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If you are a doctor, please answer the medical questions based on the patient's description. | For a while now i have had a dent in my head near my near my hairline. Next to it is a small raised area. It is soft when i press it. I am very clumsy so i have hit my head many times and I have noticed i have moments of confusion and dizziness. I have no ideas if they are related or if i just realized these things at the same time but i could use some piece of mind. | Hi, Dear,thanks for the query. Going by the facts told by you, In my opinion-it appears to be post-traumatic-lump, as you noticed after the hit you had lately. But I would advise you to have second opinion on the dizziness and confusion, to find out its cause and treat it accordingly....or it may be a complaint-post- hit effect.BE careful and act fast according to the advice given. HOPE this would solve your query. Wellcome again to Chat Doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: For a while now i have had a dent in my head near my near my hairline. Next to it is a small raised area. It is soft when i press it. I am very clumsy so i have hit my head many times and I have noticed i have moments of confusion and dizziness. I have no ideas if they are related or if i just realized these things at the same time but i could use some piece of mind.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Dear,thanks for the query. Going by the facts told by you, In my opinion-it appears to be post-traumatic-lump, as you noticed after the hit you had lately. But I would advise you to have second opinion on the dizziness and confusion, to find out its cause and treat it accordingly....or it may be a complaint-post- hit effect.BE careful and act fast according to the advice given. HOPE this would solve your query. Wellcome again to Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi Mam, This is Vijaya, Age - 25, Height - 5.1, Weight - 65-70. I had misscarriage on Aug 20 (Baby growth was not proper), 2011 and I have got my first period after abortion on 19 Nov. I have hypothyoridism. Is it the right time for me to plan for kid or how many months do i need to have break after misscarriage. Please advise. | Hi, Welcome to Chat Doctor. I am Chat Doctor. I will be answering your concerns. There is no need to wait for few months after miscarriage to plan for next pregnancy. What is extremely important is that your hypothyroidism is treated properly. Make sure that your thyroid hormones are normal before planning pregnancy. Normal thyroid hormones are necessary for conception and for babies growth. I hope this is helpful. If you have further concerns, do write to me. | <|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 Mam, This is Vijaya, Age - 25, Height - 5.1, Weight - 65-70. I had misscarriage on Aug 20 (Baby growth was not proper), 2011 and I have got my first period after abortion on 19 Nov. I have hypothyoridism. Is it the right time for me to plan for kid or how many months do i need to have break after misscarriage. Please advise.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Welcome to Chat Doctor. I am Chat Doctor. I will be answering your concerns. There is no need to wait for few months after miscarriage to plan for next pregnancy. What is extremely important is that your hypothyroidism is treated properly. Make sure that your thyroid hormones are normal before planning pregnancy. Normal thyroid hormones are necessary for conception and for babies growth. I hope this is helpful. If you have further concerns, do write to me.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have severe abdominal pain and cramping that sometimes leaves me doubled over and having difficulty standing up straight. I have episodes of nausea and vomiting. I have a lot of gas. My bowel movements have changed. I spent 3 days in hospital 2 weeks ago and was diagnosed with paralytic ileus. Abdominal pain has continued though. I have several good days with no symptoms and then the above symptoms return, sometimes accompanied by headaches and fatigue. | Hi. The question has to have some relevance. There can not be cramps (of intestinal origin) during paralytic illus. Paralytic illus means the intestines have gone into a stage of paralysis, and they can not move (no peristalsis). Well-regarding your symptoms-Get proper investigations 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: I have severe abdominal pain and cramping that sometimes leaves me doubled over and having difficulty standing up straight. I have episodes of nausea and vomiting. I have a lot of gas. My bowel movements have changed. I spent 3 days in hospital 2 weeks ago and was diagnosed with paralytic ileus. Abdominal pain has continued though. I have several good days with no symptoms and then the above symptoms return, sometimes accompanied by headaches and fatigue.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. The question has to have some relevance. There can not be cramps (of intestinal origin) during paralytic illus. Paralytic illus means the intestines have gone into a stage of paralysis, and they can not move (no peristalsis). Well-regarding your symptoms-Get proper investigations as follows<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My children ages 11 & 9 have bumps all over their bodies including their faces. They are flesh colored not red but are on their arms, backs, torso and checks neither of them are complaining of itching. The same thing happened to both children about 3 weeks ago, but the bumps were red, as this time they are colorless. | Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My children ages 11 & 9 have bumps all over their bodies including their faces. They are flesh colored not red but are on their arms, backs, torso and checks neither of them are complaining of itching. The same thing happened to both children about 3 weeks ago, but the bumps were red, as this time they are colorless.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi i am 35yrs will be 36yrs on oct 22nd and my period is a normal cd26- cd27 but i was told by my doctor that i have pcos in my right ovary and my left ovary is fine. i do have a 12 yrs old son had an unwanted pregnancy and now i want to have another child. my period started july 27th 2011 and i started taking clomid cd 3-7 i waited for my period to start on the 22-23 august 2011 and it never came until august 27 2011 which took it into 31days being late. i will like to know if i did in fact ovulated which caused the change in my cycle and also i am now on clomid cd 1-5 which i took on sat 8-27-11 i will like to know when should i expect to ovulate and start having interourse? thank you | Welcome to Chat Doctor forum normal after the last dose of closed over, one will ovulate within 5th to 9th days. It means if you took last dose on suppose 3rd DEC. Then you will ovulate between 8th to 12th DEC. Just have regular intercourse within the fertile period, or say at least alternate day. If your menses is late it has nothing to do with ovulation under closed. It has to do only if one is not on closed. So be relaxed and try. I hope I answered your query. Wish you good health. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi i am 35yrs will be 36yrs on oct 22nd and my period is a normal cd26- cd27 but i was told by my doctor that i have pcos in my right ovary and my left ovary is fine. i do have a 12 yrs old son had an unwanted pregnancy and now i want to have another child. my period started july 27th 2011 and i started taking clomid cd 3-7 i waited for my period to start on the 22-23 august 2011 and it never came until august 27 2011 which took it into 31days being late. i will like to know if i did in fact ovulated which caused the change in my cycle and also i am now on clomid cd 1-5 which i took on sat 8-27-11 i will like to know when should i expect to ovulate and start having interourse? thank you<|eot_id|><|start_header_id|>assistant<|end_header_id|>Welcome to Chat Doctor forum normal after the last dose of closed over, one will ovulate within 5th to 9th days. It means if you took last dose on suppose 3rd DEC. Then you will ovulate between 8th to 12th DEC. Just have regular intercourse within the fertile period, or say at least alternate day. If your menses is late it has nothing to do with ovulation under closed. It has to do only if one is not on closed. So be relaxed and try. I hope I answered your query. Wish you good health.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | sir, i am 35 years old man,had epigastriam pain in feb first week and admitted in hospital for 10 days i was diagnosed acute pancreatitis due to sludge in gall blader.i was treated with heavy antibiotics and dischared.but after one month i had again pain and mrcp report shows bulky pancreas and sludge in gall blader with echogenic mobile specks. pl help me what can i do .parveen | Hi and welcome to Chat Doctor. Thank you for your query. It seems like you have gallbladder sludge which causes repeated pancreatitis and this is definitely the indication for cholecystectomy. Some surgeons usually wait for 2 months after pancreatitis attack because it is hard to perform such procedure in acute phase. Till that, you should follow hepatic diet, take ursodeoxicolic acid, avoid alcohol and fatty food. Pancreatitis is likely to occur associated with gallbladder stones so. Sometimes it can be severe attack. SO I suggest doing laparoscopic cholecystectomy definitely. Wish you good health. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: sir, i am 35 years old man,had epigastriam pain in feb first week and admitted in hospital for 10 days i was diagnosed acute pancreatitis due to sludge in gall blader.i was treated with heavy antibiotics and dischared.but after one month i had again pain and mrcp report shows bulky pancreas and sludge in gall blader with echogenic mobile specks. pl help me what can i do .parveen<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi and welcome to Chat Doctor. Thank you for your query. It seems like you have gallbladder sludge which causes repeated pancreatitis and this is definitely the indication for cholecystectomy. Some surgeons usually wait for 2 months after pancreatitis attack because it is hard to perform such procedure in acute phase. Till that, you should follow hepatic diet, take ursodeoxicolic acid, avoid alcohol and fatty food. Pancreatitis is likely to occur associated with gallbladder stones so. Sometimes it can be severe attack. SO I suggest doing laparoscopic cholecystectomy definitely. Wish you good health.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I had unprotected sex last Wednesday night, the guy told me the next day he saw a red spot on his penis and went to the doctor and the doctor said he has herpes. I have shown no symptoms of any sores/blisters etc. my doctor took a swab and a blood test but I don t know my results yet. If I have no symptoms, could I still have herpes? | Hello, Short answer | <|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 unprotected sex last Wednesday night, the guy told me the next day he saw a red spot on his penis and went to the doctor and the doctor said he has herpes. I have shown no symptoms of any sores/blisters etc. my doctor took a swab and a blood test but I don t know my results yet. If I have no symptoms, could I still have herpes?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Short answer<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | how common is cleidocranial dysplasia and how many people in the uk have it? | Hello, welcome to Chat Doctor thanks for the query Cleidocranial dysplasia involves approximately 1 per million individuals worldwide It is transmitted as an autosomal dominant trait it's a generalized bone dysplasia characterized by mild-to-moderate short stature, curricular aphasia or hyperplasia, supernumerary and ectopic teeth, delayed eruption of secondary teeth, a characteristic craniofacial appearance, and a variety of other skeletal anomalies 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: how common is cleidocranial dysplasia and how many people in the uk have it?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, welcome to Chat Doctor thanks for the query Cleidocranial dysplasia involves approximately 1 per million individuals worldwide It is transmitted as an autosomal dominant trait it's a generalized bone dysplasia characterized by mild-to-moderate short stature, curricular aphasia or hyperplasia, supernumerary and ectopic teeth, delayed eruption of secondary teeth, a characteristic craniofacial appearance, and a variety of other skeletal anomalies take care<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | my wife gets motion sickness while travelling by Air. She is 62 yrs old.Generally she takes Stemetil (prochloperazine) to prevent the air sickness .I would like to know whether this medicine is o.k. and how to take it. Also I would like to know whether a better remedy is there,as on our last flight she had the sickness though she took the said medecine. | Hi, Thank you for posting your query. I have noted your wives symptoms. I would like to point out that prochlorperazine is not very effective in controlling motion sickness. Better alternatives for preventing motion sickness include scopolamine, linearizing, meclizine and dimethyl Chat Doctor. Please discuss these options with your doctor. Most of these are available as over the counter medicines. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing 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: my wife gets motion sickness while travelling by Air. She is 62 yrs old.Generally she takes Stemetil (prochloperazine) to prevent the air sickness .I would like to know whether this medicine is o.k. and how to take it. Also I would like to know whether a better remedy is there,as on our last flight she had the sickness though she took the said medecine.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thank you for posting your query. I have noted your wives symptoms. I would like to point out that prochlorperazine is not very effective in controlling motion sickness. Better alternatives for preventing motion sickness include scopolamine, linearizing, meclizine and dimethyl Chat Doctor. Please discuss these options with your doctor. Most of these are available as over the counter medicines. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health,<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi.......please am pregnant and bleeding my health care provider gave me Primolut N and am having severe pain now.could it be as a result of the drug I just took it for day 3.please help I see something like Mendes every month that makes her prescribe primolutN | HI, Thanks for the query. I understand your concern. Primal N is a hormonal preparation to control menstrual problems. It is contraindicated in pregnancy. If taken during pregnancy by mistake. It has bad effect on fetus & pregnancy needs to be terminated It helps to control profuse bleeding menses but does not have any role in controlling bleeding in confirmed pregnancy... The continued bleeding with severe pain seems to be natural progress of abortion (which caused bleeding to start with)... that's why you do not see any improvement after 3 days treatment with Primal N. I would advise consulting a gynecologist, get examined & USG if needful to start with specific management. As per the stage of process. 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.......please am pregnant and bleeding my health care provider gave me Primolut N and am having severe pain now.could it be as a result of the drug I just took it for day 3.please help I see something like Mendes every month that makes her prescribe primolutN<|eot_id|><|start_header_id|>assistant<|end_header_id|>HI, Thanks for the query. I understand your concern. Primal N is a hormonal preparation to control menstrual problems. It is contraindicated in pregnancy. If taken during pregnancy by mistake. It has bad effect on fetus & pregnancy needs to be terminated It helps to control profuse bleeding menses but does not have any role in controlling bleeding in confirmed pregnancy... The continued bleeding with severe pain seems to be natural progress of abortion (which caused bleeding to start with)... that's why you do not see any improvement after 3 days treatment with Primal N. I would advise consulting a gynecologist, get examined & USG if needful to start with specific management. As per the stage of process. Thanks<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I had bunion/ hammer toe surgery a week ago. After two days of taking Norco & Vistaril for 2 days for pain, i had an allergic reaction to them (the drs. think) I ended up passing out after eating. I went to emergency room & they kept me overnight for observation. I ve been sitting & laying around alot this past week also. I just ate a small salad 2 hrs ago & since then felt a lump in my throat & nauseous. I just threw up. I have been bothered with acid reflux for a while now. I am also taking Levaquin for a bladder infection right now. Do I need to see a doctor? | Halloween come to Chat Doctor Dear patient, hope salads don't cause allergic reactions, this problem of lump in the throat and nausea seems to be more related to your acid reflux problem which might have got aggravated by the painkillers that you took after surgery, if you feel that the pain is persisting there, and you have vomiting also along with nausea then you can go and consult a doctor, otherwise if you are feeling ok, you need not worry, just make sure that you don't eat too much of spicy foods. Hope to see you feeling better soon good luck thanks Chat Doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I had bunion/ hammer toe surgery a week ago. After two days of taking Norco & Vistaril for 2 days for pain, i had an allergic reaction to them (the drs. think) I ended up passing out after eating. I went to emergency room & they kept me overnight for observation. I ve been sitting & laying around alot this past week also. I just ate a small salad 2 hrs ago & since then felt a lump in my throat & nauseous. I just threw up. I have been bothered with acid reflux for a while now. I am also taking Levaquin for a bladder infection right now. Do I need to see a doctor?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Halloween come to Chat Doctor Dear patient, hope salads don't cause allergic reactions, this problem of lump in the throat and nausea seems to be more related to your acid reflux problem which might have got aggravated by the painkillers that you took after surgery, if you feel that the pain is persisting there, and you have vomiting also along with nausea then you can go and consult a doctor, otherwise if you are feeling ok, you need not worry, just make sure that you don't eat too much of spicy foods. Hope to see you feeling better soon good luck thanks Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | The last two nights after eating supper I came down with the chills, then turned into a bad headache and fever, followed by sweating. Both meals were different and feeling ok during the day. Doesn t feel like I m getting a cold, so its becoming kind of scary. I was sick with a head-cold / sinus infection within the last two weeks, but have been taking antibiotics. I m on my last day with no symptoms of relapse. It was a pretty bad cold with a lot of infectious saliva, but that has cleared up. Please help out, I will be making an appointment in the morning, but would like help to get some clarification right now as I sit here sweating. | Hellos you mentioned that you are feeling chills, fever and headache, particularly in the night even after different meals on both occasions. So this type of fever may be due to | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: The last two nights after eating supper I came down with the chills, then turned into a bad headache and fever, followed by sweating. Both meals were different and feeling ok during the day. Doesn t feel like I m getting a cold, so its becoming kind of scary. I was sick with a head-cold / sinus infection within the last two weeks, but have been taking antibiotics. I m on my last day with no symptoms of relapse. It was a pretty bad cold with a lot of infectious saliva, but that has cleared up. Please help out, I will be making an appointment in the morning, but would like help to get some clarification right now as I sit here sweating.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hellos you mentioned that you are feeling chills, fever and headache, particularly in the night even after different meals on both occasions. So this type of fever may be due to<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Profuse sweating in occipital area, pressure in entire head, blurred vision both eyes, dizziness. Second T I A as per hospital. Cat scan neg. T I A one year apart. First T I A both eyes lost vision for two minutes. Last 10 days continued pressure in head. | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have pressure in head, sweating and blurred vision. Well there can be many reasons for symptoms you mention in query like middle ear infection, labyrinthine, diabetes, type 2, medication reaction or side effect, transient ischemic attack, tumor or anemia. I would suggest you to consult general practitioner for proper examination. Doctor may order certain test like blood test along with taking history and check vitals. Doctor may refer you to ENT specialist for ear problem or to neurologist. Hope your concern has been resolved. Get Well Soon. Best Wishes, | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Profuse sweating in occipital area, pressure in entire head, blurred vision both eyes, dizziness. Second T I A as per hospital. Cat scan neg. T I A one year apart. First T I A both eyes lost vision for two minutes. Last 10 days continued pressure in head.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have pressure in head, sweating and blurred vision. Well there can be many reasons for symptoms you mention in query like middle ear infection, labyrinthine, diabetes, type 2, medication reaction or side effect, transient ischemic attack, tumor or anemia. I would suggest you to consult general practitioner for proper examination. Doctor may order certain test like blood test along with taking history and check vitals. Doctor may refer you to ENT specialist for ear problem or to neurologist. Hope your concern has been resolved. Get Well Soon. Best Wishes,<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | hi i hit my husbands hand with mine playing around and it has been swollen for four days. it has a knot ontop of my hand and is sore. my fingers are badly bruised. it instanly swole up when it happened. do u think its broken should i get an xray? it doesnt hurt to move it just when i touch it. | Hello, As you had the injury while hitting, and no pain while movements then it won't be a facture. I don't think any kind of x-ray is needed for now. Do icing to reduce the pain and swelling twice a day. In between do hot water fermentation and move your fingers within the hot water tub. After a week or so you can try pressing the sponge ball slowly to regain the strength. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hi i hit my husbands hand with mine playing around and it has been swollen for four days. it has a knot ontop of my hand and is sore. my fingers are badly bruised. it instanly swole up when it happened. do u think its broken should i get an xray? it doesnt hurt to move it just when i touch it.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, As you had the injury while hitting, and no pain while movements then it won't be a facture. I don't think any kind of x-ray is needed for now. Do icing to reduce the pain and swelling twice a day. In between do hot water fermentation and move your fingers within the hot water tub. After a week or so you can try pressing the sponge ball slowly to regain the strength. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I am a 50 year old healthy female 5 weeks post op with left tkr. I had s cracked tooth I didnt know about, and it has recently gotten worse. There is no pain, or swelling, and I see the dentist in two weeks. I have been reading about infection of my tkr due to dental problems. Should I be worried, as I do have a bad taste coming from that tooth. I called my is who gave me an RX to take before the dentist. What about until? How common is an infection after tkr? Thank you | Hi. Thanks for the query. If you have a cracked tooth and there is bad taste from the tooth then it is a clear indication that the tooth is having an infection and although it is not painful bur it can flare up and become progressively painful and swelling can occur due to infection. Although if you have undergone total knee replacement 5 weeks back then the tooth infection is less likely to infect the area of surgery as there must be appropriate healing by now, but the tooth infection is left untreated can cause septicemia. So my suggestion to consult an Emergency room and get a script of antibiotics like Augmenting and gargle with antiseptic mouthwash solution. Do warm saline gargles. As soon as you can see a Dentist, consult the dentist and get an x-ray of tooth done and if tooth can be saved immediately get the Root canal done or else get the tooth removed. Hope this helps. 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 a 50 year old healthy female 5 weeks post op with left tkr. I had s cracked tooth I didnt know about, and it has recently gotten worse. There is no pain, or swelling, and I see the dentist in two weeks. I have been reading about infection of my tkr due to dental problems. Should I be worried, as I do have a bad taste coming from that tooth. I called my is who gave me an RX to take before the dentist. What about until? How common is an infection after tkr? Thank you<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. Thanks for the query. If you have a cracked tooth and there is bad taste from the tooth then it is a clear indication that the tooth is having an infection and although it is not painful bur it can flare up and become progressively painful and swelling can occur due to infection. Although if you have undergone total knee replacement 5 weeks back then the tooth infection is less likely to infect the area of surgery as there must be appropriate healing by now, but the tooth infection is left untreated can cause septicemia. So my suggestion to consult an Emergency room and get a script of antibiotics like Augmenting and gargle with antiseptic mouthwash solution. Do warm saline gargles. As soon as you can see a Dentist, consult the dentist and get an x-ray of tooth done and if tooth can be saved immediately get the Root canal done or else get the tooth removed. Hope this helps. Regards.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I think I suffered a 2nd concussion after being hit by a truck. I went to my pain mgmt dr crying uncontrollably and angry. He accused me of being angry because he would not give me more pain meds. I have GERD and he told me to try celebrex,and antagonized me until. I walked out.I went to the ER 2 days later with increased headache and pain,and was told that I did not have a concussion because I didn t lose consciousness. I have had symptoms since Dec 17. I have a neuros appt Jan 16. Neither dr performed any tests. I told 1st DR I felt suicidal due to uncontrolled pain. He gave me 63a Valiums and dismissed me from the practice. What is the protocol for suicidal patients? What can I do legally for the lack of treatment and professionalism?? | Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Suicide is an emergency and prescribing Valium to a suicidal patient is a big crime. It can increase the chances of suicide being successful. You can approach the court for this injustice in a consumer forum and claim for the compensation. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or want to know further details, you can use the below-mentioned link | <|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 think I suffered a 2nd concussion after being hit by a truck. I went to my pain mgmt dr crying uncontrollably and angry. He accused me of being angry because he would not give me more pain meds. I have GERD and he told me to try celebrex,and antagonized me until. I walked out.I went to the ER 2 days later with increased headache and pain,and was told that I did not have a concussion because I didn t lose consciousness. I have had symptoms since Dec 17. I have a neuros appt Jan 16. Neither dr performed any tests. I told 1st DR I felt suicidal due to uncontrolled pain. He gave me 63a Valiums and dismissed me from the practice. What is the protocol for suicidal patients? What can I do legally for the lack of treatment and professionalism??<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Suicide is an emergency and prescribing Valium to a suicidal patient is a big crime. It can increase the chances of suicide being successful. You can approach the court for this injustice in a consumer forum and claim for the compensation. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or want to know further details, you can use the below-mentioned link<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Are you or any of your colleagues specialist in treating very accute pancreatitus. Sister has suffered this condition for three months, most of that time in hospital and now in skilled nursing home. She now is fed by tube into her stomach. Still no solid food. We are desperate for a doctor who can address and treat her problem. Thank you. J. Hemenez | Welcome at Chat Doctor I have gone through your and being your physician ii completely understand your health concerns. As far as management is concerned, first thing is cause of acute pancreatitis is it a GALL STONES? Or something is else. Second is how severe is the attack? For this we need to get some investigations like serum glucose, BBC, LDH and AST along with UREA CREATININE and serum CALCIUM LEVELS. The most important aspect of the management is giving rest to the pancreas by keeping Will by mouth to patient. For this purpose NG tube has to be put in . All necessary fluids have to be given via intravenous route along with ANTIBIOTICS. Studies have shown that EMINEM has reduced the mortality by 70% in these patients. My advice to you, you should meet GASTROENTEROLOGIST so that you can be counselled properly. As far as home management for this disease is concerned I will discourage you for it and in my opinion patient should be hospitalized until and unless he starts tolerating oral diet... meanwhile stay calm and meet your GASTROENTEROLOGIST.get well soon Hope your query is adequately ad 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: Are you or any of your colleagues specialist in treating very accute pancreatitus. Sister has suffered this condition for three months, most of that time in hospital and now in skilled nursing home. She now is fed by tube into her stomach. Still no solid food. We are desperate for a doctor who can address and treat her problem. Thank you. J. Hemenez<|eot_id|><|start_header_id|>assistant<|end_header_id|>Welcome at Chat Doctor I have gone through your and being your physician ii completely understand your health concerns. As far as management is concerned, first thing is cause of acute pancreatitis is it a GALL STONES? Or something is else. Second is how severe is the attack? For this we need to get some investigations like serum glucose, BBC, LDH and AST along with UREA CREATININE and serum CALCIUM LEVELS. The most important aspect of the management is giving rest to the pancreas by keeping Will by mouth to patient. For this purpose NG tube has to be put in . All necessary fluids have to be given via intravenous route along with ANTIBIOTICS. Studies have shown that EMINEM has reduced the mortality by 70% in these patients. My advice to you, you should meet GASTROENTEROLOGIST so that you can be counselled properly. As far as home management for this disease is concerned I will discourage you for it and in my opinion patient should be hospitalized until and unless he starts tolerating oral diet... meanwhile stay calm and meet your GASTROENTEROLOGIST.get well soon Hope your query is adequately ad Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | when im talking to some one .... and i get the feeling that the heat of this chat is going up ... my hands shake ... i hear my heart beats .... like im scared to death !!! it embarrasses me a lot ... makes me skip important chats, makes me skip what i really want to say. please help. | Hello, I think you have anxiety issues. This doesn't look like social phobia as you have problem while talking only. Do you feel anxious of trivial issues or most of the time of the day? If the answer is yes, then you need to take antianxiety medicines as this might increase if left untreated and make it difficult for you to work. Late treatment also makes the problem chronic. There are several safe and good medicines available nowadays like, Escitalopram and sertraline. Please go to a doctor and discuss the problem in person and in detail. Regular exercise and deep breathing also helps, but nothing is as important and as effective as the correct medicine. 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: when im talking to some one .... and i get the feeling that the heat of this chat is going up ... my hands shake ... i hear my heart beats .... like im scared to death !!! it embarrasses me a lot ... makes me skip important chats, makes me skip what i really want to say. please help.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, I think you have anxiety issues. This doesn't look like social phobia as you have problem while talking only. Do you feel anxious of trivial issues or most of the time of the day? If the answer is yes, then you need to take antianxiety medicines as this might increase if left untreated and make it difficult for you to work. Late treatment also makes the problem chronic. There are several safe and good medicines available nowadays like, Escitalopram and sertraline. Please go to a doctor and discuss the problem in person and in detail. Regular exercise and deep breathing also helps, but nothing is as important and as effective as the correct medicine. Good luck.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Lower leg above ankle VERY swollen with bubbles that Can drain clear liquid. Rest of leg swells too. Seems to be a hard bump mid shin and from there down leg swells hard and round. Right leg. Left has no bump but is starting swelling and bubbles. Kidneys? Skin also pretty dry. | Hello! I have been through your question. Related your concern I think this could be bulbous erysipelas caused by streptococcus beta hemolytic. Usually this is common in diabetic patient(because of the fungi in foot that cause sores), immunocompromised patient and in patient with lymphatic obstruction. I suggest doing e physical examination by an infectious diseases specialist, to do culture of Chat Doctor. I hope my answer helps you. I wish you a quick 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: Lower leg above ankle VERY swollen with bubbles that Can drain clear liquid. Rest of leg swells too. Seems to be a hard bump mid shin and from there down leg swells hard and round. Right leg. Left has no bump but is starting swelling and bubbles. Kidneys? Skin also pretty dry.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello! I have been through your question. Related your concern I think this could be bulbous erysipelas caused by streptococcus beta hemolytic. Usually this is common in diabetic patient(because of the fungi in foot that cause sores), immunocompromised patient and in patient with lymphatic obstruction. I suggest doing e physical examination by an infectious diseases specialist, to do culture of Chat Doctor. I hope my answer helps you. I wish you a quick recovery.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I was was prescribed macroid twice daily for uti I also have a yeast infection and was prescribed fluconazole once daily every 3 days and was given 3 doses. How is Macroid for a UTI as I have read a lot of negative results? Is it effective? Should I wait to take the Fluconazole after the 7 days of my current treatment because Antibiotics cause yeast infections and due to the fact that I was prescribed 3 doses to be taken one pill every 3 days? Can they work effectively together?? Thank You | Hello, Macrobid (nitrofurantoin) is an excellent choice to treat UTI. However, if not working properly, should rune urine culture and sensitivity testing to determine the right diagnosis and most appropriate and sensitive antibiotic. Fluconazole is another good choice to treat yeast infection. Should take them all together at the same time as prescribed by your doctor. Do not wait for 7 days of finishing Macro bid. 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 was prescribed macroid twice daily for uti I also have a yeast infection and was prescribed fluconazole once daily every 3 days and was given 3 doses. How is Macroid for a UTI as I have read a lot of negative results? Is it effective? Should I wait to take the Fluconazole after the 7 days of my current treatment because Antibiotics cause yeast infections and due to the fact that I was prescribed 3 doses to be taken one pill every 3 days? Can they work effectively together?? Thank You<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Macrobid (nitrofurantoin) is an excellent choice to treat UTI. However, if not working properly, should rune urine culture and sensitivity testing to determine the right diagnosis and most appropriate and sensitive antibiotic. Fluconazole is another good choice to treat yeast infection. Should take them all together at the same time as prescribed by your doctor. Do not wait for 7 days of finishing Macro bid. 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, the first 3 days of being on my period I get really sharp pains in my lower stomache when I try and have a vowel movement and my stomache feels very sore. I only normally go about once or twice a week anyway which is normal for me but it hurts that much that sometimes cry. I sometimes hold it in until my cycle has finished | Hi...this is not normal...you are constipated...the more you keep it inside the harder it will become as the body keeps on absorbing water from it...and so it will be more difficult for you to evacuate it leading to more pain, and eventually you will develop anal fissure... so start a laxative in the night and eat more fibers like oats and bananas... Now, about the pain during menses...the intensity of pain varies between people as is their sensitivity to pain...take an analgesic during that time... | <|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, the first 3 days of being on my period I get really sharp pains in my lower stomache when I try and have a vowel movement and my stomache feels very sore. I only normally go about once or twice a week anyway which is normal for me but it hurts that much that sometimes cry. I sometimes hold it in until my cycle has finished<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi...this is not normal...you are constipated...the more you keep it inside the harder it will become as the body keeps on absorbing water from it...and so it will be more difficult for you to evacuate it leading to more pain, and eventually you will develop anal fissure... so start a laxative in the night and eat more fibers like oats and bananas... Now, about the pain during menses...the intensity of pain varies between people as is their sensitivity to pain...take an analgesic during that time...<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have lupus anticoagulant and just take a baby aspirin daily. Lately, i have been experiencing muscle cramps, light headedness,even a few occasions i had flashes or visions of something not there - not necessarily loss of appetite but not much sounds good. The only significant change is i recently started taking a package of vitamins - this is what is says on package - magnesium 316mg, zinc 15mg, selenium 25mcg, copper 1mg, manganese 1mg, chromium 25 mcg, molybdenum 5mcg, fish oil 2400 mg, malic acid 148 mg. we thought maybe dehydration so ive been pounding water and gatorade (stupid me has only been eating chicken noodle and crackers - only thing that tastes good). any thoughts? | Hi ! Thank you for your query. Dear madam, Well looking into the history you have given it seems like you need to get your disease evaluation at earliest. I don't think it is because of this multi vitamin supplement or deny Chat Doctor. Muscle cramps, fatigue indicate that the disease activity is going on. I advise you to consult a rheumatologist, get your ESR, CRP, PT, INR, APT done and accordingly get yourself assessed and treated as your doctor suggests. I think you should seek medical care at earliest. Wish you good health. Take care. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have lupus anticoagulant and just take a baby aspirin daily. Lately, i have been experiencing muscle cramps, light headedness,even a few occasions i had flashes or visions of something not there - not necessarily loss of appetite but not much sounds good. The only significant change is i recently started taking a package of vitamins - this is what is says on package - magnesium 316mg, zinc 15mg, selenium 25mcg, copper 1mg, manganese 1mg, chromium 25 mcg, molybdenum 5mcg, fish oil 2400 mg, malic acid 148 mg. we thought maybe dehydration so ive been pounding water and gatorade (stupid me has only been eating chicken noodle and crackers - only thing that tastes good). any thoughts?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi ! Thank you for your query. Dear madam, Well looking into the history you have given it seems like you need to get your disease evaluation at earliest. I don't think it is because of this multi vitamin supplement or deny Chat Doctor. Muscle cramps, fatigue indicate that the disease activity is going on. I advise you to consult a rheumatologist, get your ESR, CRP, PT, INR, APT done and accordingly get yourself assessed and treated as your doctor suggests. I think you should seek medical care at earliest. Wish you good health. Take care.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | So my boyfriend and I had sex last night and I have been on the pill (yaz) for 7 months and I had sex on my period the 4 day and I usually start a new packet on Sunday.. So we had sex and the condom broke and he came in me. I am nervous I could get pregnant because during the birth control I recently been good with taking it on time but missed one pill but took right away when remember it and been fine since and got my period on time . Should I go get the plan B? Or wait it out? I also have poliastic ovarian syndrom. Please help me | Hello, I have gone through your query and understood the concern. Since you are almost always regular with your oral contraceptive pills, you need not worry about possibility of conception, as there is none. Moreover, you had the intercourse soon after the onset of the menstrual period. There is no need for an emergency pill. Do not stress, go about with your regular contraception and wait for your next period. Taking the emergency pill is going to mess up your hormone balance and this is not at all advisable considering the fact that you have POD as well. 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 my boyfriend and I had sex last night and I have been on the pill (yaz) for 7 months and I had sex on my period the 4 day and I usually start a new packet on Sunday.. So we had sex and the condom broke and he came in me. I am nervous I could get pregnant because during the birth control I recently been good with taking it on time but missed one pill but took right away when remember it and been fine since and got my period on time . Should I go get the plan B? Or wait it out? I also have poliastic ovarian syndrom. Please help me<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, I have gone through your query and understood the concern. Since you are almost always regular with your oral contraceptive pills, you need not worry about possibility of conception, as there is none. Moreover, you had the intercourse soon after the onset of the menstrual period. There is no need for an emergency pill. Do not stress, go about with your regular contraception and wait for your next period. Taking the emergency pill is going to mess up your hormone balance and this is not at all advisable considering the fact that you have POD as well. Hope this helps.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I had quintuple bypass surgery May 12, 2014. My echocardiogram on July 8 shows no change - my heart is still pumping 35% as it was prior to the bypass. My blood pressure is also still elevated and medication is not controlling it yet. I realize I have coronary artery disease and while still in the hospital congestive heart failure was discussed. I am wondering what the typical life expectancy is as I do not know if I should elect to file for disability and retire. I am 60. | Hello, I have gone through your question. Let me tell you 35% ejection fraction is moderate dysfunction, and you should not worry too much about it. But you must control Blood pressure properly .your BP must remain below 140/90.as you have not mentioned your present medication I can't guide further. For your coronary artery disease you already have bypass. So continue all medicines and control BP as suggested. I would be happy to guide you further if you furnish all the details. My 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: I had quintuple bypass surgery May 12, 2014. My echocardiogram on July 8 shows no change - my heart is still pumping 35% as it was prior to the bypass. My blood pressure is also still elevated and medication is not controlling it yet. I realize I have coronary artery disease and while still in the hospital congestive heart failure was discussed. I am wondering what the typical life expectancy is as I do not know if I should elect to file for disability and retire. I am 60.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, I have gone through your question. Let me tell you 35% ejection fraction is moderate dysfunction, and you should not worry too much about it. But you must control Blood pressure properly .your BP must remain below 140/90.as you have not mentioned your present medication I can't guide further. For your coronary artery disease you already have bypass. So continue all medicines and control BP as suggested. I would be happy to guide you further if you furnish all the details. My best wishes Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Im currently on the birth control IMPLONON and have been for a year. I havnt had a period in about two months. My last one was very heavy. I think im starting my period but its tinged pink very lite. I had unprotected sex a week and four days ago. So im not sure if what im having is implantation bleeding. | Hello, Thanks for letting us know your health concern. It is often usual to experience irregular menstrual pattern while on hormone contraception. This is due to the altered hormone balance. However, this occurs during the initial couple of months until the body adjusts to the new hormone milieu. In the current scenario, you have to exclude/confirm pregnancy, though the chances are remote. Please get the blood test done and follow it up with a pelvic/trans-vaginal sonogram to clarify the situation and plan further management. 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: Im currently on the birth control IMPLONON and have been for a year. I havnt had a period in about two months. My last one was very heavy. I think im starting my period but its tinged pink very lite. I had unprotected sex a week and four days ago. So im not sure if what im having is implantation bleeding.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thanks for letting us know your health concern. It is often usual to experience irregular menstrual pattern while on hormone contraception. This is due to the altered hormone balance. However, this occurs during the initial couple of months until the body adjusts to the new hormone milieu. In the current scenario, you have to exclude/confirm pregnancy, though the chances are remote. Please get the blood test done and follow it up with a pelvic/trans-vaginal sonogram to clarify the situation and plan further management. Hope this helps.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | my knee has been bothering me for two weeks, it never looked swollen but tonight it feels warm. I limp only because I am afraid it will pop out and that kind of hurts. Most of the time it feels fine, but the knee feels swollen when I bend it. If I stretch it when I first get up it feels fine. I went to chiropractor last week and it felt 90% for about 24 hrs and then started to bother me again. Should I go to the doctor I really have no pain just a dull ache in knee. | Are you suffering from a back pain? Or is it some other joint pain? Are you looking for some medical remedy or treatment to get rid of your pains? In Kansas, Chiropractor can help you get rid of these pains, and we have the best chiropractors. At North Colorado Spine & Orthopedics we have every treatment you can think of to get rid of your any problems related to joints and muscles. We take immense pride in acclaiming the best trained and professional team of chiropractors as well as surgeons. In Kansas City, orthopedic surgeon is also available, and the best one is nowhere else but with North Colorado Spine & Orthopedics. We are just the best if it comes to spinal 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: my knee has been bothering me for two weeks, it never looked swollen but tonight it feels warm. I limp only because I am afraid it will pop out and that kind of hurts. Most of the time it feels fine, but the knee feels swollen when I bend it. If I stretch it when I first get up it feels fine. I went to chiropractor last week and it felt 90% for about 24 hrs and then started to bother me again. Should I go to the doctor I really have no pain just a dull ache in knee.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Are you suffering from a back pain? Or is it some other joint pain? Are you looking for some medical remedy or treatment to get rid of your pains? In Kansas, Chiropractor can help you get rid of these pains, and we have the best chiropractors. At North Colorado Spine & Orthopedics we have every treatment you can think of to get rid of your any problems related to joints and muscles. We take immense pride in acclaiming the best trained and professional team of chiropractors as well as surgeons. In Kansas City, orthopedic surgeon is also available, and the best one is nowhere else but with North Colorado Spine & Orthopedics. We are just the best if it comes to spinal care.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My husband has had a nagging cough for two weeks. He had an appointment with his physician for another reason, and his doctor refused to talk about his cough, but only said that if it continued, he may have to order an upper respiratory x-ray. What can be done to alleviate his cough in the meantime? | Welcome to Chat Doctor, As per your query, You can try these remedies for cough, cold and sore throat.1. Saltwater gargle-gargling several times a day with warm salt water can reduce swelling in the throat and loosen mucus, helping to flush out irritants or bacteria. Dissolve half a teaspoon of salt in one cup of water. Just remember to spit the water out after gargling, rather than swallowing.2. You can take Anti-allergic Been Chat Doctor. Lozenges and spray-Sucking on cough | <|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 had a nagging cough for two weeks. He had an appointment with his physician for another reason, and his doctor refused to talk about his cough, but only said that if it continued, he may have to order an upper respiratory x-ray. What can be done to alleviate his cough in the meantime?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Welcome to Chat Doctor, As per your query, You can try these remedies for cough, cold and sore throat.1. Saltwater gargle-gargling several times a day with warm salt water can reduce swelling in the throat and loosen mucus, helping to flush out irritants or bacteria. Dissolve half a teaspoon of salt in one cup of water. Just remember to spit the water out after gargling, rather than swallowing.2. You can take Anti-allergic Been Chat Doctor. Lozenges and spray-Sucking on cough<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Husband had Pacemaker surgery on February 4th. We have been checking the incision daily and one side of the incision has a lump about the size of a golf ball. It was larger when he first came home and it has gone down in size. His antibiotics ended on the 9th of February. Should we be concerned? | Hi, Welcome to Chat Doctor. This could be due to Post-Pacemaker Hematoma and tissue edema. As antibiotics are given and as lump has come down, would reduce in next 10 days time, and risk of abscess is very less. Still you have to watch for late infections and Abscess. Hope this would help you to resolve your query. Else Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. 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: Husband had Pacemaker surgery on February 4th. We have been checking the incision daily and one side of the incision has a lump about the size of a golf ball. It was larger when he first came home and it has gone down in size. His antibiotics ended on the 9th of February. Should we be concerned?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Welcome to Chat Doctor. This could be due to Post-Pacemaker Hematoma and tissue edema. As antibiotics are given and as lump has come down, would reduce in next 10 days time, and risk of abscess is very less. Still you have to watch for late infections and Abscess. Hope this would help you to resolve your query. Else Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVTS<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I m a 25 yr old guy. I ve recently started getting small boils in my pubic area. I ve been sexually inactive for a year now. I have 3-4 boils only and that has been the case since it started. These boils are not at all itchy or irritable. They aren t painful either. I maintain good hygiene and I m worried about what s happening. Have I contracted an STD? I ve always used protection while having sex. I have one on my scrotum, one on my inner right thigh and one at the underside on my penis. Please advise, I m really worried. | HelloThanks for query. Based on what you have described I would state that you have developed multiple Sebaceous cysts over genital area.However, this needs to be confirmed by qualified General Surgeon or Urologist. The skin in genital area is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation and further treatment. If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac) 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, I m a 25 yr old guy. I ve recently started getting small boils in my pubic area. I ve been sexually inactive for a year now. I have 3-4 boils only and that has been the case since it started. These boils are not at all itchy or irritable. They aren t painful either. I maintain good hygiene and I m worried about what s happening. Have I contracted an STD? I ve always used protection while having sex. I have one on my scrotum, one on my inner right thigh and one at the underside on my penis. Please advise, I m really worried.<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloThanks for query. Based on what you have described I would state that you have developed multiple Sebaceous cysts over genital area.However, this needs to be confirmed by qualified General Surgeon or Urologist. The skin in genital area is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation and further treatment. If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac) Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | in 2009 i had my mitral valve replaced and have been doing fine so far, well yesterday, my ekg showed a \"old heart attack\", and now my dr. wants to do an echocardiogram to make sure the ekg is correct. Would an ekg show a false reading? & is my dr. doing the correct procedure by doing an echocardiogram? | Hi, welcome to Chat Doctor. Thanks for writing to us. The EKG is always a first-hand tool in cardiology. EKG never shows false reading. But following an evidence of heart attack it is always advisable to do an ECHOCARDIOGRAM. It confirms the presence of any Regional Wall Motion Abnormality(RAMA) resulting due to a heart attack.Also, an ECHO provides an idea about the pumping ability of the heart. If the ejection fraction in the ECHO report comes out to be above 60%,it can be considered that the pumping ability of heart is okay. More you have mentioned that a mitral valve replacement was done in 2009. The ECHO can provide useful information about the proper in situ position of the valve and its proper functioning. Hope I have answered your query. Stay fit, 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: in 2009 i had my mitral valve replaced and have been doing fine so far, well yesterday, my ekg showed a \"old heart attack\", and now my dr. wants to do an echocardiogram to make sure the ekg is correct. Would an ekg show a false reading? & is my dr. doing the correct procedure by doing an echocardiogram?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, welcome to Chat Doctor. Thanks for writing to us. The EKG is always a first-hand tool in cardiology. EKG never shows false reading. But following an evidence of heart attack it is always advisable to do an ECHOCARDIOGRAM. It confirms the presence of any Regional Wall Motion Abnormality(RAMA) resulting due to a heart attack.Also, an ECHO provides an idea about the pumping ability of the heart. If the ejection fraction in the ECHO report comes out to be above 60%,it can be considered that the pumping ability of heart is okay. More you have mentioned that a mitral valve replacement was done in 2009. The ECHO can provide useful information about the proper in situ position of the valve and its proper functioning. Hope I have answered your query. Stay fit, good luck.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Dear drs, im a mediterianian female ,22 years old i suffer from anemia since i was 15 , i was checking my anemia level and the dr said taht i dont have iron deffiecncy but the rbc are small and i might have thelassemia , i feel tired and dizzy all the time and sometimes my legs and back hurts as well, my last blood results are | Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Tiredness and dizziness are features of anemia and is not specific to thalassemia.2. The present anemia if present with normal serum iron levels indicates a possibility of thalassemia. However, if diagnosed at this age, it is possibly a mild variant.3. Confirmation of thalassemia can be made through hemoglobin electrophoresis. Signs and symptoms cannot be indicative of thalassemia. Hemoglobin electrophoresis test necessary for confirmation. Hope it helps. Any further queries, happy to help again. | <|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 drs, im a mediterianian female ,22 years old i suffer from anemia since i was 15 , i was checking my anemia level and the dr said taht i dont have iron deffiecncy but the rbc are small and i might have thelassemia , i feel tired and dizzy all the time and sometimes my legs and back hurts as well, my last blood results are<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Tiredness and dizziness are features of anemia and is not specific to thalassemia.2. The present anemia if present with normal serum iron levels indicates a possibility of thalassemia. However, if diagnosed at this age, it is possibly a mild variant.3. Confirmation of thalassemia can be made through hemoglobin electrophoresis. Signs and symptoms cannot be indicative of thalassemia. Hemoglobin electrophoresis test necessary for confirmation. Hope it helps. Any further queries, happy to help again.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | HI I am having intense back spasms and havent used my prescription on ultram or cyclobenzaprine for a couple of months. Now that I have been taking zoloft 25mg for a month, can I still use either one of these for back spasms and muscle tension. Thanks for any advice. Christian | Hello, It is not advisable to use the prescription which is given before a month i.e. Old prescription. Because the cause for your back pain need further evaluation by physician to find the correct diagnosis. I do not recommend my patients to use medicines on their own without any medical advice. In addition, you may land in unwanted side effects and interactions. Some tablets may increase the risk of preexisting diseases like hypertension, diabetes.Thus, always consult your treating physician before taking any Chat Doctor. Hope this helps. Please write back for further queries. Wishing you good health. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: HI I am having intense back spasms and havent used my prescription on ultram or cyclobenzaprine for a couple of months. Now that I have been taking zoloft 25mg for a month, can I still use either one of these for back spasms and muscle tension. Thanks for any advice. Christian<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, It is not advisable to use the prescription which is given before a month i.e. Old prescription. Because the cause for your back pain need further evaluation by physician to find the correct diagnosis. I do not recommend my patients to use medicines on their own without any medical advice. In addition, you may land in unwanted side effects and interactions. Some tablets may increase the risk of preexisting diseases like hypertension, diabetes.Thus, always consult your treating physician before taking any Chat Doctor. Hope this helps. Please write back for further queries. Wishing you good health.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | possibly I have a gout sympthoms - I have aces in the metatrasalphalangeal joint - did not get any hit there - and it is hurting for last 3 days so I can not stand on it. Started to take ibuprofem (500mg *3 a day) . Seems like it is getting better - what should be next step? Thanks. | Hi, Joints which are pathogenic for gout is first metatarsophalangeal joint (base joint of great toe). Metatarsophalangeal joints can be affected in any arthritis. Gout is characterized by swollen inflamed red and warm joints, with periods of exacerbation. Pain in gouty joints increase with cold. You need to get serum uric acid estimation along with ESR, CRP, RA factor, anti CCP and CBC done to confirm the diagnosis and start of proper treatment. Take care. 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: possibly I have a gout sympthoms - I have aces in the metatrasalphalangeal joint - did not get any hit there - and it is hurting for last 3 days so I can not stand on it. Started to take ibuprofem (500mg *3 a day) . Seems like it is getting better - what should be next step? Thanks.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Joints which are pathogenic for gout is first metatarsophalangeal joint (base joint of great toe). Metatarsophalangeal joints can be affected in any arthritis. Gout is characterized by swollen inflamed red and warm joints, with periods of exacerbation. Pain in gouty joints increase with cold. You need to get serum uric acid estimation along with ESR, CRP, RA factor, anti CCP and CBC done to confirm the diagnosis and start of proper treatment. Take care. 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 WANT TO DO A CT SCAN TEST FOR MY SON ,27 YEARS ,AUTISTIC FROM BIRTH.HE WAS RECENTLY TREATED FOR PNEUMONIA.HE CAN NOT TALK.AND HYPER ACTIVE SOME TIMES.IT IS SUGGESTD THAT HIS SCAN CAN BE TAKEN TO ACCERTAIN WHETHER HE ANY TB .HE HAS TO BE ANSETHASISED FOR THIS. HOW ABOUT THIS SAFE? PLEASE ADVISE. | HelloSign your son was a patient of pneumonia and that pneumonia resolved i.e. there is no any symptoms. In other words resolved pneumonia looks like cavities in lungs and few doctor reach in dilemma. If your son don't having any symptoms like COUGH, LOW GRADE FEVER (more than 20-30 days) , loss of appetite, sputum weight loss then there is no need of any CT SCAN (but this is my opinion). At least just for the diagnosis for tuberculosis (in lungs) I never advise anesthesia just for CT SCAN (but for pulmonary tuberculosis. With the help of stethoscope and clinical examination we can establish diagnosis. Sputum and blood examination are other parameters. Hope this will help you. 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 WANT TO DO A CT SCAN TEST FOR MY SON ,27 YEARS ,AUTISTIC FROM BIRTH.HE WAS RECENTLY TREATED FOR PNEUMONIA.HE CAN NOT TALK.AND HYPER ACTIVE SOME TIMES.IT IS SUGGESTD THAT HIS SCAN CAN BE TAKEN TO ACCERTAIN WHETHER HE ANY TB .HE HAS TO BE ANSETHASISED FOR THIS. HOW ABOUT THIS SAFE? PLEASE ADVISE.<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloSign your son was a patient of pneumonia and that pneumonia resolved i.e. there is no any symptoms. In other words resolved pneumonia looks like cavities in lungs and few doctor reach in dilemma. If your son don't having any symptoms like COUGH, LOW GRADE FEVER (more than 20-30 days) , loss of appetite, sputum weight loss then there is no need of any CT SCAN (but this is my opinion). At least just for the diagnosis for tuberculosis (in lungs) I never advise anesthesia just for CT SCAN (but for pulmonary tuberculosis. With the help of stethoscope and clinical examination we can establish diagnosis. Sputum and blood examination are other parameters. Hope this will help you. Good luck.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I am 26.My name is Sudha.I have ring worm like skin itching in my neck only on one side for the past 1 month.some times it troubles me by itching.yesterday night i found my face having some allergy results small pimble like in my face but there is no itching...Please give me some suggestions...Thanks | As you have mentioned in your history it is clear that you are suffering from some sort of fungal infection. For this first you have to take some antibiotic preferably cap doxycycline 100 mg twice daily after meals for at least 5 days along with tab levocetrizine or tab fexofenadine twice daily after meals for itching with tab rant ac or cap Gomez twice daily empty stomach. ? You can also take some antifungal medicine like tab role 150 mg once daily in night for at-least 5 days. In addition to all you have to use clobit-gm or valnerate-c cream for local application. Last but not the least, avoid scratching of local part, apply Vaseline or coconut oil as it will be quite helpful in reducing the severity of itching. | <|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 26.My name is Sudha.I have ring worm like skin itching in my neck only on one side for the past 1 month.some times it troubles me by itching.yesterday night i found my face having some allergy results small pimble like in my face but there is no itching...Please give me some suggestions...Thanks<|eot_id|><|start_header_id|>assistant<|end_header_id|>As you have mentioned in your history it is clear that you are suffering from some sort of fungal infection. For this first you have to take some antibiotic preferably cap doxycycline 100 mg twice daily after meals for at least 5 days along with tab levocetrizine or tab fexofenadine twice daily after meals for itching with tab rant ac or cap Gomez twice daily empty stomach. ? You can also take some antifungal medicine like tab role 150 mg once daily in night for at-least 5 days. In addition to all you have to use clobit-gm or valnerate-c cream for local application. Last but not the least, avoid scratching of local part, apply Vaseline or coconut oil as it will be quite helpful in reducing the severity of itching.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I saw a dentist yesterday and the doctor said that i have dental plaques and it has to be reomoved other wise i will get severe infection of the gums and teeth, Is it true. What are theses Dental plaques. How are they removed. | Hello there, Dental plaque is the soft deposits formed by bacterial colonization in the oral cavity due to poor oral hygiene habits like improper brushing and flossing habits. Accumulation of bacterial plaque deep in the gum pockets and root surfaces of teeth leads to gingival inflammation know as gingivitis. Gingivitis presents with symptoms of redness, bleeding gums, swelling, pain, recession and sensitivity and even mobility of teeth and exfoliation if not treated in time. It needs to be treated by thorough professional deep scaling of gums and root planing of the teeth to remove all the irritants, this will help in resolving the symptoms followed by a course of antibiotic and analgesics. I hope this helps, take care. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I saw a dentist yesterday and the doctor said that i have dental plaques and it has to be reomoved other wise i will get severe infection of the gums and teeth, Is it true. What are theses Dental plaques. How are they removed.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello there, Dental plaque is the soft deposits formed by bacterial colonization in the oral cavity due to poor oral hygiene habits like improper brushing and flossing habits. Accumulation of bacterial plaque deep in the gum pockets and root surfaces of teeth leads to gingival inflammation know as gingivitis. Gingivitis presents with symptoms of redness, bleeding gums, swelling, pain, recession and sensitivity and even mobility of teeth and exfoliation if not treated in time. It needs to be treated by thorough professional deep scaling of gums and root planing of the teeth to remove all the irritants, this will help in resolving the symptoms followed by a course of antibiotic and analgesics. I hope this helps, take care.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I am a twenty eight year old female and for the past 3-4 days i have had a shooting pain in my left arm that starts in my inner elbow and goes down to my fingertips. For the past 24 hours i have also been having pain in my upper chest right above my left breast. what could be the cause of this pain? | Hello, MadamWelcome to Chat Doctor. I can certainly understand your concern. I have worked through your query in detail. The chest pain in your case is probably related to underlying gastroesophageal reflux disease or a gall stone disorder. These two conditions quite closely mimic the symptoms in your case.Hence, it is very important to evaluate for the same through appropriate tests. For evaluation of these symptoms, It's mandatory to take ultrasound abdomen as the predominant investigative modality. Avoid fried and fatty foodstuff. Avoid spices.Meanwhile, to improve your symptoms, It's advisable to consider few medications like oral pills of pantoprazole and dopamine to counteract the symptoms. Please check with your physician if he shares my view and if you can prescribe these medications to you. Further management if any is largely based on test results. Review with test reports to determine further course of action. Post your further queries if any. 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: I am a twenty eight year old female and for the past 3-4 days i have had a shooting pain in my left arm that starts in my inner elbow and goes down to my fingertips. For the past 24 hours i have also been having pain in my upper chest right above my left breast. what could be the cause of this pain?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, MadamWelcome to Chat Doctor. I can certainly understand your concern. I have worked through your query in detail. The chest pain in your case is probably related to underlying gastroesophageal reflux disease or a gall stone disorder. These two conditions quite closely mimic the symptoms in your case.Hence, it is very important to evaluate for the same through appropriate tests. For evaluation of these symptoms, It's mandatory to take ultrasound abdomen as the predominant investigative modality. Avoid fried and fatty foodstuff. Avoid spices.Meanwhile, to improve your symptoms, It's advisable to consider few medications like oral pills of pantoprazole and dopamine to counteract the symptoms. Please check with your physician if he shares my view and if you can prescribe these medications to you. Further management if any is largely based on test results. Review with test reports to determine further course of action. Post your further queries if any. Thank you<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | hi doctor, i m kishor from mumbai,age 30,height 5.6\",weight 73kgs. i m suffering hair loss from past 5years...i went to Dr.Batra for treatment and was using the medication for 10months but there was no result. My friend suggested me to go to dermatologist for the same and so i visited Dr.Deepa Kanchankoti, she suggested me Minoxidil10% to apply on scalp and tablets Xtraglo,Finasteride,Autrin(capsule of ferrous fumarate with Vitamin B12& folic acid). i want to know whether this tablets have any side effects and is it going to help to regrow my hair. If \"yes\" to my regrowth, then by how much percentage,whether it will be thick or moderate. My second question is will i have to use these medicine throughtout my life, if \"yes\" to this one also then wont it effect the system of my body. Thank you. | Hello. Thanks for writing to us at Chat Doctor You seem to have an Chat Doctor. Minoxidil and Finasteride have approval for use in this type of hair loss in males. Xtraglo contains Biotin as the main active ingredient. Biotin has an added advantage in hair loss treatment. It promotes utilization of protein in hair and thus plays a role of an adjunctive treatment, though it is not a specific treatment modality for an | <|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, i m kishor from mumbai,age 30,height 5.6\",weight 73kgs. i m suffering hair loss from past 5years...i went to Dr.Batra for treatment and was using the medication for 10months but there was no result. My friend suggested me to go to dermatologist for the same and so i visited Dr.Deepa Kanchankoti, she suggested me Minoxidil10% to apply on scalp and tablets Xtraglo,Finasteride,Autrin(capsule of ferrous fumarate with Vitamin B12& folic acid). i want to know whether this tablets have any side effects and is it going to help to regrow my hair. If \"yes\" to my regrowth, then by how much percentage,whether it will be thick or moderate. My second question is will i have to use these medicine throughtout my life, if \"yes\" to this one also then wont it effect the system of my body. Thank you.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello. Thanks for writing to us at Chat Doctor You seem to have an Chat Doctor. Minoxidil and Finasteride have approval for use in this type of hair loss in males. Xtraglo contains Biotin as the main active ingredient. Biotin has an added advantage in hair loss treatment. It promotes utilization of protein in hair and thus plays a role of an adjunctive treatment, though it is not a specific treatment modality for an<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi. Good day. Im trying to find some information. On my top gum, by my teeth (between my two front teeth), it seems to be swollen. Also on the roof of my mouth there are some swellings and two white dots. I used a treatment called Bonjela. i have noticed this for two days now and Im really trying to find out about this before anything serious happens. Thank you in advance. | Thanks for your query, I have gone through your query. The lump swollen gums can be because of the gum infection. The swelling and white spot on the roof the mouth can be secondary to tooth or gum infection forming an abscess. Consult an oral physician and get a radiograph done to rule out tooth infer ton. If there is tooth infection, then it has to be treated with RCT. If there is a gum infection then the teeth has to be cleaned. Msanwhile you can take a course of antibiotics like penicillin and metronidazole combination(if you are not allergic) after consulting the physician.I hope my answer will help you, take care. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi. Good day. Im trying to find some information. On my top gum, by my teeth (between my two front teeth), it seems to be swollen. Also on the roof of my mouth there are some swellings and two white dots. I used a treatment called Bonjela. i have noticed this for two days now and Im really trying to find out about this before anything serious happens. Thank you in advance.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your query, I have gone through your query. The lump swollen gums can be because of the gum infection. The swelling and white spot on the roof the mouth can be secondary to tooth or gum infection forming an abscess. Consult an oral physician and get a radiograph done to rule out tooth infer ton. If there is tooth infection, then it has to be treated with RCT. If there is a gum infection then the teeth has to be cleaned. Msanwhile you can take a course of antibiotics like penicillin and metronidazole combination(if you are not allergic) after consulting the physician.I hope my answer will help you, take care.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have a very itchy rash that started on my legs and is now on my forearms...I have recently had headaches and very achey joints. The rash is almost painful...very unusual. I am a 28 year old female. Not allergic to anything. Very healthy. What could this be? | Hi, You seem to have developed an allergic skin rash. Such a skin rash can occur due to many reasons. It can occur due to intake of some oral painkillers or antibiotics or due to some viral illness in body like after some sore throat or abdominal infection. You should avoid applying any kind of skin irritants like detail, spirit over it. You might need to apply a topical steroid cream over the affected area twice a day for few days. Take some oral antihistamines along. See a nearby dermatologist if the condition tends to persist despite this therapy. You might need a course of oral steroids. Hope it helps, Chat Doctor. MD(Dermatology) | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have a very itchy rash that started on my legs and is now on my forearms...I have recently had headaches and very achey joints. The rash is almost painful...very unusual. I am a 28 year old female. Not allergic to anything. Very healthy. What could this be?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, You seem to have developed an allergic skin rash. Such a skin rash can occur due to many reasons. It can occur due to intake of some oral painkillers or antibiotics or due to some viral illness in body like after some sore throat or abdominal infection. You should avoid applying any kind of skin irritants like detail, spirit over it. You might need to apply a topical steroid cream over the affected area twice a day for few days. Take some oral antihistamines along. See a nearby dermatologist if the condition tends to persist despite this therapy. You might need a course of oral steroids. Hope it helps, Chat Doctor. MD(Dermatology)<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | i am deeply pained my daughter has asthma since when she was child. it use come and go, atleast 3-4 times in a year. now also she gets the attacks. is there any permament cure, will ayurvedic medications help her for long term relief. | Asthma is a chronic disease many times allergic in nature but sometimes no allergy could be detected, but it can be controlled by medications and following advise of doctor. As far as treatment is concerned inhalation therapy gives best result with minimum side effect. In the majority of asthma patients, but where single allergic agent can be identified it can be treated by immune therapy, and hopefully patient may be cured of asthma. Remember this is true for specific patient and not for all asthma patient. I would like to know age of your daughter as many asthmatics when grow up it may go spontaneously. To monitor asthma you may do PEER daily and take precautionary therapy. See a Chest Physician. | <|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 deeply pained my daughter has asthma since when she was child. it use come and go, atleast 3-4 times in a year. now also she gets the attacks. is there any permament cure, will ayurvedic medications help her for long term relief.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Asthma is a chronic disease many times allergic in nature but sometimes no allergy could be detected, but it can be controlled by medications and following advise of doctor. As far as treatment is concerned inhalation therapy gives best result with minimum side effect. In the majority of asthma patients, but where single allergic agent can be identified it can be treated by immune therapy, and hopefully patient may be cured of asthma. Remember this is true for specific patient and not for all asthma patient. I would like to know age of your daughter as many asthmatics when grow up it may go spontaneously. To monitor asthma you may do PEER daily and take precautionary therapy. See a Chest Physician.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My son has OCD and is having a hard time accepting his sexual urges but not obsessing over them. We come from a religious background and feel that sex is beautiful but should be respected and shared only in marriage. I don t want him to feel bad about getting excited over a girl, but want to help him know how to control the urges and know that he is not bad because of them but that he can move on without dwelling on it forever. He is on respridole and Prozac for depression and despair. I guess I don t know how to help him get off the bus as his therapist calls it. | Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. From what you have stated it appears that he could be having an OCD. OCD is a very common illness and effects many. It can be mild and sometimes unrecognizable, and sometimes it can be severe. He certainly needs to be treated for OCD. Although there are plenty of options available like clonal, fluoxetine, Escitalopram, fluoxetine, sertraline etc. my best option for my patients is fluoxetine in higher dosages. Also, there is an option of cognitive behavioral therapy. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help him with your illness. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link | <|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 has OCD and is having a hard time accepting his sexual urges but not obsessing over them. We come from a religious background and feel that sex is beautiful but should be respected and shared only in marriage. I don t want him to feel bad about getting excited over a girl, but want to help him know how to control the urges and know that he is not bad because of them but that he can move on without dwelling on it forever. He is on respridole and Prozac for depression and despair. I guess I don t know how to help him get off the bus as his therapist calls it.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. From what you have stated it appears that he could be having an OCD. OCD is a very common illness and effects many. It can be mild and sometimes unrecognizable, and sometimes it can be severe. He certainly needs to be treated for OCD. Although there are plenty of options available like clonal, fluoxetine, Escitalopram, fluoxetine, sertraline etc. my best option for my patients is fluoxetine in higher dosages. Also, there is an option of cognitive behavioral therapy. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help him with your illness. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | hi my 4 and ahalf month old fell off the bed onto o wooden floor 3 days ago. She stopped crying almost immediately. She did not throwup or seem excessively tired. Her pupils respond normally. She does have a really large fluid filled bump on the side of her head. I brought her to the doctor yesterday and he said that she seems ok but that it could take 2 months for the swelling to go down. at that point he would be able to feel if there is a small fracture to the skull. H e said not to worry. However i am terrified. the lump looks a bit bigger today than yesterday, diff parts of it are mushier than others. She definately feels discomfort when i touch it. What if it is a fracture? is there something i should be doing now? | Hi...this boggy swelling is not due to fracture of the skull. Do not worry. I appreciate your knowledge about the danger signs of a head injury. What you are feeling as the mushy swelling is soft tissue swelling in the area at the point of contact. As your doctor has said it might take 6-8 weeks to completely settle down. I reassure you that it is not a fracture. Regarding your concern that it is increasing in size it might happen like this, but eventually it will settle down. 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 my 4 and ahalf month old fell off the bed onto o wooden floor 3 days ago. She stopped crying almost immediately. She did not throwup or seem excessively tired. Her pupils respond normally. She does have a really large fluid filled bump on the side of her head. I brought her to the doctor yesterday and he said that she seems ok but that it could take 2 months for the swelling to go down. at that point he would be able to feel if there is a small fracture to the skull. H e said not to worry. However i am terrified. the lump looks a bit bigger today than yesterday, diff parts of it are mushier than others. She definately feels discomfort when i touch it. What if it is a fracture? is there something i should be doing now?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi...this boggy swelling is not due to fracture of the skull. Do not worry. I appreciate your knowledge about the danger signs of a head injury. What you are feeling as the mushy swelling is soft tissue swelling in the area at the point of contact. As your doctor has said it might take 6-8 weeks to completely settle down. I reassure you that it is not a fracture. Regarding your concern that it is increasing in size it might happen like this, but eventually it will settle down. Regards -<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I just had a dexa scan and my osteoporosis is -3. Took Fosamax for some years until jaw pain came on. So, stopped Fosamax and my dr. suggested prolia inj. and I am afraid of the side effects especially as it is a relatively new drug. What is your opinion of prolia? | Hi, A score of -3 on DEXA scan is suggestive of osteoporosis (thinning of the bones). Prolix is a monoclonal antibody commonly prescribed to treat osteoporosis in postmenopausal women and osteoporosis in men who have high risk of bone fracture. Its common side effects include diarrhea or constipation, decreased calcium and phosphorous levels, infections (respiratory, ear, cellulitis), allergic rash, and very rarely osteoporosis of the jaw. It may be taken under the supervision of your treating doctor and if you develop any side effect that must be reported to him. 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 just had a dexa scan and my osteoporosis is -3. Took Fosamax for some years until jaw pain came on. So, stopped Fosamax and my dr. suggested prolia inj. and I am afraid of the side effects especially as it is a relatively new drug. What is your opinion of prolia?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, A score of -3 on DEXA scan is suggestive of osteoporosis (thinning of the bones). Prolix is a monoclonal antibody commonly prescribed to treat osteoporosis in postmenopausal women and osteoporosis in men who have high risk of bone fracture. Its common side effects include diarrhea or constipation, decreased calcium and phosphorous levels, infections (respiratory, ear, cellulitis), allergic rash, and very rarely osteoporosis of the jaw. It may be taken under the supervision of your treating doctor and if you develop any side effect that must be reported to him. 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 was on depo for 3 years and never had a period. I stopped taking it about 2 1/2 months ago. I had unprotected sex for a week after stopping depo. Two 1/2 months later, I had red blood only when I wiped and it lasted for two nights. Can I be pregnant? | Hello dear, I understand your concern. In my opinion it might be the due to hormonal imbalance created by demo. Anyways the pregnancy should be ruled out by doing a urine pregnancy test. I suggest you to consider doing the test. If the test is negative then the spotting might be due to hormonal imbalance.Don't worry. The irregular spotting, bleeding , absence of periods are the side effects of demo. Even after stopping the demo it will take some time for the hormones to come to normal level. Best regards... | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I was on depo for 3 years and never had a period. I stopped taking it about 2 1/2 months ago. I had unprotected sex for a week after stopping depo. Two 1/2 months later, I had red blood only when I wiped and it lasted for two nights. Can I be pregnant?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello dear, I understand your concern. In my opinion it might be the due to hormonal imbalance created by demo. Anyways the pregnancy should be ruled out by doing a urine pregnancy test. I suggest you to consider doing the test. If the test is negative then the spotting might be due to hormonal imbalance.Don't worry. The irregular spotting, bleeding , absence of periods are the side effects of demo. Even after stopping the demo it will take some time for the hormones to come to normal level. Best regards...<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Im 40, 52, 129. It start with chill body ache on Fri, then Sat fever 102, cough with yellow greenish phlem, headache, body ache and chill, broke into a sweat, thought it was over, but then chill and sweat by Sun. Monday, today, in the morning still have chill and sweat, but by now midnight mucus is less. Do I still need to see a doctor for antibotic? | Hellowelcome to ChatDoctori really appreciate your concern I understood your query, this is lower respiratory tract infection along with might be malaria infection so u go to your physician for test of malaria parasite and course of antibiotic for lower respiratory tract infection and if u have sore throat then start saline gargling and take proper rest for 3 days. Please kindly rate it and write a short review about your experience with me! Thank you and best regards! | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Im 40, 52, 129. It start with chill body ache on Fri, then Sat fever 102, cough with yellow greenish phlem, headache, body ache and chill, broke into a sweat, thought it was over, but then chill and sweat by Sun. Monday, today, in the morning still have chill and sweat, but by now midnight mucus is less. Do I still need to see a doctor for antibotic?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hellowelcome to ChatDoctori really appreciate your concern I understood your query, this is lower respiratory tract infection along with might be malaria infection so u go to your physician for test of malaria parasite and course of antibiotic for lower respiratory tract infection and if u have sore throat then start saline gargling and take proper rest for 3 days. Please kindly rate it and write a short review about your experience with me! Thank you and best regards!<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Im 17 and I have not been waking up with erections in the morning for the past few months ( as far as I can remember at least). I also have not been getting them during the day. When I try to stimulate myself, my penis stays flaccid. This has been very depressing the past couple days. I have also been a diabetic since the 5th grade and have had decent blood sugars over the years. What is wrong with me? | Hello, Your testosterone level is at its highest in the morning after you wake up. It is highest immediately after waking up from rapid eye movement (REM) sleep stage. The increase in this hormone alone may be enough to cause an erection, even in the absence of any physical stimulation. But not getting enough erections during daytime is contradictory. Presence of sexual stimulants creates erection behavior and further erection. Your worry may not allow your body to accept sexual stimulation, so no erection during the daytime. Stop worrying about both. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. V. Anand, Psychologist | <|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 17 and I have not been waking up with erections in the morning for the past few months ( as far as I can remember at least). I also have not been getting them during the day. When I try to stimulate myself, my penis stays flaccid. This has been very depressing the past couple days. I have also been a diabetic since the 5th grade and have had decent blood sugars over the years. What is wrong with me?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Your testosterone level is at its highest in the morning after you wake up. It is highest immediately after waking up from rapid eye movement (REM) sleep stage. The increase in this hormone alone may be enough to cause an erection, even in the absence of any physical stimulation. But not getting enough erections during daytime is contradictory. Presence of sexual stimulants creates erection behavior and further erection. Your worry may not allow your body to accept sexual stimulation, so no erection during the daytime. Stop worrying about both. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. V. Anand, Psychologist<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Ok, I am a 5 yr colorectal cancer survivor, dx at the age of 38. Had a resection and chemo/radiation therapy. Ever since I had treatments I have this excruciating burning in my left ear. down inside and around the top of the outsIde of my ear. It feels as if I am being swarmed by bees..no one seems to take me seriously, but this is driving me crazy. It is absolutely debilitating. What is this and how can get relief ? HELP !!! | From the details you provided I can't get to a definite conclusion whether the present problem is cancer therapy related or not. Please provide some more details like -What kind of surgical resection was done ?-What was the chemotherapy regimen you took and for how long ? Some more medical history would be useful too. Like-Do you smoke ?-Do you take alcohol regularly ?-What is your occupational status ? And from nature of complaint I am of the opinion that you are having Tinnitus which can be the symptom of damage to the cochlea(hearing apparatus in ear). The damage could be due to Chat Doctor. Please visit an ENT specialist and get your hearing checked and also try to do a High Frequency Pure Tone Audio gram. Hope I have clarified some of your concerns. Please revert with any further queries. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Ok, I am a 5 yr colorectal cancer survivor, dx at the age of 38. Had a resection and chemo/radiation therapy. Ever since I had treatments I have this excruciating burning in my left ear. down inside and around the top of the outsIde of my ear. It feels as if I am being swarmed by bees..no one seems to take me seriously, but this is driving me crazy. It is absolutely debilitating. What is this and how can get relief ? HELP !!!<|eot_id|><|start_header_id|>assistant<|end_header_id|>From the details you provided I can't get to a definite conclusion whether the present problem is cancer therapy related or not. Please provide some more details like -What kind of surgical resection was done ?-What was the chemotherapy regimen you took and for how long ? Some more medical history would be useful too. Like-Do you smoke ?-Do you take alcohol regularly ?-What is your occupational status ? And from nature of complaint I am of the opinion that you are having Tinnitus which can be the symptom of damage to the cochlea(hearing apparatus in ear). The damage could be due to Chat Doctor. Please visit an ENT specialist and get your hearing checked and also try to do a High Frequency Pure Tone Audio gram. Hope I have clarified some of your concerns. Please revert with any further queries.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Doctor, my name is Ashley, Im 21, 54 and 119 lbs. I have had a hard time breathing and a nasty cough for the past 3 weeks now.. I feel like there is fluid in my lungs so I try to exhale with force to get it out and that will trigger my coughing.. but I cant breath well if I dont do that... I cant sleep because of the cough and I will have these coughing fits that gets to the point where I actually throw up. Sometimes the coughs are dry even though I feel what seems to be fluid in my lungs but they are pretty productive most of the time and I do cough out a lot of moisture.. I stay healthy, Ive not been sick, I do have allergies but nothing ever like this.. I cant get an appointment with my doctor for about a week so I wanted to know if I should be concerned?? Thanks a ton in advance!Ashley | Thanks for your question on Chat Doctor. I can understand your concern. Since you are having allergies, possibility of allergic bronchitis is more. Bronchitis is inflammation of airways. You're all symptoms like coughing, phlegm, breathing difficulty etc. are suggestive of bronchitis more. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilator and inhaled corticosteroids (ICS). Oral anti-allergic (montelukast) is also beneficial in your case. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | <|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 name is Ashley, Im 21, 54 and 119 lbs. I have had a hard time breathing and a nasty cough for the past 3 weeks now.. I feel like there is fluid in my lungs so I try to exhale with force to get it out and that will trigger my coughing.. but I cant breath well if I dont do that... I cant sleep because of the cough and I will have these coughing fits that gets to the point where I actually throw up. Sometimes the coughs are dry even though I feel what seems to be fluid in my lungs but they are pretty productive most of the time and I do cough out a lot of moisture.. I stay healthy, Ive not been sick, I do have allergies but nothing ever like this.. I cant get an appointment with my doctor for about a week so I wanted to know if I should be concerned?? Thanks a ton in advance!Ashley<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. Since you are having allergies, possibility of allergic bronchitis is more. Bronchitis is inflammation of airways. You're all symptoms like coughing, phlegm, breathing difficulty etc. are suggestive of bronchitis more. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilator and inhaled corticosteroids (ICS). Oral anti-allergic (montelukast) is also beneficial in your case. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I recently developed this habit of my that thing in the middle of my throat into like an S movement. Idk how it started or how long but I have stopped. But sometimes I do do it on accident. Ever since then I ve had pains in my throat and recently parts of my food don t go down and I can feel it kind of just sitting there or trying to come back up. I can feel and hear a clicking when I swallow. Most of my pain has recently been on my left side and I even have a chest pain kind of by my heart. I m 14. I m just getting kind of concerned because the symptoms have gotten worse. I sometimes get pains between my shoulder blades and the back of my neck. I m not sure if that s related though. | Thank you for choosing Chat Doctor. When do you usually feel the difficulty in swallowing? Does this happen to both solids and liquids? Is there a specific time in a day when you feel this. Based on your description, it seems that you can have Gastroesophageal reflux disease. There are several food that can make your stomach produce more acid like spicy food, carbonated Chat Doctor. Try to stay away from this food. Stress can also contribute to the hyperacidity. But of course, it is still best to consult your Physician to rule out more serious problems. Hope you feel better. Sincerely, Handle Dulay-See, M.D. Pediatrician | <|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 recently developed this habit of my that thing in the middle of my throat into like an S movement. Idk how it started or how long but I have stopped. But sometimes I do do it on accident. Ever since then I ve had pains in my throat and recently parts of my food don t go down and I can feel it kind of just sitting there or trying to come back up. I can feel and hear a clicking when I swallow. Most of my pain has recently been on my left side and I even have a chest pain kind of by my heart. I m 14. I m just getting kind of concerned because the symptoms have gotten worse. I sometimes get pains between my shoulder blades and the back of my neck. I m not sure if that s related though.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thank you for choosing Chat Doctor. When do you usually feel the difficulty in swallowing? Does this happen to both solids and liquids? Is there a specific time in a day when you feel this. Based on your description, it seems that you can have Gastroesophageal reflux disease. There are several food that can make your stomach produce more acid like spicy food, carbonated Chat Doctor. Try to stay away from this food. Stress can also contribute to the hyperacidity. But of course, it is still best to consult your Physician to rule out more serious problems. Hope you feel better. Sincerely, Handle Dulay-See, M.D. Pediatrician<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have been masturbating for a long time now and over time I think its made my dick look weird. I don t know the proper names of it but on the other side of my head there are two little spots and as I go up my dick looks weird and messed up. I m a teen and never had sex before | His had gone through your query. I understand your query. Masturbation is normal physiological function of our body It is one of the method to satisfy sexual pleasure in absent of partnerBoth sex and masturbation has same and has same end result to get satisfactions no need to worryMasturbation doesn't lead to any problem in your married lifeboat constant thinking and feeling of guilt of masturbation will effects don't think much It has no side effect.it is normal. Still have question then feel free to ask. 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: I have been masturbating for a long time now and over time I think its made my dick look weird. I don t know the proper names of it but on the other side of my head there are two little spots and as I go up my dick looks weird and messed up. I m a teen and never had sex before<|eot_id|><|start_header_id|>assistant<|end_header_id|>His had gone through your query. I understand your query. Masturbation is normal physiological function of our body It is one of the method to satisfy sexual pleasure in absent of partnerBoth sex and masturbation has same and has same end result to get satisfactions no need to worryMasturbation doesn't lead to any problem in your married lifeboat constant thinking and feeling of guilt of masturbation will effects don't think much It has no side effect.it is normal. Still have question then feel free to ask. Thank you.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I recently started smoking marijuana again. I get stomach pains the next day, hot cold flashes, and high anxiety. What is wrong with me. It always happens if I dont smoke the next day. Im 37 140 lbs and have no heart conditions, no ulcers, no intestinal issues. I dont eat junk or get childlike munchies. I feel like I never want to eat anymore, its strange. The marijuana I smoke is medical and I have a card. | Hi. Thanks for your query. The marijuana you smoke is medical, and you have a card does not mean this is safe for you. Your symptoms of stomach pain the next day, hot - cold flashes, high anxiety which happens if you do not smoke the next day is suggestive of a with Chat Doctor. IT is best for you to not smoke marijuana at all. This is the right time to leave it and medical assistance immediately to have rehabilitation. | <|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 recently started smoking marijuana again. I get stomach pains the next day, hot cold flashes, and high anxiety. What is wrong with me. It always happens if I dont smoke the next day. Im 37 140 lbs and have no heart conditions, no ulcers, no intestinal issues. I dont eat junk or get childlike munchies. I feel like I never want to eat anymore, its strange. The marijuana I smoke is medical and I have a card.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. Thanks for your query. The marijuana you smoke is medical, and you have a card does not mean this is safe for you. Your symptoms of stomach pain the next day, hot - cold flashes, high anxiety which happens if you do not smoke the next day is suggestive of a with Chat Doctor. IT is best for you to not smoke marijuana at all. This is the right time to leave it and medical assistance immediately to have rehabilitation.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My 8 year daughter has had a fever off and on for 6 days. She has seen the doctor twice. Her first symptom was a sore throat. Since then she has had nausea, vomitting and diarrhea. She also complans of a pain in her side. The doctor kmows of of this but since she tested positive for the Epstein-Barr virus (we are waiting blood results), nothing else is being done. I am more than concerned. The doctor says EBV would explain all her syptoms but why is the fever almost continuous. She has definitely loss weight and now stays in bed. Should I seek a second opinion? I have seen two different doctors in the same practice. PLease help! | Hello, Welcome to Chat Doctor, Infection with Epstein-Barr virus (ABV) is very common and usually occurs in childhood or early adulthood. ABV is a contagious infection that spreads from person to person.ABV is the cause of infectious mononucleosis and the symptoms are fever, sore throat, swollen lymph nodes in the neck, and enlarged spleen. The symptoms like nausea, vomiting and diarrhea are very much rare with ABV infection. Individuals with ABV infections requires1. Adequate rest 2. Plenty of Fluids3. Corticosteroids to treat significant swelling in the throat4. There is no specific medicine to treat ABV infections. 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 8 year daughter has had a fever off and on for 6 days. She has seen the doctor twice. Her first symptom was a sore throat. Since then she has had nausea, vomitting and diarrhea. She also complans of a pain in her side. The doctor kmows of of this but since she tested positive for the Epstein-Barr virus (we are waiting blood results), nothing else is being done. I am more than concerned. The doctor says EBV would explain all her syptoms but why is the fever almost continuous. She has definitely loss weight and now stays in bed. Should I seek a second opinion? I have seen two different doctors in the same practice. PLease help!<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Welcome to Chat Doctor, Infection with Epstein-Barr virus (ABV) is very common and usually occurs in childhood or early adulthood. ABV is a contagious infection that spreads from person to person.ABV is the cause of infectious mononucleosis and the symptoms are fever, sore throat, swollen lymph nodes in the neck, and enlarged spleen. The symptoms like nausea, vomiting and diarrhea are very much rare with ABV infection. Individuals with ABV infections requires1. Adequate rest 2. Plenty of Fluids3. Corticosteroids to treat significant swelling in the throat4. There is no specific medicine to treat ABV infections. Thank you.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | have been experiencing tailbone soreness and muscle soreness, burning in the buttocks and some feeling of leg weakness for approx. 1-1/2 wks. have had no injury or accident to the area. have had tailbone flare-ups before but usually only last a couple of days. am concerned about bone cancer. | Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to sciatica pain. I suggest doing a X-ray of the colon for further evaluation. Meanwhile, I suggest using painkillers such as Ibuprofen to relieve the symptoms. I also suggest gentle stretching exercises. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: have been experiencing tailbone soreness and muscle soreness, burning in the buttocks and some feeling of leg weakness for approx. 1-1/2 wks. have had no injury or accident to the area. have had tailbone flare-ups before but usually only last a couple of days. am concerned about bone cancer.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to sciatica pain. I suggest doing a X-ray of the colon for further evaluation. Meanwhile, I suggest using painkillers such as Ibuprofen to relieve the symptoms. I also suggest gentle stretching exercises. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi - am a 56 year old male. The low figure on my blood pressure seems high. It varies between 130/93 (morning reading); 134/88 (6pm reading before meal). The lower figure seems to be consistently higher. Am fit and dont have salt, dont smoke, dont drink. Please could you advise? | Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that these values of diastolic blood pressure may indicate the beginning of high blood pressure. I recommend you to closely monitor your blood pressure and perform some tests to exclude other possible causes of secondary high blood pressure | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi - am a 56 year old male. The low figure on my blood pressure seems high. It varies between 130/93 (morning reading); 134/88 (6pm reading before meal). The lower figure seems to be consistently higher. Am fit and dont have salt, dont smoke, dont drink. Please could you advise?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that these values of diastolic blood pressure may indicate the beginning of high blood pressure. I recommend you to closely monitor your blood pressure and perform some tests to exclude other possible causes of secondary high blood pressure<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Doctor, I m 26 yr old female,Height 155 cm,weight 75 kg.I have PCOD problem.I got married last jan 2012,and i had one abortion after 2 months,,,now i want a baby,,,,but my periods not come this month and my doctor advised me to take susten 300 mg tablet BD for 3 days and to stop,and she told me that periods will come after 3 days and i took it for 3 days and today is my 5 th dayy and periods not come still,,,am so tensed,,,,i want to wait ? Or to consult my doctor again ? Plz help me .. | Hi Welcome to Chat Doctor PCs is multifactorial disorder which leads to an ovulation and infertility. As you are overweight, try to lose weight by diet control and exercise. Get your blood sugar levels done apart from other hormonal investigations. Testing blood sugar levels will give an idea about need to start metformin. Sometimes It may take up to 7-8 days for periods to come after stopping progesterone(Austen). Wait for 2 more days and if period does not come consult your doctor. There are high chances of miscarriages in POD due hormonal imbalance which needs to be taken care of before conceiving. There are other factors also which may lead to miscarriages. 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, I m 26 yr old female,Height 155 cm,weight 75 kg.I have PCOD problem.I got married last jan 2012,and i had one abortion after 2 months,,,now i want a baby,,,,but my periods not come this month and my doctor advised me to take susten 300 mg tablet BD for 3 days and to stop,and she told me that periods will come after 3 days and i took it for 3 days and today is my 5 th dayy and periods not come still,,,am so tensed,,,,i want to wait ? Or to consult my doctor again ? Plz help me ..<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi Welcome to Chat Doctor PCs is multifactorial disorder which leads to an ovulation and infertility. As you are overweight, try to lose weight by diet control and exercise. Get your blood sugar levels done apart from other hormonal investigations. Testing blood sugar levels will give an idea about need to start metformin. Sometimes It may take up to 7-8 days for periods to come after stopping progesterone(Austen). Wait for 2 more days and if period does not come consult your doctor. There are high chances of miscarriages in POD due hormonal imbalance which needs to be taken care of before conceiving. There are other factors also which may lead to miscarriages. Take care.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My 2 year old daughter has thick yellow scales on her scalp. they do not see to itch her and they do not flake either. I have tried to use my nail to scrape them off but does not work well they attach to the hair then. What could this be she has eczema and soriasis also on her torso and extremities | Hi, Thick yellowish scales on scalp in child Chat Doctor. For such cases, I used to give antifungal shampoos like ketoconazole for few weeks. If no response, adding mild steroid lotion often helps. But, since she has psoriasis also, kindly see your dermatologist, as psoriasis on scalp often resembles seborrhea dermatitis, and treatment is different. Take care. 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: My 2 year old daughter has thick yellow scales on her scalp. they do not see to itch her and they do not flake either. I have tried to use my nail to scrape them off but does not work well they attach to the hair then. What could this be she has eczema and soriasis also on her torso and extremities<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thick yellowish scales on scalp in child Chat Doctor. For such cases, I used to give antifungal shampoos like ketoconazole for few weeks. If no response, adding mild steroid lotion often helps. But, since she has psoriasis also, kindly see your dermatologist, as psoriasis on scalp often resembles seborrhea dermatitis, and treatment is different. Take care. 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 was outside yesterday playing when my friend swatted my face. She said that a large bug was on it. When she slapped it away, it s blood got all over my face. I m worried it could of been somthing toxic, and I don t know what to do about it. The intire left side of my face is swollen with a large swollen bump on my cheek. She described it as large, orangish red and black, and it was like eating and digging at my face. I have put hidracortazone cream on it, but the swelling hasent gone down and it is Totaly numb. I have been reaurching all night and don t know what to do. How do I treat this and what if I get a horrible disease from it? | HI, thanks for using Chat Doctor You may also want to use an oral antihistamine to reduce any inflammatory response to the insect sting. In addition, using an anti-inflammatory painkiller such as ibuprofen, Catalan or naproxen would reduce any discomfort that you are experiencing. The most common effects of insect stings are allergic reactions and infections. The topical steroid and antihistamine would treat any allergic reaction. If you notice any signs or symptoms of infection the can consider a topical antibiotic. 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: I was outside yesterday playing when my friend swatted my face. She said that a large bug was on it. When she slapped it away, it s blood got all over my face. I m worried it could of been somthing toxic, and I don t know what to do about it. The intire left side of my face is swollen with a large swollen bump on my cheek. She described it as large, orangish red and black, and it was like eating and digging at my face. I have put hidracortazone cream on it, but the swelling hasent gone down and it is Totaly numb. I have been reaurching all night and don t know what to do. How do I treat this and what if I get a horrible disease from it?<|eot_id|><|start_header_id|>assistant<|end_header_id|>HI, thanks for using Chat Doctor You may also want to use an oral antihistamine to reduce any inflammatory response to the insect sting. In addition, using an anti-inflammatory painkiller such as ibuprofen, Catalan or naproxen would reduce any discomfort that you are experiencing. The most common effects of insect stings are allergic reactions and infections. The topical steroid and antihistamine would treat any allergic reaction. If you notice any signs or symptoms of infection the can consider a topical antibiotic. I hope this helps<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I had a dental procedure yesterday with nitrous-oxide used. I have never had the gas before. A few hours after the procedure it seems I started developing a head cold with dull headache. I woke up this morning with the same. Is this a coincidence or is it possible? | Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that you have side effects of the nitrous oxide gas leading to headache and cold like symptoms while it can also be due to viral infection that might have co-incidentally occurred with nitrous oxide inhalation. Nothing to worry as the symptoms will resolve soon in case if it is due to nitrous oxide anesthesia it will gradually improve as the side effect of gas will wean off from the body. In case if it is due to cold then taking supportive treatment like decongestant nasal sprays, steam inhalation and using a humidifier in your room will help. Oral intake of decongestant like Phenylephrine, Multics like aerosol and along with it antihistamine like levocetrizine can help. Hope this information helps. Thanks and regards. Chat Doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I had a dental procedure yesterday with nitrous-oxide used. I have never had the gas before. A few hours after the procedure it seems I started developing a head cold with dull headache. I woke up this morning with the same. Is this a coincidence or is it possible?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that you have side effects of the nitrous oxide gas leading to headache and cold like symptoms while it can also be due to viral infection that might have co-incidentally occurred with nitrous oxide inhalation. Nothing to worry as the symptoms will resolve soon in case if it is due to nitrous oxide anesthesia it will gradually improve as the side effect of gas will wean off from the body. In case if it is due to cold then taking supportive treatment like decongestant nasal sprays, steam inhalation and using a humidifier in your room will help. Oral intake of decongestant like Phenylephrine, Multics like aerosol and along with it antihistamine like levocetrizine can help. Hope this information helps. Thanks and regards. Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I have had upper abdomen pain for about the past 10 days. It started on Saturday a week ago when I woke up in the middle of the night thinking it was just gas. I took something for it but made no difference. It then eased a bit but is still there all the time just like indigestion. It does get more sore when I eat. It is more of an uncomfortable feeling and can be more sore sometimes. | Hello, Thanks for posting your query, Because indigestion is a symptom rather than a disease, treatment usually depends upon the underlying condition causing the indigestion. Often, episodes of indigestion go away within hours without medical attention. However, if your indigestion symptoms become worse, you should consult a doctor. Here are some helpful tips to alleviate indigestion | <|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 upper abdomen pain for about the past 10 days. It started on Saturday a week ago when I woke up in the middle of the night thinking it was just gas. I took something for it but made no difference. It then eased a bit but is still there all the time just like indigestion. It does get more sore when I eat. It is more of an uncomfortable feeling and can be more sore sometimes.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thanks for posting your query, Because indigestion is a symptom rather than a disease, treatment usually depends upon the underlying condition causing the indigestion. Often, episodes of indigestion go away within hours without medical attention. However, if your indigestion symptoms become worse, you should consult a doctor. Here are some helpful tips to alleviate indigestion<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My age is 22, I am healthy and weigh around 70 kgs.In the last few weeks , i have a pain at the right side of my chest. I cant feel the pain during early morning, But will be feeling the pain as the day progresses at least thrice a day. Any reason why there is pain?Thanks | Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. My opinion-In the given situation-You seem to suffer frogger with Acid reflux, the cause of which needs to be verified. For this you need Consults with Physician and Surgeons doctor team. With dietary intake over a day, the pain in the right Chest seems to increase from acid reflux. This could be from accompanied Gastritis or IBS with piles/fissure in ANO. Treatment of the cause of HERD, from Physician and / or Surgeon, would fix the problem of right chest pain as the day progresses-3 times-mostly after each intake over the day, when the acid reflux with each intake increases chest pain. Further suggestions in this regard would need ore information /investigations after getting more details from You. This brief reply is given on facts submitted, which needs to be verified from your attending doctors, with whom you can check before starting further changes in the treatment. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-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: My age is 22, I am healthy and weigh around 70 kgs.In the last few weeks , i have a pain at the right side of my chest. I cant feel the pain during early morning, But will be feeling the pain as the day progresses at least thrice a day. Any reason why there is pain?Thanks<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. My opinion-In the given situation-You seem to suffer frogger with Acid reflux, the cause of which needs to be verified. For this you need Consults with Physician and Surgeons doctor team. With dietary intake over a day, the pain in the right Chest seems to increase from acid reflux. This could be from accompanied Gastritis or IBS with piles/fissure in ANO. Treatment of the cause of HERD, from Physician and / or Surgeon, would fix the problem of right chest pain as the day progresses-3 times-mostly after each intake over the day, when the acid reflux with each intake increases chest pain. Further suggestions in this regard would need ore information /investigations after getting more details from You. This brief reply is given on facts submitted, which needs to be verified from your attending doctors, with whom you can check before starting further changes in the treatment. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-http<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I am cutting down metoprolol succinate from 50 to 25mg--feel awful.I am 64 tomorow a female weigh 150 510 tall. I have Parkinsons disease. No spleen, gallbladder, 40 % of pancreas gone. had triple coronary bypass 3 years ago. Have had deep brain stimulation for Pd in 2004 again half redone in 2010. Blood presure too low so doctor told me to reduce metoprolol. | Hi, If your heart rate is well corrected with metoprolol, and you take another medication that reduce blood pressure, it would be a better idea to reduce the dosage of the other medication. If metoprolol is the only medication, it should be down titrated with caution. If the patient tolerates badly dose reduction of metoprolol, we usually combine it with another medication such as procoralan, when we decrease the dose of metoprolol. So I would advise you to talk with your doctor if you feel worse with the reduction of the dose of metoprolol. Take fearsome back if you have any further questions | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I am cutting down metoprolol succinate from 50 to 25mg--feel awful.I am 64 tomorow a female weigh 150 510 tall. I have Parkinsons disease. No spleen, gallbladder, 40 % of pancreas gone. had triple coronary bypass 3 years ago. Have had deep brain stimulation for Pd in 2004 again half redone in 2010. Blood presure too low so doctor told me to reduce metoprolol.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, If your heart rate is well corrected with metoprolol, and you take another medication that reduce blood pressure, it would be a better idea to reduce the dosage of the other medication. If metoprolol is the only medication, it should be down titrated with caution. If the patient tolerates badly dose reduction of metoprolol, we usually combine it with another medication such as procoralan, when we decrease the dose of metoprolol. So I would advise you to talk with your doctor if you feel worse with the reduction of the dose of metoprolol. Take fearsome back if you have any further questions<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | hi. i m a 30 yr old nd got married 3 ys back. i cudnt concieve just bcoz i was told by my doc that i have ovarian cyst and finnally got it removed through laproscopy. even after the removal of my cysts i cudnt concieve. i consulted a doc in AIIMS Delhi who suggested me another laproscopy to check whether my tubes are patent. after doing that too my tubes are normal and now i dont understand y i am not able to conceive. | Hi welcome to Chat Doctor. I have gone through your question. To conceive not only your site should be clear. Your partner also should have normal reports. I would advise getting done semen analysis of your husband if not done. If normal plan naturally do intercourse in fertile period on alternate days. Then consult gynecologist if not get success. Hope I answered your question. Would be happy to help you further. Take care. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hi. i m a 30 yr old nd got married 3 ys back. i cudnt concieve just bcoz i was told by my doc that i have ovarian cyst and finnally got it removed through laproscopy. even after the removal of my cysts i cudnt concieve. i consulted a doc in AIIMS Delhi who suggested me another laproscopy to check whether my tubes are patent. after doing that too my tubes are normal and now i dont understand y i am not able to conceive.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi welcome to Chat Doctor. I have gone through your question. To conceive not only your site should be clear. Your partner also should have normal reports. I would advise getting done semen analysis of your husband if not done. If normal plan naturally do intercourse in fertile period on alternate days. Then consult gynecologist if not get success. Hope I answered your question. Would be happy to help you further. Take care.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Greetings to the general public, Am Simran Mendy i want to inform the public how i was cured of HERPES Simplex Virus by a Doctor called Harrison.i visited different hospital but they gave me list of drugs like Famvir, Zovirax, and Valtrex which is very expensive to treat the symptoms and never cured me. I was browsing through the Internet searching for remedy on HERPES and i saw comment of people talking about how Doctor Harrison cured them. I Was scared because i never believed in the Internet but i was convince to give him a try because i was having no hope of been cured of HERPES so i decided to contact him on his email that was listed on the comment ( YYYY@YYYY ) i searched his email on net and i saw a lot of people testifying about his goodness. when i contacted him he gave me hope and send a Herbal medicine to me that i took and it seriously worked for me, am a free person now without problem, my HERPES result came out negative. I pray for you Dr Harrison God will give you everlasting life, you shall not die before your time for being a sincere and great men. Am so happy, you can also contact him if you have any problem Email | I am not sure what you were trying to ask in this forum. However will like to inform you that according to evidence based medicine and clinical trials, acyclovir/ acyclovir/acyclovir have proven benefits in case of HSV. It might be possible in your case that some associated condition or alternate diagnosis was required. I wish you best of health ahead and be free to ask for any assistance required. | <|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: Greetings to the general public, Am Simran Mendy i want to inform the public how i was cured of HERPES Simplex Virus by a Doctor called Harrison.i visited different hospital but they gave me list of drugs like Famvir, Zovirax, and Valtrex which is very expensive to treat the symptoms and never cured me. I was browsing through the Internet searching for remedy on HERPES and i saw comment of people talking about how Doctor Harrison cured them. I Was scared because i never believed in the Internet but i was convince to give him a try because i was having no hope of been cured of HERPES so i decided to contact him on his email that was listed on the comment ( YYYY@YYYY ) i searched his email on net and i saw a lot of people testifying about his goodness. when i contacted him he gave me hope and send a Herbal medicine to me that i took and it seriously worked for me, am a free person now without problem, my HERPES result came out negative. I pray for you Dr Harrison God will give you everlasting life, you shall not die before your time for being a sincere and great men. Am so happy, you can also contact him if you have any problem Email<|eot_id|><|start_header_id|>assistant<|end_header_id|>I am not sure what you were trying to ask in this forum. However will like to inform you that according to evidence based medicine and clinical trials, acyclovir/ acyclovir/acyclovir have proven benefits in case of HSV. It might be possible in your case that some associated condition or alternate diagnosis was required. I wish you best of health ahead and be free to ask for any assistance required.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | What is the best treatment for lower stomach pain I take ibs medication but havent been tested for it the doctor also thought I could have a gluten allergy should I just go ahead and get tested? Recently my stomach has been hurting with or without the medication n usually only at night | Hello! Welcome to Chat Doctor. Yes, your concern is very true. Before we label it as IBS, it is important that we have ruled out all other possibilities. Gluten sensitivity, lactose intolerance should be ruled out. For IBS, stress needs to be relieved. Yoga & meditation help a lot. Avoid late night meals, hot/spicy food, alcohol. Hope this information is useful to you. Wish you a 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: What is the best treatment for lower stomach pain I take ibs medication but havent been tested for it the doctor also thought I could have a gluten allergy should I just go ahead and get tested? Recently my stomach has been hurting with or without the medication n usually only at night<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello! Welcome to Chat Doctor. Yes, your concern is very true. Before we label it as IBS, it is important that we have ruled out all other possibilities. Gluten sensitivity, lactose intolerance should be ruled out. For IBS, stress needs to be relieved. Yoga & meditation help a lot. Avoid late night meals, hot/spicy food, alcohol. Hope this information is useful to you. Wish you a healthy life. Thanks. Regards.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Can diuretics cause sweating? I have polycystic kidney disease stage 3 and flirting with congestive heart failure. I have rash from kidney problem unless I take the prescribed diuretic + potassium supplement. I seem to be between a rock and a hard placeYYYY@YYYY | Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. Restrict salt and protein diet. If you've APD with CCF, consult your doctor in taking diuretics or potassium. Both aren't advisable and cause serious side effects. Sweating isn't an issue. Kindly check your He, creatinine,RBS, LFT,electrolytes and platelets regularly. Do an ultrasound-KUB and consult your nephrologist. If you have any doubts, send your reports to me, as a direct question. Chat Doctor. Manga. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Can diuretics cause sweating? I have polycystic kidney disease stage 3 and flirting with congestive heart failure. I have rash from kidney problem unless I take the prescribed diuretic + potassium supplement. I seem to be between a rock and a hard placeYYYY@YYYY<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. Restrict salt and protein diet. If you've APD with CCF, consult your doctor in taking diuretics or potassium. Both aren't advisable and cause serious side effects. Sweating isn't an issue. Kindly check your He, creatinine,RBS, LFT,electrolytes and platelets regularly. Do an ultrasound-KUB and consult your nephrologist. If you have any doubts, send your reports to me, as a direct question. Chat Doctor. Manga.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi! I just got lab results, and my WBC is low (4.1), my glucose is high (110), my calcium is high (10.4), my PTH-Intact is high (108.2), and my vitamin D is low (25). A urine protein electrophoresis in January result said that the pattern is consistent with nonselective glomerular proteinuria. What disease or problems do all of these lab results suggest? | Hello and welcome to Chat Doctor. As a Urologist, I can fully understand your concern. You should mention your age and gender, with present medication. As you may be a diabetic, check your HbA1C, He, urea and creatinine, lipid profile, and 24 hours urine protein. You should have an ultrasound of abdomen, and later decide about kidney biopsy. If you can send the reports to me for an expert opinion, I can guide you accordingly. It may send in my name, as a direct question. Chat Doctor. Manga. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi! I just got lab results, and my WBC is low (4.1), my glucose is high (110), my calcium is high (10.4), my PTH-Intact is high (108.2), and my vitamin D is low (25). A urine protein electrophoresis in January result said that the pattern is consistent with nonselective glomerular proteinuria. What disease or problems do all of these lab results suggest?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello and welcome to Chat Doctor. As a Urologist, I can fully understand your concern. You should mention your age and gender, with present medication. As you may be a diabetic, check your HbA1C, He, urea and creatinine, lipid profile, and 24 hours urine protein. You should have an ultrasound of abdomen, and later decide about kidney biopsy. If you can send the reports to me for an expert opinion, I can guide you accordingly. It may send in my name, as a direct question. Chat Doctor. Manga.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I am Ramnarayan; age 65 years, diabetic and insulin dependant for the last 15 years. I had an angioplasty and a stent introduced to clear one block in August, 2009 at Bangalore. Now we have moved to South Madras; could u suggest a good diabetoloist and a cardiologist in or around Tiruvanmiyur/Adyar/Besant Nagar area of Chennai; thanks. | Hello, After going through your medical query I understand your concern and I would like to tell you that after angioplasty a diabetic patient should keep same precautions and activities as in diabetes except he is having good cardiac ejection fraction. Kindly consult a physician or a cardiologist nearby for physical evaluation and further management. 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: Hi I am Ramnarayan; age 65 years, diabetic and insulin dependant for the last 15 years. I had an angioplasty and a stent introduced to clear one block in August, 2009 at Bangalore. Now we have moved to South Madras; could u suggest a good diabetoloist and a cardiologist in or around Tiruvanmiyur/Adyar/Besant Nagar area of Chennai; thanks.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, After going through your medical query I understand your concern and I would like to tell you that after angioplasty a diabetic patient should keep same precautions and activities as in diabetes except he is having good cardiac ejection fraction. Kindly consult a physician or a cardiologist nearby for physical evaluation and further management. 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. | Hi, I have been diagnosed with pancreatic cancer. Tests were inconclusive, there is a 3cm mass but brushings didnt show any malignant cells. Have a stent in. I am constantly hungry, eat 5 - 7 small meals a day, drink plenty of fluids. No treatment other than homeopathy and major change in diet - cut out most refined sugars etc. Used to drink up to five cokes a day. Is it usual to be so hungry and to constantly eat? | Hi, Thanks for writing in. The human body requires meals adding up to 2000 kcal each day. It is best to have a heavy breakfast, moderate lunch and light dinner. In your case, since you are having a possible cancer in pancreas, the diet requirements might be slightly on higher side. Also, you are taking small meals which number about 5 to 7 each day. This is fine as long your meals are healthy. During illness the brain signals the body asking for more energy and that is a possible reason for persistent hunger. It will help to know any increase in body weight that has happened. You can continue the treatment with homeopathy, but regular scan must be done to know the position of the mass in pancreas. Since you have cut refined sugars, you can continue to have smaller meals with lots of fluids. Please do not worry. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, I have been diagnosed with pancreatic cancer. Tests were inconclusive, there is a 3cm mass but brushings didnt show any malignant cells. Have a stent in. I am constantly hungry, eat 5 - 7 small meals a day, drink plenty of fluids. No treatment other than homeopathy and major change in diet - cut out most refined sugars etc. Used to drink up to five cokes a day. Is it usual to be so hungry and to constantly eat?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for writing in. The human body requires meals adding up to 2000 kcal each day. It is best to have a heavy breakfast, moderate lunch and light dinner. In your case, since you are having a possible cancer in pancreas, the diet requirements might be slightly on higher side. Also, you are taking small meals which number about 5 to 7 each day. This is fine as long your meals are healthy. During illness the brain signals the body asking for more energy and that is a possible reason for persistent hunger. It will help to know any increase in body weight that has happened. You can continue the treatment with homeopathy, but regular scan must be done to know the position of the mass in pancreas. Since you have cut refined sugars, you can continue to have smaller meals with lots of fluids. Please do not worry.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | my mother...75yrs of age...has been watched by a doctor because of a spot on her kidney. it has changed in size since last year...not much but enough that he says it is a cancer and a biopsy is necessary....im wondering if it is small enough that it was only watched until this point. Whatever cancer it is, does it sound like it could be caught early enough? | Hi, Welcome to Chat Doctor forum. What ever the size of the spot, there will be a definite shape for some cancers, or if it is near to that shape, to exclude the possibility of cancer biopsy may be done. Otherwise as it starts growing it may start to metastasis to the other places. If biopsy is done and cancer excluded, there will be no harm, and if positive it can be removed, completely. Wishing her a quick and complete recovery. 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 mother...75yrs of age...has been watched by a doctor because of a spot on her kidney. it has changed in size since last year...not much but enough that he says it is a cancer and a biopsy is necessary....im wondering if it is small enough that it was only watched until this point. Whatever cancer it is, does it sound like it could be caught early enough?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Welcome to Chat Doctor forum. What ever the size of the spot, there will be a definite shape for some cancers, or if it is near to that shape, to exclude the possibility of cancer biopsy may be done. Otherwise as it starts growing it may start to metastasis to the other places. If biopsy is done and cancer excluded, there will be no harm, and if positive it can be removed, completely. Wishing her a quick and complete recovery. Thank you.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I recently got a strong cold, and over the past few days I have been sneezing exceptionally hard (unintentionally) at least 25-30 times a day. The result is that Im becoming disoriented afterwards for 5-10 seconds, and I have a strong tingling sensation in my lower spine that borders on painful (think acupuncture needles). Im not trying to hold the sneezes in, and they are completely unrestrained. Should I be worried? | Hi, Welcome to Chat Doctor, Continuous sneezing with runny nose could be due to rhinitis (allergic or infective), sinusitis,common cold or may be URI. Runny nose is mostly due to viral infection because of low immunity. You must consult physician to get properly diagnosed first as there is sneezing and cold since. You might also need to take antiallergic like antihistamines with multivitamins, b-complex and folic acid. Consult to the ENT 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 recently got a strong cold, and over the past few days I have been sneezing exceptionally hard (unintentionally) at least 25-30 times a day. The result is that Im becoming disoriented afterwards for 5-10 seconds, and I have a strong tingling sensation in my lower spine that borders on painful (think acupuncture needles). Im not trying to hold the sneezes in, and they are completely unrestrained. Should I be worried?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Welcome to Chat Doctor, Continuous sneezing with runny nose could be due to rhinitis (allergic or infective), sinusitis,common cold or may be URI. Runny nose is mostly due to viral infection because of low immunity. You must consult physician to get properly diagnosed first as there is sneezing and cold since. You might also need to take antiallergic like antihistamines with multivitamins, b-complex and folic acid. Consult to the ENT doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, may I answer your health queries right now ? Please type your query here...heart feels like it skips a beat then that makes my throat tickle and i cough,gets worse when falling asleep. i usually end up waking up feeling as if i stopped breathing for a minute and my heart stopped.then my heart starts beating rewal fast like a panic attack and i try to lay down and drift off to sleep again.this will happen a few more times then i eventually fall asleep | Your difficulty could be a primary problem of sleep, snoring or esophageal reflux. If you are very tired in the morning, sleep easily during the day and snore loudly, you may have sleep apnea. Meanwhile, the cough and tickle are suspicious for esophageal reflux. Reflux will respond to over the counter remedies. However, you should discuss these concerns with your doctor. It is isn't reflux, a sleep study may be warranted. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, may I answer your health queries right now ? Please type your query here...heart feels like it skips a beat then that makes my throat tickle and i cough,gets worse when falling asleep. i usually end up waking up feeling as if i stopped breathing for a minute and my heart stopped.then my heart starts beating rewal fast like a panic attack and i try to lay down and drift off to sleep again.this will happen a few more times then i eventually fall asleep<|eot_id|><|start_header_id|>assistant<|end_header_id|>Your difficulty could be a primary problem of sleep, snoring or esophageal reflux. If you are very tired in the morning, sleep easily during the day and snore loudly, you may have sleep apnea. Meanwhile, the cough and tickle are suspicious for esophageal reflux. Reflux will respond to over the counter remedies. However, you should discuss these concerns with your doctor. It is isn't reflux, a sleep study may be warranted.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I got my CT Scan report today and its says as follow verbatim | Hello MRI findings may suggest degenerative changes in lumbar spine. Degenerative changes are generally age related findings. It is due to chronic stress on annulus fibrosis. There is also straightening of lumbar spine, it may be due to muscular spasm. There are severe facet (bony joints in between two vertebra)arthropathy changes at L4-5 and moderate arthropathy at L5-S1 level. At L5-S1 level, there is moderate broad based disc bulge with focal right paracentral disc protrusion, and it is causing mild to moderate right paracentral compression on thecal sac. There is mild narrowing of bilateral lateral neural canal. At L4-5 level, there is a small right paracentral broad based disc bulge which is causing mild compression on right paracentral thecal sac. There are also mild narrowing of bilateral lateral neural canal. Majority of degenerative disc disease patients are benefited by conservative treatment in the form of physiotherapy, analgesics and muscle relaxants. Surgery is advised in non responding cases. Physiotherapy helps in strengthening of para spinal muscles, and it prevents further changes. You need proper evaluation by a neurologist. Get well soon. Take Care Chat Doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I got my CT Scan report today and its says as follow verbatim<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello MRI findings may suggest degenerative changes in lumbar spine. Degenerative changes are generally age related findings. It is due to chronic stress on annulus fibrosis. There is also straightening of lumbar spine, it may be due to muscular spasm. There are severe facet (bony joints in between two vertebra)arthropathy changes at L4-5 and moderate arthropathy at L5-S1 level. At L5-S1 level, there is moderate broad based disc bulge with focal right paracentral disc protrusion, and it is causing mild to moderate right paracentral compression on thecal sac. There is mild narrowing of bilateral lateral neural canal. At L4-5 level, there is a small right paracentral broad based disc bulge which is causing mild compression on right paracentral thecal sac. There are also mild narrowing of bilateral lateral neural canal. Majority of degenerative disc disease patients are benefited by conservative treatment in the form of physiotherapy, analgesics and muscle relaxants. Surgery is advised in non responding cases. Physiotherapy helps in strengthening of para spinal muscles, and it prevents further changes. You need proper evaluation by a neurologist. Get well soon. Take Care Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | hi doctor my age is 24, 7 months has completed fr my marriage, i m trying to get pregnant,we hav jzt decided for baby planning, but for 2 months my periods r very ireegular n my gynec has given me tablet ovulet. doctor advice me how to get pregnanat early as possible? | Hello, Thanks for writing to us. Followings are my comments | <|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 age is 24, 7 months has completed fr my marriage, i m trying to get pregnant,we hav jzt decided for baby planning, but for 2 months my periods r very ireegular n my gynec has given me tablet ovulet. doctor advice me how to get pregnanat early as possible?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Thanks for writing to us. Followings are my comments<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I am 20 years old, and my doctor said that my GI dr will want an endoscopy and colonoscopy because my stomach pains have been unexplained by a CT scan, Abdominal US, and Pelvic all being normal. Is this normal? What if those tests come back normal too? | Hello! Welcome to Chat Doctor. Yes, it is quite possible that copies also give normal result. Many such patients come to my clinic to whom I advise tests to rule out lactose intolerance, gluten sensitivity, celiac disease, parasitic infestations & small intestinal bacterial overgrowth. If all are negative then its irritable bowel syn Chat Doctor. Treatment is done accordingly. Hope this information is useful to you. 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: I am 20 years old, and my doctor said that my GI dr will want an endoscopy and colonoscopy because my stomach pains have been unexplained by a CT scan, Abdominal US, and Pelvic all being normal. Is this normal? What if those tests come back normal too?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello! Welcome to Chat Doctor. Yes, it is quite possible that copies also give normal result. Many such patients come to my clinic to whom I advise tests to rule out lactose intolerance, gluten sensitivity, celiac disease, parasitic infestations & small intestinal bacterial overgrowth. If all are negative then its irritable bowel syn Chat Doctor. Treatment is done accordingly. Hope this information is useful to you. Wish you healthy life. Thanks. Regards.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I am 30 years old, my height is 5feet 1inch and weight is 53 kgs, my BP - 120/70mmhg. My LMP is 5 december 2011 on 10th january I came to know that I am pregnant by pregnancy kit test done at home. Yesterday I consulted Gynaecologist; she prescribed me Emfolic DHA (od/morning) and susten 200 (od/night)for 1 month. My menstrual cycles were very regular. Is the prescription is correct one. Shall I take susten 200? | Hi, Susten is a Progestin which is a female hormone. It works by correcting the levels of progesterone, thereby stimulating the lining of the uterus to prepare for a pregnancy and protect an existing pregnancy. This helps in the treatment of infertility and prevents spontaneous abortion (miscarriage). Progesterone is especially helpful in suspected deficiency of the hormone. Take care. 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 am 30 years old, my height is 5feet 1inch and weight is 53 kgs, my BP - 120/70mmhg. My LMP is 5 december 2011 on 10th january I came to know that I am pregnant by pregnancy kit test done at home. Yesterday I consulted Gynaecologist; she prescribed me Emfolic DHA (od/morning) and susten 200 (od/night)for 1 month. My menstrual cycles were very regular. Is the prescription is correct one. Shall I take susten 200?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Susten is a Progestin which is a female hormone. It works by correcting the levels of progesterone, thereby stimulating the lining of the uterus to prepare for a pregnancy and protect an existing pregnancy. This helps in the treatment of infertility and prevents spontaneous abortion (miscarriage). Progesterone is especially helpful in suspected deficiency of the hormone. Take care. 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. | Hi can you please help me my doctor sent me for an xray on Monday as I had coughed up a very small amount of mucusy blood the results came back as imflammation to right lung u was prescribed 500mg amoxcillion tablets for a week and have to go back for another chest xray in 4 weeks Ian only 28 years old and am worried this could be cancer the doctor says it is a small shodow but it is very uncommon and unlikely a women of my age to have this . Thankyou | Thanks for your question on Chat Doctor. I can understand your concern. You are having hemoptysis (blood in sputum). Common causes for hemoptysis are bronchitis, tuberculosis, pneumonia, bronchiectasis, lung cancer etc. At your age of 28 years, lung cancer is extremely unlikely. You are also having shadow on chest x-ray, so possibility of either tuberculosis or pneumonia is more. You are taking amoxicillin. It is antibiotic and given fir pneumonia. So take this Chat Doctor. If you are improving in your symptoms like hemoptysis is decreasing then no need to worry. But if your hemoptysis is not improving then immediately consult doctor and get done sputum examination for AFB (acid fast bacilli-bacteria causing tuberculosis) and repeat chest x-ray to rule out tuberculosis. CT thorax is also indicated if you are not improving. So at present, take amoxicillin and wait for 10 days. Quit smoking as soon as possible if you are smoker. Don't worry, you will be alright. 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: Hi can you please help me my doctor sent me for an xray on Monday as I had coughed up a very small amount of mucusy blood the results came back as imflammation to right lung u was prescribed 500mg amoxcillion tablets for a week and have to go back for another chest xray in 4 weeks Ian only 28 years old and am worried this could be cancer the doctor says it is a small shodow but it is very uncommon and unlikely a women of my age to have this . Thankyou<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. You are having hemoptysis (blood in sputum). Common causes for hemoptysis are bronchitis, tuberculosis, pneumonia, bronchiectasis, lung cancer etc. At your age of 28 years, lung cancer is extremely unlikely. You are also having shadow on chest x-ray, so possibility of either tuberculosis or pneumonia is more. You are taking amoxicillin. It is antibiotic and given fir pneumonia. So take this Chat Doctor. If you are improving in your symptoms like hemoptysis is decreasing then no need to worry. But if your hemoptysis is not improving then immediately consult doctor and get done sputum examination for AFB (acid fast bacilli-bacteria causing tuberculosis) and repeat chest x-ray to rule out tuberculosis. CT thorax is also indicated if you are not improving. So at present, take amoxicillin and wait for 10 days. Quit smoking as soon as possible if you are smoker. Don't worry, you will be alright. 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. | Hello Sir, My mothers age is 51 & she is having diabetic from past 15-20 yrs & she is taking medicine from doctors on regular basis but the sugar level is not decreasing.Recent report 392(before breakfast) & 450(after breakfast).She had taken insulin as well for some time but now she left.Suggest me regarding the same.Regards,Prabal0000 | Hell, When a person gets diabetes, it is observed that almost 50% of his or her Insulin producing cells of pancreas (Beta cells) tend to be non-functional. Further, if blood glucose is not rapidly controlled, then genotoxicity due to hyperglycemia (high glucose in blood) further damages beta cells. Therefore, after few years suffering with diabetes almost every single patient has to start taking insulin as most of the cells are non-functional. There is no insulin in the system. It has to be given on daily basis for controlling blood glucose, that too for lifetime. Looking at the blood glucose levels mentioned, your mother has to be on Insulin injections along with oral anti-diabetic Chat Doctor. There is no other option. If the glucose level is not controlled effectively, the long term serious consequences of diabetes will start manifesting like retinal problems, peripheral neuropathy, affection of blood supply to the lower limbs, cardiovascular diseases and kidney disease. Ideally if one has to achieve good control then fasting glucose should be closer to 100 mg, PP 160 to 170 mg & HbA1c%Along with Insulin and other | <|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, My mothers age is 51 & she is having diabetic from past 15-20 yrs & she is taking medicine from doctors on regular basis but the sugar level is not decreasing.Recent report 392(before breakfast) & 450(after breakfast).She had taken insulin as well for some time but now she left.Suggest me regarding the same.Regards,Prabal0000<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hell, When a person gets diabetes, it is observed that almost 50% of his or her Insulin producing cells of pancreas (Beta cells) tend to be non-functional. Further, if blood glucose is not rapidly controlled, then genotoxicity due to hyperglycemia (high glucose in blood) further damages beta cells. Therefore, after few years suffering with diabetes almost every single patient has to start taking insulin as most of the cells are non-functional. There is no insulin in the system. It has to be given on daily basis for controlling blood glucose, that too for lifetime. Looking at the blood glucose levels mentioned, your mother has to be on Insulin injections along with oral anti-diabetic Chat Doctor. There is no other option. If the glucose level is not controlled effectively, the long term serious consequences of diabetes will start manifesting like retinal problems, peripheral neuropathy, affection of blood supply to the lower limbs, cardiovascular diseases and kidney disease. Ideally if one has to achieve good control then fasting glucose should be closer to 100 mg, PP 160 to 170 mg & HbA1c%Along with Insulin and other<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My husband has been experiencing alot of pain in his liver area chest pain pins and needles up to his left side of his neck and arm and is also having intergestion for about a week now he also feels that his legs feel like there going to give way and feel weak he also feels week | Thanks for your question on Chat Doctor. I can understand your husbands situation and problem. Right sided lower chest and upper abdominal pain is commonly due to liver and lung pathology. Liver pathology like Hepatitis and lung pathology like pleural effusion, pneumonia etc. cause similar kind of pain. So better to get done chest x-ray and ultrasound examination of abdomen to rule out these causes. He is also having indigestion. So start proton pump inhibitors and prokinetic Chat Doctor. Ask him to avoid stress and tension, hot and spicy food, large meals etc. Ask him to quit smoking and alcohol if he is having these habits. Don't worry, he will be alright. But first diagnose himself and then start appropriate treatment. Hope I have solved your query. Wishing good health to your husband. Thanks. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My husband has been experiencing alot of pain in his liver area chest pain pins and needles up to his left side of his neck and arm and is also having intergestion for about a week now he also feels that his legs feel like there going to give way and feel weak he also feels week<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your husbands situation and problem. Right sided lower chest and upper abdominal pain is commonly due to liver and lung pathology. Liver pathology like Hepatitis and lung pathology like pleural effusion, pneumonia etc. cause similar kind of pain. So better to get done chest x-ray and ultrasound examination of abdomen to rule out these causes. He is also having indigestion. So start proton pump inhibitors and prokinetic Chat Doctor. Ask him to avoid stress and tension, hot and spicy food, large meals etc. Ask him to quit smoking and alcohol if he is having these habits. Don't worry, he will be alright. But first diagnose himself and then start appropriate treatment. Hope I have solved your query. Wishing good health to your husband. Thanks.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | i just had a pacemaker put in because my pulse was at 40 for two days- then ecg showed a complete block. The doc is checking me for Lyme disease involvement. I also had elevated mercury in my blood at same time as benigh arythmic symptioms started (2000). Can mercury be involved in this blockage? | Hi dear Mercury collects in the heart muscle and valves and has been found at 22,000 times the levels found in the blood. Mercury is strongly associated with elevated levels of homocysteine and cholesterol and heart attacks and can precipitate various arrhythmias and can even cause third degree av block, all of these are documented side effect of mercury toxicity, all sorts of arrhythmias, palpitations etc. are caused by mercury toxicity answer to your question is yes | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i just had a pacemaker put in because my pulse was at 40 for two days- then ecg showed a complete block. The doc is checking me for Lyme disease involvement. I also had elevated mercury in my blood at same time as benigh arythmic symptioms started (2000). Can mercury be involved in this blockage?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi dear Mercury collects in the heart muscle and valves and has been found at 22,000 times the levels found in the blood. Mercury is strongly associated with elevated levels of homocysteine and cholesterol and heart attacks and can precipitate various arrhythmias and can even cause third degree av block, all of these are documented side effect of mercury toxicity, all sorts of arrhythmias, palpitations etc. are caused by mercury toxicity answer to your question is yes<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I woke up with sharp pain to my back left side under shoulder blade and it is sore today, however I am experiancing some chest heaviness and I am a nurse but dont want to look slilly jumping the gun going to ER for cardiac enzymes and such as I am worried about having MI , I am 55 menopausal , overweight moderatly , take benicar and inderol and have reflux. slightly elevated cholesterol . HELP ???? | Hi, You are a nurse hence you can know better the importance of having an EKG after any chest and back related problems along with cardiac enzymes to rule out the causes related to heart. This can be due to HERD causing esophagitis. Can be due to muscle spasm. Viral fever can cause this. Anything related to lungs and pleura.Hence, You need 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: I woke up with sharp pain to my back left side under shoulder blade and it is sore today, however I am experiancing some chest heaviness and I am a nurse but dont want to look slilly jumping the gun going to ER for cardiac enzymes and such as I am worried about having MI , I am 55 menopausal , overweight moderatly , take benicar and inderol and have reflux. slightly elevated cholesterol . HELP ????<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, You are a nurse hence you can know better the importance of having an EKG after any chest and back related problems along with cardiac enzymes to rule out the causes related to heart. This can be due to HERD causing esophagitis. Can be due to muscle spasm. Viral fever can cause this. Anything related to lungs and pleura.Hence, You need the following<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I started itching around my lips almost a year ago and continue to still itch around my lip area. I normally just put chapstick and lip balm around the area just so it would stop. i also used cortizone to stop the itching over night. ever so often my lips would swell and pus or fluid starts coming out. Now waking up in the morning i see a very tiny but faint brown/black spot on my upper and lower lip , you could barely see it but there are three now.I have tried researching this but i have not been successful and i want to have an idea of what the cause or what this is .I am also still nervous to see a doctor because im afraid this might be cancerous. | Hi, First, let me reassure you that it is not cancer. This is going on for a year, and you have tried cortisone too for this. Now, you also see them as spots, with pus or fluid. I should say you this, the general condition of any person is known by looking at their lips and nails. The symptoms on your lips may be a sign of underlying systemic infection. You need to consult a general physician, get routine blood investigations done and find out the exact cause of the same. It is termed Angular charities. Please do not be afraid, meet a general physician soon and get it resolved. Hope this helps. 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 started itching around my lips almost a year ago and continue to still itch around my lip area. I normally just put chapstick and lip balm around the area just so it would stop. i also used cortizone to stop the itching over night. ever so often my lips would swell and pus or fluid starts coming out. Now waking up in the morning i see a very tiny but faint brown/black spot on my upper and lower lip , you could barely see it but there are three now.I have tried researching this but i have not been successful and i want to have an idea of what the cause or what this is .I am also still nervous to see a doctor because im afraid this might be cancerous.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, First, let me reassure you that it is not cancer. This is going on for a year, and you have tried cortisone too for this. Now, you also see them as spots, with pus or fluid. I should say you this, the general condition of any person is known by looking at their lips and nails. The symptoms on your lips may be a sign of underlying systemic infection. You need to consult a general physician, get routine blood investigations done and find out the exact cause of the same. It is termed Angular charities. Please do not be afraid, meet a general physician soon and get it resolved. Hope this helps. Regards<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | i had sex a week ago from yesterday, he was wearin a condom and ejaculated in the condom, and the condom slipped off, and we continued to have sex without knowing the condom slipped off. i took the morning after pill 20 hours after having sex...and i was suppose to have my period yesterday. what do i expect? | Dear Madam, When condom slips inside the vagina and still you continue to have sex, it is an unprotected sex. However, you have taken morning after pill within first 24 hours. This pill is having a good success rate (>95%) in preventing the pregnancy. So you need not be under stress. These pills contain high concentration of hormones Estrogen + Progesterone. It takes few weeks for their levels in the blood to come down. Hence, in many cases the menstruation is found to be delayed. Your period has been delayed by just a day. Please do not be under stress. Wait of few more days for it to appear. If it does not appear for 10 days, you may get your urine tested for pregnancy to confirm the status. However, I feel, you should get menses in few days. | <|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 sex a week ago from yesterday, he was wearin a condom and ejaculated in the condom, and the condom slipped off, and we continued to have sex without knowing the condom slipped off. i took the morning after pill 20 hours after having sex...and i was suppose to have my period yesterday. what do i expect?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Dear Madam, When condom slips inside the vagina and still you continue to have sex, it is an unprotected sex. However, you have taken morning after pill within first 24 hours. This pill is having a good success rate (>95%) in preventing the pregnancy. So you need not be under stress. These pills contain high concentration of hormones Estrogen + Progesterone. It takes few weeks for their levels in the blood to come down. Hence, in many cases the menstruation is found to be delayed. Your period has been delayed by just a day. Please do not be under stress. Wait of few more days for it to appear. If it does not appear for 10 days, you may get your urine tested for pregnancy to confirm the status. However, I feel, you should get menses in few days.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | hi ive not had a period in four months inspite taking gynacosid and i feel if this is related to menopause /? i have also developed spasmic pain in my lower abdominal region on the right side. ive had my apendicitis removed.what could be the reason for the pain? im 49 years of age | Hi. Thanks for your query. I would be difficult to tell the diagnosis on half history, please provide more history related to fever, duration of pain, Any associated nausea, vomiting, distension of abdomen. The best diagnostic too is ultrasonography to start with. It may wall thickening of the illogical junction, meaning the joint of small and large bowel from where the appendix is removed; ovaries and tubes, lymph nodes and other related structures like ureter. CT scan can be done to confirm the diagnosis and plan for the treatment. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hi ive not had a period in four months inspite taking gynacosid and i feel if this is related to menopause /? i have also developed spasmic pain in my lower abdominal region on the right side. ive had my apendicitis removed.what could be the reason for the pain? im 49 years of age<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. Thanks for your query. I would be difficult to tell the diagnosis on half history, please provide more history related to fever, duration of pain, Any associated nausea, vomiting, distension of abdomen. The best diagnostic too is ultrasonography to start with. It may wall thickening of the illogical junction, meaning the joint of small and large bowel from where the appendix is removed; ovaries and tubes, lymph nodes and other related structures like ureter. CT scan can be done to confirm the diagnosis and plan for the treatment.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have a bad case of flat feet. Constant burning feeling in my arches although my left foot is worse. Last night, a spot of my arch felt bruised on the inside. This morning not only is it internally bruised but there is a red mark over the spot and the skin stings a little. | Hello, With history, I understand that the Flat foot issue is from a long time. The first thing you should do it to change the footwear. Insert the medial arch which is widely available nowadays in the form of silicone material. Using that can help avoid any excessive pressure over the arch and also will help you avoid bruises. Now post the use of the medial arch there may be chances you will have pain in the feet and leg muscles like the calf. But that is common. Proper retraining of those muscle groups under a guided physiotherapist should help. As due to flat feet you may have developed a new adjustment of movements based on requirements. So a physiotherapist will be of good choice for prescribed desired exercise. Rest assured. You may not be able to completely get rid of flat feet so soon but at least will avoid future damage to the tissues. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have a bad case of flat feet. Constant burning feeling in my arches although my left foot is worse. Last night, a spot of my arch felt bruised on the inside. This morning not only is it internally bruised but there is a red mark over the spot and the skin stings a little.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, With history, I understand that the Flat foot issue is from a long time. The first thing you should do it to change the footwear. Insert the medial arch which is widely available nowadays in the form of silicone material. Using that can help avoid any excessive pressure over the arch and also will help you avoid bruises. Now post the use of the medial arch there may be chances you will have pain in the feet and leg muscles like the calf. But that is common. Proper retraining of those muscle groups under a guided physiotherapist should help. As due to flat feet you may have developed a new adjustment of movements based on requirements. So a physiotherapist will be of good choice for prescribed desired exercise. Rest assured. You may not be able to completely get rid of flat feet so soon but at least will avoid future damage to the tissues. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | In my groin area my lymph nodes r very visible to touch,they are always pulsating and can be sore to touch.I have always sore legs and can feel very heavy at al times throughout the day. My work is very heavy on the body but was fine in the first year of job then took a sore back from lifting about 150,, 50-75kg bags al day everyday,stacking them on top of each other to make room and wheel away often. My neck is constantly sore and bait swollen near the throat area which makes me very horse in the mornings. I ve now developed migraines which makes me vomit and not hungry for the rest of the day. My hands sweat from time to time wen doing nothing like resting. It s al stated on the same week I took a flight home from Spain. This was in October but im no better now. | Hi, The visible pulsating lumps may not be lymph node. Given the fact that your job is very demanding and involves lifting heavy weights, you are at risk of developing hernias. A pulsating mass around the groin area may not be a lymph node, rather, an inguinal hernia. I will however suggest you see the doctor for examination as only a physical examination by the doctor may help say if they are lymph nodes or inguinal hernia. I will also suggest you see the doctor to examine your neck and throat and if need be, a thyroid function test and an infectious work (full blood count, ESR, typhoid test, malaria test) may be requested. These may help explain the other symptoms you are feeling. Paracetamol may help control your migraines while preparing to see the doctor. Hope this will help. Let me know if I can assist you further. Wish you good health! | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: In my groin area my lymph nodes r very visible to touch,they are always pulsating and can be sore to touch.I have always sore legs and can feel very heavy at al times throughout the day. My work is very heavy on the body but was fine in the first year of job then took a sore back from lifting about 150,, 50-75kg bags al day everyday,stacking them on top of each other to make room and wheel away often. My neck is constantly sore and bait swollen near the throat area which makes me very horse in the mornings. I ve now developed migraines which makes me vomit and not hungry for the rest of the day. My hands sweat from time to time wen doing nothing like resting. It s al stated on the same week I took a flight home from Spain. This was in October but im no better now.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, The visible pulsating lumps may not be lymph node. Given the fact that your job is very demanding and involves lifting heavy weights, you are at risk of developing hernias. A pulsating mass around the groin area may not be a lymph node, rather, an inguinal hernia. I will however suggest you see the doctor for examination as only a physical examination by the doctor may help say if they are lymph nodes or inguinal hernia. I will also suggest you see the doctor to examine your neck and throat and if need be, a thyroid function test and an infectious work (full blood count, ESR, typhoid test, malaria test) may be requested. These may help explain the other symptoms you are feeling. Paracetamol may help control your migraines while preparing to see the doctor. Hope this will help. Let me know if I can assist you further. Wish you good health!<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I was caught inside a shed burning with toxic cancerous foam and when I walked out side my heart cramped up severly and felt like it was going to explode with a disabling sharp pain and along with that my chest arms shoulder and expecialy my face neck and head had extreme numbness and pins and needles and also I was breathing but I was not getting oxygen and my face felt like I was holding my breath but I wasnt I fell to the ground with shock and almost passed out from the pain and lack of oxygen please help what happened to my heart is it ok and could i have slight heart muscle damaged | Hello thanks for posting at Chat Doctor. Inhaling toxic fumes can immediately cause lung issues which can lead to symptoms of breathlessness, fast breathing, lack of oxygen leading to blue colored face and neck and loss of consciousness. The symptoms which you have seem to be due to effect of some toxic gas probably carbon monoxide. Toxic fumes won't affect the heart so immediately giving rise to pain. So I think that your heart is not affected, but the lungs were affected during the episode. Lungs can remove toxins very effectively hence you need not worry about them retaining the toxins. Wishing 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: I was caught inside a shed burning with toxic cancerous foam and when I walked out side my heart cramped up severly and felt like it was going to explode with a disabling sharp pain and along with that my chest arms shoulder and expecialy my face neck and head had extreme numbness and pins and needles and also I was breathing but I was not getting oxygen and my face felt like I was holding my breath but I wasnt I fell to the ground with shock and almost passed out from the pain and lack of oxygen please help what happened to my heart is it ok and could i have slight heart muscle damaged<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello thanks for posting at Chat Doctor. Inhaling toxic fumes can immediately cause lung issues which can lead to symptoms of breathlessness, fast breathing, lack of oxygen leading to blue colored face and neck and loss of consciousness. The symptoms which you have seem to be due to effect of some toxic gas probably carbon monoxide. Toxic fumes won't affect the heart so immediately giving rise to pain. So I think that your heart is not affected, but the lungs were affected during the episode. Lungs can remove toxins very effectively hence you need not worry about them retaining the toxins. Wishing you good health. Regards<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I am concerned about my children being around a person with lung cancer that is spitting up blood and phlegm (sputum). The sputum has cancer cells in it and I am afraid if they (all of us) breathe in cancer cells we could contract cancer. Is this possible. | Hi, Thanks for writing in. Cancer is never spread by breathing cancer cells. If there is a person with lung cancer in the household then it is not a problem to inhale the same air. We doctor work all the time with cancer patients and talk to hem for hours without any risk of ourselves getting it. Child Chat Doctor. It is best to provide him with sputum cups which can be safely disposed.However, it is important to make sure that he does not have any infection that is causing blood and coughing in sputum. Should he be having any infection then please get him treated for it immediately? Lung cancer is never contagious through sputum. Please do not worry. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I am concerned about my children being around a person with lung cancer that is spitting up blood and phlegm (sputum). The sputum has cancer cells in it and I am afraid if they (all of us) breathe in cancer cells we could contract cancer. Is this possible.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for writing in. Cancer is never spread by breathing cancer cells. If there is a person with lung cancer in the household then it is not a problem to inhale the same air. We doctor work all the time with cancer patients and talk to hem for hours without any risk of ourselves getting it. Child Chat Doctor. It is best to provide him with sputum cups which can be safely disposed.However, it is important to make sure that he does not have any infection that is causing blood and coughing in sputum. Should he be having any infection then please get him treated for it immediately? Lung cancer is never contagious through sputum. Please do not worry.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I m having severe pain in my right upper side and back, Ive had my appendix removed and my gallbladdar removed. I was diagnosed with polyps in my colon, a uti which I took antiboitics for, cysts on both ovaries, cyst on my right kidney and a nodgul on my adrienal gland. Do you know what might be making this pain worse, its not getting any better and I go to the eurologist this week. | Hi thank you for trusting ChatDoctorI read your query and understand your concernFirst I am sorry for the symptoms you are suffering, but you have to be calm as your symptoms don't lead to any risky disease In my opinion it may be just a disc problem but as you suffered from several cystic problems better be careful and schedule a spine MR to be sure we aren't missing something those were just cysts you have nothing to be worried aboutDiscuss with your doctor about my opinion Hope I have been of hellish you good health and fast recovery Feel free to ask for further questions or doubts Best regards Chat Doctor. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I m having severe pain in my right upper side and back, Ive had my appendix removed and my gallbladdar removed. I was diagnosed with polyps in my colon, a uti which I took antiboitics for, cysts on both ovaries, cyst on my right kidney and a nodgul on my adrienal gland. Do you know what might be making this pain worse, its not getting any better and I go to the eurologist this week.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi thank you for trusting ChatDoctorI read your query and understand your concernFirst I am sorry for the symptoms you are suffering, but you have to be calm as your symptoms don't lead to any risky disease In my opinion it may be just a disc problem but as you suffered from several cystic problems better be careful and schedule a spine MR to be sure we aren't missing something those were just cysts you have nothing to be worried aboutDiscuss with your doctor about my opinion Hope I have been of hellish you good health and fast recovery Feel free to ask for further questions or doubts Best regards Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | i woke up with a sore lump that is raised on the back of my head near my neck hairline and it hurts even when im not touching it. i cant see the mark due to my hair being in the way. was i bitten by a spider? im very emotional all of a sudden, not sure if it is just because im scared or what. it also takes me a minute to actually focus on things and i feel at times like i am going to pass out. | Welcome to Chat Doctor. 1. The possible cause could be infective etiology - infected hair follicle with collection of pus within.2.Don't have to worry much, and it will not make you pass out. Relax.3. In this case as a remedy - maintain local hygiene, clean the area with antiseptic liquid. Do not squeeze or scratch the area / lump as it will complicate.4. And a course of antibiotic will help in this case.5. Get an appointment and let get examined and medication as needed. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i woke up with a sore lump that is raised on the back of my head near my neck hairline and it hurts even when im not touching it. i cant see the mark due to my hair being in the way. was i bitten by a spider? im very emotional all of a sudden, not sure if it is just because im scared or what. it also takes me a minute to actually focus on things and i feel at times like i am going to pass out.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Welcome to Chat Doctor. 1. The possible cause could be infective etiology - infected hair follicle with collection of pus within.2.Don't have to worry much, and it will not make you pass out. Relax.3. In this case as a remedy - maintain local hygiene, clean the area with antiseptic liquid. Do not squeeze or scratch the area / lump as it will complicate.4. And a course of antibiotic will help in this case.5. Get an appointment and let get examined and medication as needed. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, the following started last year but has become very frequent recently..... when I lie down flat on my back my eyes cross and i go dizzy and a tightness appears in my head. When i sit up and shake my head it goes away. My blood pressure has been controlled for 14yrs now and i have been on meds for that time. I am 48. I have developed a ringing in my ears. thanks Cat | Hi Dear, As per your query you have dizziness and tightness in the head when lying down flat. Well there can be many reasons for vertigo, by the most common is anxiety and the other Benign paroxysmal positional vertigo (BPPV) are ear infection, hypoglycemia, anemia, deniers disease, migraine and alteration in the bloods circulation. I would suggest you to consult ENT specialist for proper examination. Doctor may order test like rotatory chair test, head movement test, posturography and CT scan. Doctor may prescribe antiemetic Chat Doctor. For now do not bend forward and | <|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, the following started last year but has become very frequent recently..... when I lie down flat on my back my eyes cross and i go dizzy and a tightness appears in my head. When i sit up and shake my head it goes away. My blood pressure has been controlled for 14yrs now and i have been on meds for that time. I am 48. I have developed a ringing in my ears. thanks Cat<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi Dear, As per your query you have dizziness and tightness in the head when lying down flat. Well there can be many reasons for vertigo, by the most common is anxiety and the other Benign paroxysmal positional vertigo (BPPV) are ear infection, hypoglycemia, anemia, deniers disease, migraine and alteration in the bloods circulation. I would suggest you to consult ENT specialist for proper examination. Doctor may order test like rotatory chair test, head movement test, posturography and CT scan. Doctor may prescribe antiemetic Chat Doctor. For now do not bend forward and<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I got hit with a softball in the shin about a week and a half ago and the area is still very bruised and hurts to walk and touch. Do you think this is something I should get checked out? It started to feel better but then the pain came back and is numb in the area | Thanks for contacting Chat Doctor with your medical questions. I am sorry to hear that you have a bruise on your shin. These bruises can be alarming as they cause pain and large deformity on the leg. These bruises though are completely harmless. The bruise will take several days to be absorbed but will resolve within 2 weeks. I can reassure you that you have nothing to be concerned about and this will go away. I hope this answers your question. Please contact Chat Doctor again with any of your health care concerns | <|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 hit with a softball in the shin about a week and a half ago and the area is still very bruised and hurts to walk and touch. Do you think this is something I should get checked out? It started to feel better but then the pain came back and is numb in the area<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for contacting Chat Doctor with your medical questions. I am sorry to hear that you have a bruise on your shin. These bruises can be alarming as they cause pain and large deformity on the leg. These bruises though are completely harmless. The bruise will take several days to be absorbed but will resolve within 2 weeks. I can reassure you that you have nothing to be concerned about and this will go away. I hope this answers your question. Please contact Chat Doctor again with any of your health care concerns<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | hi my daughter had 4 teeth orally extracted this morning i have given her 2 hydrocodone 50 mg and a 500mg penisillin shes not due for another pain pill until 800pm its 342pm now should i take her to emergency im afraid to give any more pain meds and i cant alternate because shes allergic to ibuprphen | Hello, In case if the pain is severe and not tolerable, then you can take her to the emergency room so that they can give her injectable painkillers to relieve pain for a longer duration and also faster. In case if she is allergic to Ibuprofen, you can also give other painkillers like Motorola, Diclofenac etcetera, but only if you know she is not allergic to those. Also, do cool compresses over the cheek. Apply Lidocaine gel over the extraction site as it will help in relieving pain. If the pain still continues to get worse, consult her dentist and get checked. 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 my daughter had 4 teeth orally extracted this morning i have given her 2 hydrocodone 50 mg and a 500mg penisillin shes not due for another pain pill until 800pm its 342pm now should i take her to emergency im afraid to give any more pain meds and i cant alternate because shes allergic to ibuprphen<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, In case if the pain is severe and not tolerable, then you can take her to the emergency room so that they can give her injectable painkillers to relieve pain for a longer duration and also faster. In case if she is allergic to Ibuprofen, you can also give other painkillers like Motorola, Diclofenac etcetera, but only if you know she is not allergic to those. Also, do cool compresses over the cheek. Apply Lidocaine gel over the extraction site as it will help in relieving pain. If the pain still continues to get worse, consult her dentist and get checked. 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 just noticed that I have a painful lump located on the inner area of my elbow. There is no bruising, swelling or redness noted in the area. There was no trauma at the location and it s painful to touch as well as when I rest my arm on any surface. I d like to know what could have caused this lump to appear practically overnight? | HI, Thanks for the query to Chat Doctor. Treatment for painful lump on elbow-In my opinion -bug bite or unnoticed wound on the arm would cause this overnight. Treatment -consult a surgeon when it grows, and he would treat it accordingly with antibiotics / anti-inflammatory. Hope this would help you to plan treatment with mammography and ER doctor. Welcome for any further query to Chat Doctor. Hit, thanks. Good Day. Chat Doctor. N. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I just noticed that I have a painful lump located on the inner area of my elbow. There is no bruising, swelling or redness noted in the area. There was no trauma at the location and it s painful to touch as well as when I rest my arm on any surface. I d like to know what could have caused this lump to appear practically overnight?<|eot_id|><|start_header_id|>assistant<|end_header_id|>HI, Thanks for the query to Chat Doctor. Treatment for painful lump on elbow-In my opinion -bug bite or unnoticed wound on the arm would cause this overnight. Treatment -consult a surgeon when it grows, and he would treat it accordingly with antibiotics / anti-inflammatory. Hope this would help you to plan treatment with mammography and ER doctor. Welcome for any further query to Chat Doctor. Hit, thanks. Good Day. Chat Doctor. N.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I got my first tattoo about five days ago and over the last couple of days I have developed a rash a large area around my tattoo, the rash is not on the tattoo and looks a bit like a heat rash. I have been caring for the tattoo as instructed, is this an allergic reaction to the Tattoo Goo I have been using perhaps? | Hello and welcome to Chat Doctor, An rash within five days of getting a tattoo suggests an allergic reaction. The allergic reaction can be against the dye used for the tattoo. If the tattooing needle is not sterile, infection can also occur after injecting the dye. However, you are having a rash after injecting the dye, it is most probably an allergic reaction. You can take an antihistamines for the rash and to control symptoms like itching, etc. Of the symptoms persist for a long period of time or increases despite taking medication, you need to visit your doctor. 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: Hi, I got my first tattoo about five days ago and over the last couple of days I have developed a rash a large area around my tattoo, the rash is not on the tattoo and looks a bit like a heat rash. I have been caring for the tattoo as instructed, is this an allergic reaction to the Tattoo Goo I have been using perhaps?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello and welcome to Chat Doctor, An rash within five days of getting a tattoo suggests an allergic reaction. The allergic reaction can be against the dye used for the tattoo. If the tattooing needle is not sterile, infection can also occur after injecting the dye. However, you are having a rash after injecting the dye, it is most probably an allergic reaction. You can take an antihistamines for the rash and to control symptoms like itching, etc. Of the symptoms persist for a long period of time or increases despite taking medication, you need to visit your doctor. Thanks and take care. Chat Doctor.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I do not have money to get my question answered if that is what you need unfortunately... but I am so worried about my 26 year old daughter who has stopped cold turkey taking the Zoloft her physician prescribed for her about 3 years ago for stress/Add & depression . She claimed that she was experiencing bad night sweats & lack of sdrive so she abruptly stopped it. Her mood swings range from being so nice like when she was on zoloft to abusive | Hi there ~ I do not think it was a good idea for your daughter to go off of Zoloft. However, it would be good to speak with her and let her know that you have noticed her mood has changed since her having stopped Zoloft. Giving them insight would be primary in making the diseased, better adherent and compliant. I would think that there will be a change in their attitude when such a change happens. I hope you understand and can talk your daughter into taking medications. Hope this helped. Take care and have a good day ! | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I do not have money to get my question answered if that is what you need unfortunately... but I am so worried about my 26 year old daughter who has stopped cold turkey taking the Zoloft her physician prescribed for her about 3 years ago for stress/Add & depression . She claimed that she was experiencing bad night sweats & lack of sdrive so she abruptly stopped it. Her mood swings range from being so nice like when she was on zoloft to abusive<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi there ~ I do not think it was a good idea for your daughter to go off of Zoloft. However, it would be good to speak with her and let her know that you have noticed her mood has changed since her having stopped Zoloft. Giving them insight would be primary in making the diseased, better adherent and compliant. I would think that there will be a change in their attitude when such a change happens. I hope you understand and can talk your daughter into taking medications. Hope this helped. Take care and have a good day !<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | I have a small lump between the base and middle of my neck on the left side. ENT said no need for biopsy and watch to make sure it doesnt change size. Is that okay? It moves around and doesnt hurt when you touch it but sometimes has pain around it. Just want to be assured, not in denial. | Welcome to Chat Doctor .1. Most possible cause is lipomatous lesion (fat containing) according to your description.2. But second possible cause will be infective etiology - thinking in terms of pain.3. In this case I would have done in this way - examine first, then ask for an ultrasound neck which will help me to know the nature of the lesion, its source and extensions.4. As it can be from thyroid, vascular and so on.5. Yes biopsy not needed but get the ultrasound done and depending on the nature of the lesion / lump keep followup. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. | <|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have a small lump between the base and middle of my neck on the left side. ENT said no need for biopsy and watch to make sure it doesnt change size. Is that okay? It moves around and doesnt hurt when you touch it but sometimes has pain around it. Just want to be assured, not in denial.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Welcome to Chat Doctor .1. Most possible cause is lipomatous lesion (fat containing) according to your description.2. But second possible cause will be infective etiology - thinking in terms of pain.3. In this case I would have done in this way - examine first, then ask for an ultrasound neck which will help me to know the nature of the lesion, its source and extensions.4. As it can be from thyroid, vascular and so on.5. Yes biopsy not needed but get the ultrasound done and depending on the nature of the lesion / lump keep followup. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.<|eot_id|> |
If you are a doctor, please answer the medical questions based on the patient's description. | My husband is 56 years old and has been recently diagnosed with pancreatic and liver cancer. He is on Gemzar and Abraxzane for his chemotherapy and has been told he is slightly anemic. How do we build up his iron supply? His appetite is good and he already eats red meat, iron-enriched cereals, spinach, beans, etc. All the iron building foods we can think of plus a 65mg iron supplement tablet daily. What more can we do? | Hi, dairy have gone through your question. I can understand your concern. First you should search the cause of anemia. Whether it is due to iron deficiency or vitamin B12 deficiency or folic acid deficiency. For that you should go for peripheral smear examination and anemia profile. Then take supplements according to deficiency. If severe deficiency then you can take injectable iron like iron extra or iron sucrose. If vitamin B12 deficiency then you can take a course of injectable vitamin B12. 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: My husband is 56 years old and has been recently diagnosed with pancreatic and liver cancer. He is on Gemzar and Abraxzane for his chemotherapy and has been told he is slightly anemic. How do we build up his iron supply? His appetite is good and he already eats red meat, iron-enriched cereals, spinach, beans, etc. All the iron building foods we can think of plus a 65mg iron supplement tablet daily. What more can we do?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, dairy have gone through your question. I can understand your concern. First you should search the cause of anemia. Whether it is due to iron deficiency or vitamin B12 deficiency or folic acid deficiency. For that you should go for peripheral smear examination and anemia profile. Then take supplements according to deficiency. If severe deficiency then you can take injectable iron like iron extra or iron sucrose. If vitamin B12 deficiency then you can take a course of injectable vitamin B12. 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 doctor, I live in uk and am showing many signs of ms, but have not been diagnosed. My hp has refered me to neuro . Two questions.... 1. My body jerks a lot, I itch like mad, and have tremors... How will it be possible for me to have an mri scan and keep still? 2. My father has died from complications with hemi migraine , my sister has it now, my nephew has epilepsy and my niece sufferes from ME. Can it be possible for me to have MS? Regards Julia | Hi Julia, I have read your symptoms in detail, and based on them, there is little chance of you having MS. However, MRI brain would help in making a diagnosis. If you are not still during MRI, they would give you short term sedation or light general anesthesia. You could be having Myoclonic epilepsy and migraines, both of which can be managed with medications. 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: Hi doctor, I live in uk and am showing many signs of ms, but have not been diagnosed. My hp has refered me to neuro . Two questions.... 1. My body jerks a lot, I itch like mad, and have tremors... How will it be possible for me to have an mri scan and keep still? 2. My father has died from complications with hemi migraine , my sister has it now, my nephew has epilepsy and my niece sufferes from ME. Can it be possible for me to have MS? Regards Julia<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi Julia, I have read your symptoms in detail, and based on them, there is little chance of you having MS. However, MRI brain would help in making a diagnosis. If you are not still during MRI, they would give you short term sedation or light general anesthesia. You could be having Myoclonic epilepsy and migraines, both of which can be managed with medications. 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. | i am in a lot of pain going on three years now I have disc problems arthritis in my knee and hip also fluid on the hip and micro tares in my leg I cant find a new doctor who is willing to prescribe percocets for me they are the only thing that helps my pain plus work with my amatriptoleen to help me get at least 3 hours of sleep | It seems you have severe pain in hip and knee. May I know your age? You have not mentioned it. 3 years is long time of suffering. Disc problem can cause referred pain in hip and knee. Clinical examination is useful to rule out the actual cause of pain. At least x-ray picture or Spine, hip and knee should be available to see the status of degeneration if any. Some exercises will help you to avoid back pain and some decrease in Hip and knee pain provided disease has not gone beyond control. | <|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 in a lot of pain going on three years now I have disc problems arthritis in my knee and hip also fluid on the hip and micro tares in my leg I cant find a new doctor who is willing to prescribe percocets for me they are the only thing that helps my pain plus work with my amatriptoleen to help me get at least 3 hours of sleep<|eot_id|><|start_header_id|>assistant<|end_header_id|>It seems you have severe pain in hip and knee. May I know your age? You have not mentioned it. 3 years is long time of suffering. Disc problem can cause referred pain in hip and knee. Clinical examination is useful to rule out the actual cause of pain. At least x-ray picture or Spine, hip and knee should be available to see the status of degeneration if any. Some exercises will help you to avoid back pain and some decrease in Hip and knee pain provided disease has not gone beyond control.<|eot_id|> |
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