! Dear, as you have informed, your LMP was 25 Dec, so If we take a regular 30-day cycle, you might have ovulated around 9-10 Jan. The ovum (egg) will not remain viable for fertilization 48 hr after ovulation, so It's highly unlikely that you had a fertilizable ovum in you at the time of sexual intercourse. Therefore, chances of pregnancy are remote. Still, you may take i-Pill to completely remove the chances but it's not necessary. It only may be that this time your cycle is slight irregular. | <|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: me and my boyfriend had sex .could i end up being pregnant in a couple days? Hi, me an my boyfriend had sex an he came in me four times all last night an all morning after not having sex for like 3 days.i had my last period dec 25 2010.could i end up being pregnant in a couple days?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Welcome to Chat Doctor ! Dear, as you have informed, your LMP was 25 Dec, so If we take a regular 30-day cycle, you might have ovulated around 9-10 Jan. The ovum (egg) will not remain viable for fertilization 48 hr after ovulation, so It's highly unlikely that you had a fertilizable ovum in you at the time of sexual intercourse. Therefore, chances of pregnancy are remote. Still, you may take i-Pill to completely remove the chances but it's not necessary. It only may be that this time your cycle is slight irregular.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Respected Sir my grand paa is suffereing from jaundice for 4 weeks . As well as he has a severe pain in his abdomen . Doc say s his kidney has no prblm as well they did endoscopy but yet they did not diagnose that actually whether this pain is in liver pancreas or gall bladder . he has been admitted in hospital for 4 weeks !! And there is no symptomps of recovery from jaundice yet . | Hi. Thanks for your query. Read and understood your history about your Grand father. Persistent jaundice with pain is definitely indicative of an obstructive lesion in the liver, bole ducts or pancreas>By this tine he should have been well diagnosed and treated well. I would advise you the following | <|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 Sir my grand paa is suffereing from jaundice for 4 weeks . As well as he has a severe pain in his abdomen . Doc say s his kidney has no prblm as well they did endoscopy but yet they did not diagnose that actually whether this pain is in liver pancreas or gall bladder . he has been admitted in hospital for 4 weeks !! And there is no symptomps of recovery from jaundice yet .<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. Thanks for your query. Read and understood your history about your Grand father. Persistent jaundice with pain is definitely indicative of an obstructive lesion in the liver, bole ducts or pancreas>By this tine he should have been well diagnosed and treated well. I would advise you the following<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I had an accident in the gym lifting up weight, in october 2010 and I broke the mussles of both my legs from my knee to my encle of both feed and some blood vessels and my feed were swollon and full of blood. My right leg was the worst. I could not walk on doctors order and was moving around after a month in a wheelchair. I am 39 years old. After a lot of treatment medicines and therapy I could start walking again at the end of yanuari 2011. But I still have some pain and little swelling from time to time on my right leg. Since march 2011 I started noticing that every month I get some big red-blue bruises on my right thigh. I lately noticed that the come these last months 1 week prior to me getting my period and remain for 2 weeks at least. Why do I get these bruises? I had a scan of my bloodvessels at the hospital twice, I did a echoduppler, I went to a skin doctor, I did 5 test at the lab and no doctor can figure out what is the cause. They now start asking me if someone has beat me. Unbelievable. Can you help me please with some suggiostions or solution? | Hello, Based on your description of your complaints, you seem to be having venous insufficiency of your lower limbs. This commonly in layman term is called as venous insufficiency of lower limbs. That is the veins of lower limbs usually pump the blood from lower limb to heart, after injury to lower limbs or due to any other because they become weak or loos there ability to pump blood back to heart completely. This results in them becoming thick or engorged and sometimes these small veins look bluish and enlarged. These changes are usually seen when you do a color venous Doppler and arterial Doppler of lower limb. Sometimes these discolored veins also are seen after taking some medications. In most cases, the treatment will be exercises and compression stocking application of lower limb. I would request you to consult your doctor again and ask him to clear your doubts. Wish you a speedy recovery. 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: I had an accident in the gym lifting up weight, in october 2010 and I broke the mussles of both my legs from my knee to my encle of both feed and some blood vessels and my feed were swollon and full of blood. My right leg was the worst. I could not walk on doctors order and was moving around after a month in a wheelchair. I am 39 years old. After a lot of treatment medicines and therapy I could start walking again at the end of yanuari 2011. But I still have some pain and little swelling from time to time on my right leg. Since march 2011 I started noticing that every month I get some big red-blue bruises on my right thigh. I lately noticed that the come these last months 1 week prior to me getting my period and remain for 2 weeks at least. Why do I get these bruises? I had a scan of my bloodvessels at the hospital twice, I did a echoduppler, I went to a skin doctor, I did 5 test at the lab and no doctor can figure out what is the cause. They now start asking me if someone has beat me. Unbelievable. Can you help me please with some suggiostions or solution?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Based on your description of your complaints, you seem to be having venous insufficiency of your lower limbs. This commonly in layman term is called as venous insufficiency of lower limbs. That is the veins of lower limbs usually pump the blood from lower limb to heart, after injury to lower limbs or due to any other because they become weak or loos there ability to pump blood back to heart completely. This results in them becoming thick or engorged and sometimes these small veins look bluish and enlarged. These changes are usually seen when you do a color venous Doppler and arterial Doppler of lower limb. Sometimes these discolored veins also are seen after taking some medications. In most cases, the treatment will be exercises and compression stocking application of lower limb. I would request you to consult your doctor again and ask him to clear your doubts. Wish you a speedy recovery. 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. | Hi, My name is Keitha. I am 150mg of Pristiq and feel it is not helping me. I am 71years of age and have a Husbane with Alzheimers and a Daughter with Bi Polar. Should I be so impatient and angry in the afternoons and exhausted. I have an Inmune System Disease and Chronic Back Problems. Am I expecting too much of myself or am I feeling sorry for myself. Thanks for your help | Dear Keith.I am very sorry for your problems. You have chronic back pain. In your age group it is mainly because of osteoporosis. That is weakness of bone with decreased mineralization. It is sometimes associated with small fractures of vertebral bodies. That is very painful situation.apart from that their may be some muscle weakness or spasm. Few more serious conditions such as multiple myeloma etc. can cause back pain in your age group. You need a complete work up for all those. Osteoporosis can b treated with high dose of calcium with vitamin D supplements. You can increase the dose of your painkiller if u don't have any kidney or liver disease. Physiotherapy will also be helpful in this case. But if it is something serious you need complete work up to rule out those. Hope this will 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: Hi, My name is Keitha. I am 150mg of Pristiq and feel it is not helping me. I am 71years of age and have a Husbane with Alzheimers and a Daughter with Bi Polar. Should I be so impatient and angry in the afternoons and exhausted. I have an Inmune System Disease and Chronic Back Problems. Am I expecting too much of myself or am I feeling sorry for myself. Thanks for your help<|eot_id|><|start_header_id|>assistant<|end_header_id|>Dear Keith.I am very sorry for your problems. You have chronic back pain. In your age group it is mainly because of osteoporosis. That is weakness of bone with decreased mineralization. It is sometimes associated with small fractures of vertebral bodies. That is very painful situation.apart from that their may be some muscle weakness or spasm. Few more serious conditions such as multiple myeloma etc. can cause back pain in your age group. You need a complete work up for all those. Osteoporosis can b treated with high dose of calcium with vitamin D supplements. You can increase the dose of your painkiller if u don't have any kidney or liver disease. Physiotherapy will also be helpful in this case. But if it is something serious you need complete work up to rule out those. Hope this will help.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I am a diabetic and have had three heart attacks and lost my left leg three years ago and my right three months ago. we recently moved and I cannot get my doc to prescribe me the pain meds I was taking for years for chronic pain Roxicodone 30 mg please tell me my options.. thank you | Hello, Oxycodone is a rather high amount of opiate. Taken ONCE a day it would be at a point where someone should have a discussion about it. FOUR TIMES A DAY gets into a truly dangerous level. AND with multiple amputations, the pain is likely to be very bad. So, pain met. But they are neither trained for diabetic management nor pharmacology nor--if relevant--addiction management. Ironically, any addiction center is pretty well versed on pharmacology and pain and usually has a doctor who treats diabetes. 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: I am a diabetic and have had three heart attacks and lost my left leg three years ago and my right three months ago. we recently moved and I cannot get my doc to prescribe me the pain meds I was taking for years for chronic pain Roxicodone 30 mg please tell me my options.. thank you<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Oxycodone is a rather high amount of opiate. Taken ONCE a day it would be at a point where someone should have a discussion about it. FOUR TIMES A DAY gets into a truly dangerous level. AND with multiple amputations, the pain is likely to be very bad. So, pain met. But they are neither trained for diabetic management nor pharmacology nor--if relevant--addiction management. Ironically, any addiction center is pretty well versed on pharmacology and pain and usually has a doctor who treats diabetes. 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. | doci have itching on my palms and between fingers more after eating sweets,also on forearms and back of hands,i had itching under my solestwo years ago which healed after six mths treatment with allegra 180 mg od and fluconasole 150 od.i ahve elevated sugar and take two mg glimepride /day and metformin500mg od.i have sarted allegra 120 mg od and avil10 mg to stop itching but want to get rid of main cause.pl advise.regards | Hi, As you had a history of fungal infection and get cured completely. At present, it could be due to recurrent candidiasis or Tina courts or corporal or dermatitis or scabies etc. You may do some routine blood investigations and skin swab test, but this kind of problem can be easily diagnosed by naked eye examination of a skin specialist. You may require topical corticosteroid with antifungal cream and other symptomatic treatment. But better you consult dermatologist and then start treatment. Thanks and 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: doci have itching on my palms and between fingers more after eating sweets,also on forearms and back of hands,i had itching under my solestwo years ago which healed after six mths treatment with allegra 180 mg od and fluconasole 150 od.i ahve elevated sugar and take two mg glimepride /day and metformin500mg od.i have sarted allegra 120 mg od and avil10 mg to stop itching but want to get rid of main cause.pl advise.regards<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, As you had a history of fungal infection and get cured completely. At present, it could be due to recurrent candidiasis or Tina courts or corporal or dermatitis or scabies etc. You may do some routine blood investigations and skin swab test, but this kind of problem can be easily diagnosed by naked eye examination of a skin specialist. You may require topical corticosteroid with antifungal cream and other symptomatic treatment. But better you consult dermatologist and then start treatment. Thanks and regards<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello doctor,my husband just got his semen results back..he has (according to who motility criteria)a. 5%b) 48%c) 0%d)47%Is this a problem for getting pregnant?? because a + b is more than 50% but i dont know if a is very low for sealing the deal... | Hello First read it very carefully and thereafter I will try to reply your question. So many intensive studies have suggests that NORMAL FERTILITY is associated with sperm counts of > 48 million/mL, motility of >63 % with >12% exhibiting normal morphology. This is a very delicate question that for FERTILIZATION require only ONE sperm, but normal fertility is associated with 48 million /mL(NORMAL volume of semen is 2-6 ml i.e. 60-120-200 million sperm all in all). I have taken these data from books but in my personal opinion you can conceive. Try for 1 -2 years and sex on day 14-15 (ovulation day) . Still no pregnancy then consult a INFERTILITY SPECIALIST and get his opinion. 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: Hello doctor,my husband just got his semen results back..he has (according to who motility criteria)a. 5%b) 48%c) 0%d)47%Is this a problem for getting pregnant?? because a + b is more than 50% but i dont know if a is very low for sealing the deal...<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello First read it very carefully and thereafter I will try to reply your question. So many intensive studies have suggests that NORMAL FERTILITY is associated with sperm counts of > 48 million/mL, motility of >63 % with >12% exhibiting normal morphology. This is a very delicate question that for FERTILIZATION require only ONE sperm, but normal fertility is associated with 48 million /mL(NORMAL volume of semen is 2-6 ml i.e. 60-120-200 million sperm all in all). I have taken these data from books but in my personal opinion you can conceive. Try for 1 -2 years and sex on day 14-15 (ovulation day) . Still no pregnancy then consult a INFERTILITY SPECIALIST and get his opinion. Good luck<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | hi my name is jessica i went to the docters they told me i have planter warts and he removed one or tried too.. It came back now i have to he told me to shave them down every few days but its getting worse and hurts so bad that at times i can hardly walk. what should i do.... is there anything i can do to get rid of them myself? | Hi, There are options to treat plantar warts by yourself and this includes. Peeling medicine (salicylic acid) wart removal products are available as a patch or liquid. Usually, you're instructed to wash the site, soak it for up to 20 minutes, gently remove dead tissue with a pumice stone or emery board, and apply the solution or patch. Patches are usually changed every 48 hours. Liquid applications are generally used twice a day. Treatment might take weeks. Duct tape can be used to treat plantar warts. Please use this by covering the wart with silver duct tape for six days, soaking the wart in water, gently removing dead tissue with a pumice stone or emery board, and then leaving the wart exposed for about 12 hours. You repeat the process until the wart is gone. | <|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 my name is jessica i went to the docters they told me i have planter warts and he removed one or tried too.. It came back now i have to he told me to shave them down every few days but its getting worse and hurts so bad that at times i can hardly walk. what should i do.... is there anything i can do to get rid of them myself?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, There are options to treat plantar warts by yourself and this includes. Peeling medicine (salicylic acid) wart removal products are available as a patch or liquid. Usually, you're instructed to wash the site, soak it for up to 20 minutes, gently remove dead tissue with a pumice stone or emery board, and apply the solution or patch. Patches are usually changed every 48 hours. Liquid applications are generally used twice a day. Treatment might take weeks. Duct tape can be used to treat plantar warts. Please use this by covering the wart with silver duct tape for six days, soaking the wart in water, gently removing dead tissue with a pumice stone or emery board, and then leaving the wart exposed for about 12 hours. You repeat the process until the wart is gone.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | my sister in law has been feeling fatigue and today she developed a high fever... my brother, her husband, is debating whether to wait the night to see how she feels or whether he should take her to the emergency center. We ve never had to deal with this kind of situation so I don t know what to tell him. I feel he should take her to the ER since all the urgent care centers are now closed. What is your suggestion? | Hi, see fatigue is not a big deal but as u said she is having high grade of fever then you are right u should take her to the emergency center where ICU facilities are available. Any case of high grade fever (above 103 F) should be taken seriously rather than doing self-medication or home remedies like sponging to reduce fever. Yes it will reduce fever but here we need to find out the cause I.e.diagnosis. So better to go to casualty. | <|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 in law has been feeling fatigue and today she developed a high fever... my brother, her husband, is debating whether to wait the night to see how she feels or whether he should take her to the emergency center. We ve never had to deal with this kind of situation so I don t know what to tell him. I feel he should take her to the ER since all the urgent care centers are now closed. What is your suggestion?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, see fatigue is not a big deal but as u said she is having high grade of fever then you are right u should take her to the emergency center where ICU facilities are available. Any case of high grade fever (above 103 F) should be taken seriously rather than doing self-medication or home remedies like sponging to reduce fever. Yes it will reduce fever but here we need to find out the cause I.e.diagnosis. So better to go to casualty.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | On Monday I had abdominal pain and nausea and stomach upset. On Tuesday I developed a rash all over my body that didnt itch and was not raised. The rash went away in 2 days with antihistamines. On Thursday my lower back started aching and it radiated down my legs and into my knees. On Friday the back pain was worse and I was extremely tired and sore all over. On Saturday my hands hurt and were swollen. On Sunday my hands and feet were extremely swollen and very sore. My jeans are very tight today as well and my face looks puffy. I can barely make a fist with my hands and it hurts to type this. I also have nasal congestion and a sinus headache now. | Hi ! You may be having some kind of viral fever which can give rise to such symptoms. You should initially get your routine blood tests done with special reference to the platelets including an LFT, Blood Urea and Serum creatinine. In some viral fevers, fluid gets accumulated in the body cavities and that gives rise to edema and swelling everywhere. Your abdominal pain and nausea could be due to deposits in the peritoneum and other intra-abdominal organs. The back pain which radiated down to your legs could be also due similar causes in the spinal cord. Also, the puffiness of your face and swellings in hands and feet could have a similar etiology. The nasal congestion also points to such viral cause of your problem. Please consult your family physician at your earliest possible. Wish you a fast recovery. | <|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 Monday I had abdominal pain and nausea and stomach upset. On Tuesday I developed a rash all over my body that didnt itch and was not raised. The rash went away in 2 days with antihistamines. On Thursday my lower back started aching and it radiated down my legs and into my knees. On Friday the back pain was worse and I was extremely tired and sore all over. On Saturday my hands hurt and were swollen. On Sunday my hands and feet were extremely swollen and very sore. My jeans are very tight today as well and my face looks puffy. I can barely make a fist with my hands and it hurts to type this. I also have nasal congestion and a sinus headache now.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi ! You may be having some kind of viral fever which can give rise to such symptoms. You should initially get your routine blood tests done with special reference to the platelets including an LFT, Blood Urea and Serum creatinine. In some viral fevers, fluid gets accumulated in the body cavities and that gives rise to edema and swelling everywhere. Your abdominal pain and nausea could be due to deposits in the peritoneum and other intra-abdominal organs. The back pain which radiated down to your legs could be also due similar causes in the spinal cord. Also, the puffiness of your face and swellings in hands and feet could have a similar etiology. The nasal congestion also points to such viral cause of your problem. Please consult your family physician at your earliest possible. Wish you a fast recovery.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My Daugther when she was 6 years old was tested positive for Hbs Ag. (is it Hepatitis B?)Immediately after 15 days she was tested negative. We tried 2 more labs then also we got only negative. Is there any chance for wrong diagnosis? Now she is 20 years old and hence advice us | Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that there is chance of first test to be negative and the report is false positive. Yes we are talking about hepatitis B. Because two different laboratory test can't be negative simultaneously. So do not worry there is nothing to worry about, your daughter is Bag negative. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at 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 Daugther when she was 6 years old was tested positive for Hbs Ag. (is it Hepatitis B?)Immediately after 15 days she was tested negative. We tried 2 more labs then also we got only negative. Is there any chance for wrong diagnosis? Now she is 20 years old and hence advice us<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that there is chance of first test to be negative and the report is false positive. Yes we are talking about hepatitis B. Because two different laboratory test can't be negative simultaneously. So do not worry there is nothing to worry about, your daughter is Bag negative. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | 25 years male,5.8 is my height,61kg is weight,wen i waz in 14 years i hadbad habit of hand pumping,after 1 year i had left it,but i was observing that from then high heart pulpitations,breathlessness,shivering,continious thirsty,hard to study,concentrateplease tel me the solution for my problemis my bad habit reason for it ameating at right timings | Hello, First the disease is not curable and it's a progressive disease. In order to prevent the progression of the disease, injection pen com is given. While other medicine will prevent accumulation of water in lungs and shortness of breath. So they are needed otherwise she'll get shortness of breath. She'll need to take medicine lifelong. Secondly at this there is no need of surgery, she'll require yearly echo to monitor heart function. If heart function decreases and MR becomes severe she will need valve replacement. 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: 25 years male,5.8 is my height,61kg is weight,wen i waz in 14 years i hadbad habit of hand pumping,after 1 year i had left it,but i was observing that from then high heart pulpitations,breathlessness,shivering,continious thirsty,hard to study,concentrateplease tel me the solution for my problemis my bad habit reason for it ameating at right timings<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, First the disease is not curable and it's a progressive disease. In order to prevent the progression of the disease, injection pen com is given. While other medicine will prevent accumulation of water in lungs and shortness of breath. So they are needed otherwise she'll get shortness of breath. She'll need to take medicine lifelong. Secondly at this there is no need of surgery, she'll require yearly echo to monitor heart function. If heart function decreases and MR becomes severe she will need valve replacement. 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. | My husband now is suffer from hepatitis a (liver disease), his SGOT and SGPT enzym is in normal range. Unfortunately his Bilirubin direct is stil in 8.4 while normally should be below 1.2. This condition ogf high bilirubin already last for 1 month. What is the medicine o reduce bilirubin. Thank You before.. | Hi, Since the liver enzymes are normal, his bilirubin level will get back to normal soon. One medication to help in the decrease is LIVER RESCUE but before using it, I suggest you to talk with your family doctor first. Here are some advice how to help your liver get rid of the excessive bilirubin in your body | <|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 now is suffer from hepatitis a (liver disease), his SGOT and SGPT enzym is in normal range. Unfortunately his Bilirubin direct is stil in 8.4 while normally should be below 1.2. This condition ogf high bilirubin already last for 1 month. What is the medicine o reduce bilirubin. Thank You before..<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Since the liver enzymes are normal, his bilirubin level will get back to normal soon. One medication to help in the decrease is LIVER RESCUE but before using it, I suggest you to talk with your family doctor first. Here are some advice how to help your liver get rid of the excessive bilirubin in your body<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello my son is six. Before he was born they found a cyst near his left kidney. He had this remove at a few weeks through key hole surgery because the cyst was large. The cyst then grew back and had attached itself to his left testicle which had failed to drop into plac. The surgeons again removed it through key hole including the testicle when he was two. In the past two year the cyst has grown back and we went to see how much it had grown as they were thinking of removing it again in December it is a lymphagiona. Today at his ultra sound they have found not only has this cyst grown he now has another cyst wrapped around his spleen. I am now worried as I have to wait for an appointment with consultant and not really sure what it means or what could happen as it was the ultrasound lady who told me is news. | HIT hank for asking to ChatDoctorYou mean to say that the same cyst grows up every time, because it sounds like that, but that must not be the case, in fact different lesion growing up at different organ site, one thing you should get it clear,the histopathological examination of removed cyst, and discus about it with the surgeon, until and unless I know the type of cyst I may not be able to advise you, have nice 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 my son is six. Before he was born they found a cyst near his left kidney. He had this remove at a few weeks through key hole surgery because the cyst was large. The cyst then grew back and had attached itself to his left testicle which had failed to drop into plac. The surgeons again removed it through key hole including the testicle when he was two. In the past two year the cyst has grown back and we went to see how much it had grown as they were thinking of removing it again in December it is a lymphagiona. Today at his ultra sound they have found not only has this cyst grown he now has another cyst wrapped around his spleen. I am now worried as I have to wait for an appointment with consultant and not really sure what it means or what could happen as it was the ultrasound lady who told me is news.<|eot_id|><|start_header_id|>assistant<|end_header_id|>HIT hank for asking to ChatDoctorYou mean to say that the same cyst grows up every time, because it sounds like that, but that must not be the case, in fact different lesion growing up at different organ site, one thing you should get it clear,the histopathological examination of removed cyst, and discus about it with the surgeon, until and unless I know the type of cyst I may not be able to advise you, have nice day.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I fell backwards and landed on a soccer ball with my lower back. I immediately had extreme abdominal pain and needed to help to get up. I was about to go to the Emergency Room, but after a warm shower the intense pain had gone down significantly. I chose to rest and see how it went. For the most part of the days, I forget all about it. However, lifting my head when lying down in bed or rolling over normally brings on an unusual burning type of pain. It has been almost a month now and I still feel that odd abdominal pain, but only then. I expect I should probably see a doctor. Does this sound familiar? What do you think is going on? | Hi. Thanks for your query. Read your history and understood the problem. IT is wonderful to know that you still have not got an opinion of a Surgeon or took a proper treatment in spite of injury 1 month ago. When one falls backwards and lands on the spine, it ought to cause few types of injury.-The muscular strain and sprain-hematoma which resolves slowly.- Stress fractures of the parts of the vertebrae.- Dislodgement of the inter-vertebral disc, protrusion causing pressure on some nerves and causing the referred pains.Hence, you have to get yourself physically examined by an Orthopedic Surgeon. Get An MRI of the whole spine, the spinal cord, the soft tissues and vertebrae. If there is nothing serious, get a medical treatment and Physiotherapy. If there is a surgical condition, get operated. | <|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 fell backwards and landed on a soccer ball with my lower back. I immediately had extreme abdominal pain and needed to help to get up. I was about to go to the Emergency Room, but after a warm shower the intense pain had gone down significantly. I chose to rest and see how it went. For the most part of the days, I forget all about it. However, lifting my head when lying down in bed or rolling over normally brings on an unusual burning type of pain. It has been almost a month now and I still feel that odd abdominal pain, but only then. I expect I should probably see a doctor. Does this sound familiar? What do you think is going on?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. Thanks for your query. Read your history and understood the problem. IT is wonderful to know that you still have not got an opinion of a Surgeon or took a proper treatment in spite of injury 1 month ago. When one falls backwards and lands on the spine, it ought to cause few types of injury.-The muscular strain and sprain-hematoma which resolves slowly.- Stress fractures of the parts of the vertebrae.- Dislodgement of the inter-vertebral disc, protrusion causing pressure on some nerves and causing the referred pains.Hence, you have to get yourself physically examined by an Orthopedic Surgeon. Get An MRI of the whole spine, the spinal cord, the soft tissues and vertebrae. If there is nothing serious, get a medical treatment and Physiotherapy. If there is a surgical condition, get operated.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Ive been having constant pain on my right heel for a couple of months now. Its very hard to put my foot flat on the floor when I get out of bed. Can I get some assistance in finding a podiatrist that excepts Medicare and Medicaid around Brooklyn, NY 11211? | Hi, thank you for providing the brief history of you. A thorough clinical Musculoskeletal assessment is advised followed by an X-ray. As you have pain in the heel, this looks to me like a calcaneal spur. Having a check with the x-ray should provide some input. Also, undergoing physical therapy like - Therapeutic ultrasound therapy will help reduce the inflammation followed by which exercise for the feet will be thought, and you should be fine.in my Clinical practice most cases respond well to physical therapy and taking a proper soft cushion footwear helps reduce the pain and inflammation too.regards 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: Ive been having constant pain on my right heel for a couple of months now. Its very hard to put my foot flat on the floor when I get out of bed. Can I get some assistance in finding a podiatrist that excepts Medicare and Medicaid around Brooklyn, NY 11211?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, thank you for providing the brief history of you. A thorough clinical Musculoskeletal assessment is advised followed by an X-ray. As you have pain in the heel, this looks to me like a calcaneal spur. Having a check with the x-ray should provide some input. Also, undergoing physical therapy like - Therapeutic ultrasound therapy will help reduce the inflammation followed by which exercise for the feet will be thought, and you should be fine.in my Clinical practice most cases respond well to physical therapy and taking a proper soft cushion footwear helps reduce the pain and inflammation too.regards Jay In Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I had my wisdom teeth removed in the beginning of this month and the bottom teeth were infected. After removal they healed alarmingly fast and everything was fine but this morning I woke up with the bottom left gum swollen so large you can see it on the outside of my face and neck and there is reddish yellow liquid coming out. I also feel faintly sick, a lesser degree of how I felt when my wisdom teeth were impacted. Whats wrong with me? | Hello, Thanks for consulting Chat Doctor, Read your query, as you have pus discharge from bottom left region of gum this can be due to formation of pus due to infection is present in that region of gum causing swelling of face and neck region, don't worry I will suggest you to consult dentist and go for investigations Iowa X-ray of region of pus discharge and swelling and go for its treatment. Hope this will help nourishing 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: I had my wisdom teeth removed in the beginning of this month and the bottom teeth were infected. After removal they healed alarmingly fast and everything was fine but this morning I woke up with the bottom left gum swollen so large you can see it on the outside of my face and neck and there is reddish yellow liquid coming out. I also feel faintly sick, a lesser degree of how I felt when my wisdom teeth were impacted. Whats wrong with me?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thanks for consulting Chat Doctor, Read your query, as you have pus discharge from bottom left region of gum this can be due to formation of pus due to infection is present in that region of gum causing swelling of face and neck region, don't worry I will suggest you to consult dentist and go for investigations Iowa X-ray of region of pus discharge and swelling and go for its treatment. Hope this will help nourishing you good health.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Dear Doctors, there s an 8-year-old girl with arthrogryposis diagnosis. She needs hip surgery, but many doctors say it should be done after she completes 18 years. Only one Doctor said it must be done immediately. Her parents are hesitating whether to risk or not. Please look through her web-site ( WWW.WWWW.WW and give us an idea. Contact Boghos at YYYY@YYYY . Thanks in advance. | Pwrioperative management is difficult in patients with arthrogryposis and that because there are certain difficulties with venous access, pulmonary care post operative, cervical instability, and intro operative hyperthermia.benefits and risks should be weighted after complete physical exam by her health care personal, because early surgery between age 3-12 can be helpful in later stages. 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: Dear Doctors, there s an 8-year-old girl with arthrogryposis diagnosis. She needs hip surgery, but many doctors say it should be done after she completes 18 years. Only one Doctor said it must be done immediately. Her parents are hesitating whether to risk or not. Please look through her web-site ( WWW.WWWW.WW and give us an idea. Contact Boghos at YYYY@YYYY . Thanks in advance.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Pwrioperative management is difficult in patients with arthrogryposis and that because there are certain difficulties with venous access, pulmonary care post operative, cervical instability, and intro operative hyperthermia.benefits and risks should be weighted after complete physical exam by her health care personal, because early surgery between age 3-12 can be helpful in later stages. I hope this helps<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, 35, 6ft 1, 14.5 stone generally good health.I have recently experienced slight pain when ejaculating (sometimes, not always). On these occasions, after examining the semen, I have noticed small orange almost see-through stones in it. This is a totally new thing that has started in the last month or so. What could it be? Thanks, D. | Hi and welcome to Chat Doctor. Thank you for your query. I understand your concerns and I will try to help you as much as I can. These symptoms indicate in most cases prostate issues such as prostatitis or hypertrophy, and rarely it may be signed of STD infection. You should avoid intercourse for till symptoms persist and Chat Doctor. If symptoms persist it would be good to do prostate ultrasound and check your PSA levels to rule out prostate tumor or hypertrophy and further treatment depends on these findings. In most cases it can be controlled with medications but sometimes, in case of tumor, open surgery is required. And severe benign hypertrophy may be managed endoscopically, so you should consult urologist about appropriate options. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. | <|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, 35, 6ft 1, 14.5 stone generally good health.I have recently experienced slight pain when ejaculating (sometimes, not always). On these occasions, after examining the semen, I have noticed small orange almost see-through stones in it. This is a totally new thing that has started in the last month or so. What could it be? Thanks, D.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi and welcome to Chat Doctor. Thank you for your query. I understand your concerns and I will try to help you as much as I can. These symptoms indicate in most cases prostate issues such as prostatitis or hypertrophy, and rarely it may be signed of STD infection. You should avoid intercourse for till symptoms persist and Chat Doctor. If symptoms persist it would be good to do prostate ultrasound and check your PSA levels to rule out prostate tumor or hypertrophy and further treatment depends on these findings. In most cases it can be controlled with medications but sometimes, in case of tumor, open surgery is required. And severe benign hypertrophy may be managed endoscopically, so you should consult urologist about appropriate options. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | my fiance is a type 2 diabetic on 1000mg glucophage metformin hydrochloride tablets one am one pm and 100mg xelevia stiagliptin one daily and one daily tamsulosin PAMSVAX XL CAPSULES 400MG.He drives as a self employed proffession long night and day hours.Please advise best drinks as he still carries on with feeling rough with stomachache or prolonged morning toilet urinary passing due to occasional sweet as he calls treats but advice needed for fluctuating weight between 14 and half stone upwards. Advise needed not to reach type one diabetes by bad habits drinking new Lucazade Zero calories but still fizzy and 1.3 sugars with sweetners is it bad for him?year non smoker sweetcraving | Hello, Thanks for the query. A person having T2 DM has to follow certain guidelines in terms of diet and exercises. Plus when on medication it is necessary to maintain FBG Secondly sweetened Chat Doctor. Plus alcohol also needs to be avoided. Since he has prostatic enlargement, there is bound to be difficulty in urination, that is the reason for giving Tamsulosin. For a person with diabetes it is essential to adapt a modified lifestyle which means taking restricted diet, giving exact amount of calories based on ideal body weight, extent of daily exercise and blood glucose levels. Plus refraining from high fat, foods, junk foods, alcohol and smoking. At the cost of repetition let me say again he has to avoid sugars and sweetened | <|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 fiance is a type 2 diabetic on 1000mg glucophage metformin hydrochloride tablets one am one pm and 100mg xelevia stiagliptin one daily and one daily tamsulosin PAMSVAX XL CAPSULES 400MG.He drives as a self employed proffession long night and day hours.Please advise best drinks as he still carries on with feeling rough with stomachache or prolonged morning toilet urinary passing due to occasional sweet as he calls treats but advice needed for fluctuating weight between 14 and half stone upwards. Advise needed not to reach type one diabetes by bad habits drinking new Lucazade Zero calories but still fizzy and 1.3 sugars with sweetners is it bad for him?year non smoker sweetcraving<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thanks for the query. A person having T2 DM has to follow certain guidelines in terms of diet and exercises. Plus when on medication it is necessary to maintain FBG Secondly sweetened Chat Doctor. Plus alcohol also needs to be avoided. Since he has prostatic enlargement, there is bound to be difficulty in urination, that is the reason for giving Tamsulosin. For a person with diabetes it is essential to adapt a modified lifestyle which means taking restricted diet, giving exact amount of calories based on ideal body weight, extent of daily exercise and blood glucose levels. Plus refraining from high fat, foods, junk foods, alcohol and smoking. At the cost of repetition let me say again he has to avoid sugars and sweetened<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Particularly at night, I get a strange feeling in my back. Sometimes it feels like water dripping down my back and sometimes it is a tingling and tight feeling. I am 52 years old and work on a computer all day. I have been bothered with allergies and have had congestion with no fever. I have been taking Claritin D. | Hello ! Thank you for the question on Chat Doctor! Regarding your concern I think that your troubles are related to the wrong position of your back during work. The wrong position during sitting causes muscular contractions of the back muscles. It is during night that you feel the pain, because your body is in silence, and you are lying down. I would recommend a lot of physical activity, which can help to reinforce your back muscles, and stay in a wright position during sitting. Physiotherapy is also helpful. You can also use painkillers like acetaminophen for the tightness. Hope to have been 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: Particularly at night, I get a strange feeling in my back. Sometimes it feels like water dripping down my back and sometimes it is a tingling and tight feeling. I am 52 years old and work on a computer all day. I have been bothered with allergies and have had congestion with no fever. I have been taking Claritin D.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello ! Thank you for the question on Chat Doctor! Regarding your concern I think that your troubles are related to the wrong position of your back during work. The wrong position during sitting causes muscular contractions of the back muscles. It is during night that you feel the pain, because your body is in silence, and you are lying down. I would recommend a lot of physical activity, which can help to reinforce your back muscles, and stay in a wright position during sitting. Physiotherapy is also helpful. You can also use painkillers like acetaminophen for the tightness. Hope to have been helpful! Best wishes,<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have had catarrh and mucous in my lungs and chronic cough for 9 months now. Started with a virus 9 Months ago. With shortness of breath episodes. Where I feel like I am getting no air at all. Some crushing In middle of chest. Sometimes not all. | Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of post infectious bronchitis is more in your case. Bronchitis is common after viral infection, and you had it 9 months ago. You're all symptoms like cough, phlegm and shortness of breath etc. are suggestive of bronchitis only. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule out other lung conditions. PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright, first diagnose yourself and then start appropriate treatment. Hope I have solved your query. 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 have had catarrh and mucous in my lungs and chronic cough for 9 months now. Started with a virus 9 Months ago. With shortness of breath episodes. Where I feel like I am getting no air at all. Some crushing In middle of chest. Sometimes not all.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of post infectious bronchitis is more in your case. Bronchitis is common after viral infection, and you had it 9 months ago. You're all symptoms like cough, phlegm and shortness of breath etc. are suggestive of bronchitis only. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule out other lung conditions. PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright, first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi doctor my head is spinning like if I where to be drunk and I feel like vomiting but I cant well I dont want to. I made this pasta yesterday and thats the only thing I ate yesterday. I ate eggs and beans and bread right now. My body feels cold but its hot here in los angeles califonia. Im scared because this is the first time this has happen to me. I dont want to die... can you help me? | Hello dear, The symptoms can be attributed to pathology in the Vestibular Apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthine or Benign Paroxysmal Positional Vertigo. Symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Linearizing preparations (to be taken only under the guidance of a Physician). So, kindly consult your Physician/ ENT Specialist & get a complete clinical examination done. Investigations like estimation of blood pressure, blood sugar levels, serum electrolytes & vestibular function tests will be required to rule out any pathological cause for the symptoms. There is no need to worry, you will be fine. Till then, maintain adequate HY Chat Doctor. And also take precautions of getting up from bed slowly & avoid sudden head movements. Wishing you a 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: Hi doctor my head is spinning like if I where to be drunk and I feel like vomiting but I cant well I dont want to. I made this pasta yesterday and thats the only thing I ate yesterday. I ate eggs and beans and bread right now. My body feels cold but its hot here in los angeles califonia. Im scared because this is the first time this has happen to me. I dont want to die... can you help me?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello dear, The symptoms can be attributed to pathology in the Vestibular Apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthine or Benign Paroxysmal Positional Vertigo. Symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Linearizing preparations (to be taken only under the guidance of a Physician). So, kindly consult your Physician/ ENT Specialist & get a complete clinical examination done. Investigations like estimation of blood pressure, blood sugar levels, serum electrolytes & vestibular function tests will be required to rule out any pathological cause for the symptoms. There is no need to worry, you will be fine. Till then, maintain adequate HY Chat Doctor. And also take precautions of getting up from bed slowly & avoid sudden head movements. Wishing you a Good Health. Take care.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi! For the last 3 yrs I have had very bad nose bleeds ONLY in my house and at my placeof employment. Symptoms usually start with several sneezes,a back ache, and what resembles pressure on top of my head. The last nose bleed put me at the emergency rm. Help!! PS- my doctor is aware and we are working on it. | Hi, Nose bleeding generally could be due to simple causes like injury due to nose-picking, common cold, allergy etc. or Rarely, it may be due to some blood disorders, Chat Doctor. If your nose bleeds again, pinch the nose tight for 5 to 10 minutes and to breathe from the mouth during that time. You may also put an ice pack and sit with your head leaning backwards. Do not bend forwards. You can also use a decongestant nasal spray. This will help to stop the bleeding. I would suggest you to approach the ER if the bleeding is not stopping, it will require nasal packing to control the bleeding or | <|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! For the last 3 yrs I have had very bad nose bleeds ONLY in my house and at my placeof employment. Symptoms usually start with several sneezes,a back ache, and what resembles pressure on top of my head. The last nose bleed put me at the emergency rm. Help!! PS- my doctor is aware and we are working on it.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Nose bleeding generally could be due to simple causes like injury due to nose-picking, common cold, allergy etc. or Rarely, it may be due to some blood disorders, Chat Doctor. If your nose bleeds again, pinch the nose tight for 5 to 10 minutes and to breathe from the mouth during that time. You may also put an ice pack and sit with your head leaning backwards. Do not bend forwards. You can also use a decongestant nasal spray. This will help to stop the bleeding. I would suggest you to approach the ER if the bleeding is not stopping, it will require nasal packing to control the bleeding or<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | good morning. my names james i have been diagnosed with a 53mm cerebral cyst wich they think is arachnoid 2 yrs ago. i didnt do any follow up when i found out because i was in perfect health besides the fall that required the ct scan . about 6 months ago i had a massive headache wich i couldnt move talk or do anything becuase the pain would increase. i vomited and passed out for 30 hours. then about 2 months ago i randomly collapsed and again vomited and passed out. so i went to the doctors after that an got a mri. they confirmed my cyst grew to 7cm and they also found a venous angioma and hemosiderin from early cavernoma. i just want to know how worried i should be and if i should tell my family. also a little medical backround about family history- 2 of my sisters had surgery to remove cancer cells in there ovaries, my farther and my brother are epileptic my brother was for 10 yrs and stopped taking meds and has been perfect since(10+yrs). can someone give me and idear of what i could be dealing with or some ideas of things i should do. | Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. You need to consult your neurosurgeon at the earliestPlease do not delay Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http | <|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: good morning. my names james i have been diagnosed with a 53mm cerebral cyst wich they think is arachnoid 2 yrs ago. i didnt do any follow up when i found out because i was in perfect health besides the fall that required the ct scan . about 6 months ago i had a massive headache wich i couldnt move talk or do anything becuase the pain would increase. i vomited and passed out for 30 hours. then about 2 months ago i randomly collapsed and again vomited and passed out. so i went to the doctors after that an got a mri. they confirmed my cyst grew to 7cm and they also found a venous angioma and hemosiderin from early cavernoma. i just want to know how worried i should be and if i should tell my family. also a little medical backround about family history- 2 of my sisters had surgery to remove cancer cells in there ovaries, my farther and my brother are epileptic my brother was for 10 yrs and stopped taking meds and has been perfect since(10+yrs). can someone give me and idear of what i could be dealing with or some ideas of things i should do.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. You need to consult your neurosurgeon at the earliestPlease do not delay Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | is it ok for my heart rate to jump around or over 30bpm briefly after standing up. after a few seconds it goes back down. for example i can be walking around doing stuff and have a heart rate of 90 when my resting is usally 70-80 while awake. it is my understanding that your heart rate needs to STAY over 120, or more than 30 over your resting heart rate while standing to be a problem. also while sleeping my heart rate goes down to 45-60 bpm and when i wake up even shifting around briefly brings my heart rate up allot. could i be hypersensitive to adrenaline or something? This whole thing is causing allot of anxiety and sleepless nights. please let me know if there is anything to worry about. ime 27 male about 6 200lb in ok shape sleeping pills and alcohol elevate my heart rate i some times get wierd beats that my doctor said are ok. | Hi thereafter reading the medical details provided by you, I would like to tell you that your heart rate has a lot of variation which ideally are not there. Although resting or sleep heart rate is definitely less but usually it doesn't go below 40 beats per minute. I would like to suggest you get a HOLDER MONITORING done which is an ambulatory 24 hrs ECG recording to see if any rhythm abnormality is happening transiently at some point or during night. If that comes out to be normal then you need not worry. And don't panic just relax and think positive. I wish you good luck and 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: is it ok for my heart rate to jump around or over 30bpm briefly after standing up. after a few seconds it goes back down. for example i can be walking around doing stuff and have a heart rate of 90 when my resting is usally 70-80 while awake. it is my understanding that your heart rate needs to STAY over 120, or more than 30 over your resting heart rate while standing to be a problem. also while sleeping my heart rate goes down to 45-60 bpm and when i wake up even shifting around briefly brings my heart rate up allot. could i be hypersensitive to adrenaline or something? This whole thing is causing allot of anxiety and sleepless nights. please let me know if there is anything to worry about. ime 27 male about 6 200lb in ok shape sleeping pills and alcohol elevate my heart rate i some times get wierd beats that my doctor said are ok.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi thereafter reading the medical details provided by you, I would like to tell you that your heart rate has a lot of variation which ideally are not there. Although resting or sleep heart rate is definitely less but usually it doesn't go below 40 beats per minute. I would like to suggest you get a HOLDER MONITORING done which is an ambulatory 24 hrs ECG recording to see if any rhythm abnormality is happening transiently at some point or during night. If that comes out to be normal then you need not worry. And don't panic just relax and think positive. I wish you good luck and health<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, my son is just reached 3 years old this month. He suffers from large adenoids and a mildly enlarged one tonsil as shown in his x-ray 6 months ago. His tonsils get infected every second month during the last two years. Before reaching 2 years and 4 months the infection goes by using some home therapy but after 2 years and half the infectios becomes stronger and more often he needs to use antibiotic each time. When he gets infection he breaths with difficulty during his sleep and breath from his mouth most of the time. During last two months his tonsils get infected three times a month and he had to use injections for five days. the ENT advises to remove his tonsils and adenoids without asking to do an x-ray but the pediatrics advises he is too young to do it and that we better wait till he is 5 years. Could you please advise if the surgery is better for his health at this age or better wait and what are the risks if we did it or not. I am afraid his overall health is effected as he is 2 kg underwight and his ammunity is so week. Many thanks | Dear parent, It seems your child has chronic tonsillitis. Usually in such cases removal is the option. But his pediatrician is saying at present he is not good for surgery. Then request the ENT/Pediatrician to keep the child on antibiotic for two weeks regimen, after culture and sensitivity of the throat swab. In the meantime teach him to gargle with warm saline water three to four times a day. Give him steam/ nebulization three to four times a day. Give him some good multivitamin preparation and balanced diet, which includes lots of fruits and vegetables. This will help to increase his immunity and may remove infection as well. | <|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, my son is just reached 3 years old this month. He suffers from large adenoids and a mildly enlarged one tonsil as shown in his x-ray 6 months ago. His tonsils get infected every second month during the last two years. Before reaching 2 years and 4 months the infection goes by using some home therapy but after 2 years and half the infectios becomes stronger and more often he needs to use antibiotic each time. When he gets infection he breaths with difficulty during his sleep and breath from his mouth most of the time. During last two months his tonsils get infected three times a month and he had to use injections for five days. the ENT advises to remove his tonsils and adenoids without asking to do an x-ray but the pediatrics advises he is too young to do it and that we better wait till he is 5 years. Could you please advise if the surgery is better for his health at this age or better wait and what are the risks if we did it or not. I am afraid his overall health is effected as he is 2 kg underwight and his ammunity is so week. Many thanks<|eot_id|><|start_header_id|>assistant<|end_header_id|>Dear parent, It seems your child has chronic tonsillitis. Usually in such cases removal is the option. But his pediatrician is saying at present he is not good for surgery. Then request the ENT/Pediatrician to keep the child on antibiotic for two weeks regimen, after culture and sensitivity of the throat swab. In the meantime teach him to gargle with warm saline water three to four times a day. Give him steam/ nebulization three to four times a day. Give him some good multivitamin preparation and balanced diet, which includes lots of fruits and vegetables. This will help to increase his immunity and may remove infection as well.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I TOOK CHOLESTEROL MEDICINE on and off for two yrs THAT HAD STATIN in it and for 6 months i was almost crippled because of muscle weakness i think it also shifted my pelivis i am have sciatic nerve issues now my thigh muscles hurt alot i am now the last couple of months when i lift my left arm on the right muscle next to the armpit shoots a pain of a level 20 when i lift or reach for something what in the world ?? i also took tramodol for two herniated disk in neck c 5 & 6 i took the non narcodic pain medicine 3 yrs i think it drained my addrenal glands so i am now on harmone medicine for 2 months however the muslce problems started 10 months ago when i got off the cholesterol meds my muscle strength inproved 85-90 % in four days but still muscle damage i am really concerned about all but mainly now my arm muscle please help | Hello, This is proven fact that statins cause muscle weakness. You have done right in shifting from statins. If even after that you have weakness in arm muscles then please get your self check with reference of your problem at C5 and C6 disc. There may be compression of nerves which are supplying to your arm. You may need an MRI scan for this. I shall advise you to consult to your orthopedic or neurosurgeon for this. Hope I have answered your question. 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: I TOOK CHOLESTEROL MEDICINE on and off for two yrs THAT HAD STATIN in it and for 6 months i was almost crippled because of muscle weakness i think it also shifted my pelivis i am have sciatic nerve issues now my thigh muscles hurt alot i am now the last couple of months when i lift my left arm on the right muscle next to the armpit shoots a pain of a level 20 when i lift or reach for something what in the world ?? i also took tramodol for two herniated disk in neck c 5 & 6 i took the non narcodic pain medicine 3 yrs i think it drained my addrenal glands so i am now on harmone medicine for 2 months however the muslce problems started 10 months ago when i got off the cholesterol meds my muscle strength inproved 85-90 % in four days but still muscle damage i am really concerned about all but mainly now my arm muscle please help<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, This is proven fact that statins cause muscle weakness. You have done right in shifting from statins. If even after that you have weakness in arm muscles then please get your self check with reference of your problem at C5 and C6 disc. There may be compression of nerves which are supplying to your arm. You may need an MRI scan for this. I shall advise you to consult to your orthopedic or neurosurgeon for this. Hope I have answered your question. 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 took Plan B emergency contraceptive on March 24 (Cycle Day 7) and again on March 26 (Cycle Day 9)... Copper T IUD came out on the 24th and we werent too careful. My partner and I spoke about it after the fact and we decided that we are ready to become parents so taking this dreadful pill was more a mistake than the intercourse. I bled on April 5th (lightly) until April 8th. My boyfriend and I are now trying to conceive and I am wondering how these pills will affect my cycle (I am regular and my cycle varies from 27-30 days). We have had intercourse daily since the 9th and today my period was due, but did not arrive. My questions are | Hi, It is most likely that your cycle is disrupted this time and the chances of ovulation are poor owing to the use of the emergency pill. The bleeding you had was the breakthrough after the pills. You may receive your normal cycle either as expected or a little later. If you do not get a period 10-14 days within your expected date, you should consult your doctor for an assessment. It is true that 14 days before the next cycle is the day of ovulation and is the most fertile time for conception. Hope this information is useful. 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: I took Plan B emergency contraceptive on March 24 (Cycle Day 7) and again on March 26 (Cycle Day 9)... Copper T IUD came out on the 24th and we werent too careful. My partner and I spoke about it after the fact and we decided that we are ready to become parents so taking this dreadful pill was more a mistake than the intercourse. I bled on April 5th (lightly) until April 8th. My boyfriend and I are now trying to conceive and I am wondering how these pills will affect my cycle (I am regular and my cycle varies from 27-30 days). We have had intercourse daily since the 9th and today my period was due, but did not arrive. My questions are<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, It is most likely that your cycle is disrupted this time and the chances of ovulation are poor owing to the use of the emergency pill. The bleeding you had was the breakthrough after the pills. You may receive your normal cycle either as expected or a little later. If you do not get a period 10-14 days within your expected date, you should consult your doctor for an assessment. It is true that 14 days before the next cycle is the day of ovulation and is the most fertile time for conception. Hope this information is useful. Good luck.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I constantly cry when I get nervous, dissapointed, or afraid. Its an everyday thing and affects the way i interact with others. I cant talk to my boss or a professor without choking up and i cant tell people what i like or dislike even without feeling like i need to shed some tears. I wont be sad about anything, ill just cry, or well, choke up. are there any disorders-besides depression- that could be causing my problem? | Degree understand your concerns went through your details. I suggest you not to worry much. Why are you saying besides depression? Did anybody diagnose you for depression? Crying Without becoming sad could not be depression. Depression patients are usually sad mostly with crying occasionally.Otherwise, the present condition could just be due to disappointment about your simple social phobia. Please visit a psychologist for correct diagnosis. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. | <|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 constantly cry when I get nervous, dissapointed, or afraid. Its an everyday thing and affects the way i interact with others. I cant talk to my boss or a professor without choking up and i cant tell people what i like or dislike even without feeling like i need to shed some tears. I wont be sad about anything, ill just cry, or well, choke up. are there any disorders-besides depression- that could be causing my problem?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Degree understand your concerns went through your details. I suggest you not to worry much. Why are you saying besides depression? Did anybody diagnose you for depression? Crying Without becoming sad could not be depression. Depression patients are usually sad mostly with crying occasionally.Otherwise, the present condition could just be due to disappointment about your simple social phobia. Please visit a psychologist for correct diagnosis. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have a bump behind a tooth almost a little swollen, it happened yesterday after flossing my teeth I noticed it, last night it bleed after I ate so I rinsed my mouth and gently brushed my teeth, this morning the bump is a little bigger about the size of a pencil eraser around (but flat not sticking out as much) any ideas? | HiT hank you for your query with Chat Doctor, as you mentioned you had this lump after flossing then it could be a gingival access due to the improper use of floss. Do not brush on that are gently with finger you remove the debris and wait for 2-3 days it will be come normal if not then visit your dentist for needful treatment. Do warm saline gargling. Hope my answer would be helpful to your 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: I have a bump behind a tooth almost a little swollen, it happened yesterday after flossing my teeth I noticed it, last night it bleed after I ate so I rinsed my mouth and gently brushed my teeth, this morning the bump is a little bigger about the size of a pencil eraser around (but flat not sticking out as much) any ideas?<|eot_id|><|start_header_id|>assistant<|end_header_id|>HiT hank you for your query with Chat Doctor, as you mentioned you had this lump after flossing then it could be a gingival access due to the improper use of floss. Do not brush on that are gently with finger you remove the debris and wait for 2-3 days it will be come normal if not then visit your dentist for needful treatment. Do warm saline gargling. Hope my answer would be helpful to your query.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My husband had foot fusion surgery a week ago, has been home and fine. He just started with the chills, slight fever and nausea. Could this be a sign of a possible infection in the foot. The foot is bandaged, toes appear fine and there is no noticeable difference in foot pain. | These are nonspecific symptoms which can occur with any kind of infection, including a cold or a viral infection. They do not necessarily indicate the foot is infected. If there were an infection in the foot, he would experience local symptoms there, such as redness, swelling, heat and pain. You should let the surgeon know about the fevers and chills. S/he may want to take a look to be sure it's not the foot. If he develops other symptoms such as a sore throat or cough, then its likely due to a virus or other infection, and not his foot. 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: My husband had foot fusion surgery a week ago, has been home and fine. He just started with the chills, slight fever and nausea. Could this be a sign of a possible infection in the foot. The foot is bandaged, toes appear fine and there is no noticeable difference in foot pain.<|eot_id|><|start_header_id|>assistant<|end_header_id|>These are nonspecific symptoms which can occur with any kind of infection, including a cold or a viral infection. They do not necessarily indicate the foot is infected. If there were an infection in the foot, he would experience local symptoms there, such as redness, swelling, heat and pain. You should let the surgeon know about the fevers and chills. S/he may want to take a look to be sure it's not the foot. If he develops other symptoms such as a sore throat or cough, then its likely due to a virus or other infection, and not his foot. Hope this helps.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I went to the Hostpial about six months ago and they found a lump on the left side of my tail bone and it only hurts every once in awhile they said they think it s a fatty tumor but not sure and wouldn t give me an mri.today it s hurting again and I live in a very small town now.inwas just wondering if it could be s.a.?and should I be worried about the placement? | I welcome you to Chat Doctor for your health concerns am Chat Doctor and I will look into your problem I have gone through your question and understood your concerns. There is lump near your tail bone, and it is painless most of the time. It appears to be colonial cyst with differential diagnosis of lipoma as well, at present nothing is required except observation. There are chances of it to get infected, then it will result in colonial abscess. Timely Chat Doctor. At the moment observe this lump and keep the area | <|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 went to the Hostpial about six months ago and they found a lump on the left side of my tail bone and it only hurts every once in awhile they said they think it s a fatty tumor but not sure and wouldn t give me an mri.today it s hurting again and I live in a very small town now.inwas just wondering if it could be s.a.?and should I be worried about the placement?<|eot_id|><|start_header_id|>assistant<|end_header_id|>I welcome you to Chat Doctor for your health concerns am Chat Doctor and I will look into your problem I have gone through your question and understood your concerns. There is lump near your tail bone, and it is painless most of the time. It appears to be colonial cyst with differential diagnosis of lipoma as well, at present nothing is required except observation. There are chances of it to get infected, then it will result in colonial abscess. Timely Chat Doctor. At the moment observe this lump and keep the area<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Taking epilex chrono200 twice a day and eptoin 100 mg twice a day.my son 5 year old 2,21kg. he is the patient of seizure disorder from last three year .he is ok with this medicine. at the age of 5 he is not able to speak properly he speak few thing only,larva come from mouth every time.he is hyper active . he understand the thing happen around him. pls give me some advice | Dear Gogol, As you have said your child is taking EXILE CHRONO200, EPT OIN 100. Now he is 5 yr old and still not able to speak. So I feel you should perform an IQ assessment. For his other behavioral problem he may need some low dose Risperidone, which will help him severely.Don't waste time just go for an IQ, he may need some special attention and care. You may consult an PSYCHIATRIST, he will guide you in this matter. | <|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: Taking epilex chrono200 twice a day and eptoin 100 mg twice a day.my son 5 year old 2,21kg. he is the patient of seizure disorder from last three year .he is ok with this medicine. at the age of 5 he is not able to speak properly he speak few thing only,larva come from mouth every time.he is hyper active . he understand the thing happen around him. pls give me some advice<|eot_id|><|start_header_id|>assistant<|end_header_id|>Dear Gogol, As you have said your child is taking EXILE CHRONO200, EPT OIN 100. Now he is 5 yr old and still not able to speak. So I feel you should perform an IQ assessment. For his other behavioral problem he may need some low dose Risperidone, which will help him severely.Don't waste time just go for an IQ, he may need some special attention and care. You may consult an PSYCHIATRIST, he will guide you in this matter.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | 5 months back when i get continuous cough and itching in lungs and mucus coming out continuously, at that time i used rotocaps (Inhale by mouth) and Allegra 180mg. i used this medicine for 1 month, Later after 1 moth i am affected with kidney stones, and stunt was inserted, after 3 months now once again the same symptoms are coming back, throat pain, itching in chest cough and mucus coming its increasing day by day. what to do, is there any permanent cure for this | Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for 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: 5 months back when i get continuous cough and itching in lungs and mucus coming out continuously, at that time i used rotocaps (Inhale by mouth) and Allegra 180mg. i used this medicine for 1 month, Later after 1 moth i am affected with kidney stones, and stunt was inserted, after 3 months now once again the same symptoms are coming back, throat pain, itching in chest cough and mucus coming its increasing day by day. what to do, is there any permanent cure for this<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My son 13 years old and is a black male. He has a small lump under his left nipple, and when he squeezes, white substance comes out. It doesnt him, but my mother-in-law thinks its serious and thinks we need to take him to a doctor? what should i do? i think as long as it is not hurting him and it doesnt leak when no pressure is applied, he will grow out of it? | Hi, Dear,thanks for the query to Chat Doctor. Dear, your sons lump is non-painful.Hence, it seems to be either a supernumerary nipple with pubertal breast changes(Polynesia)with white discharge on squeezing. Though this discharge may vanish as your son grows. But would need a plastic mastectomy for cosmetic confidence for your son, which would increase his self-confidence while growing Another possibility of such a lump is of Sebaceous Cyst, which will discharge white substance. There are other possibilities of such a lump but are theoretical and which your doctor would rule out after clinical examination.Hence, for your information the discharge doesn't seem to be pus discharge as it's not painful on squeezing. Your mother-in-law is right in her thinking, as In my opinion, in either of the possibilities as explained above, you need to show it to your doctor and consult for the confirmation of the possibilities and needful treatment.Don't worry and go ahead as suggested to resolve the lump issue of your son. Hope this would give you confidence to plan treatment with your doctor on your next visit, which you should plan definitely. Feel free to ask any further query in this regard to Chat Doctor and to ME. Write excellent review if you feel satisfied with this reply, which would help my rating for the benefit of the other patients. Wishing early and fast recovery for your son. Chat Doctor. N. Senior Surgical Consultant. S. Genl-CVTS. | <|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 13 years old and is a black male. He has a small lump under his left nipple, and when he squeezes, white substance comes out. It doesnt him, but my mother-in-law thinks its serious and thinks we need to take him to a doctor? what should i do? i think as long as it is not hurting him and it doesnt leak when no pressure is applied, he will grow out of it?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Dear,thanks for the query to Chat Doctor. Dear, your sons lump is non-painful.Hence, it seems to be either a supernumerary nipple with pubertal breast changes(Polynesia)with white discharge on squeezing. Though this discharge may vanish as your son grows. But would need a plastic mastectomy for cosmetic confidence for your son, which would increase his self-confidence while growing Another possibility of such a lump is of Sebaceous Cyst, which will discharge white substance. There are other possibilities of such a lump but are theoretical and which your doctor would rule out after clinical examination.Hence, for your information the discharge doesn't seem to be pus discharge as it's not painful on squeezing. Your mother-in-law is right in her thinking, as In my opinion, in either of the possibilities as explained above, you need to show it to your doctor and consult for the confirmation of the possibilities and needful treatment.Don't worry and go ahead as suggested to resolve the lump issue of your son. Hope this would give you confidence to plan treatment with your doctor on your next visit, which you should plan definitely. Feel free to ask any further query in this regard to Chat Doctor and to ME. Write excellent review if you feel satisfied with this reply, which would help my rating for the benefit of the other patients. Wishing early and fast recovery for your son. Chat Doctor. N. Senior Surgical Consultant. S. Genl-CVTS.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I was diagnosed with NASH (non alcoholic steatohepatits), a hereditary form in my family, 19 months ago and was immediately taken off prescription pain meds (Opana and Morphine ) and obtained my medical marijuana recommendation. 10 days ago my liver function was tested and there are no signs of liver disease . I was very ill when I was diagnosed so I m wondering if the multiple infections I had at the time caused a false positive or if daily use of cannabis (mostly in food) has cured me. | Hi there, There are a lot of things that can cause your liver enzymes to elevated. As a general surgeon, I often see patients with elevated liver enzymes, and am asked to evaluate them. NASH is a chronic process, and usually your liver enzymes won't be elevated until there is a significant amount of damage done. This means that just because your liver enzymes are normal doesn't mean NASH has resolved. What NASH basically means is that you have a fatty liver, and the fat can damage the liver over time. In terms of your liver enzymes being elevated, you are correct in saying that it was likely due to your illness. Any illness can cause your liver enzymes to be elevated, and this will usually resolve over time. Chat Doctor. I think the marijuana, while a better pain reliever than prescription pain meds, didn't cure your liver. Time and stopping the pain meds helped your liver enzymes go back to normal. With patients who have NASH, I recommend a low fat diet, minimal alcohol use (really try to limit it to 2 | <|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 diagnosed with NASH (non alcoholic steatohepatits), a hereditary form in my family, 19 months ago and was immediately taken off prescription pain meds (Opana and Morphine ) and obtained my medical marijuana recommendation. 10 days ago my liver function was tested and there are no signs of liver disease . I was very ill when I was diagnosed so I m wondering if the multiple infections I had at the time caused a false positive or if daily use of cannabis (mostly in food) has cured me.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi there, There are a lot of things that can cause your liver enzymes to elevated. As a general surgeon, I often see patients with elevated liver enzymes, and am asked to evaluate them. NASH is a chronic process, and usually your liver enzymes won't be elevated until there is a significant amount of damage done. This means that just because your liver enzymes are normal doesn't mean NASH has resolved. What NASH basically means is that you have a fatty liver, and the fat can damage the liver over time. In terms of your liver enzymes being elevated, you are correct in saying that it was likely due to your illness. Any illness can cause your liver enzymes to be elevated, and this will usually resolve over time. Chat Doctor. I think the marijuana, while a better pain reliever than prescription pain meds, didn't cure your liver. Time and stopping the pain meds helped your liver enzymes go back to normal. With patients who have NASH, I recommend a low fat diet, minimal alcohol use (really try to limit it to 2<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I am scheduled to have foot surgery June 13th. I caught a flu at the end of April with fever, Strep throat, sinus infection, very bad cough, and weakness. I took several doses of antibiotics and am better; however, still have very thick white post nasal drip and a cough, which sometimes produces thick white or yellow mucous. Is it safe to have surgery? I have to let them know this week. | Hello am Chat Doctor. You didn't mention what type surgery your foot need and what has happened to your foot. Anyhow, surgeries that are confined to foot may be carried out under local anesthesia. Local anesthesia has less complication and may be carried out if a patient has some kind of lung problem or patient is not fit for general anesthesia. As those patients who have lung infection or any type of infection, and they require general anesthesia for an elective surgery, then they are advised to wait until their infection or problem resolves. But in your case as your surgery is confined to foot, I think your doctor should consider local anesthesia, (ankle or popliteal block)I hope my answer will help you. Kind 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 am scheduled to have foot surgery June 13th. I caught a flu at the end of April with fever, Strep throat, sinus infection, very bad cough, and weakness. I took several doses of antibiotics and am better; however, still have very thick white post nasal drip and a cough, which sometimes produces thick white or yellow mucous. Is it safe to have surgery? I have to let them know this week.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello am Chat Doctor. You didn't mention what type surgery your foot need and what has happened to your foot. Anyhow, surgeries that are confined to foot may be carried out under local anesthesia. Local anesthesia has less complication and may be carried out if a patient has some kind of lung problem or patient is not fit for general anesthesia. As those patients who have lung infection or any type of infection, and they require general anesthesia for an elective surgery, then they are advised to wait until their infection or problem resolves. But in your case as your surgery is confined to foot, I think your doctor should consider local anesthesia, (ankle or popliteal block)I hope my answer will help you. Kind Regards.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I have a 7 week old baby girl. She always falls asleep on feeds and most evening when she vomits its slimy. Sometimes her poo is also slimy. She is always crying and hardly ever stays asleep in her back or even on her bed. Please help. Email me on YYYY@YYYY | Thanks for asking I have gone through your question and understand your concern Falling asleep on feeds is normal for infant. you should interact while feeding. Your one hand should be free while you feed. With the free hand you should massage highly on scalp and soles. But this interaction infants take good feed (approx 10-15 min) and good nap for 2-3 hours. Slimy vomit and stool is normal. When she feed for good time (approx 10-15 min) she should sleep for 2-3 hours. Hope I answer your question wish happy parenthood. | <|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 7 week old baby girl. She always falls asleep on feeds and most evening when she vomits its slimy. Sometimes her poo is also slimy. She is always crying and hardly ever stays asleep in her back or even on her bed. Please help. Email me on YYYY@YYYY<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for asking I have gone through your question and understand your concern Falling asleep on feeds is normal for infant. you should interact while feeding. Your one hand should be free while you feed. With the free hand you should massage highly on scalp and soles. But this interaction infants take good feed (approx 10-15 min) and good nap for 2-3 hours. Slimy vomit and stool is normal. When she feed for good time (approx 10-15 min) she should sleep for 2-3 hours. Hope I answer your question wish happy parenthood.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | my left arm has been asleep for two weeks now What should i do I am a 25 year old female and about two weeks ago, the left side of my left hand and up to my elbow had fallen asleep although the pins and needles sensation is gone there is still a strange numbness in my left hand/arm. I went to my doctor and he told me it was a pinched ulner nerve and gave me mobic. I took the medicine and it has not helped. The last two days i have been experiencing blurred vision and loss of coordination and have been told I am slurring when i speak and have been so dizzy that i vomit. I went to the ER and the doctor said it was the mobic causing all the dizziness and to continue taking the medication. I need to know if I am having some sort of stroke or any other possible reasons for all of this. | Hi Emily, Welcome to Chat Doctor. From the history it appears like your Ulnar Nerve is compressed, somewhere in its path. If you have the habit of relaxing with the back of the upper arm pressing on some object, you should avoid that. Usually after having alcohol a bit too much, if you pass out with your arms in odd position, this kind of symptoms can occur. You have not mentioned what all investigations you have done. It would be better if you could get a CT or MRI scan of brain and spine, done. Wish you all the best | <|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 left arm has been asleep for two weeks now What should i do I am a 25 year old female and about two weeks ago, the left side of my left hand and up to my elbow had fallen asleep although the pins and needles sensation is gone there is still a strange numbness in my left hand/arm. I went to my doctor and he told me it was a pinched ulner nerve and gave me mobic. I took the medicine and it has not helped. The last two days i have been experiencing blurred vision and loss of coordination and have been told I am slurring when i speak and have been so dizzy that i vomit. I went to the ER and the doctor said it was the mobic causing all the dizziness and to continue taking the medication. I need to know if I am having some sort of stroke or any other possible reasons for all of this.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi Emily, Welcome to Chat Doctor. From the history it appears like your Ulnar Nerve is compressed, somewhere in its path. If you have the habit of relaxing with the back of the upper arm pressing on some object, you should avoid that. Usually after having alcohol a bit too much, if you pass out with your arms in odd position, this kind of symptoms can occur. You have not mentioned what all investigations you have done. It would be better if you could get a CT or MRI scan of brain and spine, done. Wish you all the best<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | So I had sex for the first time a week ago an i noticed I bled for a week and now it stopped and now im feeling hungury all the time my bf used a condom but im worried this might be something serious would i have to start taking birth control and did i already have my period when i bled cause im suppose to get it around now | Hi dear user, thanks for your query. You didn't mention your menstrual history clearly. Bleeding, which you had after first intercourse, might have been because of rupture of hymen or your natural period. Pregnancy cannot be decided only on the basis of increased hunger. If you are overdue by more than one week, then I will advise you to go for pregnancy test(urine pregnancy test/ serum beta Chat Doctor levels). There is no use of birth control pills in this cycle now. 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: So I had sex for the first time a week ago an i noticed I bled for a week and now it stopped and now im feeling hungury all the time my bf used a condom but im worried this might be something serious would i have to start taking birth control and did i already have my period when i bled cause im suppose to get it around now<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi dear user, thanks for your query. You didn't mention your menstrual history clearly. Bleeding, which you had after first intercourse, might have been because of rupture of hymen or your natural period. Pregnancy cannot be decided only on the basis of increased hunger. If you are overdue by more than one week, then I will advise you to go for pregnancy test(urine pregnancy test/ serum beta Chat Doctor levels). There is no use of birth control pills in this cycle now. Hope this helps.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Good afternoon Sir,I am going through an IVF cycle this month. My LMP was on 26th april. My doctor has advised me to take Lupride 0.4 inj from 05th May till egg collection. As per their protocol, I have been called for egg collection on 19th or 20th May which will be the 25th day of my cycle. Here I am confused bcoz during last IVF cycle the collection was done on 14th day and ET was done on 16th day of my period. I request you to please explain and clarify the case.Thanks.. | Hi, Thanks for your query. I read your query and I understand your concerns. Following is my reply | <|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: Good afternoon Sir,I am going through an IVF cycle this month. My LMP was on 26th april. My doctor has advised me to take Lupride 0.4 inj from 05th May till egg collection. As per their protocol, I have been called for egg collection on 19th or 20th May which will be the 25th day of my cycle. Here I am confused bcoz during last IVF cycle the collection was done on 14th day and ET was done on 16th day of my period. I request you to please explain and clarify the case.Thanks..<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for your query. I read your query and I understand your concerns. Following is my reply<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I m taking Cymbalta for lower back pain. But lately I m having side effects - dizzynes, itching, sweating & lack of appetite. I took my blood pressure at home and it read 110 over 87. I do take medication for blood pressure and thyroid. Is my blood pressure OK?home and it read 110 over 87. I do take medication for blood pressure and thyroid. Is my blood pressure OK? | Hi, dairy have gone through your question. I can understand your concern. Your blood pressure is normal. No need to worry about that. Continue with your antihypertensive and thyroid medicine. Go for regular checking of blood pressure and T3, T4, TSH. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. | <|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 taking Cymbalta for lower back pain. But lately I m having side effects - dizzynes, itching, sweating & lack of appetite. I took my blood pressure at home and it read 110 over 87. I do take medication for blood pressure and thyroid. Is my blood pressure OK?home and it read 110 over 87. I do take medication for blood pressure and thyroid. Is my blood pressure OK?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, dairy have gone through your question. I can understand your concern. Your blood pressure is normal. No need to worry about that. Continue with your antihypertensive and thyroid medicine. Go for regular checking of blood pressure and T3, T4, TSH. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | hello my 8 year old son has had a cough for about a week which i had to treat with his inhalers he also complained of headaches vomitted once and has npw come out in a rash on his face back and legs...he suffers from chronic lung disease due to being born at 27 weeks..hes drinking lots of fluids and has a small appetite... | Hi... by what you quote I feel that this could be a viral illness which is presenting itself like this Rash. This cough and cold could also be because of the same viral infection. I suggest you to continue the inhaler which you are currently using. I also suggest you to get the kid examined by your pediatrician. Furthermore, I am telling this keeping in mind your kids chronic lung disease. 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 8 year old son has had a cough for about a week which i had to treat with his inhalers he also complained of headaches vomitted once and has npw come out in a rash on his face back and legs...he suffers from chronic lung disease due to being born at 27 weeks..hes drinking lots of fluids and has a small appetite...<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi... by what you quote I feel that this could be a viral illness which is presenting itself like this Rash. This cough and cold could also be because of the same viral infection. I suggest you to continue the inhaler which you are currently using. I also suggest you to get the kid examined by your pediatrician. Furthermore, I am telling this keeping in mind your kids chronic lung disease. Regards -<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Sir, Is Imitinib is a medicine which cures blood cancer? Is it available for free of cost at Adyar cancer Institute in Chennai, Bangalore, Trivandrum, kovai Rama Krishna Hospital? I would appreciate you if you could provide me the exact information regarding the genuineness of the above statements | Hi, dairy have gone through your question. I can understand your concern. Imatinib is useful in blood cancer. But it is not useful in all blood cancer. It is very effective in chronic myeloid leukemia. But it's not effective in acute leukemia. Moreover, it can control the disease. It can not cure the cancer. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. | <|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, Is Imitinib is a medicine which cures blood cancer? Is it available for free of cost at Adyar cancer Institute in Chennai, Bangalore, Trivandrum, kovai Rama Krishna Hospital? I would appreciate you if you could provide me the exact information regarding the genuineness of the above statements<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, dairy have gone through your question. I can understand your concern. Imatinib is useful in blood cancer. But it is not useful in all blood cancer. It is very effective in chronic myeloid leukemia. But it's not effective in acute leukemia. Moreover, it can control the disease. It can not cure the cancer. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello. My husband has osteoarthritis and depression. He has had this for at least 5 years and takes tramadol, co0codamil, codeine phospate and amitriptolin, Sorry about the spellings. 5 years we applied for DLA and was turned down. I have got an unhelpful doctor and my husband will be 65 in February. His depression wouldnt allow him to go back to the DLA and fight and we are living on pension credit. How can I get some positive help for him. He spends 90% of his time sitting up in bed or sleeping but we need some help for him. I do what I can to cheer him up but he is gets very grumpy and falls over a lot if I encourage him to get up. Thanks. My email is YYYY@YYYY . | HiT hanks for using Chat Doctor I think, he is in severe depression and in that case, he needs combination of antidepressant. With amitriptyline, he could take duloxetine. It would help to control depression as well as somatic complaints. Better to consult his physician or psychiatrist for proper management. You can also take help of psychologist for CBT. If you need further help, you can ask. 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. My husband has osteoarthritis and depression. He has had this for at least 5 years and takes tramadol, co0codamil, codeine phospate and amitriptolin, Sorry about the spellings. 5 years we applied for DLA and was turned down. I have got an unhelpful doctor and my husband will be 65 in February. His depression wouldnt allow him to go back to the DLA and fight and we are living on pension credit. How can I get some positive help for him. He spends 90% of his time sitting up in bed or sleeping but we need some help for him. I do what I can to cheer him up but he is gets very grumpy and falls over a lot if I encourage him to get up. Thanks. My email is YYYY@YYYY .<|eot_id|><|start_header_id|>assistant<|end_header_id|>HiT hanks for using Chat Doctor I think, he is in severe depression and in that case, he needs combination of antidepressant. With amitriptyline, he could take duloxetine. It would help to control depression as well as somatic complaints. Better to consult his physician or psychiatrist for proper management. You can also take help of psychologist for CBT. If you need further help, you can ask. Thanks<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi Dr.,I am a middle distance runner and had a health check up the other day. My liver enzymes ALT and DLT were both twice as high as the \" normal \" upper limits. However my triglycerides and cholesterol were normal to low and I have NO FAT in my liver. Please tell me what these high levels of ALT and AST may mean. | Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist. Elevation in liver enzymes suggest liver cell inflammation and damage to them It has many cause like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc. So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Meanwhile, there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Do regular exercise and reduce your weight if you are overweight, avoid alcohol if you Chat Doctor. I hope I have answered your query and this will help you. 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: Hi Dr.,I am a middle distance runner and had a health check up the other day. My liver enzymes ALT and DLT were both twice as high as the \" normal \" upper limits. However my triglycerides and cholesterol were normal to low and I have NO FAT in my liver. Please tell me what these high levels of ALT and AST may mean.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist. Elevation in liver enzymes suggest liver cell inflammation and damage to them It has many cause like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc. So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Meanwhile, there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Do regular exercise and reduce your weight if you are overweight, avoid alcohol if you Chat Doctor. I hope I have answered your query and this will help you. Wish you a good health<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I slid off a tailgate of a pickup about a week and a half ago, it hurt and waited a few days for it to turn black and blue or yellow, it never did. Now I was rubbing my leg today and went over that spot which is to the inner side of my knee , and it was sensative to the pressure of rubbing it and it still has a lump about the size of a marble. Should I be concerned of a blood clot? I am leaving on a bus trip the next 2 days and will be sitting for 10 hours on bus. Should I rub the area and hopefully break down the lump or could I send a blood clot through my system by doing this? | Hi, Thank you for posting your query. The swelling most likely is a hematoma, which has not yet completely resolved. The skin color changes may not be so obvious always. I would request you to upload a photograph of the swelling to help us reach a better diagnosis. Also, it is safe to take a 10-hour bus journey and there is no risk of dislodging the clot. This clot is not in the veins but in the soft tissue. Clot in the vein can get dislodged, and cause problems. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. 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: I slid off a tailgate of a pickup about a week and a half ago, it hurt and waited a few days for it to turn black and blue or yellow, it never did. Now I was rubbing my leg today and went over that spot which is to the inner side of my knee , and it was sensative to the pressure of rubbing it and it still has a lump about the size of a marble. Should I be concerned of a blood clot? I am leaving on a bus trip the next 2 days and will be sitting for 10 hours on bus. Should I rub the area and hopefully break down the lump or could I send a blood clot through my system by doing this?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thank you for posting your query. The swelling most likely is a hematoma, which has not yet completely resolved. The skin color changes may not be so obvious always. I would request you to upload a photograph of the swelling to help us reach a better diagnosis. Also, it is safe to take a 10-hour bus journey and there is no risk of dislodging the clot. This clot is not in the veins but in the soft tissue. Clot in the vein can get dislodged, and cause problems. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello my husband got really upset and bashed his own face into a wall where he then picked up my iPad and proceeded to hit himself around ten more times(forehead right in the middle he has hot this spot before.). The area is very swollen and his body feels very hot and even I m very warm but he s shivering. What s wrong with him? Should he get rest? Because he just started a new job and had take a day off for graduating his program and if I told him he had to go to the hospital he would straight out say no. What should I do? | Hi, thank-you for providing the brief history of your husband. A thorough neuromuscular assessment is advised. As he had banged the head in the wall and also hit himself with an iPad, by the impact of the object to the forehead, there may be an irritation to the sinuses which led into the sinusitis. Because of any impact to the human body, the first reaction is inflammation, which one calls as swelling. Application of the ice will help reduce the swelling. Usually in about a week of time he will be fine. There is nothing to worry as such. Also, if he had any darkness over the face he can undergo a neurological assessment as may be after hitting the face in the wall he may have internal bleeding. For which a neurologist advice is recommended. But if no darkness in the eyes or bleeding from nose or ears then just don't worry, it will be just a muscular injury and will heal in about a week of time. RegardsJay 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: Hello my husband got really upset and bashed his own face into a wall where he then picked up my iPad and proceeded to hit himself around ten more times(forehead right in the middle he has hot this spot before.). The area is very swollen and his body feels very hot and even I m very warm but he s shivering. What s wrong with him? Should he get rest? Because he just started a new job and had take a day off for graduating his program and if I told him he had to go to the hospital he would straight out say no. What should I do?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, thank-you for providing the brief history of your husband. A thorough neuromuscular assessment is advised. As he had banged the head in the wall and also hit himself with an iPad, by the impact of the object to the forehead, there may be an irritation to the sinuses which led into the sinusitis. Because of any impact to the human body, the first reaction is inflammation, which one calls as swelling. Application of the ice will help reduce the swelling. Usually in about a week of time he will be fine. There is nothing to worry as such. Also, if he had any darkness over the face he can undergo a neurological assessment as may be after hitting the face in the wall he may have internal bleeding. For which a neurologist advice is recommended. But if no darkness in the eyes or bleeding from nose or ears then just don't worry, it will be just a muscular injury and will heal in about a week of time. RegardsJay In Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | dear doctors, i had a thypus disease for about 2 weeks ago and since last week, ive been able to do normal activities. i am a basketball player. when may i join the practice like usual? when may i run? its been 2 weeks and how hard may i exercise? thank you doc. | HelloSign, you diagnosed as a typhus fever patient for 2 weeks ago and took treatment. Laboratory abnormalities include anemia, leukoses(early) and leukocytosis (late). Complications are respiratory, hematemesis cerebral hemorrhage. Since you resume your normal activities, so presumed that you are nor having above, mentioned any complication. Since you didn't have any complication (as above-mentioned) , you can at once start playing basketball (gradually increase time). 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: dear doctors, i had a thypus disease for about 2 weeks ago and since last week, ive been able to do normal activities. i am a basketball player. when may i join the practice like usual? when may i run? its been 2 weeks and how hard may i exercise? thank you doc.<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloSign, you diagnosed as a typhus fever patient for 2 weeks ago and took treatment. Laboratory abnormalities include anemia, leukoses(early) and leukocytosis (late). Complications are respiratory, hematemesis cerebral hemorrhage. Since you resume your normal activities, so presumed that you are nor having above, mentioned any complication. Since you didn't have any complication (as above-mentioned) , you can at once start playing basketball (gradually increase time). Good luck.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | im already 45 years old and i want to get pregnant . i undergo transvaginal ultrasound-HSSG... and these were the result.. 1) uteros; 7.07x4.16x5.38 the uteros is retroverted with regular contour and inhomogenous myometrium . The subendometrial halo is intact. 2.) CERVIX | Hello, I appreciate your query. For understanding your TVS - HSG report, you need to understand in brief the process of fertilization. A female requires active functioning ovaries, from which mature follicles (eggs) are released every month. A healthy cervix and vagina is essential for sperm transport into the uterus and then, the fallopian tubes are responsible for transport of sperm and egg, and the fertilization occurs in the fallopian tube. The uterus is where the fertilized embryo will implant and develop. Now, coming to your report, the uterus appears normality ovaries are normal-sized, but follicles (eggs) are seen only in the right one. The fallopian tubes appear to be open (not blocked) as dye has passed from them into the peritoneal cavity. However, to explain to you your chances of pregnancy, theoretically, yes you can get pregnant. However, the major deterrent is your age. How long have you been trying for conception ?? Have you had any surgery or disease in the past? At 45, the capacity of the ovaries to produce eggs is Chat Doctor. That is the major factor that will impede pregnancy. For proper assessment of your ovarian reserve (ability of ovaries to produce good quality eggs), you should have a proper regular monthly menstrual cycle. Also, get your AMH (Anti - Mullein Hormone), which reflects your ovarian reserve. Your AFC (astral follicular count) on ultrasound, is not mentioned, which also indicates your current ovarian reserve. If your ovarian reserve is depleted, chances of pregnancy fall quite a lot. Also, a major factor is your partner/husband s semen analysis report. Please get that done too, after 3 days of abstinence from sexual activity. With these investigations (also ruling out thyroid, sugar and other conditions), please consult an infertility practitioner in your area, as your case will be tremendously benefitted with the use of ART (Assisted Reproductive Technology)I urge you to actively pursue this at the earliest, as time is of the essence in your case. Hope this helped 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: im already 45 years old and i want to get pregnant . i undergo transvaginal ultrasound-HSSG... and these were the result.. 1) uteros; 7.07x4.16x5.38 the uteros is retroverted with regular contour and inhomogenous myometrium . The subendometrial halo is intact. 2.) CERVIX<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, I appreciate your query. For understanding your TVS - HSG report, you need to understand in brief the process of fertilization. A female requires active functioning ovaries, from which mature follicles (eggs) are released every month. A healthy cervix and vagina is essential for sperm transport into the uterus and then, the fallopian tubes are responsible for transport of sperm and egg, and the fertilization occurs in the fallopian tube. The uterus is where the fertilized embryo will implant and develop. Now, coming to your report, the uterus appears normality ovaries are normal-sized, but follicles (eggs) are seen only in the right one. The fallopian tubes appear to be open (not blocked) as dye has passed from them into the peritoneal cavity. However, to explain to you your chances of pregnancy, theoretically, yes you can get pregnant. However, the major deterrent is your age. How long have you been trying for conception ?? Have you had any surgery or disease in the past? At 45, the capacity of the ovaries to produce eggs is Chat Doctor. That is the major factor that will impede pregnancy. For proper assessment of your ovarian reserve (ability of ovaries to produce good quality eggs), you should have a proper regular monthly menstrual cycle. Also, get your AMH (Anti - Mullein Hormone), which reflects your ovarian reserve. Your AFC (astral follicular count) on ultrasound, is not mentioned, which also indicates your current ovarian reserve. If your ovarian reserve is depleted, chances of pregnancy fall quite a lot. Also, a major factor is your partner/husband s semen analysis report. Please get that done too, after 3 days of abstinence from sexual activity. With these investigations (also ruling out thyroid, sugar and other conditions), please consult an infertility practitioner in your area, as your case will be tremendously benefitted with the use of ART (Assisted Reproductive Technology)I urge you to actively pursue this at the earliest, as time is of the essence in your case. Hope this helped you.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have a brown area in my mouth on my left cheek. No pain or odor & it has been there for at least two years. I had braces for 3 years and have had then off for 4 years, i wear a removable retainee at nifht that is metal. What is causing the color there? | Hello, Thanks for your query. Pigmented entities may arise from intrinsic and extrinsic sources. The color may range from light brown to blue-black. The color depends on the source of the pigment and the depth of the pigment from which the color is derived. Visit the dentist and get it examined. I do hope that you have found something helpful, and I will be glad to answer any further query. 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 brown area in my mouth on my left cheek. No pain or odor & it has been there for at least two years. I had braces for 3 years and have had then off for 4 years, i wear a removable retainee at nifht that is metal. What is causing the color there?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thanks for your query. Pigmented entities may arise from intrinsic and extrinsic sources. The color may range from light brown to blue-black. The color depends on the source of the pigment and the depth of the pigment from which the color is derived. Visit the dentist and get it examined. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My right cheek has a lump that I can feel when I touch it and it feels bruised. It is between the skin and the inside of my mouth, nothing visible to the eye and no teeth problems. It is under the cheek bone between jaw bone. What can this be and what do I do? I noticed it last night and my face is a bit swollen. | Hi! Good morning. I am Chat Doctor answering your query. Although it needs a physical examination to arrive at any conclusion, I would presume it possibly to be a lymph node swelling or a benign cyst like a sebaceous cyst. If I were your doctor, I would initially treat it with a course of broad spectrum antibiotic and if not relieved then would consider referring you to a general surgeon who would after a clinical assessment of the lesion and neck region, might go for some investigation like a FNAC (fine needle aspiration cytology) or an excision biopsy for a definitive diagnosis and further management. 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: My right cheek has a lump that I can feel when I touch it and it feels bruised. It is between the skin and the inside of my mouth, nothing visible to the eye and no teeth problems. It is under the cheek bone between jaw bone. What can this be and what do I do? I noticed it last night and my face is a bit swollen.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi! Good morning. I am Chat Doctor answering your query. Although it needs a physical examination to arrive at any conclusion, I would presume it possibly to be a lymph node swelling or a benign cyst like a sebaceous cyst. If I were your doctor, I would initially treat it with a course of broad spectrum antibiotic and if not relieved then would consider referring you to a general surgeon who would after a clinical assessment of the lesion and neck region, might go for some investigation like a FNAC (fine needle aspiration cytology) or an excision biopsy for a definitive diagnosis and further management. 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. | I was diagnosed with cellulitis on my lower leg (shin area) after I fell and hit it, I am on anti-biotics and the redness is going down but the pain is very intense and now my ankle is twice the size, I am going back to my GP tomorrow but should I be more concerned tonight? | Hi, Your provided information is inadequate to guide you accurately however I will try my best to reply you with the information provided. If you are on oral antibiotics, and you feel that after starting the medicine your conditions do not improve or worsens than switch to intravenous antibiotics as soon as possible and get admitted in the hospital to prevent your self from any kind of sepsis. Use ice packs, painkiller injections, proteolytic enzymes to reduce edema, and even if not relieved you may need a surgical intervention like fascistoid to relieve compartmental pressure. So if you feel that your conditions do not improve please get admitted in hospital as soon as possible. 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: I was diagnosed with cellulitis on my lower leg (shin area) after I fell and hit it, I am on anti-biotics and the redness is going down but the pain is very intense and now my ankle is twice the size, I am going back to my GP tomorrow but should I be more concerned tonight?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Your provided information is inadequate to guide you accurately however I will try my best to reply you with the information provided. If you are on oral antibiotics, and you feel that after starting the medicine your conditions do not improve or worsens than switch to intravenous antibiotics as soon as possible and get admitted in the hospital to prevent your self from any kind of sepsis. Use ice packs, painkiller injections, proteolytic enzymes to reduce edema, and even if not relieved you may need a surgical intervention like fascistoid to relieve compartmental pressure. So if you feel that your conditions do not improve please get admitted in hospital as soon as possible. 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. | client is female, aged 54 YO, complains of shortness of breath, anxiety,headache, investigations done blood sugar is normal, what happens if TMT is positive but the patient have no complain of blood pressure, diabetes, her sugar level is normal, cholesterol is 204 mg% | Thanks for your question on Chat Doctor. I can understand your concern. TMT (trade mill test) can be positive with normal blood pressure, lipid level and sugar levels. Positive TMT is suggestive of coronary artery disease (CAD) Stress and anxiety are independent risk factors for heart diseases like CAD. And risk of CAD is high in post menopausal woman (54 years). So your client should be evaluated for CAD. So ask her to consult cardiologist and get done Coronary angiography to rule out CAD. If there is obstruction then she will need stenting or bypass procedure depending on the angiography report. Hope I have solved your query. I will be happy to help you further. Wishing good health to your client. 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: client is female, aged 54 YO, complains of shortness of breath, anxiety,headache, investigations done blood sugar is normal, what happens if TMT is positive but the patient have no complain of blood pressure, diabetes, her sugar level is normal, cholesterol is 204 mg%<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. TMT (trade mill test) can be positive with normal blood pressure, lipid level and sugar levels. Positive TMT is suggestive of coronary artery disease (CAD) Stress and anxiety are independent risk factors for heart diseases like CAD. And risk of CAD is high in post menopausal woman (54 years). So your client should be evaluated for CAD. So ask her to consult cardiologist and get done Coronary angiography to rule out CAD. If there is obstruction then she will need stenting or bypass procedure depending on the angiography report. Hope I have solved your query. I will be happy to help you further. Wishing good health to your client. Thanks.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Ive had a sore bump on my shin for a couple of months, now have two or three. Painful to the touch. I dont remember bumping them, and theyre not black and blue or bruised. Also have a painful bump on the outside of my left foot, and last week started getting some very bad lower back pain that ice and rest will not help. Ive been taking some ibuprophen but it helps only slightly. Any ideas or suggestions would be most welcome. | Hi! Good evening. I am Chat Doctor answering your query. If I were your doctor, after a general and local physical examination as a clinical assessment, I would advise you with some investigations like a CBC, ESR, bleeding and clotting profile, a thyroid function test and an assessment by a Dermatologist as well. Till then, you could continue with the anti-inflammatory along with a proton pump inhibitor Chat Doctor. 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. I wish 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: Ive had a sore bump on my shin for a couple of months, now have two or three. Painful to the touch. I dont remember bumping them, and theyre not black and blue or bruised. Also have a painful bump on the outside of my left foot, and last week started getting some very bad lower back pain that ice and rest will not help. Ive been taking some ibuprophen but it helps only slightly. Any ideas or suggestions would be most welcome.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi! Good evening. I am Chat Doctor answering your query. If I were your doctor, after a general and local physical examination as a clinical assessment, I would advise you with some investigations like a CBC, ESR, bleeding and clotting profile, a thyroid function test and an assessment by a Dermatologist as well. Till then, you could continue with the anti-inflammatory along with a proton pump inhibitor Chat Doctor. 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. I wish 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 i fell backwards getting out of the bath and i hit the corner of the sink on the right side to middle of my back there doesnt appear to be bruising but there is a little red lump back hurts like crazy cant bend or move certain ways even my top rubbing of it hurts. I should mention it happened 1 day ago. | Hi, Thanks for writing your query. After reading your post, it seems that you have soft tissue swelling. Cold compress in first 48 hours will help you in relieving your symptoms. You should take a painkiller like Ibuprofen twice daily after meals along with serratipeptidase and Omeprazole 40\u00a0mg once a day for relief. If the symptoms persists, get your self clinically examined and investigated. I hope this is helpful to 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: Hi i fell backwards getting out of the bath and i hit the corner of the sink on the right side to middle of my back there doesnt appear to be bruising but there is a little red lump back hurts like crazy cant bend or move certain ways even my top rubbing of it hurts. I should mention it happened 1 day ago.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for writing your query. After reading your post, it seems that you have soft tissue swelling. Cold compress in first 48 hours will help you in relieving your symptoms. You should take a painkiller like Ibuprofen twice daily after meals along with serratipeptidase and Omeprazole 40\u00a0mg once a day for relief. If the symptoms persists, get your self clinically examined and investigated. I hope this is helpful to you. Thanks.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I am 8 weeks pregant and have bleeding since 2 days.. only if i wipe after the urine. This bleeding is started more or less same time of my period cycle. This is not like period bledding... i see it only wiped. Also i feel like period like pain.Kindly consult | Hi, Thanks for the query. I understand your concern. You should consult your doctor to get physically examined & decide weather blood in urine & bleeding is vaginal. Blood in urine needs further investigations & specific management with doctors advise. At two weeks bleeding with slight cramps in abdomen may be possible abortion. It is mostly due to fewer hormones & can be controlled by hormone supplements & rest. * bleeding is no way permissible. Advise of doctor & treatment in time can manage & save pregnancy. So don't be upset. Take care, rest & advise for specific treatment. 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 8 weeks pregant and have bleeding since 2 days.. only if i wipe after the urine. This bleeding is started more or less same time of my period cycle. This is not like period bledding... i see it only wiped. Also i feel like period like pain.Kindly consult<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for the query. I understand your concern. You should consult your doctor to get physically examined & decide weather blood in urine & bleeding is vaginal. Blood in urine needs further investigations & specific management with doctors advise. At two weeks bleeding with slight cramps in abdomen may be possible abortion. It is mostly due to fewer hormones & can be controlled by hormone supplements & rest. * bleeding is no way permissible. Advise of doctor & treatment in time can manage & save pregnancy. So don't be upset. Take care, rest & advise for specific treatment. Thanks.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | In 2013 I had stage 4 non Hodgkin lymphoma on I needed to take chemo a week at a time At one time a nurse put in what I would call a double IV It was a rectangle shape about 4 to 5 inches long and 2 to 3 inches wide the top of it was flat the bottom had 2 long needles The nurse needed to use a sonogram machine or something like it to be sure it was the two needles didn t go in a bad place. It was stuck into the top of my left shoulder it was painful from the start but my complaint was ignored. The only thing that went through it was saline solution, it was in there just over 24 hours it hurt the whole time. Anyway the saline did not circulate i m guessing, because my left shoulder, arm and hand swelled up with the saline causing a blood clot. The saline slowly had to drip out my arm over the next few weeks nobody could figure out how or why it happened. My question are you familiar with this IV system if, so what is it called. I would like to continue researching it I just don t know what it s called. | The one you are referring to seems to be a variant of a Central Venous catheter. Maybe a PICC or a subclavian or Jugular line. However, the complication that you are referring to is not quite clear. If you have the documents from that time you were admitted then it will help answer your queries. But I am not quite sure if you are still having trouble from the complication that you suffered back then. | <|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: In 2013 I had stage 4 non Hodgkin lymphoma on I needed to take chemo a week at a time At one time a nurse put in what I would call a double IV It was a rectangle shape about 4 to 5 inches long and 2 to 3 inches wide the top of it was flat the bottom had 2 long needles The nurse needed to use a sonogram machine or something like it to be sure it was the two needles didn t go in a bad place. It was stuck into the top of my left shoulder it was painful from the start but my complaint was ignored. The only thing that went through it was saline solution, it was in there just over 24 hours it hurt the whole time. Anyway the saline did not circulate i m guessing, because my left shoulder, arm and hand swelled up with the saline causing a blood clot. The saline slowly had to drip out my arm over the next few weeks nobody could figure out how or why it happened. My question are you familiar with this IV system if, so what is it called. I would like to continue researching it I just don t know what it s called.<|eot_id|><|start_header_id|>assistant<|end_header_id|>The one you are referring to seems to be a variant of a Central Venous catheter. Maybe a PICC or a subclavian or Jugular line. However, the complication that you are referring to is not quite clear. If you have the documents from that time you were admitted then it will help answer your queries. But I am not quite sure if you are still having trouble from the complication that you suffered back then.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have been to the dentist about 4 weeks ago and he had to replace a loose filling & gave me anitbiotics and ever since then I have had a niggling pain (occasionally) on the right side of my mouth, then last Monday, Tues, Wed I had a nawing pain whicChatDoctore on at tea time so took painkillers and it disappeared. On two consecutive nights at the weekend I woke during the night with a nawing pain on the right hand side of my face, lips , gums, tongue and jaw (took some painkillers but took ages to settle so that I could sleep). Made appt at dentist yesterday and he took an x-ray but could not see any problems so gave me more antibiotics to take and I have another appt with him on Friday afternoon. The right hand side of my face flared up again tonight with the same symptoms as the weekend!! | HELLO AND WELCOME, The decay in your filled teeth has affected pulp and periapical region, which results in pain sensation. The filling has to be removed to extirpate the infected pulp underlying. Antibiotics and analgesics will relieve pain temporarily. If periapical area is infected, root canal treatment has to be done. I would suggest you to get the treatment soon by a dentist. You can go for a second opinion too. 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: I have been to the dentist about 4 weeks ago and he had to replace a loose filling & gave me anitbiotics and ever since then I have had a niggling pain (occasionally) on the right side of my mouth, then last Monday, Tues, Wed I had a nawing pain whicChatDoctore on at tea time so took painkillers and it disappeared. On two consecutive nights at the weekend I woke during the night with a nawing pain on the right hand side of my face, lips , gums, tongue and jaw (took some painkillers but took ages to settle so that I could sleep). Made appt at dentist yesterday and he took an x-ray but could not see any problems so gave me more antibiotics to take and I have another appt with him on Friday afternoon. The right hand side of my face flared up again tonight with the same symptoms as the weekend!!<|eot_id|><|start_header_id|>assistant<|end_header_id|>HELLO AND WELCOME, The decay in your filled teeth has affected pulp and periapical region, which results in pain sensation. The filling has to be removed to extirpate the infected pulp underlying. Antibiotics and analgesics will relieve pain temporarily. If periapical area is infected, root canal treatment has to be done. I would suggest you to get the treatment soon by a dentist. You can go for a second opinion too. Hope this helps.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | dear sir,I met you once regarding my brothers issues,im from Sundargarh ,My father goes to cuttact many times to meet with you.MY brother Name is Ashmit ku Das.He is under your treatment now.He started 2 phase medicines as you given.but current situation is something different and not good at all.He started fighting with my mother very badly,from last 1 week.it is really very danger.so if you got this mail please respond me ,i will be remain always obliged to you,thank you sirregardsLeena das0000 | Dear Lena, Thanks for using Chat Doctor. I am sorry to answer your question, although I am not your doctor. I compelled to do it because I thought it is urgent for you. Regarding aggressive behavior in mental problem I like to inform you that mostly it is due to inadequate treatment. It is possible your brother receiving less that what is required dosage of medicine. The other possibility can be due to non-compliance. It is common for a patient with mental problem to not take medicines as prescribed. I request you to check his compliance and see your doctor in person. Thanks and 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: dear sir,I met you once regarding my brothers issues,im from Sundargarh ,My father goes to cuttact many times to meet with you.MY brother Name is Ashmit ku Das.He is under your treatment now.He started 2 phase medicines as you given.but current situation is something different and not good at all.He started fighting with my mother very badly,from last 1 week.it is really very danger.so if you got this mail please respond me ,i will be remain always obliged to you,thank you sirregardsLeena das0000<|eot_id|><|start_header_id|>assistant<|end_header_id|>Dear Lena, Thanks for using Chat Doctor. I am sorry to answer your question, although I am not your doctor. I compelled to do it because I thought it is urgent for you. Regarding aggressive behavior in mental problem I like to inform you that mostly it is due to inadequate treatment. It is possible your brother receiving less that what is required dosage of medicine. The other possibility can be due to non-compliance. It is common for a patient with mental problem to not take medicines as prescribed. I request you to check his compliance and see your doctor in person. Thanks and regards<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I want to know if I have ovarian cancer my symptons are extreme abdominal pain swelling loss of appetite weight loss eating makes it worse I have a discharge have had some bleeding when my husband and I have intercourse it causes his penis to burn and swell for a few days I have nausea some throwing up and massive diarreah | HelloThanks for writing to ChatDoctorYour symptoms may be due to many reasons. You need proper clinical examination and investigation. Ultrasound of abdomen can exclude many conditions. Other investigations are routine hologram, RBS,LFT, RFT, Lipid profile, Urine RE/ME, CT Scan can be done if needed. Bleeding after intercourse may be due to problem in cervix, uterus,adnexa or local cause. Pain abdomen can be due to GB calculus, renal calculus, infection,mass etc. Proper treatment depend upon clinical findings and investigation reports. You should consult your doctor. Hope I have answered your query. 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 want to know if I have ovarian cancer my symptons are extreme abdominal pain swelling loss of appetite weight loss eating makes it worse I have a discharge have had some bleeding when my husband and I have intercourse it causes his penis to burn and swell for a few days I have nausea some throwing up and massive diarreah<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloThanks for writing to ChatDoctorYour symptoms may be due to many reasons. You need proper clinical examination and investigation. Ultrasound of abdomen can exclude many conditions. Other investigations are routine hologram, RBS,LFT, RFT, Lipid profile, Urine RE/ME, CT Scan can be done if needed. Bleeding after intercourse may be due to problem in cervix, uterus,adnexa or local cause. Pain abdomen can be due to GB calculus, renal calculus, infection,mass etc. Proper treatment depend upon clinical findings and investigation reports. You should consult your doctor. Hope I have answered your query. Take Care Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Im a 19 year old Female, and Ive been having really bad pains in abdominal area, and inside pains that switch from side to side, Ive been having sharp pains in the Vagina. And occasionally, discharging. I havent went to the doctor for it yet just wanna explore my opinions. | Hi. The pains which shift from side to side are usually due to irritable bowel syn Chat Doctor. Many girls of your age suffer from this as also the pains in the vagina and discharge. There is no specific because that can be allotted to this. A good food habit meaning avoiding all foods and beverages known to increase pains should be avoided. You may once consult the Gynecologist to rule out any other problem with vagina. Such problems are known to get solved with time. Try to have a stress-free life-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: Hi, Im a 19 year old Female, and Ive been having really bad pains in abdominal area, and inside pains that switch from side to side, Ive been having sharp pains in the Vagina. And occasionally, discharging. I havent went to the doctor for it yet just wanna explore my opinions.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. The pains which shift from side to side are usually due to irritable bowel syn Chat Doctor. Many girls of your age suffer from this as also the pains in the vagina and discharge. There is no specific because that can be allotted to this. A good food habit meaning avoiding all foods and beverages known to increase pains should be avoided. You may once consult the Gynecologist to rule out any other problem with vagina. Such problems are known to get solved with time. Try to have a stress-free life-this helps.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | hello doctor ,my mom is 35 years old.she was suffering from umblical cord hernia ,she got operated on 14 may.what are the precautions she must take.what is the diet she must eat.what is the duration of time in which it gets healed.i also wanted to tell u that our consultant doctor has kept a mesh to repair that hernia so does it have any side afffect | Hi Sana, It is not Umbilical Cord but Umbilical Hernia. It is an outward bulging of the abdominal lining or part of the abdominal organs through the area around the belly button. Maybe she has had an Abdominal Surgery and cough earlier and Surgery is the only treatment. Since Mesh repair is done, kindly do not worry as it is the safest procedure and it won't have any side effects whatsoever since mesh is under the muscle layer and not on top, it is not detectable or felt by patients, The mesh is held in place without tension. The recovery will take a week. If she has cough, it has to be treated. She has to get adequate rest and go for regular follow up. Let her go for regular Brisk walks for 30 to 40 minutes daily after a week of surgery. She needs to avoid lifting heavy weights and straining while passing stools. If she happens to develop fever, pain, discharge from wound, take her to her surgeon immediately. Is she is not diabetic or hypertensive, she needs to take healthy nutritious balanced diet which should include fresh fruits and green leafy vegetables and fruit juices and plenty of water. See to it, she takes her medications regularly. I wish her 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: hello doctor ,my mom is 35 years old.she was suffering from umblical cord hernia ,she got operated on 14 may.what are the precautions she must take.what is the diet she must eat.what is the duration of time in which it gets healed.i also wanted to tell u that our consultant doctor has kept a mesh to repair that hernia so does it have any side afffect<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi Sana, It is not Umbilical Cord but Umbilical Hernia. It is an outward bulging of the abdominal lining or part of the abdominal organs through the area around the belly button. Maybe she has had an Abdominal Surgery and cough earlier and Surgery is the only treatment. Since Mesh repair is done, kindly do not worry as it is the safest procedure and it won't have any side effects whatsoever since mesh is under the muscle layer and not on top, it is not detectable or felt by patients, The mesh is held in place without tension. The recovery will take a week. If she has cough, it has to be treated. She has to get adequate rest and go for regular follow up. Let her go for regular Brisk walks for 30 to 40 minutes daily after a week of surgery. She needs to avoid lifting heavy weights and straining while passing stools. If she happens to develop fever, pain, discharge from wound, take her to her surgeon immediately. Is she is not diabetic or hypertensive, she needs to take healthy nutritious balanced diet which should include fresh fruits and green leafy vegetables and fruit juices and plenty of water. See to it, she takes her medications regularly. I wish her Good Health, Take Care.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Doctor, i have a black speck in my urine this afternoon and yesterday. I have been drinking a liter of water early morning in past three days in empty stomach. i have had kidney stone before like 3 years ago.could those black specks be stone?Please advise me. | Hello! Welcome to Chat Doctor. Yes, these can be stones. In my clinic, to such patients with recurrent stones, I advise metabolic workup, 24 hours urinalysis, serum uric acid & serum calcium. Also, if such stones are preserved, you can send them to laboratory for stone analysis. With this I can give further treatment to prevent stone formation in the future. Hope this information is useful. Wish you healthy life. Thanks. 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 Doctor, i have a black speck in my urine this afternoon and yesterday. I have been drinking a liter of water early morning in past three days in empty stomach. i have had kidney stone before like 3 years ago.could those black specks be stone?Please advise me.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello! Welcome to Chat Doctor. Yes, these can be stones. In my clinic, to such patients with recurrent stones, I advise metabolic workup, 24 hours urinalysis, serum uric acid & serum calcium. Also, if such stones are preserved, you can send them to laboratory for stone analysis. With this I can give further treatment to prevent stone formation in the future. Hope this information is useful. Wish you healthy life. Thanks. Regards.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Good morning, I have a lump under my left armpit for about a month, it started out the size of a pea with alot on pain. Than the pain stopped and it grow to the sizes of a nickel. I have been feeling naseaous for about 4 months, with headaches on the left side of my head only, and my right arm goes num. Can someone plse tell me what this could be.... | Hi, dairy have gone through your question. I can understand your concern. You have enlarged lymph node in axillary region. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | <|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: Good morning, I have a lump under my left armpit for about a month, it started out the size of a pea with alot on pain. Than the pain stopped and it grow to the sizes of a nickel. I have been feeling naseaous for about 4 months, with headaches on the left side of my head only, and my right arm goes num. Can someone plse tell me what this could be....<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, dairy have gone through your question. I can understand your concern. You have enlarged lymph node in axillary region. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have bronchiectasis, not helped by stress related to domestic violence. I have developed an intermittent pain between lower ribs, which I thought was caused by gas as I burp when it is present. I am taking Mucodyne and two puffs morning and night of Ventolin. Wonder if Mucodyne might create gas? | Thanks for your question on Chat Doctor. No, mundane can not cause gas and acidity. In my opinion You may have infection in lung. Bronchiectesis is chronic lung disease. And infection is the most common complication. So infection causes pleural inflammation and cause pain. So get done chest x-ray to rule out this. Burping can be due to HERD (Castro Esophageal Reflux Disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up and cause burping. So try to avoid hot and spicy food. Take proton pump inhibitor. | <|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 bronchiectasis, not helped by stress related to domestic violence. I have developed an intermittent pain between lower ribs, which I thought was caused by gas as I burp when it is present. I am taking Mucodyne and two puffs morning and night of Ventolin. Wonder if Mucodyne might create gas?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. No, mundane can not cause gas and acidity. In my opinion You may have infection in lung. Bronchiectesis is chronic lung disease. And infection is the most common complication. So infection causes pleural inflammation and cause pain. So get done chest x-ray to rule out this. Burping can be due to HERD (Castro Esophageal Reflux Disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up and cause burping. So try to avoid hot and spicy food. Take proton pump inhibitor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I have just had my embryos implanted on the 17th january and i am supposed to be tested for a pregnancy by the 2/2 but i am very nervous, the doctor put me on crinone gel every morning and a progesterone injection (oil) every evening i have had light cramps on my abdomen and a slight discharge from gel for the past 2 3 days i am worried if this means that i am not pregnant or that it is not normal and i do feel nauseas in the evening or in the morning and my breasts r twice the size and very painful very scared to go for my test please put some light in my questions apppreciate it stax | Hi, I have read your query & understood your concern. After embryo transfer. There will be some bodily reaction. You are already on Chat Doctor. Mild cramps are also seen in natural pregnancy. Vaginal discharge increases with pregnancy / pregnancy hormones you are given. The get you are applying daily would naturally come out in form of discharge. * So don't be anxious/ stressful. Try to follow instructions by your doctor, be positive, go for test when advised confidently... that will help you. Thanks. 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: Hi I have just had my embryos implanted on the 17th january and i am supposed to be tested for a pregnancy by the 2/2 but i am very nervous, the doctor put me on crinone gel every morning and a progesterone injection (oil) every evening i have had light cramps on my abdomen and a slight discharge from gel for the past 2 3 days i am worried if this means that i am not pregnant or that it is not normal and i do feel nauseas in the evening or in the morning and my breasts r twice the size and very painful very scared to go for my test please put some light in my questions apppreciate it stax<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, I have read your query & understood your concern. After embryo transfer. There will be some bodily reaction. You are already on Chat Doctor. Mild cramps are also seen in natural pregnancy. Vaginal discharge increases with pregnancy / pregnancy hormones you are given. The get you are applying daily would naturally come out in form of discharge. * So don't be anxious/ stressful. Try to follow instructions by your doctor, be positive, go for test when advised confidently... that will help you. Thanks. Thanks.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | my boy child of 3+ years had 3 times fever within 40 days duration ,1st for a period of 3days 2nd time fever for 1day and 3rd time fever yesterday night, and he is having sometime extream / mild caugh & nose block throught these period ,he used to get fits if the temp goes beyond 100 degree earlier and now also we fear so, please suggest what is the indication - 0000 | Hi...by what you quote I feel that your son might be having a recurrent viral illness. To relieve your distress I will suggest you how a viral illness behaves. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. 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 boy child of 3+ years had 3 times fever within 40 days duration ,1st for a period of 3days 2nd time fever for 1day and 3rd time fever yesterday night, and he is having sometime extream / mild caugh & nose block throught these period ,he used to get fits if the temp goes beyond 100 degree earlier and now also we fear so, please suggest what is the indication - 0000<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi...by what you quote I feel that your son might be having a recurrent viral illness. To relieve your distress I will suggest you how a viral illness behaves. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards -<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I have had a high platelet count b/t 460-620 for about 3 years. Is this normal? I have suffered with chronic depression and stress- can those be factors? The only other out of range blood count was my esinophils. My red blood cells are within range but on lower end and my white blood cells are within in range but on upper end. | Welcome to Chat Doctor. My dear friend your platelets count is slightly high. Patients with this platelets count are usually asymptomatic. No need to worry. There are not any relation with slightly high platelets, eosinophils and depression /stress. You did not mention your eosinophil count. I suggest you that reduce your stress with some mental relaxing exercise, meditation and yoga. You can also consult with psychiatrist for depression and stress if yoga and meditation not help you. Thanx for query. Always welcome for further question. | <|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 had a high platelet count b/t 460-620 for about 3 years. Is this normal? I have suffered with chronic depression and stress- can those be factors? The only other out of range blood count was my esinophils. My red blood cells are within range but on lower end and my white blood cells are within in range but on upper end.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Welcome to Chat Doctor. My dear friend your platelets count is slightly high. Patients with this platelets count are usually asymptomatic. No need to worry. There are not any relation with slightly high platelets, eosinophils and depression /stress. You did not mention your eosinophil count. I suggest you that reduce your stress with some mental relaxing exercise, meditation and yoga. You can also consult with psychiatrist for depression and stress if yoga and meditation not help you. Thanx for query. Always welcome for further question.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | MY HUSBAND HAS FATTY LIVER DISEASE AND GETS CONFUSED AFTER EATING. WE WERE TOLD THEY THINK HE HAS HEPATIC ENCEPHALOPAGTHY. HE IS A NON DRINKER. WAS ORIGINALLY DIAGNOSED WITH DEMENTIA , NOW THAT THE AMMONIA LEVELS ARE HIGH AND BILLERUBIN UP, THEY SAY ITS MOST LIKELY THE LIVER. EVEN WITH LACTOULOUSE AND RIXFAXIMIN HE IS GETTING WORSE WITH CONFUSION. WHAT OTHER POSSIBILITIES COULD BE GOING ON. | Hello and welcome to Chat Doctor all the findings in your husbands case-increase in levels of ammonia, high bilirubin, dementia, confusion after having food point towards the diagnosis of Hepatic Encephalopathy. This diagnosis is already made. However, now there is no response to lactulose. It is due to the progression of the disease process going on in the liver. Now, the condition has progressed from simple fatty liver to more serious state. You need to get a liver biopsy to know the exact picture. In case of end stage liver disease or liver failure, liver transplant is the next step in management. 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 HUSBAND HAS FATTY LIVER DISEASE AND GETS CONFUSED AFTER EATING. WE WERE TOLD THEY THINK HE HAS HEPATIC ENCEPHALOPAGTHY. HE IS A NON DRINKER. WAS ORIGINALLY DIAGNOSED WITH DEMENTIA , NOW THAT THE AMMONIA LEVELS ARE HIGH AND BILLERUBIN UP, THEY SAY ITS MOST LIKELY THE LIVER. EVEN WITH LACTOULOUSE AND RIXFAXIMIN HE IS GETTING WORSE WITH CONFUSION. WHAT OTHER POSSIBILITIES COULD BE GOING ON.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello and welcome to Chat Doctor all the findings in your husbands case-increase in levels of ammonia, high bilirubin, dementia, confusion after having food point towards the diagnosis of Hepatic Encephalopathy. This diagnosis is already made. However, now there is no response to lactulose. It is due to the progression of the disease process going on in the liver. Now, the condition has progressed from simple fatty liver to more serious state. You need to get a liver biopsy to know the exact picture. In case of end stage liver disease or liver failure, liver transplant is the next step in management. Thanks and take care Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My daughter got butt implants 3 weeks ago. She got stitches and one of them has been bleeding a ill bit. Last night she was complaining of leg pain and nauseous. Today she got in the car for five minutes and when she got up she was bleeding a lot from that stitch. It was clear fluid and blood. Called surgeon and he said its normal. Is it really? It happens only when seating not when laying on her stomach | Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that slight bleeding and oozing of fluid from the stitch for few days is normal. But if it occurs after more than week it is abnormal and should be consulted by the doctor. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. 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: My daughter got butt implants 3 weeks ago. She got stitches and one of them has been bleeding a ill bit. Last night she was complaining of leg pain and nauseous. Today she got in the car for five minutes and when she got up she was bleeding a lot from that stitch. It was clear fluid and blood. Called surgeon and he said its normal. Is it really? It happens only when seating not when laying on her stomach<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that slight bleeding and oozing of fluid from the stitch for few days is normal. But if it occurs after more than week it is abnormal and should be consulted by the doctor. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I am 34 years old, suffering from High Uric Acid. Uric Acid Serum Test gave 6.9-7.0 values. I have started consulting Ayurveda Doctor. He advised me Kaishore Guggul, Udarmrit Vati, Punranvadi Mandur after meals. its been a month now on above drugs. I still feel my Knee getting locked and I feel the knee joint got stiffness. The Alopathic alternative, suggeste by Dr is Febutaez 40. It helped crackinlg and stiffness. But, my Question is How long it will take to recover from metabolim issue which is causing High Uric Acid? | Dear sir uric acid level 6 or 7 is just on the higher side and cannot say that it is increased, your symptoms of knee pain and locking of knee might be due to other reasons. Get your complete check-up done including MRI of knee, X-rays of knee, thyroid profile and other investigations for joint pain like CRP, RA factor, ANTICCP.however regarding your query the uric acid level of 7 come down within a month after taking tablet debut for one month and avoiding the food products which increases the uric acid. Thanks and 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 am 34 years old, suffering from High Uric Acid. Uric Acid Serum Test gave 6.9-7.0 values. I have started consulting Ayurveda Doctor. He advised me Kaishore Guggul, Udarmrit Vati, Punranvadi Mandur after meals. its been a month now on above drugs. I still feel my Knee getting locked and I feel the knee joint got stiffness. The Alopathic alternative, suggeste by Dr is Febutaez 40. It helped crackinlg and stiffness. But, my Question is How long it will take to recover from metabolim issue which is causing High Uric Acid?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Dear sir uric acid level 6 or 7 is just on the higher side and cannot say that it is increased, your symptoms of knee pain and locking of knee might be due to other reasons. Get your complete check-up done including MRI of knee, X-rays of knee, thyroid profile and other investigations for joint pain like CRP, RA factor, ANTICCP.however regarding your query the uric acid level of 7 come down within a month after taking tablet debut for one month and avoiding the food products which increases the uric acid. Thanks and regards.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Can i get rabies from a indoor rabbit? I was bitten by my rabbit on 2 june and today is 17 i m really scared of rabies. i don t think my rabbit was ever bitten by a rabid animal and if he was, than how is he still alive? i mean i ve read somewhere that animals with rabies die within 10 days But my rabbit seem to be acting normal. My rabbit is a female 5 year old indoor rabbit. she bit me because i was annoying her (it s not the first time she have bitten me, she usually bite someone when they re annoy her) She s eating normal and pooping normal. but i m veryyy scared! | HelloRabbit biting never causes rabies, rather canine family, if bite someone then there is chance of getting rabies .2nd point is that usually within animal dies, if it is rabid, but your pet rabbit is roaming in your house and playing (while rabid animal never play).3rd point fatigue weakness, anorexia poor sleep are not symptoms of rabies. Anxiety in your case is due to tension, so no need of worry. I am writing the symptoms of rabies, so that you will be 100 % sure that you are NOT HAVING ANY RABIES. Symptoms are | <|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: Can i get rabies from a indoor rabbit? I was bitten by my rabbit on 2 june and today is 17 i m really scared of rabies. i don t think my rabbit was ever bitten by a rabid animal and if he was, than how is he still alive? i mean i ve read somewhere that animals with rabies die within 10 days But my rabbit seem to be acting normal. My rabbit is a female 5 year old indoor rabbit. she bit me because i was annoying her (it s not the first time she have bitten me, she usually bite someone when they re annoy her) She s eating normal and pooping normal. but i m veryyy scared!<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloRabbit biting never causes rabies, rather canine family, if bite someone then there is chance of getting rabies .2nd point is that usually within animal dies, if it is rabid, but your pet rabbit is roaming in your house and playing (while rabid animal never play).3rd point fatigue weakness, anorexia poor sleep are not symptoms of rabies. Anxiety in your case is due to tension, so no need of worry. I am writing the symptoms of rabies, so that you will be 100 % sure that you are NOT HAVING ANY RABIES. Symptoms are<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I ve recently discovered a sizeable hard bump, on the back of my head. It s sore to touch and I have not recently bumped my head. Making me question what caused the bump, is this to be concerned about? I also have slept a lot today and still feel tired I m wondering if this has anything to do with it. | You may have some reactive lymph node, soft tissue tumor, benign cyst or skin adnexal tumor. You should go for examination. If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | <|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 recently discovered a sizeable hard bump, on the back of my head. It s sore to touch and I have not recently bumped my head. Making me question what caused the bump, is this to be concerned about? I also have slept a lot today and still feel tired I m wondering if this has anything to do with it.<|eot_id|><|start_header_id|>assistant<|end_header_id|>You may have some reactive lymph node, soft tissue tumor, benign cyst or skin adnexal tumor. You should go for examination. If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, im 18 and have recently found in my groin that I have a swollen glan, its not a massive lump but I can definetlty feel it, its a little sensitive to touch but not massivley painful at all, i think i am suffering from hayfever or possibly a cold, could this cause my glans to swell? Thanks! | Hi, dairy have gone through your question. I can understand your concern. You may have enlarged inguinal lymph node. Mostly it is due to some infection and reactive hyperplasia. You should go for a course of antibiotics. If it doesn't respond to treatment then biopsy diagnosis is advisable. 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: Hi, im 18 and have recently found in my groin that I have a swollen glan, its not a massive lump but I can definetlty feel it, its a little sensitive to touch but not massivley painful at all, i think i am suffering from hayfever or possibly a cold, could this cause my glans to swell? Thanks!<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, dairy have gone through your question. I can understand your concern. You may have enlarged inguinal lymph node. Mostly it is due to some infection and reactive hyperplasia. You should go for a course of antibiotics. If it doesn't respond to treatment then biopsy diagnosis is advisable. 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, I am post op day 4 from open bilateral inguinal hernia repairs with mesh. I have developed an area of penile edema and am interested in knowing I this is normal, and is there anything that I can do to releave this? I also. Have some scrotal edema as well. The penile edema doesnt go all the way around, isnt painful, doesnt affect urination. | HelloThanks for query. It is not uncommon to get penile and scrotal edema after surgery of inguinal hernia. This is due to spread of inflammatory fluid along the facial plane of Carpal fascia. Normally it fades away gradually over a period of 2 weeks. Take antibiotics like Augmenting along with anti-inflammatory medicine Diclofenac and Serropeptidase twice daily. There is nothing to be worried about. 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 am post op day 4 from open bilateral inguinal hernia repairs with mesh. I have developed an area of penile edema and am interested in knowing I this is normal, and is there anything that I can do to releave this? I also. Have some scrotal edema as well. The penile edema doesnt go all the way around, isnt painful, doesnt affect urination.<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloThanks for query. It is not uncommon to get penile and scrotal edema after surgery of inguinal hernia. This is due to spread of inflammatory fluid along the facial plane of Carpal fascia. Normally it fades away gradually over a period of 2 weeks. Take antibiotics like Augmenting along with anti-inflammatory medicine Diclofenac and Serropeptidase twice daily. There is nothing to be worried about. Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have this itching feeing inside my chest. I can t physically scratch it because it s inside my chest. I feel it the most when I cough it s located under the muscle in my breast/ in rib cage/ inside my lungs. I don t understand where this coming from because I never had asthma but I was diagnosed with bronchitis in high school about 8 years ago. But I haven t been bothered with bronchitis since 2009. So can you please help so I do have to many an expensive dr bill? Thanks | Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Itchy feeling in chest is mostly due to1. Retained secretions2. Inflamed and edematous bronchi (seen in bronchitis). Since you had bronchitis in the past, chances of recurrence are high. So better to consult pulmonologist and get done1. Clinical examination of respiratory system. 2. Chest x ray3. PUT (pulmonary function test). Chest x-ray is needed to rule out retained secretions. PFT is needed to rule out bronchitis. So consult pulmonologist and discuss all these. Don't worry, you will be alright. | <|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 this itching feeing inside my chest. I can t physically scratch it because it s inside my chest. I feel it the most when I cough it s located under the muscle in my breast/ in rib cage/ inside my lungs. I don t understand where this coming from because I never had asthma but I was diagnosed with bronchitis in high school about 8 years ago. But I haven t been bothered with bronchitis since 2009. So can you please help so I do have to many an expensive dr bill? Thanks<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Itchy feeling in chest is mostly due to1. Retained secretions2. Inflamed and edematous bronchi (seen in bronchitis). Since you had bronchitis in the past, chances of recurrence are high. So better to consult pulmonologist and get done1. Clinical examination of respiratory system. 2. Chest x ray3. PUT (pulmonary function test). Chest x-ray is needed to rule out retained secretions. PFT is needed to rule out bronchitis. So consult pulmonologist and discuss all these. Don't worry, you will be alright.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | hi i m 23yrs (f) I have very severe serious problem of cold from my childhood many medications have been taken to cure this but of no use. my father is also having the same problem they are saying this is hereditary . when i touch cold items or water or even go out in cool climate i easily catch cold n sneezes frequently. i want relief from this to my next generation. what to do give some remedies to permanently control this severe problem. pls doctor i m seeking help from u pls pls pls help me. (i also suspect that this may be symptoms of sinus i think so). pls give me any home remedy pls pls doctor thank u doctor | Hi, ayurved has good treatments for allergic sinusitis/ rhinitis .the treatment will improve your immunity so that the episodes and the severity will be less. Treatments like NASA has very good results in number of patients having sinusitis and allergies for years. Regular intake of AMLA in any form is beneficial. Chyvanprash is a good general tonic for ENT problems.Ayurveda diet and remedies will sure help you, for more ask or Chat Doctor. [email protected] you 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 m 23yrs (f) I have very severe serious problem of cold from my childhood many medications have been taken to cure this but of no use. my father is also having the same problem they are saying this is hereditary . when i touch cold items or water or even go out in cool climate i easily catch cold n sneezes frequently. i want relief from this to my next generation. what to do give some remedies to permanently control this severe problem. pls doctor i m seeking help from u pls pls pls help me. (i also suspect that this may be symptoms of sinus i think so). pls give me any home remedy pls pls doctor thank u doctor<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, ayurved has good treatments for allergic sinusitis/ rhinitis .the treatment will improve your immunity so that the episodes and the severity will be less. Treatments like NASA has very good results in number of patients having sinusitis and allergies for years. Regular intake of AMLA in any form is beneficial. Chyvanprash is a good general tonic for ENT problems.Ayurveda diet and remedies will sure help you, for more ask or Chat Doctor. [email protected] you health.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, My girlfriend and I are trying to have a baby. But unfortunately we haven t been able too. We even have been keeping track of her ovulation cycle. She s been on the Depo Shot for nine years and has been off of it for the past 1 and a half with regular periods until recently. Which has us concerned. We ve tried the accu test twice with no prevail. Any comments or questions to this will help. Our last option is to go to a fertility specialist. But we can t afford one at the moment. Any help with this is obliged. | Hi there, After going through your question, I am of the opinion that | <|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 girlfriend and I are trying to have a baby. But unfortunately we haven t been able too. We even have been keeping track of her ovulation cycle. She s been on the Depo Shot for nine years and has been off of it for the past 1 and a half with regular periods until recently. Which has us concerned. We ve tried the accu test twice with no prevail. Any comments or questions to this will help. Our last option is to go to a fertility specialist. But we can t afford one at the moment. Any help with this is obliged.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi there, After going through your question, I am of the opinion that<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have been brushing my tongue for a while now and lately I had been brushing much harder on my tongue than normal and with whitening toothpaste. One morning last week after brushing it the night before, I woke up with a sore tongue at the front and at the back, I brushed it again and when I spit into the sink there was streaks of bloods. Ever since then I have been spitting out blood in the morning and have recently gotten a sore throat and swollen glands. I looked at my tongue in the mirror and noticed that my circumvallate papalae are slightly enlarged and believe that the source of blood is coming from that region. I have a doctors appointment tomorrow but I am extremely worried that this may be something serious like oral cancer or another serious desease. I am wondering what your thoughts may be on this issue and if I should concerned as I am. | Hello, welcome to Chat Doctor ! I understand your concern. From your post it appears that you have been very harsh on our tongue applying a lot of pressure and the whitening toothpaste. The whitening toothpastes mostly contain HY Chat Doctor. The same reason could be for your sore throat. Another reason for all these symptoms could be a bacterial or viral infection since you have swollen glands also. Please apply McCoppin and Hegel ointments alternatively on the tongue. Use Betadine gargles twice or thrice a day for sore throat, and you can also take antibiotics in case there is some throat infection. Please go for a complete oral examination. Please do not panic about cancer. The doctors will advise the course of treatment and rule out cancer if they feel the need. Take care and all the best! | <|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 brushing my tongue for a while now and lately I had been brushing much harder on my tongue than normal and with whitening toothpaste. One morning last week after brushing it the night before, I woke up with a sore tongue at the front and at the back, I brushed it again and when I spit into the sink there was streaks of bloods. Ever since then I have been spitting out blood in the morning and have recently gotten a sore throat and swollen glands. I looked at my tongue in the mirror and noticed that my circumvallate papalae are slightly enlarged and believe that the source of blood is coming from that region. I have a doctors appointment tomorrow but I am extremely worried that this may be something serious like oral cancer or another serious desease. I am wondering what your thoughts may be on this issue and if I should concerned as I am.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, welcome to Chat Doctor ! I understand your concern. From your post it appears that you have been very harsh on our tongue applying a lot of pressure and the whitening toothpaste. The whitening toothpastes mostly contain HY Chat Doctor. The same reason could be for your sore throat. Another reason for all these symptoms could be a bacterial or viral infection since you have swollen glands also. Please apply McCoppin and Hegel ointments alternatively on the tongue. Use Betadine gargles twice or thrice a day for sore throat, and you can also take antibiotics in case there is some throat infection. Please go for a complete oral examination. Please do not panic about cancer. The doctors will advise the course of treatment and rule out cancer if they feel the need. Take care and all the best!<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My husbands 42 years old and just started having Grand-Mall seizures and a most of them were while he was asleep... just wondering what may be causing them. Especially while hes asleep. We have no health insurance as he & I both have been healthy so no real reason to get it & now hes unable to work so were just not financially able. Thanks. Just wondering what could be making this happen since hes asleep when it happens? | Hi, Thank you for posting your query. Grand mal seizures indicate a brain dysfunction, and needs evaluation to find out the cause. Important investigations that would help us find out the cause of his seizures would include MRI brain epilepsy protocol and electroencephalography (EEG). In addition, he would need treatment with MTV epileptic medications to prevent seizure recurrence. I hope it helps. Best wishes, 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 husbands 42 years old and just started having Grand-Mall seizures and a most of them were while he was asleep... just wondering what may be causing them. Especially while hes asleep. We have no health insurance as he & I both have been healthy so no real reason to get it & now hes unable to work so were just not financially able. Thanks. Just wondering what could be making this happen since hes asleep when it happens?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thank you for posting your query. Grand mal seizures indicate a brain dysfunction, and needs evaluation to find out the cause. Important investigations that would help us find out the cause of his seizures would include MRI brain epilepsy protocol and electroencephalography (EEG). In addition, he would need treatment with MTV epileptic medications to prevent seizure recurrence. I hope it helps. Best wishes, Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | (1) Last week, i went for a health checkup as part of admission to university in August this year. When i took my blood pressure, it was recorded as 133/76. The nurse took a second reading and it was the same as well. When i saw the doctor, she told me that my blood pressure was slightly high, and she took a third time, but this time round, i wasn t told of my pressure. I was wondering if this blood pressure of 133/76 - isit considered as hypertension. My dad has history of hypertension and is currently under medication. And also, what are some things that I can do to keep my pressure normal if I do not want to see a doctor as of now, i.e. food to eat and abstain? | Hi, Your present blood pressure is at a pre-hypertension level. Although you are not yet hypertensive, that level, along with your family history of having hypertension, puts you at a higher risk of being an over hypertensive. If I may only know more details about you, I would be able to help you more. But on top of these, one important aspect in the prevention of hypertension is the avoidance of salty foods, weight loss to appropriate levels, as well as aerobic exercise, all of which maintains optimal blood pressure. 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: (1) Last week, i went for a health checkup as part of admission to university in August this year. When i took my blood pressure, it was recorded as 133/76. The nurse took a second reading and it was the same as well. When i saw the doctor, she told me that my blood pressure was slightly high, and she took a third time, but this time round, i wasn t told of my pressure. I was wondering if this blood pressure of 133/76 - isit considered as hypertension. My dad has history of hypertension and is currently under medication. And also, what are some things that I can do to keep my pressure normal if I do not want to see a doctor as of now, i.e. food to eat and abstain?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Your present blood pressure is at a pre-hypertension level. Although you are not yet hypertensive, that level, along with your family history of having hypertension, puts you at a higher risk of being an over hypertensive. If I may only know more details about you, I would be able to help you more. But on top of these, one important aspect in the prevention of hypertension is the avoidance of salty foods, weight loss to appropriate levels, as well as aerobic exercise, all of which maintains optimal blood pressure. 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 numbness in my right knee for the last four years. Now, i started playing Badminton and the numbness radiated up to hip. So, I consulted a Neurologist and advised to have a MRI. MRI findings reveals Cervical Spondylosis - Nerve Compression. So, he recommended for a Cervical Spine Operation to relieve Nerve Compression. However, he referred to a Neuro Surgeon for correct findings. Neuro Surgeon advised the same.Following is my MRI Findings | Although your MRI findings are making you restless but I think Ayurveda has a lot to help you. In all such cases a procedure called Kate vast gives excellent results. Along with this internal medicine as triodashang GGUL and punarnava GGUL and R compound gives excellent results. It may take 2/3 months for complete recovery but I believe you will start feeling better after 10 sittings of Kate vast. 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 numbness in my right knee for the last four years. Now, i started playing Badminton and the numbness radiated up to hip. So, I consulted a Neurologist and advised to have a MRI. MRI findings reveals Cervical Spondylosis - Nerve Compression. So, he recommended for a Cervical Spine Operation to relieve Nerve Compression. However, he referred to a Neuro Surgeon for correct findings. Neuro Surgeon advised the same.Following is my MRI Findings<|eot_id|><|start_header_id|>assistant<|end_header_id|>Although your MRI findings are making you restless but I think Ayurveda has a lot to help you. In all such cases a procedure called Kate vast gives excellent results. Along with this internal medicine as triodashang GGUL and punarnava GGUL and R compound gives excellent results. It may take 2/3 months for complete recovery but I believe you will start feeling better after 10 sittings of Kate vast. Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have a persistent cough, burping and congestion feeling in my chest. It has been on and off for about a month. Thought it might be my asthma. Got new inhalers. But still getting the constant cough and burping every now and then especially after meals. It feels the worse at night and when I first get up. Not sure if it is GERD because I don t get the acidic burn in my throat. Any ideas. | Thanks for your question on Chat Doctor. In my opinion you should first consult pulmonologist and get done PFT (Pulmonary Function Test) to rule out asthma. As without PFT asthma can not be diagnosed. So better to first diagnosed yourself and then start or change inhalers. Your complaints at present seem more due to HERD (Castro Esophageal Reflux Disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Try to follow these steps for better management of HERD.1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. HERD and coughing can worsen each other. So simultaneously we need to manage both. | <|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 persistent cough, burping and congestion feeling in my chest. It has been on and off for about a month. Thought it might be my asthma. Got new inhalers. But still getting the constant cough and burping every now and then especially after meals. It feels the worse at night and when I first get up. Not sure if it is GERD because I don t get the acidic burn in my throat. Any ideas.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. In my opinion you should first consult pulmonologist and get done PFT (Pulmonary Function Test) to rule out asthma. As without PFT asthma can not be diagnosed. So better to first diagnosed yourself and then start or change inhalers. Your complaints at present seem more due to HERD (Castro Esophageal Reflux Disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Try to follow these steps for better management of HERD.1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. HERD and coughing can worsen each other. So simultaneously we need to manage both.<|eot_id|> |
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